HomeMy WebLinkAbout072-290-110110
i10
FFRANK BUCKLEY
Black Bart Rd, 8/10 mi E ofestown Rd, Or'ov lle
Permit #546--79E(temp power for
well) ` to —7 „
72-29-110
Contr : r'rarWorden Const , Mysv
Permit#148 F)
- - --
/-IRA 7
72-29-110
Pere 12807-82P(solar w/h for 1484-82 U
cloonntr: Ira Schumer, Yuba City
i
E
i
110
i10
FFRANK BUCKLEY
Black Bart Rd, 8/10 mi E ofestown Rd, Or'ov lle
Permit #546--79E(temp power for
well) ` to —7 „
72-29-110
Contr : r'rarWorden Const , Mysv
Permit#148 F)
- - --
/-IRA 7
72-29-110
Pere 12807-82P(solar w/h for 1484-82 U
cloonntr: Ira Schumer, Yuba City
i
3
L
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art
4
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-5467
PERMIT NO. 1484-82B P$-E$M
PERMIT EXPIRES
OWNER FRANK BUCKLEY
dr
CONTR. Frank Worden Const, Mysv
ASSESSOR PARCEL _ 72-29-110
LOCATION NIS Black Bart ,Rd, 3/10 mi: E.of
Forbes Rd, Oro
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E /V0FFS—
Temp. Gas Service
Called PG&E
-
JOB FINALED (Date)
Signature 110A�1*
J = OK
0 = Not OK
- = Not Applicable
* = Not Ready'
MOBILEHOMES
, ,rf
A%
L
MISCELLANEO"
Date
MOBILEHOME UTILITIES (Plans) OK except N's
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OF. oxcept N'
1. Zoning Requirements -Setbacks -Easements
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -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
Card -BI
Date Card -BI Date
Date Card -BI _ Date
Card -BI
Card -BI
Date Card -BI Date _
Date Card -BI Date
Date
MOBILEHOME INSTALLATION (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Date
POOLS (Plans) OK except N's
1, Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining__
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4. Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/O to Grade -HD Approval
7, Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
B. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghig.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
A
a
V=OK
0 = Not OK
Not Applicable '
= Not Ready RESIDENTIAL (Single and Duplex)
�
Date
UNDE OOR Plans OK except #'s
Date FRAMING (Continued)
o requirements -Setbacks -Easements
Main; Soils-SEeel-Elec. G nd / g. Depth
48.�epeotr- iM Firewall & Openings
t. Doors -One 3' -Check Garage -3rd story, 2 exits
age; Soils -Steel- / /" Ftg. Depth
airs; Width -Headroom -Rise -Run -Landing -Fire Protection
4. Ftg., Porches & Decks; Soils -Steel- / /" Fig. D pth
41,w_qod on Roof Overhang -Attic Vents -Rafter Outriggers
em , Main; Steel-Blockouts-Wrapped-
2 ing-Nailing-Veneer
emwalls, Garage; Steel-Blockouts-Wrapped ab
53. Stucc Mesh-DripScreed-Fdn. Vents-Underfir. Access
7: Steel
zing Area -Glass Protection -Skylights -Plastic
&,157W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
55--9hearitle}4s*Nailing-Bolts
9. Gas Pipe; Size -Anchors
C PC
ater Pipe; Test -Anchors -Regulator -Service Test
- zsC,AP /,� �C
11.-&Aa@4*iz-,1dnderground
�L S
12_4aWw=s & Ducts; Clearance -Material -Support -Ins.
13.Qirda tills -Anchor Bolts -Joists -Vents -Cripples
C -BI ate - and -BI Date
-
Card -BI a -.J-p rd -BI Date
Card -BI Date Card -BI Date
Cfifd-BI
ate ':::' rd -BI Date
Date FINAL (P s) OK except N's
Vw'Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
Date Card -BI Date
PLUMBING (Permit) OK except q's
Smoke Detector
_
14. -Access-Combustion Air
58. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
r Pipe; Test & Anchors -Nail Protection
U-"D.W.V.; Test-Fttngs & Anchors -Nail Protection
*.--Bedroom Exiting
17. Shower Pan; Test, First Floor -Tub Access
OV.-G.F.I. & Bath Fixtures & Tub Access
18. Test Tub & Shower, 2nd Floor -Tub Access
Size & Anchors
glec. Trim & Subpanel; Breaker Sizes -Labels
82 Stairs & Rails
_ _19.-euT124pe;
Fir place or Stove; Clearances -Hearth
6 lec. Outlets at Wood Panel; Int. & Ext.
C BI (c,_�ate
L J/-Yud-BI Date
• }Sit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
. Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTCAL Permit OK except p's
Garage Fire Door; Swing -Landing -Closer
d$--A-17-Duct in Garage -Damper
40,`Fe & Transformer Clearance -Ins. Protection
['� Wtr. • Vents -Clearance -Comb. Air -Connect .R.V:
rt rage; Above Floor-Mech. Protection
0
. Elec. Receptacles Spacing -Lights & Switches at Doors
Ib lec. &Mech. Equip. Listed for Location
ze Boxes & No. of Conductors
lec. Receptacles in Garage; (G.F.I.)-Romex Protec.
3. R_—Installed Close to Edge of Studs & C.J.
E round made up w/Mech. Fasteners�Qa�+ r�� ?
72. Dation-Foam-Looked in Attic
2 Appliance Circuits in Kitchen &Conductor Size
Guard Rails &Deck Construction -Post Caps
_
26. Subfeed Wire Size / ga. Cu or AI-A.C. Wire Size / / ga. Cu
AI
74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor Yes
27. Range Circ. /if434e. . u or Al,
Insu ated Neut I Yes ] No
75, Following instld.: Drive es E] No; Walks Yes E] o; N
Planters 2n Yes ❑ No
ervice-Riser Conductors & Ground -Main Disconnect
Brown -Finish
29. Equip. Clearances; Panels-Motors-Mech. Equip.
A.C..Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30. {'hnfies-ClcceFLight-Shower Light
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
—
79. Wat Well; Disconnect, Electrical, Plumbing
B-1 /Date��� Date
8 Exterior Elec. Trim; G.F.I. Receptacle -Underground
a 'dation throughout House
Card B -I
Date Card -BI Date
Glass Protection
Date
MECH AL (Perrnit) OK except N's
_
q,%,-C-orrections from Previous Inspections
84. G s Test -Meters Tagged; Gas -Electric
A.C. Ducts; Insulation &Support
W Wer & Sewer Connected -C/O to Grade -HD Approval
_
32. Vent Fan; Exhaust above Insulation8fiw-Energy
33. Condensate Drain & Overflow; Size & Grade
Compliance Certificate -Other Certificates
_
34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35. Attic Access & Platform if Furnace in Attic
Card -BI Dat - Card -BI Date
C BI
Card -BI
Date and -BI Date
—g'.�.�—�
Date Card -BI Date
Card BI a and -BI Date
Card -BI Date Card -BI Date
Comments at Final:
Date FRAMI Tans) OK except rs
it.S_ roper Material & Anchors
_ -_
3i_, suds -ailing, Spacing & Bracing -Plates_ -Sound
Baring —Walls --over Girders & Floor Nailing
raft op in Walls (rat proof)
__ ire Stops; Furred Ceilings -Stairs -Chases -Tub
_
4 ader & Beam -Size & Bearing
4 . angers -Post Caps -Anchors -_Connectors �
4 n oist-Rftr. Ties-Purlin-Roof Brac.-
��` / lace Ties or Type A Flue -Fireplace Throat
- - -
A�tt'�Access:Size & Romex Protection -Draft Stop -Ins. Baffles
4j/� m. Windows or Exiting Doors -Sill Hg L_& Dimensions -
age Fire Protection Framing
ji
—
(NOTE: An entry must be made each time youvisit jobsite)
-
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COUNTY OF -BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
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
matter, or need additional explanation" 'please contact this office immediately.
. ire' . a-�a.i� . .� P�ry � .�.«�►.�.
Inspector �% ✓ �--C�"�----Date
COUNTY OF BUTTE ►
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872 -2961 -Ext. 57
CORRECTION NOTICE +
Dir ! &A
z,.
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
matter, or need additional explanation, please contact this office immediately.
l��w 14-L( ' t .<ire-tomj�-.tet.
l-7-L/�C,,,�
P&
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A �A
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Inspector /����/Date
I
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751 _
7 County Center Drive, Orovi Ile — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
-54(Get F.
BUILDING
OR PROPERTY ADDRESS
n
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
matter, or need additional explanation, please contact this office immediately.
J
Ins ector/i� }' ` `��J��� Date��
P �
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4544
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57•
CORRECTION, NOTICE
&I Cit: I. k�,l
/ 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
matter r need additional explanation, please contact this office immediately.
>!"•npq-11V6,S/ Nfcl�-r %rA'77:4t/Q 11-117-0
Inspector Date - ";�
-4
E
RESIDENTIAL
1?NERCY CONSERVATION STANDARDS
CONSTRUCTION COMPLJANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS
AT Bl aak Rart RA . Orn.,; 1 l o
(location)
BUILDING PERMIT NO.-// A. P. N0.
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVFn PTATvc-
(Check each item or -write N/A if not -applicable)
INSULATION:
Slab Edge.
Extbbg Walls-CTJFG -11
Floors
ExtWalls CT/FG R-19
Ceiling/ j FG R_19
Duc t s
Circulating Pipes
APPROVED HEATER—
APPROVED WTR.IfrR.
GLAZING:
Single Glazed
Special (Insulated)
CERT. & LABELED WDS.
& SLIDING DRS.
WEAT1lElLST1tIP1'EU ARS . __
BACK DAMPERED FANS
INTERMITTENT IGNITION DE _ICES CERT. APPLIANCES
APPLIANCES
I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED
IN ACCOIDA14CE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO
THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED.
Insulation_Applicator.Name Hawkins Tneulerinn Co
o nC
Signature ofiPlea Vint)
IrInsulation Applicatoz,
state l.uutraCwrL
License No._ 378407
Genera Contractor Owner N cs
Signature (please print)
i
GeneraCO11tracto / ��� i; �� lr�.�. Date ,
State Contractors
� License No.
THIS CERTIFICATE MUST Zg ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO
REQUESTING FINAL INSPECTION AND S11ALL BE POSTED IN A CONSPICUOUS LOCATION
WITHIN THE 1X4ELLING.
d
COUNTY OF BUTTE -,DEPARTMENT OF PUBLIC WORKS
7 County Center Drivb - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
ERMIT NO.
a7-11
ASS E PA E UMBE
ZO ING
S
BU DING PERMIT
OWNER-
J
E EPHON.E
SQ. FT. O BUILDING VALUATION '
OWNER'S MAILING ADDRESS
C!r ACTOR'S E MA TELEPH0
r
1
CONTRAC R'S AIL G AD RESS
l a ^
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING AD DR s
Permit fee
$
BUI 1 G AD E
$ 0
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 L"J Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
t
TYPE OF WORK
New ❑ Addition ❑ emodeI ❑ Utilities ❑ r Installation ❑ Other
Describe work: W I � r
/ L/Z_
Permit Fee
$ Q
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service e011 DR LESS
100 AMP OR LESS
5.00
Main service EA. ADD'L 100 AMP
2;50
NEW CONST. DWELLING OCCUP.y\
OR ADDNS. ACC, BLDGS.
/ 20 sq
CONTRACTORS LICENSE LAWN
I declare under penalty of perjury (check one):
1
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. 32523t Classification C-36 SC yy
❑ 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
EW CONSTR '.OUTLET 2,50 ea
NON-RESID BRANCH CIRC ITS
NEW CONSTR. / POWER APPARATUS D)
NON-RESID. %SINGLE OUTLET CIR.
Ex. Occup OUTLETS OR FIXTURES g L@j
00
FIXED APPLNS. OR jj
EX. Occup. `O UTLETS (RESID.) EA./ 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 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.
f� 1 shall not employ any person in any manner so as to become subject
Imo' 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.
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
ag st said County i co sequence of the granting of this permit.
X /4) � - <�_2C)
w � Date u
Signature of Applicant — Owner t
g pp 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
HD
1590E
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
IRE 0 F PUBLIC
By
PERMIT EXPIRES Da ''
the applicable provi-
resolutions to do
fees have been aid.
p
WORKS
Date
Receipt No. % 1 r% `7 q
WHITE-D.P.W., YELLOW-ASSlS90R, PINK -INSPECTOR, GOLDENROD -APPLICANT
�l COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORK/41 PER IT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4 % ��
APPLICATION AND PERMIT /
ASSESSOR PARCI� FJgJM�E$y
ZON1N,d�
BUILDING PERMIT
OW
/.%�
TELEPH`HOONE
SO FT. OCC. BUILDING VAL TION7�
OWNER'S MAILING ADDRESS
. Od
I�y,j��//rpp 11�� /MM///,, ///n�aJ��
/`�R SVVO� W/t/.
�H [F�
l .rye
I f O
�C T` ACT�O^R'S MAI IN�G,.AADDOORESJ�,� `,� r
�✓ f 17L171V// 7(/%U,
Fireplace
pVtj.t7o
CONSTRUCTION LENDE -
NKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee `"f
$
ARC IT_ECT. OR ENGINEER
L�ly�E
Plan Checking Fee ��
$
Penalty
$
ARCHITECT O ENGINEER'S AILING ADD ESS
/fir
Permit fee
$ '
BUILPING ADDRE
N151 t314e et;�) alp /41,/G6- 'F, b
PLUMBING PERMIT
Filing Fee 10:00
Each Trap
�� 2.00 , 00
Repair drainage or vent piping
5.00
Water piping
L6,00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00 ,Q 0
Gas piping system 1 - 5 outlets
S1 0,9
USE OF STRUCTURE
SF DuplexM Mobilehome❑ Other
SPECIFY
Building sewer
.100
Lawn sprinkler system
5.00
TYPE OF WORK
New Addition❑ Remodel❑ Utilities❑ Installation[] Other❑
Describe work:
Permit Fee
$ a O
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service sOOV OR LESS
100 AMP OR LESS
c
.5-pq-
T00
Main service EA. ADD'L 100 AMP
2.50 L
NEW CONST. (DWELLING OC
OR ADDNS. 1 ACC. BLDGS.
/ 2d�gft
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 fpr�e and effect.
License No. 333 ZZ3 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
rNionWi.REs D R BRANCH CIRLCTiTS 2.50 ea
NEW CDNSTR / POWER APPARATUS h�
NON-RESID. %SINGLE OUTLET CIR.
50 @ 25¢
Ex. OCCUp OUTLETS OR FIXTURES BAL01
FIXED APPLES. OR
EX. Occup. (,OUT LETS (RESID,) EA, 2.00
Temporary service 10.00 ,
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $ .�
Contractor
MECHANICAL PERMIT
Filing Fee 1.0.00
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
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
Ori
Hood
3.00 dv
Ventilation
Permit Fee
S „�
Contractor
I certify that I have read this application and state that the above information
1s 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 li ilities, judgments, costs, and expenses which may in any way accrue
ag ' s id County in consequence of the granting of this p rmit.
-- / _� >
Date
Signature of Applicant — Owner
g pp ❑ Contractor Agent
An OSHA permit is required for excavation o er 5'0" d ep i n or construct-
ion of structures over 3 stories in height. 777��`��
Mobile Home Installation Fee $
TOTAL PERMIT FEE
occuP. GROUP
TYPE OF CONST.
PARCE
PD ND ISSUE
This permit is by issu rider
sions of th utte Coun C e and/or
work ind' ated a ove or hich
DIR R OF PUBLIC
By
PERMIT EXPIRES
the applicable provi-
resolutions to do
fees have been aid.
p
WOR
E if
Date
Receipt No. b
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -IN PlCTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
autnorize representatives of the county of tsutte to enter upon the
above-mentioned property for inspection purposes.
X Date
Signature of Permitee or Agent
Receipt No. -
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
Building permit expires Date
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mai I i ng Address
Telephone No.
Contractor
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building Address
Plan Checking Fee &/orPenalty
Permit Fee
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
A. P. No. '
Zoning 8 Planning
Water piping 1.50
Each gas water heater or vent 1.50
Fees
W.C.
Sanitation
FireDept.
FireZone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
Parcel
Declaration
Parcel Map
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
Bldg. Plans Rec'd I
Parcel Approval
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑
permit Fee $
$
ELECTRICAL No. @ FEE
-
PERMIT FILING FEE $3.00OR
LE
Main service 10000 AMP ORSLESS 5.00
Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service OVER 25.00
100 AMPP OR LESS O
Main service EA. ADD'L 100 AMP 1.00
NEW CONST.( OR ADDNS. ACCLLING BLDGS.CCUP. 6) 22sgft
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:
NEW CONSTR BRANCH CIRCUITS)
NON-RESID, ( BRANCH CIRCUITS 2.50ea
NEW CONSTR. (POWER APPARATUS E
NON-RESID. SINGLE OUTLET CIR.
Ex. Occuo(OUTLETS OR FIXTIIRES o L9ta
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
❑ I am exempt from the Contractors License Laws of the State of California.
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.
❑1 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 2.00
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
Land Development Fee
$
TOTAL PERMIT FEE
autnorize representatives of the county of tsutte to enter upon the
above-mentioned property for inspection purposes.
X Date
Signature of Permitee or Agent
Receipt No. -
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
Building permit expires Date
. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
Telephone: 534-4541
APPLICATM-AND PERMIT )
BUILDING
Owner
Mai I inAddress
SQ. FT. OCC. BUILDING VALUATION
a
Telephone No.
Contractor
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building Address ,:�
Plan Checking Fee &/or Penalty
Permit Fee
PLUMBING No.1 @ FEE
_
PERMIT FILING FEE $3.00
Each Trap 1,50
Repair drainage or vent piping 1.50
A. P. No. / (J
oning 8 Planning
Water piping 1.50
Each gas water heater or vent 1.50
s
S
FireDept.
Fire Zone
Use Permit
Gas piping system 1 -5 outlets 1.50
EQA
I Parking
Plans
Parcel
Declaration
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
Bidg-Pla, r Ruvld'
a Parcel Approval
Plans Approval
Lawn sprinkler system 2.00
NEW ADDITION ❑ UTILITIES ❑ OTHER
Permit Fee $
$
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 r4o
Main service 600V OR LESS
100 AMP OR LESS 5.00
Single Family ❑ Duplex ❑ Mobil Home ❑ Others
Main service EA. ADD'L 100 AMP 2.50
Main service OVER 000V 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW CONST OR ADDNS. ACCL,BLDGS.LING S� 2¢Sgft
-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 le of:
Y
CONSTCCUP,
NEW NON-RESIESID. MULTI.OUTL T
� BRANCH CIRCUITS/ 12.50ea
NEWCONSTR. POWER APPARATUS d
NON -RESID, SINGLE OUTLET CIR.
Ex. Occuo(OUTLETS OR FIXTIIRES BAL99
Ex. OCCU // FIXED APPLNS. OR
p•(OUTLETS (RESID,) EA) 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.
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
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.
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.
X Date0—s-"?
Signatul of Permitee or Aga
Receipt No. �,a
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
Permit Fee $ o $
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 1 2.00
Permit Fee $ $
Land Development Fee $
TOTAL PERMIT FEE $
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.
DIRE R 9F P LIC WORKS
By Date—?7�7
�?
Building permit expires Date _ %�`�