HomeMy WebLinkAbout078-150-004Wynoka Horn, Inc. -7- -3,
5706 Vista Del Cerro, lot 4, Vista
Del Cerroll, Oroville
Permit #1702-78B(new single family)
B07-0707 078-150-004
MISCELLANEOUS HVAC Change Out
INSTALL NEW HVAC UNIT
5706 VISTA DEL CERRO
GOODWIN, JERRY & KATIE
I
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
PROJECT INFORMATION
Site Address: 5706 VISTA DEL CERRO
Owner:
Permit NO: B07-0707
APN: 078-150-004
GOODWIN, JERRY & KATIE
Issued Date: 04/04/2007 By KCG
Permit type: MISCELLANEOUS
5706 VISTA DEL CERRO
Subtype: HVAC Change Out
OROVILLE, CA 95966
Expiration Date: 04/03/2008
Description: INSTALL NEW HVAC UNIT
Occupancy: Zoning: R1
Contractor
Applicant:
Square Footage:
GALLAGHER'S HEATING & AIR
GALLAGHER'.S HEATING & .
Building Garage Remdl/Addn
PO BOX 35
PO BOX 35
LOS MOLINOS, CA 96055
LOS MOLINOS, CA 96055
Other Porch/Patio Total
(530) 384-2444
(530) 384-2444
FEE INFORMATION
DBM Heat Pump (Package Unit) $55.00
Total Charged: $55.00 Fees Paid: $55.00
Balance Due: $0.00 Receipt No: B2504
LICENSED CONTRACTOR'S DECLARATION
OWNER / BUILDER DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
GALLAGHER'S HEATING & AIF 777334 / C20 C38 / 04/30/2008
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)
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9
(commencing with S ction 7000) of Division 3 of the Business and Professions Code, and my license
rce e de
of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the
Qu`
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
04/04/2007
the applicant to a civil penalty of not more than five hundred dollars [$500];
Please check one of the following:
C on ctor , ignature Date
I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE
—11,
COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR
WORKERS' COMPENSATION DECLARATION
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
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
the work himself or herself or through his or her own employees, provided that such improvements
❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
are not intended or offered for sale. If, however, the building or improvement is sold within one
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
year of completion, the owner -builder will have the burden of proof that he or she did not build or
performance of the work for which this permit is issued.
improve for the purpose of sale.).
MAINTAIN WORKER'S COMPENSATION INSURANCE, by
K
❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
HAVE AND WILL as required
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
ection 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;
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
013855 05/01/2007
Carrier: State Fund Policy Number. 713-0Exp. Dat e:
Contractor's License Law.).
(This section need not be completed if the permit is for one hundred dollars ($100) or less.)
❑ I AM EXEMPT under Section B. & P.C. for this reason:
❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
X 04/04/2007
ISSUED, 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
Owners Signature Date
qons.
;X- 04/04/2007
&d
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
Sign re Date
�—"�
WARNING: FAIL E TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
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
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
injury, including death, and property damage caused by, arising out of, or in any way connected with
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
ATTORNEY'S FEES.
County to erger the above mentioned property for inspection purposes. I hereby certify that I am the
propergf e r am u orized to ct on the rope owners behalf.
04/04/2007
CONSTRUCTION LENDING AGENCY
ame Permittee [SIGN] Prim Date
1 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)
ElOwner 11Contractor OR. Agent for Owner Agent for Contractor
FILE COPY
Lenders Address City State Zip
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
A FEE WILL BE REQUIRED AT TIME OF APPLICA TION
Website: www.buttecounty.net/dds
"PLEASE PRINT CLEARLY"
OWNER INFORMATION
st Na I�p�J! nsM
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F ,e
Mailing Address Jr770 tJ Z StQ j�Q� Cee_
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City 4%D V / Ile
State /)
C
Zip
Phone
Fax
E-mail
CONTRACTOR
Name a( S 4WAc,
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Address PO
City&s Mc�� ` �S
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State CAZip?
Zi%O5J_�
Phone jg L11
Fax
E-mail
Lic. # r�r� 33
Class COOC
APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name
City [�Oj US
Address
Zi%O5J_�
City
Fax
State
Zip
Phone
Fax
E-mail
State License Number
APPLICANT INFORMATION
Name C ,,, 19 r s INIVJ
Address Po 13,o5
City [�Oj US
State
Zi%O5J_�
Phone N n
Fax
E-mail
/ ,;ATURE
SIG'iN..—
-
1w
PROJECT LOCATION
API 0 -7 0 (on Q
Property Addres�
City '
1
PERMIT
NO.
BIN #
WORKER'S COMPENSATION
Policy Number // 2 , O01
Carriera6t,tQ
If hiring anyone other thaK 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:
1 5-E as Mul c;�l
C
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
For office use only:
Zoning
Flood Zone
SRA
I Yes
No
Occ.
Type Const.
r
Y
., (Lot 4)
PERMIT NO. 1702-78B XIX
i
Z
PERMIT EXPIRES
OWNER Wynoka Homes, Inc.
CONTR. owner
t LOCATION (A.P. 36-65-49 port.
5796 Vista Del Cerro; lot 4, Vista Del
Cerro#l, Oroville
f,
r
4
f
I
Temp. Power Pole
Called PG&E f
Tempi Elec. Serv. _(?--/ Called PG&E
PG&E
emp. Gas Serv.
Called PG&E y%
JOB �� G / r?
FINALED /
(Date)
(Signature)
THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT REGULA-
TIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 45, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT:
Street
Lot 4
Lot Number Tract No.
EXTERIOR WALLS
Manufacturer Certainteed Thickness/Type 3i's R Value 11
CEILINGS
Batts: Manufacturer Thickness R Value
Blown: Manufacturer Certainteed Thickness 8 3L4�� No. Bags 24 Wt./Bag
Sq. Ft. Covered 1200 R Value 19
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 LICENSE No.
BY o � s e _DATE
INSULATION CONTRACTOR: HAWKINS INSULATION CO., INC. LICENSE No. 215-925
V WAR 1-1 ��/� -September
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COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd) PLUMBING
Setback
Forms
Main Bldg.
Footings
StemwalI `
Slab
Piers
Garage
Footings
Stemwal l
Slab
Slab
Patio
Footings
isonry Walls
Reinf. Steel
Firewall
Soil Piping
Parapets
1st Floor
Restroom Finish
2nd Floor `
`7 - Windows
3rd Floor
_ Siding
To out
Roof Sheathinga =
Water Pi in �� Z(`
Roofing
14
Sewer rp r
Fdn. Vents
Fixtures
Garage Vents
Water Htr.
Insulation
Heaters
Prov. for ph sically
handica ed
Conformance of ex.
structure
Appliances
Gas Pi in &Test
Temp. Gas
Final
SanitationI
FI
PLACE
Final
FootingELEC
ICAL
Throat
Rou h <e;—" 0- 7
Final
Fixtures
FIRE SP
NKLERS
Motors
Framing 754 -Test Water Htr.
Stucco Final Subpanels
Mesh MECHANICAL Grd. Fault Prot.
Scratch Heating Service
Brown Cooling Temp. Pole
Finish Ducts Underground 9 "
Interior Lath Ventilation Permanent
Door Closer Final Final °
MOBILEHOME UTILITIES - - - - - - - - - - - - - - - - - - Elec. Service Elec. Pedestal
Water Piping Sewer Gas Piping
MOS16�EWOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC�J
�
7 County Center Drive — 0roville, California 95965 WORKS _/
Telephone: 534-4541 d Q
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for insDeClJon purposes.
ie_�_w Date
Signature of Perm' e5 r Ag 71
Receipt No. l � G z l
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By 4,eVfY 4 Date
permit expires Date` '%
BUILDING
Owner wmmka
SO. FT. OCC. BUILDING VALUATION
Mai I i ng Address
Telephone No.
Contractor `ec
Mailing Address @. %��Vlww
Fireplace
Total Valuation
Tele one No.
Permit Fee
Building Address Qrm
Plan Checking Fee&/or Penalty
Permit Fee
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
A. P.
Zoning &Planning
Water piping 1.50
Each gas water heater or vent 1.50
Fkes
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EOA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60 ' R/W
Improvements
P
Each additional outlet .30
Building sewer 5.00
6F ans ac
Parcel A royal
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
Permit Fee $
$
$'
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 600V OR LESS
100 AMP OR LESS 5.00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD•L 100 AMP 2.50
Main service OVER 600V 25.00
100 AMP OR LESS
Main service EA. ADO'L 100 AMP 1.00
NEW
OR ADDNST ( DACC W E
DG CUP s) 22sgft
CONTRACTORS LICENSE LAW
State of California Business & Professions Code under the name
le of:
style
NON•RESID CONSTR ` BRANCH CIRCUITS)2.50ea
NEW CONSTR. (POWER APPARATUS 8
R.
EX. OCCUD(OUTLETS OR FIXTIIRES .ATL2J¢
BL@1
Ex. OCCU FIXED APPLNS, OR
P• OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. 36-l-7491.�- C_/ (J
. Classification
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
@
MECHANICAL No, FEEPERMIT
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
FWkmen's Compensation.
ave placed on file with the County of Butte a certificate of
orkmen'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.
FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
Land Development Fee
$
TOTAL PERMIT FEE
$ 3 I -<-
authorize representatives of the County of Butte to enter upon the
above-mentioned property for insDeClJon purposes.
ie_�_w Date
Signature of Perm' e5 r Ag 71
Receipt No. l � G z l
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By 4,eVfY 4 Date
permit expires Date` '%
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Uroville, California 95965
L, Telephone: 534-4541
APPLICATION AND PERMIT
CONTRACTORS L .CENSE LAW
r1� �
I am licensed under the provisio »of�t✓Fiapt6rc9„D�,yW�����
State of California Business & Professions Coda nder�h,e name
,,Cod
I U J
style of: Oroviiie, Calif. 95965
Phone; 533-2738
License No. 1191)�5(Ob Classification G — I
D I am exempt from the Contractors License Laws of the State of Cal ifomia.
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
I have placed on file with the County of Butte a certificate of
AWorkmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
authorize representatives of the County of Butte to enter upon the
above-mentioged property for inspection purposes.
ZX �Date
--' SignatureofPermitee or Ag t
/
Receipt No. y6 V7
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
V_/V1111
_ BUILDING
SQ. FT. OCC. I BUILDING VALUATION
Fireplace
Total Valuation
Permit Fee
P I an Checki ng Fee &/or Penalty
Permit Fee
PLUMBING
PERMIT FILING FEE
Each Trao
Repair drainage or vent piping
Water piping
Each gas water heater or vent
Gas piping system 1 - 5 outlets
Each additional outlet
Building sewer
Lawn sprinkler system
Permit Fee
Temporary service
Owner
PERMIT FILING
Mai I i ng Address
EVIf Ons IN
600V OR LESS
100 AMP OR LESS
F. U. Box 1600
.cu ITS
Telephone No.
Contractor
Y
Phone; (913) 543-273$
Mai I i ng Address
EA. ADD'L 100 AMP
NEW CONST. (
OR ADDNS.
DWELLING OCCUP. 51
ACC. BLDGS.
Telephone No.
Building Address
.,570(o ar;--U
Zoning V60 icefion Only,
A. P. o. a �9
tonin P4oging
ees SanilP9tion��
Fire Dept.
Fire Zone
Use Permit
EQA Parking
Plans
Parcel
Declaration
Parcel a P
60' R/W
Im rovements
P
,Plans ec'd P ok'.I'App roval Plans Approval
NEW,& ADDITION ❑ UTILITIES ❑ OTHER ❑
Single Family
Duplex ❑ Mobil Home ❑ Others ❑
CONTRACTORS L .CENSE LAW
r1� �
I am licensed under the provisio »of�t✓Fiapt6rc9„D�,yW�����
State of California Business & Professions Coda nder�h,e name
,,Cod
I U J
style of: Oroviiie, Calif. 95965
Phone; 533-2738
License No. 1191)�5(Ob Classification G — I
D I am exempt from the Contractors License Laws of the State of Cal ifomia.
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
I have placed on file with the County of Butte a certificate of
AWorkmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
authorize representatives of the County of Butte to enter upon the
above-mentioged property for inspection purposes.
ZX �Date
--' SignatureofPermitee or Ag t
/
Receipt No. y6 V7
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
V_/V1111
_ BUILDING
SQ. FT. OCC. I BUILDING VALUATION
Fireplace
Total Valuation
Permit Fee
P I an Checki ng Fee &/or Penalty
Permit Fee
PLUMBING
PERMIT FILING FEE
Each Trao
Repair drainage or vent piping
Water piping
Each gas water heater or vent
Gas piping system 1 - 5 outlets
Each additional outlet
Building sewer
Lawn sprinkler system
Permit Fee
Temporary service
ELECTRICAL
PERMIT FILING
FEE
Main service
600V OR LESS
100 AMP OR LESS
Main service
EA. ADD'L 100 AMP
Main service
OVER e00v
100 AMP OR LESS
Main service
EA. ADD'L 100 AMP
NEW CONST. (
OR ADDNS.
DWELLING OCCUP. 51
ACC. BLDGS.
NEW CONSTR.
NnN-RFSIn_
(MULTI -OUTLET
BRANCH CIRCUITS
$3.00
1.50
1.50
1.50
1.50
1.50
30
5.00
2.00
$3.00
5.00
2.50
25.00
1.00
)0 SQ ft
I Ex. OCCUDIOUTLETS OR FIXTURES I gAL'@*IJ
Ex. Occup ( FIXED APPLNS. OR
• OUTLETS (RESID.) EA 2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
6.25
Permit Fee
$
MECHANICAL No
@
PERMIT FILING FEE
$3.00
Heating
Coo I i
FEE
FEE
Ventilation
Hood 1 1 2.00
Permit Fee $ $
Land Development Fee $ ,
TOTAL PERMIT FEE Is volew
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.
ZzR�=
W RK/SS
ej
By at
Building permit ex ires Date - fie
�r it CM+I
kept on_the jab at v1l timss and it is unlawful to
mak 'any changes or alterations on same without
writ, n permisson from the Department of Public
Wor County of Butte.
i
NOTE:—All Materials 8; WorLmanship Shall Be in
Accorr:Nnre W y .1 O'�,. : V01 la-1.� .,,_ �, ..
of a qualit%! r�r��rr�l��� `�ar $e Specified use in the.
Uniform Building, PlurnYng & Machanical Codes and
the National Electrical Code.
dtoo of c2r.141144 it q
ILA
r I10,
tT
o
j
E
070
e Bldg. Sefacc4 sF"al E 5 ft. from the PrI6,10,'
sidetild
I- -r-�=-lig---50--ft—frUrfl the —�--
cenre:•line of the road, permi#ting a maxi. ` �
mum of a 2 ft. eave overhan 10141, j, -
g but entirely p !
out of all easements, l
S e' seer P a f building
i pia D �- --7
BUTTE
BUILDING DEPARTMENT
i APPOVED
h►r*%VM40F-0/ �
rliv/®'i
Pel
am
\/ISD o0�
L)F.j I.rI aA)
SUBDIVISION CITY COUNTY LOT NO.
SEWER
JOB NO. I X� 0
/�HOMES INC. la '
WATER Ljy�py,YNO P.O. BOX 16 SCALE
GAS Qj., OROVILLE,
•• ((// CAL. 95965
ELECTRIC v- 916'533'273x$ '
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
aor��P
authorize representatives of the County of Butte to enter upon the
above-mentioned property for ins ection purposes.
X Date —2f—
Ignaturc of Plermitee or Agent
Receipt No. ' W.20
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.
DT OF PUBLIC WORKS
ZqjkBy Date 1
8u14dkM permit expires'Date y —Zf-7
BUILDING
OwnerSO.
r b N� !F-3 jqG
FT. OCC. BUILDING VALUATION
Mai I ing Address
Telephone No.
Contractorv o
ut..yd��2 h N+✓�tf+. �6 � rK
Mailing Address
Fireplace
Total Valuation
Tele hone No.
��-2lot
Permit Fee
Building Address 6'7p(p v +<s1� k` � �a
Plant ng Fee&/or Penalty
Permit Fee
Fee
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00 Qb
Each Trap 1.50 FJO
C>7 C, owo..r i LL3
Repair drainage or vent piping 1.50
A. P. No. (� — (oS --�f (PoK►� Zoning & Planning
Water piping 1.50 �p
I
Each gas water heater or vent 1.50
Fees
Sanitation
Fire Dept.
Fire Zone Use Permit
Gas piping system 1 - 5 outlets 1.50 s 'p
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma
pBuilding
60' R/W
Improvements=
Each additional outlet .30
sewer 5.00 "'r0o
d
Parcel A royal
1 Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Eir
Permit Fee $ , 5b
is —(
Lu
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 600V OR LESS
100 AMP OR LESS 5.00
Single Family Duplex Mobil Home ❑ Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service OVER 600V 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. ( DWELING
OR ADDNS, ACCLBLDGS.CCUP. 4') 20sgft
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Profes Code under the name
style of:
y
NEW CONSTR. MULTI.OUTL T
NON- RESI D, BRANCH CIRCUITS 12.50ea,
NEW CONSTR. POWER APPARATUS &
NON.RESID. SINGLE OUTLET CIR.
Ex. OCCUD(OUTLETS OR FIXTURES BA� ,�
Ex. Occup. FIXED TS (RESAPPLNS. OR
p• OUTLETS (RESID•) EA) 2•00
Temporary service 10.00
Mobile Home Facilities 15.00
License No�,T7 939 Classification --
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
MECHANICAL No. @ FEE
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
❑I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
Land Development Fee
$
TOTALPERMIT FEE
$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for ins ection purposes.
X Date —2f—
Ignaturc of Plermitee or Agent
Receipt No. ' W.20
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.
DT OF PUBLIC WORKS
ZqjkBy Date 1
8u14dkM permit expires'Date y —Zf-7
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC
7 County Center Drive = ' Ofoville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentio roperty for irlspection purposes.
X Date Z
ign re of P'er`mit.. ee or Age
/f
Receipt No. �7%' / -
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By ! f Date
g..permit expires Date 'yh
BUILDING
OwnerSO.
�
S
FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Contractor Y
I
Mailing Addres III
Fireplace
Valuation
Pelephhon�eIIN,_,Total
Permit Fee
Building Address Vista,rra
Plan Checking Fee &/orPenalty
Permit Fee
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
i—Qv* 1MV1e-
Repair drainage or vent piping 1.50
A. P. 3�_
Zoning &Planning
Water piping - 1.50
Each gas water heater or vent 1.50
F s 1
W . 9a"
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking I
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Imp rovements
P
Each additional outlet .30
Building sewer 5.00
Bkdg_le"-Rur-*
Parcel A roval I
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
Permit Fee $
is
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
0V OR
Main service 100 AMP ORSLESS 5.00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD -L 100 AMP 2.50
Main service O100VERAMP s00vOR LESS 25.00
Main service// EA. ADD'L 100 AMP 1.00
OR ADDNSNEW T 1 ADWECCLBLDGS.LING CCUP. Y\ 20sgft
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 of44,& �e�d,l .fir
TLET
NEW RESID. ( BRANCH CIRCU )
NON.CONST ` BRANCH CIRCUITS/ 12.50ea
NEW CONSTR. (POWER APPARATUS 6
NON-RESID. SINGLE OUTLET CIR.
Ex. OCCUD(OUTLETS OR FIXTHRES 50 * @I
BAL1
Ex. Occup.(OUTLETS FIXED APPLNS. OR
OUTLETS (RESID.) EA 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
3 i C s/3 ~ SS Lp
License No. .- � Classification
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee. $
$
MECHANICAL No. @ FEE
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
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.
PERMIT FILING FEE $3.00 'r (�
Heating
Cooling
Ventilation
Hood 2.00 ,
Permit Fee $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
Land Development Fee
$
TOTAL PERMIT FEE
$
authorize representatives of the County of Butte to enter upon the
above-mentio roperty for irlspection purposes.
X Date Z
ign re of P'er`mit.. ee or Age
/f
Receipt No. �7%' / -
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By ! f Date
g..permit expires Date 'yh