HomeMy WebLinkAbout066-280-052top -
66 -28-52
TONY COREY
-190 Pueblo Dr.,16t 413 PPCC44,
.-Magalia---
oc)ntr: Ancep Ballard, Paradise
Permit #5 03-75B,P,E,M(new SF)
I
NTR: Ancef 66-28-52 --
CONTR: Paradise
Permit it #
959-76B(ad
dli f-o-q-t-a--e-
-for --permitYL03-7/breezeway)
066-280-052 99-2018
SHELTON,
DAVIE& DEBORAH
6292 PUEBLO DRIVE, MAGALI�j
CONTR: OWNER ITU" 01y
GAS LINE & GAS FIREPLACE
I
a
I n In
0
C.flI CSI ��� C=
`,PERMIT
NO. 5iO3-791R,P F. r_yM
P
r,
`
E
M
MH UTIL.
t'PERMIT
NO.
r
PERMIT EXPIRES 49?/I-//
t
+OWNER
Torry Corey
y; CONTR.
Ancel Ballard, Paradisd
i
FILfOCATION (A.P. 66-28-52 )
--x'190 Pueblo
Dr.,Lot 413,PPCC#4, Magalia
Y
�t�fi50f
el C511 -'l co
C" rz,&
-
Temp.P.er#e — -
+�'
Yet
Callad PG& 376
//`"' c, ?
Temp.
•
C led PG&E
Te p. Gas Serv.
r:
Called PG&E
JOB
FINALED
•
1
(Date)
(Signatur )
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
DATE REMARKS
O�R� CORRECTIONS
6 � � / ei✓GG�I�i J � VCi' d� ' / Z�c� /V G �' ri%BG�S f! � %
. ®�� ��" ram ,� ��" �,-®- -- _�.:.�•.� a, /,��-�
A
"f le'w�
QAO
BUILDING
BUILDING•(Cont'd)
PLUMBING
Setback
Firewall —
Soil Piping .J /z
Forms
Parapets •---` ^
1st Floor —'—
Main Bldg.
Restroom Finish
2nd Floor Z( —
Footings
Windows
3rd Floor
Stemwal I
Sidina
To out
Slab
Roof Sheathing
Water Pi in ,
Piers
Roofing
Sewer
GarageFdn.
Vents
Fixtures
Footings
G&
Water Htr. .�
StemwaII
Prov. for physically
Heaters �' -
Slab
handicapped
Appliances
Carport
Conformance of ex.
Gas Piping & Test
Footings
structure
Temp. Gas --�_
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat,
Rough J
Reinf. Steel
Final /
Fixtures
Bond Beam
—
FIRE SPRINKLERS
Motors
Framing
2 - I'p
Test
Water Htr. r
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot -,o' --//1-7"r /DZ—�
rot —
Scratch
Scratch
Heating
Service
Brown
Cooling X
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent b4�c�
Door Closer G-1676
Final
Final .-7/ /
DATE REMARKS
O�R� CORRECTIONS
6 � � / ei✓GG�I�i J � VCi' d� ' / Z�c� /V G �' ri%BG�S f! � %
. ®�� ��" ram ,� ��" �,-®- -- _�.:.�•.� a, /,��-�
A
"f le'w�
QAO
ftz
-D�7S)
C�
t
L PERMIT NO.
959-76B
PERMIT EXPIRES,
OWNER
Tony Corey
CONTR.
Ancel
Ballard, Paradise
LOCATION
(A.P, 66-28-52
)
+.190.Pueblo
Drive, lot 213,PPCCA , Magalia
i
Y
Y
3
'
l�
t
_j
•
r
t
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
"s
Called PG&E
Temp. Gas Serv.
r
Called PG&E
JOB
FINALED
(Date)
(Signature)
t
Setback
Forms
Main Bldg.
Footings
Stemwa I I
Slab
Piers
Garage
Footings
Stemwa I I
Slab
Carport
Footings
Slab
Patio
Footings
Masonry Walls
Reinf. Steel
Bond Beam
Framing
Stucco
Mesh
Scratch
Brown
Finish
Interior Lath
Door Closer
DATE
COUNTY OF BUTTE — DEPARTMENT OR PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd)
PLUMBING
Firewall
Soil Piping
Parapets
1st Floor
Restroom Finish
2nd Floor
Windows
3rd Floor
Siding
To out
Roof Sheathing
Water Piping
Roofing
Sewer
Fdn. Vents
Fixtures
Garage .Vents
Water Htr.
Prov. for physically
handicapped
Heaters
Appliances
Conformance of ex.
structure
Gas Piping & Test
Temp. Gas
Final
Sanitation
FIREPLACE
Final
Footing ELECTRICAL
Throat Rough
Final Fixtures
'FIRE SPRINKLERS Motors
Test Water Htr.
Final Subpanels
MECHANICAL Grd. Fault Prot.
Heating Service
Cooling Temp. Pole
Ducts Underground
Ventilation Permanent
Final Final
REMARKS OR CORRECTIONS
/f6
(NOTE: An entry must be made on this form each time you visit the job site.)
THIS ISJO C,RTIFT THAT INSUOTION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT ENERGY REGULATIONS.
CALIVORNIA ADNINyI-S�TRATIVE CODE, TITLE 25. STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT:
O J/ �_
T ree Lot Number rac o.
EXTERIOR WALLS
Manufacturer___L � � Thickness/Type ,3 2 R Value
CEILINGS
Botts: Manufacturer Thickness /2 L R Yelue
Blown., Manufacturer Thickness No. Bags Wt./Beg
Sq. Ft. Covered R value
FLOORS
Manufacturer D O / Thickness/Type R Value
SLAB ON GRADE
Manufacturer
FOUNDATION WALLS
Thickness/Type R Value
Width of Insulation Inches
Manufacturer Thickness/Type R Value
GENERA -CONTRACTOR �j ���//�J cY LICENSE NUMBER /vZ 'U 1 7 7
BYz �_d T���o.�� . DATE Cp — /d" %Z
INSULATION CONTRACTOR cSLICENSE NUMBER
BY TITLE DATE
„ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Dri4e, — aOroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
BUILDING
Owner
SO. FT. OCC. BUILDING VALUATION
_ 0Mailing
Address
LVIle
lephone No.
3e_4, Op
Fireplace %1=4a ; �.00
Contractor
Total Valuation .0d
Mai I i ng Address 3 3
Permit Fee
Plan Checking Fee &/or Penalty
ne No.T epho
Q
Building Address , D���
PLUMBING
No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50 Do
'
Repair drainage or vent piping
1.50
Water piping 1.50
�J �I�t
l,C,l� ,3
Each gas water heater or vent 1.50
�7
A. P. N `oG. '��
Zoning 8 Planning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet 30
F WS1
Sa i on
Fire De
Fire Zone
Use Permit
Building sewer 5.00
EOA
Parking-T—Parcel — Irar a
Declaration P
0' R/W
Im rovements
p
Lawn sprinkler system 2.00
�$�.Plans
'eldg. P ahs Recd
orcel pprova
Plans pproval
Permit Fee
(J
$ ,tea t
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL
No. @
FEE
PERMIT FILING FEE $3vlea9e7
Main service incl. 1 meter
Additional meters,each
1.
Sub-panel 02 ess) (more than 12) ,Single
Family Duplex ❑ Mobil Home ❑ Others ❑
Ra , Cook -top or Oven 1.Water
er or Spac er
1.
Light fixturesb pat
FS?40r. svdXhis & fix o is -G
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:
C ejl�
H Ex..9&orF.A.Furn.Motor
1.00
3
Evap. coo I er, gar. p.or 1.00 �fl
Air conditioner or heat pumV p
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00 SOD
License No --I [�✓ / % Classification J?
Misc. wiring
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
$ 3 % Fj
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.
KI 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 mannerde
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL
No. @
FEE
PERMIT FILING FEE $3.00 ,7. 00
Heating OD
'
Cooling X00
Ventilation ,�
Hood 2.00
Permit Fee $ 2-4,-00
$ % OG
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
$ C
authorize representatives of the county of Butte to enter upon the
above-mentioned property for inspection purposes.
X /m"g"t -/ Date
Signature of Permitee or Agent
Receipt No. yf ��
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 be paid.
DIRECTOR F UBLIC WORKS
By T Date
B1ti'Iding permit expires Date -7 C
COUNTY OF BUTTE — ~DEPfkRTMi;NT OF PUBLIC WORKS
7 County Center Drive '—-0roviIIe, California 95965 /
Telephone: 534-4541
APPLICATION AND PERMIT Aff
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X oe�•��i!.c pate 3
Signature of Permiteeee or Agent
Receipt No.
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 P BLIC WORKS /
Date 3-
uilding permit expires Date 3^,?-- .7 %
BUILDING
Owner
SO. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
•
Te ephone No.
_
_
Permit Fee $
Building Address
PLUPABING No.1 @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
—le � � % �
Each gas water heater or vent 1.50
A. P. No. -= a�
Z
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F '
I&—
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EOA
Parking
Parcel
Declaration
Parcel Ma p
60' R/W
Improve
provements
Lawn sprinkler system 2.00
/Pl/ans
Bldg. Pis Rec'd
Parcel provaI
Plans pproval
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
r
s'� ,� 7 S
600V OR LESS
Main service 100 AMP OR LESS 5.00
Main service EA. ADD'L 100 AMP 2.50
Single Family JZ Duplex ❑ Mobil Home ❑ Others ❑
Main service OVER 600V
100 AMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. DWELING
OR ADDNS. ( ACCLBLDGS.OCCUP. &\ 20sq ft
l
NEW CONSTR. MULTI -OUTLET
NON .RESID. BRANCH CIRCUITS) 2.50ea
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
SOf:
style v
yam% Gni`
Ex. Occup(OUTLETS OR FIXTURES) aAL@1
BALG�'1
FIXED APP LNS. OR
Ex. Occup.(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No.420!5*�/27Classification l
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
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. @ FEF_
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
$ —�
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X oe�•��i!.c pate 3
Signature of Permiteeee or Agent
Receipt No.
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 P BLIC WORKS /
Date 3-
uilding permit expires Date 3^,?-- .7 %
ROLLA BOUGHAN & ASSOCIATES
CIVIL AND STRUCTURAL ENGINEERS
411 MAYER BUILDING - PORTLAND, ORE. 97207
TELEPHONE 224-3462
October 27, 1975
ANGEL BALLARD
6333 Clark Road
Paradise, California 95969
SUBJECT: Free -Span Roof Design of CAROUSEL HOUSE
Dear
The subject pre -fabricated house consists of a clear -span
roof structure and an exterior bearing wall shell. The interior
partitions are not load-bearing so they may be moved at will or
left out completely. This engineer grants permission for changes
in partition locations in -the field without further referral to
this office. . i
CW ,
The subject house plans are an engineered design but without
reference to the location of interior partitions.
In addition, the constr
garage and the house will not,be .re_qu raed,to be engineered.
�o QRpFESS/p�,91 Yours truly,
JAI
14�P G�ti z
O rn
_CAA Mgt M 04q No. 20540 Z z
y CIVI �P
l �
OF. C A%
cc: H. G. Peters Bldrs., Inc.
e
h_
Rolla B. Bough , P. E.
Professional Engineer
.. .. .�.r .--, r®•. �.y�c. �...-. .4. •• y- ca*' ..i.h� .RL f�1:.� r -i, �``w.�rT.�am.l..c.fa�r.ti..y f"'^."7rr. _„ . r.+.m w-,-qx,. .. ..-.a •• � T _ -�-
r - s 066-2804052 `�� 99-2018
t;' { SHELTON,DAV[E &DEBORAH
6292 PUEBLO Dfij_YE, MAGALIA
CONTR: OWNER'
+ ! • GAS LINE & GAS FIREPLACE
t
�t
r
• 4
� r
• is
�a
oI
COUNTY OF BUTTE - DEPARTMENT OF DEVELOOMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 9596 • Telephone (530) 538-7541 PERMIT -NO.
(Rev.12/96) APPLICATION AND PERMIT dw— ,Tf '
ASSESSOR PFICELNUMBER
_7
ZONING
R2
BUILDING PERMIT 10/
OWNER DAVIF, EBORv '.HELTON TELEPHONE
OWNERS MAILING ADDRESS 6292 PUUM • P V ALIA, CA 5954
SO. FT. OCC. BUILDING VALUATION
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAIUNG ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSENO.
Filing Fee
$ 20.00
Fee
�
$NG
ARCHITECT OR ENGINEERS MAILING ADDRESS � �
i
Plan Checking Fee
$
BUILDING ADDRESS 6292 PUBLO DRv NkGALIA � :�.
Energy Plan Checking Fee
$
$
PERMIT FEE
S
LOT NO.
SUBDN510NS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
GAS LINE I GAS FIREPLACE INSERTSMobile
Describe Work:
RFATER
Gas piping system 1 - 5 outlets
15.00
15.00
_Buildingsewer
Home s G w
920.00
PERMIT FEE
$ 50.00
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service '.OA OR LESS
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.POWER
License Class Lic. No.
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
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' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
r of one hundred dollars ($100) or less.)
• 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 workers'
compensation laws of California, and agree that if I should become subject to the
workers' cd�npensation provisions of section 3700 of the Labor Code, I shall
�fo?thwith mply with o e rovisions.
X . Date .� ! / Ian
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" dee and demolition or construction
of structurs over 3 stories in height. P
Main Service TO
46.00
CCU000A
NEW CONST. DWELLING OCCUP. SO
W:
OR ADDNS. ( a ACC. BLDs. 3.5QFT:
T 97.50
NON-REOSINST MULTI RANCH CIRCUITS
APPARATUS
a SINGLE OULET C1 R.
.00
EX. Occup. OUTLET OR FIXTURES 64L O I .50.
FDCED APPLNs.
Ex. Occup. oUTLET3 ,=-. OR EA
1 5.00
Temporary Service 23.00
Mobile Home Facilities
20.00
Misc. Wirina 23.00
PERMIT FEE $
MECHANICAL PERMIT Filing Fee 20.00
Heating 1 15.M
Cooling
Hood
6.50
Ventilation
PERMIT FEt s 35.00
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 8g ��
MA2.
D. FEES
IMP
FLOOD
CDF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By. / ii
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
`
Date
d
ate
ReceiptNo.
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 95965 • Telephone (530) 538-7541 E `rO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
66-280-052
ZONING
R1
BUILDING PERMIT
OWNER DAVIF,. AND DEBORAH SHELTON TELEPHONE
OWNERS MAILING ADDRESS
SQ. FT. OCC. BUILDING VALUATION
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
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 6292 PUEBLO DR, MAGALIA
Energy Plan Checking Fee
$
$
PERMIT FEE
$
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: GAS LINE & GAS FIREPLACE INSERTS
HEATER
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home ISI GI W1
920.00
PERMIT FEE
$ 50.00
ELECTRICAL PERMIT
Fee 20.00
RLEFling
O*OVMain Service 2o0A OR LESS
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.
License Class LIC. NO.
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.
�T 1, 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
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' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
o� 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 workers'
compensation laws of California, and agree that if I should become subject to the
0rkers' c pensation provisions of section 3700 of the Labor Code, I shall
fo hwith ply with a rovisions.
Xzo Date ly�
S tura of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A
46.00
NEW CONST. DWEwNG OCCUP. SO
OR ADDNS. ( a ACC. BLDS. 3.5¢FT:
"NOON-REESID. OUTLETCIR97.50
POWER APPARATUS
8 SINGLE OUTLET CIR.
OUTLET OR FDRURES 20 @ 1'00
Ex. Occup.BAL @ .50
Ex. Occup. OUnEEDTS q p,OEp
1 5.00
Temporary Service 23.00
Mobile Home Facilities
20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Filing Fee 20.00
Heating 1 15.00
Cooling
Hood 6.50
Ventilation
PERMIT FEE $ 35.00
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 85.00
HAZ.
D. FEES
IMP
FLOOD
CDF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By ,
PERMIT E PIRE ONITE-D.D.S.-B.D.
the applicable provisions
Resolutions to do work
been paid.
Date 99
Dafe
rReceiptNo.,�?
CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541E MIT o
(Rev. 12/96) APPLICATION AND PERMIT W777 �f�
ASSESSOR PARCEL NUMBER l /_ Z O Z
(/�
Zoe
BUILDING PERMIT
OWNER ; dl L 0 C.Ll
4
TEUEPHONE
SO, Fr, OCC. BUILDING VALUATION
°". 2 Z
CON{RACTOR's µAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
UENDER'S MOILING ADDRESS
Fireplace
Total Valuation S
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$
20.00
Permit Fee
S
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Plan Checking Fee
S
SUILDINGADDRESS Z - Z e
Energy Plan Checking Fee
$
S
PERMIT FEE _
LOT NO.
SUBMISION'SNAME
PARCE "HAP
PLUMBING PERMIT
Fling Fee
20.00
USEOFSTRUCTURE
SF ET Duplex ❑ Mobilehome ❑ Other
SPECFY
Each Trap
7.00
Solar or heat pump water heater 23.00
Water piping 15.00
Each as water heater Or vent
- 15.00
c.%d
TYPE OF WOR
New ❑ Addition ❑ Remodel ❑ UdGties Installation
Describe Work: a I
❑ Other ❑
S ��,
Gas piping stem 1 - 5 outlets
15.00
Building sewer 15.00
Mobile Home IS I GI W (920.00
PERMIT FEE ! SC), 60
ELECTRICAL PERMIT
Fling Fee
20.00
Main Service pa oa LLss
23.00
_
Main Service 200A TO IOOOA 48.00
NEW CONST. / DWELLING OCCUR 3.5Qs .
OR ADONS. \ i ACC. BUDS.
NON -NEW UL RFS D. .T CCR UT 97.50
POWER APPARATUS
6 SINGLE OLRI.ET CR
EX. Occup. OUTI.ET OR FIXTURES 200 1'00
SAL @ .SO
Ex. Occup. ,� LN °� 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wirina 23.00
PERMIT FEE S
MECHANICAL PERMIT Fling Fee
20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt S
00
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
coNsr. TYPE TOTAL FEE $ Ops
�®--
HA2.
I D. FENS IMP
I FLOOD
I CDF
pARCEI
PO
MD 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
PERMIT EXPIRES ON
Date