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HomeMy WebLinkAbout065-090-018� , 65-09-18 Curtis C. Fletcher YS E W/S Dayton Hupp Mill Rd., app.600 of Skyway, DeSabla family 65-09-18 5/7-4'PO/5 ((009at- 8 Permit#3954-81B(lst renewal/3455 65-09-18 Permit#2945-83B,E(add covered porch & ` \ ^~~^~' ----ks Ref heating � i Permit#32O9-88P,]�(ioataIl ^^iug aya'_\S_| .- 5 y � y Address-7 COPY Address_--���A k-yWA Y_ GAS Meter By e ...+� Date—& --12-9 ELECTRIC Meter By t . '`-- Date R r f • /V COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBF'.R � ,•_'I .- r t nr.ti_nn-n r.n ZO G �. •• BUILDING PERMIT OWNER (:nrt I rt ('.- Fl.ntrhsatr f TELEPHONE 73--!:r 53 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS q - CONTRACTOR'S NAME---ta"---• --" x'rr..I. r., Rn{ nnA I7T:nt f nn TELEPHONE R2 17_.` RAI CONTRACTOR'S MAILING ADDRESS - 7t-011 Slrvtrav Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 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 PLUMBING PERMIT Filing Fee 10.00 -� Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets J 5.00 ` USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home I S I G W 10.00 e TYPE OF WORK New F] Addition❑ Remodel ED Utilities❑ Installation❑ Other❑ Describe work: Tn-.tnllntinn of hnntinn rvntnm Permit Fee $ /- Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 tl..^�n� n nrc�rn� St1inF�i:P Main service EA. ADD'L 100 AMP 2.50 NEW CONST.(DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. t 2/20sgft CONTRACTORS LICENSE LAW I declare under p y p I y (check one): t penalty of perjury ) 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. ^����� 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 ULTI-OUTLET 2.50 ea NON.RESID BRANCH CIRC ITs NEW CONSTR. ( POWER APPARATUS &) NON-RESID. SINGLE OUTLET CIR. 20e50C Ex. Occup(OUTLETS OR FIXTURES BAL@300 FIXED APPLNS. OR EX. OCCUp. OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor 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. ❑ 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. MECHANICAL PERMIT FiIingFee 10.00 Heating _e < ` Cooling Hood 3.00 Ventilation permit Fee $ 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 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 said County in consequence of the granting of this permit. X Date � Signature of Applicant — Owner ElContractorEJ Agent .❑r An OSHA 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 $ TOTAL PERMIT FEE $ OCCUP. GROUP TYPE OF CONST. PARCEL PD HD IseuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been aid. p WORKS Date Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT -, 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 ,_ APPLICATION IND PERMIT ASSESSOR PARCEL NUMBE — ZONING ♦' BUILDING PERMIT OWNER' TELEPHONE Curtis C. Fletcher 73-0953 SO. FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS 15254 Sk wa CONTRACTOR'SNAME Fr,qnkis TELEPHONE 1877-88 1 CONTRACTOR'S MAILING ADDRESS 7409 Skyway Fireplace CONSTRUCTION LENDER 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 IS954 Skyway PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 _CAV USE OF STRUCTURE r�'Yp SF Duplex ❑ Mobi lehome ❑ Other 91 SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New Addition] Remodel❑ Utilities❑ Installation❑ Other F-1 Describe work: Installation of heating system Permit Fee $ �. Contractor ELECTRICAL PERMIT Filing Fee 10.00 800V OR LESS Main service 100 AMP OR LESS 10.00 usinp, a propane furnace Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. , 220sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): '50NON-RESID. I am licensed under provisions of Chapt. 9, Div. 3 of the Business 6 and Professions Code and my license is in full force and effect. License No. 34324Classification G 2i ❑ 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 NON-RESID BRANCH CIRCITS CONSTR. MULTI -OUTLET 2,50 ea NEW CONSTR. POWER APPARATUS & (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES a2 50 300 FIXED APPLNS. OR EX. OCCUp. OUTLETS (RESID.) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor 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. ❑ 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. MECHANICAL PERMIT FiIingFee 10.00 Heatingtov p Cooling Hood 3.00 Ventilation permit Fee $ r 00 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. 1 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 said County sequence of the granting of this per it. c X Date � % { !�7-- Signature of Applicant — Owner g pp Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and emolition or construct- ion of structures over 3 stories in height./y,, Mobile Home Installation Fee $ TOTAL PERMIT FEE $ dv OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD IssuE This permit is hereby issued under the applicable provi- sions sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been aid. p DIRECTOR OF PUBLIC WORKS �� BY C%?+�_ljrLti//l(� Date 071 PERMIT EXPIRES Date -OC Receipt No.��oC WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT I PERMITNO. r 1118-81B,E PERMIT EXPIRES 7 v!J OWNER Curtis Fletcher CONTR. owner ASSESSOR PARCEL 65-09-18 LOCATION 15254 Skyway, Magalia Temp. Power Pole_ Called PG&E Temp. Elec. Service Called PG&E . Temp. Gas Serv_ Calle /PG&E— JO (Date) 31 Signature n Q,�- J OK 0 = Not OK = NDtApplicable MOBILEHOMES ''" MISCELLANEOUS * = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except #'s Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements 1. Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch _ 2. Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/O—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 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. ^ 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 MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements 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 S. 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/O to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater B. Gas and Electricity Tagged B. 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 V = OK 0 = Not OK Not Applicable * = Not Ready RESIDENTIAL -II 13' PSin Je and Duplex) Date UNDERFLOOR Plans OK except #'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. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel -B loc kouts-Wrapped-S lab 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 Q 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -B IC, DateL JIL 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 q's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's 6. Ext. Steps -Door & Sidelight Protection -Landings 157. Smoke Detector 14. Water Ht.; Vent -Access -Combustion Air 8. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 9. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 0. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe; Size & Anchors 1. Elec. Trim & Subpanel; Breaker Sizes -Labels 2. Stairs & Rails 3. Fireplace or Stove; Clearances-HeaLth 4. Elec. Outlets at Wood Panel; Int./,& Ext. Card -BI Date Card -BI Date 5• Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date Q6. Elec. Outlets & Receptacles at Kit. Counter Date ECTRICAL Perrr,it OK except q's Garage Fire Door; Swing -Landing -Closer 6.. A,C. Duct in Garage -Damper 0. Fixture &Transformer Clearance -Ins. Protection 61, Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 1. Elec. Receptacles Spacing -Lights & Switches at Doors 2. Size Boxes & No. of Conductors -Stapled 7 , Plb., Elec. & Mach, Equip. Listed for Location 7 . Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 2r°4. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2 7• Insulation -Foam -Looked in Attic ❑Yes 26. 2 Appliance Circuits in Kitchen & Conductor Size 731. Guard Rails & Deck Construction -Post Caps 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 7 . Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI, ! Insulated Neutral ❑Yes [I No 7j, Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes El No 28. Service -Riser Conductors &-G-round-Main Disconnect 7 , Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 7 A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30'. Clothes Closet Light -Shower Light 8. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 7,9. Water Well; Disconnect, Electrical, Plumbing 60. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Of L Date Card -BI Date 81. Ventilation throughout House Card B -I Date ��'t Card -BI Date c) Date 82. Glass Protection Date MECHANICAL (Permit) OK except #'s 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Conne ted -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation g , Energy om lianc ertificate-Other Certificates _ 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic - Card -BI Date Card -BI Date �•---- Card-BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date FR ING(Plans) except q's S' Pro a aterial & Anchors Comments at Final: 3 Walls; t Nailing, Spacing & Bracing -Plates -Sound _ `38'�Bearing Walls over Girders & Floor Nailing -09- Draft Stop in Walls (rat proof) _ _40 -PT -re Stops; Furred Ceilings -Stairs -Chases -Tub _ eader & Beam -Size & Bearing - _ ngers-Post Caps -Anchors -Connectors W. Joist-Rftr. Ties-Purlin-Roof Brac.- Shthnq.-Rfnq. _ -44-:;replace Ties or Type A Flue -Fireplace Throat -,46ritttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4.16:•Btfrm. Windows or Exiting Doors -Sill Hgt. & Dimensions .-*&--Garage Fire Protection Framing (NOTE: Anentrymust be made each time youvisit jobsite) COUNTY OF IUTTg - DEPARTMENT OF PUBLIC WORK PERMIT N 7 County Center Drive - Orovilie, California 95965 - Telephone 916/534 4 1 APPLICAP-ON AND PERMIT 1114-1- / ASSESSOR PARCEL NUMBER ZONING r••' BUILD G PERMIT OWNER u OL r-14 L M% C �1 Z?-�- T LEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS - (>_ (��N� 1.a�� _ �, {y�J J U M ��, ���0•DO CONTRACTOR'S N -E ,^ �-„ t'�c W• C L V 3 TE EPHONE CONT'RACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN G Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO.Plan Checking Fee $ QL� Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 92 -OF — BUILDING ADDRESS PLUMBING PERMIT Filin Fee 10.00 9 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other 1V GA (LA0 SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New Addition❑ Remodel❑ Utilities❑ Installation❑ Other E] Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. \ DWELL COUP OR AODNS. ACC. B 22 sq it 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. 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 CONSTPL TI-OUTLE 2.50 ea NON-RESID BRANCH CIRCUITS NEW CONSTR. POWER APPARATUS & NON-RESID. %SINGLE OUTLET CIR. / so @ 250 EX. OCCUp OUTLETS OR FIXTURES BAL@ICC Ex. Occup.(0UTLETSFIXED P(RESID )REA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 VC I Permit Fee Contractor MECHANICAL PERMIT FiIirig Fee 10.00 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. 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 $ 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 agaigst said County in consequence of the granting of this permit. 7� Date Signature of Applicant - Owner ® Contractor ❑ Agenttl An OSHA permit is required for excavations over 5'0" deep and demolition or construct -R ion of structures Over ren stories in h fight. Mobile Home Installation Fee $ Q _ TOTAL PERMIT FEE /Of -9 0c UP. GROUP /�—� TYPE DF CONST. --I/_A JPARCFLJ PD ND SSUE This permit is hereby issued under sions of the Butte County Code and/or for which OF PUBLIC :E9- PERMIT EXPIRES Date_ the applicable provi- resolutions to do fees have been paid. WORKS Date q —1 :2 —d L.-- Receipt No. 3 (� ��3 WHITE-D.P.W., YE OR, INK - P 19 GOLDENROD -APPLICANT f , 2945-83B..E PERMIT- NO. PERMIT EXPIRES 9A) OWNER CURTIS FLETCHER CONTR. Owner ASSESSOR PARCEL 65-09-18 LOCATION 15 Sk�ay, DeSabla _ i klv a ' Temp. Power Pole Called PG&E' Temp. Elea Servi Called PG&E Temp. Gas Servi ci Cal led PG& E JOB FINALED (Date) /lql —9 s Signature / / _ IV OR 0 Not OK — = Not Applicable = Not Ready MOBILEHOMES MISCELLANEOUS - Date MOBILEHOME UTILITIES (Plans) OK except q's Date DECK , VERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements 1, Hing 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 wn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing_ 5.. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete S. A m. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; LocatiorrTest—Wrap:/ /"L"ft./ P'Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. Card -BI Card -BI pate Card -BI Date to Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Date _ O S (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/O 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 -BI Date Card -BI Date Card B -I Date Card -B1 Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date J = OK 0 = Not OK = Not Applicable = Not Ready _ RESIDENTIAL (Single and Duplex) G Date UNDERFLOOR Plans OK except#'s _Date FRAMINf. ontinued) 1. Zoning requirements-Setbacks-Eas encs 48 o y Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Ele d.- / /" Ftg. Depth 44K_ -Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- /" Ftg. Depth 50. Stairs• idth-Headroom-Rise-Run- Land ing-Fire Protection 4. Ftg., Porches & De &,]J -Steel- / /•' Ftg. Depth 51. P wood o oof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Stqel-Eyoapped-Siab 52 g -Nailing -Veneer 6. Stemwal a e; at()VrOuts:trapped-siab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access _ 7. Piers Fire la40 ktU.:Veel 154. Glazing Area -Glass Protection -Skylights -Plastic - S. D. W. .: F I- itti s -Test -2 way CIO -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pip , Siz -A hors 10. Water Pi est -Anchors -Regulator -Service Test 11. Electric; Underground. 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date 16111and-BI Date Card -B Date rd -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FIy8 lans) OK except #'s Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except #'s 5 xt. Steps -D r & Sidelight Protection -Landings 57. a Detector _ 14. Water Ht.; Vent -Access -Combustion Air 58. Furna - earance-Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. 60. tng Fjl�& Bath Fixtures & Tub Access 17. Shower Pan; Test, First Floor -Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access Gas Pipe; Size & Anchorsairs 61. C. Tr_anel; Breaker Sizes -Labels ' Rails _ _19. 6 ace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. Pfec. Outlets at Wood Panel; Int. & Ext. i ixt. & Appliance Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date e s &-Receptacles at Kit. Counter Date ELECTRICAL Permit OK except #'s ire oor; Swing -Landing -Closer uct in Garage -Damper --- 20. Fixture & Transformer Clearance -Ins. Protection 63 Wtr. Htr • Vents -Clearance -Comb. Air-Connector-P.R.V.- I G n ge; Above Floor-Mech. Protection -- 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. ., Elec. &Mech. Equip. Listed for Location _ 22. Size Boxes & No. of Conductors -Stapled • c Us -in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 7 - oam-Looked in Attic ❑Yes - 25. 2 Appliance Circuits in Kitchen &Conductor Size �. 7��ard Rails &Deck Construction -Post Caps 26. S_ubfeed Wire Size / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al `-/-Jc Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑Yes -_ - 27. _Insulated 28. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Neutral ❑Yes ❑No Service -Riser Conductors & Ground -Main Disconnect 75. Following instld.:Dr' a Yes Walks ❑ Yes ❑ o; Planters ❑Yes No 76 cco; Brown -Finish - 29. Equip. Clearances; Panels-Motors-Mech. Equip. 7nit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light - 78-VTnTs Above Root; Plbg.-Appliance-Firepl.-Clearance to Opngs. --------------- --- 7 atoll; Disconnect, Electrical, Plumbing Card B -I Date Card -BI Date 80. terior Elec. Trim; G.F.I. Receptacle -Underground n throughout House Card B -I Date Card -BI Date 82, ection Date MECHANICAL (Perrr,it) OK except #'s 83. Corrections from Previous Inspections agged; Gas -Electric 31. A.C. Ducts: Insulation & Support AS.,,�'S-ewer Connected -C/O to Grade -HD Approval - - -_33. 32. Vent Insulation Exhaust above Insulati _Condensate Drain _& Overilow; Size & Grade 36v9=Ere*cJy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date and -BI Date Card -BI .Card -BI Date --- - -• ---- - --.. ---- - D_ate Card-BIDate Date Card -BI Date FRAMI cans) OK except #'s Card-B Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: 3 37 3 it ,i roper Material & Anchors _ Wal _ uds-Nailing, Spacing & Bracing -Plates -Sound earing Walls over Ginde_rs-& Floor _Nailing --_ in Walls rat of s; Furred Ceilings -Stairs -Chases -Tub 41. 4 . 4 er_ & Beam -Size & Bearing Han ost Caps -Anchors -Connectors In or " T ps-Purl in -Roof Brac.-Truss-Shthnq.-Rfnp. Fireplace Ties or Type A Flue -Fireplace Throat _ - __ccess_: Size & Romex.Protection-Draft Slop -Ins. Baffles or_Exili_ng Doors -Sill Hgt. & Dimensions - 47. re Protection Framing (NOTE: An entry must be made each time youvisit jobsite) i COUNTY OF BUTTE - DEPARTMENT'OF PUBLIC WORKS 7 County Center Drive - OroJille, Cal-ifornia 95965 - Telephone 916/534-4541 APPLICATIWAND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER #I -G ~ TELEPHONE 5 SO. FT. OCC. BUILDING VALUA l ® . OWNER'S MAI LI G DDR SS :— .� CO CTOR• NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 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 $ j) BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping A5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heate r Gas piping system 1 : 5 OF STRUCTURE SFV Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 175.00USE Mobile Home S G W TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other f Describe work: o_ rPE,di '' Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST.(DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 2/2(tsgft 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. 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. ULTI.OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS NEW CONSTPOWER APPARATUS &' NON.R RESID. ( SINGLE OUTLET CIR. 20@s0e Ex. Occup(o XOR FIXTURES BAL(930 ' l� FIXEEDD APPLNS. OR EX. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 ' 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. 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 $ 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 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 again aid County in consequen the gr ting of this permit. X a Date `� Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 s/tCries in height. Mobile Home Installation Fee $ ►� O TOTAL PERMIT FEE $ �/ OCCUP. GROUP I TYPE OF CONST. PARCEL _PDJ H 1550 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC OF PUBLIC By P T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date ry/j�j7-7773 / — / 'z Receipt No. LA�J ? WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT PERMIT NO. PERMIT EXPIRES OWNER Curtis C. Fletcher^U owner CONTR. 1 65-09-18 LOCATION (A.P. ) W/S Dayton Hupp Mill Rd.,app.600'SE of Skyway, DeSabla i if _d 1 f Temp. Power Pole Called PG&E 6 — Temp. Elec. Serv. -S 2- C. Called PG&E Wr Q Temp. Gas Serv. Called PG&E" JOB cam/ FINALED S �� v Date) (Signature) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS ` BUILDING INSPECTION RECORD - BUILDING - - Setback \ Forms Main Bldg. Footings Stemwal I Slab Piers Garage Footings Stemwal l Slab Carport Footings Slab Patio Footings Masonry Walls Reinf. Steel BUILDING (Cont'd) Firewall Parapets Restroom Finish — Windows Sidin Roof Sheathing Roofing • Z L Fdn. Vents Garage Vents Insulation Prov. for ph sl ally handica ed Conformance of ex. 1 structure Final ' Z2 FIREPLACE Final 67l4��Z7 ` FIRE SPRINKLERS PLU BING Soil Piping tD 0 1st Floor 2nd Floor 3rd Floor Tout A) IL� L Water Piping Fixtures ater Htr T P u z Hea ers Appliances Gas Piping& Test --- Temp. Gas Sanitation Final S Y� i ELECTRIC i Rough S, Motors Stucco Final f Subpanels Mesh MECHANICAL Gird. Fault Pr t. Scratch Heating Service Brown Cooling Temp. Pole fj & G' Finish Ducts Underground Interior Lath Ventilation " fl -J) lVel r Permanent �--r Door Closer I Final Final ( T l a ` MOBILEHOME UTILITIES ------------------ Elec- Service Elec. Pedestal Water Piping Sewer Gas Piping BI EH ME INSTALLA ION - - - - - - - - - - - - - Support Elec. Continui 4y Water Piping I Drainage Gas Piping DATE REMARKS OR CORRECTIONS C7u 'ell a 7 AeusX'F�c dGT� ��r f S-S.U` C'17 go 2F`�� �� zd F� moi/ �✓/� clf�; orf OwVY- 7' 0 /;z 0 /V 0 3h"4, L o tiv V (NOTE: An entry must be made on this form each time you visit the job site.) Skyway and E I I iott u . CORRECTION NOTICE / r ; 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 mjatte�fneed additional explanations,, please contact t office immediately. 1 -19 r 1MY It A Inspector Da r r .' 1 RES IDENT IAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT SeV Vi/.A- k/ M.,46.9 Z,11-4 (1 cation . T— BUILDING PERMIT NO.A`iP. NO. THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable), INSULATION: Slab Edge — AIIA Fdn. Walls Floors Walls J Ceiling/Roof Ducts / Circulating Vipes -APPROVED HEATER APPROVED WTR.HTR. GLAZING: Single Glazed Special (Insulated) e/ CERT. & LABELED WDS. t% & SLIDING DRS. WEATHERSTRIPPED DRS. BACK DAMPERED FANS INTERMITTENT IGNITION DEVICES A CERT. APPLIANCES ;/ I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name OfE7245 leas print). Signature of � Insulation Applicator General Contractor/Ow Signature of (please print) General Contractor/Owner State Contractors License No.� m THIS CERT IF ICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4Z1, u APPLICATION AND PERMIT ASS SSOR PARCEL NUMBER �5— _I ZONING BUILDING PERMIT O ER 1 �� (r�.- v 12-f �s f TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAI NG ADDRESS - ` CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS . Fireplace COSTRUCTION LENDER K UNKNOWN ^— total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ / V ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ % s BUILDING ADDRESS^� J PLUMBING PERMIT Filing Fee 10.00 V Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAMEPARCEL. MAP S V'( Each qas water heater or vent 5.00 Gas piping system 1 -5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other y Describeork: ELECTRICAL jfrn ��.,f} ` R • 3j�=$'o Permit Fee $ Contractor PERMIT Filing Fee 10.00 00V OR Main service 100 AMP ORSLESS 5.00 Main Service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.N) 20 sq ft OR ADDNS. \ ACC. BLDGS. CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p y (check one): Eli am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. y 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 -OUTLET 2.50 ea ID BRANCH CIRC ITS NEW NEW CONSTR. (POWER APPARATUS D\ CO NON.R ESID. (SINGLE OUTLET CIR. / 50 zs¢ Ex. Occup(ouTLETs OR FIXTURES BAL@1 EX. OCcup.(OUTLETSFIXED APP(RESID )REA.; 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIirig Fee 10.00 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. 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 $ 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 County of 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 expen es which may in any way accrue agains said County in conseque ce of t e nting of this permit. X Date �G✓ - z�►-�� Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA 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 $ TOTAL PERMIT FEE $ / Occu P. GROUP I TYPE OF CONST. I PARCEL PD I ND I ISSUE This 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. DIR T R OF PUBLIC WORKS ? / By at �� PERMI EXPIRES Date L Receipt No. �� �� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DIEEPARfMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Cal ifornia,,959E•5 - Telephone 916/534-4541 ' J►--' APPLICATION AND PERMIT P M�T NO AS9E SOR MAI VEL yyy,19ER / f�� J BUILDING P IT TELEPHONE OVi IO �I�g�Vv_'G �Q73q- 3 -�/j �/f` Lys /r`/ C/���/O/�/�TELEP��- O�L.+W- J/ADDR ESS„SM�/V Do' r✓"M / v • H SQ. FT. O/�CC. BUILDING VALUATION I qV p ao CONTRACTOR'S NAME TELEPHON CONTRACT MAIING ADDRESS CONSTRUCTION LENDER UNKNOWN LENDER'S MAILING ADDRESS Fireplace Total Valuation $ Permit Fee ARCHITECT OR ENGINEER LICENSE NO. ARCHITECT ORENGINEER'S MAILING ADDRESS Plan Checking Fee Penalty Permit fee / Q $ BUIL I G ADDR �� D/�� w PLUMBING PERMIT Each Trap Filing Fee 3.00 2.00 �• �. r+ Oo ` S � ��, D /�� Se (p r Repair drainage or vent piping 2.00 S,46 -JO13- Water piping Z.00 LOT NO. SUBDIVISION NAME PARCEL MAP Sb —/ (. Each pas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE ,-� SF (� Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 l" TYPE OF WORK New [AdditionFj Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: — Permit Fee $ .00 Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100 AMP OROR LESS5.00 Main service EA. A D•L 100 AMP 2.50 NEW CONST *64 OR ADDNS. ( A C. D 20sgft _ CONTRACTORS LICENSE LAW I declare under penalty2.50 of p f y (check one): perjury F-1NON-RESID, 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. 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR UL I -O LET NON -RE SID. BRANCH CIRCUITS ea NEW CONSTR.POWER APPARATUS ) (SINGLE OUTLET CIR. &/ Ex. Occup(OUTLETS OR FIXTURES BALI AL�ro¢ FIXED APP LNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor S WORKMEN'S COMPENSATION INSURANCE 1 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. 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. MECHANICAL PERMIT Filing Fee 3.00 Heating 0 Doo , DO P(%" Cooling /7 -T- Hood 2.00 2- 00 Ventilation Permit Fee $ t00 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 ;�gasaid County in copse nc o the granting of this permit. Date 7 40 Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavation over 5'0" deep and demolition or construct- ion of structures over 3 stories in height.. Mobile Home Installation Fee $ Land Development Fee $ -,715-00 TOTAL PERMIT FEE . CCUP. GROUP TYPE OF CONST. PARCEL PD H I ISSUE Phis permit is hereby issued under the applicable provi- �ions of the Butte County Code and/or resolutions to do -vork indicated above for which fees have been paid. DIRECTO PUBLIC WORKS 3Y �� Date PERMIT EXPIRES Date Receipt No. /0 1810 WHITE-D.P.W., YELLOW -AS ,, -IN E 6ayROD-APPLICANT If J Y / r' I t .14 11' J.. V r r I / ` p C I Sf I r. � t I14i„ .. _ 1. . � , ii . � I 11 , , -, 1. - -1, � �. 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