HomeMy WebLinkAbout072-280-024PUa G fl;r 72-28-24, 2�
Thomas P. Dunlap
W/S pri.rd.,app.1200'off SIS Stringtown
Rd.,app.l2 mi.E.of Hurleton Rd., Oro.
Permit #670-77B(new single family)
07.2=280-0253. 'PERMIT#98-2915.4 `-
MURRAY, Wiley
162 Maidu Run, Oroville
Cont: Greene & Son Roofing
Reroof/SFS/,(f1tL 31 1?
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2q425
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r 072-280-025 PERMIT#98-2915
MURRAY, Wiley
162 Maidu Run, Oroville
Cont: Greene & Son Roofing
Reroof/SF
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-754 - -,PERMIT No.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
Aff--?80.--025
ZONING
BUICDING PERMIT
OWNER
WILFI' MURRAY
TELEPHONE
584-3913
SO. FT. OCC. BUILDING VALUATION
/� /�
17 60 020
OWNERS MAILING ADDRESS
162 P'ATT)TT RTTN
CONTRACTOR'S NAME
"IM GRP.E.NV SON ROOFING
TELEPHONE
873--3940
CONTRACTORS MAILING ADDRESS
PO WIX 2467. PARADT17 0A 95967
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
27.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDINGADDRESS /;16 /Vtf
1. �1Tt,T
Energy Plan Checking Fee $
PERMIT FEE $
- G7 (tf1
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF O'xbuplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 0T
Describe Work: RFR04)OOF 17 � CQ IP
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
920.00
PERMIT FEE $
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 2'0 oa mss
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
i , /
License Class — Lic. No. .9 `7 a:5 +
OWNER -BUILDER DECLARATION I
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:Tem
❑ I, as owner of the property, or my employees with wages astheir sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING UP.
OR ADDNS. ( a Acc. BLD S.
so
3.5¢Fr:
N ONS . MULTI.OUTLET
NON•RESID.
97.50
POWER APPARATUS
a SINGLE ounEr cIR.
Ex. OCCu OUTLET OR FIXTURES
200 1.00
BAL @ .50
Ex. Occup. OUTIEOTg pEg=.OERA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE $
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
A6[ 1 have and will maintain workers' compensation insurance, as required by Section
/ 3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier �� l e4 -01 Q /I A%,4
Policy Number 42-15 — 411*W 23 Q
(The above sections need not be comptete If the permit Is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply Ith those provisions.
X -f-la-rtA.__ Date ��—
Signature of Applicant - ❑' Owner � Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction H
of structures over 3 stories in height.
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $ 47.00
HAz.
D. FEEs IMP
FLOOD
COF
PARCEL
PD
I HD
I ISSUE
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.
B �� /r�" Date12/21/4R
14&1
y �!�! A v v
12/21/99
ERMIT EXPIRES ON
Dere
ReceiptNo.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
-COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISIO
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 PEWIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
03X0*,_f--280-025
ZONING
BUI ING PERMIT
OWNER
14ILEY HURRAY
TELEPHONE
589-3913
SO. FT. OCC. BUILDING VALUATIC N
17 60 020
OWNERS MAILING ADDRESS
162. MAI1)U RUN
CONTRACTOR'S NAME
HHHE GREENS SON ROOFIJdG
TELEPHONE
873--3940
CONTRACTORS MAILING ADDRESS
PO BOY 2467 PARADISE CA 95967
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $27.00
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee $
BUILDING ADDRESS In
TAT
Energy Plan Checking Fee $
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF [TyDuplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 9v
Describe Work: REROOF 17 SO CQ --!P
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home IS I G I WF
@20.00
PERMIT FEE $
ELECTRICAL PERMIT
Fling Fee 20.00
a00V OR LESS
Main Service 200.OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in fuJ force and effect. �y
License Class —3 Lic. No. lid. �/
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
Aperformance of the work for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insure a care r and policy number are:
Carrier � "% .Q zV_
Main Service 200A TO 1000A 46.00
NEW CONST. DWEwNG OCCUP. SO
OR ADONS. ( y ADC. S.3.545
Npµgalp T.MUL_HCV.LET
97,50
aPON1.EiB o �T IC A.
Ex. Occup. ourLET OR FIXTURES
20 Q 1.00
B4L @ .50
Ex. Occup. OPUTLEEDTS RMD.D-R. 5.00
Temporary Service
23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE S
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt $
Policy Number _/i%_ a13' 7 3 A �=�
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply dh those provisions.
X Date I
/���� ��
Signature of Applicant - Cf Owner JM Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height. r
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 47.:)0
wu.
I D. FEES IMP
I FLOOD
CFF
PARCEL
PD
HD
6SUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above foryho fees have been paid.
Aq
1.2/21/98
By Date
PERMIT EXPIRES ON 12/21/99
I Date
Receipt No. 4
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
PERMIT NO. 670-77B r
PERMIT EXPIRES
OWNER Thomas P. Dunlap
CONTR. owner
LOCATION (A.P. 72-28-25& 24
W/S pri.rd.,app.1200'off SIS Stringtonjg:Rd.,app.
]�g.mi.E.of Hurleton Rd., Oro.
(��.
Temp. Power Pole l�' c—
Called PG&E 77 _
Temp. Elea Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
. / JOB
JOB
(Da )
(Signature)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd) PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapet
1st Floor
-off
Main Bldg.
Restroom Finish
2nd Floor
Footings `
t✓ Windows T5 -
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing 6-y
Sewer
Garage IFFdn.
Vents 4
Fixtures to
Footings
Garage Vents
Water Htr.
Stemwall
Insulation sze
Heaters
Slab
Prov. for phslcally
Appilances
Carport
p
handica e.
Conformance of ex.
Gas Piping & Test
Footings
structure
Temp. Gas
—
Slab
Final 1
Sanitation
o 0 -A&P S(GAA
Patio
FIREPLACE
Final
-7
roq/ 'Footings 7-1 C
Footing
ELE TRI AL
MasonryWalls
Throat
Rou
Reinf. Steel
Final ��� ��
Fixtures
Bond Beam
FIR SP NKLERS
Motors
---��
Framing
Test
w��e. urs
.. - S-�51r C. J
Brown
Finish
Interior Latl
Door Closer
MOBILEHOI
Water Pipina
inal
Cool
I Final {p
IES ------------------ Elec_ Service
Sewer
MECHANICAL Grd. Fault Prot.
��01
Service
Temp. Pole 7 7
a;I If '7 2 420\— Underground
Permanent
Final
Elec. Pedestal
Gas Piping
Elec. Continui
Water Piping Drainage Gas Piping
�-q�
DATE REMARK OR CORRECTIONS
F- CAD;, IE Ujv De'eFt-0 a /C ---
IDE MQe-/, CL,99Af.: ' O F -44 -kW
C -1-F-41, CdMVDPc-#—'
• c� ,�D � A-c��.. T�`3- .oro ev/.aT�K- /�7- �Po�?" .ee�o�'
0,< r -L) � P
lbw.
711 77
(NOTE: An entry must be made on this form each time you vislt the job site.)
Owens-Corning
Fiberglas
Insulation
The manufacturer recommends installation as follows to achieve
.the stated thermal resistances (R values)
Blanket
Insulation
(Complies with Fed.
Spec. HH -1-521E)
minimum
to obtain an installed
insulation thickness
R of: should be:
R-22 6%"
R-19 6"
R-13 3%"
R-11 3%"
Blowing
Wool
(Complies with Fed.
Spec. HH -1-1030a type 1)
per ASTM C-687 & C-236
Statements of Compliance
Batts/Rolls have been installed in
accordance with th/� above to
provide an R of 71 in ceiling areas,
''
in exterior walls, and �in
floors or crawl space perimeter
date '-7—IX-77
installed
e
BlowiWool has been installed in ceiling areas
in accordan with the above to provide an R of
using, s of insulation to cover
net sq. ft. of area
(company name)ii / /signiTturebuilder,
(company name) signature
_ �%ire. ► � � — -��'� _ ���►t<�..r�./i,,%
i
r
OWENS/CORNING
OWENS-CORNING FIBERGLAS CORP.
Home Building Products Division
16 -BL -6558-A Litho in U.S.A., May, 1975 Fiberglas Tower, Toledo, Ohio 43659
minimum
The weight per
bags per ,
maximum
minimum
sq. ft. of installed
1000 net
netcoverage
to obtain
thickness
insulation should
-sq. ft.
per bag
R* of:
should be:
be not less than:
should be:
should be:
R-30
13%"
0.768 lbs. per sq. ft.
30
33 sq. ft.
R-22
10"
0.558 lbs. per sq. ft.
22
45 sq. ft.
R-19
8%"
0.489 lbs. per sq. ft.
20
51 sq. ft.
R-11
5"
0.279 lbs. per sq. ft.
11
90 sq. ft.
per ASTM C-687 & C-236
Statements of Compliance
Batts/Rolls have been installed in
accordance with th/� above to
provide an R of 71 in ceiling areas,
''
in exterior walls, and �in
floors or crawl space perimeter
date '-7—IX-77
installed
e
BlowiWool has been installed in ceiling areas
in accordan with the above to provide an R of
using, s of insulation to cover
net sq. ft. of area
(company name)ii / /signiTturebuilder,
(company name) signature
_ �%ire. ► � � — -��'� _ ���►t<�..r�./i,,%
i
r
OWENS/CORNING
OWENS-CORNING FIBERGLAS CORP.
Home Building Products Division
16 -BL -6558-A Litho in U.S.A., May, 1975 Fiberglas Tower, Toledo, Ohio 43659
COUNTY OF BUTTE —, DE,PARTMENT' OF PUBLIC WORKS
7 County Center Drive — Orovi lie, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
autno a re sentat)ves of C;ounty of Butte to enter upon the
abov menti property fol in ection purposes.
X w ��7a -
Date
SignatuWofermGit or AgentReceipt No.o
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.
DWI'
ECTO OF PUBLIC WORKS
By z Date —2G' —
-Bt+i�d+ng-permit expires Date
BUILDING
OwnerSQ.
FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor kt J
Total Valuation
Mai I i ng Address R6 r( 1�
Permit Fee
Plan Checking Fee &/or Penal ty
r U11
Tele ho_�
�
Permit Fee $
Building Address M&O/
'
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00 369v
,S r r
Each Trap 1.50
/-
Repair drainage or vent piping 1.50
Water piping 1.50 Q
Each gas water heater or vent 1.50
/S
A. P. No — $'.. G 2�
Zoning 8 Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fee IfW.
ire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Im rovements
P
Lawn sprinkler system 2.00
c
Parcel Approval
Plans Approval
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Z
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE $3.00
G/►�,�
Main service 1000 AMP ORV OR LESS5.00
Main service EA. ADD'L 100 AMP 2.50
Single Family ® Duplex ❑ Mobil Home ❑ Others ❑
Main service OVER 600V
100 AMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW OR ADDNS%// CONST,DWEACCLBLDGS.LING CCUP. &) 22sgft
NEW CONSTR. MULTI -OUTLET
NON.RESID. ( BRANCH CIRCUITS) 2.50ea
NEW CONSTR. (POWER APPARATUS .&)
NON-RESID. SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of 'fornia usiness & Profes ' ns Code unde he name
style of:
%' �� (((��� r
Ex. Occup(OUTLETS OR FIXTURES) BALD;
EX. OCCU FIXED APP LNS. OR
P•(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
oe
License N Classification
Misc. Wiring 6.25
❑ 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
Kf Workmen's Compensation.
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.
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 OrdinancesTOTAL
and Sfa maws relating to building construction, and herebyPIZ
PERMIT FEE
$ �,$�
autno a re sentat)ves of C;ounty of Butte to enter upon the
abov menti property fol in ection purposes.
X w ��7a -
Date
SignatuWofermGit or AgentReceipt No.o
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.
DWI'
ECTO OF PUBLIC WORKS
By z Date —2G' —
-Bt+i�d+ng-permit expires Date
is COUNTY OF BUTTE — DEPARTMEN'T'Ol't PUBLIC WORKS
7 County Center Drive — orovi lie, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
authwizu reNreseniailves of the County of butte to enter upon the
above-mentioned property for inspection purposes.
X '.ate o�
Signature of Permite //r Agent
Receipt No. J d Vb 0 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 be aid.
DIRECTOR F UBLIC WORKS
By Date
B ding permit expires Date -a— Z - %�
BUILDING
G'--�
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address —
A
Telephone No.
Fireplace
//]]
Contract �.Lr�C�C�J.
Total Valuation
Mailing Address
Permit Fe e
Plan Checking Fee &/or Penalty
/ Te�leph�
Permit Fee $
Building Address
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
n
/r
Each gas water heater or vent 1.50
�7
A. P. No. — �(�— �L oz
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
FWW..
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Improvements
provements
Lawn sprinkler system 2.00
'B'dw. P'... .c'd
Parcel Approval
Plans Approval
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER �
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 ,
�
C,
Main service i°o°o AMP ORV OR LESS5.00
Main service EA. ADD•L too AMP 2.50
Single Family Duplex ❑ Mobil Home ❑ Others ❑
OVER 600V
Main service 100 AMP OR LESS 25.00
Main service EA. ADD'L 100 AMP J 1.00
NEW CONST. DWELLING OCCUP. �^
OR ADDNS. ( ACC. BLDGS. 2¢Sq ft
NEW CONST. MULTI -OUTLET
R
NON-RESID. BRANCH CIRCUITS) 2.50ea
NEW CONSTR. POWER APPARATUS &
NON•RESID. (SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
st oEx.
• /
` c_,
0@ 25o
Ex. Occup(OUTLETS OR FIXTURES 104
Occup ( FIXED APPLNS. OR
OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
g,0 zA2_-
License No. 42 6, �-3 Classification �--.��%
Mobile Home Facilities 15.00
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$ C
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
LAJ 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.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00,
Heating 3 M 13 TLC•
Cooling .3 z, &4.t,
Ventilation
Hood 2.00
Permit Fee $ / SO
$
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
$ SC% 70
authwizu reNreseniailves of the County of butte to enter upon the
above-mentioned property for inspection purposes.
X '.ate o�
Signature of Permite //r Agent
Receipt No. J d Vb 0 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 be aid.
DIRECTOR F UBLIC WORKS
By Date
B ding permit expires Date -a— Z - %�
COUNTY or BUTTE
DEPT. 0,= PUBLIC WORKS
MAR 2 1977
pu
718,91101ll,Lglle2,314,a6l
48
V. COUNTY'OF BUTTIr — .DERARTMENT OF PUBLIC WORKS
7 County Center Drive — Droville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
(070-7%
C�
auinunce representativesof me unty of tsutte to enter upon the
above -me ioned property for ins tion pu oses.
' Date 'Z 77
Signature of Permmitee or Agent
Receipt No..I��(7��
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
din�per �Rexp�iresate
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
O 0-0
Mailing Address
3
C-
Tele hone No
�� `I
Fireplace Q
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee $
Building Address
PLUMBING No.1 @ 1 FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
' hAAi
Repair drainage or vent piping 1.50
Water piping 1.50
Zoning Verificatt Only
Each gas water heater or vent 1.50
A. P. N — �— —
i"9
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fes
W.
Sa i on Fire Dept. Fire Zon Use Permit
Building sewer 5.00
EQA
Parking Parcel
Plans Declara 'on
parcel Ma P
60' R/W
Improvements
P
Lawn sprinkler system 2.00
F::�
Bldg. Plans Recd14r arcel Approval
Plo provaI
Permit Fee $
NEW ADDITION ❑ UTILITIES ❑ EJ
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 100 AMP OROR LESS5.00
Main service EA. ADD'L 100 AMP 2.50
Single Family01 Duplex ❑ Mobil Home ❑ Others ❑
Main service OVER 00 AMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. DWELING
OR ADDNS. ( ACCLBLDGS CCUP. &) 20sq ft
NEW CONSTR. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS) 2.50ea
NEW CONST. (POWER APPARATUS &
NON- R
RESID. SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Ex. Occup(OUTLETS OR FIXTURES)��
BAL@1
Ex. Occup. (OU LETS P(RESID )FIXED APLNS.REA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
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 plac@d on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
149I 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.1 @ I FEEPERMIT
FILING FEE J$3.00
Heating
Cooling
Ventilation
Hood 1 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
4 OAOZ
TOTAL PERMIT FEE
$ 6e
auinunce representativesof me unty of tsutte to enter upon the
above -me ioned property for ins tion pu oses.
' Date 'Z 77
Signature of Permmitee or Agent
Receipt No..I��(7��
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
din�per �Rexp�iresate
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