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HomeMy WebLinkAbout064-590-00964-59-9 IMIM KE3'*RHHEELAN 6257 Hartnell Ct, lot 113,PP#11,Mag. Contr: Oak Ridge Builders, Paradise o �' 1• Permit�k190-81B,P�E,M(new S/ ) t4a Contr : O��ak R�irdgBuilders� Par Permit- # 4U5-81P (sol'ar` heating,)-SF F "62-57-H TN "L= - T; MAGALIA- - •'-CONT:"VES RS TILE ROOFING` gyp- �3 fi • REROOF •"M"" �- , F j f - - e D r t t • r 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, .r j a • 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