HomeMy WebLinkAbout078-130-060f,.
WYNOKA HOMES INC. ,Q1 tea'
5757 Vista Del Cerro, lot 7
Vista Del Cerro unit -.#l., Oroville
Permit #28-78B(new SIF &•garage)
036-720-060 PERMIT#94-3113
FOWLER, GLENN
5757 VISTA DEL CERRO, OROVILLE
WOODSTOVE/SF
B07-1812 078-130-060
MISCELLANEOUS HVAC Change Out
HVAC CHANGE OUT
5757 VISTA DEL CERRO
HARDEE,DOREAN
D 79 -/ 3O-060
.Amm"Imb, J� qfWAM )--
fftftft , I . CwtO2
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #:(530) 538-7541 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net\dds
Site Address:
5757 VISTA DEL CERRO
APN:
078-130-060
Permit type:
MISCELLANEOUS
Subtype:
HVAC Change Out
Description:
HVAC CHANGE OUT
SECO HEATING AND AIR
4320 ANTHONY CT, SUITE 1
ROCKLIN, CA 95677
(916)652-6755
DBM Heat Pump (Package Unit)
PROJECT INFORMATION
Owner:
HARDEE,DOREAN
5757 VISTA DEL CERRO
OROVILLE, CA 95966
(530)534-8762
SECO HEATING AND AIR
4320 ANTHONY CT, SUITE 1
ROCKLIN, CA 95677
(916)652-6755
FEE INFORMATION
$58.00
LICENSED CONTRACTOR'S NTR_ ACTOR'S DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
SECO HEATING AND AIR 888629 / C20 C38 / 12/31/2008
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter
(commencingwit Section 7000) of Division 3 of the Business and Professions Code, and my license
is in full foTA effect.
G]
Signature
08/24/2007
Date
I WORKERS' COMPENSATION DECLARATION I
1 HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
VE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
2#11}
AVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
My Workers' Compensation insurance carrier and policy number are;
Carrier. PREFERRED EMPL(policy Number: WKN1275722 Exp. Date:05/01/2007
(This section need not be competed if the permitis tor onehund�llars ($100) or less.
IC IFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
SUED, I shall not employ any person in any manner so as to become subject to the Workers'
Compensation laws of California, and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
provisions.
X � /24/2007
Signature Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
the performance of the work for which this permit is issued. (3097 civ, code)
Lenders Address City State Zip
Permit No: B07-1812
Issued Date: 08/24/2007 By TMP
Expiration Date: 08/23/2008
Occupancy: Zoning: RI
Square Footage:
Building Garage RemdUAddn
Other Porch/Patio Total
$58.00
Balance Due: $0.00 Receipt No:
OWNER / BUILDER DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
also requires the applicant for such permit to file a signed statement that he or she is licensed
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
the applicant to a civil penalty of not more than five hundred dollars ($5001;
Please check one of the following:
❑I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE
COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
the work himself or herself or through his or her own employees, provided that such improvements
are not intended or offered for sale. If, however, the building or improvement is sold within one
year of completion, the owner -builder will have the burden of proof that he or she did not build or
improve for the purpose of sale.).
❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
The Contractor's License Law dows not apply to an owner of the property who builds or improves
thereon, and who contracts for the projects with a contractor(s) licensed.pursuant to the
Contractor's License Law.).
❑ I AM EXEMPT under Section B. & P.C. for this
Owner's Signature
08/24/2007
Date
I hereby certify that I have read this application and state that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
injury, including death, and property damage caused by, arising out of, or in any way connected with
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
County to enter the above mentioned property for inspection purposes. I hereby certify that I am the
property a er or am author ze to act on the property owners behalf.
�O_ ��,. 08/24/2007
❑ Owner ❑ Contractor OR; Agent for OwnerDA-Tent for Contractor
FILE COPY
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OFAPPLICATION
Website: www.buttecounty.net/dds
"PLEASE PRINT CLEARLY"
OWNER INFORM*TION
Last Name AOL( n nQ
",'i
CONTRACTOR
Address
�City
J \' ,�
5;b ' `
��1I "T
StatePhone(j
Fax
E-mail
APPLICANT SIGNATURE
X
For office use only:
ARCHITECT/ENGINEER
CONTRACTOR
Name
&t
I1 ` r
-f'Tl
Address
�
� I
City
Phone
V�
Map Book
State cA Zipgg-/�ltoo.�
Fax ''lam
E-mail
Planner
State License Number
Class
APPLICANT SIGNATURE
X
For office use only:
ARCHITECT/ENGINEER
Name
jA�
Address
SRA
City
No
State
Zip
Phone
Map Book
Fax
E-mail
Planner
State License Number
APPLICANT SIGNATURE
X
For office use only:
APPLIC� NT /NFORMATIION
Name
jA�
Address
SRA
City
No
State
Zip
Phone
Map Book
Fax
E-mail
Planner
APPLICANT SIGNATURE
X
For office use only:
Zoning
Flood Zone
SRA
Yes
No
Occ•
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
V V r_K FO SUBMITTAL REQUIREMENTS
KAFORMSOUILDING FORMS\BldgApplSubRgmts.doc
Page 1 of 2
PERMIT
,G 0'7 — ZY/
re -
BP
BIN #
PROJECT LOCATION
AP#.. 0
Property Address Cit
Cross Street
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
Description or Scope of Work:
� 2
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
F
IRATION OF APPLICATION
lications for which a permit has not been issued will expire one
after the date of application. In order to renew action on an
ication after expiration, a new application, plans and fee will be
ired.
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Received by: Amount: Bldg
SRA
Receipt #: Sheriff
SMIP
Date: Other
Total
REV 8-12-05
SUBMITTAL & PERMIT REQUIREMENTS.
The following drawings and specifications must be submitted to the Building Division in order to apply for a
permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND /N INK
❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper!
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes!,
❑ 4. Energy compliance design and supporting documentation in duplicate.
❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans,
all in duplicate
❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor
plans in triplicate. All of these must be stamped and wet -signed by the engineer.
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required).
❑ 9. Site plan and business license approval from the City of Biggs.
❑ 10. Letter of intent for non-residential buildings.
❑ 11. Building Permit Application Without Required Clearances Form
❑ 12. Hazardous Material Form (for Commercial Buildings only).
Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning
review (May require additional plan review upon receipt of the following items.)
❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's.bffice (if required).
❑ 2. Impact Fees.
❑ 3. California Department of Forestry plan approval (if required). -
❑ 4. NPDES Form.
❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑ 6. Contractor's license information. (Number, Name Style, Classification).
❑ 7. Worker's Compensation Carrier and Policy Number.
❑ 8. Owner -Builder Verification (if required).
❑ 9. Letter of Signature authorization (if required).
❑ 10. Recorded copy of Agricultural Acknowledgment Statement.
❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO.
❑ 12. Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, please contact a
Permit Assistant at (530) 538-7541.
EXPIRATION OF APPLICATION 4
Applications for which a permit has not been issued will expire one year after date of application. In order to renew action
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made within two
years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits
issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05
Name DOREAN HARDEE
Address 5757 VISTA DEL CERRO
City OROVILLE State CA
Building
__
Heating, Air Conditioning and Refrigeration
Date 8/152007 Phone 530-534-8762
Proposal Number R00108152007135638-1
Zip 95966 Comfort Specialist gardener
Comfort Consultant
We hereby submit specifications and proposals for
XL14C PACKAGE UNIT 7 -DAY PROGRAMMABLE THERMOSTAT ALL NEW DUCTS CANS GRILLES. THIS INCLUDES A TRANE STANDARD
WARRANTY AND A SECO 25 YR WORKMANSHIP WARRANTY. THIS EQUIPMENT WILL QUALIFY FOR A TRANE REBATE OF $400. PLEASE
ALLOW 8-12 WEEKS FOR REBATE.
We hereby propose to furnish material and labor in complete accordance with the above specifications for the sum of:
Eleven Thousand Eight Hundred Eleven Dollars and Sixty Six Cents $11,811.66
(Total extende Price with Tax er Discount)
By signing this agreement/ acknowledge that l ave read and understand each Representative
page, including the terms and conditions. Dates >�,�/�
Cu omer 1S(/ (/
ate Approved by
Date
Page 3
ernperatures Arenz
FXt e�
r
e
Rest EASY With SECO
S co
Heating, Air Conditioning and Refrigeration
Name DOREAN HARDEE Proposal Number R00108152007135638-1
Components in Base System Investment
Qty. Model # Description
1 4YCY4024A1064A 14c PACKAGED GASIELEC TRIC
1 New Condensate Drain run all new drain line 3/4 inch PVC. TRUCK
1 Gas Pipe Gas Piping. Need yellow ward flex pipe and 1 male and 1 female
adapter. shop
1 ELECTRICAL ADD
new circuit from panel to condensor. need breaker brand put on
installation instructions. shop
1 20X20 FILTER
GRILLE
FILTER GRILLE FOR EASY ACCESS TO FILTERS.
1 20X20
20X20 Electrostatic Gold Filter. -SL
1 COMPLETE CUT -IN 2-
Ton
Cut-in all new ductwork per our design with High Efficient ductwork.
1 MSMP3CS
ADJUSTABLE ROOF CURB FOR C MODEL PACKAGE UNITS
UPTO 3 TONS
2 MSMP3AP050
PLENUMS FOR MSMP3CS CURB. NEED 2 EA.
This is a California Energy Commision requirement. Cannot
1 HERS Rating
complete job or get rebates without certificate from outside company
verifying duct seal process. Customer will recieve duct seal
certificate.
1 CRANESET-R1
Crane Set Residential
1 Butte County
Permit for Butte County
1 Package Unit on
Package rooftop unit Remove/Replace with curb and downshot
Rooftop w/curb.
plenums
Date 8/152007 SYSTEMI
Inclusions
(in Base System Investment)
20 year heat exchange warranty
Clean up work area before leaving worksit.-
Complete system start up
Electrical safety switch for outdoor unit
Energy saving setback thermostat
Ensure proper amount of freon in AC or HP
Ensures proper drainage
Includes Permits.
Includes Return Airs per our duct design.
Includes Supply Airs per our duct design.
Our Exclusive Twenty Five Year Workmanship
Warranty.
Quality assurance review
Remove and dispose used equipment
Sealed connections for greater energy savings and
Indoor Health.
Exclusions
(not included in Base System Investment)
l TG(,- gOZ 77.E �i fl�� �1�J/,� No selections:
V Installation Instructions
XL14C PACKAGE UNIT PLACED ON THE ROOF IN THE SAME LOCATION THAT THE SWAMP COOLER IS NOW. REMOVE THE SWAMP COOLER
AND LEAVE IT IN THE BACK YARD. HOMEOWNER WANTS TO KEEP IT. USE THE SUPPLY GRILLE OF SWAMP COOLER AS THE RETURN IF
POSSIBLE THE OPENING THERE IS 18X18. THERE ARE THREE DOGS AND HOMEOWNER DOES NOT WANT THEM TO ESCAPE SO DONT LET
THEM OUT THE GATE OUR OUT THE GARAGE. THE HOMEOWNER WILL BE HERE ON THURSDAY BUT WE MUST BE AT THE HOUSE NO
LATER THAN 8:00 AM ON FRIDAY BECAUSE THE KIDS GO TO SCHOOL AND YOU WILL BE LET IN BY THEM AND THEN YOU MUST LOCK THE
FRONTM ON YOUR WAY OUT.(DON'T LET THE DOGS OUT). INSTALL DATE THUR & FRI AUG 16 -17TH.
Initia p���
Page 2
` `��Z
-'-,\,e',, UTnPeratures Are Exrre�
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Rest EASY With SECO
MAY -14-2007 11:07R FROM:BEST INSURANCE SERUI �:`_E•o259023 TO:6526759 p,2
Policy Number V=75217 OM EAWSM 1/27/2007
A00 -atw CERTIFICATE OF LIABILITY
INSURANCEr
i 27
ne999 u > zu IETBpRANC6 smnnaii
5165 Baa ymmaime a Atroat
Rocklin, CA 95677
(916)625+9071
TMS CUMFICATE IS ISSUED AS A MATTER OF INFOTSHATION
ONLY AND CONFERS NO RIONTS UPON THE CE"FICATE
NMOLOE&YER THTHEE CSC l ��� NOT AMpND BY THE MES OR
INSURERS AFFOFWING COVERAGE NAR: i
e Sam R"tdng. Air Conditioning
and Reffnivo rat os Ino
4920 Anthmyy Ct.
Roclelin. Cil 95677
INBNRERA:'WUOX TAM Waaoa
INSUREaa
INaURERC:
lt"Ft5RV
a•
THE POUCMT.S OF INSURANCE LISTED SCOW HAVE BEEN WI ED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD INDICATED. NOTWTIMSTANDINO
ANY RELIUTAEMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOOLMElNT WITH RFBPECT TO WMICM TIIIS CERTIFICATE MAY Be ISSUED OR
MAY PERTAIN, THE INSURANCE ARRORDED BY THE POUCIES DESCRIBED 14EREIN IS SUMCT TO ALL THE TERMS, EXCWSION$ AND CONDITIONS OF SUCH
POUCIES. AGGREGATE LIMIT$ SMOWN MAY HAVE SEEN REDUCED BY PAID CLAIMS.
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8/1/2007
5/1/2008
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a,.,a *250,000
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PERaONAL S OCVIWURY 1 2, 000, 000
000RALAiL WOC E $ 4,000,000
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PRODUCTS•OOMrOOPAW $4,000,000
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8/1/2007
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5/1/2008
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STATE OF CALIFORNIA
Pursuant to Chapter 9 of Division 3 of the Business and Professions Code
and the Rules and Regulations of the Contractors State License Board,
the Registrar of Contractors does hereby issue this license to:
SEGO HEATING AIR CONDITIONING AND
REFRIGERATION INC
to engage in the business or act in the capacity of a contractor
in the following classification(s):.
C20 - WARM -AIR HEATING, VENTILATING AND AIR-CONDITIONING
. C38 - REFRIGERATION
SIGNATURE OF LICENSEE
SIGNATURE OF LICENSE QUALIFIER
13L-24 (REV. h01) (0 OSP 05 90636
Witness my hand and seal this day,
December 22, 2006
Issued December 21, 2006
This license is the property of the Registrar of Contractors,
is not transferrable, and shall be returned to the Registrar
upon demand when suspended, revoked, or invalidated
for any reason. It becomes void if not renewed.
C /.I. OL
Stephen P. Sands
Registrar of Contractors
888629
License Number
AUDIT No: ]7472
ILI
Heating, Air conditioning and Refrigeration
4320 Anthony Ct. Unit #1
Rocklin, CA 95677
Office: (916)652-6755
Fax: (916)952-6759
Contractor License #888629
August 24, 2007
From: David S. Edwards
To: Butte County Building Department
Re: Butte County Building Permits
This letter serves as notification that Kevin Coulter is authorized to pull permits on
behalf of my -company, SECO Heating, Air Conditioning and Refrigeration, Inc.
If you have any questions, please feel free to call me at (916)652-6755
David S. Edwards
Owner /
'036-720-060 PERMIT#94-3113
FOWLER, GLENN
.5757 VISTA DEL CERRO, OROVILLE-
.!WOODSTOVE/SF
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, CaMFornia 95965 - Telephone (916) 538-7541PERMIT NO.
APPLICATION AND PERMIT �U
ASSESSOR PARCEL NUMBER 036-720--060
ZONING R1
BUILDING PERMIT
OWNER GLE" FOWLER
B=S962
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS S737 VISTA DEL CERRO OROVILLR
CONTRACTOR'S NAME OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace i"All
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
i
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS 5757 VISTA DEL CERRO
PERMIT FEE $
S 55
OROVILLE
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
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 5Duplex ❑ Mobilehome O Other
sPFCIFv
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G I W
@20.00
TYPE OF WORK
New O Addition O Remodel O Utilities ❑ Installation O Othe : l
Describe Work: WO0DMVE
PERMIT FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ( BOOVORLESS )
20OA OR LESS
23.00
Main Service ( 200A TO 1000A )
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( & ACC. BLOS. )
SO•
3.50, FT -
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
O I am a licensed underrovisions of Chapter 9, Division 3 of the Business and
P P
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 compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
O I am exempt under Sec. Business and Professions Code
for this reason
NEW CONST. MULTI -OUTLET
.NON-RESID. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS )
a SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET Oft FIXTURES )
20 @ 1.00
BAL. 50
Ex. Occup.FIXED APPLNS, OR
( OUTLETS IRESID.) EA. )
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.
O 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
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
HoodE
Ventilation
E6.50
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 Butte County Ordinancesand 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, costa' and, expenses which may in any way accrue against said
County in consequence of the granting of this permit. 1
XDate /-r
Sign�f Applicant -r 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 $ 55 OO
HAZ.
I D. FEES
I IMP
I FLOOD
I CDJ
PARCEL I PD
I HO
I ISSU
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
f, ..
By t' A/;-, �%ir si*
/F! /
PERMIT EXPIRES ON I/ /�c
-� lDwell
provisions
to do work
paid.
_ . .
Date // //i , /`1U
!
/�'S.-B.D.
Receipt 170730
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, C2liforniA'95965 - Telephone (916) 538-7 1 PERMIT NO.
APPLICATION AND PERMIT/�-
ASSESSOR PARCEL NUMBER 036-720-060
ZONING RZ
BUILDING PERMIT
OWNER GLENN FOWLER
534 5962
SO. FT. OCC. BUILDING VALUAlkOff
OWNER'S MAILING ADDRESS
5757 VISTA DEL CERRO OROVILLE
CONTRACTOR'S NAME OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace ItAll 1,500.00
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
5757 VISTA DEL CERRO
PERMIT FEE $
OROVILLE
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
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 IN Duplex ❑ Mobilehome ❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S' G I W
@20'00
TYPE OF WORK
New 1:1Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ OtheKOO
Describe Work: WOODSTOVE
PERMIT FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ( BOOV OR LESS )
200A OR LESS
23.00
Main Service ( 200A TO 1000A )
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( 8 ACC. BLDS. )
SO,
3.5C FT.
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
O I am a licensed underrovisions of Chapter 9, Division 3 of the Business and
P P
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 compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
O 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
❑ 1 am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
NON-flEslD. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS )
8 SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
20 @ 1.00
BAL. P .50
Ex. Occu FIXED APPLNS. OR
P. ( OUTLETS (RESID.) EA. 1
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
I 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,
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
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Contractor
I certify that 1 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, indem -fy and keep harmless the County of Butte against all
liabilities, judgments, cos and expenses which may in any way accrue against said
County in Sqqufejiqe of th ranting of this permit.
X Date
Sig re of pplicant - Owner ❑ Contractor ❑ Agent
An OSHA permit is re4uired 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.
I D. FEES
I IMP
I FLOOD
I CDF
PARCEL I PO
HD
ISSU
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.
_
By Date I
I/ / /
PERMIT EXPIRES ON / (p
/Date/
i -170730
RECC'tN�.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
I
}*^•o'�t�wba:y/C.:.�y y, �� 'rwy4tsb�'t!. , ���1�'. .{- `.a. r ,fin M e" ;,+.�...:+•�n11�,+�M►a�7.�rrrtLCYx^i�i7i�.��.r.r.neSwn.Jk' v= �:.i�=fl.ri.S.:.:
Dr:•T^rR ' ftt„� ".Y7'�!,'1F,",Nil`lii-��'STL.iJ's.r: 'Y1 `.i,," `••. �P` 'F�"Yn-..,r+�
COUNTY OF BUTTE - DEPARTMENT OF'BtMI?. PM ENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE (916) �i3`8�7541
PERMITAPP ICATION DATA SHEET
OWNER A. P
Proposed Building Use Building Inspector
- 724-tl�,
At time of pe ( application, I was advised the following data must be submitted prior to permit processing an /or issuance:
DATE RECEIVED BY
1. All items have been submitted . ........................................
2. Plot plans, 3/4 sets, signed by preparer of plans. . *........................
3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... .
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ............................................
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and�A/C Buildings . ......................
8. Engineered truss details and layout in d"uplicate (required prior to plan check). ....
9. Mobilehome data and manufacturer's installation instructions, 2 sets.
10. Fees of $.........................................
11. Impact fees as shown on attached schedule . ..............................
12. California Department of Forestry plan approval/fees. ....................... .
13. Flood elevation letter (100 year flood) by California Engineer . ................. .
14. Sanitation and plot plan approval Health Department . ............
15. City of Chico plumbing permit . .........................................
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking:
18. Contact Land Development about (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction approval required prior to occupancy). ...areas....pection �..
eque
20. Pre -inspection for required. . to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner , Mail to owner _). .......... .
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use . .........................................
28. Mobilehome utility clearance . ..........................................
29. Documentation of legal access . ..................... :..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list . .....................................................
33.
34. / h
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation '
Acreage S Applicant Date
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 prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
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 Counter by _ Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
y
COUI'ITY OF BUTTE
Department of Development Services
Building Division
Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541
Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751
OWNER-BUILDERVERIFICATION
VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name 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 /�pto'provide the major labor and materials for construction of the proposed property improvement
(yes or no)
2. I (have/have not) 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 Contractor's 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 Contractor's 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: Gv
Property Owner
ber
Date ji- /S"-9
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 permitted to issue the
permit.
l
Y
PERMIT NO. 28-78B
PERMIT EXPIRES
OWNER WYNOKA HOMES INC.
CONTR. owner
LOCATION (A.P. 36 - �� )
5757 Vista Del Cerro, unit ##1, lot 7 Oro
Temp. Power Pole
`
-ailed PG&E
T mp. Elea Serv. ����?SJ�/�
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB
FINALED
(Date)
(Signature)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING I BUILDING (Cont'd] _ ,f I PLUMBING
Setback / -2p --7 421- 2�1
Forms
Main Bldg.
Footings 1
StemwaI I
Slab
Piers
Garage
Footings
Stemwa I I
Slab
Carport
Footings
Slab
Patio
Footinas
- s u -
Firewall -
Parapets
Restroom Finish
Windows
Siding
Roof Sheathing
Roofing
Fdn. Vents
Garage Vents
Insulation
Prov. for physically
twonrormance or ex.
structure
Final
FIREPLACE
Footing
Throat
Final .
Soil Piping
1st Floor j-3 L21K,
2nd Floor
3rd Floor
Topout-
Water PI in
Sewer tr to
Fixtures
Ylater Htr.
Heaters
Appliance
Gas Piping &Test
Temp. Gas
Sanitation
Final
EL TRICA
F
Bond Beam -FWUeSPRINKLERS Motors
Framing Test Water Htr.
Stucco �K ez Final Subpanels
Mesh MECHANICAL Gird. Fault Prot.
Scratch H ti S I
DATE REMARKS OR CORRECTIONS
oc -
v�
(NOTE: An entry must be made on this form each time you visit the job site.)
ea n
ery ce
Brown 74FCooling
Temp. Pole
Finish r
Ducts
i Underground
Interior Lath
Ventilation
Permane
Door Closer c6 r
Final
Final ,
MOBILEHOME UTILITIES ------------------
Elec. Servadg
Per edestal
Water Piping
Sewer
Gas Piping
MOBILEHOME INSTALLATION - - - - - - - - - - - - - -
Support
Elec. Continuity
Water Piping
Drainage
Gas Piping
DATE REMARKS OR CORRECTIONS
oc -
v�
(NOTE: An entry must be made on this form each time you visit the job site.)
THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT REGULA-
TIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE -15, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT:
Lot 77
Street 'Lot Number Tract No.
EXTERIOR WALLS
Manufacturer Certainteed Thickness/Type 31", R Value- 11
CEILINGS
Batts: Manufacturer Thickness R Value
Blown: Manufacturer Certainteed Thickness 83l4'No. Bags _24 Wt./Bag
Sq. Ft. Covered 1200 R Value �9
FLOORS
Manufacturer Thickness/Type R Value
SLAB ON GRADE
Manufacturer Thickness/Type R Value
Width of Insulation inches
FOUNDATION WALLS
Manufacturer Thickness/Type R Value "
GENERAL CONTR O LICENSE No. 2�
BY TITLE — DATE _ - 7
INSULATION CONTRACTOR: HAWKINS INSULATION CO., INC. LICENSE No. 215-925
ll�,.�TITLE_ Owner DATE September 6, 1978
J607— 77 I"z-W Ff LO 4 K---
r — COUNTY OF`BUT7,rE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Orovi Ile, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
6-,7 ly _!
0 fl
authorize representatives of the County of Butte to enter upon the
above -menti ed property for inspection purposes.
X Date
Signature of Permitee or gent
Receipt No. air
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 OK_FhJBLIC WORKS
By
Date��//
Bui ding permit expires Date _ 1-11-7
BUILDING
Owner
SO. FT. OCC. BUILDING VALUATION
112 Z Z W --
q
Mailing Address gp :�'��W910 fioxfs° Me
^-' 7 M ---
P• 0. Box 1 600
Telephone No.
Fireplace
Contractor h e, cilf. y5935
(916) 533 2738
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee $ -�-
Building Address
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
/
��j v/4TA '.6 Z- (f 0 6/'Ov/�
Each Trap 1.50
77 11/S,_.. 01:t % 44
i�/
Repair drainage or vent piping 1.50
Water piping 1.50
ntng Vorifi SPHCOnlY.
Each gas water heater or vent 1.50
A. P. N j✓ g �
Ps Z
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fees
C. 64
Fire Dept.
Fire Zone
Use Permit
Building sewer
EOA
Parking Parcel
Plans Declaration
Parcel Ma 60' R/W
P
Im rovements
P
Lawn sprinkler system
ff
1•r'8 O ��
Idg.lPlans ec'd Parce pproval
Plans Approval
Permit Fee $
NEW ® ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 10000 AMP OR001 OR LESS5.00
,V!55 Y10
Main service EA. ADD•L 100 AMP 2.50
Single Family ® Duplex ❑ Mobil Home ❑ Others ❑
Main service OVER 600V 25.00
100 AMP OR LESS
Main service EA. ADD•L 100 AMP 1.00
NEW OR ADDNST ( ACCLBLOGS.LING CCUP. &) 2¢sgft
NEW CONSTR. MULTI -OUTLET
NON-RESID. (BRANCH CIRCUITS) 12.50ea
NEW CONSTR. (POWER APPARATUS &
NON•RESID. SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed unde a Qrovisions of Chapter 9, Div. 3, of the
State of California`if�ss�$�P,ro;�essg Cp��nder the name
style of: n4�"tl� G``�� a
D
P- Dix 1 f,00
Ex. Occup(ouTLETs OR FIXTURES) BA50 L�
Ex. Occup. FIXED APP LNS• OR
P• OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
)'`e' Calif- 95965
License No.- �� Classification "/
Mobile Home Facilities 15.00
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee
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.
Lam. 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.
MECHANICAL No.1 @ I FEEPERMIT
FILING FEE J$3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
I certify that I have read this application and state that the above 1
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
2.!
TOTAL PERMIT FEE
$' " ��^
�4A C
authorize representatives of the County of Butte to enter upon the
above -menti ed property for inspection purposes.
X Date
Signature of Permitee or gent
Receipt No. air
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 OK_FhJBLIC WORKS
By
Date��//
Bui ding permit expires Date _ 1-11-7
III
Ac or -tree with Reconnized Good Pr�cticesV and
of aural�ty r�rescr�be�) for Ae Soecified use in the
Uni orm Building, Plumbing & Machanical Codes and
the National Electrical Code.
I
lint k � �-
1�1
,M, s�-yo
kvT -77
►his tet of plans and specifications MUST bt
copt on the job at all times and it is unlawful to
,,rake any changes or alterations on same without
written permisson from the Department of Pub&
Works, County of Butte,
_*11 �s'/�t7
P., cvh,o/ I i
The Bldg. Setback shall be 5 ft. from the
side property line and 50 ft. from the
cen.erEi;:e of the road, pQrr'nittinaxi-
g a m
;..0„Of a 2 ft. eave overhang but entirely
o�t of aH easements.
Fop 01"',
28
WE
_FIN t, �C 261 .3
�A �
SeN
pl ns.
l
X
g, P ,#` Z 8- 7 8
ter Plan on file for but ing
BUTTE COUNTY
JILDING DEPARTM N1
APPROVE
�-
P !.4Ag®
tiles✓o:,��pt�
l,t►.�►�' I �i
SUBDIVISION CITY COUNTY LOT NO.
lip
JOB NO. y B of
SEWER /�\vlw� HOMES,INC.
WATER �rG P.O. BOX 16 SCALE
rii/f tyr' OROVILLE,
GAS(%� CAL.95965
ELECTRIC 9 A 1S-533.2738
�I
'II
►his tet of plans and specifications MUST bt
copt on the job at all times and it is unlawful to
,,rake any changes or alterations on same without
written permisson from the Department of Pub&
Works, County of Butte,
_*11 �s'/�t7
P., cvh,o/ I i
The Bldg. Setback shall be 5 ft. from the
side property line and 50 ft. from the
cen.erEi;:e of the road, pQrr'nittinaxi-
g a m
;..0„Of a 2 ft. eave overhang but entirely
o�t of aH easements.
Fop 01"',
28
WE
_FIN t, �C 261 .3
�A �
SeN
pl ns.
l
X
g, P ,#` Z 8- 7 8
ter Plan on file for but ing
BUTTE COUNTY
JILDING DEPARTM N1
APPROVE
�-
P !.4Ag®
tiles✓o:,��pt�
l,t►.�►�' I �i
SUBDIVISION CITY COUNTY LOT NO.
lip
JOB NO. y B of
SEWER /�\vlw� HOMES,INC.
WATER �rG P.O. BOX 16 SCALE
rii/f tyr' OROVILLE,
GAS(%� CAL.95965
ELECTRIC 9 A 1S-533.2738
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
W -
7 County Center Drive — Uroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
X - Date
Signature of P rmitee r gent
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
the tfutte county code and/Or resolutions to do work indicated
above for which fees have been paid.
D RECT i R OF PUBLIC WORKS
By�-�� Date L
6:7
Bu4d+mg-Permit expires Date
BUILDING
Owner Wynoka Homes
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor Fox Electric
Total Valuation
Mai I i ng Address 3995 Olive Hwy
Permit Fee
Plan Checking Fee &/or Penalty
Oroville CA. 95965
Tele hone N .
533-2730o
Permit Fee $
Building Address 5757 Vista Del Cerro, Oroville
PLUMBING No.1 @ FEEPERMIT
FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
VDC#1 lot #77
Each gas water heater or vent 1.50
A. P. No. -$� �-�
Zoning & Planning
Gas piping system 1 - 5 outlets 1.510
Each additional outlet .30
Fees
W.C.
I Sanitation
I Fire Dept.
Firezone
Use Pen -nit
Building sewer 5.00
EQA
Parking
Plans
Parcel
I Declaration
Parcel Ma P
60' R/W
Im provements
Lawn sprinkler system 2.00
BI l
9• Pa Ad0d
Parcel Approval
pp
Plans A
Approval
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE $3.00 3.00
Elec. for BP#28-78
Main service 100 AMP ORLESS5.00
Main service EA. ADO'L 100 AMP 2.50
Single Familyg Duplex ❑ Mobil Home ❑ Others ❑
OVER 600V .
Main service 1100 AMP OR LESS 25.00
Main service EA. ADD'L 1000 ALpMP 1.00
NEW CONS. DWELING 0 OR ADDNST (ACCLBLDGS.�,�/6&) 22syft 31.50
NEW CONSTR. MULTI -OUTLET
NON-RESID. (BRANCH CIRCUITS)2.50ea
NEW CONSTPOWER APPARATUS &
NON- R. RESID. (SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Ex. Occup(OUTLETS OR FIXTURES)50 @25Q
BAL@1
Ex. Occu FIXED APP LNS. OR
P -(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
LicenNo. 3a.s36.5 Classification � l
Misc. Wiring 6.25se
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ 34.50
$ _-3-4T55
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 W kmen's Compensation.
have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
El 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
-a ._
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling _
Ventilation
Hood 2.00
Permit Fee $
$
TOTAL PERMIT FEE
This permit is hereby issued under the applicable arovisions
of
X - Date
Signature of P rmitee r gent
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
the tfutte county code and/Or resolutions to do work indicated
above for which fees have been paid.
D RECT i R OF PUBLIC WORKS
By�-�� Date L
6:7
Bu4d+mg-Permit expires Date
I .
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
� 7 County Center Drive — Uroville, California 95965
- Telephone: 534-4541 v
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned propertyfor
inspection purposes. `
X Date
i nature of Permitee or
orr Agent
Receipt No. 6&_J 7
White-D.P.W. — Yellow -A sessor — 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.
DIRECT R OF PU LIC WORKS
BY � Date
sig permit expires Date _
BUILDING
Owner a
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor
Total Valuation
Mai lin Address:86
Permit Fee
Plan Checking Fee &/or Penalty
i.°
IOa el pone
Permit Fee $
Building Address'
Vista De/ it
PLUMBING No: @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
r� I ?
Each gas water heater or vent 1.50
'_ p
A. P. a
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F e Sapketirm
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA rking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
ImprovementsLawn
sprinkler system 2.00
d
Parcel Approval I
Plans Approval
Permit Fee $
$
NEW ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE J$3.00
etA rnm 1 -77
Main service 600V OR LESS
100 AMP OR LESS 5.00
Main service EA. ADD•L 100 AMP 2,50
Single Family Duplex ❑ Mobil Home ❑ Others
Main service OOEAMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONST.
OR ADDNS. ( ACCLBLOGS.Ccup- &) 2¢sgft
NEW CONSTR. MULTI -OUTLET
NON.RESID. BRANCH CIRCUITS) 2.50ea
NEW CONSTR. POWER APPARATUS &
!
NON RES,D. (SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State o C lifornia Busin & Professions Code under the name
style f: h
Ex. Occup(OUTLETS OR FIXTURES)@L2SQ
BAL�1
FIXED APPLNS. OR
EX. OCcup.(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
n
License No.13. ~( % o p Classification 1113 �< •L
/"
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
l have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling vav
Ventilation
Hood 2.00
Permit Fee $ r%
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
TOTAL PERMIT FEE
$
authorize representatives of the County of Butte to enter upon the
above-mentioned propertyfor
inspection purposes. `
X Date
i nature of Permitee or
orr Agent
Receipt No. 6&_J 7
White-D.P.W. — Yellow -A sessor — 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.
DIRECT R OF PU LIC WORKS
BY � Date
sig permit expires Date _
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Uroville, California 95965
Telephone; 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date1117
Signature of Permiteeee or A ent
Receipt No. _,�/� /2--
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.
I C q0 OF PUB IC WORKS
r
ByDate `
// 7 17efl
---.permit expires Dat77
BUILDING
Owner
e-;:4
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor IJ
Total Valuation
Mailing Address Z=ePermit
Fee
Plan Checking Fee &/or Penalty
,ri 6AT I phone No.
Permit Fee $
Building Address ` a Q_Qurn
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00 2,00
Each Trap W1.50A,2,00
Repair drainage or vent piping 1.50
Water piping 1.50
77
Each gas water heater or vent 1.50
A. P. No. 3
Zoning 8 Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Improvements
P
Lawn sprinkler system 2.00
Rla P 1p
Parcel Approval
Plans Approval
Permit Fee $ ,
$ - aq
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
(J —
Main service 100 AMP 11 OR LESS
RSLESS 5.00
Main service EA. ADD'L too AMP 2.50
Main service OVER 600V
00 AMP OR LESS 25.00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD•L 100 AMP 1.00
NF W
OR CONST.
( DWEACCLBLDGS.LING CCUP. &) 20syft
NEW CONSTR. I MULTI.OUTLET
NON.RESID. BRANCH CIRCUITS) 2.50ea
NEW CONSTPOWER APPARATUS &)
NON- R. RESID, (SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
st le
styIn
Ex. Occup(OUTLETS OR FIXTURES) 6AL@251C
FIXED APPLNS. OR
EX. OCCUp. OUTLETS (RESID,) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
��7
License No.,2S�7 J�.3 t Classification .F+
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
have placed on file with the County of Butte a certificate of
El Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ I FEEPERMIT
FILING FEE J$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
TOTAL PERMIT FEE
$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date1117
Signature of Permiteeee or A ent
Receipt No. _,�/� /2--
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.
I C q0 OF PUB IC WORKS
r
ByDate `
// 7 17efl
---.permit expires Dat77