HomeMy WebLinkAbout072-310-03272-31-32 ,A, -40 _ 0 34Z
�0,
h` C. & Nancy M. Capitolo r4WS Po ,cell Ridge Rd., app.1000'of
FLumpkin Rd.
Pemit #3688--78B,P,E,M(new single,.
family) 7,(11 .
72-313 2
i7
'Permit #4431-79B(lst renewal/
3688-79)
72-31-32 r
ermit#=3850-8OB (`2nd renewal/3688
78
72-31-32
contr: John S. (ppedge, Oroville
Per 't 4,185`4+- 1B(n w pri.det.garage)
72-31-32 _
/l7 /
Contr :._Fox ,Electric ,, Oroville.
permit# 2319-81E(ele/1894-81)
I h 72_31-32
____T7
t3688-
Permit#2815-8;B(3rd renewal/
072-310-032 PERMIT#941 1523 ro -
-RHONE , HANK..-.'�. = {
97 POWELL RDIGE RD., OROVILLE �
CONT; GEORGE ROOFING- G q
REROOF%SF, u
k
I
T
�s
-� N c�
� ��
t
rnr^s ---v ---^•r.+.r+n.�u.r-•-.-...yrs.rs.�+� 1�t P'�f1f'-Wyq".%..w"T'
r.
a
i .
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
a- — 7 County Center Drive - Oroville, Cali?Ornia'95965 - Telephone (916)-538-7541 'PERMIT NO.
APPLICATION AND PERMIT /sem
ASSESSOR PARCEL NUMBER
s
ZONING
BUILDING PERMIT '
OWNERQQ
C.
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S AILI GADD ESS
CO�+•TRACTOR'S NAME
l
TELEPHONE
CON A TO R'S AILING ADPRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation
LENDER'S MAILING ADDRESS
~
Filing Fee $ 20.00
Permit Fee $ raJ
ARCHITECT OR ENGINEER
uCENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS /4,
to (/w
PERMIT FEE $ 359,00
,, 0�0► l e , L I
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
✓ ' ' t
Solar or'heat pump'water heater ' ' 23.b0'
Water piping 15.00
LOT NO.
SUBDIVISION'S NAME
RCEL MAP
Each gas water heater or vent 15.00
USE OF STRUCTURE
1-
�SFk1 Duplex O` Mobilehome El Other `
��## � SPECIFY
Gas piping system 1 -C,5 outlets 15.00
Building sewer 15.00
Mobile Home S G W @20.00
TYPE OF WORK
'NPEjfiMIT
NeO Addition ❑ Remodel ❑ Utilities ❑ Installation ElOthe
/ / yy�� J
'Describe Work: -/ �� •- 7vri7�- r r(_r 7L A-ki 9,5 /Z7L
FEE $
Contractor v
ELECTRICAL PERMIT Filing Fee 20.00
T�
Main Service ( 800VORLESS ) r 23.00
200A OR LESS
Main Service ( 200A TO IOOOA ) 4-46.00
•
NEW CONST. DWELLING OCCUR
OR ADDNS. ( & ACC. OLDS. ) 3.5C FSTO,,
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
J I am a licensed under provisions of Chapter 9, Division 3 of the Business and
`Professions Code and my license is in full force and effec
t, i
License No. 7` n�L� cJ Classification V
❑ I, as the owner, or my employeesrwith wages as their sole compensation, 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 contractors. (Sec 7044)
❑ 1 am exempt under Sec. Business and Professions Code
r61111110forthis reason
NEW CONST, MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS ) @7.50 e*
( POWER APPARATUS )
aSINGL.OUTLET CIR. f
Ex. Occup. (OUTLET OR FIXTURES ) OAL. @x_0500 -W,
Ex. Occu FIXED APPLNS. OR a
p• ( OUTLETS (RESOD.) EA. ) ?I 5.00
a
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00 '
WORKER'S COMPENSATION INSURANCE p ,
1 declare under penalty of,perjury (check one): y , , „
❑ This permit is for $100.00•(valuati0h) or less." " (
I have placed on file with the County of Butte Dept. of Development Services,
Building Division 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 Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
` PERMIT FEE $
Contractor. ,_ r
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Contractor
1 certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte Count Ordinances and California State Laws relating to
building construction, and hereby a�thorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes. Q
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 i consequence of the granting of this permit.
X % ,► �/ ate -�
Signature of Applicant - ❑ Owner, ❑ Contractor Agent
e .
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 3
HAZ.
1 D. FEES
I IMP
I FLOOD
I CDF
I PARCEL I PD
HD
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.
DIRECTOR OF PUBLIC WORKS
�, �f
By /4 .�'4'f `" q 'r'l I Date
/Ll5
PERMIT EXPIRES ON
(Date)
Q �j
Receipt No. 6-31'f q Y
WHITE-D.D.S.-B.D. CANARY -ASSESSOR ' PINK -INSPECTOR GOLDENROD -APPLICANT
0
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, Califdrnia 5#965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT -
ASSESSORP ELN BERZONING
s
BUILDING PERMIT
OWNER el
SO. FT. OCC. BUILDING VALUATION
OWN R'S LI G ADDRt
CO ACTOR'S AME
TELEPHONE
CO T fl'S AILING AD RESS 1
/
Fireplace
CONSTRUCTION LENDER
UNKNI1WN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $ 20,00
Permit Fee $ z�
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESSPERMIT
FEE $
II // __
\ I �� le (V7.00
PLUMBING PERMIT Filing Fee 20.00
Trap t 7.00
Solar or heat pump water heater 23.00
Water piping 15,00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Each gas water heater or vent 15.00
USE OF STRUCTURE
SF Duplex O Mobilehome O Other
SPECIFY
Gas piping system 1 5 outlets 15.00
Building sewer 15.00
Mobile Home S G W @20.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities IDInstallation CIOthe
DescribeWork: ���TL 5 /
PERMIT FEE $
Contractor
ELECTRICAL PERMIT Filing Fee 20.00
- _
Main Service I BOO' OR LESS I 23.00
2ODA OR LESS
Main Service I 200A TO 1000A I 46.00
NEW CONST. DWELLING OCCUP. so.
OR ADONS. ( a ACC. BLDS. I 3.50 FT.
NEW CONST. MULTI.OUTLET
NON-REs10. ( BRANCH CIRCUITS I @7.50
CONTRACTORS LICENSE LAW
I dgcJare under penalty of perjury (check one)
I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Co a and my icense is in full force an effec
License No. Classification C--3
❑ I, as the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044)
❑ 1 am exempt under Sec. Business and Professions Code
forthis reason
( POWER APPARATUS I
8 SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES I B2 @1.00
50
Ex. Occu FIXED APPWS. OR
p' (OUTLETS (RESID.1 EA. I 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
This permit is for $100.00 (valuation) or less.
1 have placed on file with the County of Butte Dept. of Development Services,
wilding Division 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 Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT Filing Fee 20.00
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 Butte County Ordinances and California 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 i consequence of ;th/eanti of this permit.
X ate a ''
Signature of Applicant - ❑ Owner ❑ Contractor Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $
HAZ.
D. FEES
IMP
FLOOD
I CDF
I PARCEL PO
HD
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.
DIRECTOR OF PUBLIC WORKS
Date
PERMIT EXPIRES ON s
! g
IDatel
Receipt (� �7
WHITE-D.D.
WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
13
COUNTY OF BUTTE
BUILDING DEPT
MAY 3 1 1994
vy
r 813-
PERMIT N0.
3688-78B,P,E,M
,
PERMIT EXPIRES
OWNER John & Nancy Capitolo
'
CONTR. owner
LOCATION (A.P. 72-31-39
W/S Plwell Ridge Rd., app.1000'off Lumpkin
Rd., Orov ille
Cij -/V�"
axA
la w,1-4
F
�t Temp. Power Pole
Called PG&E
Temp. Elec. Serv. O
Called PG&E
Temp. Gas Serv.
+ Called PG&E
JOB L / 74- 4,
FINAL D
(Date)
(Si na t ure)
•4 . I
r
i
mesn MECHANICAL Gird. Fault Prot. L ��
Scratch HeatingService
Brown Cooling Temp. Pole
Finish Ducts .14�40-%,_,J Underground
Interior Lath Ventilation Permanent
Door Closer Final 3 '" Final i.
MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal
Water Piping Sewer Gas Piping
MOSILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE % `�� REMARKS OR CORRECTIONS
10 V 11 ISO
Ae
& ale. Oar aaa1z.J
(NOTE: An entry must be made on this form each time you visit the job site.)
f
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING
BUILDING (Cont'd)
PLUMBING
Setback -
20'�,p4—�
Firewall
Soil Piping
Forms
Parapets
1st Floor
CPO
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
StemwaI l
Siding
To out
Slab
Roof Sheathing
Water PI In
Piers
Roofing 25
Sewer
Garage
Fdn. Vents -
Fixtures
"f % i
Footings
Stemwa I I
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
p
Footings
Prov. for phsically
handica edy
Conformance of ex.
structure
Appliances -
Gas Piping &Test
Temp. as
Slab
Final
Sanitation
Patio
FIREPLACE
FinalFootings
Footinq
ELECTRICAL
Masonry Walls
Throat
Rou h
Relnf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Framing
Test
Water. Htr.
mesn MECHANICAL Gird. Fault Prot. L ��
Scratch HeatingService
Brown Cooling Temp. Pole
Finish Ducts .14�40-%,_,J Underground
Interior Lath Ventilation Permanent
Door Closer Final 3 '" Final i.
MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal
Water Piping Sewer Gas Piping
MOSILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE % `�� REMARKS OR CORRECTIONS
10 V 11 ISO
Ae
& ale. Oar aaa1z.J
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUYTE - D•EPAR.TMENT OF PUBLIC WORKS
t rk, 7 County Center Drive - Oroville, California 95965•- Telephone 916/534-4541
;►- APPLICATION ANb PERMIT
PERMIT N0. ,
42
r d�/
ASSESSOR PARCEL NUMBER
12— 3/-- 3Z
ZONING
Z s/f-
BUILDING PERMIT
OWNER
,/fl/W
�
L PHONE
SO. FT, OCC. BUILDING VALUATION
II LLIII SS J
OL ���qF��p��/���JQ [� /
CONTRACTOR'S NAME �(� �JTELEPHONE
VV �V �C�
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LEND -
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee ?i
$
ARCHITECT OR ENGINEE
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUIL ING A��ppRES
Gl/,S i�G_ /1) E
PLUMBING PERMIT
Filing Fee 10.00
C�AllX61
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 [E Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition ❑ Remodel �U—t�i�li/ties ❑ Installati ther
Describe work: tom. iV,4G Q� ��
Permit Fee'
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OR00V ORSLESS
5.00
/✓jr�f ..... 30SD r�O
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. /DWELLING OCCUP.0)
OR ADDNS. \ ACC. BLDGS.
225q it
CONTRACTORS LICENSE LAW
'
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the BUSI
ElneSS
and Professions Code and my license Is In full force and effect.
License No: Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CON5TR I.OUTLET 2,SOea
NON.RESID BRANCH CIRCUITS)
NEW .CONSTR /POWER APPARATUS .6
NONR ESID. ISINGLE OUTLET CIR , /
EX. Occup OUTLETS OR FIXTURES_ BAL@1
00
IXED APPLNS, OR
Ex. Occup.�OUTLETS (RESID.) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing 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.
JK 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
aga' st s id County in consequence of the granting of this permit.
X Date 7 ��� s r
i ature of Applicant — Owner Contractor ❑ Agent
n OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 33 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE", $ -1 Gj Q
Oc Cu P. GROUP
TYPE OF CONST.
I
I PARCEL "PD
ND
SSUE
This permit is hereby issued under
sions the Butte County Code and/or
work ) dicated aboveforfor which
RE TOR OF PUBLIC
T EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
�j L
Date
Receipt No. ✓J/J�'
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
�! COUNTY OF BUT'TE'- DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965-- Telephone 916/534-4541
APPLICATION AND PERMIT
Fm
r,61
Wi. 411 NOW
ASSESSOR PARCEL NUMBER
72-3/= 2
Z4JNGg,,q.
BUILDING PERMI
OWNXR
y� ``// �Q,� /
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILDSS
•JR, SA t9IS 64 0!!9/
CONTRACTOR'S NAME
TELEPHONE
LJ
• CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER LENDER
UNKNOWN
Fireplace
Total Valuation
LENDER'S MAILING ADDRESS
Permit Fee Zi,
$ 7 , Q
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR E GINEER'S MAILING ADDRESS
Permit fee
$ 72 -,gyp
BUILp Aop� s �D' ��P /OQ p /
liDt�/r f''j
PLUMBING PERMIT
Filing Fee 3.00
i l,(�
Each Trap
2.00
Repair drainage or vent piping
2.00
Water piping
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
2,00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF �Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
2.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other
Describe work:f=4/D %Lz�4/C- jj&_ or
(p8 $ 7
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00
Main service 1000V OR AMP ORLESS5.00
157—�T3 /^7
T 1
Main service EA. ADD'L 100 AMP
2.50
NEW CONS. DWELING O
OR AODNST ( ACCLBLDGS.CCVP.&)
20sgft
c CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEw CONSTR U TI.OUTLET
NON.RESID. BRANCH CIRCUITS
2.50 ea
NEWCONSTR POWER APPARATUS .&)
NON RES D. (SINGLE OUTLET CIR.
ExOccup(ouTLETs OR FIXTURES 50 @250
. BAL@102
FIXED APPLNS. OR
Ex. Occup.(OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 6.25
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
1 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
Filing Fee 3.00
Heating
Cooling
Hood
2.00
Ventilation
pelmit,Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
againat said County in consequence of the granting of this permit.
X Date -7u 2-a ��ri
r�
Sig ure of Applicant - 01.11 IN Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct -DI
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Land Development Fee $
TOTAL PERMIT FEE $ 72.-50
OCCUP. GROUP
I TYPE OF CONST,
PARCEL
I PD
I HD
-ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
TOR OF PUBLIC
By.
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No.
WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE = DEPARTMENT OF PUBLIC WORKSC!✓
7 County Center Drive, Oroville, CA. 95965 � PHONE: 916-534-4541
John Capitolo DATE my 21- 1980
6083 Crimson Drive
San Jose, CA 95120 RE 2nd renewal #3688-78.
A.P. # 72-31-32
With reference to the above subject:
Attached is:
Application for permit Mobilehome Utilities Installation Sheet
Building Plans Mobilehome Installation Information Sheet
Engr. Calcs - Typical Plan Sheet .
Labor Code Information List of Codes Enforced
OTHER Owner builder information & owner -builder verification_
We need the following information:
36p(3i Permit application signed and completed where indicated with all copies returned.
XM Fees of $ 72.50 payable to Butte County Treasurer.
XXXX Certificate of Workmen's Compensation Insurance or check exemption statement.
XXXX Contractors License Law information or check exemption statement.
Letter authorizing signature of
Complete plans in including plot plans.
Plot plans in
Structtiral details in
Complete plans in prepared by registered civil engineer or
architect.
Engr. calcs.
sets of plans in accordance with the changes marked in red.
Sanitation approval from Butte County Health Department at:
695 Oleander Ave., Chico
7 County Center Dr., Oroville
Skyway & Elliott Rd., Paradise
Planning approval from Butte County Planning Department, 7 County Center Drive,
Oroville, for
Copy of recorded parcel declaration.
.Recorded copy of deed showing
OTHEomen builder .
Return comnle*ed annlieation, Amer -build;; v;;fi&ation aheet and f;ea-
Note• If additional,decking will be inatalled, provide two seta of plans and
make application for permit.
Should you have any questions concerning the above, please contact this office.
JFG:dd
Yours very truly,
Clay Castleberry
Director of Publi Works
Gl�cre
Chief Building Inspector:
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
f� '7 County Center Drive ..— OrbVllli?, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT /X
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
k X
Signature of Permitee or Aqpen
ceipt No.
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the But County Code and/or resolutions to do work indicated
ahoy or which fees h ve been paid.
F PUB IC WORKS
Date7—
Building per it expires Date _ %'-' t °—<03V
BUILDING
Owner
SO. FT. OCC. BUILDING VALUATION
Mai I i g ddress � � �
Telephone No.
9-- KYA 6101
Contractor
Mailing Addre
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building Address o
� � r
PlanCheckingFee&/or Penalty
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 & Planning
Water piping 1.50
Each gas water heater or vent 1.50
Fees
W.C. I
SJ-nrr8T11Sn
I FireDept.
Fire Zone
Use Permit
Gas piping system 1 -5 outlets 1.50
EOA
Parking
Plans
ParcelEach
Declaration
Parcel Map
60' R/W
Improvements
additional outlet .30
Building sewer 5.00
131ag Ptmrs-Rwe'd
Parcel A royal
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
permit Fee $
.'—,
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 100 AMP OR00V OR FS5.00
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 t 1.00
NEW CONST. DWELBL GS.LING Ccup- �) 20sgft
OR ADONS. \ ACC
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:
t Y
NEW RESID, MULTI.OUTL T
NEW CO ID � BRANCH CIRCUITS) 2.50ea
NEW CONSTR (POWER APPARATUS 9
NON.RESID. (SINGLE OUTLET CIR.
Ex. Occuo(OUTLETS OR FIXTIIRES B LN
Ex. Occup. 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
k [Z I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
�j 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. FEEPERMIT
FILING FEE $3.00
Heating
Cooling
2
Ventilation
Hood 2.00
Permit Fee $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
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
Signature of Permitee or Aqpen
ceipt No.
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the But County Code and/or resolutions to do work indicated
ahoy or which fees h ve been paid.
F PUB IC WORKS
Date7—
Building per it expires Date _ %'-' t °—<03V
COUNTY OF BUTTE – DEPARTMENT OF PUBLIC WORKS
.7 County Center Drive .—. Or'bvi'Ile, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
Owner t 78L O
Mailing Addresse f�--�-� 4
.� Tele hone No.
t S ao o977,044C
Contractor
Mailing Address
Telephone No.
Building Address
Scc�v
/ :�RWn9 Arificafi Only
A. P. No. pZ ^ / ^- A Zon n
I*< +15 Fire Dept. ;FireZone UsePermit
EOA Parking Parcel Z Plans Declaration Parc60' R/W Improvements
Bldg. Fi4fs Recd E'SParcel Approval Plans pproval
NEW TS ADDITION ❑ UTILITIES ❑ OTHER ❑
I
A,
�a
Single Family Duplex ❑ Mobil Home ❑ Others ❑
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:
_ BUILDINV
SQ. FT. OCC. I BUILDING VALUATION
Fireplace
Total Valuation
Permit Fee
Plan Checking Fee &/or Penal ty
Permit Fee
PLUMBING
PERMIT FILING FEE
Each. Trap
Repair drainage or vent piping
Water piping
Each gas water heater or vent
Gas piping system 1 - 5 outlets
Each additional outlet
Building sewer
Lawn sprinkler system
Permit Fee
ELECTRICAL
PERMIT FILING FEE
Main service 110v OR LESS
100 AMP OR LESS
Main service EA. ADD'L 100 AMP
Main service OVER e0ov
100 AMP OR LESS
Main service EA.ADD'L 100 AMP
NEW CONST. (D W E L1j•1�jQCL
UP. 4
BRANC
Ex. OCCUD(OUTLETS OR FIXTIIR
EX. Occup. FIXED OUTLETS P(RESID 1Re
Temporary service
Mobile Home Facilities
LTcense No. Classification Misc. Wiring
I am exempt from the Contractors License Laws of the State of California. Permit Fee
WORKMEN'S COMPENSATION INSURANCE MECHANICAL
I am aware of the provisions of Sect on.3700 of the California Labor PERMIT FILING FEE
Code which requires every employer t6,be insured against liability Heating �blt�re TJ
for Workmen's Compensation.
I have placed on file with the County of Butte a certificate of Cooling
Workmen's Compensation Insurance.
I certify that in the performance of the work for which th•
X
i
/4/1157.00
@ FEE
$3.00
1.50 V(j
1.50
1.50 . S a
1.50
1.50
.30
5.00
2.00
@ FEE
$3.00 �1
5.00
2.50
25.00
1.00
50ea
2.00
10.00
15.00
6.25
C FEE
$3.00 , p -d
40.b0
is Ventilation
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of Hood2.00 ,per
California.
Pe 't F
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 Date �' 0
Signature of Per itee or Agent
ceipt No. 179 9-aZ7
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
rmi ee $ b�1 5 1 tjz�
Land Development Fee $ ��
TOTAL PERMIT FEE ub
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.
DIRECT -OR OF WORKS
By ` Date 7—J-41—Zi)
Building permit expires Date 7— 1,2-79
r " • HERMIT �o. 1894-81B
' t g
PERMIT EXP S
{ OWNER J hn Capitolo
t �
CONTR. John S. Coppedge, Oroville
ASSESSOR PARCEL 72-31-32
LOCATION W/S Powell Ridge Rd.,app.1000'
off Lumpkin Rd...
,a
'f
�r
v
t� •
•r
t
V.
Temp. Power Pole
k
Called PG&E
Temp. Elea Servii
Called PG'&E
Temp. G/ed
ervi ce
CalG&E_
JO'B FINALE[
Signature
V = OK
0 Not OK
- -Not Applicable
Not Ready MOBILEHOMES ' ' MISCELLANEOUS
� =
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
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
Date Card -BI i Date
Card -BI
Date Card -Bl'' Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
Card -BI
Date
Date - -Card%BI Date
POOLS (Plans) OK except N's/
1. Zoning Requirements -Setbacks -Easements
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4, Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/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 Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
I
= OK
= Not OK
= Not Applicable RESIDENTIAL'(Sin le and Duplex)
= Not Ready t,
Date
UNDE OR Plans OK.exce t#'s
Date
FRAMING (Continued)
Zoning requirements-Setbacks-I=asements _
-"-Property Line Firelvall & Openings
r2, -Ft in; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49r. -Ext.
Doors -One 3'-CheFk Garage -3rd story, 2 exits
tg., Garage; Soils -Steel- / /" Ftg. Depth
.6i0..
-Stairs; Width -Headroom- is_e-Run-Landing-Fire Protection
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
-,!Ste Is, Main; Steel -BI u - ped -Slab
52!Siding-Nailing-Veneer
LOe"glemwalls, Garage; S -Bloc u s -Wrapped=
fig
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
;,.. iPiers-Fireplace Ftg.-Steel
&4^
Glazing Area -Glass Protection -Skylights -Plastic
• 8-D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
&F
-Shear Walls; Nailing -Bolts
--Gas Pipe; Size -Anchors
td. --Water Pipe; Test -Anchors -Regulator -Service Test
•-#4-Electric; Underground
.12.- Plenums & Ducts; Clearance -Material -Support -Ins.
43 -Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Dat Card -BI Date
Card -BI
Date - Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
W Date �,j , & Card -BI Date
Date
FINA ns) OK except q's
Card -BI Date Card -BI Date
Date
PLUMBING (Permit) OK except q's
Ext. Steps -Door & Sidelight Protection -Landings
57.
91 -ft CUMULOT
_
14. Water Ht.; t e -Access-Combustion Air
58.
F - - - tor -
In Garage; Above Floor -Ducts -Meeh. Protection
15. Water Pipe,, fast & Anchors -Nail Protection
16. D.W.V.; Te,t-Fttngs & Anchors -Nail Protection
59.
Zo&eem-Ewtri#_
17. Shower P ; Test, First Floor -Tub Access
60.
a ces
18. Tes- Tu &:Shower, 2nd Floor -Tub Accesslec.
Trim & Subpanel; Breaker Sizes -Labels
19. Gas Pi ; Size & Anchors
62•
$3i*s-Brf�eits^
63.
S' ^p'^ c�^ u�h
Card -BI
Date Card -BI Date
64
ane ; nt. & Ext.
65
- ap-oo in learance
Card -BI
Date Card -BI Date
66.epa
ees a
Date
ELEC ICAL Permit OK except q's
67.
Ga eve Fit. Bow,g- r
68.
arag__ p
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr.
arage; Above Floor-Mech. Protection
ec. Receptacles Spacing -Lights &Switches at Doors
70
Plb rsl^^ p M n F i , r a �^-' n
�S"i
Boxes & No. of Conductors -Stapled
71.
•
c.
Romex Installed Close to Edge of Studs & C.J.
Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water
72.
73.
Inc,datinn-Foam-Looked in Attic nvos
ps
ppliance Circuits in Kitchen & Conductor Size
-
Z;S
Subfeed Wire Size 12_1 ga. Cu or A.C. Wire Size / / ga. Cu or AI
74.
Fdn. Vents &Crawl Hole Door -Drainage &Wood -Earth Clearance
Looe under Floor es
�¢7+Range Circ. / / ga. gu or AI -Oven Circ. / / ga. Cu or Al,
I ulated Neutral es ❑ No
❑
75.
Followingins N- W. El Yes ❑ No;
PI n ers Yes ❑ No
Service -Riser Conductors & Ground -Main Disconnect
76
,29 -Equip. Clearances; Panels-Motors-Mech. Equip.
77,.eisconnect-Clrnces-Brkr.
& Cond. Size-1150utlet
96 --Clothes Closet Light -Shower Light
78•
_ - learance to Opngs.
79.
er a isconnect, Electnca
80.
,
Etpronr PIPP T •QCi a ^ -
Card B -I Date G Card BI Date
81
Card B-1
Date
Date Card -BI Date
MECHANICAL (Permit) OK except H's
31. A.C. Ducts/lInsulation & Support
82.
f;lacc p-eor��..n �
rections from Previous Inspections
64.
c Tannarr• r^c Fi
85.
a
32. Vent F Exhaust above Insulation
88,
Fp.,egj nnmoliance Certificate-D[hPr carr iHnarac
_ 33. Conden to Drain & Overflow; Size & Grade
34. FurnacVent; Access -Comb. Air -Return Air Vent -115V outlet
35. Atti• c ss &Platform if Furnace in Attic
--
Card-
ate Card -BI Date
Card -BI
_ Date Card -BI Date
Card -BI
Card -81
Date Card -BI Date
Date Card -BI Date
Card -BI Date Card -BI Date
Date
FRAMI G Plans) OK except q's
Comments at Final:
_ills; Proper Material & Anchors
_
3,7 --Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
Caring Walls over Girders & Floor Nailing_
89-Dralt Stop in Walls (rat proof)
wW. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
t
& Beam -Size & Bearing
�Header
gers-Post Caps -Anchors -Connectors
4 Cing. Joist-Rftr. Ties-Purlin -Roof Brac.-Truss-Sh ng. -Ring.
-79-Fireplace Ties or Type A Flue -Fireplace Throat
_
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
_
__-46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
AF! Garage Fire Protection Framing
(NOTE:Anentrymust be made each time youvisit jobsite)
COUNfiY OF�B�iT..- DEPARTM`ENT OF PUBLIC V153454".
IT o.
7 County Center Drive - Oroville, California 95965 - Telephone 91
APPLICATION AND PERMIT
ASSES R PAROL NUMBER ^
r .I- 3 -I
ONING
-
BUILDING PERMIT
OW
ELEPHONE
SQ. FT. OCC. BUILDING VALUATION
ADDR SS
OWNER'S MAILINGAi
CONTRACTOR'S NAM ' ELEPHO E
,
CONTRACT 'S MAILING D SS
Fireplace
CONSTRUCTION LEN ER
UNKNO
!/
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 ADDRESS
Permit fee
$
BUILDING ADDR
PLUMBING PERMIT
Filing Fee 10.00
IM 0 O
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 STRUCE
SF ❑ Duplex❑ Mobilehome❑ Other �� a
SPECI FY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New AdditionRemodel❑ Utilities❑ installation ❑ Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.Oi
OR ADDNS. ACC, BLDGS.
22 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. 3 (cc)l7% Classification aEx.
❑ 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. U '.OUTLET 2,50 ea
NO N.R ESI D.BRANCH CIRC TS
NEW NON -CON ST R. POWER APPARATUS R ESID. SINGLE OUTLET CIR. t}
50@25¢
Ex. Occup OUTLETS OR FIXTURES BAL01
FIXED ALNS
OCCup.(OUT ETS P(RESID )REA. 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.
❑ 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. .
t71 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
$
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`(
aga' st said Coun in consequence of the granting of this permit.
�L
S'gn tore of Applicant — caner ❑ Contractor Agent ❑
A SHA 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.
V _ ,c /
JPARCFLJ
,/
PD
✓
N
ISS E
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
By :�71F PUBLIC
PE EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date �ry^2
r���
Receipt No. J`Y
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUN i Y OF�UTTE - DEPARTMF.NT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
%PERMIT NO.
�/
ASSESS R PARC L U E
ZONING
_S 14
BUILDING PERMIT
OWNER
TE EPHONE
SO. FT. OCC. BUILDING VALUATION
OWNE S MAILING ADDRESS
CONT TOR' E
TELEPHONE
-a
RACTOR•S AILIN ADDREUSS
O �� _ D
rCONS-TRUC
Fireplace
TION LEN ER
U N K o
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEERLICENSE
e
NO.
Plan Checking Fee
,$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDI G AD Ess ) r
S I Q_ d
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO.
SUBDIVISION NAMEPARCEL
MAP
Each gas water heater or vent
5,00
Gas piping system 1 - 5 outlets
USE OF STRU URE
SF ❑ Duplex❑ Mobilehome❑ Other 1
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New Addition❑ Remodel❑ tilities In tallation❑ Other
Describe work: le"c— Ir � / g 9y —C�
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6001 OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD•L 100 AMP
2.50
NEW CON
OR ADDNST ( ACCLBI SWELP -_)
2¢ sq ft 0
CONTRACTORS LICENSE LAW
I declare under penalty of perjury
p y p I y (check one):
�i am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions �pCode and my license is in full force and effect.
License No. :3L — Classification `—f V
❑ 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)
El 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.o T ET 2.50 ea
NON.RESID BRANCH CIRCUITS)
NEW CONSTR / POWER APPARATUS e)
NON -RESID. (SINGLE OUTLET CIR.
Ex. Occup OUTLETS OR FIXTURES 50 IS 21
BAL
FIXED APPLNS, OR
Ex. Occup. (ou TLETS (RESID.) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring7.50
Permit Fee $ A,
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
F3--4—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 10.00
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 Ii 1 1 s, judgments, costs and expenses which may in any way accrue
ag st s County onseq a of the granting of this p mit.
%� Date 2�'
Signature of Applicant — wner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-ECTOR
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
�, I/
TOTAL PERMIT FEE Y'
occuP. GROUP
I TYPE of CONST. I
I PARCEL
PD
I HOJ
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work 'indicated above for which
OF PUBLIC
BY
PER MIT EXPIRES to
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No.
WHITE-D.P.W., YELLOW-ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT