HomeMy WebLinkAbout072-080-024. _ .� � _ •• : �,,,, - :�,.��^ � .� � _ �� � � � .. �,.v.+'%" "' " """'"'_ �.'i o / �. ice.
�1ZLI
72-08-24
JERRY F I TZ GERALD
7140 Wyandotte Laporte Rd, Wyand
otte area
Contr: Sunway Builders
Permit## .825-,81P (soltar water heat
e r ) S F /_ 0Ae����
92-1507E
FITZGERALD,•Jerr.y
1833 Mt•Ida Rd, Oroville
contr: Paul Benvenuti- 9-3;
cov & open deck & elec/sf
CA`^ISP"0
9
7-,
w/s Wyandotte -LaPorte Rd: app. z mi. off
Oro-Forbestown Rd., Oroville
(new, single family - 2 houses)'
-fo C/
(
I
r
72-08-24
JERRY F I TZ GERALD
7140 Wyandotte Laporte Rd, Wyand
otte area
Contr: Sunway Builders
Permit## .825-,81P (soltar water heat
e r ) S F /_ 0Ae����
92-1507E
FITZGERALD,•Jerr.y
1833 Mt•Ida Rd, Oroville
contr: Paul Benvenuti- 9-3;
cov & open deck & elec/sf
CA`^ISP"0
9
7-,
w/s Wyandotte -LaPorte Rd: app. z mi. off
Oro-Forbestown Rd., Oroville
(new, single family - 2 houses)'
-fo C/
RESIDENTIAL
72-08-24 92-1507E
FITZGERALD, Jerry
1833 Mt Ida Rd, Oroville
contr: Paul Benvenuti
cov & open deck & elec/sf
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: / /"L"ft.
/ /"Nat. or/ /"L"ft./ /"LPG
7. Well Clearance & Disconnect
8. 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-eOVERS, CARPORTS, GARAGES, (Plans)OK except #'s
oni Requirements -Setbacks -Easements
f . ootin ; Soils -Size -Depth -Spacing -Connectors -Steel
cks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
. ood Awn.; Posts- Bea ms- Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carp rts; Windows -Doors
ectric
,e-fr-mg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
.AAIRoof-'skN4g-Reemn
lsrx-t ; Steps -Doors -Landings
Date _ "L Cr gard 13-1 Date Card B -1 -
Date '-5'4-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 h's
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ /" 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-Blockouts-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. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
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. Access & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit),OK except h'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 h's
22. Fixture & Transformer Clearance -Ins. Protection
------------- -------- --------- --------------- ----------------------- --
- - - 23. E-lec. Recept- acles Spacing -Lights & Switches at Doors
- ------ --- ---------------------------------------------
-- 24. Size Boxes & No. of Conductors -Stapled
---------------------------------------------------
25. Romex Installed Close to Edge of Studs & C. -J.
26, Equip. Ground made up w/Mech. Fast ners-Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
-------------------- - ------------------------------------------------------
28. Subfeed Wire Size/ / ga. Cu 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.
----------- --------------------------------------------------------31. Equip. Clearances Panels-Motors-Mech. Equip.
--------------------------------------------------------------- ------
32. Clothes Closet Light -Shower Light -Spa Light
-----------------------------------------------------------------
33. Smoke Detector
---------------------------------------------------------------------------------
Date Card B-1Date Card B-1
------------------------------ ---------------------------- I
Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except h's
34. A.C. Ducts Insulation & Support
-------------------------------------------------------- ------------------------
35. Vent Fan; Exhaust above insulation
----------- --------------------------------------------------------------
36. Condensate Drain & Overflow: Size & Grade
------------------------ I ------- I ---------------------------
37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnance in Attic
------------------------------------------------------------------------------
------------------------------- ---------------------------------------
Date
-----------------------------------
Date Card B-1 Date Card B-1
-
----------------- ---------------------------- --------------------------------
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except h'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
jingle & Duplex)
Date FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rfir. ties- Purlin-roof Brac-Truss-Shthng.-Ring.
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-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls: Nailing -Bolts
59. Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
------
-------------------
Card
------------------Card B-1 _ Date Card B-1
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except k'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 & S_u_b_p_anel: 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 Gara a -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
-------------- 7 -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 --0-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.
-- --------------87. Glass Protection
-------------------
88.
---------- ------------------ --------
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
----------
__-_1 ...---------- - ---- --------------------- ----
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 - Oroville, California 95965 - Telephone: 916/538-7541
4APPWPATI.0N AND PERMIT
PERMIT NO.
�z711!
ASSESSOR PARCEL NUMBER
072-08-0-024
ZONING
AR
BUILDING PERMIT
OWNER
JERRY FITZGERALD
TELEPHONE
S0. FT, OCC. BUILDING VALUATIO K
OWNER'S MAILING ADDRESS
1833 MT IDA ROAD, OROVILLE, CA 95966
144 C 1872
642 0 4494
CONTRACTOR'S NAME
PAUL BENVENUTI kLIC. #485343)
TELEPHONE
920-2093
CONTRACTOR'S MAILING ADDRESS
499 SHADY LEAF WAY, SACRAMENTO, CA 95838
Fireplace
CONSTRUCTION LENDER
N
UNKNOWN
Total Valuation $ 6366
LENDER'S MAILING ADDRESS
Filing Fee $ 15,00
Permit Fee $ 75.00
ARCHITECT OR ENGINEER
NONE
LICENSE NO.
Plan Checking Fee $ 37.50
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Ener Plan Checking Fee
Energy g $
Penalty $
Bu1LOIN�DIDAS5R0AD OROVILLE
1833
Permit fee $ 127.50
PLUMBING PERMIT Filing Fee 15.00
Each Trap 1 5.00
Solar or heat pump water heater 1 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping 1 7.00
Each qas water heater or vent 7.00
USE OF STRUCTURE
SF[0 Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.00
Mobile Home I S I G JW I @ 15.00
TYPE OF WORK
New ❑ Addition ® Remodel ❑ Utilities ❑ Instal lation❑ Other ❑
Describe work: NEW DECK ,144 COV AND 642 OPEN) AND
ELECTRICAL OUTLETS AND LIGHTING
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 200AORLESS 18.50
Main service 200ATO1000AI 37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
[D'I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Processions Code and my license is in full force and effect.
License No. X5393 Classification � I
❑ 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 CONST. / 3.6Q sq.ft. DWELLING OCCUP.�\
OR AODNS. ( ACC. BLOGS. II
NEW CON5TF1 ULTI.OUTLET
NO N.RESID BRANCH CIRC ITS @ 5.00
POWER APPARATUS &) )
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 20 76
EX. OCCUp. OUTLETS IPRESID )FIXED APLNS.REA.1 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. Wiring
g -15.00
Permit Fee $ 30.00
—
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. s
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
Contractor
MECHANICAL PERMIT Filing Fee 1 15.00
Heating
Cooling
Hood 6.50
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 liabililies, judgments, costs, and expenses which may in any way accrue
agaRti!7omy inonsequence of t e granting of this permit.
X Date 5-/ 5-- 9
Signature of Applicant – Owner Contractor ��Agent ❑
An OSHA
ion of structures tover 3gstories oin height.ons over 5'0" deep and demolition or construct-
Mobile Home Installation Fee S
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE$,,,157/5o
NAz DFEES I IMP
FL000 CDF PARCE
PD
I E I
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
I CTO OF PUBLIC WORKS
By - �r Date 5-
PERMIT EXPIRES Date
Receipt No. 115802
WNIT!-D.P.W., YELLOW-AS8[$SOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
TO Buldinq Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
7_cs� a -6 — (tet'
Owner Location AP#
Plan Approved for: Sewage Disposal
Hold final for:
Final clearance O.R. for:
Clearance for bedroom mobile home. Other
NOTE � *
Sanitarian.
Water Supply
Water Supply
Water Supply
ate
COUNTY OF BUTTE*RARTMENT OF PUBLIC WO -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE!CALIFORNIA 95965 - TELEPHONE (916) 538-7541
r
PERMIT APPLICATION DATA SHEET
OWNER ' 6411) Aj P. No0-72` OF- Oc2 7
Proposed Building Use �rfe(//�J'010 f,�C Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED By
1. All items have been submitted . ........................................
2. Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3. Complete plans, 3/4 sets, signed by preparer of plans . ......................
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ............................................
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ....
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10. Fees of$ .........................................
11. Impact fees as shown on attached schedule . ..............................
12. California Department of Forestry plan approval/fees. ....................... .
13. Flood elevation letter (100 year flood) by Calijornia Engineer. .. :: y/
14. Sanitation and plot plan approval U'� Health Department. ......... .
15. City of Chico plumbing permit . ......................................... .
16. Plot plan and business license approval from City of Biggs/Gridley...............
17. Planning approval for (A) Use: (B) Parking: . ........
18. Contact Land Development about (A) Improvements (B) Drainage. ...........
19. Driveway permit (construction approval required prior to occupancy). .. r*eq*
st
20. Pre -inspection for Prednding Ins actor
required. . . to Building Inspector (Dale)
21. Contractor's license information. (No., Name Style, Classification) . .............. ¢
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner , Mail to owner )............
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use . .........................................
28. Mobilehome utility clearance . ..........................................
29. Documentation of legal access . ........................................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan the i t. , .. .
33.
34.
Wh:n>ou issue the permit r c ss as follows: Mail to owner. Mail to contractor.
Telephonlg � and hold for pickup at office. Deliver with inspector.
Other AIAL111
Parcel Creation Gins Dralwoco a
Acreage Applicant 40V�®Jp��f �
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date v
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 _ mail ounter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ maj J Counter by _ Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive Oroville, California 95965 - Telephone: 916/538-7541
`APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER n/
ZONING _
BUILDING PERMIT
OWNER(jJ(
TELE HONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAI LIESS � �D
CONTRA �V [ AME
T a U~DNE
,2.U�3
CONTuRACTOR'S(MMAILING AO RESS -
�j�ijR-�
Fireplace
CONSTRUCTION LEND -
UNKNOWN
Total Valuation $
(23
Filing Fee
$If15.00
LENDER'S MAILING ADDRESS
Permit Fee
$ "75 QNQ
ARCHITECT OR ENGINEER
GItle—
LICENSE No.
pian Checking Fee
$ a .
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS _
-
Penalty
$
BUILDING ADDRESS -
Permit fee -
$ 12-7
PLUMBING PERMIT
Filing Fee 15.00
-
-
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBCIVISION NAME
PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SFXDuplex❑ Mobilehome❑ Other
\\\ SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S G W
@ 15.00
TYPE OF WORK
New ❑ Addition Remodel ❑ Utilities ❑- InstalIatii?t-❑ Other ❑
Describe work: P4:�--6lye LC/(itiz,o 2y.Z a
ft�ya Eli�7��iCf,i% GW-f��S 7i/Vl� LiA/�
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600V OR LESS
200A OR LESS
18.50
Main service 200A TO 1000AI
37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Busines$POWER
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)
❑ 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
NEW CONST.( DWELLING OCCUPM
OR ADDNS. ACC. BLDGS. //
3.64 sq.ft.
NEW CONSTR. MULTI-OUTLET
:JON-RESID BRANCH CIRC ITS
@ 5.00
APPARATUS tr
(SINGLE OUTLET CIR. I
Ex. Occup(OUTLETS OR FIXTURES
20 76
Ex. OCCUp. FIXED APPLNS. R
OUTLETS iRESID )EA.)
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00 D
Permit Fee
$ Q
Contractor
—
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.
MECHANICAL PERMIT
FiIingFee 15.00
Heating
Cooling
Hood
6.50
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 of the granting of this permit.
X Date
Si nature of Applicant - Owner
g pp ❑ Contractor ❑ Agent ❑
onstruct-
i n OSHA permit is required for excavations over 5't1" deep and demolition or construct-
on of structures over 3 stories in height.
ion
Mobile Home Installation Fee S
Energy Inspection Fee $
OCC
CONST TYPE
TOTAL FEES
HA2
1 0FEES I
IMP
I FLOOD
I CDF
PARCEL
PO
HO
ISSUE
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No. 1156202-
".ITE-O.P.W.. YELLOW-A38E»0R. PINK -INSPECTOR. GOLDENROD -APPLICANT
w�F
�. x��P ��• g,
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I Butte. County:
Environmental -Health Date
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 `
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
CONTRACTOR'S NAME -
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
Total Valuation Is
CONSTRUCTION LENDER
UNKNOWN
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
G
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS- - -
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5,00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New❑ Addition[] Remodel❑ Utilities El Installation❑ Other El
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP LESS
100
5.00
Main service EA. ADD'L too AMP
2.50
NEW CONST. ( DWELLING OCCUP.9
OR AODNS. 1 ACC. BLDGS.
20 sq ft
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. ClassificationEx.
❑ 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 I.Ou L T 2.50 ea
NON.RESID BRANCH CIRCUITS)
NEW CONSTR POWER APPARATUS.&)
e
NON-RESID, SINGLE OUTLET CIR /
Ex. Occup OUTLETS OR FIXTURESa ��
_
FIXED AP LNS. OR
Occup.(OUTLETS (RESID.) EA. 2.00
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
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 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 $
TOTAL PERMIT FEE $
OCCUP, GROUP
I TYPE of CONST.
PARCEL
PD
I ND
I ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIREPTOR OF PUBLIC
BY
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO..
7 County Center Drive - Oroville, California 95965 - Telephone 916/534 41S! �7`� /
APPLICATION AND PERMIT �C�( CCC JJ1
ASSESSO PARCEL NUMBER
%y
Z
BUILDING PERMIT
OWNER �r yL
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILINP ADORE S
71-4 o Wf. " Po_
CONTRACTOR'S NIAME Cl
LTELEPH/O�NE
CONTRACTOR'S MA INCA AD SS
2 3 0 8 ��, X4 p�G
Fireplace
CONSTRUCTION LENDER
Q NC
UNKNOWN
Q
Total Valuation $
Flilrig Fee
$ 10.00
LENDER'S MAILING ADDRESS
''—
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
-
Permit fee
$
BUILDING ADDRESS'
LJ � ar
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO. SUBCIVISION NAMEPARCEL
MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF $4 Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkl r system
5.00
TYPE OF WORK
New ❑ Addition ❑ emo el ❑ Utilities Ins IlatX❑ Other ❑
Describe work: �ar �: e -CV
Permit Fee
$ Quo
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 800V OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. (DWELLING OCCUP.d)
OR ADDNS. ACC. BLDGS.
2d sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
0�_Iam licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions /C'Q`d �/p d my license is in full force and effect.
f�] V b C Ei'Cf
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 ander Sec. , Business and Professions Code
for this reason
NEW CONSTR I.OUTLET
NON.RESID BRANCH CIRCUITS)
2,50 ea
NEW CONSTR. POWER APPARATUS 6\
NON.RESID. (SINGLE OUTLET CIR, 1
Ex. OCCUp OUTLETS OR FIXTURES\\
50@280
BAL�1
Ex. Occup.(OUTLETS P(RESID )R E A./
1 2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
7.50
Permit Fee
$
Contractor
MECHANICAL PERMIT
FiIirig Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare rider penalty of perjury (check one):
Z�—Yhe permit is for $100.00 (valuation) or less.
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 shal I 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, judgments, costs, and expenses which may in any way accrue
agai id_Cou in consequence of the granting of this perm
j�
X ate C/P/ [, CS
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
$
�yc,
TOTAL PERMIT FEE $ 0
occuP. GROUP
I TYPE of CONST.
PARCEL
PD
HD
ssuE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
�IR O OF 71C
CS
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS .
Date Z07��''�
Receipt No. 2 Z
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT