HomeMy WebLinkAbout065-190-0971 65-19-4W
Lrry Shannon '.
6566 Woodward Ave., lot 425, Fir H ven
Sub, Magalia
a
J contra John"Altman, Cliico
' Permit #3359-89B,P,E (new single T
•. A- amily)
r -� '.065-190-097 , • '..,PERMIT#98-0606,;;
YATES, 'Kevin;'&•,GLASS,.Jerry
�6566 Woodward,:D r`:• Magal a•
'Cont .'WoodiHeatI&� Spa
-Gas Stoves Insert/,SF,-AIA4i,4��/
X 065-'190x •097 ' x %i '', PERMIT#98A 0738 ,
'GLASS,, Jerry, & YATES, Kevin `s -
'6566�Woodward;�.Dr -, Magalia
Cont: Artic Aire
Replace HVAC/SF�/G�O:
J+
r
t
�� T avAl OVA, 10
Y
J
F'eERWT- NO. 3359-80B , P ,E ,M
J/4/�!
PERMIT EXPIRES.
Y
',OWNER Larry Shannon
John Altman' Chico
:f 65-19-49
-LOCATION (A.P.
6566 Woodward Ave., lot 425, Fir Haven Sub,
Maga lia
Cir
Temp. Power Pole
Calle PG&E
ITemp. Flea Serv.
Cafled PG&E —
Tern Gas Serv.
alled PG&E
B B
FINALED C)
(Date)
(Signature)
Bond Beam
Framing [
Stucco _
F
INKLERS
tures
mean
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RE61J tD
`
Scratch
BUILDING A BUI DI G (Cont'd)
Service t)
PLUMBING
Setbac //
l% Firewall 10
Soil Plpin
_$_,-
Forms
Parapets -
1st Floor
^lam
Main Bldg.
Restroom Finish.
2nd Floor
MOBILEHOME UTILITIES
Footings
Windows
3rd Floor
Sewer
Stemwall
Siding 2+'
To out
Elec. Continuity
Slab
Roof Sheathing
Water Piping,
Piers
Roofing
Sewer
Garage
OleFdn. Vents
Fixtures
Footin s
Stemwa
Garage Vents
Insulation
Water Htr. ,
Heaters
Slab
Carport
Footings
Prov. for phsicaliy
handica ed
Conformance of ex.
structure
•
Appliances
Gas Piping 8 Test----__
Temp. Gas
Slab,
Final l7
Sanitation
Pat
FIREPLACE
Final --(-
2 �-
. Footings
Footing
ELECT ICAL
Masonry Walls
Throat W-
Rouah
9'- % 2--$-0
Bond Beam
Framing [
Stucco _
F
INKLERS
tures
mean
MECHANICAL
Gird. Fault Prot. I.N h
Scratch
Heating
Service t)
Brown
Cooling %J1,Temp.
Pole
Finish
Ducts ly Z -9;-D
Underground
Interior Lath
Ventilation
Permanent
JDoor Closer
Final ?.L
Final a 2-
MOBILEHOME UTILITIES
- - - - - - - - - - - - - - - - - Elec- Se ice
Elec. Pedestal
Water Piping
Sewer
Gas Piping
E OME INSTALL
ION - - - - - - - - - - - - - - Supp t
Elec. Continuity
r Piping
t
Drai age
Gas Piping
DATE REMARKS OR CORRECTIONS
7— C/a
%,E
c ,dt/ vG✓c� �zao,e CCC -CJ -_r cvl i :v
/i%Ff.>y �Laj� ®� /G✓'a /sss �kl � f � � �c=�l�i2.f/'ri
44 ter
00 �( '
(NOTE: An entry must be made on this form each time you visit the job site.)
RESIDENTIAL PLAN CHECKING GUIDE
(S.F., DUPLEX, & MISC. ONLY)
Bldg. Permit #� �� M -
A. P. �.t--/U —4,T
A. GENERAL
1. oning requirements (sideyards and parking).
�2! Valuation.
Signature by R.C.E. or Architect (if required).
B. PLOT PLAN
Complete parcel size and dimensions.
�! Setbacks, sideyards, easements, etc.
Other buildings or structures.
Grading, fills, drainage.
C. FLOOR PLAN'
Complete to scale plan with dimensions.
5�Required windows for light and ventilation (Sec. 1405).
Required windows for second exit (Sec. 1404).
Allowable glazing for energy requirements (20% max. per.State law).
Human impact glass (Sec.'5406).
.k. Required room sizes, ceiling heights (Sec. 1407).
G.F.C.I.'s-in baths and exterior outlets (Sec. 210-8).
Light fixtures, switches, receptacles, and exterior receptacles
mechanical equipment.
for maintenance of
..,90.` Locations of water heater, heating & cooling equipment, other electrical or gas
equipment, and plumbing fixtures.
fid' -Garage firewall, door size, and closer (Sec. 503(d)(4)).
i - 3°0" exterior exit door (Sec, 3303d).
Fireplace location.
Smol_e detectors (Sec.: 1413) .
D.
ST R CTURAL DETAILS
Foundation plan complete enough to construct building.
,#k. Floor construction details complete enough to construct building.
.3� Elevations and wall construction details complete enough to construct building.
}....Roof construction details complete enough to construct building.
ireplace construction details and talcs if over one story in height.
Sufficient data and details to satisfy energy insulation requirements (State law).
E. MIS LLANF.OUS ITEMS TO LOOK_ OUT FOR
CCX plywood on exposed locations and overhangs.
Staff--rUny details (Sec, 3305) .
CulaPdra'il details (Sec. 1716) .
Buick or stone veneer (Chapter 30). �
®&^ Exterior: plaster - weep screeds (Sec. 4706 & 4708).
ropes roof pitch for roof covering (Chapter 32).
Rafter ties or bearing ridge beam.
Garage door or porch header "sizes.
Adequate bracing.
Living area over garage - complete 1 -hour separation required including supporting .
walls and posts, etc.
Two (2) e�>its on three-story dwellings (Sec. 3302).
COUNTY OF BUTfE'- DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION'AND PERMIT
PERMI NO.
ASSESSOR PARCEL NUMBER ^
V49BUILDING
ZONI/
PER.
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
00
OWNE 'S MAILING~ DDR SS
.SJ
Ad
O D
CONT: SNAME
ITELEPHONE
3y7_
CONT TOR'S MAILI G qs ADDRESS
ie
CONSTRUCTION LENDER,, C� UNKNOWN
Fireplace 0
Total Valuation $
O p
LENDER'S MAILING ADDRESS
SS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR E GI EER'S MAILING ADDRESS
Permit fee
$JS8, 00
BUILDING ADDRESS
66-6,60 p
PLUMBING PERMIT
Filing Fee 3.00
G f�
Each Trap
2.00AkIQ
Repair drainage or vent piping
2.00
Water piping
r 10 0
LOT NO.SUBDIVI
ION NAME
1�.O" m/ Jvoc21',,,S�
PARCEL MAP
Each qas 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
TYPE OF WORK
New Addition ❑ Remodel ❑ Utilities❑ InstallationC Other
Describe work:
Permit Fee
$(�
'
Contractor L,'J
4_
ELECTRICAL PERMIT
Filing Fee 3.00.E
Main service 8000 AMP OROR SLESS
5.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING O
OR ADDNS. ( ACC. BLDG
�J
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., 4'.377 � Classification 9%
❑ 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
N0N•RESID R BRANCH ciRc ITs 2.50 ea
NEw CONSTR. ( POWER APPARATUS &�
NON.RESID. SINGLE OUTLET CIR.
250
ExOccup(OUTLETS OR FIXTURES 5 L ,
FIXED APPLNS. OR.
Ex. Occup.(OUTLETS (RESIDJ,EA,� 1 2.00
Temporary service 110.00
Mobile Home Facilities 15.00
Misc. Wiring 6.25 j7
A E!o 6le
Permit Fee $ ,S"
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F-1The 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 OJ 4,0-/
G 0
Coolinv4d a? A-1101AJ
V. 17n
Hood
2.00 ZIQ j2
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.
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
i
again aid County in consequence of the granting of this per40146-19
X Date
Signat A of Applicant — Owner El 'Contractor V 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 $
Land Development Fee $ ®p
TOTAL PERMIT FEE $
OCcUP. GROUP
I TYPE OF CONST.
PARC,L
PD
HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
work indicated above for which
DIRECT.Qki OF PUBLIC
BY
PE IT EXPIRES Date
the applicable provi'sions
resolutions to do
fees have been paid.
WORKS
Date 7_/0 -,?oReceipt
t-
��
No, &,M
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
995 Oleander Avenue, Chico — Phone 343-4211, Ext: 7.0
7 Bounty Center Drive, Oroville — Phone 534-4541
Skyway and Elliott Road, Paradise — Phone 877-3435
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 Date
4-k-5-
_�.�-����---fir
y
. :� soca
CIO
FNF:It:(:Y C(),N:-; I:I:VAT*l 011,11 SJ'ANDARDS
TO CERTIF'V THAT ENERGY COWN-AWATfON REQUIRF-Til: ' NTS ILWE BEEN
(AMPLN'r VNERCY CONSERYATI.ON REGULATIo-INS
A
T.—
)Cat i- _-1 G�O� -- ---
.011)
i,u I: I i j,!(; rr A P.
Till: IIAVE )WEN INSTALLED AS PER APPROVED PLANS:
C.-Ach itell, or wtitk! MIA if not appjic.(I)jc)
P::-; 1; 1. AT MN :
I)FCI.Al,,.E 1`HAT At,]. HF011TRED ITUIS A") NOTED ABOVE IIAV17 1"NSTAI.I.EI)
Wl'I'll THE 1-:MERGY CONS, FROT1 OH kF(JUREMENTS AND AGREE TO
Tki*. OV TIHS CIJ(HFICATE AS SIIV,�IITTVD.
AppI ic.-t4--or -N.w aHaWkLizjqInsula —i n
print)
State Contractors
License No. 378407
^/,,,,Ccnt, r, -I I Co ntraccor/owiler Nunc . 7z7z- ALS _1-_V191V
(plca.,;e print)
sjit.n.-IrIlre. of
Colltr.1CLOLlowner Date �� !� $�
State
at0Scatc, Contractors
J,icelvsc No.—
IGO
W`.T 'B17 ON FTLF WITH THE 111111.OW, DEPAWITIF.NT IT'l0k T()
AND SHALL IJ: P():;'rFD IN A CONSPIC110H.': IOCAYMN
Till'.
NA
C Ii;,. ('. (I
NA
Special. (I*1I!;ll1atcd)
NA
CERT. & LABELED WDS.
_.-Ala—
SLIDING DICS.
NA
DRS.
NA
Ci-rCk, I t3t: ill)!,
I , Vii .. 1. . j (,NITI.ON
NA
NA
I)FCI.Al,,.E 1`HAT At,]. HF011TRED ITUIS A") NOTED ABOVE IIAV17 1"NSTAI.I.EI)
Wl'I'll THE 1-:MERGY CONS, FROT1 OH kF(JUREMENTS AND AGREE TO
Tki*. OV TIHS CIJ(HFICATE AS SIIV,�IITTVD.
AppI ic.-t4--or -N.w aHaWkLizjqInsula —i n
print)
State Contractors
License No. 378407
^/,,,,Ccnt, r, -I I Co ntraccor/owiler Nunc . 7z7z- ALS _1-_V191V
(plca.,;e print)
sjit.n.-IrIlre. of
Colltr.1CLOLlowner Date �� !� $�
State
at0Scatc, Contractors
J,icelvsc No.—
IGO
W`.T 'B17 ON FTLF WITH THE 111111.OW, DEPAWITIF.NT IT'l0k T()
AND SHALL IJ: P():;'rFD IN A CONSPIC110H.': IOCAYMN
Till'.
C Ii;,. ('. (I
Special. (I*1I!;ll1atcd)
NA
CERT. & LABELED WDS.
SLIDING DICS.
NA
DRS.
NA
BACK DAH111:1-:11MNA
I , Vii .. 1. . j (,NITI.ON
I CES NA
NA
I)FCI.Al,,.E 1`HAT At,]. HF011TRED ITUIS A") NOTED ABOVE IIAV17 1"NSTAI.I.EI)
Wl'I'll THE 1-:MERGY CONS, FROT1 OH kF(JUREMENTS AND AGREE TO
Tki*. OV TIHS CIJ(HFICATE AS SIIV,�IITTVD.
AppI ic.-t4--or -N.w aHaWkLizjqInsula —i n
print)
State Contractors
License No. 378407
^/,,,,Ccnt, r, -I I Co ntraccor/owiler Nunc . 7z7z- ALS _1-_V191V
(plca.,;e print)
sjit.n.-IrIlre. of
Colltr.1CLOLlowner Date �� !� $�
State
at0Scatc, Contractors
J,icelvsc No.—
IGO
W`.T 'B17 ON FTLF WITH THE 111111.OW, DEPAWITIF.NT IT'l0k T()
AND SHALL IJ: P():;'rFD IN A CONSPIC110H.': IOCAYMN
Till'.
065-190-097 'PERMIT#98-0738
GLASS, Jerry & YATES, Kevin `
• ;� z 6566 Woodward- Dr. ; `Magalia r`..
Cont: Artie Aire'
Replace HVAC/SF , ` '_,* /7 23/9c
I
Dated /b 7111, 4
Meter By N ,n.
et ELECTRIC y pate x
,j .
FCS,^' ✓ / l �Z•��/� .,
� E
"
�v
k '
i L �
�
��rt.
j�- 1a�3
FILE
COPY'�'.��
Dated /b 7111, 4
Meter By N ,n.
et ELECTRIC y pate x
,j .
FCS,^' ✓ / l �Z•��/� .,
� E
COUNTY OF BUTTE - DEPARTME T OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, Callornia 95965 - Telephone (916) 538-7541 PERMIT ,Np
(Rev. 12/96) APPLICATION>AND PERMIT ('► _ r �'�
ASSESSOR PARCEL NUMBER
K.. .t1
ZONING
BUILDING PERMIT
OWNER JERRY GLASS & YATES tt
,t�P ;
T873 -E0
_15
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAIUN_. G_pDOQESS 1562 PARADISE 95969
CONTRACTOR'S NAME
ARTIC AIRE
TELEPHONE TELEPHONE '
895 -333 -
CONTRACTOR'S MAIADDRESS
2838UnV32 ch co %973
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ _
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
6566 WWDWARD DR.
Energy Plan Checking Fee
$
$
NAGALIA
PERMIT FEE
$
LOT NO.
SUBDNISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF O Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: CHANGE OUT HVAC SAME L WATION
Gas piping system t - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service ZOOAORLESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that 1 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. _ ,
License Class Lic. No. °,� (z,1—
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am 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.
�R. I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service ( 200A TO IOOOA
46.00
NEW CONST. DWELLING OCCUP.
OR ADONS. ( 8 ACC. BUDS.
SO
3.5¢FT,
NONRESIDT ANCI CI' CUI
@7.50
POWER APPARATUS
a SINGLE OUTLET CIR.
OUTLET OR FDTTURES
Ex. Occup.BAL
20 @ I'50
@ .so
Ex. Occup. ourEEDTs REESSID.OEA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring23.00
PERMIT FEE
$
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 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.
❑ 1 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' comp sation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections fie4d not be borApl-et6d if tfTe 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'HAY
compensation laws of California, and agree that if I should become subject to the
workers' ampensation provisions of section 3700 of the Labor Code, I shall
o hwit omply ith those provisions.
Date Yr� 3 �_
Sig ature of A plicant - ❑ Owner ❑ Contractor Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Filing Fee 20.00
Heating
25.
Cooling
25.00
Hood 6.50
Ventilation
PERMIT FEE $ 70.00
Mobile Home Installation Fee $
Energy Inspection Fee
$
occ
CONS PE
TOTAL FEE $ 105.00
FEES
IMP
FLOOD
COf
PARCEL
PD
HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By 011 /
PERMIT EXPIRES ON
`�
the applicable provisions
Resolutions to do work
been paid.
7t-
Date is
7
Date
ReceiptNo. A936 R yl
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
M
0
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville,, alifokia 95965 - Telephone (916) 538-7541
(Rev. 12/96) APPLICATION AND PERMIT 0-
ASSESSOR PARCEL NUMBERZONING
BUILDING PERMIT
OWNER ,,�
JERRY GLASS & YATES
73 015 ROdr
SO. FT. OCC. BUILDING VALUATION
OWNERS MAIL yll 1562 PARADISE 95969
CDNTRACTOR'MIC AIRE
TELEPH
895 N333—
CONTRACTOR'S2N§Il fg AD
M 32 chico 95973
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
'
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
—Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
6566 WOODWARD DR,
Energy Plan Checking Fee
$
MAGALIA
$
PERMIT FEE
$
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF R1 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: CHANGE OUT HVAC SAME LOCATION
Gas piping system 1 - 5 outlets
15.00 15.
Building sewer
15.00
Mobile Home IS I GI W
920.00
PERMIT FEE
$
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service zoos oa 'ss
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.(l ,t
License Class s LIC. NO. AAA 3 Lam/ 9j—;
IIY" j �
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am 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. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.00NEW
CONST. DWELLING OCCUP.
OR ADONS. ( 8 ACC. BLOS.
SO
3.SQFT:
NON -R SNEW rIDTS. ANCI CUTLET
97.50
POWER APPARATUS
8 SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES
20 Q I'oo
B„L @ .50
FIAPLNS
Ex. Occup. OUTLETS PRS D.OEA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirin
EE n
PERMIT FEE
$
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 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.
❑ 1 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' comp sation in urance carrier and policy number are:
Carrier LLAD,4 A 1,
Policy Number
(The above sections fie6d not becomp[efed if fhe 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'
compensat' n laws of California, and agree that if I should become subject to the
workffepensation provisions of section 3700 of the Labor Code, I shall
hply ith those provisions.
Date
Siature of A plicant - ❑ Owner ❑ Contractor 'gent
An OSHA permit is required for excavations over 60" deeand demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Filing Fee 20.00
Heating 25.10
Cooling
25.00
Hood 6.50
Ventilation
PERMIT FEE $ 70,00
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
5SL121PE TOTAL FEE $ 105.00
HA D. FES IMP
I FLOOD
I CDF
PARCEL I PD
HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By 1 41`
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
'T
Date `T
Date
l
Receipt No. /&J, -Ob
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
i
i
065-190-097 PERMIT #98=0606.
YATES, Kevin. & GL_ASS, ' Jerry
6566 Woodward Dr., Magalia
Cont: Wood Heat &'S pa.
Gas Stove'Insert/SF,
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COUNTY OF BUTTE- DEPARTMENT DEVELOP�MENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, California ->-95965 - Telephone (916) 538-7541 PERMIT NO.
(Rev. 12/96) ,. APPLICXTIO V A14D PERMIT f ��
ASSESSOR PARCEL NUMBER _
ZONING
BUILDING PERMIT
OWNER 11 "
TELEPHONE
97?,
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS /6
CONTRACTOR'''S-- NAME J , l
V " C l �Pa'y 'S ,q
TELEPHONE
L> 7%' f'7"
-
CONTRACTOR'S MAILING ADDRESS
-57,57 Sk, "o,
CONSTRUCTION LENDER -
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO."
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
5(l 6. ��d �„ mow.., I
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
•
SUBDNIS ION'S NAME
PARCEL,,MAP
,
PLUMBING PERMIT -Filing
Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
—/
SF C1 Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat um 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 0,-!
Describe Work: hi�o,�� �,�w� �5-lc��,,.5,•.`!�
Gas i in system 1 - 5 outlets
15.00.
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE S
ELECTRICAL PERMIT
Filing Fee 20.00
i
Main Service "'.A OR LESS
23.00
t
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.
�^! I
License Class fj LIC. NO. 73 / 7/ R
ti OWNER -B UILDER DECLARATION
- i
I hereby affirm under penalty of perjury' that I am 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
❑ I,;as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason I
Main Service ZOOA TO 1000A
46.00
NEW CONST. DWEWNG OCCUP.
OR ADDNS. ( & ACC. BLDS.
s0
3.5¢FT.
NEW CONST. MULTI -OUTLET
NON-RESID.
@7,50
POWER APPARATUS
WELL
d SINGLE OUTLET CIR.
Ex. OCCU OUTLET OR FIXTURES
.
20
BAL x'.550
FIXED APPLNS. OR
Ex. Occup. OUTLETS RESID. EA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirina
23.00
PERMIT FEE $-
WORKERS' .COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 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.
,�O'1 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 insurance carrier and policy number are:
Carrier S_ 'l�1'l� 1 F, -,^c4
MECHANICAL PERMIT Filing Fee 20.00
Heating
<to
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Policy Number 9!2 '5-
(The above sections need'not be completed if the permit is for work of a valuation
of one hundred dollars,($100) or less.)
�,�
❑ (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
forthwith comply with those provisions.
r/
X '. />/ / ., i' 9 /� Date ��/t"_—
Signature of Applicant - 11Owner Contractor 0KAgerit
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $
HAZ.
I D. FEES IMP
FLOOD
C9 PD I HO
ISSUE
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
By Date
PERMIT EXPIRES ON
# # pa)
provisions
to do work
paid.
_
Receipt No. Z Z I7 % '� �"'
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, California 4 95965 - Telephone (916) 538-75PERMIT NO.
_, �° a
(Rev. 12/96) APPLICA�'IOI�AND PERMIT 4 a
ASSESSOR PARCEL NUMBER
vGs��o- ��i
ZONING ...
A
BUILDING PERMIT
OWNER
EVlil �I�es �Pr( S5
TELEPHONE
873
SO. FT. OCC. BUILDING VALUATION
OWNER'S NG ADORES /�
G, o /S (02 Parr ", 4152 Gi . t5g(7
CONTRACTOR' Nps, �P�� -5-5.0,1TEg
7�E 0711
CONTRACTORS MAILING DRESS
5
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
UCENSE NO.
Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee $
BUILDING ADDRESS / / /
(vlJbb
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBONISION'S NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
USEOFSTRUCTURE
/
SF E Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00
Solar or heat um water heater 23.00
Water piping 15.00
Each as water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 2_11�
Describe Work: S254 -Z// 6-95-54--ue
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G I W @20.00
PERMIT FEE $
ELECTRICAL PERMIT Fling Fee 20.00
5000 R LESS
Main Service 200AORLESS 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.7-3-/
7 C
License Class 6 Lic. No. / 3-/ 318
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am 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.
O 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A 46.00NEW
CONST. DWELLING OCCUR so
OR ADDNS. ( 8 ACC. BUDS. 3.50Fr.
NON•R S11D.TMUICTI•C RCETT. 97.50
POWER APPARATUS
d SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES 20@'"00
e++L p .w
Ex. Occup. Of1u iters F�slo.
pI EA_ 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE S
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 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.
V'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' compQnsgqtion insu nce carrier and policy number are:
Carrier s t19 L,/) GJ
Policy Number 3 /
(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
wor �' compensati provisions of section 3700 of the Labor Code, I shall
fo ith comply wi ose provisions.
X Date % _
Si .ature of Appl' a ❑Owner Contractor Age t
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT Filing Fee 20.00
Heating Q
Cooling
Hood 6.50
Ventilation
PERMIT FEE $ ,t%®
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ SSP iP
HAZ.
D. FES IMP
FLOOD
COF
PARCEL PD
HD
ISSUE
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.
/
By Date 9 /�
ke
PERMIT EXPIRES ON
Data
Receipt No. Z 35
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
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