HomeMy WebLinkAbout078-220-056FAILURE TO FINAL FIREPLACE INSERT
4/23/93
Xa'!i ah C"So�lJq
�TATTIE -SEARS
10 Rosita Way, ORoville
Contr: George Roofing
PErmit #1283-88B(reroof/SF)
6 91-,4 2 3.5— .
SEARS, BOYD I'
CONTR : OWNER
10 ROS I TA WAY, OROV I LE
FIREPLACE INSERT/SF I Dp
1A
L;
56
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G� a o �� 1 !�� � i A
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VIOLATION CHECK LIST
A.P. # -3� — 55 - 5 Address , /0 , �� , OA-&V�L 9- )Fiv S -
Owner 62� /410-� z -t7` /
Owner's Addre s ,a-r-�
Owner's Phone No. 5f 3 —8 3 go Supervisoral District
Tenant's Name Phone No.
Type
of Violation in Detail with Code Section Priority No. P -3
Specific Plot Plan with C/V Noted _yes no Penalties Required
1st. Notice Sent q112 J72nd. Notice Sent
ate Date
Comments and/or Determination
4-b� / s r f�S/�j
a -
111A 114��
Disposition For Citation Citation
Date) (Date)
Department Recommendation to Court
Court Action
11
Notice of Violation Recorded
(Date
iL
1t
036-55-0-056- 91-4235'
.SEARS, BOYD
CONTR: OWNER
10 ROSITA WAY, OROVILE
FIREPLACE INSERT/SF
'a
- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
✓ 7 County Center Drive - Orovlllo, California 66068 - Telephone: 916,'538.7541
.� APPLICATION AND PERMIT
PERMIT NO.
91-4235
36-55-56,
BUILDING PERMIT
Boyd -Sears
533-8340
30. FT. 000. BUILDING VALUATION
WN
10 Rosita WaX. Oroville 95966
N M
O W nee --
Owner
TELE HONG[
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation 1 $
LENDER'S MAILING ADDRESS
Filing Fee $ 15,00
Permit Fee $ 30.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS t
10 Rosita Way, 0roville I
Permit fee $ 45.00
PLUMBING PERMIT Filing Fee 15.00
Each Trap 5.00
{
t
Solar or heat pump water heater 20.00
LOT NO.
SUBDIVISION NAME
PARCEL` MAP
Water piping 7.00
Each qas water heater or vent 7.00
USE OF STRUCTURE
SF®' Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
Building sewer 1
E
Mobile Home S G W @ 15.00
TYPE OF WORK {
NewAddition[-- Remodel❑ Utilities [I Installation❑ Qther}Q
Describe work: type A fireplac a insert # _
'
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 600V OR LESS 18.50
200A OR LESS
Main service 200A TO 1000AI 37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BUSlness
and Professions Code and my license is in full force and effect.
License No. Classification I
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)
❑ 1, 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.&\ 3.64 sq.
OR ADDNS. ( ACC. BLDGS. // ft.
NEw CONSTR ULTI.OUT LET
NON-RESID BRANCH CIRC ITS @ 5.00
POWER APPARATUS &
(SINGLE OUTLET CIR.
764
Ex. Occup(OUTLETS OR FIXTURES AL. 454
.P
FIXED AP
Ex. Occup. OUTLETS (RESID A.) I 3.00
)RE
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. byirin 9 15.00
Permit Fee $
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
�I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT FiIingFee 15.00
Heating
Coolin g
Hood 6.50
Ventilation
permit Fee $
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in'conse ue ,of the granting of this permit.
r 1
X Date (
ir ' "
Signature of Applicant — Owner Contractor ❑ Agent ❑
t.
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.DIRECTO-
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE ,S 45.00
HAz
I DFEES I
IMP
I FLOOD
CDF
PARCEL
PD
HD
Is
This permit is hereby issued under the applicable provi-
sions of t utte County Code and/or resolutions to do
A A ,
work ied abode'fpr which flees Piave been paid.
)•
t70PI, (OF PUBLIC WORKS ff
By 1 /1 ,F,�f�Z/P71 Date
PERMIT -EXPIRES Date Il) Z/14) 100) _
-
10:3535
Receipt No.
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
• COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
ER
701
A routine inspection indicates that the following violations of Butte County Ordinanceg exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
C u l _�—t-7!//e /42. /ii/
Date t✓ Sk f lt-- Inspector
r
REV 11/91 l
1
A'
A 9
o� A
Hattie Sears
10' Rosita tiay ` -"
Oroville, CA 95966
RE: Building Code'Violation'
10 Rosita May, Oroville
Dear Ms. Sears:
April 27, 1993
A.P. #: 036-55-0-056
This is a courtesy notice to notify you that you are in violation of the
Butte County Code, as follows, at the above referenced location:
Failure to obtain final" -inspection prior to use and permit expiration
for fireplace insert.
Since permits and inspections are required for the above work, apply for
the required permits to make corrections and complete project and pay the
appropriate fees.
All work must stop until these permits are issued and you are authorized
by our field inspector to' proceed. ' This field authorization cannot be made
until the existing work is inspected and approved.
It is the County's goal to obtain voluntary compliance with the Butte County
Code. However, you should be advised that Butte County has an active Code
Enforcement Program which provides an effective means of enforcement if
voluntary compliance is not obtained. Enforcement may be pursued through
the issuance of citations, fines and the recording of a Notice of Violation
including a description of the action necessary to abate the violation.
You have thirty 30) days to voluntarily comply with the above directions
or to present an acceptable plan for abatement or corrective actions to
be taken by you.
Should you have questions concerning this matter, please contact David Purvis
or Bill Barron in this office at the address or telephone number listed
above.
JFG:dms
cc: Assessor
Yours very truly,
David Purvis
Manager, Building Inspection
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/536-7541
APPLICATION AND PERMIT
PERMIT NO.
91-4235
ASSESSOR PARCEL NUMBER
36-55-56
ZONING +
'
BUILDING PERMIT
OWNER
Boyd Sears
TELEPHONE
533-8340
S0. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
10 Rosita Way, Oroville 95966
CONTRACTOR'S NAME
Owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 1,500
Filing Fee
$ 15.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 30.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
10 Rosita Way,Oroville
Permit fee
$ 45.00
PLUMBING PERMIT
FiiingFee 15.00
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAMEPARCEL
MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S I G I W
@ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other
Describe work: type A fireplac e insert _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200V OR LESS
00A OR LESS
18.50
Main service 200A TO IOOOA)
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license Is In full force and effect.
License .Jo. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUPM
OR ADDNS. ( ACC. BLDG S.
_37.50
3.64sq.ft.
NEW CONSTRULTI.OUTLET
NON.RESID BRANCH CIRC ITS
@ 5.00
POWER APPARATUS s
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
76
20 46
FIXED APPLN R
NS. O
Ex. Occup. OUTLETS (RESID.)
3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
9
15.00
Permit Fee
$
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
f Consent to Self -Insure.
shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIingFee 1 15.00
Heating
Cooling
g
Hood
6.50
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said Cou y i onse ue f the granting of this permit.
%� Date Iq r
signature of licant — Owner Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee S
Ener Inspection Fee $
9Y P
occ
CONST TYPE
TOTAL FEE $ 45.00
I
HAz
I DFEES
IMP
I FLOOD
I CDF
I PARCEL
PD
HD IS
This permit is hereby issued under the
sions of t utte County Code and/or
work I IC ed ab f which
DIRE FAfi UB
By
XP
PER T "VIRES Date
applicable provi-
solutions to do
s ave been paid.
RKS
Date b1101? I
Receipt No. 103535
WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
_ 1
t^.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
�� Permit No.
OWNER A.o. 1
—
Proposed Building Use �l`f fi ��5� Building Inspec ��;�_Date/�
At�7t
mit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
.l items havebeen 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. Statement of Intent for Non -Heated and AC Buildings ..............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions....................................................... `
10. Fees of $ ........................
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 (Date)
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: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver w/inspect
Otor
her c/�
Applicant Date 1;__1601
Copy of ! .az-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---nail—counter by .date
Contractor, designer, owner, was advised of above required data by—phone —mal l_counter by date
Plans checked by
Sets of plans on hold in
Copy—DPW
Date Plans approved by
File cabinet AP folder
Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916,'538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR P E NUM RZONING
lj 6
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S ILIN;, f
/
CNTR CTORJS NC(A//E
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee $ 15.00
LENDER'S MAILING ADDRESS
Permit Fee $ (], Uv
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
6�
Permit fee $ 61
PLUMBING PERMIT Filing Fee 15.00
Each Trap 5.00
Solar or heat pump water heater 20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Water piping 7.00
Each qas water heater or vent 7.00
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.00
Mobile Home S I G I W @ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other
Describe work: / / �/ ��%2 ��� _
1N -Sr—_X-7–
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 600V OR LESS 18.50
200A OR LESS
Main service 200A TO t000A1 37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑NON•R
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. ClassificationRAL.
'❑ 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.>c� 3.64 sq.ft.
DR ACDNS. \ACC.
I -OUT
NEW RES,., ULTI.OUTLET @ 5.00
ESID BRANCH CIRC ITS
POWER APPARATUS a
SINGLE OUTLET CIR.
Ex, OCCUp(OUTLETS OR FIXTURES20 76d
0 4544
FIXED APLNS.
Ex. Occup. OUTLETS IPRESIO.IREAJ 1 3.00
Temporary service 1 15.00
Mobile Home Facilities 15.00
Misc. Wiring
9 15.00
Permit Fee $
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
^f Consent to Serf -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT Filing Fee 15.00
Heating
Cooling
Hood 6.50
Ventilation
permit Fee $
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date
Si natuA
Applicant re of
9 pp – owner❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee S
Energy Inspection Fee $
occ CONST TYPE
TOTAL FEE $ , a�
!.
HAz
7ES
IMP
I FLOoo
I CDP
I PARCEL
PD
1 HD
ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
Work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date
PERMIT EXPIRES Date
Receipt No._ l n3s5
.MITE-D.P-W„ YELLOW-A3e[330R, PINx•IN9P[CTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER 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 to 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 Contractors License No.
'4. ,I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address . Phone Type of Work
Signed:
Property Owner
Social Security Numbe
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
V
Permit#1283-8f
HATTIE SEARS
10 Rosita Way, Or(
/z-1411 -7 1 /L111-', 1w rr��:,�ti
.,►/, �...�,�-� � � w � p�� �, cam,,.., 5 � �
f'�
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION - AND PERMIT
PERMIT NO. ,
ASSESSOR PARCEL NUMBERZONING
BUILDING PERMIT
OWLNER
TELEPHONE
S0. FT. OCC. BUILDING VALUATION
OWNER'S MAI (/V ,
t
CfO.NTT,RACTOR'S NAME,
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER/w
NKN
UOWN
Total Valuation $
;0_1025
LENDER'S MAILING ADDRESS
Filing Fee
$ 10.00
Permit Fee
$ ,-2��a
ARCHITECT OR ENGINEER
LICENSE No.
Plan Checking Fee
$
,E..'
, Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
An /t0/
A A-016 <'j 7.4 124041
Permit fee
$ 4�d0
PLUMBING PERMIT
Filing Fee 10.00
1iQ 'i
Each Trap
2.00
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
rr�eff USE OF STRUCTURE
A
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
10.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel[ -]Utilities [:1Installation❑ Other E]Permit
Describe work: nn 01/1, Kc,
Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 1000V OR 0 AMP ORLESS10.00
Main service EA. ADO'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
f I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professtjon�s(Code and/ my license is in full force a d effect.
License No. 7 1�,��0 -. j�rj'
❑ 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) 6
❑ 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 OC CUP.s ,
OR ACDNS. (ACC. BLDGS. /zQsgft
NEW CONSTR MULTI -OUTLET
LET
NO N.RESID BRANCH CRC"
RC ITS
2.50 ea
POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES .200501
Classification
Ex. OCCUp. OUTLETS (FIXED PRESID )REA.� 1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. bVirin g 15.00
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you becomesubject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 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
againnss%tos`aid County in consequence of the granting of this permit.
Z1Q'
X +!w��✓7/ �XL Date , 2S —�O
Signature of Applicant Owner ❑ Contractor Q Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 storiesin height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $ c,25, 00
occuP.
CONST.TYPc
IFL0001PARCELI
PD
ND
S9UE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR�OF PUBLIC WORKS
BY "' "" Date
PERMIT EXPIRES Date �)_ �• /
Receipt No. /L..5 / 1/
WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
v COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PER N0.
7 County Center Drive - Oroviile, California 95965 - Telephone 916/534-4541
APPLICATIOPANCI TERMIT
ASSESSOR PAR NUMB
ZONING
BUILDING PERMIT
o 4
T LEPHONE
S3-7— D
SQ. FT. OCC. BUILDING VALUATION
-7
-6 o 0
OWNER'S MAI G ADD=RESS
/6.51 i�vi/
CO RACTOR'S NAME )
TELEPHONE
CON ACT 's MAILING ADDRESS
� JO x 9 U1 .
P
Fireplace
CONSTRUCTION LENDE
UNKNOWN
Total Valuation Is
/00
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 ADD ss
2 7W 11246;1
Permit fee
$ 15,60,610
PLUMBING PERMIT
FiIingFee 10.00
�//
Each Trap
2.00
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
SFA Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home JSJGJWJ
10.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel Utilities ❑ Installation❑ Other ❑
Describe work:f GL
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 Professio s, Code a/nd my license is in full orce and effect.
D � �— .
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.N
OR ACDNS. ( ACC. SLOGS. , /20sgft
NEW CONSTR. MULTI -OUTLET
NON.RESIO BRANCH CIRC ITS 2.50 ea
POWER APPARATUS 6
(SINGLE OUTLET CIR.
Ex. Occup( OUTLETS OR FIXTURES eA 0 o
Ex. Occup. OUTLETS 4RESID.)FIXED APPLNS REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 -
Misc. byirin g 15.00
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
Tvi I have placed on file with the County of Butte Building Department
�l a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify4and keep harmless the County of Butte against
, and expenses which may in any way accrue
all liabil'Llis, judgm „ts�Sueince
agains aou of the granting of this permit.
X ��ZS ���
Date
Signature of Appl'cwner❑ Contractor � Agent Elwork
an — O
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $ ca?$, OU
OCCUP.
CONST.TYPEJ
FLOOD
PARCEL
PD
ND
ssuE
This permit is hereby issued under
sions of the Butte County Code and/or
indicated above for which
ECT UBLI
BY
PE T XPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
RKS
at l,)
—
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT