HomeMy WebLinkAbout078-160-031�v-�+`~
073- GO
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2420 Monte vis
Perinit#2947-89 (add patio &
carp rt)
99-2382
LOGUE, CHARLES
2420 MONTE VISTA, OROVII.�E
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|WALL HEATER/SF
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(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
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ILD
PA
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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
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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
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