HomeMy WebLinkAbout072-560-0230
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RESIDENTIAL
72-56-23 -- 92-1260 BPE
i
FREELAND, Bob
94 Davison Hill Ln, Oroville
garage & shop
;t
r .
OFFICE COPY 9
Address
1
GAS Date
Meter By c-
ELECTRI Date-'�
Meter By i
JOB FINALE
Signature
J=OK
O = Not OK
NotReaable dyMOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /"L"ft.
/ /"Nat. or/ /" L" fL/ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date Card B-1 Date Card B-1 a
Date Card B-1 Date -Card B-1 !
Date MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
ming Requirements -Setbacks -Easements
1. -Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
Viodd Awn.; Posts- Bea ms- Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports;,Windows-Doors
7: Ele c
rmg; SiIs-Anchors-Studs-Rftrs-Trusses
idi ; Nailing -Veneer -Stucco -Mesh
ohthg-Roofing
xt teps-Doors-Landings
1 W
Date "' Card Date _ mrd B-1
DatV- Zo 7 -Card B-1 Dat _ and B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
_ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
✓=OK
O = Not OK
= Not Applicable
Not Ready RESIDENTIAL (Single & Duplex)
=
Date UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
o. aremwaus, nmin; Jleel-DIOGKOUIS-vvrappeo
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test -
12. Electric; Underground 1..
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples ,
15. Access & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit),OK exceptg's
16. Water Htr.: Vent -Access -Combustion Air -Baffle
--------- - ------------------------
17. Water Pipe; Test & Anchor -Nail Protection
18. D.W.V.; Test -Fittings & Anchor -Nail Protection
------------- ---- - -------------
----
19. Shower Pan: Test. First Floor -Tub Access
20. Test -Tub & Shower, -Second Floor -Tub Access
------- -----------------
----------------
-- 21. Gas Pipe: Size & Anchors
Date Card B-1 --- Date - Card B_1
---------------------------- ----
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except H's
22. Fixture & Transformer Clearance -Ins. Protection
-----------------------------------------------------------
-- - - 23. Elec. Receptacles Spacing -Lights & Switches at Doors
- ----------- -----------------------------------------
24. Size Boxes & No. of Conductors -Stapled
25. Romex Installed Close to Edge of Studs & C_J.
---- - ---- ----------------
26. Equip. Ground made up w!Mech. Fastners-Bond Gas & Water
--- ----------------------------------- -------------------------------
_ 27. 2 Appliance Circuts in Kitchen & Conductor Size!GFI
---- -------------------------------------------------------------
28. Subfeed Wire Size ! r ga. Cu or AI-A.C. Wire Size ! ! ga.
Cu or At
- ------------- ---- - --- ------------------------------
29. Range Circ. / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
30. Service -Riser Conductors & Ground -Main Disconnect
---------------------------------------------------------------------------------
-- - ---------- 31.Equip. Clearances Panels-Motors-Mech. Equip.
------------------------------------------------
32. Clothes Closet Light -Shower Light -Spa Light
--------------------------------------------
--------------- ------- --
33. Smoke Detector
----------------------------------------------------------------------------------
Date Card B-1 Date Card B-1
--------------------------------- -----------------------------------------------
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except P's
34. A.C. Ducts Insulation & Support
--------------------------------------------------------------------------------
35. Vent Fan: Exhaust above insulation
-----------------------------------------
36. Condensate Drain & Overflow: Size & Grade
------------------------------ -----
37. Furnance-Vent: Access -Comb Air -Return -Air Vent -1
------------- ----------------------------------------------------15 outlet------------
38. Attic -Access-&- Platform if Furnance in Attic
------------------------------------ --------------------------------------------
Date Card B-1 DateCard B-1
-------------------------------------------------------------- ----------------
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except ft's
39. Sils. Proper Material & Anchors
----- -- --...-------------------------------------------------- --
40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound
--------------------------------- - ------ --------- ---------- - -
41. Bearing Walls over Girders & Floor Nailing
---- ---- - -------- --------------------------- ---------------------
42. Draft Stop in Walls (rat proof)
- 43. Fire Stops_ Furred Ceilings -Stairs -Chases -Tub --
44. Headers & Beam -Size & Bearing
Date ' FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties -Pu rlin-roof Brac-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
---- _--- _ 50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
------ __ 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
---------------
55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
Shear Walls; Nailing -Bolts
-------------59.-Insulation-Walls-Ceilings
---------- --
60. Infiltration -Walls -Windows
-- - ---------------------------
Date _ _ _ Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except 4's
+ 61. Ext. Steps -Door & Sidelight Protection -Landings
----------------
62. Smoke Detector
-------------------------- -
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage: Above floor -Ducts -Meth. Protection
64. Bedroom Exiling
------------
-------------65. G.F.I. & Bath Fixtures & Tub Access -Spa
-----------------
66. Elec_ Trim & Subp_anel; Breaker Sizes & Labels
----------------
67. Stairs & Rails
--------------------P ---------------- -
68. Fireplace or Stove: Clearances -Hearth
69. Elec. Outlets at Wood Panel: Int. & Ext.
i 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
------ --- - - ---
_71.-
71._ Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door: Swing -Landing -Closer
------------------------
73. A.C. Duct in Garage -Damper
e-- ----------------------------------- --
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage: Above Floor-Mech. Protection
75. Plb__ Elec_ -
&Mech. Equip. Listed for Location
76' Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
--------------------------------- --
7 -,.Insulation -Foam -Looked in Attic ❑ Yes
----------------------------------------
78. Guard Rails & Deck Construction -Post Caps
-----------------------------------------
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
----------------------------------------------------
80. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
------------------------- -----
81. Stucco: Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
- --- - --------------------- p --
83. Vents Above Roof: Plbg APP fiance -Fire lace. -Clearance to
Openings
------------------------------------------ --
84. Water Well; Disconnect, Electrical, Plumbing
-------------- ---------------------------- ---
85. Exterior Elec. Trim: G.F.I. Receptacle -Underground
----------------------- --- --
86. Ventilation Throughout House
------- -------------------------- --
87. Glass Protection
------------------ --------
88. Corrections from Previous Inspections
-------------- 89.- Gas -Test -Meters -Tagged: Gas -Electric
------------------ --------------
__ _ 90. Water -&-Sewer Connected -C/O to Grade -HD Approval
91'Energy Compliance Certificate -Other Certificates
-------------------------------------------- --
Date
--------------------- Card ----B-1 Date Card B-1
-------------------
Date Card B-1 Date Card B-1
----------------------------------------
Date Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541 �.
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contac his office immediately.
') *f/1 0--l' I tq�� T�=S�" w v
Date C.," Q elnspector
REV 11/81
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
�+ 7 County Center Drive - Orovllle, California 95965 - Telephone: 916,`538-7541
APPLICATION AND PERMIT
PERMIT N0.
ASSESSOR PARCEL NUMBER
072-560-023
ZONING
A5
BUILDING PERMIT
OWNER
BOB FREELAND
TELEPHONE
589-4806
SQ. FT. OCC. BUILDING VALUATION
,
OWNER'S MAILING ADDRESS
120 DAVISON HILL LANE OROVILLE
CONTRACTOR'S NAME
01-INER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace i "All 1,500
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 7
LENDER'S MAILING ADDRESS
Filing Fee $ 15,00
Permit Fee $'
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS 9L DAVISON HILL LANE OROVILLE
Permit fee $339-1"5
PLUMBING PERMIT Filing Fee 15.00
Each Trap 41 5-001 20.00
Solar or heat pump water heater 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
163— 6
Water piping 7.00 7.0
Each qas water heater or vent 7.00
USE OF STRUCTURE
SF ❑ Duplex F-1 Mobilehome❑ Other GARAGE
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.00
Mobile Home I S I G JW @ 15.00
TYPE OF WORK
New rb Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work: GARAGE/SHOP WITH 3AT I AND WOODSTOV ,
Permit Fee $ 57.00
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 200A OR LESS 18.50 18.50
Main service 200A TO tOOOA)
gook 4A
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
_
❑ 1 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
_37.50
NEW CONST. ( DWELLING OCCUR.&) 3.64sq.ft. °
OR ACDNS. 1 ACC. BLDGS.
NEW CONST R. ULTI.OUTLET
NON -R ESI BRANCH CIRCUITS) @ 5.00
/POWER APPARATUS S1
(SINGLE OUTLET CIR.
(
EX, OCCUp\OUTLETS OR FIXTURES 20 76
Ex. Occup. OUTLETS ((RESID,)ED APPLNS. REA.) I 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. Wiring '15.00
Permit Fee $ e G
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT Filing Fee 15.00
Heating
Cooling
g
Hood 6.50
Ventilation
Permit Fee $
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any w y accrue
again t said County i conse Lienee of the granting of this per it.
X L • Date 2 �:
Signature of Applicant — wnee� Contractor ❑ Agenr
,
i n OSHA permit is required for excavations over 5'0" deep and demolition or constryf -
ion of structures over 3 stories in height. 1
Mobile Home Installation Fee S
Energy Inspection Fee $
occ
s�Yl
co ST TYPE
,0
0
TOTAL FEE $
HAz OFEES IMP
I FLOOD
cDF
PAR L
PD HD S
This permit is hereby issued under the applicable provi-
Bions of the Butte County Code and/or resolutions to do
w vgd1ca a for which fees have been paid.
�10-�p�j� R OF PUBLIC WORKS
r6 -
ey ate
SPIE MIT EXPIRES Date lc�
r"_ If 10,
Receipt No. 115601 400.00 PC FEEJ//5
a
WHITE -D. P. W., YELLOW-ASS(SSO R, PINK -INSPECTOR, G LDENROD-APPLICANT '22 549 2m
���. _ .. ,-. ✓�-.�-.-- .,,...r'�.nt. •, .s- .- � .yam i
I
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFNIA 95 965 - TELEPHONE: 916/538-7541
PERMITAF�'PLICATION�DATA SHEET
a Permit No.
0
OWNER 1r;�ie5-6,qAiz A. P. No. 7 2 .�G 023
Proposed Building Use _�).e-/- Building Inspector Date z� Zi qL
• ,. ,.`f
At time of permit application, I was'advised the Ifollowing data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . ....................................
2. Plot plans in duplicate/triplicate, signed by preparer of plans ........
3. Complete plans in duplicate/triplicate, signed by preparer. of plans . .
4. Complete engineered plans and calcs, with Wet signature on plans ..
5. Hazardous Material Form ...........................................
6. Energy Design Compljance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ....
—� X Engineered truss details and layout in duplicate (required prior to plan check) o 2
9. Mobilehome installation data including man acturer's installation
instructions.
_X10. Fees of $ �� �IMIE-
/
11. Chico Urban Area fees paid ........... ... ........................
12. Park fees paid .................................................... /
13." School District fes paid ..............
Sanitation approval from C> )1, 61lti"71N)f'1* ealth Department !
15. City of Chico plumbing permit ..................................... tx<�
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for•,(A), Use: (B) Parking:
18. Improvements.,mabe-required. Contact Land Development Section DPW A4
19. Driveway�permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-inspec. request to
Building Inspector (Date)
21..,Contractor�s license information (No., Name Style, Classification)...
22. Certificate df Work -mans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
24. Recorded copy of Agricultural Ack�w,led9gment Statement
�Lette r of �%7�dt/. �... �Jlt'..%��
26.
27.
When you issue the permit, process as follows: Mail to owner. -i Mail to contractor.
_�–,-,I`elephone Ste" ti(?0G and hold for pickup at 0610 office. �;.�Deliver w/inspector.
Other
Applicant i Lt Date _t4//5
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted priort per it iss�,�(Circle new item not checked above).
1. Index permit for above items No.
2, Additional items required:
W SUSS n.GQ 6(ntJ O r- 'fit - P'w
Contractor, designer, owner, was advised of above required data by_phone_mail—counter by .date
Contractor, designer, owner, -was advised of above required data by—phone—mail te�r by date
Plans checked by Date Plans approved by �/ ate/7Z
oSets of plans on hold in File cabinet AP folder /
J�� S - % L �I dkx f'� �/dr%rte GO % ,
Copy—DPW i<<
TO. Buildinv Department
COUNTY OF BUTTE
BUILDING DEPT
FROM: Environmental Health � MAY 0 5 1992
SUBJECT: Sanitation Clearance
-
Location APS
Owner
Plan Approved for: Sewaqe Disposal Water Supply
Hold final for: Water Supply
7inal clearance O.K. for: Water Supply
Cl
e. Other
l
NOTE _*
Date
Sanitarian
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Orovllle, California 95985 - Tulophonu* 916'538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUM _
%
D /2-- ..560- d�
ZONING
�S
BUILDING PERMIT
OWNER /AFL%A,
/ /
TELyEyPHONE/-
SQ. FT. GCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
CONT ACTOR'S AME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace C) U
CONSTRUCTION LENDER
UNKNOWN -
Total Valuation J -
LENDER'S MAILING ADDRESS
Filino Fee $ 15,00
Permit Fee $ Z J O
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS
Permit fee � $ C
PLUMBING PERMIT FiiingFee 15.00
Each Trap 5.00 'Cl .()d
Solar or heat pump water heater 1 20.00
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Water piping 1 7.00 7-0,3
Each qas water heater or vent 1 7.00
USE OF STRUCTURE
SF ❑ Duplex 7', Mobilehome❑ Other Z)e-7"- i�fd/' CrL
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.001 5.0
Mobile Home S I G I W @ 15.00
TYPE OF WORK
Newal Addition % Remodel'' Utilities Ell Installation[ Other E]
Describe work:y11,-ItGE)S A W W,,W (3,4r!w _
,41VO QG SRISJI
Permit Fee $ 5-7,00
Contractor
I ELECTRICAL PERMIT Filing Fee 15.00
Main service 200AORLESS — 18.501 -5_6
CONTRACTORS LICENSE LAW
declare under penalty of perjury (Check One):
7-1 1 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
J 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 I am exempt under Sec. , Business and Professions Code
for this reason
Main service 200A TO 1000A) 37.50
NEW C0N5T. D'NELLING OCCUP.&) 3.64 sq.ft. -
OR ACDNS. AC �. SLOGS.I
NEWCONSTR. '• ULTI.OUT LET
NON .R ESIO. @RANCH 'IRC UITS 1 @ 5.00
(00 -AER APPARATUS &1
, SINGLE OUTLET CIR. I
Ex. Occup�OUTLETS OR FIXTURES 20 76d
RA 4R.4
FiXEG AP=L NS. OR.
Ex. Occup. OUTLETS (RESIC.) EA.) 1 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. Wiring
g 15.00
Permit Fee $ -to
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor(
MECHANICAL PERMIT Filing Fee 15.00
Heating
Cooling j
Hood 6.50
Ventilation
$ Permit Fee
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date
Signature of Applicant — Owner C Contractor Agent FI
An OSHA permit .s required For excavations over 5'0" deep and demolition or construct -1
,on of structures over 3 stories in height. I
Mobile Home Installation Fee $
Energy Inspection Fee $
occ CONsrTYP!-;TOTAL FEES Bt�
1 rIA27OFE E SIF�nP _FL 0oo 1 C D F RCET- PD HD ISSUE
I i I i. I 1
This permit is herei�y issued under the applicable provi- I
Soof the Butte County Code and/or resolutions to do
ivcrk indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By _ ---- -- Date i
PERMIT EXPIRES Date
I
f 001 P
Receipt No. 1 1 — �J�d I"( 4el- I
COUNTY OF BUTTE - Department df Public Works
7 County Center brive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your namer and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no)
2. I .(have/have not) ��� l.i �w- signed an application for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. 'I plan to provide portions of this work, but I have hired the.following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
Signed:
Property Owner
Social Secu ' y N ber
Date Z, / L
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
- 19832 of the --California Health and Safety Code..
This verification must be completed and -returned to our office before we are per-
mitted to issue the permit.
RESIDENTIAL PLAN CHECKING GUIDE 8/91
(S.F., DUPLEX & MISC. ONLY)
OWNER dO
GENERAL
oning requirements: (sideyards and number
r-V.6uation.
signed by designer.
Proper -description of work on application.
Bldg. Permit # 9a _ / e 6 y
A. P. # � Z:Z- 5' h , ',62 2_1'
Plan Checker
of permitted living units).
Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc).
PLOT PLAN
11�Complete parcel size and dimensions.
e-.--_�etbacks, sideyards, easements, etc.
r uE.
Flood hazard..
C.D.s ,_._f.ire_sprrnk3ers—non-c-omb-.
ucr; b_a 1e, -and £oue4at-rons) .
k.
.vFLOOR
--a4u'' a; •• — �t' l i ti cc �•C�OSS �0���-_-:�•• /D �..i Fnrm)�
FLOOR PLAN
T✓ �Eomplete to scale plan with dimensions.
Q/ Required windows for"light and ventilation (Sec. 1205).
.� Rr�••' rel? a ivi act. vi[�c-r i -t, /--C-Cvcv. 1�avS) ,
4. S'ky44g- -ts--(-Gh-ep°ter-34 & Sec: 520-7).
-'' ze --eking-he�g-l�•t�s-�Se.�.-1207) .
�CIs in baths, garage, kitchen, and exterior outlets (Article 210-8).
8" Light fixtures, switches, receptacles, and exterior receptacles for main -
fiance of mechanical equipment.
Locations of wateyihr6a"ier, h pment, other el ical
t.
• (-See--563f d�33-)
3'0" exterior exit door sec. 3304 (f).
1 ireplace and wood stov ocation, alcoves, and clearance.
-7't=,i_
�•/Plumbing fixtures, water closet clearances and shower size.
STRUC L DETAILS
Standard bracing or engineered design (Table 25V)
4• ee-s A-buildiIIg_req_uir_i-r-g-en-g-i-nee-r-ed-c-alc-.u-latio.ns-and-p-l-a3►s.
Foundation plan complete enough to construct building.
evations and wall construction details complete enough to construct building
Roof construction details complete enough to construct building.
T ter ties or bearing ridge beam.'7�1Sf
U&VGaxage door or porch header sizes.
1 tud heights.
8/91
RESIDENTIAL PLAN CHECKING GUIDE
MISCELLANEOUS ITEMS TO LOOK OUT FOR
8a:.�3Z2gS--rase_aid� r-i3E3ead–c�e3r2zrc-c,—.�raflr3Y�s
Proper roof pitch for roof convering (Chapter 32).
�. Roof covering type - (fire hazard).
rl
-tan .
36" halls and stairways.
�"- r �-ra�r sepa�a-�ie�►-�ec�n-i��cl_oaLg_ara�ee
exi,-ts-s.R—tow-e.e.-s t-ory—d-we-H--ings—(-sec . 330-3-&-s,ee-Meza•nn3nes=--r�
. Attic access and ventilation (Sec. 3205).
12. Unde-rik-- at-ion,(-Se.� .�
aI'• VVua� f -Q •�f iii ---x}11 r1 gnrr
fld-lances _ T—P , 1-�l.� -'r•-S ^reeRt-s.
-e�mants_on-duple-x.&S .
Y�y�� OIAJAIXr
ing at all exterior openings.
S-s -9Z
r 0wA-JF4 lk�&
�1-35
/=off ND�1rtC wi�Ud C�gDiNc
/+7 Y16-9 Aavlq s .
dw uC�2 A�nb�D 4 f
�� Cf1TE9Zfi'C �6F5l6 AJ /A/- 70Cl4NE-7) G�
FIzoV T ;e�12-
Vo
B74'G66Dit% F9M67
f96VIAE 'CEICAJO', D. -L
7v �eaD F
7 5'�7 �7`/Z
�bL 0/�� PON/S�
(11-1266(5-011 ) To IUaT.�o
Q--4zy
12U�1_%Ovgv- --
APPROVED
E
e
S7141PSOAI /+3 5
/QST,4LLEO /f-5 SIVOWAI
: C'DA/A/ECrIA/G Klkl(VV STUD
TO TD P P44 r,,5-. -
(- f%DE2-
6x� K116 5raDcE-4.
5'iOE of 'F4. DOVIQ,.
/N,PSOA.l 1,f15Ti4t1-ED
�-s S6'OWiv CoxwEc r111/4
5TG10 To siLL .
ND?E•'
3,5 s TO BE /vST/4LLF"l)
TOP 6077O" O�= 64.
Gx o' f<AIS5 5T4 DI 8 7-07f Ll
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all Ii ilities, judgments, costs, and expenses which may in any w accrue
a9a' aid County i consequence of the granting of this per it.
I
Date 2 'l.r
Signature of Applicant— wneSP Contractor ❑ Agent
an OSHA permit is required for excavations over 5'0" deep and demolition or construct -
on of structures over 3 stories in height.
3eceipt No. _115601 400.)o PC FEE
vNITC-D.P.W., YELLOW-A38E330R. PINK -INSPECTOR,
G LD[NROD-APPLICANT
Mobile Home Installation Fee
Energy Inspection Fee $
Occ CONST TYPE
TOTAL FEE $ 465.30
HA2 O FEES IMP fL00D CDF PARCEL PD HD ISSL
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date
PERMIT EXPIRES Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95985 - Telephone: 916.538-7541 PERMIT NO.
APPLICATION AND PERMIT
ASSESSOR ARCEL NUMB
2 NIN
072-560-023
O R A5 BUILDING PERMIT
TELEPHONE
BOB FREELAND 589-4806 s0. FT- OCC. BUILDING VALUATION
'R'S
O MAILING ADDRESS 1280 M 23,040
120 DAVISON HILL LANE OROVILLE
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
-
CONSTRUCTION LENDER
Fireplace "All 1,5 0
UNKNOWN
Total Valuation $ 2 s
Filing Fee - $
LENDER'S M54
AILING ADDRESS - - _
ARCHITECT OR ENGINEER
15.00
Permit Fee $ 210.00
L
LICENSE No.
Plan Checking Fee
Energy Plan Checking Fee $ 105.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
BUILDING ADDRESS
Penalty $
9 DAVISON
Permit fee
HILL LANE OROVILLE -
s 330.00
_
PLUMBING PERMIT Filing Fee 15.00
Each Trap [f 5.00 20.00
LOT NO. SUBDIVISION NAME
Solar or heat pump water heater 20.00
3
PARCEL MAP
IDS
Water piping 7,00 7.00
Each qas water heater or vent 7.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF❑ Duplex[]Mobilehome❑ Other GARAGE
Building sewer
EIN
SPECIFY
. TYPE OF WORK
Mobile Home S G W @ 15.00
New y Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Permit Fee
Describe work:__ GARAGE/SHOP WITH BATH$
AND WOOD4TnVF
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 200A OR LESS 18.50 18.50
CONTRACTORS LICENSE LAW —
Main service 200A TO 1000AI 37.50
I declare under penalty of perjury (check one):
NEW CONST. / DWELLING OCCUP.&)
OR ADONS. % ACC. BLDGS. / 3.64 sq.ftN
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code
I- WC.
NON -11 SISTR BRANCH CIRC TITS @ 5.00
(POWER APPARATUS eI
SINGLE OUTLET CIR,
and my license is in full force and effect.
License No.
Classification
I, as the
EX. Occup(OUTLETS OR FIXTURES 20 761
-ALNS.R
Ex. Occup. OUTLETS IPRESID )ED
EA) � 3.00
owner,•or my employees with wages as their sole compen-
n
satio, will do the work,and the structure is
Temporary service 15.00
not intended or offered
for sale. (Sec. 7044)
❑ 1, as the owner, am exclusively contracting with. licensed contract-
ors. (Sec. 7044)
Mobile Home Facilities 15.00
❑ I am exempt under Sec. Business and Professions Code
Misc. Wiring '15.00
for this reason
Permit Fee
s
Contractor
WORKMEN'S COMPENSATION INSURANCE —
I declare under penalty of perjury (check one):
❑ The is
MECHANICAL PERMIT FiIingFee 15.00
permit for $100.00 (valuation) or less.
Heating
❑ 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.
Cooling
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Hood 6.50
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 I
Ventilation
Permit Fee
such
provisions or this permit shall be deemed revoked.
;
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all Ii ilities, judgments, costs, and expenses which may in any w accrue
a9a' aid County i consequence of the granting of this per it.
I
Date 2 'l.r
Signature of Applicant— wneSP Contractor ❑ Agent
an OSHA permit is required for excavations over 5'0" deep and demolition or construct -
on of structures over 3 stories in height.
3eceipt No. _115601 400.)o PC FEE
vNITC-D.P.W., YELLOW-A38E330R. PINK -INSPECTOR,
G LD[NROD-APPLICANT
Mobile Home Installation Fee
Energy Inspection Fee $
Occ CONST TYPE
TOTAL FEE $ 465.30
HA2 O FEES IMP fL00D CDF PARCEL PD HD ISSL
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date
PERMIT EXPIRES Date
Lo e .,H . h v)
It
COUNW OF ®U` 14
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• s
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072=56 0-
FREELAND. Bobs Oroville ^�
Davison Hill,
94 tr ::Summit Sheetmetal s
' con _
�Qrage
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a
COUNTY OF BUTTE -.DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7`County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT GGJJ
ASSESSOR PARCEL NUMBER
0!2-560-'023
ZONI
A 3
BUILDING PERMIT
OWNER FR MIAND
TELEPHONE 6
��yj(��//�
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
120 DAMSON HILL LANE OF IUX 95965
CON_TRACTO'SR'S N� TELE O E
•S7fU1�- MIT S Q _ 440
CO TRACTOR'S MAILING ADDRESS
Fireplace
O NSTR C ION LENDER
UNKNOWN =
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 1.5.00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
94 DAVISON HILL LANE ORDMU
Permit tee
$
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE r.o�
SF❑ Duplex❑ Mobilehome❑ Other CARAGEJSMP
SPECIFY _
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S I G W
@ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: HEAT PUMP TO B.P. 92-1260
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200A OR LESS
18.50
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)
N;/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
Main service 200A TO 1000A1
37.50
DWELLING 0CCUP.�\
NEW CONST.(ACC, BLDGS. II
3.6Q sq.ft.
NEW CONSTR ULT' -OUTLET
NON -R ES'D BRANCH CIRC ITS
@ 5•00
(POWER APPARATUS y1
SINGLE OUTLET CIR. I
Ex. Occup(OUTLETS OR FIXTURES
20 761
dAL_ 46
FIXED APLNS
Ex. Occup. OUTLETS PIRESID IREA.)
3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
WORKMEN'S COMPENSATION I.NS;URANCE
I declare under penalty of perjury ((check one):
❑ The permit is for $100.00'(valualion) 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. Iawslof 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.
Contractor
MECHANICAL PERMIT
FiIingFee 15.00
Heating HMT MMF
9*UU
Cooling 21 TON
9.00
Hood
6.50
Ventilation
permit Fee
$ .
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the 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 a y wa accrue
against s'k`id County in&seen;ce f thrranting of this per
l'This
X 7C��r1i,Date
Signature of AppNicant — OwnerContractor EJ 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 S
Ener Inspection Fee $
9Y P
occ
CONST TYPE
TOTAL FEES 33 OO
+
HAZ
DFEES I
IMP
I FLOOD
I CDF
PARCEL
I PD
I HD
ISSUE
permit is hereby issued under the
sions of the Butte County Code and/or
work indicat a for which fees
IREclC OR OF P LIC
By /
PE I PIR S Date --'
applicable provi-
resolutions to do
have been paid.
WORKS /
Date 1
Receipt No. 122999
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
I, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
v 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
072-560-023
ZONINGS
,- A 5
BUILDING PERMIT
OWNER
BOB FREELAND
TELEPHONE
589-4806
SO. FT. OCC.1 BUILDING VALUATION
OWNER'S MAILING ADDRESS
120 DAVISON HILL LANE OROVILLE 95965
CONTRACTOR'S
RMITSHEETMETAL ,jSq,j2 -a-60TELEP ONE
CONTRACTOR'S MAILING ADDRESS loor
Fireplace
ONSTR C ION LENDER
UNKNOWN
Total Valuation is
LENDER'S MAILING ADDRESS
Filing Fee
$ 15.00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
B94DDAVISON ING SHILL LANE OROVILLE
Permit fee
$
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other GARAGE/SHOP
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home I S I G JW I
@ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: HEAT PI1MP TO B. P. 92-1260
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200V OR LESS
00AOR LESS
18.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
ElNON•RESID
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
Main service 200A TO 1000A)
NEW CONST.(DWELLING OCCUP,&\
ACC. BLDGS. //
_37.50
3.6d sq.ft.
NEW CONSTR ULTI-OUTLET
BRANCH CIRC ITS
@ 5 00
(POWER APPARATUS IN)
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
20276
AL A91
FIXED APLNS.
Ex. Occup. OUTLETS P(RESID.)REA.)
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
'15.00
Permit Fee
$
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.
L;/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.
Contractor
MECHANICAL PERMIT
Filing Fee 1 15.00
Heating HEAT PUMP
9.00
Cooling 1
A TON
9,00
Hood
6.50
Ventilation
permit Fee
$ 33.00
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 or
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 a y w accrue
against id County in co a ence f th ranting of this per
X Date Z
Signature of Ap ICOM — OWner�` Controctor ❑ Agent
An OSHAwork
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 S
Energy Inspection Fee $
OCC
CONST TYPE
TOTAL FEE 33.00
HAz
DFEES
IMP
FLOOD
CDF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under the
sions of the Butte County Code and/or
' to a for which fees
I OR F P LIC
By
applicable provi
resolutions to do j
have been paid.
Ke
WORKS
Dte
a
Receipt No. 122999
PE I PIR S Date
WHITE-D.P.W., YELLOW -ASSESSOR, PINx•iNSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, Califomia 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER ZON IN�a
07;Z ` 560 - 023
!TELEPHONE
BUILDING PERMIT
OWNER/)
BobBt ri°e-citmo
SQ. FT. OCC. BUILDING VALUATION
OWNER'S F;S MAILING ADDRESSJC4n,c IW
CONTRACTOR'S NAME 1,
sheel
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 15,00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
N -e
_.
Permit fee
$
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other_ _Hr/4G� S�oCBuilding
5S ECIFYY
Gas piping system 1 - 5 outlets
5.00
sewer
15.00
Mobile Home S I G I W
@ 15.00
TYPE OF WORK
New❑ Addition[] Remodel Utilities[] InstallationFOther
Describe work: e AIA -fp -1bBf fji z - tZ60
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service LESS
200AORLESS
1 18.50
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
Main service 200ATO1000A)
37.50
NEW CONST. ( DWELLING OCC UP.S\
OR ADDNS. ACC. SLOGS.
3.64 sq.ft.
NEW
NON•RESID CONSTR BRANCH CTIRCTITS
@ 5.00
POWER APPARATUS e
(SINGLE OUTLET CIR. )
Ex. Occup(OUTLETS OR FIXTURES
a20@76
EX. Occup. OUTLETS (RESID )FIXED APLNSRE A.)
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
'15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit -is for $100.00 (valuation) or less.
❑ I have placedon 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.
Contractor
MECHANICAL PERMIT
FiIingFee 15.00
Heating
44
1
Cooling Z. �2
- 0 e
Hood
6.50
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date
signature of Applicant — Owner❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee S
Energy Inspection Fee $
OCC
CONST TYPE
TOTAL FEES i�
HA2
1 0FEES I
IMP
I FLOOD
CDF
I PARCEL
PO
HO
ISSUE
This permit is hereby issued under the
sions of the Butte County Code and/or
Work indicated above for which fees
DIRECTOR OF PUBLIC
BY
PERMIT EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No._ 1 /
WHITE-D.P.W., YELLOW-ASSE330K. PINK -INSPECTOR. GOLDENROD -APPLICANT