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:
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