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HomeMy WebLinkAbout066-430-009�¢.P. G& -4L3- D i --------- - HAROLD CARLSON 200 Ishi Dr., Unit 3, Lo��60,_ Mead : _ CONTR: Charles—E: Ranco-ck, Paradise _— . -Permit_4008-73P, E (utilities for MH) f - -- -- AP 66-4.3-09 - HAROLD- CARLSON _ 200 Ishi Dr.., lot 60, Magali Permit # 5022-74B ( deck MHA s 66-43-9 Harold Carlson - Permit #1262-77B(new private garage) 66-43-09 HARRY HUDSON - •-• • - . j 6710 Ishi Dr, Magalia Contr: Ken Brown Permit#2-891-84B(new cov deck)MH I 066-43-0-009 00-1867 HUDSON, HARRY 6710 ISHI DR., MAGALIA CONTR: RELIANCE PROPANE GAS LINE TO MH i I i I i i i' 3-I'Ll 0 9 0 ���' �. :. . .. .r. ,. r - -__ _ - - I (� -- -� _ __ I----� �_ __� s � _: - -. 066-43-0-009 00-1867 HUDSON, HARRY Ire 6710 ISHI DR., MAGALIA CONTR: RELIANCE PROPANE ` - GAS LINE TO MH,-' 2', COUNTY OF BUTTE - DEPARTMENT OF, DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California) 95965 • Telephone (530) 538-7541 � MIT NO. (Rev. 12/96) APPLICATION AND PERMIT , ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT V OWNER, THUM„,,�°Q SQ. FT. OCC. BUILDING VALUATION . OWNER'S MAIUgIr'J7C�I r SSI VR, N AGALIA OGNTRACTGR•�A�NpM`{{ ACE PROPANE 872-7740 CONTRACTORS6M(AI YIERJO A yWAY' I PAWISE CA -. CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS ” Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 4� Energy Plan Checking Fee $ $ I PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP I PLUMBING PERMIT Fling Fee 20.00. Each Trap 7.00 USEOFSTRUCTUAE f,, SF ❑ Duplex ❑ Mobilehome ❑ Other i SPECIFY Solar or heat um water heater 23.00 Water piping 15.00 iE ch°r as water heater or vent 15.00 TYPE OF WORK i. New ❑ Addition ❑ Remodel ❑ Utilities O Installation ❑ Other ❑ i-1.4 GAS LINE TO 110MEIR Describe Work: Gas in," stem 1 - 5 outlets 15.00 J!$tW 198-0ilai—EM—ewers. 15.00 Mobile Home �S G W @20.00 PERMIT FEE; TT1I CTRICAL PERMIT] !" $ j♦jFlingrFee X2.0.00 60V OR LESS Main ervicef i0.;koR'LEsstL , �^ 23.60 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. 1{�� License Class 3i '311 ` L•tC. No. OWNER -BUILDER DECLARATIONEx. I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: `! ❑ 1, 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 oontracting with licensedcontractors to construct the project. ❑ 1 am exempt under Sec. , Business and Professions Code for this reason I 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. I R --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 5'f'w, ,r. v/t Cr Policy Number 71//„ - `)9, c.0 1 r 7'Ga60C,Ci1 i (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 workers' compensation provisions of section 3700 of the Labor -Code, I shall forthwith co Ply with those provisions. X / Date/ GG SignCture of Applicant'- 800wner ❑ Contractor I] -`Agent r / An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in he ght. Main .tervicejr zoos TG' too`ooMf ' 46.00 ! NEW,CONST. DWELLMIG'OCCUP. � NEW S0. 7 3.5Q�. CONST. MLI �o UTLET NON-RESID. @7.50 POWER APPARATUS 6 SINGLE OUTLET CIR. zo p 1.00 Occup. OUTLET OR FMRES BAL @ .50 FlXED APP .)OUR OR 5.00 Ex. Occup. ouTLErs REslo. Ew Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring +_23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 35,00 HAZ. p. FEES IMP I FLOOD I CDF PARCEL I PD I HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have ey -. 6��_ a PERMIT EXPIRES ON , /Y � — the applicable provisions Resolutions to do work been paid. ^w DDatte<� f /-) 0 I Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT f --4J COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT. SERVICES ' 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 _ CORRECTION NOTICE z OWNER ERMIT NO. o A routine inspection indicates that the following violations of butte'county Ordinances exist at the above address and sh uld be corrected. Please notice this office when correction of work is. completed. If you ha any questions pertaining to this matter, or need additional explanation, `r`w please contact this ff�ice immediately. 7 ��1 u" ti` d✓�.. `T.j I r Date 4- O" Inspector. REV 10/92 'N e.� �.4 2 0 .46 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 _: r 7 County Center Drive • Oroville, CA.* (530) 5384541 CORRECTION`NOTICE. Hod r.. '-j2, f OWNER PERMIT NO. ,. A routine inspection indicates that the following violations of butte county Ordinances exist at the- - r above address and should be corrected. Please notice this office when correction of ;work is, completed. If you have any questions pertaining to this matter, or need additional explanation,' • - ,. please contact this office immediately. Ji 0 .46 o r e-�- tij Date REV 10/92 r Inspector ' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ..+► 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541) PERMIT (Rev. 12/96) APPLICATION AND PERMIT - '- ASSESSOR PARCEL NUMBER 66 ^ © ZONING BUILDING PERIIRIT OWNER �i• uJSO/� TELEPHONE £71-7*6 S0. FT. - OCC. BUILDING VALUATION OWNERS MAILING ADO SS CONTRACTOR'S 7144IL TELEPHONE 872- VY6 CONTRACTORS MAILING `ADDRESS 6vZ to uJR �a/qt'/'S 1! c CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS _54 / �� , Energy Plan Checking Fee $ $ PERMIT FEE $ , • LOT NO. SUBDNISION'SNAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehomq,�K'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: C � �a �I/� �7G/rl e ��5 / �� 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 Main Service 200', oR LESS 23.00 4 '1 6 ��- 1-0—By' Receipt No. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR ADONS. ( DT ACC. BLDS. so OR 3.5¢ NEW CONS . MULTI.OIJTLET NON•REsID. @7.50 POWER APPARATUS 8 SINGLE OUTLEr CIR. OUTLET OR FDrTURES 20 @ 1.00 Ex. OCCU fill. @ .50 Ex. Occup. OFUTIFfS RFSID APP oEA 5.00 Temporary Servicer 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANIQa PERMIT Fling Fee 20.00 Heating —Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ °C° CONST.TYPE� TOTAL FEE $ HAZ. D. FEES I IMP I FLOOD E97 I COEL EL PD HD ISSUE This permit is hereby issued under the applicable provisions the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. in Date PERMIT EXPIRES ON ate WHITE-D.D.S..B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 4 If 4I� r i � � i I � � .i5 � ':?5 ;i. I � � a r .^�`w � , �, ;i. �::� *COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.12/96)410 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 066-410-009 ZONING BUILDING PERMIT OWNER HARRY HUDSON 877-7440 SO. FT. OCC. BUILDING VALUATION OWNERS MA1U6Qg UUtESf SHI DR, MAGALIA CONTRACTOR'SRIL'�ANCE PROPANE 8172-7740 CONTRACTORS In T MAY, PARADISE CA CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRSAME tf1�1 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee . 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY 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 ff Installation ❑ Other ❑ Describe Work: GAS LINE TO MOBILEHOME Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ 35.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoOA 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 fuIA force and effect. ��� 2/� License Class Lic. No. 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 46.00 NEW CONST. DWEWNG OCCUP. OR ADDNS. & ACC. BIDS. SO 3.50FT. =REOSIDT. MULTI.OU CUILETS @7.50 POWERAPPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES zo p ,.00 BAL @ .m Ex. Occup. OF'EDs,='.GEA. 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. ave 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. ra My workers' compensation insuice arrier and policy number are: Carrier �Jf�iT2 /1 � Policy Number !�F, U ✓1 1 7-000CCJ (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 workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith ly with se p visions. X Date D / aQ Signature of Applica wner ❑ Contractor _"ent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 35.00 HAZ. I D. FEES IMP I FLOOD CDF PARCEL I PD HD s }lE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for w ' h fees have been paid. a PERMIT EXPIRES ON Pate 011 Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR • PINK -INSPECTOR GOLDENROD -APPLICANT "6ERMIT N0. 1262-77B ''P PERMIT EXPIRES OWNER Harold Carlson CONTR. owner LOCATION (A.P. 66-43-9 200 Ishi Dr., lot 601.1,Indian Meadows Sub, Magalia Temp. Power Pole Callejd PG&E Temp. lec. Serv. `' ailed PG&E T mp. Gas Serv. Called PG&E JOB NALED (Date) (Signature) DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwaII Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwal I f Garage Vents Insulation Water Htr. Heaters Slab Carport Footings .� Prov. for physically handicapped Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final 'i. Sanitation Patio FIREPLAC Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco , Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES --------•--------- Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping ���EHOME INSTALLATION - - - - - - • - • - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) ✓ t COUNTY OF„BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive-r-'Urovilie, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT OOOCCC VJ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. x Date ignature of Permitee oorrAgent / Receipt No. � 0 �3 V A White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 P BLIC WORKS By Date 3— 2q'" 712 Building permit expires Date BUILDING IV I Owner � .rvc-v in -v SO. FT. OCC. BUILDING VALUATION Mailing Address es r :a: /c IZ,4 qfte N.O. Fireplace Contractor O� V S Total Valuation �< Mailing Address Permit Fee Q1 — Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ 2 V Building Address '12Q �$/.�� I� • Q' PLUMBING No. @ FEE PERMIT FILING FEE $3.00 /07, /L( Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. '�j�— 3- R Zoning a Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F uwG. S t )on Fire Dept. Fire Zone Use Permit Building sewer 5.00 EOA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Improvements p Lawn sprinkler system 2.00 Bldg. ans Recd Parcel Approval Plan pprovaI Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 LE01 ORSS Main service 100 AMP 5.00 Main service EA. ADD'L 100 AMP 2.50 Main service 0 1 0 AMP VER OR LESS 25.00 Single'Family ❑ Duplex ❑ Mobil Home ❑ Othersr Main service EA. ADO'L 100 AMP 1.00 nn /^� �•T �� NEW CONST. DWELLING OCCUP. & A ) 20Sq ft NEW CCONSTR. MULTI OUTLET NON.RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name le of: style Ex. Occup(OUTLETS OR FIXTURES)50 @25a 104 Ex. OCCU FIXED APPLNS. OR p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ® I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ 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. 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 Date ignature of Permitee oorrAgent / Receipt No. � 0 �3 V A White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 P BLIC WORKS By Date 3— 2q'" 712 Building permit expires Date 100Z 702013KYWAY J+Or 13OX 4 PARADISE. CAI 11". 013002 r y �=q L — 1 - • • �- •, �•+ ' �� I �.�� � it ���_. � �, • •--�-------- `T Z �,,� ,�, �J AAS f �l NOTE:r- 'Alf Materials & Workmanship Shall Be in This set of plans and saajf ,. f_fj--- MUST 6- Av=ance with Recognized Good Practices and kept on the ink at all times and: it is unlow;1 l +6 a m qualify Prescribed for the Specified use in the make any chr,nr'-s or alterations on same without Uro &.tidin ;Plumbing & Mechanical Codes anJ- : #ten permission from the Department of Public County of Butte. tlm %=c` �ctricat Code. The Bldg,, Setback shall 6e 5 ft. from the side \ roperty line and 50 ft, from the cente Nne of the road, p�rmilfing a maxi• mum -CLZ 1��Ac'ng rrety""� out of all easements. 0 BUTTE COUNTY 'BU1MH6 bEPARTM'-NT � APPROW0 M �r r NOTE:r- 'Alf Materials & Workmanship Shall Be in This set of plans and saajf ,. f_fj--- MUST 6- Av=ance with Recognized Good Practices and kept on the ink at all times and: it is unlow;1 l +6 a m qualify Prescribed for the Specified use in the make any chr,nr'-s or alterations on same without Uro &.tidin ;Plumbing & Mechanical Codes anJ- : #ten permission from the Department of Public County of Butte. tlm %=c` �ctricat Code. The Bldg,, Setback shall 6e 5 ft. from the side \ roperty line and 50 ft, from the cente Nne of the road, p�rmilfing a maxi• mum -CLZ 1��Ac'ng rrety""� out of all easements. 0 BUTTE COUNTY 'BU1MH6 bEPARTM'-NT � APPROW0 -- � /t ~j!,.,1`I`-`_` _ - _ .. ._ /L �:t� V�C%Dc%._ �F;i;'S':`+Y'�?F`-y�rY'hf�.._ i�i��i. � •s ��, _f_..� - — °•,-•lf-`��r �-- �_.-,.�•= .. - ,-• - ..a.. _.•_.....i.�_ - ..._ -+- -�3� i",� -ZX .� zee 71 ' A4 Y/ - _ . Y - f✓N' '�oF Z 3 6 Who • ,'r � - - � � '1 � - - -- _- a ^- ' 1 _ � � � � _ ICY .SrE�,/ �X� _ I . _. - r r � �' ♦ i 1 i., �, a•.- f ""�� ..�+,� a �` i7 - - 4v fir 1O P7o�.s • { cEc // ( ill.., -' — '•�'- - .� !R }! A ' � -rte ! w �,� 1 a • � �- t i * .. � _ ' . _: � _ , _ �?.D G lSlt�� �'�'��. �. _ • , - _ � BUTTE COUNTY ? . • . �. / t z BUILDING DEPARTMENT _= PPRO`VED. b r. _ Permit: 4008-73 PPE CARLSON, HAROLD 200 Ishi Drive Lot 60 Unit -3 Ind. Meadows (Utilities for mobile home) 19 � 4/ Wiz, t t-. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive O'`oville, California 95965 Telephone: 534•i4541 ' APPLICATION AND PERMIT ' r BUILDING // Owner rk '"�� PAZ: SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor AAJe- 7C'f Total Valuation Mailing Address 70 Z O SKV f,JA Permit Fee Plan Checking Fee &/orPenalty . ti. 1-14 12;1. 171 S, t' Telephone No. _ s�7"7 Lf ��- 7 Permit Fee $ $ Building Address r t�%�ll L S Gl T n PLUMBING No. @ FEE PERMIT FILING FEE J$2.00 Dv Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 /r S �' Each gas water heater or vent 1.50 A. P. No. -, - _) �— /� „` 7 _ t .-Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet 30 Fees W.C. Sanitation Fire Dept. i Fire Zone Use Permit Building sewer 5.00 5, t' ii EQA Parking I Plans Parcel Declaration Parcel Ma p 60' R/W Improvements p Lawn sprinkler system 2.00 Bldg: Plans Recd I Parcel,.Approval Plans Approval Permit Fee $ G' $ - ti NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 1 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home Q Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bal 25 Receps., switches & fix outlets b 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: ,('� %{-��i�_ ' Hood, Ex. Fan or F. A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00, Temp. Power Pole 5.00 Misc. wiring License No. �t %�-�� Classification 1❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ / i MECHANICAL No. @ FEE 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. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑ol- 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. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ autnorize representatives of the county of butte to enter upon the above-mentioned property for inspection purposes. X Date /Q Signature of Permitee 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 OFPUBLICWORKS By -�l� '• Date / COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive,,;` ��oville, California 95965 Tel ephine: 51-4541 APPLICATION AND PERMIT autFlu nce representnuve� u� uie i,uunty ui tsutte to enter upun the above-mentioned property for in pection purposes. Yx Date &'" Signature of Per itee or Agent Receipt No. __3 C_/ 77 White-D.P.W. - Yellow -Assessor -/Pink-Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions bf the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date % ^��- 7 J_ BUILDING Owner IZDL d SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Fireplace Contractor Total Valuation + Mailing Address �© -Z-C) Permit Fee Plan Checking Fee &/orPenalty Telephone o ,4aA of g C Permit Fee $ $ Building AddressPLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 .6 pp Lo 1-- (L aAl! Each Trap 1.50 1it/Dt/,1N r'%46 Repair drainage or vent piping 1.50 Water piping 1.50 %, �{ L A— Each gas water heater or vent 1.50 A. P. No. / - &/! 2 Gas piping system 1 - 5 outlets 1.50 nal outlet .30 F i .r cin Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Parcel Plans Declaration Parcel Ma P 60' R/W Improvements'Lawn sprinkler system 2.00 , Plan R c'd Porc%I_App�roval � P and ns Approval Permit Fee $ , S $ NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ I FEE PERMIT FILING FEE $3.00 5.00 Main service incl. 1 meter - ®� Additional meters, each 1.00 Sub -panel (12 or less) (morethan'12) Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 201 to Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Profe ions Code u er the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. di sp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 �.tfU Temp. Power Pole 5.00 License No.,/02K Classification id z Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ e $J 0�G 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. 7/1" 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 the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ $'� autFlu nce representnuve� u� uie i,uunty ui tsutte to enter upun the above-mentioned property for in pection purposes. Yx Date &'" Signature of Per itee or Agent Receipt No. __3 C_/ 77 White-D.P.W. - Yellow -Assessor -/Pink-Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions bf the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date % ^��- 7 J_ i' 4 PERMIT NO. 5022-74B i E M MH UTIL. PERMIT NO. PERMIT EXPIRES v 75 OWNER Harold Carlson �CONTR. ]LOCATION (A.P. 66-43-09 ) 200 Ishi Dr.,.lot 609 Ind.Meadows, MagalL { s Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALEI Setback Form Main Bldg. Footings Stemwal I Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footings Masonry Wall! Reinf. Stee Bond Beam Framing Stucco Mesh Scratch Brown Finish Interior Lath Door Closer DATE t COUNTY OF BUTTE — DEPARTME& OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING ./ / I BUILDING (Cont'd) I PLUMBING p", Firewall Parapets Restroom Finish Windows Siding Roof Sheathing Roofing Fdn. Vents Garage Vents Prov. for physically . handicapped Conformance of ex. structure Final h ;- rj REPLACE Footing Throat Final FIRE SPRINKLEF Test Final MECHANICAL Heating Cooling Ducts Ventilation Final REMARKS OR CORRECTIONS Soil Piping 1st Floor 2nd Floor 3rd Floor To out Water Piping Sewer Fixtures Water Htr. ' Heaters Appliances Gas Piping & Test Temp. Gas Sanitation Final Fixtures Motors Water Htr. Subpanels Grd. Fault Prot. Service Temp. Pole Underground Permanent Final ELECTRICAL COUNTY OF BUTTE - DLRAPZMENT OF PUBLIC WORKS 7 County Center Drive-Oro\(olle, California 95965 Tel ephone`.- 534-4541 APPLICATION AND PERMIT Y SD22- authorize representatives of the County of Butte•to enter upon the above-mentioned property for inspection oses. X 4 /'.2 -/.1- -71C Signature of Permitee or Agent Receipt No. /t 6 �Q 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 BLIC WORKS By Date tZ —Z 3 it Building permit expires Date2' � ............................................ BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address T Telephone No. CO Fireplace Contractor U Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address 7oo /, PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 _ T ,177, Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No.-' 9 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F an' Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Parcel Plans Declaration Parcel Ma p 60' R/W Im rovements p Lawn sprinkler system 2.00 Bldg. PI s Recd Parcel Approval Plans Approval Permit Fee $ $ NEW [0 ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home [Q Others ❑ Range, Cook -top or Oven 1.00 (� +-� Water Heater or Space Heater 1.00 Light fixtures bol( 25 Receps., switches & fix outlets ? 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. di sp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring J0JI am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ 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. INI have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. PKI 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. 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 PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte•to enter upon the above-mentioned property for inspection oses. X 4 /'.2 -/.1- -71C Signature of Permitee or Agent Receipt No. /t 6 �Q 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 BLIC WORKS By Date tZ —Z 3 it Building permit expires Date2' � ............................................ CHARLES E. HANCOCK ;e7!JJV 6��// 7020 SKYWAY PARADISE, CALIF. 95969 Im Septic system a - to be as per Butte (tounty Health Dept. Re- quirements. 1 s .r of plans and specifications MUST be xept on the job at all times and it is unlawful to make any changes or alterations on same without written permisson from the Department of Public Works, County of Butte. All! utility connections shall be located within 4 ft. outside the rear third section of the mobile home on the left (road) side of the mobile BUTTE COUNTY BUILDING DEPARTMENT APPROVED PERMIT NO. 2891-84B PERMIT EXPIRES OWNER HARRY HUDSON CONTR.. _ NtIXKen Brown ASSESSOR PARCEL 66-43-09 LOCATION 6710 Tshi Dr; Magalia Temp. Power Pole Called PG&E / Temp. Elec. Service Called PG&E Temp. Gas Service Cal led PG&E JOB FINALEI Signature W J = OK 0 = Not OK — = Not Applicable MOBILEHOMES MISCELLANEOUS = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except N's Date DECO, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements 1 equirements—Setbacks—.Easements ' 2. Soils; Special MH Support—Sketch 2 o ngs; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete 3, cks; 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 ; 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 ate Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except p'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/0 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 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 J = OK 0 = Not OK - = Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR Plans 0 's Date FRAMING (Continued) 1. Zoning requirement -Setba -Easements Fixture & Transformer Clearance -Ins. Protection 21. 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / "' Ftg. Depth 23. Romex Installed Close to Edge of Studs & C.J. 49. Ext. Doors-One 3'-Check Garage-3rd story, 2 exits 3. Ftg., Garage; Soils-Steel- / /" Ftg. Depth 2 Appliance Circuits in Kitchen & Conductor Size 26. 27. 50. Stairs; Width-Headroom-Rise-Run-Landing-Fire Protection 4. Ftg., Porches & Decks; Soils-Steel- / /" Ftg. Depth 29. Equip. Clearances; Panels-Motors-Mech. Equip. 51. Plywood on Roof Overhang-Attic Vents-Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. 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 9. Gas Pipe; Size-Anchors 10. Water Pipe; Test-Anchors-Regulator-Service Test 55. Shear Walls; Nailing-Bolts 11. Electric; Underground 12. Plenums & Ducts; Clearance-Material-Support-Ins. 13. Girders-Sills-Anchor Bolts-Joists-Vents-Cripples Card-BI Date Card-BI Date Card-BI Date Card-BI Date Card-BI Date Card-BI Date Card-BI Date and-BI Date Date FINAL (Plans) OK except k's Card-BI Date Card-BI Date Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent-Access-Combustion Air 56. Ext. Steps-Door & Sidelight Protection-Landings 57. Smoke Detector 58. 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 59. Bedroom Exiting 17. Shower Pan; Test, First Floor-Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor-Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes-Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances-Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date ELECTRICAL Permit OK except p's 20. Fixture & Transformer Clearance -Ins. Protection 21. Elec. Receptacles Spacing -Lights & Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 25. 2 Appliance Circuits in Kitchen & Conductor Size 26. 27. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 29. Equip. Clearances; Panels-Motors-Mech. Equip. 30. Clothes Closet Light -Shower Light Card B -I Date Card -BI Date Card B-1 Date Card -BI Date Date MECHANICAL (Permit) OK except N's 31. A.C. Ducts; Insulation & Support 32. Vent Fan; Exhaust above Insulation 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 Date FRAMING(Plans) OK except q's 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. 44. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Sh_thng.-Rfn_g_. Fireplace Ties or Type A Flue -Fireplace Throat 45, 46. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garaae Fire Protection Framina tit. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic ❑Yes 73. Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes El No 76. Stucco; Brown -Finish 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 86. Energy Compliance Certificate -Other Certificates Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: (NOTE: An entry must be made each time youvisit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise -- Phone: 872-2961, Ext. 57 CORRECTION NOTICE a 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. NL -:61 70 0()T OF- S SCT fit! T Inspector Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS r 7 County Center Drive - OroviIIe, Calif o(nia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT P RMIT NO ASSESSOR PARCEL U R - —0 ZON NG BUILDING PERMIT WNER ^ AA 1�C- W r TELEP ONE SQ. FT. OCC. BUILDING VAL ATION /� G WNE 'SM /�G ADDR�� (/f7 � �� O CONT ACTOR'S NAME TELEPHONE C074FA ING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 16,00 LENDER'S MAILING ADDRESS Permit Fee $ (,co ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS QQ 46!2 Z �V 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 USE OF STRUCTURE f SF ❑ Duplex❑ Mobilehome❑ Other rr� � 0 SPECIFY Building sewer Building 5.00 Mobile Home S G W 0.00e TYPE OF WORK New Additio Remodel F-1Uti ies ❑ Installation[:]]Other Describe work: _� — D d P Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 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. 1 220sgft CONTRACTORS LICENSE LAW I dec re under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professir/Tp�/�7\Q.pdr�e and my license is in full f e and effect. License No. ` `�'`-( w 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, l SINGLE OUTLET CIR. 1 EX. OCCUp(OUTLETS OR FIXTURES BAL0300 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 MECHANICAL PERMIT FiIingFee 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 nstruction, and hereby authorize representatives of the Countyot Butte to ente upon the above-mentioned property for inspection purposes. I also a ree save, indemnify and keep harmless the County of Butte against all lib itie judgm s, co and expenses which may in any way accrue again ai Cou i n eq of the granting of this pe t. /� X Date v ^ % Signature of Applicant - O er❑ Contractor& Agent ❑ An OSHA permit is required for excavations over 540" ep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ s�(�J OCCUP. GROUP TYPE OF CONST. PARCEL PD H 155u 1V/ This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC By P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date —/ _ C Receipt No. ©D` WHITE-D.P.W., YELLOW-ASSFSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT NOTE:—All Materials & v-, orkmcnship Shall Be irr Accordance svi'th Recognized . Good Practices and' Of a quality prescribed for the Specified use in the ` Uniform Building, Plumbing & Mechanical Codes and the National Electrical Ce, f is set of plans and specifications ept on }hr� job at all times and it is unlawful lib -make any c6nges or alterations on same wit�oui writftn permission from the Department of Pub - lir, Works-i.County of ButtO 7 Rio� ' +1, �cp*fe'tback of 5 ft. from the property lines and a setbac of 50ft. from the road /+ip centerline shall be clear of r ' 5-+10' structures or equipment ex( t \ for a 2 ft.. �Ve t 3 7 BUTTE cou NTY p ; BUILDING DEPARTMENT APPROVED Top rail to be 36 in. hid with in_ #ermediate rails to be not over q in. apart. t N r HS" ---1AVae �.. I q Cuss Rg �y 4 -- 414 Po ,TS�y P� Eoe-wNc-, O-L� Pro" BU E COUNTY de adequate BUII_DI G DEPARTMENT bracir,g A P�`�