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HomeMy WebLinkAbout079-140-011Larry Burton in Fn i rh i 11 Dr., Orovil le Permit #1162-81B,P,E(new pri.det. garage) ' Permit #1582-81B,-P;E,M(new sing:. _ family) JV LTJ ii Permit #1602-81P,E(ut 3' MH -temp. while bldg.residence) ELEC. GAS SURORT STRUCTURE REQ i COMPACTION TEST REQ. r Contr : LaGrone Htg� ! �� ermit#2604-87P.,.M( as wally hea� r. SF g ) k P 4 s a `\ ' .�• c ... :�.:XF �, .� :� ��,��� _`�f •,�, �7ty �- ,. �-[ew..•�,. ^mac•.. rhe �"'1G."7"'.r... .,in' lY �.e ji' -.r �.�L� " '.���.�•..,^ '1"�.. a�a '��. • 'Arlo � Permit#2604-87.' Larry Burton #lOB Fairhill Dr, No'. e • I OFFICE COPY Address GAS �. j Meter By D to ELECTRIC Meter By Dat ' J { i OFFICE COPY Address GAS �. j Meter By D to ELECTRIC Meter By Dat Jt .� �� �•�"'�',��•, COUNTY OF BUTTE - DEPARTMENT - •� ?� . ,�,, - .., rx x�t� '�% �"?'� .,`*��i•E:� T OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, Kalifornia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER - - ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWN_EIR'S MAILI ADORE S' CONTRACTOR�NAME / An I /', / ci TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Pian Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS , ZeQ 2 Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 �r/'4 P Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL P Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 67 Building sewer 5.00 Mobile Home JSFG W O.00ea T— TYPE OF WORK Newn Addition ❑ Remodel ❑ tyities❑KiallatijnR Other work: ('3G YEA �J (° Permit Fee $ % 1_Z1)Describe Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V 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): F1 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. 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) ontract- 1 I, as the owner, am exclusively contracting with licensed contract- ors.(Sec. 7044) ors. ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ! DWELLING OCCUP.n) yZQsgft OR ADONIS.t ACC. BLDGS. NEW CONSTRMULTI-OUTLET 2.50 ea NON-RESID BRANCH CIRC ITS POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES ZOeSot eAL030 FIXED PR Ex. Occup. OUTLETS (RESID IEAJ 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. ❑ 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. MECHANICAL PERMIT FiIingFee 10.00 Heating e,5 Q 77 1 6. (/ " 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. 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 con equence of the granting of this permit. X ��� A . _ f7 ? Date Signature of Applicant — Owner ® Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures overr stories height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ % occu P. CONST.TYPEJ 1. 1 FLOOD PARCEL PD AD I 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. D�RECT/Of� PUBLIC'WORKS 4 a By _ �A{'` ^'%2� ��Date n "�/ynv� PERMIT EXPIRES Date rAl. ���` /in Receipt No. /1 f/ WHITE-D.P.W.• YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT�O 42U Ou ASSESS R PAR EL NUM ER ZONING BUILDING PERMIT OWNER TELEPH NEA ,(I) SO. FT. OCC. BUILDING VALUATION OWN 'S M ILI ADD Fsi 1 0& 1 CONT7CTOg NAMETELEPHONE rrone CONTRACTOR'S MAILING ADD ESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 1000 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 ADDRESS Permit fee PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL P Water piping 5.00 Each qas water heater or vent 5,00 USE OF STRUCTURE rV 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 ❑ R/e�,godel ❑ /,,,,000�tViti ❑ I allati n❑,^Other Describe work: f.45>aS Vv[� l�Q �� 1 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR1 OR SLESS 10.00 Main service EA. ADD'L too 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 Bu$Ines$ and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole 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.ad , BI- New CONSTR.( AM ULTOUTLET .50 ea NON -RE SIC. BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES BAL SO2 ALo so Ex. Occup. OUTLETSP(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 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 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 County of 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 against said (;ounty in con equenc f the granting of this ppermiitt. X Date 2f — 1 f ' Signature of Applicant — Owner ® Contractor 11Agent ❑ An OSHA permit is required for exc vations over 5'0" deep and demolition or construct- ion of structures over 3 Stories in ight. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $OtO oCCUP. CONST.TYPC I FLOOD PARCEL PD MD ISSUE This permit is hereby issued under sions of the Butte County. Code and/or work indica above for ich RECT PBL "/9 BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees ave been paid. RKS V15�1 2J_ 07) ate — — Receipt No. WHITE-D.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 , Skyway and Elliott Road; Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matte or need additional explanation, 'please contact this office immediately. L I ,L Y Inspecto[4516� / - Date "" — County of Butte DEPARTMENT OF PUBLIC WORKS Chico — 7 County Center Dr.,. Oroville — 534-4541 Skyway and Elliott Rd., Paradise — W:F 8486 CORRECTION NOTICE ` r;............. .... ........................... ......................../............z.:::.g..f Building or Property Address A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. / .........................................................!`..i.'.:a r�...r...................... .`....""...........1 /..!`_'�^./ : i ` .:.�.... � ,' !... - � v ......................................................... : .................................................�................................................. ...:. ......... ...............................�'!.1L..l.^.................:.............................................. Dat................. e'l.��.�.....� Do Not Remove This Tog (400-4) _' ERMIT NO.1� 838,P,E,M PERMIT EXPIRES 5/21/82 OWNER LARRY BURTON CONTR. owner ASSESSOR PARCEL 36-63-11 LOCATION #10 Pa i rb i 11 l)r i 7P� Ornvi 11 P Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called G&E JOB NALED (Date) ` Signature B 4 V = OKE b = Not OK = Not Applicable RESIDENTIAL(Single and Duplex) = Not Ready Is 11 Date UNDERFLOOR (ROS) OK exce i#'s Date FRAMING Continued oning requirements -Setbacks- asements roperty Line Firewall & Openings Z,A� I'g., Main; Soils-Steel-Ele - /"/" Ftg. Depth Ext. Doo -One 3' -Check Garage -3rd .story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Ilepth 50 Stair -Headroom-Rise-Run-Landing-Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth I od onoo Overhang -Attic Vents -Rafter Outriggers _ J,.&tefnwalls, Main; Steel-Blockouts-Wrapped-Slab 52 iIIng-Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 59ro Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7., Piers -Fireplace Ftg.-Steel 94!ilazing Area -Glass Protection -Skylights -Plastic V.: Fall -Fittings -Test -2 way C/O -Sewer Test 25elghear Walls• Nailing -Bolts 9YCGas Pipe; Size -Anchors 10 Acater Pipe; Test -Anchors -Regulator -Service Test f ectric; Underground 12KPlenums & Ducts; Clearance -Material -Support -Ins. 13° Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Dat C d -BI.' to wngeCard-BI Card -BI Dat Card -BI Date Date Card -BI Date ,jbj gilnl�_ I Date and -BI Date Date FINAL (P441 --OK except N's Card -BI Date Card -BI Date Date PLUMBING (P t) OK except q'sm Steps -Door & Sidelight Protection -Landings ke Detector 4. Water Ht.; Vent -Access -Comb learance-Comb. Air -Connector - Ip Garage; Above Floor-Ducts-Mech. Protection _ 1 Pipe; T & A2 ors it jagZ2 D.W.V.; tofs & A ors ail ectton Jjgdroom Exiting 7. S ower Pan; Test, First Floor -Tu 7-e G.F.I. & Bath Fixtures & Tub Access ub & Shower, 2nd Floor -Tub Access ec. Trim & Subpanel; Breaker Sizes -Labels _ ; Size & Anchors fairs & Rails l _ 63. Fireplace or Stove; Cle ces-H gS1le . Outlets at Wood Panel; Int. & Ext. Card -BI gftw ate i rd -BI Date it. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date rec. Outlets & Receptacles at Kit. Counter Date ELEC ICAL Pe t OK except k's �arag ' poor, Swing -Landing -Closer 6 uct G. a e -Dam er Ad fixture & Transformer Carance-Ins. Protection 69. Wtr. Htr.; l�rance-Comb. Air-Connector-P.R.V.- In Garag v loor-Mech. Protection lec. Receptacle Lights &Switches at Doors 7 Ib., Elec. & Mech. Equip. Listed for Location •2 tze Boxes & No. of Con uctors-Stapled - • Garage; (G.F.I.)-Romex Protec. Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 7 - n1"tion-Foam-Looked in Attic EJ Yes - 25. 2 Appliance Circuits in Kitchen &Conductor Size Guard Rails & Deck Construction -Post Caps 74. %;;MI Hole Door -Drainage & Wood -Earth Clearance loor ❑ Yes 26. Subfeed Wire Si e / / a. r Al-A.C. Wire Size / / ga. Cu or Al 27. Range Circ. / / ga. r AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral [P es El No 75. Following instld.: Drive es ❑ No; Walks Yes ❑ No; Planters res 13 No vice -Riser Conductors & Ground -Main Disconnect 7 inish Equip. Clearances; Panels-Motors-Mech. Equip, G. isconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 7 Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 7 nnect, Electrical, Plumbing 0 EY terfor Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card BI Date Ventilation throughout House Guess Protection Card B -I Date Card -BI Date � Date MECHANICAL (Per ,it) OK except q's Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Du s; I ul tion & Support 85. Water & Sewer Connected -C/O to Grade -HD Appro 32. nt Fan; Ex st above Insulation ergy Compliance Certificate -Other Certificates _ 3 o n a ain & Overflow; Size & Grade a Access -Comb. Air -Return Air Vent -115V outlet A c s Platform if Furnace in Attic --- Card -BI Date/— 2Card-BI Date Card -BI _ -_Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRA N I s OK except q's Comments at Final: ills; Proper Material & Anchors Spacing & Bracing -Plates -Sound �11-Nailing, s over Girders & Floor Nailing Walls (rat proof) Fire Stops; Furred Ceilin s -Stairs -Chases __ _ eader & Beam -size & Bearing Hangers -Post Caps -Anchors -Connectors JP/Cing. Joist-Rftr. Ties- rlin-Roof Brac.-Truss-Shthng.-Rfng. 4 fireplace Ties or Ty lue-Fireplace Throat 49�-�-M.rtic Access; Size & Romex Protection -Draft Stop -Ins. Baffles _ gprndrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Fire Protection Framing (NOTE: An entry must be made each time you visit job site) J = OK O = Not OK = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS J, Ir r ^:Y Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch _ 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rfirs.-Connec.-Shthg.-Rfg.=Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance 6. Carports; Windows -Doors 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except H's 1. Zoning Requirements -Setbacks -Easements Card -BI Date _ Date Card -BI Date POOLS (Plans) OK except N's 1. Setbacks -Easements tit 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test-Crossovers-Breakers-Clearancesl', 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4, Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector - 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed ` + 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 7, Elec.; Bonding;'Metal w/57 -Circulating Equipment -Heater 8. Elec.; Grounding; Equip.w/5'-Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit , 9. Exits; Insp.-Sketch - 10. Cert. of Occupancy- 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date - Card -BI Date Card -BI Date } .i V �p S R V R T V RES IDENT IAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTAILED IN CON FORMANggE WITH CURRENT ENER� CONSERVATION REGULATIONS (location) &�-- BU ILD ING PERMIT NO. _�,�' 2 ) A P . NO. THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: - (Check each item or write N/A if not applicable) INSULATION: Slab Edge A Fdn. Walls ed Floors Walls Ceiling/Roof Ducts Circulating Pipes APPROVED HEATER APPROVED WTR.HTR. ✓ GLAZ ING : Single Glazed Special (Insulated) CERT. & LABELED WDS. & SLIDING DRS. WEATHERSTRIPPED DRS. BACK DAMPERED FANS INTERMITTENT IGNITION D ICES CERT. APPLIANCES I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name Signature of Insulation Applicator General Contracto Owner e Signature of General Contracto Owner (please print) State Contractors License No. Date State Contractors License No. THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. RES IDENT IAL ENERGY CONSERVATION STANDARDS CONSTRUCTION.'COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IIS ONIOr NCE WIJCUENT ENERGY CONSERVATION REGULATIONS AT l� Fai nnillll ro}i RR ville (location) BUILDING PERMIT NO. ` A.P. NO. .'e THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO •f THE CMIPLETENESS OF THIS CERTIFICATE AS SUBMIT"TED. Insulation Applicator Name $ C I Signature of (�ease pr -- _ Insulation Applicator —e��" State C ntractors License No. 378407 General Contractor/Owner Name Signature of General Contractor/Owner (please print) Date_ State Contractors License No. THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. INSULATION:. GLAZING: Slab Edge NA Single Glazed NA Fdn. Walls Special (Insulated) NA Floors NA CERT. & LABELED WDS. Walls R_ll 11,910 0 & SLIDING DRS. NA Ceiling/Roof WRATHERSTRIPPED DRS. NA Ducts NA SACK DAMPERED FANS NA Circulating Pipes NA INTERMITTENT IGNITION DEVICES NA APPROVED HEATER CERT. APPT.IANCES APPROVED 1,rTR.11TR.— I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO •f THE CMIPLETENESS OF THIS CERTIFICATE AS SUBMIT"TED. Insulation Applicator Name $ C I Signature of (�ease pr -- _ Insulation Applicator —e��" State C ntractors License No. 378407 General Contractor/Owner Name Signature of General Contractor/Owner (please print) Date_ State Contractors License No. THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. �j COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drrye - Oroville, California 95965 - Telephone 916/534-4541 ' APPLICATION AND PERMIT / PERMIT NO.. A _Cq / A ASSESSOR PARCEL NUMBE _ J - ZXG& - BUI ING PERMIT OWN TELEPHO E SQ. FT. OCC. BUILDING VALUATION _ 0 [JE S MAILING DDRESS r CONTRACTOR'S NAME' TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace 'r CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Penalty $ ARCHITECT ORENGINEER'S MAILING ADDRESS - Permit fee $ BUILDING ADDRESS r PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO.SUBDI VISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets �� / USE OF STRUCTURE SF EJ Duplex❑ Mobilehome❑ Other SPECIFYsl) Building sewer 0 Lawn sprinkler system 5.00 I ally - f TYPE OF WORK New Pr Addition❑ Remodel❑ UtilitiesInstallation❑ Other❑ Describe work: • Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWEL G O UP.51) OR ADDNS. ACC. " 2� sq ft Q0 CONTRACTORS LICENSE LAW 1 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 No. Classification 1, 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)Misc. ❑ 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 NEWCONSTR I.Ou L -9.1, N ON. RESID9 BRANCH CIRC TS 2.50 ea NEW CONSTR. ( POWER APPARATUS 61 NON•RESID. SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES B L@; FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 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. 1 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. Heating Cooling Hood ' 3.00 Ventilation penult 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 County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities judgments, sts, and expenses which may in any way accrue agaist sai in con quence of the granting of this permit. %� Date � Signature of Applicant — OWne,X Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 storiees' height. Mobile Home Installation Fee $ TOTAL PERMIT FEE OCCUP GROUP 8-,3 TYPE ov CONST. PARCE PD HD ISSU This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF UBLIC /- BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date din Receipt No.6h X � WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT " Telephone 583-2000 North --Burbank Public -Utility District 1960 Elgin Street OROVILLE, CALIFORNIA 95965 24-81 DISTRICT APPROVAL AND VERIFICATION OF INSPECTION BUILDING SEWERS This verification form must be submitted to the Butte County Department of Public Works - Building Department prior to issuance of a building or occupancy permit, whichever is applicable. Prior to final approval by Butte County of a Building or an Occupancy Permit, a copy of this verification form, signed off by North Burbank Public Utility District, must be submitted to Butte County. Applicant: LAWERENCE P. & ALICE S. BURTON Applicant Address: 10 FAIRHILL DRIVE, ' OROVILLE, CA. 95965 Applicant Phone No.: 534-0272 Property Location (s): 10 FAIRHILL DRIVE 4 COPLEY ACRES - LOT 37 A. P. No. (s): 036-63-0-011-0 Fees Paid: ALL FEES PAID IN ADVANCE. Application for service approved: MARCH 13, 1981' North Burbank Public Utility District Inspection(s) made and successful test(s) observed: Location: Date: By: North Burbank Public Utility District release to close permit: Date: By: PERMIT NO. 1162-81B,P,E_ PERMIT EXPIRES— OWNER XPIRES OWNER Larry Burton owner s CONTR. / �('e'a' <9 � � ASSESSOR PARCEL 36-63-11 1 LOCATION 10 Fairhill Dr., Oroville Temp. Power Pole— Called ole_ Cal led /P'GG&&E• _ Temp. 1 `service Called PG&E_ Temp. Gas Service _ Called PG&E i r p% JOB FINAL /(Date) Signature = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Sin'gle and Duplex) Date UNDERF OR Plans OK exce tN's Date FRAMING Continued 14 -Toning requirements -Setbacks -Easements 449—.Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 4 xt. Doors -One 3' -Check Garage -3rd story, 2•exits Ftg., Garage; Soils -Steel- / 4ro /-" Ftg. Depth ' -5@-- Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth wood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab59,iding-Nailing-Veneer qk4temwalls, Garage; Steel-Blockouts-Wrapped-S -69--tucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Pie-Fireplac Ftg.-Steel -54r Glazing Area -Glass Protection -Skylights -Plastic W.V.: F -Fit gs-T -2 way C/0 -Sewer Test -&&. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills- nchor Bolts -Joists -Vents -Cripples Card -BI Dat Card -BI Date "ujy�v Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date / fr Card -BI Date Date FINAL (PWns) OK except N's Card -BI Date Date Date ��AACard-BI ,; .liXiLS�� exci t #' �! PL G (Pe l) OK ext pt q' Ext. Steps -Door & Sidelight Protection -Landings a Detec or 14. Water Ht.; Vent -Access -Combustion Air �ents-Clearance-Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection la --Water Pipe; Test & Anchors -Nail Protection 1G/f3.W.V.; Test-Fttngs & Anchors -Nail Protection 99--eVVo Exiting 17. Shower Pan; Test, First Floor -Tub Access 61a.. Q F-r-rBath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access @Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size& Anchors 62+--6taicc-8..9aiIs 89--Fhepfeee-br Stove; Clearances -Hearth 64 --E4es. gets at Wood Panel; Int. & Ext. Card -BI 4N Date Card -BI Date 65-itTt Trixr & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date Oe-64ee:-Outlets & Receptacles at Kit. Counter Date EL TRICAL P K ex a N's '6fi"Mrage Fire Door; Swing -Landing -Closer 6&--A+Q_DtXt in Garage -Damper fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- I Garage; Above Floor-Mech. Protection Elec. Receptacles Spacing -Lights &Switches at Doors ze Boxes & No. of Conductors -Stapled 7 Plb., Elec. &Mech. Equip. Listed for Location �lec. Receptacles in Garage; (G.F.I.)-Romex Protec. omex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech. FastenersBond Gas &Water 7Q-+nsn 3TTtm-Foam-Looked in Attic EJ Yes 2�2Li6nce Circuits in Kitchen &Conductor Size 78--eTffa-�alr s & Deck Construction -Post Caps _ 26. Subfeed Wire Size L4/ ga. r AI-A.C. Wire i I ti Ede ked u a Crawl Hole Door -Drainage &Wood -Earth Clearance Looked under Floor ❑Yes 27. t e Cu or AI -Oven Circ. / / ga. Cu or AI, Insulated Neutral ❑Yes El No ❑Ye 75. Following in ] Drive C] Yes E] No: Walks ❑Yes ❑ No; ' Planters Yes []No 2e-- ervice-Riser Conductors & Ground -Main Disconnect 7 Br wn-Finish aW—Equip. Clearances; Panels-Motors-Mech. Equip. ni ; i connect-Clrnces-Brkr. & Cond. Size -115V Outlet c-9&-QLaLbaa.,Closet Light -Shower Light 18- Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. -h9-WaY€r'WM4D.isconnect, Electrical, Plumbing xterior Elec. Trim; G.F.I. Receptacle -Underground ZZ Card B -I Date �, NCard-BI Date ' Ventilation throughout House Card B -I Date Card -BI Dateo °^s -a ��..olsoFion Date MECHANICAL (Permit) OK ept N's Corrections from Previous Inspections teeters Tagged; Gas -Electric Water & Sewer Connected -C/O to Grade -HD Approval 31. A.C. Ducts; InsulaAn n & Support -- 32. Vent Fan; Exhaus above Insulation 86__.En&Fgr-e�=pliance Certificate -Other Certificates _ 33. Condensate Drain & verflow; Size & Grade 34. Furnace -Vent; Access Comb. Air -Return Air Vent -115V outlet 35. Attic Access & PlatfqrS if Furnace in Attic C -BI Date - Card -BI Date Card -BI _ Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAM Plans OK except q's Comments at Final: 3 Proper Material & Anchors 3 alts; Studs -Nailing, Spacing & Bracing -Plates -Sound _ +20--B_e_aring Walls over Girders & Floor Nailing _ `99.,.Draft Stop in Walls (rat proof) 3 -. ,F're Stops; Furred Ceilings -Stairs -Chases -Tub Hader & Beam -Size & Bearing _ Hangers -Post Caps -Anchors -Connectors CIng. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Ring. *4 --Fireplace Ties or Type A Flue -Fireplace Throat taic Access; Size &Romex Protection -Draft Stop -Ins. Baffles rm. Windows or Exiting Doors -Sill Hgt. & Dimensions 4 Garage Fire Protection Framing (NOTE: Anentry must be made each time you visit jobsite) J=OK O = Not OK Not Applicable MOBILEHOMES *,= Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except H's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH -Support -Sketch _ 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except k's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1, Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4, Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip.w/5'-Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date JCOUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO * 7 County Center Drive - Oroville, California 95965 - Telephone 916/534 41 APPLICATION AND"PERMIT ASSESSOR PARCEL NUMBER1ZO -- NG BUILDING PERMIT OwN R 11— y - �RESS TELEPHONE S0. FT. OCC. BUILDING VALUATION I ' O NER•S MAI G W r 710 CO TRACTOR' AME h e -r' TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER p- Ica V n UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ AR HI ECT9 ENGI F� IIN LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ (fl BUILDING ADDRESS PLUMBING PERMIT' Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 / li 1 ht U Water piping S ID LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRU TURE l SF ❑ Duplex❑ Mobilehome❑ Othe �"I �.T`�he� __ SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR001 OR LESS5.00 Main service EA_ ADD•L 100 AMP 2,50 NEW CONST. ( DWELLING C�§U(5--) OR ADDNS. \ ACC. BL S 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElNON 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. 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 CONSTR -OUTLET 2,50 ea NON-RESID BRANCH CIRC TS NEWCONSTR, /SINGLE OUTLET CIR, POWER APPARATUS 6J - RESID, \ Ex. OCCUp OUTLETS OR FIXTURES AL01 BAL01 \APPLNS Ex. Occup. OUTLETS (RESIDC.TEA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor 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. t71' i shall not employ any person in any manner so as to become subject f" 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 shal I be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee S Contractor I certify that I have read this application and state that the above information 1s 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-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, r sts, and expenses which may in any way accrue against sa' County in cons uence of the granting of this permit. __/ Date ( Sign ,. of Applicant — Owner N Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or coristruct. ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 99,41711 OCC P, GROUP / TYPE of CONST. �iC/ Ar PARC Po ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE TOR OF P LIC By PERMIT EXPIRES Date X the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. _� 6b WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 1 lklea A6� -- 1 �- i Z-VAIMA. A -P - No M. y• PEP -art i7�� Owner: je' Address: %D Tenant• Building Location: BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT FHlkWlLL Type of Inspection requested: APP A. P. # Date of Inspection l �� Inspector A0 -C77 -11a- f L I/D . 7 1. Housing 1..1 2. Financing 3. Change of Occupancy to �. Other (specify) �IeA�/�L. -1;PAI6Q Present use of buildin A Sanitation (HousiinR)_ 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating'facilities: 7. Natural light and ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connectior. to sewage disposal: 12. Connection to water'•supply: 13. Rubbish and garbage facilities: 14. Comments: B. Structural / 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: C. Electrical 1. Service ground: - 2. Recept::.. s: ' 3. Fusing: _ 4. Coun, ent. s. D. Plumb 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4. Comments E. Other 1. Maintenanceandrepair: 2. Fire hazards:.--.- 3. Safety hazard-Ar.d-s:' 4. Weatl!er protection: 5.. Underfloor and attic ventilation: 6. Cone. ents:- F. Commercial Buildings 1. Rcof covering:_ 2. Distance to property lines: 3. PIrysically handicapped: 4. Restroom floors anil walls: 5. Exits: 6. improvements: 7. Zoi,-Ir.g:-. 8. Comment G. Fielc 2. 3. What zo-EJln recommended: T7 A. Infor.-i-tation only 77r-teB Hold for tcn (10.) days, then write 1.*,tter. J1, / r I , letter. 77D. ther: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. r, 7 County Center Drive - Orovii\;,California 95965 - Telephone 916/534-4541 .,,--W40-..-m!" APPLICATION AND PERMIT c ASSESS P.. EL. NUMBER (n— (,3 - �r t --T'- 3(1— ZONING 't Q, BUILDING"PERMIT OWNER �� \ `� ri TELEPHONE LSO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS'- -9/0 t h1)1 -- CONTRACTOR'S NAME I^ TELEPHONE .� ' CONTRACTOR'S MAILING ADDRESS -Fireplace 'l CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee LENDER'S MAILING ADDRESS Permit Fee $ { ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ dPenalty,,7-;r t ` Y` $ ARCHITECT OR ENGINEER'S MAILING ADDRESS • "Permit fee $ BUILDING ADDRESS�j # IO �Ir hf i� ��y i PLUMBING PERMIT FilingFee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 p� Water piping --- LOT NO.SUBDIVISION ��/ NAME r -----]PARCEL MAP ,Each qas water heater or vent 5.00 IGas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome�Other SPECIFY pBuilding sewer )'Lawn sprinkler system, TYPE OF WORK New❑ Addition[] Remodel❑ Utilities & Installation❑ Other ❑ Describe work: lAMAO Al � 1,." 1Q i t-k� 0AA 0..(J-.�,L Permit Fee `� $ Contractor —ELECTRICAL PERMIT Filing Fee 10.00 Main service eODv OR LESS 100 AMP OR LESS 5.00 X jy) •'�_ r, ` Main service EA. ADD'L 100 AMP 2.50 .:NEW CONST DWELLING OCCUP.01) 'OR ADDNS. ACC. BLDGS. _ 20 sq CONTRACTORS LICENSE LAW e I declare under penalty of perjury (check one): F -1I 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. Classification is/,, 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 NE WCONSTR -OUTLET NON:RESID BRANCH CIRC ITS 2.50 ea -NEW CONSTR. ( POWER APPARATUS &J NON.RESID. SINGLE OUTLET CIR. SO@2S¢ EX. OCCUp OUTLETS OR FIXTURES BALF1 Ex. Occu IXED APPLNSTS (RES, OR p•�OUTLETS (RESID,) EA.) 2.00 r Temporary service 10.00 Mobile -Home Facilities 15.00.( Misc. Wiring 7.50 Permit Fee $',;) Contractor MECHANICAL PERMIT FiIingFee 10.00 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. 1 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. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 1 certify that.(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 B utte 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 - AA /` -o' --_. ~, �4Date - Signature of Applicant — Owner�/�'� Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over stories in height. Mobile Home Installation Fee $ • '7 S1 TOTAL PERMIT FEE $ U OCCUP, GROUP I TYPE of CONST. PARCEL PO r HD ISSUE? This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC �! By. PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been aid. P WORKS Date S% 7" � � `• '•��� �� Receipt No. _," ^' c cll W-4 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534 54 //n_ Q APPLICATION AND PERMIT rG'v ASSESSOR A EL CIBER j I ZON \ 'Pk BUILDING PERMIT O WNE TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S M ILING DR � { COOS-NTT_RAC I N TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace _ CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ fit•+• LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ PIQ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS , Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.0C Each Trap 1 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas. water heater or vent 5.00 Gas piping system 1 - 5 outlets USEOF STRUCTURE SF [:1Duplex❑ Mobilehome Other SPECIFY Building sewer , Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ElRemodel [:1 Utilities`nstallation Other ❑ Describe work: Te,6nNV Permit Fee $ 10� Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1101 OR 00 AMP ORSLESS 5.00 ' r Main service EA. ADD'L 100 AMP 2-.50 NEW CONST. DWELLING OCCUP.8i OR ADDNS. ACC, BLDGS. 2Q sq ft 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 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 C.O ID P- BRANCH CIRCTITS 2.50 ea NEW CONSTR POWER APPARATUS 6\ NON-RESID. SINGLE OUTLET CIR. / 5002NQ Ex. Occup(OUTLETS OR FIXTURES BAL@100 Ex. Occup. FUTL TS (RESAPPLNS. OR OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 , Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 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. 1 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 shat l be deemed revoked. 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 County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgment costs, and expenses which may in any way accrue aga' st sa' my i u .ce of the granting of this permit. S''_' �$ X Date Signature of Applicant — Owner LIQ Contractor 1:1 Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over3 stories in height. Mobile Home Installation Fee $ + TOTAL PERMIT FEE $ OCCuP. GROUP ' I TYPE OF CONST. I I PARCE ND ssu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE R OF PUBLIC B P MIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. :1 (J� 7�� WRITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT