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HomeMy WebLinkAbout069-100-017, � ..AP -DEAN H. UTT 67-16-1z3 Chaparral Lane, Orovilli-16021)APCONTR: Northstate Aluminum, ChicoPermit #5716-75B(install 2 awnings69-10-17FIPPS,.Gilbert.,& Jean3A Chaparral Dr', Orovl.1,1.GASCOMPACTION TEST -REQ ' ' - ' ` ^ !. ', ,.i. 1 " V J r' RESIDENTIAL 't 69-10-17 504-91P,E FIPPS, Gilbert & Jean i 3A Chaparral Dr, Oroville 3 -'`� (utilities/travel trailer (60/640) `1 1 r+ r f ♦ } u.V110- Y z • r L L d JOB FINALE Signature I C „JS J r' RESIDENTIAL 't 69-10-17 504-91P,E FIPPS, Gilbert & Jean i 3A Chaparral Dr, Oroville 3 -'`� (utilities/travel trailer (60/640) `1 1 r+ r f ♦ } u.V110- Y z • r L L d JOB FINALE Signature I .. 1.i: %, v=OK r • F' Yr O = Not OK Not = Not Readyable MOBILE .HOMES Date MOBIL HOME UTILITIES Plans OK except #'s oning Requirements -Setbacks -Easements oils;.Special MH Support Sketch ewer; Location -Test -Fall -C/O Concrete ` r. ater; Location -Test -Easement Needed (Sketch) 6. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L"ft. / /"Nat. or/ /" L" ft./ /"LPG 7. Utility Clearance MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zonino Rea uire ments-Setbacks-Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rig.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 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 11. Ext.; Steps -Doors -Landings Date Card 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. Date Card B-1 Date Card B-1 Boxes- Enclosures-Pane Iboards- Ins. to Main in Conduit Date Card B-1 Date Card B-1 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 V OK O = Not OK - = Not Applicable RESIDENTIAL (Single & Duplex) • =Not Ready Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties- Pu rlin -roof Brac-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. Slab; Steel -Wrapped 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. Gas Pipe; Size -Anchors 55. Siding -Nailing Veneer 11. Water Pipe; Test -Anchor -Regulator -Service Test 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric; Underground 57. Glazing Area -Glass Protection -Skylights -Plastic 13. Pienums & Ducts; Clearance -Material -Support -Ins. 58. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 59. Insulation -Walls -Ceilings 15. Insulation 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date Card B-1 Date Card B-1 16. Water Htr.; Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchor -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - 20. Test Tub & Shower, Second Floor -Tub Access In Garage; Above Floor-Ducts-Mech. Protection 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa Date Card B-1 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; Clearances -Hearth 22. Fixture & Transformer Clearance -Ins. Protection 69. Elec. Outlets at Wood Panel; Int. & Ext. 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 24. Size Boxes & No. of Conductors -Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing -Landing -Closer 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 73. A.C. Duct in Garage -Damper 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. In Garage; Above Floor-Mech. Protection Cu or Al 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection Insulated Neutral ❑ Yes O No 77. Insulation -Foam -Looked in Attic 11 Yes 30. Service -Riser Conductors & Ground -Main Disconnect 78. Guard Rails & Deck Construction -Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth 32. Clothes Closet Light -Shower Light -Spa Light Clearance Looked under Floor 0 Yes 33. Smoke Detector 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes O No; Planters ❑ Yes 1:1 No Date Card B-1 Date Card B-1 81. Stucco; Brown -Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date MECHANICAL (Permit) OK except #'s 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 34. A.C. Ducts Insulation &Support 84. Water Well; Disconnect, Electrical, Plumbing 35. Vent Fan; Exhaust above insulation 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 36. Condensate Drain & Overflow; Size & Grade 86. Ventilation Throughout House 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Glass Protection 38. Attic Access & Platform if Furnance in Attic 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Date Card B-1 Date Card B-1 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Date Card B-1 Date Card B-1 39. Sils, Proper Material & Anchors Date Card B-1 Date Card B-1 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Date -- Card 8-1 Date Card B-1 41. Bearing Walls over Girders & Floor Nailing Comments at Final: 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) /I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 96986 - Telephone: 916/536.7541 APPLICATION.AND PERMIT PERMIT NO. _*411110H PARCEL NUMURM ZONING BUILDING PERMIT 11 " Krim ON 9 &9 SO. FT. OCC. BUILDING VALUATION OWN A Idle—fiee Oroville 99966 LONA N Ownpr TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 1000 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS 1 Penalty $ BUILDING ADDRESS 04 Cha arral Dr Oroville Permit fee $ PLUMBING PERMIT FllingFee 10.00 (behind #3) Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP SEach Water piping, 5.00 qas water heater or vent 5.00 USE OF STRUCTURE SF [I Duplex❑ Mobilehom4M Other SPECIFY Gas piping 'system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home &I G)V 1 10.00 ea' 20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities g Installation ❑ Other ❑ Describe work: Travel trailer (60/640 Permit Fee $ 30.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 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 the Business and Professions Code and my license is in full force and effect. License No. Classification. 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.BI ) New , h¢sgft CONSTFL MULTI -OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20@50C SALO80 FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID.) EA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 15.00 Misc. Wiring 9 15.00 Permit Fee $ 35.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. E]I have placed on f.ile with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ' 1 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 g Hood 3.00 Ventilation permit Fee $ Contractor , 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 i all liabilities, judgments, costs, and expenses which may in any way accrue \against s�ajCounty in con sequ ce of -the granting;Of this permit. X + ' �_� ,� Date SignaturVAp. plicant — Owner (�j Contras+or ❑ Agenr ❑ An OSHrmit is required for excavations over S'0" deep and demolition or construct- ion of streover 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 'OCC CONST TYPE TOTAL F E E'$ 0.00 HAz. cuA PARK SCHL _ .— FLO CDF � PA PD H ISSUE This permit is hereby issued unser the sions of the Butte County. Code and/or work indicated above for. which fees DIRECTOR O PUBLIC By ! PERM I PIRES Date applicable provi- resolutions to do have been paid. WORKS to D—,y`�p/7 Receipt No. 83872 WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT II rA. R tel" ;7' 4 ; 'sa' R •.+; �, ... ' ,�,,, `Y, n+ � ` }^ M `srt � COUNTY OF BUTTE -DEPARTMENT OF, PUBLIC` WORKS -BUILDING DIVISION � 7 COUNTY CENTER DRIVE - OROVILLE„CALIF,,ORNIA 9596�§�,-., ELEPHONE: 916/538-7541 PERMIT AiSPLICATfO.N DATA SHEE0. T Permit No. OWNER ! ! e r L)ea 0 _ / A. P. N69-10-0 Proposed Building Use r j Building Inspector Date At time of permit application, I was advised the following data inust`be submitted prior io, permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. 2. Plot plans in Ica triplicate, signed by preparer of plans........ -7 zd-- 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) r 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ............:.......................... 12. Park fees paid �t................................................ 13.//'t Scliool Di trict ees paid .............. _=1 4. Sanitation approval from. .0 A Health Department 2- --Zd' 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) y 20. Pre -Inspection for required Pre- Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 3. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement .. 25. Letter of s}'gnature aut dation 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone �LRn1 4903 and hold+for pickup at office. Deliver w. /inspector. Other n A I 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: t Contractor, designer, owner, was advised of above required data by_phone---inail—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder Date COUNTY OF BUTTE:- Department.of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) c� 2. I.(have/have not) signed an application for a building permit for the proposed wort. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4.-1 plan to provide portions of this work, but I have hired the following person to coordinate, supervise_, and provide the major work: Name . Address City Phone Contractors, License No. 5: I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: a Property Owner Social Security Nu er Date NOTE:. This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. CONSTRUCTION LENDER LENDER'S MAILING AOOf ARCHITECT OR ENGIN COUNTY OF BUTTE -III E ARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovll tl ellfornle 95985 - Telephone: 918/538.7541 APPLIG' T ONAND PERMIT , T� UNKNOWN EARCHITECTR ENGINEER -3 MAILING ADDRESS DRESS Cha arral Dr Oroville (behind #3) LOT NO. SU BDIVIS Ot57ltw PARCEL MAP USE OF STRUCTURE SF ❑ Duplex❑ MobilehomE)M Other SPECIFY TYPE OF WORK ew ❑ Addition ❑ Remodel ❑ Utilities K3 Installation❑ Other �escribe work: Travel trailer (60/640 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. (� I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure Is not intended or offered for sale. (Sec. 7044). ❑ I, as the owner. am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason BUILDING PERMIT SO. FT. I OCC. I BUILDING VALUATION Fireplace Total Valuation $ Filing Fee Permit Fee Plan Checking Fee Energy Plan Checking Fee Penalty Permit fee PLUMBING PERMIT Each Trap Solar or heat pump water heater Water piping Gas piping system 1 - 5 outlets Building sewer Mobile Home St G 1liV 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. 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 building construction, and hereby authorize representatives of the County of Futile 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 s_ ' County in consequ�flce of -the granting of this permit. G/J/L� r X (/Pt-- + Date 12 Signature Applicant — Owner Contractor ❑ Agent ❑ An OSH ermit is required For excavations over 5'0",deep and demolition or construct- ion of st ctures over 3 stories in height. Receipt No: 83872 ,"...,t. 0_w.. YELLOW-ASEE33OR, PINK -INSPECTOR. GOLDENROD -APPLICANT Permit Fee Contractor ELECTRICAL PERMIT Main service eoov OR LESS 100 AMP OR LESS Main service EA. AOD'L 100 AMP NEW CONST. ( DWELLING OCCUP.tl) OR ADDNS, l ACC. BLDGS. (POWER APPARATUS e SINGLE OUTLET CIR. I Ex. Occup(OUTLETS OR FIXTURES Ex. Occup. OUTLE TS P(RESID IRE A.) Temporary service Mobile Home Facilities Misc. Wiring $ $ $ $ $ Filing Fee 2.00 20.00 5.00 15.00 10.00 5.00 5.00 0.00 ea 20. $ in_ Fi I i ng Fee 10.00 2.50 '/z2sq ft 2.00 10.00 15.00 15.00 10.00 15. Permit Fee $ 35.00 Contractor MECHANICAL PERMIT Filing Fee 10.00 Heatino Cooling Hood 3.00 Ventilation Permit Fee $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 80.00 HAZ. I CUA I PARKSCHL FLD coF PA PD I HD• ISSUE I This permit is hereby issued unser the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovlllet California 96985 - Telephone: 916/538.7541 APPLICATION AND PERMIT PERMIT NO. A 87 "17, 1 BUILDING PERMIT TMLRPHONC SO. FT. OCC. BUILDING VALUATION OW 's M G ✓ r"L 9YV CO TR CTOR'3 NIAMEL ELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER - UNKNOWN Total Valuation $ LENDER'S• MAILING ADDRESS Filing Fee $ Permit Fee $ ARCH T CT C/O�R ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADORE 11,^ , �►r aU� I/C- Permit tee $ 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 XM G W 0.00 ea 10,aq TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installtion❑ Other ❑ ex Describe work: —FreA V / ry-o � ��' r Permit Fee $ 13D , Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR001 OR LESS10.00 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 the BUSIneS$ and Professions Code and my license is in full force and effect. License No. Classification. I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ontract- ors.(Sec. 7044) ors. ❑ I am exempt under Sec. , Business and Professions Cade for this reason NEW CONST. DWELLING OCCUP.81 OR ADONS. (ACC. BLDGS. , h¢sgft NEW CONSTR. ULTI.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex.Occu o p( UTLETS OR FIXTURES zoes0e eAL(7 30 FIXED APLNS.❑ Ex. OCCUp. OUTLETS (RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ Q WORKMEN'S COMPENSATION INSURANCE .I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (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 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant – Owner ❑ 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 $ D, 0 HAZ. CUA PARK scHL FLo cDF PAR Po l Ho. IssuE This permit is hereby issued unaer the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date PERMIT EXPIRES Date Receipt No: WHITE-D.P.W:. YELLOW-ASS&330R. PINK -INSPECTOR, COLD ENROO-APPLICANT MEN ONE MEMO MENNEN MEN MENEM r f i 44 tk 19 'A r f i 91-007386 Rec Fee 5.00 Cash 5.00 Recorded ; Official Records ; County of ; Butte ; Candace J..Grubbs Recorder ; 11:34am 26 -Feb -91 X i Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code _ 66 A lf0 requires this acknowledgement be recorded �- prior to issuance of a building permit. PX3 The property described herein is adjac tto land or included within an area zone �r 7V�/ for agricultural purposes, and resident of this property may be subject to inconX veniences or discomfort arising from tib. use of agricultural chemicals, including, but not limited to herbicides, pesticides,. /416 and fertilizers; and from the* pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County, of Butte, State of California, described as follows: / e7 <7r P1 c-7 On 0 v C �t6/ Date: _9Y_,5 - State of C,c7 r I ) ) SS. County of&) ,7. 9s 96 P-7�� e /- 069--/06 - 0/7^ o00 PROPERTY OWNERS: On this the 14 ]O day ofv 19 ql before me, the undersigned Notary Public, personally ppeared <7;Itierf �� pAs avid .Tea r Personally known to me. [:] Proved to me on the basis OFFICIAL SEAL of satisfactory evidence. M. LANDERS to be the persons) whose name(s) am NOTARY PUBLIC•CALIIORNIA to to the within instrument and acknowledged that e _ BUTTE COUNTY executedo the same for the -purposes therein contained Ir! [JITNE,, MytammrsmnerpnesSep1.22.1971 WHEREOF, I hereunto set my hand and official seal. Y Present A.P. No. Notary Public Return to D.P.W. ' 91L -0073E37 R e c F e e Cash _ Recorded Official Records County of Butte Candace J. Grubbs Recorder 11:34am 26 -Feb -91 I NOTICE OF COMPLIANCE WITH COUNTY CODE SECTION 24-202 (A) (3) TO BE RECORDED BY OWNER (ADDITIONAL DWELLING IN SINGLE. FAMILY RESIDENTIAL ZONES) Applicant Qein 1,cr, V Pc7 r-, `S Date -/C Zone AP# Building Permit # I, , do declare, that the dwelling X (Building Permit # // ) at address (present) �the on AP # ro — /7 is intendedfor sole occupancy of one adult or two adult persons who are 60 years of age or over, and the area of floor space of the dwelling unit does not exceed 640 square feet. Said property is more particularly des- cribed in Exhibit "A" attached hereto. I also understand that violations of these provisions are subject to the penalties provided in Section 24-63.1 of,the Butte County Code. Sign 4.\ Dated (Individual) . STATE OF Ga. ss. COUNTY OF Butte FtarV ?6 1 q91__ before me, the undersigned, a Notary Public in and for said On State personally appeared personally known to me (or proved to me on the basis of satisfactory evidence) whose name -LS- subscribed to be the person �— he to the within instrument and acknowledged that . . executed the same. i .� OFFICIAL sEA1_ Witness my hand and official seal. M. LAt.DLRS , 0.� •r`�; M07ARY rt!J; if. - CALIFORNIA Ade BUTTE GOLINTYSignature my commissi9nM. rs"�`�"� (This eros for olficiel notarial 98111) _ Name (Typed or Printed) SAV -191 (2/88) 7.00 7.00 2 y <% C20 �e s;::.T+T-5•".-'..,. w d" a' � F'�7:17P'i •' r.. . � :n.�;'rH�;, - v.�' C:.^ f�a1• •��.•� .__ 1.wtw �...�-.,L. _. . �;.� `,^� 'i• -r- .. _ f�i �•�i: 4*=• t.nR,r.T, �f.:;y;ia°'.. � '"ti""�-ei.,`Y�<"ii�. 1 .- PERMIT NO: 25-91 Lake Oroville Area Public Utility District 1960 Elfin Strut OROVILLE, CALIFORNIA 95966 533-2000 DISTRICT APPROVAL AND VERIFICATION OF INSPECTION BUILDING SEWERS This verification form must be submitted to the -Butte County. Department of Public Works Building Department prior to issuance of a building or occupancy permit, whichever is applicable. Prior to final approval by Butte County.of a Building or an Occupancy Permit, a copy . of this verification form, signed off by Lake Oroville Area Public Utility District, must be submitted to Butte County. Dater February 25, 1991 Applicant: Gilbert Fipps Applicant Address: Chaparral Drive, Oroville, cA 95966 'Applicant Phone No.: 589-4903 Property Location (s): 3 Chaparral Drive Kelly Ride Estates - -iTni t-` A - Lot 11 /0- A. P. 0A.P. No. (s): 690-10-17 60 Fees due: No fees due. s a 60/640 to be removed when there is, -no longer a need. Application for service approved: 14/�LW. A=. 5V4�a�4 Inspection (s) made Location: By: s LAKE OROVILLE AREA PUBLIC UTILITY DISTRICT d successful test(s) observed: Date: D Lake Oroville Area Public Utility District; release to close permit: Date: 2,-�� 6 '� ! By: �- PERMIT NO: 25_91 Lake Orovllle Area Public Utility District 1960 E4rin st,,,t OROVILLE, CALIFORNIA 95966 533-2000 DISTRICT APPROVAL AND VERIFICATION OF INSPECTION BUILDING SEWERS This verification form must be submitted to the.Butte County Works .Building Department prior to issuance of a building or current of Public whichever is applicable. panty permit, Prior to final approval by. Butte County of a Building or an Occupancy of this verification form, signed off by Lake Oroville Area Public Utility p ncy Permit, a copy be submitted.to Butte County, y District, must Date: Febr Applicant: Applicant Address: Applicant Phone No.: 589-4903 Property Location(s): A. P. No. (s): Fees due: Application for service No fees due. This is a'60/640 to be removed LtiKE OROVILLE AREA PUBLIC UTILITY DISTRICT Inspection(s) made and successful test(s) observed: Location: By: ------------ Date: Lake Oroville Area Public Utility District release to close permit: Date: By: Return to .D.P.W. --i--- v ? v Rec Fee 7.00 91-0073137 Cash 7.00, _ Recorded Of Records County of Butte I Candace J. Grubbs Recorder X 2 11:34am 26 -Feb -.91.1 NOTICE OF COMPLIANCE WITH COUNTY CODE SECTION 24-202 (A) (3) TO BE RECORDED BY OWNER (ADDITIONAL DWELLING IN SINGLE t . FAMILY RESIDENTIAL ZONES) Applicant 9-� 2 �,. 6r Je-e7ki F S Date 5ZC/ Zone AP# Building Permit # I,. do declare, that the dwelling (Building Permit # / ) at address (present) �the on AP #lD ^ ('1 -- ��7---, is intendedfor sole occupancy of one adult or two adult persons who are 60 years of age or over, and the area of floor space of the dwelling unit does not exceed 640 square feet. Said property is more particularly des- cribed in Exhibit "A" attached hereto. I also understand that violations of these provisions are subject to the penalties provided in Section 24-63.1 of,the Butte County Code. Sign ` Dated Attach Notarization Form 9/ (Individual) ( STATE OF Ca' SS. COUNTY OF Butte On FP xiiary 26, 1991 before me, the undersigned, a Notary Public in and for said State personally appeared ('filbert Ds r� personally known to me (or proved to me on the basis of satisfactory evidence) to be the person whose name `1 G subscribed to the within instrument and acknowledged that hp ' executed the same. OFFICIAL SEAL Witness my hand and official seal. "'' M LANDERS //, /J d NOTARY PUBLIC - CAiIFORtUA Signature BUTT` Ck'UyTY Kry commim�ga;at r Sept. 22, 1931 M. Landers Name (Typed or Printed) (This area for official notarial seal) SAV -191 (2/88) i �. .. ` . .. - - J. . � r 91-007.386 Rec Fee Cash Recorded ' _ 1 Official Records County of Butte Candace J. Grubbs Recorder ; t 11:34am 26 -Feb -91 Return to DPW AGRICULTURAL STATEMEAIT OF ACRNOWLF,DGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the\ Butte County Code requires this "acknowledgement be recorded � � .) / 1-7 prior to issuance of a building permit. 6 r Mo 5.00 5.00. i The property described herein is adjact I to land or included within an area zone SX3% /r�✓{� /tea/tv. for agricultural purposes, and resident of this property may be subject to incons veniences or discomfort arising from t* use of agricultural chemicals, including, but not limited to herbicides, pesticides, /Vo and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that r..edl.:property:-.`situate in the County of Butte, State of California, described as follows: 7--� C �n0V 'L 9596 , �3 C Date: If A2 S f State of SS. County of Ile- A On this the d(O y day of _ undersigned Votary Public, PROPERTY OWNERS: personallyJppeared 6Act-+F. pps avid .Tea n -F, ��PS Personally known to me. 0 Proved to me on the basis of satisfactory evidence. OFFICIAL SEAL to be the person(s) whose name(s) Ni.LAICDERS subscribedtothe within instrument and acknowledged that _ NOTARY PUBLIC •CALIFORNIAhe BUTTE COUNTY executed the same for the purposes therein contained. IVT WITNE. Mycommission expires Sept. 22.1991 ]WHEREOF, I hereunto set my hand and official seal. ocrrv�,��ror�eceie. Present A.P. No. ! —Zo — Votary Public EN® OF DOCUMENT 9 i i PERMIT NO. -3.23.9T82BPERMIT EXPIRES 4-0�y + OWNER JEANETTE UTT CONTR. Chris Seegert, Oroville ASSESSOR PARCEL 69-10-17 LOCATION #3 Chaparral Drive, 0 oville _ ' e 6 Temp. Power Pole r Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Cal led PG&E JOB FINALED (Date) 3 c Signature V = qK 0 = Not OK Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s Date DECKS, COVERS, CARPORTS, ETC. (Plans) Cn _w.Acept # 1. Zoning Requirements -Setbacks -Easements _ oning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch _ ootings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete _ -2:�s; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) a,,,,.Vaod-.own.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.•-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete S A om. Awn.; COlumns-Connections-Splice-Decal-Enc;.)s,tes 6. Gas; Location -Test -Wrap:/ P'L"ft./ /"Nat. or/ /"L"ft./ /"LPG ( - Carports; Windows -Doors 7. Utility Clearance 7. For Card -BI Date Card -BI Date C I ate /_Jr.k —bard -BI Date Card -BI Date Card -BI Date C&&-9-1 Date Y Date MOBILEHOME INSTALLATION (Plans) OK except #'s Date POOLS (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1, Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances _ 4, Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -B] Date Card -BI Date Card -BI Date J = OK 0 = Not OK Not Applicable = Not Ready Date UNDERFLOOR (Plans) OK except#'s 1. Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 7. Piers -Fireplace Ftg.-Steel 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 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 Date PLUMBING (Permit) OK except #'s 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 17. Shower Pan; Test, First Floor -Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe; Size & Anchors Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date ELECTRICAL (Permit) OK except #'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. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI, Insulated Neutral ❑Yes Ll No 28. Service -Riser Conductors & Ground -Main Disconnect 29. Equip. Clearances; Panels-Motors-Mech. Equip. 30. Clothes Closet Light -Shower Light Card B-1 Date_ Card -BI Date Card B -I Date Card -BI Date Date MECHANICAL (Permit) OK except #'s 31. A.C. Ducts:lnsulation & 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 #'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. Cing. Joist-Rfir. Ties- Purlin-Roof Brac.-Truss-Shthnq.-Rfng. 44. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles _ 4_6. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing RESIDENTIAL (Single and Duplex) Date FRAMING (Continued) 48. Property Line Firewall & Openings 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 52. Siding -Nailing -Veneer 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 54. Glazing Area -Glass Protection -Skylights -Plastic 55. Shear Walls; Nailing -Bolts Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 4 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. 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 0 N 76. Stucco; Brown -Finish 77. A.C. Unit; Disconnect-Cirnces-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 you visit jobsite) JCOUNTY OF BUTTE - DEPARTMENT OF OUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534,4541 ` APPLICATION AND PERMIT ASSESSOR A CEL NUMB� - ZONING BUILDING PERMI OWNER �� JC_A TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS R'S NAM 4/Q 1/CJ7 �LJ H� /croLI 5O3OLD Fireplace CONSTRUCTION LENDER UNKfIOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 49.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee .$ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 6y. 0 BUILD SADD�SSv10 �/f 6 Com!/ - PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAMES .af I—( D4 —•/ PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE//��,,,, SF ❑ Duplex❑ Mobilehome❑ Other r S . Q4 /06)n SPECIFY Building sewer 5.00 Mobile Home S I G I W 10.00e E_ TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 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. / I 2/20sgft CONTRACTORS LICENSE LAW declare der 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 orce and effect. C c� �, � License No. 2 -( 57C 0 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 CONSTS POWER APPARATUS &) NON-RESID. (SINGLE OUTLET CIR. 20@50c Ex. Occup(o OR FIXTURES BAL@300 FIXED A 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 FilingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (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 Consent to Self -Insure. I shall not employ any person in any manner sous to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, • dgments, cost ,and expenses which may in any way accrue against s my in conseq nce of the anting of this permit. X Date 11( &Z Signature of Applicant — Owner Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ j�-Cd occuP`G/OUP T= CONST. '/(V// PARCEy PD HD 1550E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR O UBLIC BY PERMIT PI ES Date the applicable provi- resolutions to do fees have been paid. WORKS Date O -•PZ_ Z(—e 0 Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, INK -INSPECTOR, GOLDENROD -APPLICANT u • ' y� •" rte..., PER16AT NO'. 1884-76B PERMIT EXPIRES r a OWNER Dean Utt CONTR, owner y 34-60-17 ,LOCATION (A.P. ) 3 Chaparral Lane, Oroville (lot 31) • F hiF 1 T� r h • 1 , H , MC • Temp. Power Pole /e,, G&E Serv. G&E Serv. G&E (� FINALED ! - (Date) (Signal rep• COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTIOWBECORD BUILDING BUILDING (Cont'd) PLUMBING Setback 5 — Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa l l Garage Vents, Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handicaped Conformance of ex. structure Appliances Gas PipingTest Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footinas -4`/ 3 7i% Footinq ELECTRICAL �X11=10 Mesh Scratch Brown Finish Interior Lath Door Closer DATE FIRE SPRINKLER Test Final MECHANICAL Heatin Cooling Ducts Ventilation Final _REMARKS OR CORRECTIONS_ r Water Htr. Subpanels Grd. Fault Prot. Service Temp. Pole Underground Permanent Final (NOTE: An entry must be made on this form each time you visit the job site.) d COUNTY OFBUTTE— DEPTRTMiNT OF PUBLIC WORKS 7 County Center Drive — Orovi lie, California 95965 7 / Telephone: 534-4541 //�L/ -76 6 APPLICATION AND PERMIT YYY��� uLit O ­Z'7' ca nta 1VcS UI llle t UUrlty UI t5utte to enter upon the above-mment�i�ne property for inspection purposes. Xnate Signature of Pe[Jam/ /miiteee o�ge orAgent Receipt No. / ` -2-- 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 RGbLIC WORKS BY te �Idingpermit�expire=Date�� BUILDI Owner SQ. FT. OCC. BUILDING VALUATION O Cvoa�e Mailing Address A )-A 4. S7- Q Tel hone No. ,ve_ Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ /3, OC? % 3 OU Building Address rPLUMBING Qtr �% ` No. @ FEE PERMIT FILING FEE $3.00 f :I, C'e� G, Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 2 Each gas water heater or vent 1.50 A. P. No. (p Q — % Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fes W Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration arcel a 60' R/W Im rovem p nts Lawn sprinkler system 2.00 oa g. Plans Recd Parcel Approval, V1 Plans pproval Permit Fee $ $ NEW i� ADDITION ❑ UTILITIES ❑ OTHER �, ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 f D /\ Z Main service soot/ OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L-.100 AMP 2,50 SinSingle Family Duplex Mobil Home Others 9 Y ❑ P ❑ ❑ Main service OVER 600V 25.00 10o AMP OR Main service EA. ADD'L 100 AMP 1.00 0 AM NEW CONST. DWELING OR ADDNS. ( ACCLBL GOCCUP. 8,1 22sq ft NEW CONSTR. (BRANCH NON-RESID, l BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS & NON.RES,(SINGLE OUTLET CIS. 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: Ex. Occup(OUTLETS OR FIXTURES) BA@L@27 Ex. QCCU FIXED APP LNS. OR P. ( OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Lic se No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit 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 �W.rkmen'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. @ FEE 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 $ 13 O uLit O ­Z'7' ca nta 1VcS UI llle t UUrlty UI t5utte to enter upon the above-mment�i�ne property for inspection purposes. Xnate Signature of Pe[Jam/ /miiteee o�ge orAgent Receipt No. / ` -2-- 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 RGbLIC WORKS BY te �Idingpermit�expire=Date�� 0 I` I -PERMIT NO. 5726-75B A. P 'Y E a` �I t M i MH UTIL. PERMIT NO. �t 't PERMIT EXPIRES OWNER Dean H. Utt ,'CONTR. Northstate Aluminum, Chico LOCATION (A.P. 34-60-17 ) �3 Chaparral Lane, Oroville �r ,I r W� ( k I t A+ ! Temp. Power Pole Called PG&E Temp. ec. Serv. t C led PG&E �. Te p. Gas Serv. I! Called PG&E JOB ^-7 FINALED (Dat— (Signature) S R 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 Stemwall Siding To out Slab -Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. StemwaII Slab 'Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings moi:' ' Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors - 1 . — —7 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 DATE REMARKS OR CORRECTIONS -'7.sf ,q 01, / t i l L V f� -e �®s/kers " COUNTY OF BUTTE — DEP,A$jMENT OF PUBLIC WORKS% 5' 7 County Center Drive — Oroville!California 95965 �/ Telephone: 534-4541 ,L APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property fo inspection purposes. X _ l Date Signature ofggPermitee or gent Receipt No. /J / q as 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 p DIRECTOR OF U LIC WORKS By Date ilding permit expires Date 7 — 7( BUILDING Owner SQ. FT. OCC. BUILDING VALt1ATION Mailing Address' ` �. d S Telephon Fireplace ContractorTotal Valuation Mailing Address Permit Fee Plan Checking Fee &/or Pe alty Telephone No. 6,f • Permit Fee I Building Address PLUMBING No. @ FEE PERMIT -FILING FEE $3.00 Each Trap 1.50 SLG Repair drainage or vent piping 1.50 Water piping 1.50 " -- Each gas water heater or vent 1.50 A. P. No. —— -- �rQ Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Flag'kciSamketilerlw Fire Dept. Fire Zone Use Permit Building sewer 5,00 EQA Parking Plans Parcel Declaration parcel Ma p 60' R/W Im prove nts Lawn sprinkler system. 2.00 000' Bldg. ans Recd Parcel proval Pla pproval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ 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 Others ❑ Range, Cook -top or Oven 1.00 _V 3 Water Heater or Space Heater 1.00 Light fixtures 20 P2 a 10 3 Receps., switches & fix outlets 20 P 25 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. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 2l Temp. Power Pole 5.00 r�741 �G� // License No. s` Classification�..J Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ is 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 Wo men's Compensation. I have placed on file with the County of Butte a certificate of iWorkmen'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. @ 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 $ authorize representatives of the County of Butte to enter upon the above-mentioned property fo inspection purposes. X _ l Date Signature ofggPermitee or gent Receipt No. /J / q as 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 p DIRECTOR OF U LIC WORKS By Date ilding permit expires Date 7 — 7( F?ERMIT NO. y. p r M MH UT IL. t -PERMIT NO. 2536-74P,E i . PERMIT EXPIRES���� + OWNER Dean H. Utt *� CONTR. .'LOCATION (A.P. 34-60-17 ) 3 Chaparral Lane, Oroville Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp, Gas Serv. Called PG&E 11/10 B _ 7 5,FINALED �� z- { (Date) } (Signa(ure) 1 � L .t F?ERMIT NO. y. p r M MH UT IL. t -PERMIT NO. 2536-74P,E i . PERMIT EXPIRES���� + OWNER Dean H. Utt *� CONTR. .'LOCATION (A.P. 34-60-17 ) 3 Chaparral Lane, Oroville Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp, Gas Serv. Called PG&E 11/10 B _ 7 5,FINALED �� z- { (Date) } (Signa(ure) 1 � L 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 Stemwall Siding To out Slab Roof Sheathing Water Piping-�� Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. StemwaII Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping &'Test Temp. Gas Slab Final Sanitation Patio FIREPLACE 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 Heatinq Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS awP7t� do �,�v ���d1 1-77 ��.rC COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOr3AS 7 County Center Drive — Oroville, California 95965�r—� Telephone: 534-4541 APPLICATION AND( PERMIT 118 -...,+....+..� •1. vv• - uw - Ily VI -t- - -IIGI UVVII 11IC above mentioned r perty for inspection purposes. X Date Signot r.e of Permitee or Agent Receipt No. 1 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 PUBLIC WORKS By Date_7�� Building permit expires Date BUILDI G Owner�- SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address �4 k PyL ,� PLUMBING No. @ FEE PERMIT FILING FEE $2.00 .2 Q(!) 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. o� ' ` Zon Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s FireDept. Fire Zone Use Permit Building sewer. 5.00 _!QA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 16y. s Recd Parcel Approval ro Plans Approval Permit Fee $ S� $ i J C NEW ❑ ADDITION ❑ UTILITIES ® OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE J$3.00 3,60 Main service incl. 1 meter'/SoA 1 3e'Q-o Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home iL� Others ❑ Sub -panel (12 or less) (morethanl2) Range, Cook -top or Oven 1.00 Sc�o Water Heater or Space Heater 1.00 Light fixturesbol__ aio �fp Receps., switches & fix outlets 20-(0125 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. lisp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole '5.00 Lic!Pe No. Classification Misc. wiring M -ram exempt from the Contractors License Laws of the State of California. Permit Fee $ . Q $ 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 W rkmen's Compensation Insurance. l ocertify 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 $ $ 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 $ / -...,+....+..� •1. vv• - uw - Ily VI -t- - -IIGI UVVII 11IC above mentioned r perty for inspection purposes. X Date Signot r.e of Permitee or Agent Receipt No. 1 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 PUBLIC WORKS By Date_7�� Building permit expires Date LOT 31 3 UNIT 1 Sh' ft. from _y:9 �V• Setback �n n 50 ft. from o .� the sie�� 'PP°p f the r 5 er • centoverhang the - uf a 2 it. a m� M be ne ti°�s e th rear \ con tsld me ou CGCG, T!/. �ta��. 4{t• �{� rn°b�,e m \ 1 d ect%onoadl S,de o{ th an he �{olr Sc,4 Z-,:5 tA w° e• CIO o • ,S w , (AUNTY' SUILnC DEPARTMENT,4 r r � b.V 1 15-,41 7- �� I \ r PERMIT N0. 306-75B P Z� E 5 M 't MH UTIL. PERMIT NO. PERMIT EXPIRES OWNER Dean Utt '1 CONTR. tLOCATION (A.P. 34 —60-17 ) l . 3 Chaparral Dr., lot 31, Oroville , 4 �e i+ t ' »�I 1� Temp. Power Pole Called PG&E Temp. Elec. Serv. Call dIPG&E JO Temp Gas Serv. ailed PG&E FINAL ml (Date) (Signatu ) 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 Stemwall Siding' To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport • Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Z �j. ' %3 Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole • Finish Ducts Underground L Interior Lath Ventilation Permanent 1 Door Closer Final Final DATE REMAR S OR CORRECTIONS Ci -�-7� •SGC � - � . COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WO 7 County Center Drive — 'Oroville, California 95965 3o b Telephone: 534-4541 APPLICATION AND PERMIT 1, Gac„aaiivco U, IIIc, %,vu ... y U1 Duttc to C11LVI UNUM LIM: This permit is hereby issued under the applicable provisions of above -menti nod property for inspection purposes. the Butte County Code and/or resolutions to do work indicated / above for which fees have been id. X j� Date `f 7s- DIRECTOR 0 P BLIC WORKS Signature ooff�Permitteeee or Agent /�r�/� BY Date Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant wilding permit expires Date ............................................ BUILDING Owner Al 27 Mailing Address SQ. FT. OCC. BUILDING VALUATION ~ Telephone No 3 32 262Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address . /� PLUMBING No. @ FEE PERMIT FILING FEE $2.00 -:;:;' 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. Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 •F s W�4!9 Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Pa cel MaP 60R/W Im Improvements Lawn sprinkler system 2.00 131 19. Plans Rec'd P el Approval PI pproval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 �G Main service incl. 1 meter Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bal i0 Receps., switches & fix outlets _�:d N CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Diva 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. disp. 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 +--I �. 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. 'have placed on file with the County of Butte a certificate of ❑ l) Workmen's Compensation Insurance. I certify that in the performance of the work for which this X 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 Laxus relating to building construction, and hereby t TOTAL PERMIT FEE is 1, Gac„aaiivco U, IIIc, %,vu ... y U1 Duttc to C11LVI UNUM LIM: This permit is hereby issued under the applicable provisions of above -menti nod property for inspection purposes. the Butte County Code and/or resolutions to do work indicated / above for which fees have been id. X j� Date `f 7s- DIRECTOR 0 P BLIC WORKS Signature ooff�Permitteeee or Agent /�r�/� BY Date Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant wilding permit expires Date ............................................