HomeMy WebLinkAbout079-240-042�R James Hibbert -� 3—
S corner @ inters.of Drescher N.J. HIBBERT-
-.' Trac Rd.& Lower Wyandotte Rd.,Oro. 33 Drescher Tract Rd', Oroville.;.
�'►
Permit X645-81B,P,E M(new single. Permit 460-83A.(Agaiculture-,Buil'ding,,
family) ' • Exemption PermitFor {hay &faun imp)--
�• Permit 1649-8 (solar w/H for 645-81)
�.
Per t#2655=82B(lst renewal & deck/-
6-81)
IT
f a ti f -41
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AA . I I -i �t _,r..I�A- --
. I I (� l R
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916%534-4541
AGRICULTURAL --BUILDING EXEMPTION PERMIT
/ PERMIT NO.
!�'a�
Agricultural building is defined as follows: Agricultural building is a structure designed and constru to
house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure sha I not
be a place of human habitation or a place of employment where agricultural products are processed, treated,
or packaged, nor shall it be a place used by the public.
ASSESSOR �R EL Nq. _
t6A
Signature of Owner
ZONING
E
OWNER_
-JAdt: .(5
y—
I
PHONE NO.
J'r33 — 5�S7 -7
OWNER'S ADDRESS- �, A ��
1C
C.{ 61Eo Vl LlotLE C
LOCATION OF BUILDING
-' i� 2
O . Vt LLQ
USE OF BUILDING
.7okt A 4 FA R ol
i ryfilF M -r --n/ S
SIZE OF STRUCTURE
Ix — SQ. FT.
TYPE OF CONSTRUC ION:
WOOD FRAME STEEL CONCRETE
OTHER (Specify)
TYPE OF SIDING
ROOF OVERING
FLOOR TYPE �--
ESTIMATED COST OF CONSTRUCTION.
$
AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County
Ordinances as follows:
FRONT SIDES SIDES
, X 0 1
�� REAR
j.,<G Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
t, -A -G Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet
from•a mobilehome, and 23 feet from a commercial building.
Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and
a mobilehome, and 40 feet from a commercial building.
I declare under penalty of perjury that the building will be used as stated above and the proposed use
conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will
contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to
comply with the requirements in effect at that time and before
Date
Signature of Owner
Permit Fee - $25.00
The above described
is exempt from a building
Receipt No. 0.69,?l Director of Public Works
By Date 5'—/- 7—P3
White - DPW, Yellow - Assessor, Pink - B. L, Goldenrod - Applicant
COUNTY OF BUTTE - DEPARTMENT OF. PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVIL& CALIFORNIA 95965 - TELEPHONE: 916/534-4541
'PERMIT. APPLICATION DATA:SHEET
Permit No.
OWNER Al
Proposed Building Use_
Permit Fee Based Upon:
Building Inspector
Complete Contract Price
r; (Explain)
A. P. No. I k-
DPW Valuation
Date
-7
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. . . . . . . . . . .
3. Complete plans in duplicate. /triplicate. . . . . . . . .
4. Complete engineered plans and calcs. . . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. State Energy Forms No.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
9. Letter of signature authorization. . . . . . . . . . .
10. Sanitation approval from Health Dept.
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑•)
15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . ..
•Pre-Inspec. request to
17. Pre -Inspection for Required. Building Inspector
18. Other
(Date)
i
When you issue the permit, process as follows: �il to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver w/inspector.
Other i
Applicant
Date
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance.
(For required items not checked above at time of application, circle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other
By Date
Plans checked by Date
Plans approved by Date
Other:
Copy—DPW
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS :..r
SPECIAL INSPECTION REPORT
Owner: ��/� A. P. #
Address: .33 Date of Ins ection.
Tenant: Inspector
9 Building Location: FL 'CA62)S ��� _ .L.
Type of Inspection requested: s
i
17 1. Housing. /72. Financing ,L( 3. Change of Occupancy to
L[ 4. Other
(specify)' WI Q PiL& I t le a—D
'.Present use of building:
A. Sanitation (Housing)
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:
B.'. 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 and ground:
2. Receptac' es• '
3. Fusing:
4. Cotm, ent s
• r
D. Plumbing ,
1. FLitures connected and vented:
2. Gas water heater:
3. Gas heating vents:
4... Comments:
E. Other
1. Maintenance and repair.:
2. Fire hazards-..
3. Safety hazards: _
4- Weatlier protection:
5. Underfloor and attic ventilation:
6: " Cormnents:
F. Ccmm►ercial Buildings
1. Roof covering:
2:`' ' Distarce' to property lines:
3. Physically handicapped:
4'. Rest:-ooma' floors and walls:
5. Exits:
C- Improvements:
7. Zoning:_
8. Cormmerit
G-. "Pleld Probl.e.-nis or Violations
1. Problem o_ -riolati/ � kgivee complete description) :
. 'mo_ -- - I . Y A FAFO /SAA.>/O l ..
1. What action taken (gi.ve complete-Jescript-.011) : GCfly
3.' What action reccnnnended:
%% A. Infoxnaation only
—B. Hold for tcn (10) days, the- wri: e 'Letter.
Wri.t.e letter.
77 D. other:
AIF
PERMIT NO.
PERMIT EXPIRES
N!James Hibbert
t
OWNER
^'
CONTR.
owner
36-31-71
ASSESSOR PARCEL
SE cor.@ inters.of
Drescher
LOCATION
f`
Tract Rd. & Lower
Wyandotte
!
Rd., OroAlle
s
1r
w.
Y
.1/
{
l
c
i°
i
ll P/
�
Temp. Power Pole
loor
1
Called PG&E
�r
1r
temp.
Temp: Elea Sere
f
Called-PG&E
l
.Temp. Gas Service
r
Called PG&E
i
t
JOB FINALED (Da�'e)
I
Signature
I
J = OK ~
0 = Not OK
— = Not Applicable
* = Not Ready
MOBILEHOMES
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements-Setbacks—Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'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
}
1
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 #'s
1. Zoning Requirements—Setbacks—Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except #'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 g
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 -BI
Date Card -BI Date '
Card B-1 Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
i
'
Y
}
1
I,t
1 , .I
J = OK -
O = Nat SOK
- = Not Applicable
= Not Ready
RESIDENTIAL'(Single and Duplex)
Date
UND OOR Plans OK exce try's
Date FRAM G Continued
60' -Zoning requirements-Setbacks-Eas ents
P erty Line Firewall & Openings
Main; Soils-Steel-Elec. d.- / ' /" Ftg. Depth
4 . Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
temwalls, Main; Steel-Blockouts-Wrapped-Slab
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5t -Siding -Nailing -Veneer
6. St mwalls, Garage; Steel-Blockouts-Wrapped-Slab
4av-@t5t%o Mesh -Drip Screed-Fdn. Vents-Underflr. Access
P' -Firepla Ftg.-Steel Z N
lazing Area -Glass Protection -Skylights -Plastic
IS
W.V.: F -Fittings-T -2way-6,40-Sewer Teo—.406C
-?
9r Shear Walls; Nailing -Bolts
wale tpe; Te Anch egulator-Service Test
1
1 I �&D -Mat -Sup
1 rs S n -J s -V s
Card- ate and -BI Date
C BI Date , .rd -BI Date
Card -BI Date Card -BI Date
Date FIN s) K except q's
Card -BI Date J/'CardilyfoU Dateq,
Card-BCard-BitIEZ Date g/91Card-81 Date
Date
PLUMB G (P it) OK except q's
Ex&-qaJ
WDpdr& Sidelightprotection-Landings
,#---Smoke Detector
14. ; yent-Access-Combustion Air
urnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
1 ater Pipe; Test & Anchors -Nail Protection
D.W.V.; Test-Fttngs & Anchors -Nail Protection
lroom Exiting
hower Pan; Test, First Floor -Tub Access
G.F.I. &Bath Fixtures & Tub Access
ja__T- - ub & Shower, 2nd Floor -Tub Access
pec. Trim & Subpanel; Breaker Sizes -Labels
19.ipe; Size & Anchors
& Rails
Fireplace or.63M Clearances -Hearth 1Y,91f
tjgt.+Elec. Outlets at Wood Panel; Int. & Ext.
C BI
Date - and -BI Date
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date
Date Card -BI Date
/e
ELECTRICAL Pmt OK except q's
66,-'fflec. Outlets & Receptacles at Kit. Counter 4
(moif'h Door; Swing -landing -Closer
68__A.L�Garage-Damper
2OrFixture & Transformer Clearance -Ins. Protection
tr. Htr.; Vents -Clearance -Comb. Air -Connector
In Garage; Above Floor-Mech. Protection
2p ec. Receptacles Spacing -Lights &Switches at Doors
WlPlb., Elec. & Mech. Equip. Listed for Location
-Si
2&-SiBoxes & No. of Conductors -Stapled
cies in Garage; (G.F.I.)-Romex Protec.
24v"Romex Installed Close to Edge of Studs & C.J.
Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water
7 . Ins lation-F -Looked in Attic es
Guar &Dec ons Post Caps
25. 2 Appliance Circuits in Kitchen &Conductor Size
7,4. Fdn. Vents & Crawl ole oo -Drainage & Wood -Earth Clearance
Looked under Floor _-ArTe-s
- 26. Subfeed Wire Size #%..t-ga. Cu or AI-A.C. Wire Size / / ga. Cu orAM
27. Range Circ. /(o/ ga. Cu or Oven Circ. ga. Cu qrJJW
n:I ulated Neutral ❑MRes No
75. Following insst,ld^' Drive es ❑ No; Walks es ❑ No;
Planters L1YYes ❑No
Service -Riser Conductors -&-Ground-Ma in Disconnect
?0--9,06,v--Bfewn-Finish
2 ip. Clearances; Panels-Motors-Mech. Equip.
7 .C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30e—Clothes Closet Light -Shower Light
7 ents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
7 r Well; Disconnect, Electrical, Plumbing
8k.' Exterior Elec. Trim; G.F.I. Receptacle -Underground
C B -I
Date / rd -BI Date
entilation throughout House
Card B -I
Date Card -BI Date
82 lass Protection
Date
MECHANICAL (Permit) OK except q's
83. Corrections from Previous Inspections
84. Gas Test -Meters Tagged; Gas-Ellefric
31. A.C. Ducts: Insulation & Support
32. Vent Fan; Exhaust above Insulation
59:5r & Sewer Connected -C/O to Grade -HD Approval
nergy Compliance Certificate -Other Certificates
_
33. Condensate Drain & Overflow; Size & Grade
34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35. Attic Access & Platform if Furnace in Attic
Card -BI Dat rd -BI Date
Card -BI
—
Date Card -BI Date
Card- ;rpat rd -BI Date
-BI Date rd -BI Date
Card -BI
Date
_
`Date Card -BI Date
FRA G Ples OK except q's
Commeis at Fina
Proper Material & Anchors
_-
�Is;
s; Studs -Nailing, Spacing & Bracing -Plates -Sound
_
3 aring Walls over Girders & Floor Nailing
3/ D t Stop in Walls (rat proof)
4 re Stops; Furred Ceilings -Stairs -Chases -Tub
Header &Beam -Size &
_
r Post Caps -Anchors -Connectors
Ing. Joist-Rftr. Ties -Purl in - Roof Brac.- r SK*np.-Rfng.
44. Fireplace Ties or Type 110401ue-Fireplace Throat
44o!:J�ttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
_
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
Ire Protection Framing
(NOTE: An entry must be made each time you visit job site)
RESIDENTIAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTALLED IN CONFORMANCE WITH CURRENT ENERGY -CONSERVATION REGULATIONS
AT
(location)
BUILDING PERMIT NO.. ��fs" `� f A.P. NO.�'-'3l"7�
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED:PLANS:
(Check each item or write N/A if not applicable)
INSULATION: GLAZING:
Slab Edge �' Single Glazed
Fdn. Walls E Special (Insulated) 27
Floors -ep CERT. & LABELED WDS.
Walls & SLIDING DRS.
Ceiling/RootJ9.U6 WEATHERSTRIPPED DRS.
Ducts BACK DAMPERED FANS'
Circulating.Pipes INTERMITTENT IGNITION DEVICES
APPROVED HEATER , ggn-, P,j,„ P CERT. APPLIANCES
APPROVED WTR.HTR. ,_ 146164t 57.p ALL-owCD WIT -1
5oLA2
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 (please print)
Insulation Applicator
General Contractor,
Signature of
General Contractor
r Name
State Contractors
License No.
ea print)
Date
SVate Contractors
License No.
THIS CERT IF ICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR . TO
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION
WITHIN THE DWELLING.
e
COUNTY OF BUTTE -,DEPARTMENT OF PUBLIC W- ''OR///KS PERMIT NO.
7 County Center Drive - OroviAlle, California 95965 - Telephone 9 ___ """-4541 J1��
APPLICATION AND PERMIT
AS:Tr PARC L NUMB ZONI G
BUILDING PERMIT
OWNER EPHO
rz) y
SO. FT. OCC. BUILDING VALUATION
�0�/((WN R'S MAIL NG ADD 5
CONTRACTOR—S NAME
TELEPHONE
f
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fe
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee ^
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checki g F e
$ Lsr, 00
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILD NG AD Ess A
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO.
SUBDIVISION NAMEPARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition ❑ `, RodeY
l ❑ Utilities ❑, / Installation❑ Other
Describe work:ZZIN9AAOZa —-L)an,�-_
r
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service DR LESS
100
100 AMP OR LESS
5.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. (DWELLING OCCUP.el
OR ADDNS. ACC. BLDGS.
2P. sq it
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check one):
F1NON-RESID.
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. (POWER APPARATUS 61
SINGLE OUTLET CIR. /
Ex. Occup OUT 50 a Ift
FIXTURES 100
UXED A PDR
R
EX. OCCUp.�OU TLETS (RESID )E A. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 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.
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.
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 abo e- do property for inspection purposes.
I also agree to save, i y ep harmless the County of Butte against
all liabilities, judgm o s a expenses which may in any way accrue
against said C s c o the granting of this permit.
X '�� g —
Date ��
Signatureo pplicant — Owner Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 33 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
TYPE of CONST.
PARCEL
PD
ND ssuE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR PUBLIC
BY
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Dat
Receipt No. 2871 2
PE EXPIRES Date
WHITE-D.P.W., YELLOW -ASSESS R, PINK -INSPECTOR. GOLDENROD -APPLICANT
I
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PER I NO.
le 7 CouAty'Center Drive - Oroville, California 95965 - Telephone 916/534-454 —
APPLICATIdN'AND PERMIT
ASSESSOR PAR CE NUMB R -
JQ
ZONI G
#BUILDING PERMIT
OWZr
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
O NER'S M ING ADDRESS
n v V ale
ON R CTOR'S NAMEIf)
TE EPHONE
C CTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDERUNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEERLICENSE
No.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUIL IN G AD RESS
-S n e 1-x.2,
• PLUMBING PERMIT
Filing Fee 10.00
r
Each Trap
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
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler sy tem
5.00
TYPE OF WORK
New ❑ Addition ❑ R//emodel ❑ Uti litie Installation ❑ Other
Describe work: w f �-i� ��5��
Permit Fee
$ _qv -p
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 10ov OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD'L 100 AMP
2.50
DWELLING OCCUP.)
NEW CONST. ( y
OR ADDNS. \ ACC. BLDGS.
22 sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check One):
❑NON-RESID,
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. I.Ou LET 2.SOea
NON-RESID BRANCH CIRCUITS)
NEW CONSTR / POWER APPARATUS 6
%SINGLE OUTLET CIR. /
EX. Occup OUTLETS OR FIXTURES BAL@1 00
(FIXED APPLNS. OR
EX. Occup,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.
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.
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. •
I also agree to save, in a r>i ( and keep harmless the County of Butte against
all liabilities, judgm ts, and e) hich may in any way accrue
against said County i ue ce of the granting of this per it.
X Date
Signature of A plicant - Own r� Contractor ❑ Agent F1work
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
$
TOTAL PERMIT FEE $ ti0
OccUP. GROUP
I TYPE OF CONST.
PARCEL
PD HD
550E
This permit is hereby issued under
sions of the Butte County Code and/or
indicated above for which
By OMOF PUBLIC
r�-�
PERMIT EXPIRES 'D to
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date '
Receipt No. ,� 7 e
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 916/534-4541
• APPLICATION AND PERMIT
PERMIT NQ.
ASSESSOR P4RCEL NUMBER -
36 --31-71
ZONI G
- "
BUILDING PERMOV
OWNER
/AM Es 14/I3BCP-7- � G�/��
TELEPHONE
ZzIS`�C/./,^J017Z
SO. FT. BUILDING V LUATION
I P,
0 0
(/V,
O / D\I/'S MAILINC�G ADDRESS
DDRESAY SUKI �JYVA(_E C4 • / — `•, 7
C -70A/ WAY
nOC,C.
Z `o
'7Z`00
CONTRACTOR'S NAME `�r/rr�/%�
A C /L_
TELEPHONE
,
CONTRACTOR'S MAILING ADDRESS
Fireplace /a
1000-00
CONSTRUCTION LENDER
0 C
UNKNOWN
Total Valuation $ 5-32310, 00
Filing.Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ t S.00
ARCHITECT OR ENGINEER -
LICENSE NO.
Plan Checking Fee
$- q-7 SQ
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ 2 IJ Z. 5 0
B s E ADDRESS IEZ @ 1AJ7_E2s.
PLUMBING PERMIT
Filing Fee • 10.00
�i�GT ED. /4Nj) LIV , WYAAfD07—�
Each Trap
�j 2.00 (g•00
Repair drainage or vent piping
5.00
F, D. QoIFOVILLE
Water piping
5700
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 E Duplex❑ Mobilehome❑ ' Other
SPECIFY
Building sewer
5,00 .
Lawn sprinkler system
5.00
,
TYPE OF WORK
New Addition ❑ Remodel ❑ Utilities ❑ Instal lation ❑ Other ❑
Describe work:
Permit Fee
$ g, 00
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00 r'
Main service 600V OR LESS
100 AMP OR LESS:
5.00 Cj, 00
Main service EA. ADD'L 100 AMP
2.50 2,r0
NEW CONST. ( DWELLING OCC p/6
OR ADDNS. \ ACC. BLDGS. (Q�
•L0 Sq ft 3 00
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 CON,5TR I.OUTLET 2,50 ea
NO N.RESID BRANCH CIRCUITS)
NEW CONSTFL I POWER APPARATUS e
NON-RESID. %SINGLE OUTLET CIR.
Ex. OCCUp OUTLETS OR FIXTURES BAL21
OT
FIXED APPLNS. OR
Ex. OCCUp.�OUTLETS IRESID.) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring` 7.50
�L�,r Dt1ia{_ (,t)ll�DOfa1 -
Permit Fee $ 50•CjQ
Contractor
MECHANICAL PERMIT
Filing Fee • 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.
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 shal I be deemed revoked.
Heating 60,000-
5- bo
HEAT PUM P'
Cooling 21i2"i
57.00
Hood
3.00 3,Oa
Ventilation
Permit Fee
$ 3 00
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, indemn•y and keep harmless the County of Butte.against
liabilities, judg t lilts and expenses which may in any way accrue
against s. id o s e-granfing of this permit.
_it.
X (J
Signature of plicant - 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 $
TOTAL PERMIT FEE $ 0 . 00
occu GROUP
TYPE OP CONST.
PARC L
PD/
✓
1 tND
17all
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DI TOS PUBLIC
•
By.
PERMIT EXPIRES Date
the applicable provi-
Date
resolutions to do
fees have been paid.
WORKS
�� @!
Date
Receipt No. 7�j 1 1
WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT