HomeMy WebLinkAbout072-190-055k. . "
2-19
A.J. BERWICK c 'i I
NIS Hu.rleton.Rd, app 1400' NE oflorbes
town RD, Oroville
Permit#6805-79E(ele/well)-power pole
Permit #4628-80B,P,E,M(new single
family)
0
owl
-Pc
To lo 7
PE!41��IIT NO. 4628-80B,P,E.M
PERMIT EXPIRES 19 &;10
OWNER A. J. Berwick
owner,
CONTR.
ASSESSOR PARCEL 72-19�31
LOCATION N/W Hurleton Rd., aip, 1400'NE of
Forbestown Rd., Oroville
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E—
Temp. Gas Servi e
Cal led RG& F
JOB !UPIAL ED (Date)
S I g n a I u re - Zk"Vx'1'2'j
U— j
RESIDENTIAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS
AT 9- 2 2, -"? . -
(location). .
BU . ILDING PERMIT NO. &6-, -)-k 9-0 A.'P. NO. 1,9 - 3,-)
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS:
(Check each item or write N/A if not applicable)
INSULATION:
Slab Edge. Ay 1�9
Fdn. Walls—
Floors Z ----
Walls
Ceiling/Roof
Ducts
Circulating Pipesi�-
APPROVED HEATER
APPROVED WTR.HTR.
GLAZING:
Single Glazed
Special (Insulated)
CERT. & LABELED WDS.
& SLIDING DRS,
WEATHERSTRIPPED DRS.
BACK DAMPERED FANS
INTERMITTENT IGNITION DEVICE
,,S -
CERT. APPLIANCES 7--r-
I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED
IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO
THE COMPLETENESS OF THIS CERTiFICATE AS SUBMITTED.
Insulation Applicator Name
Signature of (please print)
Insulation Applicator
State'Contractors
License No.
General Contractor/Owner Name z2 -(T. /-,,
(plE�a-se print)
Signature of I
General Contractor/Owner Date 2./Z,
State Contractor§' '/
License No. . Al'�f "
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION
WITHIN THE DWELLlNG.
I/ OK
0 Not OK
Not Applicable ' MOBILEHOMES
-Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
1. Zoning Requirements-Setbacks�Easements
2. Soils; Special MH Suppqrt-Sketch
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap: / /"L"ft./ /" Nat. or/ /"L"ft./ LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
dard-BI
Date
Date Card -131 Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1.. Zoning Requirements -Setbacks -Easements
Card -Bl
Date
Date Card -BI Date
POOLS (Plans) OK except #'s
1. Setbacks- Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel7-Connections-Thickness-Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4. Elec.; Receptacles and Lighting; Distances-GF1
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 -L i sled
7. Water and Sewer Connected -C/0 to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghig.
Boxes -Enc losures-Panel boards- I ns. to Main in Conduit,
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Cir. -Water Supply Test
-Plumb; -Test
Card B-1
Date Card -BI Date
Card -131
Date Card -61 Date
Card B-1
Date Card -BI Date
Card -BI
Date Card -Bl Date
-r �
-I-
%I = OK
0 = Not OK
- ='Not Applicable
* = Not Ready
0
RESIDENTIAL (Single and Duplex)
Date UNDERFLOOR (Plans) OK except #'s
Date FRAMING (Continued)
Ai---*fon i ng_requ i rement s -Setbac ks- Easements
in0eTFi3Le!NaII & Openings
main; Soils-Steel-Elec. Grnd.- Ftg. Depth
xt. Doors
49.-5xt. Doors_ e _Check Garage -3rd story, 2 exits
tg., Garage; Soils -Steel- / / Ftg. Depth
W idth-Headroom-R i se -R un- Land i ng -F ire Protection
4. Ftg., Porches & Decks; Soils -Steel- Ftg. Depth
511��92g_on Roof overhang -Attic Vents -Rafter Outriggers
ng -Na i I i ng -Veneer
e. temwalls G a; steeL-Blockouts-Wrapped-Slab
_53-.Sftcco Mesh -Drip Screed-Fdn. Vents-UnderfIr. Access
�L11*2- teel
Z,-alg—zing Area -Glass Protect i on -Sky I ights-P last i c
.W - A,01(8. D.W.V PnIlm-Pitti-4-Test-2 way C/0 -Sewer Test
-65-4hear Walls; Nailing -Bolts
Gas Pipe; Size -Anchors
_�40. _�Wer Pipe; Test-Anchors-Regu lator-Sery ice Test
41- 1�� Electric; Underground
12. Plenums & Ducts; Clearance -Material -Support -ins.
X3. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card-§LZC Date c.,e-_-V _K Card -BI Date
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI 4_ZM___ Date /1-1A_ J�� Card -B)- "OL"^_2We
Date FINAL (P,-Irs� except #'s
Card-B!,/�'�De//_,2q-yo Card -BI Date
Date PLUMBING (Permit) OK except #'s
07
A - . , Door & Sidelight Protect ion- Land i ngs
JV' SO-ok-e-ffe-tector
::Q--14. Water Ht.; Vent- Access -Combust ion Air
58 --Furnace; Vent s -C I eara nce-Comb. Air -Connector -
I -P Garage; Above Floor-Ducts-Mech. Protection
so' -water Pipe; Test & Anchors -Nail Protection
Test-Fttngs & Anchors -Nail Protection
99#,O'Bedroom Exiting -
14--SRower Pan; Test, First Floor -Tub Access
P-1G.F.I. & Bath Fixtures & Tub Access
%&I-7est Tub & Shower, 2nd Floor -Tub Access
OoO' Elec. Trim & Subpanel; Breaker Sizes -Labels
ZZ)FG.s Pipe, Size & Anchors
Rails
Me" Fireplace or Stove; Clearances -Hearth
6A.-Mec. Outlets at Wood Panel; Int. & Ext.
Card -B i� �__1DateC/_:)/-_W1/ k9AWB1_ Date
Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI Date Card -BI Date
Elec. Outlets & Receptacles at Kit. Counter
Date ELECTRICAL (Permit) OK except #'s
-AW_-GafQ4e Fire Door; Swing -Landing -C loser
v6&� �.�in Garage -Damper
Stir -Fixture & Transformer Clearance -Ins. Protection
40 Wtr. Htr.; Vents -C learance-Comb. Air-Connectol�-
In Garage; Above Floor-Mech. Protection
CZI;o�Elec. Receptacles Spacing -Lights & Switches at Doors
26e'STze Boxes & No. of Conductors -Stapled
36'Plb., Elec. & Mech. Equip. Listed for Location
26-'fTomex installed close to Edge of Studs & C.J.
t 71 ElaG�Pk)captacles in Garage; (G.F.I.)-Romex Protec.
�r4� Ground made up w/Mech. Fasteners -Bond Gas & Water
72. 1 nsu lat ion- Foam- Looked in Attic 2Nes
2W- 2 Appliance Circuits iji Kitchen & Conductor Size
& Deck Construct i on -Post Caps
2(_-6<f-eed Wire Size q/0ga. Cu o A.C-� Size ga. Cu or Al
74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor i_;�T-es
4L��ange Circ. /IV/ Al -Oven Circ. /0/ ga. Wr Al,
Insulated Neutral 4.Aets-s No
75. Following inst No;
_ �1: DrWe [Z Yes Walks 2fYes 0 No;
Planters L!TYes 13 No
W4r-6tveaeBrown-F inish
28. Service -Riser Conductors & Ground -Main Disconnect
20e-fquip. Clearances; Pane I s-Motors-Mech. Equip.
77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
__ZQ_.GJQthes Closet Light -Shower Light
p. Roof; Plbg.-Appliance-Firepi.-Clearance to Opngs.
79. WatdrW_�Il; I 7isconnect, Electrical, Plumbing
80 --Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I Date Card -BI Date
89.-qentilation throughout House
Card B -I Date Card -BI Date
8i.;;% lass—Protect ion
Date MECHANICAL (Perrrit) OK except #'s
89 --Corrections from Previous Inspections
84. Gas Test -Meters Tagged; Gas -Electric
31. A.C. Ducts; Insulation & Support
��r & Sewer Connected -C/O to Grade -HD Approval
32. Vent Fan; Exhaust above Insulation
Energy Compliance Certificate -Other Certificates
33. Condensate Drain & Overflow; Size & Grade
-Op-
34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35. Attic Access & Platform if Furnace in Attic
Card -BI Date;��-,Z'�L�� -BI
. / Card Date
Date
Card -BI Date Card -BI Date
Card -BI Date Card -Bl Date
Card -BI Date' Card -BI Date
Date FRAWJ.NG(Plans) OK except #'s
Comments at Final:
Sjj.Ls; Proper Material & Anchors
Walls; Studs Nailing, Spacing & Bracing -Plates -Sound
aring Walls over Girders & Floor Nailing
Draft Stop in Walls (rat proof)
-.49—P4
�j�tops; Furred Ceilings -Stairs -Chases -Tub
ep_Or--& Beam -Size & Bearing
4421-.� P t Caps -Anchors -Connectors
�Cl�rig�.'Jjoisto-sRftr.
4 Ties-Purlin- Roof Brac.-Tr S hthng.-Rfnq.
44� ;is�
F_>4��ace Ties or Aq*a.A_Ejjw_F ireplace jLW, I
Access; Size & Romex Protect ion-Ciraft Stop -Ins. Baffles
ilio"EtirW Windows or Exiting Doors -Sill Hgt. & Dimensions
�.GMge Fire Protection Framing
(NOTE: Anentrymust be made each time youvisit jobsite)
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
kyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
Lt� / C-/ C
BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
.,,exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
. mat�ter, or need additional explanation, 'please contact this office immediately.
R L/
L
S
/ Ai -r-, -;w LL -
Ci /'- / A/- / T7 00 k- -S (a.,
I'D -,7:>
( z t / (-- (21C
"-�IAI KI
Inspector �Date
COUNTY OF BUTTE'- DEP�RTMENT OF PUBLIC WORKS
County* Center Drive - Oroville,,Californ ia*9596.5 - Telephone 916/534-4541
APPLICATION AND PERMIT
. T
WIT
0, oil
A Sf P R
,2R ARCEL NUMBE;
VW_ /I _ 3 /
ZONI
FILJ Jc, BUILDWPERNG//O Ow
0 A E . R J3ER&11CA,1
TELEPHONE
SQ.FT. OCC. BUILDING VALUATION
CwWER'S 7AILING ADDRESS
T A; ox 6 7 Lg 44AJDE, ve ?79,s -o
CONTRACTOR'S NAME I I
VAZ
[TTIC�H 0 N E
CONTRACTOR'S MAIL-ING - ADDRESS -
CONSTRUCTION LENDER
UNKNOWN
Fireplace
7S a
Total Valuation $
q/ e5o. 0 0
LENDER'S MAILING ADDRESS
Permit Fee
$' _163100
ARCHITECT OR ENGINEER
LICENSE NO.
I .
Plan Checking Fee
$ s-49
Penalty
$
—
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
B UJ L, _ZSS
bING A.CDR
4001'Al, or
PLUMBING PERMIT
Fi ling Fee p9.00
Each Trap
2.00 1(o.420
Repair drainage or vent piping
2.00
e A fo V/U - F
Water piping
5-00
LOT NO.
SUBDIVISION NAME
1
PARCEL MAP
Each qas water heater or vent
2.00 5.00
Gas piping system 1 - 5 outlets
15.cv
USE OF STRUCTURE
SFEPOO�Duplexn MobilehomeF-1 Other SPECIFY
Building sewer
5. 0 C-7
Lawn sprinkler system
2.00
TYPE OF WORK
New[�J' Addition[:] Remodelo Uti I ities [:1 InstanationD Other
Describe work:
Permit Fee
$
contractor
ELECTRICAL PERMIT
FilingFee r
1900
600V OR LESS
Main service 100 AMP OR LESS
5.00 e10
Main service EA. ADD -L 100 AMP'
2.50
NEW CO ST ( OWE
OR ADDNS. * A c c L L'LNGX?CZ_�4
., D
20 sq it
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Bus I ness
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 CONSTR ULTI-OUT L -E
NON . RESID. (MBRANCH- CIRCUITS) 2.50 ea
NEW_CON,STF;L PO ER APPARATUS.&)
NON RES 0. ( SINWGLE OUTLET CIR
Ex. Occup(OUTLETS OR FIXTURES 50 @ 25c
BAL @ 112�
FIXED APPLNS. OR I
Ex. Occup.(OUTLETS (RESIO.) EAJ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 6.25
Permit Fee $ M1,70
Contractor
MECHANICAL PERMIT
FilingFee J407.00
WORKMEN'S COMPENSATION INSURANCE
1 declare Under penalty of perjury (check one):
F—] The permit is for $100.00 (valuation) or less.
Ej 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.
1242" 1 shal I not employ any person in any manner so as to become subject
L43' 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 3,1 a 49a
5__V0
(�r A- 5
Cooling EVA -P
5�00
Hood
2.01; 3�00
Ventilation
Permit Fee
$ ?_3.od
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 ot
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 ',ou�4 in conseqt4enc o f the granting of this per
,9 ��
X Date
Signature rf Applicant — Owner YJ Contractor E] Agent 2r
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 $
L.and Development Fee $
TOTAL PERMIT FEE s �973,7_-o
occ
k..GROUP
TYPE OF' CONST.
I _
V N
PARC
I �T
""
g,-�
SS E
I 'SS
L�--
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTO IF PUBLIC
By
PERO" E'PIRE'S Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No. q-2-10 Z
WHITE-D.P.W., YEL LOW- ASSESSOR, PINK -INSPECTOR. GOLDENROD-APPL I CANT
RESIDENTIAL PLAN CHECKING GUIDE
(S.F., DUPLEX, & MISC. ONLY)
Bldg.
OWNER V 9j, If'J , e, A. P.
A. GEURAL
oning requirements (sideyards and parking).
Va
luation.
�<Signature by R.C.E. or Architect (if required).
B. PLOT PLAN
Complete parcel size and dimensions.
Setbabk*, sideyards, easements, etc.
Other buildings or structures.
Grading, fills, drainage.
Permit #
# Z�2-
1 0. .
e- V-
C. FLOQW0hAN
. Complete to scale plan with dimensions.
.,2o* Required windows for light and ventilation (Sec. 1405).
Required windows for second exit (Sec. 1404).
;or Allowable glazing for energy requirements (20% max. per.State law).
>o` Human impact glass (Sec. 5406).
P
yequired room sizes, ceiling heights (Sec. 1407).
,;<_G.F.C.I.'s in baths and exterior outlets (Sec. 210-8).
Light fixtures, switches, receptacles, and exterior receptacles for maintenance of
op_�echanical equipment.
Locations of water heater, heating & cooling equipment, other electrical or gas
equipment, and plumbing fixtures.
>k Garage firewall, door size, and closer (Sec. 503(d)(4)).
1 - 3'0" exterior exit door (Sec. 3303d).
��.ireplace location.
Z��_molrc detectors (Sec. 1413).
D. STRUCTURAL DETAILS
,I-"- Foundation plan complete enough to construct building.
Floor construction details complete enough to construct building.
Elevations -and wall construction details complete enough to construct
Roof construction details complete -enough to construct building.
Fireplace construction details and calcs if over one-story in height.
-6-" Sufficient data and details -to satisfy energy insulation requirements
E. MISCELLANEOUS ITEMS TO LOOK OUT FOR
CCX plyi-yood on exposed locations and overhangs.
Stai_rUay details (See. 3305).
K,
Cuardfail detnils (Sec. 1716).
Brich or stone veneer (Chapter 30).
Ex-E-erior plaster - weep screeds (Sec. 4706 & 4708).
r&.— Prope--,- --,-oof pitch for roof covering (Chapter 32).
,-7-- Rafter ties or bearing ridge beam.
--a- Garage door or porch header sizes.
,9-. Adequate bracing.
_P@:� Living area over garage - complete 1 -hour separation
Walls and posts, etc. t.
_.r .7o (2) ei-cits on three-story dwellings (Sec. 3302).
V TN
building.
(State law).
required including supporting .
7
4. 1 . -
rl)
d� - J�, 7 1 /0�
�er - ��
&,o o
pi
Aj$
P6
All
I
6 gz-- 7,$�
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive —J Orovil)e, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
k X 141 Ir -CA f�_ Date ///r 9
isignature of Permitee or Agent
Receipt No. -3007,S
White-D.P.W. — Yellow -Assessor — Pink -inspector — Goldenrod-Appli cant
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
Building permit expires Date
BUILDING
Owner /Y. I�T,
SO. FT. OCC. BUILDING VALUATION
Mailing Address/ YY I 12
I
7
Telephone No.
Contractor J
Mai I ing Address
Fireplace I
Total Valuat ion
Telephone No.
Permit Fee
Building Address
Plan Checking Fee &/or Penalty
Permit Fee $
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each TraD 1.50
Repair drainage or vent piping 1.50
A. P. No. �7 -C) f
J,4ianiLng'o& Planning
Water piping 1.50
Each gas water heater or vent 1.50
Fges' I
W C. I San I tati on,
FireDept.
FireZone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
IParking
Plans
Parcel
I Declaration
Parcel Map
I
60' R/W
I
I Improvements
Each additional outlet .30
Building sewer 5.00
Bldg�-Plans-Rec�d' I
Parcel AEprovol
Plans Approval
Lawn sprinkler system 2.00
NEW ADDITION UTILITIES OTHER
Permit Fee $
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 3,
Main service 600V OR L ESS
100 AMP OR UESS 5.00
Single Family Duplex Mobi I Home Others
Main service EA. ADD -L 100 AMP 2.50 -0
OVER 600V
main service 100 AMP OR LESS 25.00
Main service EA. ADD -L 100 AMP 1.00
NEW CONST. ( DWELLING OCCUP. 51
OR ADDNS. ACC.BLDGS. 120sqftm-
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:
N EW CO NST11_ (MULTI -OUTLET )I
N.N-RE S,., BRANCH CIRCUITS 12.50ea
NEW_CON,STP- (POWER APPARATUS & ,
NON RES D. SINGLE OUTLET,CIR. ,
50 @ 25q
Ex. OCCUD(OUTLETS OR FIXT 'RES)
FIXED APPLNS. OR %
Ex. Occup.(OUTLETS (RESID.) EAJ 2.001
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
151q 14 f'
I am exempt from the Contractors License Laws of the State of Californi a.
Permit Fee $
MECHANICAL No. @ FEE
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.001
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
Land Development Fee
$
TOTAL PERMIT FEE
I$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
k X 141 Ir -CA f�_ Date ///r 9
isignature of Permitee or Agent
Receipt No. -3007,S
White-D.P.W. — Yellow -Assessor — Pink -inspector — Goldenrod-Appli cant
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
Building permit expires Date
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Dreive' —" Oroville, California 95965
Telephone: 534-4541 4/�;11 i�s_ ���
APPLICATION AND PERMIT
authorize representatives ot the County ot Butte to enter upon the
above-mentioned property for inspection purposes.
YZ
Date
gignatutr�e of Permitee or Agent
Receipt No. — 5007Z
White-D.P.W. — Yellow-Asse5sor — Pink -Inspector — Goldenrod-Appli cant
Thi e it is hereby issued under the applicable provisions of
mil
tt
neB 1 re County Code and/or resolutions to do work indicated
f,
/abovID Vlo r W
ch t
iees have been paid.
I EQJOR OF PUBLIC WORKS
V
y Date
Building permit expires Date -5-OU
BUILDING
Owner
SQ. F T. OCC. BUILDING VALUATION
Mailigg Addressig/
62-0 'pa4, 47 2Z.0
Tel ephon e No.
4,po
Contractor 67
e e tri. a b
C4>
Mai I ing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building Address
PlanChecking Fee&/orPenalty
Permit Fee
1446W
PLUMBING No. @ FEE
JFI
16dzL,1- ty�!
PERMIT FILING FEE $3.00
Each Trao 1.50
I
0
Repair drainage or vent piping 1.50
A. P. No. a -1q,
`7 —3/
-
'+Z.n7nLgo& Planning
Water piping 1.50
Each gas water heater or vent 1.50
IFi re Dept.
—
Fi re Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
Parcel
Declaration
I Parcel Map
1 60' R/W
I Improvements.
Each additional outlet .30
Building sewer 5.00
1344g.—P +Wis R 'd
Approval
Plans Approval
Lawn sprinkler system 2.00
__Earcel
NEW ADDITION UTILITIES OTHER
Permit Fee $
$
ELECTRICAL No. @ FEE
k
PERMIT FILING FEE $3.00
Main service 600V OR LESS
=SS 5.00
100 AMP OR L r
Single Family —0 Duplex Mobil Home E] Others
Main service EA. ADD -L 100 AMP 2.50
OVER 600V
Main service 100 AMP OR LESS 25.00
Main service EA. ADD -L 100 AMP 1.00
NEW CONST. DWELLING
OR ADDNS. ( ACC. BLDGSO.ccup- 5) 120 sq f t
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:
(MULTI I
NEW CONSTR -OUTLET
N0..REr BRANCH CIRCU TS)l I L. 5LO e�a
NEW CONSTR. (POWER APPARATUS b
NON-RESID. SINGLE OUTLET CIR. J I
@ 25�
Ex. OCCUO(OUTLETS OR FIXTIIPES� r.OAL@100
FIXED APPLNS. OR
Ex. Occup.(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
!Yv,
ryI am exempt from the Contractors License Laws of the State of California.
Permit Fee
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions ot Sect, on3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
r-1 I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
lZI certify tha t 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 @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.001
Permit Fee $
$_-7-
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
Land Development Fee
$
TOTAL PERMIT FEE
$ 77-7
authorize representatives ot the County ot Butte to enter upon the
above-mentioned property for inspection purposes.
YZ
Date
gignatutr�e of Permitee or Agent
Receipt No. — 5007Z
White-D.P.W. — Yellow-Asse5sor — Pink -Inspector — Goldenrod-Appli cant
Thi e it is hereby issued under the applicable provisions of
mil
tt
neB 1 re County Code and/or resolutions to do work indicated
f,
/abovID Vlo r W
ch t
iees have been paid.
I EQJOR OF PUBLIC WORKS
V
y Date
Building permit expires Date -5-OU
A P 72
AGE a dF � 2
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2OVE9.SADDxE
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N�,yes
,�NG[E hNdXG GIRDED
S Ir -;r 4 P S7 -RA AS
• •. c«MvN yKG' zi'y M�
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lbls
set of plans and specifications MUST
- kept on the job at all times and it is un a
es or alterations on same r+lh'
make any thing -
rhe '
rrnission from`the Depa� . .
out written p� C&
Works, CCKOnty
Public
-F.J
aMh; $i+�
4 BUTTE COUNTY
Materials �orkm pi
07�--h►n �o nizad Good. pra��0.
N 404 BUILDING DEPARTMENT'
With R g r the $ c.e
^ccorda"Ge
prescribed for k M orncal C 64"
of a quaYty P p{umbing APPROVED
Uniform Buiiding, �l Com•
the National E►ectrK �► , / %l
I
A setback oft- from the
property lines and a setback of
50 ft, from the road
centerline shall be clear of
structures or equipment exorept
for a 2 ft. eave overhang. APQ
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y
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or �, r
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k
A P 72
AGE a dF � 2
P
#oosr'
oe
q Al No R COAlcr fr'F SLAP
h' o r ,,, os• oft**,
3
It spEEriHc
wfw2 X 9 16ilo �Nc�s�
EX . 3 T /N G
Ir f•
. � /�rErt 5
/G -D
F14,0 VE
EX/S r/^,C �5 T/lV G
.s N0 F�It/A/s
,EX CESS'
R.4)'rEe TA It
SCA��
A'O T M O P 0 qtr
P III
Y
D G d X
AMr- J -E
36 200
12 X8 ® 16,'oic ~Poo M010 eaEi2' �� 4Q
2OVE9.SADDxE
�.._� LANs g�i?CKEr jots r
N�,yes
,�NG[E hNdXG GIRDED
S Ir -;r 4 P S7 -RA AS
• •. c«MvN yKG' zi'y M�
$h Db'1-F �qsT -
rC
5/X6 POST
lbls
set of plans and specifications MUST
- kept on the job at all times and it is un a
es or alterations on same r+lh'
make any thing -
rhe '
rrnission from`the Depa� . .
out written p� C&
Works, CCKOnty
Public
-F.J
aMh; $i+�
4 BUTTE COUNTY
Materials �orkm pi
07�--h►n �o nizad Good. pra��0.
N 404 BUILDING DEPARTMENT'
With R g r the $ c.e
^ccorda"Ge
prescribed for k M orncal C 64"
of a quaYty P p{umbing APPROVED
Uniform Buiiding, �l Com•
the National E►ectrK �► , / %l
ti