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HomeMy WebLinkAbout068-300-10168-30-40 /0 / ROB RT\ COYLE 193 Edgewos4, Oroville Contr : Don Ge �eRoofi Ig, O viPermit#3599-81B�of/I ) COYLE. Doloris 193 Edgewood Oroville Contr: son Construction (c ort/sf) Y 68-30-= J O / 3542-90B COYLE, Dolores 193 Edgewood Dr, Oroville Contr: Lawson Const Q Q (repairs/sf)10 ' g_ _ 2805E �s L W -F, 30 west side Edgewood just north o oo Oroville ro R S 68-30-85 3542-90B COYLE, Dolores - 193 Edgewood Dr, Oroville Contr: Lawson Const (repairs/sf) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovilll} California 95965 - Telephone: 916/538-7541 �9�..C'1 APPLICATION AND PERMIT +G•� 1 ASSESSOR PARCEL NUMBER 68-30-85 ZONING AR BUILDING PERMIT OWNER NRES OOYLE TELEPHONE SO. FT. OCC. BUILDING VALUATION OW OWNER'S MAILING ADDRESS 193 Ed ewood Dr., Oroville CA 95966 Contract $2300 CONTRACTOR'S NAME Lawson Const. - TELEPHONE CONTRACTOR'S MAILING ADDRESS r I Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ None Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $38.50 ARCHITECT OR ENGINEER NOne LICENSE NO. I Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Ener Plan Checking 9Y g Fee $ Penalty $ BUILDING ADDRESS 193 Ed ewood dr. Oroville Permit tee $ .50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5,00 r USE OF STRUCTURE SF Ly Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 1 110.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ OtherFK] Describe work: Repair Siding, 2 Sq Roofing, Rafter _ Tails R Sheathing Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 OR 000 AMP ORLESS10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I�JI I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification F -1I, 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 Main service EA. ADO'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADONS. ( ACC. BLDGS. Vz¢sgft NEW CONSTR. ULTI-OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea /POWER APPARATUS S1 (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 0 3 AL@eAL0 FIXED APPLNS. Ex. OCcup. OUTLETS ((RESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00Misc. Wiring g 15.00 Permit Fee $ 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. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g 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 Ordinanc9s and State Laws relating, to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agains�.s id County in conseq n of the granting of this permit.. X Date / �' Signature —. 'Applicant — Owner❑ Contractor ❑ Agent ❑ 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 $ Energy Inspection Fee $ - DccP N ST TYPE TOTAL FEE $ 48.50 HAz CUA PARK scHL FLD PAR PD HD ISSUE Th;s permit is nereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do wor hhOicated above for which fees have been paid. PUBAn Of RF R OF PU"B C WORKS / By ' Date ((//, 7 C/ ERMIT EXPIRES Date "� Receipt No. I WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Califo nia 9596.5 - Telephone: 916/538-7541 APPLICADOW PERMIT PERMIT NO. ��z-9n ASSESSOR PARCEL NUMBER 68-30-85 ZONING AR BUILDING PERMIT i OWNER TELEPHONE DOLORES COYLE OWNER'S MAILING ADDRESS SO. FT. OCC. BUILDING VALUATION $2300 193 Ed ewood Dr. Oroville CA 95966 193 CONTRACTOR'SNAME TELEPHONE Lawson Const. CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN None LENDER'S MAILING ADDRESS e Total Valuation $ FilingFee $ 10.00 Permit Fee $ 38.50 ARCHITECT OR ENGINEER LICENSE NO. None ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee Energy Plan Checking Fee $ $ Penalty $ BUILDING ADDRESS Permit fee $ 48.50 193 Ed ewood dr. Oroville PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SF ® Duplex[] Mobilehome❑ Other Building sewer 5.00 SPECIFY Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other [] Permit Fee $ Contractor Describe work: RPI ai r Si rli nR, 9 S4 Rnofi nR, Raft -pr _ ELECTRICAL PERMIT Filing Fee 10.00 Tai 1 c k ShPat-hi no Main service 1100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty p I y (check one): of perjury ) I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- NEW CONST. DWELLING OCCUP.� OR AODNS. ( ACC. BLDGS. 2/zOsgIt NEW CONSTRMULTI-OUTLET NON•RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS 8, (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 200500 eAL030 FIXED Ex. Occup. OUTLETS P(RESID.)REA.) 1 2.00 Temporary service 10.00 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-Mobile ontrac ors. (Sec. 7044) Home Facilities Mobileot- 15.00 Misc. H 9 15.00 ❑ I am exempt under Sec. , Business and Professions Code Permit Fee $ for this reason I Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 10.00 ❑ The permit is for $100.00 (valuation) or less. Heating 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. Cooling g Hood 3.00 ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. II 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. Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ Energy Inspection Fee $ is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue occ CONST TYPE TOTAL FEE $ 48 8 0 .50 HAZ UA PARK SCHL EE PAR ISSUE again" Id County in consequence of the granting of this permit. _ X- 4 Date"--V-�� Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ This permit is nereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do wor icated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. DIR OF P C WORKS Date /rhhv Receipt No. V-Ifl(ERMIT WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT EXPIRES Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS---,."'....' 7 County Center Drive - Oroville, Califprnf ;,U965 -Telephone: 916:538-7541. APPLICATION AND PERMIT - . _... PERMIT NO. ASSUR P CEL NUMB $— J(7 -' 5 ZONI / BUILDING. PERMIT OW I l O TELEPHONE S0. FT. OCC. BUILDING VALUATION O MA ADDRESS w © r V vo— 9SIl !i T V C)ca CON RACTOR'SSN ME SO K ` TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation LENDER'S MAILING ADDRESS Filing Fee S 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 1.93 �wod Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G IWI 10-00e TYPE OF WORK New ❑ Addition,, ] Remodel ❑ Util'ties ❑ Installation Other Describew k: 0,_n yt 1 I OO i n /`(Cc f a >i T Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 e Vk Main service j000VAMP L ESS 10.00 C NTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in. full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) El 1, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L too AMP 2.50 NEW CONST. DWELLING OCCUP.ati OR ADONS. ACC. SLOGS. /20sgft NEW CONSTR ULTI-OUTLET NON. ,,E51D BRANCH CIRC)ITS) 2.50 ea (POWER APPARATUS S\ l SINGLE OUTLET CIR. ( EX. OCCUp\OUTLETS OR FIXTURES 20050t eALO Sot FIXED APPLNS. Ex. DCCUp. OU LETS IRES10 .)OR EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring. 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for 5100.00 (valuation) or less. ❑ 1 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. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3,00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X- Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excovotions over 5'0" deep and demolition or construct. ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee g occ CONST TYPE TOTAL FEE $ `7� , �� HAZ CUA PARK SCHL FLD PAR Po HD ISSUE This permit is nereby issued unaer sions or the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. WNITE-O.P.W.. YELLOW-A33E330R, PINK -INSPECTOR, GOLD ENROO-APPLICANT 9 RESIDENTIAL (_-68-30-35 2586-90B COYLE, Doloris 193 Edgewood Dr, Oroville Contr: Lawson Construction (carport/sf) �sq9 JOB FINALE Signature J=OK O=Not OK Not ' = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s , 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P11t. / /'Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, POVERS, CARPORTS, GARAGES, Plans OK except #'s 4­Zo-ninq Requirements -Setbacks -Easements otings: Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg : .-Bracing 5. m. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; mdows-Doors 7. EL4GtCc I,SlFrmq: Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 1 ) Date and B-1 Date . Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater '8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 'J OK O = Not OK Not Applicable Not Ready RESIDENTIAL (; = Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2 Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled I 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitctken & Conductor Size/GFI 28. Subfeed Wire Size / / ga. u or AI-A.C. Wire Size / / ga. Cu or At 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Ingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Undertlr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic. 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67.'Stairs & Rails 68. Fireplace or Stove: Clearances -Hearth _ 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd: Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 " Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovill@, calif'-nia 95965 - Telephone: 916/538-7541 it APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 68-30-8(5 ZON BUILDING PERMIT O W{4ER oboes COYLE TELEPHONE SQ. FT. OCC. BUILDING VA ATION OWNER'S MAILING ADDRESS n 9-0784 C 01 TR AC R'S NAME v' P.O.'S TELEPHONE MAI CONTRACTORING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ 44.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$' 29-25 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ g_DRESJ Dr, Oroville B�,�L It d76-75 Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each gas water heater or vent 5.00 USE OF STRUCTURE SF a Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New ❑ Addition ®X Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: Carport 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 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of theBusiness and Profess io s Code and my license is in full force and effect. 1: LicenseLicense No. � Classification F-1 1, 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 CONST. DWELLING OCCUP.t! ORA DONS. A 1 2bosgft ULTB OUTLET NO N.R ESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET cIR. Ex. OCCUp( OUTLETS OR FIXTURES 0@50t aAL�so FIXED APPLNS. Ex. OCCup. OU LETS (RESID )REA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 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. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. q X Date' �` % 67 Signature o Applicant — Own Contractor k] 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 $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAZ CUA PARK sc L FLg4 PAR P s This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PER EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date v�Z Receipt No. 70434 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT TO Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance 0 9 Lpj UOD -300 OYS Owner ©,,ocation AP# Plan Approved for: Sewaqe Disposal Water Supply Fold final for: Water Supply Final clearance O.R. for: Water Supply Clearance for er Ok. NOTE * * * SaMi tarian Date COUNTY OF BUTTE - DEPARTMENT OF, PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET _ Permit No. OWNER VC -1-0 IS A. o.70 Proposed Building Use Building Inspector / Date At time of ermit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans . . 5. Hazardous Material Form ......................................... . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec.request to Building Inspector 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ........,. 25. Letter of signature authorization .................................. 26. Date) -27. When you issue the permit, proce s as follows: Mail ner. Mail to contractor. _Telephone ,0 and hold for pickup at office. Deliver w/inspector. Other Applicant Datee0161 A Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. _Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_—nail—counter by ..date Contractor, designer, owner, was advised of above required data by_phone_mall_c unter by date Plans checked by Date Pins approved by � Date J Sets of plans on hold in Copy—DPW File cabinet i/ AP folder COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - OrovjII9, CVfornia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR, PAR EL NU B R� O _— OWNER ZONING BUILDING PERMIT TELEPHONE SO. FT. OCC. BUILDIN VALUATION OWNER'SING AD ESS / CONT Vv �V �NAME Wim✓ TE;y.E PHONE (J// CO TRACTOR'S MAI IN ADDRESS U 2— Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $' Penalty $ BUILDING ADDRESS !'7� E�/;E� /]v Permit tee PLUMBING PERMIT Filing Fee io.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer Mobile Home S G W 0.00e TYPE OF WORK New❑ Addition Remod r�I❑ Utilities❑ Installation❑ Other ❑ Describe work: v Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1000 AMP OFV OR LESS10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Cha t. 9, Div. 3 of the Business p and Professions Code and my license is In full force and effect. License No. Classification ❑ I, as the owner, Or my employees with wages a5 their sole compen- sation, will do the work,and the structure isnot 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 Main service EA. ADD•L too AMP 2.50 NEW CONST. DWELLING OCCUP.h OR ADONS. ( ACC. BLDGS. , /22sgft NEW CONSTR. ULTI.OUTLET NON.RESID BRANCH CIRCUITS) 2 50e /POWER APPARATUS e) \SINGLE OUTLET CIR, Ex. Occup(OUTLETS OR FIXTURES 20030t e AL030 FIXED AP P LN S. OR Ex. Occup. OUTLETS IRESID .) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 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. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence ClAhe granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAZ CUA PARK SCHL FL P R PD Ho IssuE This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT FXP1RFc r).tn the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. WHITE-D.P.W.. T.ELLOW-ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT 4, PERMIT NO. 3599-81B PERMIT EXPIRES 9/22/82 OWNER ROBERT J. COYLE CONTR. Don George Roofing, Oroville ASSESSOR PARCEL 68-30-85 LOCATION 193 Edgewood, Oroville t Temp. Power Pole Called PG&E t Temp. Elec. Service Called PG&E i Temp. Gas Service Cal led PC JOB FINALE[ Signature O = Not OK = Not Applicable MOBILEHOMES MISCELLANEOUS = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1•. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch)- 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rig.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 7. Utility Clearance 6. Carports; Windows -Doors 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except q'S 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date _ POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4, Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater B. 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 a = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK exce t#'s _Dale ' FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel -B loc kouts-Wrapped-S lab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 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 Card -BI Date Date FINAL (Plans) OK except H's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 57. Smoke Detector 14. Water Ht.; Vent -Access -Combustion Air 58. 59. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Bedroom Exiting 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. 19. Test Tub & Shower, 2nd Floor -Tub Access Gas Pipe; Size & Anchors 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except N's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. 23. Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic ❑Yes73. Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen &Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / /'ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes El No 75. Following instld.: Drive C] Yes E] No; Walks Ll Yes E] No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except q's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86, Energy Compliance Certificate -Other Certificates _ _33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; -Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI -,---.Date ---- Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING(Plans) OK except p'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. 43. 44. Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat _ 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles _Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965-- Telephone 916/534-4541 APPLICATIOII,AND PERMIT ASSESSOR P9 RCEL NUMBER b8.-30 _ ?� ZONING BUILDING PERMIT Ow d8GP-7 �Yt 4 5� TELEPHONE SQ. FT. OCC.1 BUILDING 4ALUATION 561 E3 5,2-5 OWNER'S MAILING ADDRESS C.QN � �/T/ Y C T (1 • S�� NAME �lA T �� O9 0 CO TRACTOR'S�M>AIL%)}-G ADD ES �� Fireplace LENDER - ! UNKNOWN LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER A LICENSE NO. Total Valuation $ ' Filing Fee _ Permit Fee Plan Checking Fee Penalty s, frig $ 10.00 $ Oa $ $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ .00 BUIyADD R�ss,���,' /�O� C��J G�(/ vl� LOT NO. SUBDIVISION NAME PARCEL MAP PLUMBING PERMIT Each Trap Repair drainage or vent piping Water piping Each qas water heater or vent Gas piping system 1 - 5 outlets Filing Fee 10.00 2.00 5.00 5,00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utiliti ❑ Ins�jallatW/ Other Describe work:C%�/C�/ �f L- Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service Doov OR LESS 100 AMP OR LESS 5.00 Main service EA- ADD'L 100 AMP 2.50 NEW CONST. (DWELLING OCCUP.DI\ OR ADDNS. ACC. BLDGS. I 20 sq it CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. 4 License No. 2ff Y-2-6EX. Classification L' ! ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR -OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR. (POWER APPARATUS D1 NON-RESID, SINGLE OUTLET CIR. I Ex. Occup OUTLETS OR FIXTURES BAL@1 OCCU ETS FIXED P(RESID IKEA. 2.00 p'�OUTL Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 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 S Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against sai County i consequencia of the granting of this permit. __>a �/ X a — Date Signature of pplicant — Owner ❑ Contractor ❑ Agent An CISH permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stori s in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ aa. 0c) 3ccUP. GROUP I TYPE OF CONST. F PARCEL PD I HD I ISSUE This permit is hereby issued under sions the Butte County Code and/or .Nor in icate ab for which I E TOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date �"' `"- Receipt No. rj (g JS WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT