HomeMy WebLinkAbout064-410-021' 64-41-21 o
C, E. Mille;lelyo
EI Ve;�,. f �,;� 35 Amherstf 35, aia.
.contr: Mari-John Const., Magalia
r COMPLAINT TO INSPECTOR14,
Permit #2678-78B(new ramaga/MH)
�',Z•(i�'•�J - . _
•�
"VEN 6321 Amherst 'Way,. Magalia
o Contr :
John Miller. Const:
Permit#3003786B(add'carport'ext/ramada)
p
4
0 W,
C Mi
" PERMIT NO. 3003-86B \
PERMIT EXPIRES L�
OWNER VARROT.T. VTT,T,ER,
CONTR. Tohn Miller Const
ASSESSOR PARCEL 64-41=21.
LOCATION 6321 AmherZ Way,
T6P Wxfctirr
r
4101,) �' Rrn1�
i •
Tempi Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Cal led PG&E
JOB FINALED (Date)
Signature _-
J OKE
0 = Nol OK
= Not Applicable MOBIL-EHOMES '' '!' MISCELLANEOUS
= Not Ready
Date
MOBILEHOME UTILITIES (Plans) OK except N's
Date
DECKS, COVERS, CARPORTS, ETC. Ian OK except N's — -
1. Zoning Requirements -Setbacks -Easements
,
oning Requirements -Set a-15"ement�—
L
2. Soils; Special MH Support -Sketch
_
2 Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/O -Concrete
4. Water; Local ion- Test -Easement Needed (Sketch)
0 Wood Awn.; os- eam Rpt .- onne Shth f�c Brac g,
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; LocatiorrTest-Wrap:/ /"L"ft./ /"Nst.or/ P'L•"f[./ /"LPG
- es
6.r(Carports; Windows -Doors
7. Utility Clearance
4_Qgc r
Card -BI
Date Card -BI Date
Card -BI
&) Dated /9,=, Card -BI - Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except k's
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
Date . Card -BI Date
POOLS (Plans) OK except N'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/0 -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 -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date "
N
,
L
_«
0-t Not OK'
Not Applicable
Not Ready
RESIDENTIAL (Single and Duplex)
Date
UNDERFLOOR Plans OK excepthi's
Date
FRAMING (Continued)
1.
Zoning requirements=Setbacks-Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd -story, 2 exits
_
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
-
4.
Fig., Porches & •Decks; Soils -Steel- / /" Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
_
5.
Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
Siding -Nailing -Veneer
_
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7
Piers -Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protection -Skylights -Plastic
- _
8.
D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
55.
Shear Walls; Nailing -Bolts
----'9*.-
Gas Pipe; Size -Anchors
_
10.
Water Pipe: Test -Anchors -Regulator -Service Test
11.
12.
Electric; Underground
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -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 N's
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
_
Date Card -BI Date
PLUMBING (Permit) OK except q's
57.
Smoke Detector
Card -BI
Card -BI
14.
15.
16.
17.
18.
19.
Water Ht.: Vent -Access -Combustion Air
Water Pipe: Test & Anchors -Nail Protection
D.W.V. Test-Fttngs & Anchors -Nail Protection
Shower Pan: Test, First F)oor-Tub Access
Test Tub & Shower, 2nd Floor -Tub Access
Gas Pipe: Size & Anchors
Date _ Card -BI Date
Date Card -BI Date
58.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meeh. Protection
59. Bedroom Exiting
60. G.F.I. & Bath Fixtures & Tub Access
61. Elec. Trim & Subpanel; Breaker Sizes -Labels
62. Stairs & Rails
63. Fireplace or Stove; Clearances -Hearth
64. Elec. Outlets at Wood Panel; Int. & Ext.
65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
66. Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except q's
67.
Garage Fire Door; Swing -Landing -Closer
68. A.C. Duct in Garage -Damper
Card B -I
Card B-1
20.
21.
22.
23.
24.
25.
26,
27.
28.
29.
30.
Fixture & Transformer Clearance -Ins. Protection
Elec. Receptacles Spacing -Lights & Switches at Doors
Size Boxes & No. of Conductors -Stapled
Romex Installed Close to Edge of Studs & C.J.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
2 Appliance Circuits in Kitchen & Conductor Size
Subfeed Wire Size /- / ga. Cu_or AI-A.C. Wire Size / / ga. Cu or AI
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At,
Insulated Neutral Yes __L - - -------
Service -Riser Conductors & Ground-MainDisconnect_ __
.Equip. Clearances: Panels-Motors=Mech_ Equip.
Clothes Closet Light -Shower Light - -
-.-_.._
Date Card -BI_ Date
Date Card -BI Date
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor -Meth. Protection
70. Plb., Elec. & Mech. Equip. Listed for Location
71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
72. Insulation -Foam -Looked in Attic ❑Yes
- 73. Guard Rails &Deck Construction -Post Caps
74. Fdn. Vents & Crawl !-tole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
75. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes
Planters ❑Yes ❑No
❑ No;
76. Stucco; Brown -Finish
77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79. Water Well; Disconnect, Electrical, Plumbing
80. Exterior Elec. Trim; G.F.I. Receptacle -Underground
81. Ventilation throughout House
82. Glass Protection
Date
MECHANICAL (Permit) OK except N's
83.
Corrections from Previous Inspections
_
_
84. Gas Test -Meters Tagged; Gas -Electric
Card -BI
Card -BI
31.
32.
33.
34.
35.
A.C. Ducts. Insulation & Support - _ _
Vent Fan: Exhaust above Insulation_
Condensate Drain & Overflow: Size _& Grade
Furnace -Veno Access -Comb. Air -Return Air_ Vent -115V outlet
Attic Access & Platform if Furnace in Attic
Date Card -BI Date - _ _
Date Card -BI Date
85.
Water & Sewer Connected -C/O to Grade -HD Approval
86, Energy Compliance Certificate -Other Certificates
- -- ---""-
---
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Date
FRAMING(Plans) OK except N's
Com: tents at Final:
36.
37.
38.
39.
40.
41
42.
43.
44.
45.
46.
47.
Sills; Proper Material & Anchors
Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor Nailing
Draft Stop in Walls (rat proof)
Fire Stops: Furred Ceilings-Stairs_Chases-Tub ___--
Header & Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rflr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfnp.
Fireplace Ties or Type A Flue -Fireplace Throat
Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
Garage Fire Protection Framing
-
r`
(NOTE Anentrymust be made each time youvisit jobsile)
° COUNTY OF BUTTE
z DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751 � s•
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise Phone: 872-6307
CORRECTION NOTICE
/P /l L 3u,; 2, — RIC, -
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notiify 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.
1- t'ErzM 17- WAS 4 PL i,-, % c1 y t,_�
3Cp'S4 TC-) LXrSTING C./j2 2r, To /;L-JUi CC,,
- TN 1 S jj 1 S /VQ 7- c. A/ N T
i 5 ti/ j1 -A1 �J�, , , R ��'��c �> F ' "V w
1 i rCMIT I� �;�,Ti�J 15 7t, j--
Inspector Dzul-'A Date 6 -fid" SO
4 ^�
Ary_ COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS 1
' 196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
)WNER PERMIT NO.
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, orNed additional explanation, please contact this office Immediately.
7/ ii
G/l G G
1
&,) /%�,QyX V 104,6.5-75 /,t/
0
7
Date - Z !'�,-"
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
WiLLri2. 007 - 6
OWNER PERMIT NO.
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.
loll A,cArt> THAs %ll} MiS('P'; r1T/.7n/S
J
INS1'Ec i t= i,
neo0,! OF: E�I-1/ lac (AuLEL
TU ?-E;aLA1"yST IrJ bi2AnAr iaV T FI/,ft-(- P64ZAiif
Inspector jll a Date )
/J )—.6-00(y
TO: Building Department
FROM: Encroachment Permit Section
RE: Driveway Clearance
3.2
owner location AP #
Driveway permit �/ 9 — C has been issued for the above property.
A6-2 0 -off
date
I��
NN
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO..
7 County Center Drive - Oroville, California 95,965 - Telephone 916/534-4541
APPLICATION AND PERMIT
ASSESSO PARCEL NUMBER
ZOry,�Ny/
BUILDING PERMIT
OWNER Rev
TE//LE77PHONE
SQ. FT. OCC. BUILDING V��AIlLUATI N
07�0
V
OWNER'S MAILING ADDRESS � ����
SrWA
CONTRACTOR'S NAME
N �ci7ore
TELapPHONE
��-� 6
CON ACTOR'S_M�AILING ADDRESS /; 44 �1
2 iiv 1 &,S�- eT IMA640A
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ f136
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT R EN INEER'S MAILING ADDRESS
Penalty
$
Bul DING noo Ess r � al
Permit fee
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCT E
SF [:1Duplex[]Mobilehome❑ Other
' SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
10.00ea
TYPE OF WORK
New ❑ Addition Remodel ❑ Utilities ❑ Installation[--] Other ❑
Describe work:0PVRT– Fmoysxe V SUY. _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
V OR L
Main service 100 AMP ORSLESS
10.00
Main Service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions C de nd my license Is in fu Orce and effect.
License No. Classification
o
ElI, 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 CONST. DWELLING OCCUP.� ,
NEA DDDNS.CONSAUC ) h¢sgft
IA TBI OUTLET
NON.R ESID BRANCH CIRC ITS 2.50 ea
(POWER APPARATUS h)
SINGLE OUTLET CIR.
Ex.Occu o SALO30
Occup(OUTLETS OR FIXTURES 200030
FIXED
Ex. Occup. OUTLETS P(RESID )REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. byirin g 15.00
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I 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.
t__.0eI 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.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
Permit Fee
$
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 Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I 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
against s id Cc ty in co u of the granting of this permit.
X Date 10- d ^� r
Sig at a of Applicant — Owner ❑ Contractor Agent ❑
An SHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE s.� o
occuP.
CONsT.TYPe
IFLOODIPARCEL
PD
ND
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECT OF PUBLIC
By
P IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date /m—Jv-,?
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
i
COUNTY OF BUTTE - DEPARTMENT_.OF PUBLIC WORKS - BUILDING DIVIISION
..:.,.: a �r
7 COUNTY CENTER DRIVE - OROVILLvE, CAL fORNIA 95965 - TELEPHONE: 916/534 -.4541 -
PERMIT APPLICATION DATA SHEET '
Permit No. /
OWNER e /L/1 ! i`�// ��fG� A. P. No.
-1;
Proposed Building Use �G�,Ls �, �� fK %tea/ .�j
Permit Fee Based Upon: Complete Contract Price `"'DPW Valuation
Other/'(EExplain)
Building Inspector. / Ll %l A Date
At time of permit application, I was advised the'\fo lowing data must be submitted prior to permit processing
andlor issuance: DATE RECEIVED. APPROVED
1. All items have been submitted` . . . . . . . . . . .
2.. Plot plans in duplicate./triplicate. .. . ... . . . .
3. Complete plans in duplicate./triplicate.
4. Complete engineered plans and calcs. . ... . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
J1 6. State Energy Forms No.
i�. 7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $
/
9., -Letter of signature authorizatZc;2.
. . .
0..Sanitation approval from Health Dept. •
11. Planning approval .for (A) Use: (B) Parking:
l 12. Certificate of Workmen's Compensation Insurance.
;f 13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ )
15. Improvements may be required. . . . . . . . . . . .
1. 16. Mobilehome Installation Data. . . . . . . .
F •Pre-Inspec. request to
17. Pre -Inspection for Required. Building Inspector (Date)
C 18. Recorded copy of Agricultural Acknowledgment Statement.
19. Other i
When you issue the permit, process as follows: Mail to owner. e Mil to contractor.
I; Telephone and hold for pickup at office. Deliver w.
/inspector.
Other
AYApplicant
Copy of plans sent Health Dept., Fire Dept., Z Other Date '
f During the plan checking process, the *fol I—owing da-ta must be submitted prior to permit issuance.
(For required items not checked above at time of application, circle .item.)
1� 1. Index permit for above Items No.
2. Additional items required:
I}
i
(Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other
I
By Date
Plans checked by Date
Plans approved by Date / -Ocr
Other:
Copy—DPW
ti
a:
TO: Building Department
FROM: Environmental Health
� a
t 4.
SUBJECT: SANITATION CLEARANCE
zz-
OWNER LOCATION
AP #
{'lans approved for: Sewage Disposal Water Supply
Mold final for: ' Water Supply
Final Clearance,0.K.•for: Water Supply
Clearance for bedroom mobile home. Other
i_le ranee for addition o
.o.Ak/� e
SANITARIAN
DATE
a rt
�J,PERMIT
2678-78B
NO.
PERMIT.EXPIRES,
C. E. Miller
OWNER
CONTR.
Mari -John Const., Magalia
64-41-21
LOCATION (A.P. )
35 Amherst Way, lot 135, PP#5, Magalia
OFA' wyc l/��
{
d.
�
III
Temp. Power Pole
Called PG&E
Temp. Elec. Serv. a
Called PG&E
Temp. Gas Se
CalledP &E
i,
JOB
LEbD {{
)
ae
(Si nature)
Patio
' COUNTY OF BUTTE — DEPART;!AE,NT-�OF PUBLIC WORKS
BUILDING INSPECTION RECORD
FIREPLACE Final
BUILDING BUILDING (Cont'd)
PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathing ze— '
Water Piping
Piers
(j -tel — W9- Roofing',. -,,
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwa I I
Garage Vents
Insulation
Water Htr. ,
Heaters
Slab
Carport
Footings
Prov. for physically
handica ed
Conformance of ex.
structure
Appliances
Gas Piping &Test
Temp. as
Slab
Final - "
Sanitation
Patio
FIREPLACE Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rou h
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS Motors
Framiri --'- i
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL Gird. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
MOBILEHOME UTILITIES ------------------ Elec. Service
Elec. Pedestal
Water Piping
Sewer
Gas Piping
W12BILEHOME INSTALLATION - - - - - - - - - - - - - - Support
Elec. Continuity
Water Piping
Drainage
Gas Piping
DATE
REMARKS OR CORRECTIONS
7-11-7f
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY. OF -BUTT£ — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
Owner r 1144,11e
Mailing Address
Contractor M-4 y/f
Mai I i ng Address PQM 1i 7g
aga/i
Building AddYess
TTS' �o z
:;�' 1,7,3-- /)X AS ---
Telephone No.
A. P. -- 7/ Z - Zoning & Planning
F s Fire Dept. Fire Zone Use Permit
EQA Parking I Parcel Parcel Ma 60' R/W Im rovements
PI Declaration P P
Bldg. Ions Rec'd Parcel Approval I PlansProvol
NEW R] ADDITION ❑ UTILITIES ❑ OTHER ❑
Single Family ❑ Duplex ❑ Mobil Home ZW Others ❑
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:
License No. O Classification
I am exempt from the Contractors License Laws of the State of California.
WORKMEN'S COMPENSATION INSURANCE
I 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.
j�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.
I certify that I have read this application and state that the above
information is correct. 1 agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
authorize reDmIRritatives of the County of Butte to enter upon the
above -men 'one roperty for ins ection purposes. QQ
pate �f�J
Signature of Permiteee/or Agent
Receipt No. /Zl&n 7
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
_ BUILDING lyu(
SO. FT. OCC. BUILDING V _UTION
Fireplace
$
Total Valuation ffl1,60,.Q
Permit Fee
Main service 1000V OR 0 AMP ORLESS5.00
Plan Checking Fee &/or Penalty
Main service EA. ADD'L 100 AMP 2.50
Permit Fee
Main service OVER 600V 25.00
100 AMP OR LESS
PLUMBING
No.1 @ I FEE
PERMIT FILING FEE
$3.00
Each Trap
1.50
Repair drainage or vent piping
1.50
Water piping
1.50
Each gas water heater or vent
1.50
Gas piping system 1 - 5 outlets
1.50
Each additional outlet
30
Building sewer
5.00
Lawn sprinkler system
2.00
Permit Fee $
$
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE $3.00
Main service 1000V OR 0 AMP ORLESS5.00
Main service EA. ADD'L 100 AMP 2.50
Main service OVER 600V 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
OR ADD NST ACCLBLDGSCOUP. 711 2¢Sgft
/
NEW CONSTP_ -OUTLET
NON-RESID, BRANCH CIRCUITS 2.50ea
NEW CONSTR. (POWER APPARATUS B
NON-RESID. SINGLE OUTLET CIR.
EX. Occup OUTLETS OR FIXTURES 80L
BAL @1 10S
FIXED APPLNS. OR
EX. QCCU p.(
P•\OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 6.25
Permit Fee $
MECHANICAL No. @
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 1 1 2.00
Permit Fee $ $
Land Development Fee $
TOTAL PERMIT FEE $
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 0 BLIC WORKS
BY
Building permit expires Date S'— Z r- 7e
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