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HomeMy WebLinkAbout078-160-031�v-�+`~ 073- GO ' 2420 Monte vis Perinit#2947-89 (add patio & carp rt) 99-2382 LOGUE, CHARLES 2420 MONTE VISTA, OROVII.�E —--'——'-- |WALL HEATER/SF ~ B * �-re��`� , d�` (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 016-0650-031 ZONING BUILDING PERMIT OWNER ('HART S '► / DUE TELEPHONE SO. FT. OCC, BUILDING VALUATION OWNERS MAILING ADDRESS 2420 MONTE VISTA, OROVILLE 95966 CONTRACTOR'S NAMEONE DEAIR CO. TELEP Sj4-,8691 CONTRACTORS MAILING ADDRES jSfl 710 FEATHER RIVERS ORO 95965 VV +U CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE N0. Rlinq Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS , + Plan Checking Fee $ BUILDING ADDRESS 2420 MONTE VIE; A, OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE _ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.0023.00 USEOFSTRUCTURE SF Of Duplex ❑ Mobilehome ❑ Other SPECIFY Soler or heat um water heater Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: . NEW FURNACE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Sarvice p A600V OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.�A License Class J�.•n�, () Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of,perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have 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. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers'� 9compensation�1 ,insurance carrier and policy number are: Carrier A Policy Number 1 -I -7R 3 VC4 -- nn (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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 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 ,workers' comply with those provisions. f� ,� (� _ X j Date Signature of Applicant - ❑ Owner 0",Contractor ❑ Agent An OSHA permit is1required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service Y00A TO I 46.00so NEW CONST. OWELUNG OCCUP. SO U OR ADDNS: ( a ACC. BLDS. 3.5¢FT. RESINEW C. MULTI.OUTLET J.@7.50 PSINGLE OIlRET CIR.OWER APPARATUS Zo @ 1.00 Ex. Occup. OUTLET OR FIXTURES BAL @ .50 Ex. Occup. ouriD A OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating 1 15.00 15.00 Cooling Hood 6.50 Ventilation PERMIT FEE $ 35.00 Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAz. D FEEB IMP I FLOOD I CDF PARCEL PD I HD ISSUE This permit is hereby issued under the applicable provisions of the Bute County Code and/or Resolutions to do work indicated above for which fees have been paid. [ f� Byef'�.-Date /� PERMIT EXPIRES ON r(J d Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DJ;VELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California,, 95965 • Telephone (530) 538-7541 P RMIT O. (Rev. 12/96) APPLICATION AND PERMIT - 9G✓-� ASSESSOR PARCEL NUMBER 036-650-031 ZONING BUILDING PERMIT OWNER CHARLES LOGUE TELEPHONE SO, FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2420 MONTE VISTA, OROVILLE 95966 CONTRACTOR'S NAME DEAIR CO. TE4E r-!8691 CONTRACTOR'S MAIUNG ADDRE9271O B FEATHER RIVER, ORO 9596,,5�,-jj!!{{ L CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fling Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING AOORESS 2420 MONTE VISTA, OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNISIOWS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF Cg Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NEW FURNACE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 600V OR UE Main Service 20.AORLE6S 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my licenseisin full force and effect. A License Class --ao Lic. No. `j' OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have 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. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compen 'on i uraw�cce�� �ccarri�eer nd policy number are: Carrier I �a y't �4t�1 Policy Number 11-71? 2 D (The above sections need not be completed If the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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 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 m ly with those provisions. X Date 7 1� �(� —7 / Sig t e of AIA iNt - ❑ Owner OLContractor ❑ Agent An OkJA permit is &quired for excavations over 60" deep and demolition or construction of stru ures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. S° OR ADDNS. ( a ACC. S.3.50FT; T. NOWRESID. MULTI.OUTLET CIRCUITS @7,50 POWER APPARATUS a SINGLE OurLET CR. Ex. Occu OUTLET OR FDCTURES 20 @ 1.50 B4L p .so Ex. Occup. oUTLEE°T6A pa D.°EE.w 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating 1 115.00 15.00 Cooling Hood 6.50 Ventilation PERMIT FES $ 35.00 Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ -LD. FEES IMP I FLOOD I CDF PARCEL PD I HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. 1. By ate f� hq PERMIT EXPIRES ON et Receipt No. 00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OPEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NC (Rev.1W6) APPLICATION AND PERMIT Ae9ESSORPARCEL NUMaE11 ` ` �� 46.00 ZONvw BUILDING PERMIT OWNER / _ �e TeLZPN°"e SO. FT. OCC. BUILDING VALUATION a g MAaua AODRE88 96 &M) 7 Ex. Occup. OUnET OR FWMES 20 01.1 SAL @ .50 CONTRACTOR'S NAME Dim :"M'Ess16 °REA TELEPHONE Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 CONTRACTOR'S MALM ADDRESS _ r CONSTRNCnONLENDER EFirelace LENDERI MNUNo ADDRESS Total Valuation S ARCNrn:Cr OR ENGINEER LICENSE NO. FilingFee S 20.00 ARc�ECT OR ��y MAUNo ADDRESS Permit Fee $ Plan Checking Fee b G� sUILOMADOREss ��UIST� /�� > Energy Plan Checking Fee $ S PERMIT FEE _ LOT NO. SUSIONISIOINsK ME PAMEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Tr 7.00 USEOFSTRUCTURE Solar or heat um water heater 23.00 SF Duplex O Mobilehome O Other Water piping 15.00 9PMFY Each as water heater or vent 15.00 TYPE OF WORK Gasi in stem t - 5 outlets 15.00 New O Addition O O U Remodel 0 stalation O Other O Buildingsewer 15.00 Describe Work:� �tilitlies Mobile Home S I GI W 1 @20.00 PERMIT FEE S ELECTRICAL PERMIT Filin Fee 20.00 Main Service p°DOY,A o0R LLss 23.00 Main Service 2— TO 1000A 46.00 NEW CONST. OR ADONS. OWELLA 0 OCCUP. ( a ACC. BLDS. 35aso. . R. No14-RESID. / MULTFOtrRET @7.50 P.OPIOLE APPARATUS a OUTLET CIR. Ex. Occup. OUnET OR FWMES 20 01.1 SAL @ .50 Ex. Occup. Dim :"M'Ess16 °REA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE _ MECHANICAL PERMIT . Fling Fee 1 20.00 Hood 6.50 Ventilation PERMIT FEt $ Z-'2oOIL) Mobile Home Installation Fee L Energy Inspection Fee $ D" CONST. TYPE TOTAL FEES , NAZ. 10. FEES I IMP I FLOOD I COF PARCEL PO ND 16SUE 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 PERMIT EXPIRES ON Date - ' PERMIT NO. 2947-89B a PERMIT EXPIRES I �n OWNER CHARLES & EMMA LOUGE CONTR. Doug: Lawson Const ASSESSOR PARCEL 36-65-31 LOCATION 2420 Monte Vista,Oroville Temp. Power Pole Called PG&E _ Temp. Elec. Service _ Celled PG&E — Temp. Gas Service Called PG&E JOB FINALED (DElte) Signature — n ' PERMIT NO. 2947-89B a PERMIT EXPIRES I �n OWNER CHARLES & EMMA LOUGE CONTR. Doug: Lawson Const ASSESSOR PARCEL 36-65-31 LOCATION 2420 Monte Vista,Oroville Temp. Power Pole Called PG&E _ Temp. Elec. Service _ Celled PG&E — Temp. Gas Service Called PG&E JOB FINALED (DElte) Signature — 6K-- 0 = Not OK K•- 0=NotOK = Not Read�yable MOBILE 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-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date MOSILEHOME 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 Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date A: MISCELLANEOUS Date DEC ,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s oning Requirements -Setbacks -Easements ootin s; Soils -Size -Depth -Spacing -Connectors -Steel 3. D s; Girders and/or Joists -Decking -Bracing -Stairs -Rails ood Awn.; Posts- Beam s-Rftrs.-Connec.- Shth fg.-Bracing 5. m. Awn.; Columns -Connections -Splice -Decal -Enclosures Carports; -Windows -Doors c. 8. Fr ills -An - tuds-Rftrs-Trusses ailing -Veneer -Stucco -Mesh $01Roof; Shthg-Roofing andings Card -B1 ¢��, Date Z!:"C!Zd-B1 Date Card -B1 ate :�7—, and -B1 Date e 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 T Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date =UK 0 = NotOK RESIDENTIAL (Single and Duplex) - =Not Applicable = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks; -Easements -Flood -Slope 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ P' Ftg. Deptt 3. Ftg., Garage; Soils -Steel-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance- Material -Su pprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -131 Date Card -81 Date Card -131 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air- Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -131 Date Card -B1 Date Card -131 Date Card -131 Date Date ELECTRICAL (Permit) OK except #'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. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 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 Liqht-Spa Light Card -B1 Date Card -B1 Date Card -B1 Date Card -81 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -61 Date Card -61 Date Card -131 Date Card -131 Date Date FRAMING (Plans) OK except #'s 39. Sills, 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. Header & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. Ties-Purlin-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 58. Shear Walls; Nailing -Bolts 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -B1 Date Card -B1 Date Card -B1 Date Card -131 Date Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64.Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 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 Protec. 77. 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 Si. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Firepl.-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 Inpections 89. Gas Test -Meters Tagged; Gas -Electric 96.Water & Sewer Connected -C/O to Grade -HD Approval 9i. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -131 Date Card -B1 Date Card -131 Date Card -81 Date Card -B1 Date Card -131 Date Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovilli,;7 alilOrrMa 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT N0. t � ASSESSOR PARCEL NUMBER . 6- �� —p3 ZO NG /I BUILDING PERMIT O ER des 1 TELEPHONE SO. FT. OCC. BUILDING VALUAT194 fi OWNER'S MAILING ADDRESS CO RACTOR'S NAME D I TEL PHONE 89 -civ g.oNTRAC OR'S MAILING ADDRESS u a, /l Fireplace CONSTRUCTION LENDER oelL J UNKNOWN Total Valuation $ 2 q,. Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ •,� ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ - Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING 2 ADDRES f -��� Permit tee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 DUI Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF/_ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00e . TYPE OF WORK New ❑ Addition Remodel q Utilities ❑ Installation❑ Other ❑ Describe work: Com( F 11 (0 _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 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 y license is in full force and effect. License No. Classification �-,y ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.&\ OR ADONS. ACC. BLDGS. I '/z2sgft NEW CONSTRMULTI-OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea (POWER APPARATUS & SINGLE OUTLET CIR. / Ex. OCCUp(OUTLETS OR FIXTURES eALv3o SAL@30 FIXED APPLNS \\ Ex. Occup. OUTLETS (-RESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. fi;;-,l I have placed on file with the County of Butte Building Department 1'0J a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation. permit Fee $ Contractor 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 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 conseque a of the granting of this permit. X S eF �� �----- Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over '0" deep and demolition or construct• ion of structures over 3 stori in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONSTTYPE TOTAL FEE $ Az C` PA—=K S=HL ILD PA PD HD su This permit is hereby issued under sions of the Butte County. Code and/or work indicated abfees IRC By PERM(T X IBES Date the applicable provi- resolutions to do have been paid. WORKS Date '- � "I Receipt No. �l5 7 �— fj ,�y C� WHITE-D.P.W.. YELLOW-ASSSOR. PINK-INSPEC R. 60LDENROD-APPLICANT 8 t.'C'7-+b`�ry7M"►f"..�+'t1'K....��.�...,+�.,....p�r�i?r..y4...t...�..,•..Q.i.F,.,. ��p�,�y�'1"��:..�„Zil'i{y+..-.��qn(� - ::,� COUNTY OF BUTTE - DEPARTME T 0l=, PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE; CALIFORNIA 95965 -TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER 911 Proposed Building Use Date At time of permit application, I was advised the following 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 Compliance and supporting documentation ......... 7. State ent of Intent for Non -Heated and AC Buildings .............. 8. Eng' eered truss details and layout in duplicate (required prior to plan check) 9. bilehome installation data including manufacturer's installation instructions..:............................................... 0. Fees of $_69, ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 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 may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required . Pre-inspec. request to Building Inspector (Da 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mato owner. Mail to contractor. D` 9' Telephone,�Z?- 0781 and hold for pickup at _office. Deliver w/inspector. Other ^pplicant Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted pri 1. Index permit for above items No. 2. Additional items required: to Aermit issuance: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by_phone_-nail counter by .date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by Date q— % a Sets of plans on hold in . File cabinet AP folder Copy—DPW G T �E I FE--�----- - -1------ - _._ ._ ____ _ j I-_ I� -1� �E aye --,, 17 a