HomeMy WebLinkAbout064-400-033_ .---A.P.-� •'
Leonard
Lot 68�41aimason
ss Court, Paradise Pines #5,
Magalia "Y
Permit
Permit 377-71B (new single family3
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-A. T
RASMASON Leonard Sl - Sl0 0
Lot 68,�liss Court, P.P. #5, Magalia
Permit-838-72(RENEWAL) F*,pgl ,y-1•,-7r
-A.P._.
LEONARD "SMASON
Lot 6W%liss Ct., PP#5, Magalia
Permit4610-73B (2nd RENEWAL of
_ 3-t'l 7T -.-7-71B..
.3.7- ,)
...........i
' RA SMAS Meonard d f (40-33.Lot 68 i*s Court, PP#. 5,
Magalia.
Perrhit # 1989-74 B
(3rd renewal of 377-71)Ftaal 3717-7
64-40-33
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6330 Bliss Ct, Magalia /
' Permit��2278=82B,E(new' pri garage) , -
064-40-0-033 �T . 99=0021 PM
I, COLLIINS, Grace"j�/i �� /6D','6330' Bliss'Court,' Magalia`, , r
(add•.gas.line)SF':Dal'es'Htg &-'Plbg'�
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064-40
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OFFICE Copy'
Address
ry of
GAS
Meter B D
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Meter
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, Opaliforma .95965 • Telephone 530) 538-7541.- PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSORPARCELNUMBER
)
ZONING -
BUILDING PERMIT /
OWNER
TELEPHONE
SQ. FT. OCC. BUILDING VALUATIQN
OWNERS MAJUNG ADDRESS V
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAIUNG ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Fee $
20.00
—Filing
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDINGADDRESS /` .
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SFS Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.001
5.00
rTYPE
T11PE OF WORK
New ❑ Addition ❑ Remodel ❑ f!Oilities ❑ Installation ❑ Other ❑
f c�
Describe Work: L(,�
-1_a�>.a1Y1G4i �1Jj1[,t�J�� ��. 1 �`
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE $
3-5-01)
/� ��-_ ��_.fil•( e -+ A�
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service tea, oa LEss)23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ 1, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Main Service 200A TO 1000A
46.00
NEW CONST. DWELI.ING OCCUP. SO
OR ADONS. a ACC. Bins. 3.5QFT:
OT -
,N,pN R.O,p, MULTI -OUTLET @7.50
BRANCH CIRCUITS
POWER APPARATUS
a sINOLE ourLEr CIR.
Ex. Occup. OUTLET ORFDMRES Bn200°':00
FIXED APPLI'S
. OR 5.00
Ex. Occu . ourtETs RESID. EA
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE S
MECHANICAL PERMIT Fling Fee 20.00
Heating Zrj{) J 2-5, 00
Cooling 5.00
Hood 6.50
Ventilation
PERMIT FEt $
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
�. I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
> .7
X .� t %. ; - Date — _
Signature of Applicant - O Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
oc.TYPE
c
oc , i
cGNSL
TOTAL FEE $ 0'5. 00
HAZ. D. FE IMP
FLOOD
CDF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
Q
By 7Llt b�Date� ' k)
PERMIT EXPIRES ON 6- A000
Dete
Receipt No. „ `; /
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES 1
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
Cal/,,�5 ,9 5. c) L
OWNER PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matterjor need additional explanation,
please contact this office immediately.
Aecka,i(C011,
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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, Calilornia -:95965 • Telephone (530) 538-754 G, � PERMIT O.
(42 Rev. 12/96) APPLICATION AND PERMIT C
ASSESSOR PARCEL NOES _ 14 o o ^ O
=DNI G _ i
BUILDING PERMIT
OWNER \
TELEPHONE
SO. FT. OCC. BUILDING VALUATI
• OWNERS MAIUADDRESS 5 / S14 ^ J C1f35
�
CONTRACTOR'S NA I n
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Pian Checking Fee
$
BUILDINGADDRESS 330 K. Oo a
Energy Plan Checking Fee
$
$
PERMIT FEE
$
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF X Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
w
Describe Work:
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE
ELECTRICAL PERMIT
Fling Fee 20.00
LESS )
Main Service 200A OR600' LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.PSING
License Class LIC. NO.
ONER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed 4 the permit is for work of a valuation
of one hundred dollars ($100) or less.)
¢Q 1 certify that in the performance of the work for which this permit is issued, I shall
` not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
fo with comply with those provisions.
(�
X /�i�0 Date 7
Signature of Applicant - Owner 0 Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUR SD
OR ADDNS. 6 Ace. BLDS. 3.5¢FT.
NO.R.IDT' MBRA�ULTI-OUTLET
@7,50
OIJTLtT CIR. OWELEPPARATUS
8 R A
Ex. Occup. OUTLET OR FIXTURES BAL @'1.00
Ex. Occup. OF�rs R�ID.DE. 5.00
Temporary Service 23.00
Mobile Home Facilities
20.00
Misc. Wiring23.00
PERMIT FEE S
MECHANICAL PERMIT Fling Fee 20.00
Heating Z6,00-16.00
Cooling ZS,00 25,00
Hood
6.50
Ventilation
PERMIT FEE S.00
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
2 _3
CQWJ_TYPE
iLbL TOTAL FEE $ 10!5. 00
HAz.
I D IMP
FLOOD
CDF
PARCEL
I PD
I HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
icate ,
indbove for which fees have been paid.
By // Date -q
PERMIT EXPIRES ON /—(0_C9_aa(00
I Date
Receipt No. 0 �
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
PERMIT NO. 22%H-82B�E �.
PERMIT EXPIRES
OWNER GRACE COLLINS
CONTR.' owner
ASSESSOR PARCEL GAF-SFO-33
LOCATION 63-10 R1 iGG r _ Magal i
a lot 68, PRS 5
, / •%
i
Id
Temp. Power Pole
Called PG&E
/
Temp. Elec. Service
Called
PG&E
Temp. Gas Service
Il
i
'
Called PG&E
JOB FINALED (Date)
I
ignature
J = OK
0 = Not OK
- = Not Applicable
* = Not Ready
MOBILEHOMES ' MISCELLANEOUS y .
Date
MOBILEHOME UTILITIES (Plans) OK except H's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORT5, ETC. (Plans) Gt, dxcept h
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
_
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4• Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg. -Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns-Connections-Splice-Decal-Enc.osures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.or/ '/"L"ft./ /"LPG
6. Carports; Windows -Doors
7. -Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
_
Date Card -BI Date
Date
MOBILEHOME INSTALLATION (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Date
_
POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4• Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/O to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
t
J = OK
0 = Not OK
- = Not Applicable
= Not Ready,
s
RESIDENTIAL ;Single and Duplex)
Date
UNDE OOR Plans OK except #'s
Date
FRIMINf*a
(Continued)
oning requirements -Setbacks -Easements
48.7
��rty Line Firewall &Openings
2.
5@ --Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
30'Ftg.,
Garage; Soils -Steel- / /" Ftg. Depth
.rs; Width -Headroom -Rise -Run -Landing -Fire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
5 _
PJ.ywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Ste IIs, Main; Steel-Blockouts-Wrapped-Slab
5 .-
Siding -Nailing -Veneer
temwalls, Garage; Steel-Blockouts-Wrapped-
53.
S4jcco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7.
Piers -Fireplace Ftg.-Steel
54.
G zing Area -Glass Protection -Skylights -Plastic
8.
D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
55.
Sh r Walls; Nailing -Bolts
9.
Gas Pipe; Size -Anchors
10.
Water Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; Underground
12.
P nums & Ducts; Clearance -Material -Support -Ins.
L'
Girders -Sills -Anchor Bolls -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
_ )
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FINAL (Plans) OK except q's
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
_
Dat-` Card -BI Date
PLUMBING (Permit) OK except q's
14. Water Ht.; Vent -Access -Combustion Air
57.
Smoke Detector
58.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15.
16.
Water Pipe; Test & Anchors -Nail Protection
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub AccAq
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker srize -Labels
19.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
-
63.
Fireplace or Stove; Cle ances-Hea th
Card -BI
Date Card -BI Date
64.
Elec. tlet at P net; Int. Ext.
65.
66.
67.
68.
K14F t. & rn .-Air C earance
Elfl. u t ce tacles at ter
Ga g ' e or; S ng -La - loser
A.0 Gara Da er
Card -BI Date Card -BI Date
Date ELEC CAL Permit OK except q's
i re &Transformer Clearance -Ins. Protection
69.
Wtr H r.; Vents -Clearance -C mb. Air-Connector-P.R.V.-
In a ge; Above Floor-Mech. Protection
I eceptacles Spacing -Lights & Switches at Doors
70.
P Elec. & Mech. Equip. Listed for Location
2
ize oxes & No. of Conductors -Stapled
71.
4 lec. Receptacles in Garage; (G.F.I.)-Romex Protec.
23 stalled Close to Edge of Studs & C.J.
--
2
quip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72.
Insulation -Foam -Looked in Attic El Yes
73.
Guard Rails & Deck Construction -Post Caps
lance Circus s in Kitche & Conductor Size
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
- 26. Subfeed Wire Size / a C or AI-A.C. Wire Size / / ga. Cu or At
27.ange
Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI,
I sulated Neutral JYes ❑No
75.
Following instld.: D 'v ❑ Yes o; Walks ❑ Yes o;
Planters ❑Yes VP No cr-
28.
S vice -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Fins h
29.
Eq 'p. Clearances; Panels-Motors-Mech. Equip.
77,
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
_-
30.
ClotNs Closet Light -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
Water Well; Disconnect, Electrical, Plumbing
--.
Card B -I
-
D itVt and -BI Date
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
81.
Ventilation throughout House
Card B -I
Date Card -BI Date
82.
Glass Protection
Date
MECHANICAL (Permit) OK except N's
83.
_
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
_-
31.
A.C. Ducts; Insulation & Support
85.
Water & Sewer Connected -C/O to Grade -HD Approval
_
32.
Vent Fan; Exhaust above Insulation
86,
Energy Compliance Certificate -Other Certificates
_
_33.
Condensate Drain & Overflow; Size & Grade
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
Card -BI
Card -BI
35.
-
Attic Access & Platform if Furnace in Attic
Date - _ - Card -BI Date
Date Card -BI Date
Card-Blel
Card -8
Card -BI
4 Date Card -BI Date
Date Card -BI Date
Date Card -BI Date
Comments at Final:
Date R NG Plans OK except N's
Proper Material & Anchors
_
-3
_
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
nn WALL erGirders & Floor Nailing
raft Stop in Walls (rat proof)
_
Jp FV -ops; Furred Ceilings -Stairs -Chases -Tub
41
4
^eader & Beam -Size & Bearing
rf§ers-Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfng.
',replace Ties or Type A Flue -Fireplace Throat
�c ccess: Size & Romex Protection -Draft Stop -Ins. Baffles
r . Windows o_r_Exiting Doors -Sill Hgt;& Dimensions -
Garage Fire Protection Framing
(NOTE: An entry must be made each time you visit job site)
j
c6tJNTY.OF- BUTTE.
• DEPARTMENT OF PUBLIC WORKS
196 Mem6rial Way, -.Chico —' Ph6ne: 891,-2751.,
7 County Cbnter-bYiv'el droville -'Phone:,53'4-4541
Skyway and .Elliott Road;
oad; Pared ise-- Ph one:�872 -2961,-,Ext. 57
CORRECTION -NOTICE %
BUILDING OR PROPERTY ADDRESS
A routine inspection'indicates that the following violations of County Ordinance
exist, at. the above address and should be corrected. Please notify this office
when correction of work is completed—If you have any question pertaining to this
matter, or need additional explanation, 'please contact'this office immediately.
(A
J
Ir
j
or
COUNTY OF BUTTE - DEPARTMEHT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICABON AND PERMIT
PERMIT NO.
ASSESSOR P ,W1 -NU BER
��t ®� 33
ZONING
OF
BUILDING PERMIT
OWNER
C p- SS
TELEPHONE
S77 626
SO. FT. OCC.1 BUILDING VALUATIO
Gi 2
OWNER'S MAILING ADDRESS
s EASE -
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LE ER
UNKNOWN
Total Valuation $
.�
Filing Fee
$ 10.00
LENDER'S MAILING AIVESS
Permit Fee
$ ov
ARCHITECT OR ENGINE13R
LICENSE NO.
Plan Checking Fee
$ S
Penalty
$
ARCHITECT OR ENGINEERV MAILING ADDRESS
Permit fee
$ IS -0
BUILDING ADDRESS
633 0 P,t-i ss
PLUMBING PERMIT
Filing Fee 10.00
Each Trap 14
2.00
Repair drainage or 4e4fji kN
5.00
Water piping
LOT NO.
SUBDIVISION NAME PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF/E] Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IZ
Describe work:_ �� X Z-2 %?�vT. �iA1ZAcS�1G
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMOOV P ORSLESS
5.00
Main service EA. ADD'L too AMP
2'.50
NEW CONST. ( DWELLING OC
DCONSTP AMU CC . LDG
2 �, 70
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
�] I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW ETI -OUTLET .
50e
NON-RESID BRANCH CIRCUITS)250a
NEW CONSTR. (POWER APPARATUS 6)
NON-RESID, (SINGLE OUTLET CIR.
50 @ 25¢
Ex. OCCUp OUTLETS OR FIXTURES BAL@1
FIXED APPLNS. OR
Ex. Occup. i;o UTLETS (RESID,) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $ 70
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
�I1 1 shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
S
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
again s id County in consequence of the granting of this ermit.
c
Date
Signature of Applicant — Owner Contractor ❑ Ag t ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 storiesin height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ a 20
g
OCCUP. GROUP
/VJ_
,, 11
I TYPE F CONST..
PARc,L
a/
PD
MD
550E
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTO F PUBLIC
By
PE EXPIRES Date-
the applicable provi-
resolutions to do
fees have been aid.
p
WORKS
Date
Receipt No. (C,
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
PERMIT EXPIRES RerQwal_expi.res
OWNER Leonard Rasmason
CONTR: Owner
LOCATION (A.P. AP: 57-76-33 )
Lot 68, Bliss Court PP# 5 Magalia
50 Bliss Court
11/8/73 Checked job -left notice to renew
permit: J.H.
i
4
COUNT'P4BUTTE
Department of Public Works
BUILDING INSP12CTION, RECORD
Zoning
Setback '
Forms
Foundation
Piers & Girders
Fireplace
l..
Rgh. Plumbing
Bond Beam
Lath & Plaster
Rein. Steel
Gas Piping & Test
Found. Vents
Framing
Plmg. Topout
Rough Elec.
Wtr. Htr.
Furnace
Kitchen Vent
Firewall
Garage Vents
Sanitation & Water
ELECTRIC
GAS
BUILDING
Temporary
Temporary
Cert. of Occup.
Final
Final
Final
DATE
REMARKS OR CORRECTIONS
DATE
'�Ieo
Lath & Plaster
Found. Vents
Rough Elec.*ater
Z = "
Kitchen Vent~ %
Sanitation &
BUILDING
Cert. of Occ
Final
REMARKS OR CORRECTIONS
Ole lu �
1 0�� —n
Al
iitsZ�rR.•d� Cii�i�i�•�''�r"7 .
Ic
( —ooir
,T(SO0%w„1/
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'->9 �- 5 �l /3- �� v `— chi �� .!'i I C�1— %� I t ) -S
I
COUNT Y 6) 13U' TTE
Department of P;ublie
_Works
BUILDING INSPECTION RECORD
Zoning
Setback
y
Foundation /�_' `� / `�
Piers & Girders
Rgh. Plumbing X72—�
Bond Beam -j--
Rein. Steel
Gas Piping & T st
t
Framing -C— 22 —• y —
Plmg. Topout.
Wtr. Htr. W21!!!�%
Furnace f
Firewall
Garage Vents � �—
ELECTRIC
GAS
Tempora 1,6-1;7-72 Gy
Final
Temporary rA
Final
DATE
'�Ieo
Lath & Plaster
Found. Vents
Rough Elec.*ater
Z = "
Kitchen Vent~ %
Sanitation &
BUILDING
Cert. of Occ
Final
REMARKS OR CORRECTIONS
Ole lu �
1 0�� —n
Al
iitsZ�rR.•d� Cii�i�i�•�''�r"7 .
Ic
( —ooir
,T(SO0%w„1/
17f gIVJ �^,4,' Tc
'->9 �- 5 �l /3- �� v `— chi �� .!'i I C�1— %� I t ) -S
I
COUNTY OF BUTTE — DEPAfFiTMENT OF PUBLIC
7 County Center Drive —., Oroville, California 95965
Telt?phone: 534-4541
APPLICATION AND PERMIT
WORK P49
1''Ca/-7P
I I
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
Xt &',-,3)
Signature of Permit or Agent
Receipt No. /,2t J
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF UBLIC WORKS
BY Date!'— 3-7j
ilding permit expires Date ......................® ..6.
BUILDING
OwnerSQ.
a '540
FT. OCC. BUILDING VALUATION
Mailing Address 3 3
r 1 a Telephone No.
Fireplace
Contractor 4Q Lille e
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
$
��
'-OE,
_
$
Building Address AQ e
PLUMBING
No.
@
FEE
PERMIT FILING FEE $2.00
a
Each Trap 1.50
Repair drainage or vent piping
1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No.
Zoning & Planning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
Fe
FireDept.
FireZone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Im rovements
P
Lawn sprinkler system 2.00
Bldg. Plans Rec'd
Parcel Approval
Plans Approval
Permit Fee
$
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL
No.
@
FEE
PERMIT FILING FEE $3.00
Y
(,v 3 .—
Main service incl. 1 meter
Additional meters, each
1.00
Sub -panel (12 or less) (morethanl2)
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixturesbal_ 6lo
Receps., switches & fix outletsZoe@
10
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Hood, Ex. FanorF.A. Furn. Motor
1.00
�
Evap. cooler, gar. lisp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No. Classification
Misc. wiring
10 I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
SO as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL
No.
@
FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
TOTAL PERMIT FEE
$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
Xt &',-,3)
Signature of Permit or Agent
Receipt No. /,2t J
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF UBLIC WORKS
BY Date!'— 3-7j
ilding permit expires Date ......................® ..6.
COUNTY OF BUTTE — DE`PARTMENT OF PUBLIC WORKS
7 County Center Drive — Orovi Ile, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X 41, Date
$ignat�re of Ateepr Agent
Receipt No. /^l'%, `/7j�L
0�,
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
ByDate .4P
Building permit expires Date .f_1_W_Zy_
BUILDING
Own
SQ. FT. OCC. BUILDING VALUATION
Mailing A dre sCjD �J
Telephone No.
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checkin Fee /orPendlty
Telephone No.
Permit Fee
$
Building Addres
PLUMB G
No.
@
FEE
PERMIT FILING FEE $2.00
Each Trap 1.50
Repair drainage or vent piping
1.50
Water piping 1.50
Each gas water heater or vent 1.50
�_��� Q
A. P. No. c1�
Zoning & Planning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
F&e<W
a ion
FireDept.
FireZone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
parcel Ma P
60' R/W
Improvements
provements
Lawn sprinkler system 2.00
PIG ns ec
Parcel Approval
Plans Approval
Permit Fee
$
$
NEW ❑ DITION ❑ UTILITI S ❑ OTHER �,
ELECTRICAL
No.
@
FEE
PERMIT FILING FEE $3.00
_
71
Main service incl. 1 meter
Additional meters, each
1.00
Sub -panel 02 or less) (more than 12)
Single Family ®. Duplex ❑ Mobil Home ❑ Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixtures 2U lid bal10
Receps.,
switches & fix outlets 2W
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Hood, Ex. Fan or F.A. Furn. Motor
1.00
Evap, cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No. Classification
Misc. wiring
I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑ I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I� I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL
No.
@
FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
TOTAL PERMIT FEE
$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X 41, Date
$ignat�re of Ateepr Agent
Receipt No. /^l'%, `/7j�L
0�,
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
ByDate .4P
Building permit expires Date .f_1_W_Zy_
F' 1
� COUNTY OF BUTTE
DEPARTMENT -OF, �P,UBLIC WORKS
7 County Center Drive - Oroville, California 95965
1 .. - Phone: 533-1230, Ext. 259
l APPLICATION' AND BUILDING 'PERMIT
Permittee Owner
Mailing Address -3 1 l .� , -k. •. . -t_ ^�1 `%2",
A. P. No. • %
Fire Zone
Zoning
Contractor :: r P t- . i
Mailing Address o
Sanitation
Planning
11 s�.�
.Fees L-
W.C.
...0
BLDG. Address J j ��• -ti �`�! ; ./. t t �� _ J -4-R
W
E croac • e t
NEW Q-_ ADDITION 0 REPAIRS E] OTHER E:1
Others
Single i Multi
USE OF STRUCTURE Family EQ/Duplex E:]Dwelling Q
Others
F O U N D A T 10 N
MATERIAL
EXTERIOR
PIERS
Width at Top
Width at Bottom
Depth in Ground
SQ. FT.
OCC. '
BUILDING VALUATION
R.W. PLATE (Sill)
SIZE
SPACING
SPAN
_
Girders
joists - Ist Floor
),
�><>�
-r -
-1 ,r
r! �/ C
' Joists- 2nd Floor
Fireplace
/f
Joists - Ceiling
1
Total Valuation
�Cf /-. y)�
Exterior Studs
Permit Fee
_
-7,� ��7
Interior Studs
Plan Checking Fee &/or Penalty
Roof Rafters
Total Permit Fee
7
Bearing Walls
UURTRAUTORT LICENSE LAW
A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING:
I am licensed under the provisions of'Chapter. 9, Div. 3, of the State of California Business & Professions Code under the name
• �t
style of.....................................................................................................................:........................................................................................................................
License No . ........................... Classification,,,,,,,,,,,,,,and certify that the aforesaid license is in -full force and effect.
B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING:
I am exempt from the ContractorsLicense Laws of the State of California under Sec. 7031.5 because (check one):
Q I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors.
(Sec. 7044).
Q I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the
improvements. (Sec. 7044). 0
0 Basis, if any, for other statutory exemption......�...................................................................................
.....................................................................
r...... ..................... ..................................... ...................................................................................................................................................................
` WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil-
ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption
pursuant to Section 3800. 6
I certify that I have read this application and state that the
above information -is correct. I agree to comply to all County
ordinances and State Laws relating to building construction,
and hereby authorize representatives of the County of Butte
to enter upon the above-mentioned property for inspection
purposes.
X........................................................................ Date . ff .....................
SIGNATURE OF PERMITTEE OR AGENT
•
Receipt No........................................................................................................
This BUILDING PERMIT is hereby issued under the appli-
cable provisions of County resolutions and/or ordinances.
DIRECTOR OF PUBLIC WORKS
By................................................................................ Date
Permit Expires Date,,,
wo
s���k-7711 0
V�l
COUNTY OF BUTTE
DEPARTMENT OF" PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
Phones 533-1230, Ext. 259
APPLICATION AND PLUMBING_ PERMIT
Permittee Owner ��6� :'„= / a A.P. No
Mailing Address
Contractor V) ,>
Mailing Address
BLDG. Address G ir') / � �� ' S � � `p ` ' '- ` C, , '
DESCRIPTION OF WORK
No.
@
Fee
$2.00
NEW ADDITION REPAIRS
PERMIT FILING FEE
Each fixture or trap or set of
fixtures on one trap
1.50
OTHERS:
Repair or alteration drainage
or vent piping
1.50
Remarks:
Installation or repair
water piping
y
1.50
Each gas water heater or
USE OF STRUCTURE
gas heater vent
1.50
Gas piping system 1 - 5 outlets
1.50
Single Multi
RESIDENTIAL Family �� Duplex 0 Dwelling E::]
Gas piping 6 or more - Each
.30
House Sewer
5.00
Lawn Sprinkler system
2.00
OTHERS:
Remarks:
TOTAL FEE $
/ % 6
UUNTRACTURS LICENSE LAW
A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING:
1 amt licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name
styleof.....................................................................:........................1................................ ..... .....................
. ..,.. .....
License No Classification ............................... and certify that the aforesaid licenselis in full force and effect.
B. OWNER-BUILDER,B OTHERS COMPLETE THE FOLLOWING:
I am exempt from the Contractors License`Lavis-of the State of California under Sec. 7031.5 because (check one):
Q I am the owner of the above property and I will contract to have all of'the above'work,performed by licensed contractors.
( Sec. 7044).
F, -,-
I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the
improvements. (Sec: 7044).
Q Basis, if any, for other statutory exemption,,,,,,,, `
........................................................................::..............................................................................:
...... ...............................................................................................
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil-
ity for Workmen's Compensation.' I have placed on file with the County of Butte a certificate of compliance or proof of exemption
pursuant to Section 3800.
I certify that I have read this application and state that the
above informationis,correct. I agree to, comply with all County
ordinances and State Laws relating to building construction;
and hereby authorize representatives of the County of Butte
to enter upon the above,' mentioned property for inspection
purposes.
.. ...... Date ......... ....... ..................
SIGNATURE OF PERMITTEE OR AGENT
Receipt No.
..........................................................
This PLUMBING PERMIT is hereby issued under the appli-
cable provisions of County resolutions and/or ordinances.
DIRECTOR OF PUBLIC WORKS
By................................................................................ Date ..............................
-/ I lk�� �f7 � ���, �r�o I�-�•.1 a •.� � -e D rf'
-e VJ(
t/-7 0 �l -7�1 a4a V�
J
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
7 County Center Drive -•OroviIle, California 95%5 -
PHONE: 533-1230, Ext. 259
APPLICATION AND ELECTRICAL PERMIT
Permittee OwnerO
6'' n A P No
Mailing Address
Add
=Contractor
Mailing Address
BLDG. Address
DESCRIPTION OF WORK
NEW 0 ADDITION F__j METER SERVICE F__j
OTHERS:
Remarks:
USE OF STRUCTURE
Single Multi
Family F-71 Duplex Q Dwelling
OTHERS:
R em ark s:
PERMIT FILING FEE
No.
Fee
52.00
Supplementary Filing Fee
1.00
Main Service
(12 or (more than
Sub -panel less) 12)
Each
Range, Dryer or Water Heater
Each L00
Oven, Cook -Top or Space Heater
Each :.50
Fixtures
Light Fu
��
First 20 20
.
Each Additional .10
Rece tacles„ Switches & Future Outlets
First 20 .20
Each Additional .10
Hood, Exhaust Fan or F.A. Furn. Motor
Each .50
'
Evap. Cooler, Gar, Disp, or Dishwasher
Each .50
�)
Air Conditioner or Heat Pum
Water PumD
TOTAL. FEE
CONTRACTORS LICENSE LAW
A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING:,.,
I am licensed under the provisions of Chapter 9, Div. 3, of the`Siaie of California Business St Professions Code under the name
styleof......................................................................................................................................................................................._.-...............................................».. .
License No, ,,;; ; ,Classification and certify that the aforesaid license is in full force and effect.
B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING:
I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one)
I am the .,owner,of the above property and I will contract to have all of the above work performed by licensed contractors.
(Sec. 7044).
]° I am the owner of the above property and do not intend to offer it for•sale for'one year from the date of completion of the
improvements, (Sec. 7044).
Q• Basis, if any,'for;ocher statutory exemption ............................... :........................
................................................. ................. » ........ _.».. ...._.. ..
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil-
ity for Workmen's Compensation. .1 have placed on file with the County of Butte a certificate of compliance at proof of exemption
-- pursuant to Section 3800.
I certify that 1 have read thisapplication and state that the above in-
formation is correct. 'I agree to comply with all County ordinances and
State Laws relating to building construction, and hereby authorize repre- This ELECTRICAL PERMIT is hereby issued under the appli-
sentatives of the County ;of Butte to enter upon the above mentioned cable provisions of County resolutions and/or ordinances.
property for inspection purposes.
iDIRECTOR OF PUBLIC WORKS
g. .........1 ..........::...... ..... '............................. Date ...... ...............................
WSIGNATURE OF PERMITTEE OR AGENT
.......................... Date
Receipt No. ... �. .. �'� ��
41
S16 �S b --P Ccr
< <'`�
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS q. 7A
7 County Center Drive Oroville, California 95965
Telephone: 533-1230, Ext. 259
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date
Signature of Pfl�02 ntReceipt No.
White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
BY Date S 2�r —� 7
Building Permit Expires Date 4
I
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Addres .330
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Permit Fee y $ 700
$ ,E
Building Addres
PLUMBNG No.1 @ FEE
PERMIT FILING FEE $2.00
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. — �--� 3
Zoning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .50
Fire Zone
Fire Dept.
Sanitation
Planning
Building sewer 5.00
Plans ^
Fees W. G.
R/W
I Encroachment
Lawn sprinkler system 2.00
EW ❑ ADDITION OTHER ❑
Permit Fee $
$
` /
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service incl. 1 meter
Additional meters, each 1.00
Sub -panel (12 or less) (more than 12)
USE OF STRUCTURE Single Family Duplex ❑ Others ❑
Range, dryer or water heater 1.00
Oven, Cook -top or space heater 1.00
Light fixtures
42
Receps., switches & fix outlets
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Hood, Ex. Fan or F.A. Furn. Motor 1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Misc. wiring
License No. Classification
i am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensatiori Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling rf
Ventilation
Permit Fee $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
�ns rumentaniontrQf grao^ion $0.07/$1000 Evaluation
$
TOTAL FEE
PERMIT FEE
$2 �.07j
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date
Signature of Pfl�02 ntReceipt No.
White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
BY Date S 2�r —� 7
Building Permit Expires Date 4
I