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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 1 t r F 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