HomeMy WebLinkAbout064-590-00964-59-9
IMIM KE3'*RHHEELAN
6257 Hartnell Ct, lot 113,PP#11,Mag.
Contr: Oak Ridge Builders, Paradise
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�' 1• Permit�k190-81B,P�E,M(new S/ )
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Contr : O��ak R�irdgBuilders� Par
Permit- # 4U5-81P (sol'ar` heating,)-SF F
"62-57-H TN "L= - T; MAGALIA- -
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PERMIT i ■ Bin APN I,064-590-01
LAST NAME FIRST NAME
CONTRACTOR CERSATILE ROOFING CCITY/CTY �
STREET NOSTREET R . - - NAME CITY . .
®
USE
VALUATION
FEES PAID__
FEES 2
FEES 3
FEES 4
PLAN CHECK ACTIVITY
Plan Chk-1:
Plan Chk-2:
Plan Chk-3:
TYPEREMARKS - - • •
25 r_har. may
B �P :E 'M �
FLOOD -
RECEIPT •
'RECEIPT 2
'RECEIPT 3
RECEIPT 4
Chkd By -1: =
Return -1:
Chkd By -2:=
Return -2:
Chkd By -3:=
Approved:
Comments: " 255 char. max
®p
,APPLIED
1ISSUED__0EEMWZW 1 1
",FINALED
Str Chk-1:
Str Chk-2:
Str Appr:
COUNTY OF -BUTTE - DEPARTMENT OF'DEVELOPMENT SERVICES - BUILDiNig DIVISION 4�
• 7 County Center Drive • Oroville, California .95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION'AND PERMIT �0'`
ti
ASSESSOR PARCEL NUMBER 0�
ZONING
BUILDINGPERMIT
OWNER WA N �,� ���
TELEPHONE
WSO.FF7T.00C. BUILDING VALUATION
OWNERS MAILING ADDRESS
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS)I � ' ♦_y r/ `Y /�'. �' /i __ .
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $
10(40
ARCHITECT OR ENGINEER
LICENSE NO.
Fee $
20.00
—Filing
Permit Fee $
4( -
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
rf
Energy Plan Checking Fee $
$
PERMIT FEE $
, W
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF &/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
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑/ Installation ❑ Other ❑
Describe Work: _[.Gvr �X
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G W
@20.00
PERMIT FEE S
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service 20.*AORLESS
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.
LJ� �•�Q
License Class C' Lic. No. //
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I em 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.—T— Business and Professions Code for this
reason S 14A -
Main Service zuoA TO 1000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. a Acc. BLDs.
s0
3.5¢Fr:
rNjOµ=- MULTI -OT BRANC. UTLETIRCUITS
@7.50
POWER APPARATUS
a SINGLE OUTLET CIR.
Ex, Occup. OUTLET OR FIXTURES
BAL:w
PPLNS.
EX. Occup.ouTLETs FUCED ARESID.OERA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE t
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
F1 I 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.
M I 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 insuranc carrier and policy number are:
Carrier 5 r ,r} t ✓ti�
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
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.)
❑ 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
forthwi�coplywith those provisions.
L�' >
X �G�[ ice- Date J �-
Signature of Applicant - ❑ Owner Q Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
DCC
CONST. TYPE
TOTAL FEE $ _V
HAZ.
D. FEES IMP
FLooD
CDF
PARCEL
PD
HD
ISSUE
This permit,is ereby issued under the applicable provisions
of the Butt County Code and/or Resolutions to do work
indicated Bove for which fees hav !been paid.
/
By �-/'� Date
PERMIT EXPIRES Ohle? - I
Date_
Receipt No. �iS c -n t✓
WHITE-D.D.S.-B. . CANARY-ASSE OR PINK -INSPECTOR GOLDENROD -APPLICANT
PERMIT NO. 190-81B,P,E,M .
" PERMIT EXPIRES
OWNER MIKE PHELAN
CONTR. Oak Ridge Builders, Paradise
ASSESSOR PARCEL 64-59-9
LOCATION 6257 Hartnell Cts lot 113,PP#11,MaQ.
A,
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• a�
y�
Temp. PowePole
r
' Called PG&E
• + Tem Elec. Service
p. Called PG&Ej
.z
Temp. Gas Servicer
Cal led PG&E
4
J B NALED (Date)
Signature
J O,K
0 Not OK
- = Not Applicable MOBILEHOMES
r = Not Ready
MISCELLANEOUS ,.
Uri
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1.. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS; ETC. (Plans) OK except N's
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
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG.
t
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec. A
Card -BI
Date Card -BI Date
Card -BI
Date 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 #'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
6. Water; MH Test -Regulator -Connector
5. Elec.; Pool Lighting; 15 volts-GFI
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
t
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
L �..
r
r
V = OK
O = Not OK
- = Not Applicable RESIDENTIAL (Single and Duplex)
= Not Ready
4
Dale ' UNDERFLOOR Plans .OK except#'s
Date FRA G Continued
e. oning requirements—Setback sements
48 Pr Line Firewall & Openings
g., Main; Soils—Steel—Ele . Grnd.— /" Ftg. Depth
. Doors—One 3'—Check Garage -3rd story, 2 exits
g., Garage; Soils—Steel— //T/ /" Ftg. Depth
. S ' s; Width—Headroom—Rise—Run—Landing—Fire Protection
4. Ftg., Porches & Decks; Soils—Steel— / /'' Ftg. Depth
51. I wood on Roof Overhang—Attic Vents—Rafter Outriggers
5( %tor"walls, Main; Steel—Blockouts—Wrapped—Slab
5 iding—Nailing—Veneer __ .
emwalls, Garage; Steel—Blockouts—Wrapped—Slab
5 esh—Drip Screed—Fdn. Vents—Underflr. Access
7 iers—Fkeftl ca PYg.—Steel
5V GI 'ng Area—Glass Protection—Skylights—Plastic
ay C"/O; Sewerl
5 hear Walls; Nailing—Bolts
9 Gas ipe; Size—Anchors
10. ter Pipe; T —An s e r—Ser est
tc; Unde gr nd
1 enums & Ducts; Clearance_M rial— pport— ns.
13 ers—Sillsor BoIf_s— )orsTF— fe rT—ftr rf7ples
Card -BI Date Card -BI Date
Card -BI Date Te 7,qllV Card -BI Date
Card -BI Date ' Card -BI Date
Card -BI Date Card -BI Date
Date FINAL (P s) OK except #'s
Card- Date Card -BI Date
311 yytr n3"Ck'y.,%
Date PLUMBING (Permit) OK excep #'s
E1ct. Steps—Door & Sidelight Protection—Landings
3?'Smoke Detector
14. Wa er Ht.; Vent—Access—Combustion Air
58. Furnace; Vents—Clearance—Comb. Air—Connector-
In Garage; Above Floor—Ducts—Mech. Protection
1 ater Pipe; Test & Anchors—Nail Protection
.W.V.; Test—Fttngs & Anchors—Nail Protection
Bedroom Exiting
17 ower Pan; Test, First Floor—Tub Access
fid-ot4•F.I. & Bath Fixtures & Tub Access
est Tub & Shower, 2nd Floor—Tub Access
ec. Trim & Subpanel; Breaker Sizes—Labels
19. Gas Pipe; Size & Anchors
t ' s & Rails ,
p--Fireplace—or Stove; Clearances -Heart
ec. Outlets at Wood Panel; Int. & Ext.
Card -BI Date Card -BI Date
'®• Kit. Fixt. & Appliance: Grnd.—Air Gap—Cooking Clearance
Card -BI Date I Card -BI Date
Elec. Outlets & Receptacles at Kit. Counter
Date E EC RICAL Perrrit OK except #'s _
arage Fire Door; Swing—Landi —CI se
Lein Garage—Damper
2 . Fixture & Transformer Clearance—Ins. rotecti
Vents—Clearance—Comb. Air—Connector—P.R.V.—
In Garage; Above Floor—Mech. Protection
2 Elec. Receptacles Spacing—Lights &Switches at Doors
22. Size Boxes & No. of Conductors—Stapled
70. .,.Elec. & Mech. Equip. Listed for Location
23PIRomex Installed Close to Edge of Studs & C.J.
W-Elec. Receptacles in Garage; (G.F.I.)—Romex Protec.
24 E ip. Ground made up w/Mech. Fasteners—Bond Gas & Water
Insulation—Foam—Looked in Attic Z�Y-es
2541$"2 Appliance Circuits in Kitchen & Conductor Size
Guard Rails & Deck Construction—Post Caps
26, Subfeed Wire Size / / ga. Cu or AI—A.C. Wire Size / / ga. Cu or At
74, Fdn. Vents & Crawl Hole oor—Drainage & Wood -Earth Clearance
Looked under Floor es
2 ange Circ. / / ga. Cu or AI—Oven Circ. / / ga. Cu or At,
Insulated Neutral ❑Yes ❑No
28� service—Riser Conductors & Ground—Main Disconnect
75. Following instld.: Drive F Yes E] No; Walks []Yes ❑ No;
Planters ❑Yes ❑No
-.Br��n—Finish
IVEquip. Clearances; Panels—Motors—Mech. Equip.
jT-.�A.C. Unit; Disconnect—Clrnces—Brkr. & Cond. Size -115V let
96--I'ta[rteTCloset Light—Shower Light
C7nyggL%.A1fove Roof; Plbg.—Appliance—Firepl. C c
e Disconnect, Electrical, Plumbing
lerior Elec. Trim; G.F.I. Receptacle—Underground
Card B -I Date Card -BI Date
Ventilation throughout House
Card B -I Date Card -BI Date
lass Protection •
Date ANI (Permit) OK except #'s
Corrections from Previous Inspections
84. Gas Test—Meters Tagged; Gas—Electric 49
Ducts; Insulation & Support
,Q r & Sewe nnected—C/O rade—HD Approval
SQ�Vent Fan; Exhaust above Insulation
nergy Compliance Certificate—Other Certificates
3 ondensate Drain & Overflow; Size & Grade
,t4—Vent; Access -Comb. Air—Return Air Vent -115V outlet
ttic Access & Platform if Furnace in Attic
Card—E Card -B11
Card -BI Date 1 �^ I Card -BI Date
Card- ate Card -BI Date
C -BI Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Date Plans) OK except #'s
Comments at Final:
TA
Its ; Proper Material & Anchors
�Si
3iY ails; Studs—Nailing, Spacing & Bracing—Plates—Sound
__34.-B arin alls over Girders & Floor Nailing
3 Stop in Walls (rat proof)
_ Fire Stops; Furred Ceilings—Stairs—Chases—Tub
41�eader & am—Size & Bearing
42. ng —Post Caps—Anchors—Connectors
—
C g. Joist—Ritr. Ties—Purlin—Roof Brac.—Truss—Shthng.—Rfng. _
ireplace Ties or Type A Flue—Fireplace Throat
45
ttttic Access; Size & Romex Protection—Draft Stop—Ins. Baffles
I
4618 Windows or Exiting Doors—Sill Hgt. & Dimensions
�
47:e Fire Protection Framing
(NOTE: Anentrymust be made each time youvisit jobsite)
ft-
RES Ill
I!
ENERGY CONSERV
CONSTRUCTION COMP
CERT IF
THLS IS TO CERTIFY THAT ENLRGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTAL1yy'D IN CONFOPAC_E WITH CU111ENT LNEWCONS}.1 VATION REGULATIONS
(location)
BUII.DING PERMIT NO.
A. P. NO
THE FOLLOWINC HAVE BEEN INSTALLED AS PER APPROVED PLANS:
(Check each item or write N/A if not applicable)
TNS 11LAT ION :
GLAZING:
Slab Edge NA
Single
Glazed NA
1'dil. Walls NA
Special
( Insulated) NA
Floors - //
CERT.
& LABELED 41DS.
Walls -/ -'
&
SLIDING DRS. NA
Coiling/Roof -av2
WEATHLRSTRIPPL•'D
DRS. KA
Ducts NA
BACK
DAMPERF.D FANS NA
Circulating Pipes
INTE101ITTLNT
ICNITION DEVICES
APPROVED HEATER NA
CERT.
APPLIANCES NA
APPROVED IJTR.IITR.
I DECLARE TILAT ALL REQUIRED ITEMSI AS NOTED ABOVE HAVE BEEN INSTALLED
IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO
THE COMPLrTENESS OF THIS CERTIFICATE: AS SUBMITTED.
Insulation Applicator Name Hawkins Insulation Co Inc.
Signature of (please pri
Insulation Applicator
Cencral Contractor Name
Sign:.Iture of
Con: ral. Contractor/( - /
State Contractors
License No. 378407
` D/y Ste/
(plc., prin )
Date
Sta•e Contractors
l.iconse No. `73 8-Z -7 O CJ
THIS CERTIFICATE: IRJST 'BE ON FILE (WITH THE BUILDING DEPARTMENT PRIOR TO
REQUESTING FTNAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION
WITHIN THE DWI?I.I.TNC.
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751 .
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
2-5- 7 -�-[ , -7Z,-:,Y -
BUILDING OR PROPERTY AD
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
Inspector --moi Date
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 534-4541
Skyway and Elliott Road, Paradise— Phone: 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.
Inspector ,Lg!� L ". Date
�.r 7
°i3:
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 391-2751
7 County Center Drive, OroviIle— Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
--.TT.. CORRECTION NOTICE;-
-0? Z3�
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 wor'k'is completed. If you have any question pertaining to this
matter, need additional explanation, please contact this office immediately.
./4/ ..
V
4
Y
Inspector Date
" COUNTY OF BUTTE - DEPA•RTNeENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
�- APPLICATION AND PERMIT'
PERMIT NO.
D (J
ASSESSOR PARCEL NUMBER
'A P"�� y _ — Ci
Z NTNG
_r— //
BUILDING PERM(
OWNER - -
< kA q2 (1, V\_
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
b Q d0
OWNER'SMAILING ADDRESS
W (v� � \ � t Gl..\ \ a..
Gl/ C/ �
•
CONTRACTOR'S NAME
a 0 kAvrs 11917-1646,
TELEPHONE6-60,0
0
2 � o
CONTRACTOR'S MAILIN ADDRESS -
lv qto 6 G,r- Ot`
_Z,
Fireplace 6c �O, 0 Q
CONSTRUCTION LENDER , -
FW�0.r�1 �c �0. +�
UNKNOWN
Total Val Ion $ sOp?/_ 0 0
Filing Fee $
10.00
LENDER'S MAILING ADDRESS •
(o $l -I 5 �
_
Permit Fee $
, 00
ARCHITECT OR ENGINEE
LICENSE NO.
Plan Checking Fee S,�GQ/ $
Q
Penalty $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee $
00
BUILDING A DRESS f
PLUMBING PERMIT Filing Fee
10.00
Each Trap 2.00
,00
Repair drainage or,vent piping 5.00
Water piping
5,00
LOT NO..
V.k 13
SUBDIVISION NAMEs.
A/ 0./l
PARCEL MAP
Each qas water heater or vent 5.00
ICCO
Gas piping system 1 - 5 outlets
-
�� USE OF STRUCTURE
SF LJ Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
0�
Lawn sprinkler system 5.00
TYPE OF WORK
New Addition Remodel ❑ Utilities ❑ Installation❑ Other ❑
_Describe work: /L/GS� '%6
Permit Fee $
, 0 0
Contractor ,&1 /t/ aw
ELECTRICAL PERMIT F IIT gFee
10.00
Main service 100 AMP OR00V R LE LESS5.00
-.0
-Main service EA. ADO'L too AMP 2:50
,f U
NEW CONST. ( DWELLING jq •M� 22 sq it
OR ADDNS. ACC. BLD
O
.
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 Code and my license is in full force and effect.
License No: ?>92_109 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 CONSTR I.O TLET 2.50 ea
NON.RESID BRANCH CIRC TS
NEW CONSTFLPOWER APPARATUS
/ 6�
NON-RESID. (SINGLE OUTLET CIR.
Ex. Occup OUTLETS OR FIXTURES' BAL@1
00-
IxED APPLNS. OR
Ex. Occup. �OUTLE TS (RESID.) EA. , 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
FG d
Permit •Fee $ ('
Contractor �&G1
MECHANICAL PERMIT Filing Fee
10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ e permit is for $100.00 (valuation) or less.
II 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.
❑ I 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.
Heating bbw!
,00
Cooling
Hood / 3.00
00
Ventilation
Permit Fee $
Op
Contractorg�
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 authorize representatives of the County of
t
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 liabiliti s, judgments, costs, and expenses which may in any way accrue11
a ai�ts Goinconse uence of g the anting of this pVitThis
Dae
Signature of Applicant — Owner ❑ Contractor Agent Q'
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stores in hei ht ''
Mobile Home Installation Fee $
/0
TOTAL PERMIT FEE
OCCUP, GROUP
I TYPE OF CONST.PARC
Pb
MD
J
ISSUE
permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTO OF PU IC WORKS
1m
By Date
PERMIT EXPIRES Date
Receipt No. (�/ ,
WHITE-D.P.W., YELLOW -ASSESSOR• INK-INSP CT R, GOLDEN 11-APPLI t
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT '
PERRM"IIT NO.
ASSES OR PARCEL NUMBER
ZONING
P -7 -BUILDING
PERMIT
OWNER
k. .C�� PA (—rL �N•
TEL FHONE
SQ. FT. OCC. BUILDING VALUATION
O WNER'S MAILING ADDRESS ,
CONTRACTOR'S NAME � %� f`
CAIC ���L7 /-�GJ/ C -,o ��•1'
T„ELE�HONE
(/L:
CONTRACTOR'S MAILING ADDRESS
(, n— Al^/
Fireplace
CO RUC ON EN E
UNKNOWN
Total Valuation Is
Filing Fee
10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER -
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
2 S-
PLUMBING PERMIT
Filing Fee 10.00
u'G
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO. SUBDIVISION NAME
O
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system '1 - 5 outlets
USE OF STRUCTURE
SF.N Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
t)U,*a—
a v ^
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work:
14. >�o —�/
SQ i.ArZ. J �� �3-P
Permit Fee
$ c7 —
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
00V OR LES
Main service 100 AMP ORS
SLESS
5.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELING
OR A.D.S. ACCLBLDGS.CCUP.y)'
20 sq it
CONTRACTORS LICENSE LAW
I declare der penalty of perjury (check one):
' Iam 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 CONSTR I.OUTLET 2,50 ea
NON-RESID BRANCH CIRC ITS
NEW-CONSTR. (POWER APPARATUS 61
NON-RESID, (SINGLE OUTLET CIR.
S OR FI.
EX. Occup OUTLETS OR FIXTURES_ gAL2j
IXED OR
Ex. DCCup.�OUTLETS (RESID.) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare uplier penalty of perjury (check one):
he 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.
❑ I 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.
Heating
Cooling
,Hood
3.00
Ventilation
Permit Fee
S
Contractor
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 authorize representatives of the County of
Butte to enter up n the above-mentioned property for inspection purposes.
I also agree t s ve, indemnify and keep harmless the County of Butte against
all Iiabiliti j gm ts, co expens which may in ny way accrue
a t sa o nce o the r ting of this per t.
X Date /9/
Sign ur of Applicant — Owner Contractor ❑ Agent
n OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures oveer 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ -3 0
OCCUP. GROUP
TYPE OF CONST.
PARCEL
PD
HD
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRE'TOR OF PUBLIC
_
By '^"''
PERMIT. XPIRES -Date
the applicable provi-
resolutions to do
fees have . been paid.
WORKS
Dat �-
_Z
Receipt No. ,) o 3 I •
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
.
.
s
'
,.
_. _
`,
..
�.
�
d�^>.YLS�.
:MOTE:—AIL 'Materials & Workmanship Shall Be ,in-..: This set of plans and specifications MUST be
A�cordance with Recoqnized, Good Practice's "and kepf on t1 e, job at all times and it is unlawful 'to
mr. ro any chap e +
csf a :quality prescribed for the Specified,. use -in the g s or altPra. ions an same without
nifor Build�og; Plumbing &°:Machanica� .:Codes' an written permission from the Department of Public
Works, County. of Butte.
the a'.onal Electrical Code. ,
A setback of 5 ft. from the
p J.property lines and a setback t
of 50ft. from the road
a e centerline shall be clear of
g0 "� structures or equipment except
for a 2 ft. eave overhang.
.e
xi
71,
-U
See Master Plan on fl building
Plans. OA lL It D G Bi_ DIzS .
h l� i ✓ BUTTE COUNTY,
BUILDING DEPARTMENT
�� APPROVED lig
fc� TZUAfi 2nni}.,�:1'- -lop inn , rir, 1,, ',4T tl 98 t�nrt? � rf ^r te
-)iid;jq 10 fn9mtina3(1 3-1' r,n,� ..n -+ rn•nr �. , IU 29hOJ
n-
n'. - -.
7