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HomeMy WebLinkAbout065-080-004a 65-8-4 / DON ANDERSON �1 / /�////76 E/S of Humbug R2, app 1 mi. N of Nimshew Rd., DeSabla Permit #6396-76E (ele ser. ch). SF CD { ' Anderson' Don FIS of Humbug Rd.' app.-1 mi. no. of Nimshew Rd9 Desabla AP; 65-8-4 (electric service change) ,� ilv- �� COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County,,Center,Drive I — oroville, California 95965 �� f ' Telephl6ne: 534-4541 J / APPLUTION AND PERMIT auuwnce representanves or the L,ounty or tette to enter upon the above-mentioned property for inspection purposes. X I J , V.c(V x t. ft� - \/�NYS) Date t �1- Signature of Permitee or Agent Receipt No. / 5 V - / (-, D_ 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 By �' % t.L-Lf� r _71- Date /1 a j ' 7 Building permit expires Date // - '--)-- 3 -- —,?') BUILDING OwnerT7nn/ Wl J ���� ti� r SQ. FT. OCC. BUILDING VALUATION Mailing Address •� p �? i r r i '1iJN ,i"`S: Telephone No. Fireplace Contractor Total Valuation Mailing Address r r!t f A r 4' S Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address �� �F j�cc .� h , r t PLUMBING No. @ FEE PERMIT FILING FEE $3.00 r P )�� o �. / AJ , r r• n = Each Trap 1.50 f�` a Repair drainage or vent piping 1.50 Water piping 1.50 b L s) 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 1� Fees s � W:C. Sanitation- Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. -Plans -Recd_ I Parcel Approval Plans Approval Permit Fee $ $ NEW ADDITION UTILITIES Q OTHER Q ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00, Qp j ,� �_� v ,�) f 1f ►, r P Main service 100 AMP ORV OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family �? Duplex Mobil Home 0 Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. L-ING OR ADDNS. ( DWEACCLBLDGS. OCCUP. &� 20sgft NEW CONSTR. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS) 12.50ea NEW CONSTPOWER APPARATUS &) NON.RESI R. D. (SINGLE OUTLET CIR, 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: Ex. Occup(OUTLETS OR FIXTURES) 2@51009 EX. QCCUp.(FIXED APPLNS. OROUTLETS (RESID•) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ %/J, SG $ lol e 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. 'have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. n 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 Cal i forni a. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 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 TOTAL PERMIT FEE $ %� S auuwnce representanves or the L,ounty or tette to enter upon the above-mentioned property for inspection purposes. X I J , V.c(V x t. ft� - \/�NYS) Date t �1- Signature of Permitee or Agent Receipt No. / 5 V - / (-, D_ 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 By �' % t.L-Lf� r _71- Date /1 a j ' 7 Building permit expires Date // - '--)-- 3 -- —,?') 017c -K, - A Kl- OLA- jr, -1 T A")'s,') 1'i 's p re, c - 7, -3 P-nz- TWe, Date BUTTE COUNTY -COMMUNITY HOSPI Hosp. No. Birth Dat4 Patient Name LAST Addre s s Spouse _ Parent or Guardian _ Name of NOK Address of NOK P rit Cato Soc ATI SSM SS � Employed by RR Address Mon How long? Wage $ Per Type of Work Ren o MESSAGE o TO------------------- - - ----------------------------------------------------- DATE ------------ - �1� � ;7- - TI M E.- - � Q1'�----------- o WHILE YOU WERE OUT o MR - -----� - ----- —e—e- �– OF------------------------------------- PHONE NO - _-________ Telephoned - - - - ®� Please Call - - - - ❑ Called to See You - - ❑ Will Call Again - - ❑ M ES SAG -------- --�LI - --- - -- - - - - - -- --- �- - Z-2 ----------------- COUNTY OF BUTTE { DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 / �1 57 Telephone: 534-441 C/C/ (p APPLICATION AND PERMIT % authorZe representatives UI the County of Butte to enter upon the above-mentioned property for inspection purposes. X A A� .,j Date Signature of PPermtee�orr Agent Receipt No.'1it 17` `7 6 a-- 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 BY �� Date Zl---A`3— 7b B' ilh permit expires Date // -- a-3 7,) BUILDING Owner� �/ Nd e rs ��✓ SQ. FT. OCC. BUILDING VALUATION Mailing Address 7 p o C� r v V N r r r `y�3—� Telephone No. F Fireplace Contractor Total Valuation �" Mailing Address N e W Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address ^� ®�= PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Al 5 j' a Each Trap 1.50 ` i�a ' Repair drainage or vent piping 1.50 Water piping 1.50 De /,� b L A 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 F 3a� Fire Dept. Fire Zone 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 Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 .Qp Ae, t- Main service 100 AMP ORSLESS 5.00 Main service EA. ADD'L too AMP 2.50 2 S Single Family ® Duplex ❑ Mobil Home ❑ Others ❑ Main service 1100EAMP OR LESS 25.00 Main service EA. ADO'L too AMP 1.00 NEW CONST. ODWELING R ADDNS. ( ACCLBLDGS.CCUP. &) 2¢sgft NEW CONSTR(. MULTI -OUTLET NON-RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS &) NON.RESID. SINGLE OUTLET CIR. 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: Ex. Occup(OUTLETS OR FIXTURES)@� BAL@1 Ex. Occu // FIXED APPLNS. OR p.(FIXED (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 0,5 —6 $ 7 70 1 WORKMEN'S COMPENSATION INSURANCE73 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 authorZe representatives UI the County of Butte to enter upon the above-mentioned property for inspection purposes. X A A� .,j Date Signature of PPermtee�orr Agent Receipt No.'1it 17` `7 6 a-- 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 BY �� Date Zl---A`3— 7b B' ilh permit expires Date // -- a-3 7,) Owner: 2)0 � Address: BUTTE COUNTY IMPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT -. A. P. # 65 - 0,F -0// Date of Inspection Tenant: rwe, 73 Inspector Building Location: ��� r e �%�/o ✓,3 O Al Fi9-C k__ ep r Type of Inspection requested: 1. Housing / / 2. Financing 7/17 4. Other (specify) Present use of build 3. Change of Occupancy to A. Sanitation (Housing)' I. Water closet: 2. Lavatory: - 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and ventilation: .8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connection to sewage disposal: 12. Connection to water supply: 13. Rubbish and garbage facilities: 14. Comments: B. -Structural 1. Piers and footings: 2. Floor construction: 3: Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: H C. ctri ecal ce and ground: ,—r—f 0 X.) 2. Receptacles: 3. Fusing: 4. • -Comments • 4 e D. Plumbing + 1. Fixtures connected and vented: 2. Gas water heater: 3. , Gas heating vents:' \ 4.' Comments (continued on back) E. Other 1. Maintenance and repair: r 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Comments: F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. Comments G. Field Problems or Violations 1. Problem or violation (give complete description): 2. What action taken (give complete description): 3. What action recommended: A. Information only - file. / / B. Hold for ten (10) days, then write letter. / / C. Write letter. 7 D. Other: 1 2�s , sfi� �,1 V 1v,�Le �P�RpY Slo?' IjT 3 K'I W A Y 014 )I -A wt u- Pro �1 TAW-,-,i?1e ���u< cu+y � �i u�►.: u„ OL LST' C -'N" 5�73s3�g TN e J fA YY� VLL- �' �"j 1412iC �T M iti ,A,a5N-' it