HomeMy WebLinkAbout079-300-023F7, LARRY HUGHES F%ncaL J -15 -Ts -
445
_15TS445 Oakvale Ave., Oroville
4 fciY
Permit 872-74B,P,E,M (remode _)_
...........
DANIEL ONOFRE
445 Oakvale AVenue, Orovill
Permit#1999-89P,E(util, MH)trav trail
ELEC.
GAS
SUPPORT STRUCTURE REQ. I
COMPACTION TEST REQ.
PERMIT #98 15291,
ONOFRE, Daniel # r -
445 'Oakval`e Ave:,,, Orovi11e
Reroof $ ?�
iMLE
ONOFRE, DANIEL 1Z .`g
445 OAKVALE AVE., OROVILL
STUCCO OVER SIDING & REPLA
WINDOWS
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,,036-050-084 02-1484
r, ' ONOFRE, DANIEL
445 OAKVALE AVE., OROVILLE
STUCCO OVER SIDING &REPLACE
WINDOWS J
l
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 ' P•RMIT.NO.
(Rev. 12/96) APPLICATION AND PERMIT 02 -
ASSESSOR PARCEL NUMBER
036 -0.50 -OU
ZONING
A-5
BUILDING PERMIT
OWNER
Daniel Oaofre
TELEPHONE
534-3003
SO. FT. OCC. BUILDING VALUATION
4000.00
OWNERS MAILING ADDRESS
445 Qak Vale Oroville 95966
CONTRACTORS NAME
Ownpr
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDERS MAILING ADDRESS
Total Valuation $ A
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDINGADDRESS
5 Oak Vale Ave Oroville 95966
Energy Plan Checking Fee
$
$
PERMIT FEE
$ $ Of)
LOT NO.
SUBDNIS IONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑,C Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel" ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: Install Stucco orver sidinlz/ replace
windows
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE
_
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service '.".A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class LIC. No.
OWNER-BUILDER DECLARATIONOUTLET
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
! I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
p I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
To
Main Service 200A 1000A
46.00
NEW CONSTDWELLING
.CUP.
OCCU
OR ADDNS. ( a ACC. Bins.
SO
3.50 FT.
W EONS ' MULTI.OUTLET
NEOWR SID
97,50
POWER APPARATUS
8 SINGLE OUTLET CIR.
�Occup. OR FIXTURES
(,C
BA0 100
FlXED APPLNS. OR
Ex. Occup. ouTLETs RESI6. EA
S.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
$
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:'
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier _
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
�I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'HAZ.
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
orthwith comply with tho rovisions.
r / `
Date ip
Signature of Applicant - E) Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories In height.By
Mobile Home Installation Fee
$
Energy Inspection Fee $
CONST. TYPE
TOTAL FEE $
Vthc.'Rutteltwoun
D. FEES IMP
FLOOD
COF
PARCEL PD
HD
ISSUE
it is hereby issued under
ty Code and/or
indicated above for which fees ha
,/amu
PERMIT EXPIRES ON
_
the applicable provisions
esolutions to do work
been paid.
Date�
Det
Receipt No. 15 3ff7 )Jr hl,e-J
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
e69:
COUNTY OF BUTTE V
BUILDING DIVISION v
DEPARTMENT OF DEVELOPMENT SERVICES"
411 Main Street • Chico, CA • (530)..891=2751
7., County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION. NOTICE
OWNER PERMITNO."
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction, of"work is
completed. If you have.any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
� e
C e3 p(n G75 ✓
Date 17J ' Ins actor
REV 10/92 is
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ®a 1 0 4
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 RMIT NO.
(Rev.f2/96) - APPLICATION AND PERMIT 02 -
ASSESSOR PARCEL NUMBER
036-050-084
ZONING
A-5
BUILDING PERMIT
OWNER
Daniel Onofre
TELEPHONE
534-3003
SO. FT. OCC. BUILDING VALUATION
. OWNERS MAILING ADDRESS
445 Oak Vale Oroville 95966
CONTRACTOR'S NAME
Owner
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation 4000.00
ARCHITECT OR ENGINEER
LICENSE NO.
FlinnFee
$ 20.00
Permit Fee
$ 6-1-00
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
445 Oak Vale Ave Oroville 95966
Energy Plan Checking Fee
$
$
PERMIT FEE
S 83.00
LOT NO.
SUBON610NSNAME
PARCEL MAP
PLUMBING PERMIT
Fling Feel 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF C3k Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: Install Stucco orver siding/ replace
Windows
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
920.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
R LES
OOOVMain Service zo.A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.POWEPRATUS
License Class Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
lir I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
N I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec.' Business and Professions Code for this
reason
Main Service TO
46.00
CCUOOOA
NEW CONST. DWELLING OCCUP.
VIER
OR ADDNS. ( 8 ACC. S.
SO
3.5¢FT,
I., IcONI.ST MULTI -OUTLET
97,50
a SINGLR APA
E OUTLET CIR.
Ex. OCCu OUTLET OR FWTURES
BAL p I. 0
FIXED APPLNs. OR
Ex. Occup. olmETs REBID. EA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirina
23.00
PERMIT FEE
S
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
��ffhe above sections need not be completed if the permit is for work of a valuation
,of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that f I should become subject to the
workers' compensation pr visions of section 3700 of the Labor Code, I shall
orthwith com with tho rovisions.
X _`Aw Date P 6''�20 &62—
Signa re of Appli ant - 10 Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE S
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
r
CONST. TYPE
TOTAL FEE $
I
HAZ.
D. FEES IMP
FLOOD
CDF
PARCEL PD
HD
ISSUE
This permit is hereby issued under
of the Butte ry un Code and/or
indicated ova for which fees
`
By
PERMIT EXPIRES ON"?
the applicable provisions
esolutions to do work
4 been paid.
Date
Dee
Receipt No. O VW
WHITE -O..... CANARY -AS ESSOR PINK -INSPECTOR GOLDENROD•APPLICANT
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary delay
in processing and issuing your building permit. No building permit will be issued until this
verification is received.
1. I personally plan to provide the ajor labor and materials for construction of the proposed
property improvement: YES NO O
2. I HAVE HAVE NOT C3 signed an application for a building permit for the proposed wo&
3. I have contracted with the following person (firm) to provide the proposed construedon:
NAME:
9
ADDRESS:
PHONE:
CITY:
CONTRACTOR'S LICENSE NO.
I plan to provide portions of this work,
supervise, and provide the major work:
NAINJ E:
ADDRESS:
PHONE:
but I have hired the following person to coordinate,
CITY:
CONTRACTOR'S LICENSE NO.
will provide some of the work.but I have contracted (hired) the following persons to provide
the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTYOWNER:
SOCIAL SECURITY NUMBER:
DATE: Pk
NOTE: This Owner -Builder Ver fieation is required by Section 198.31 and 19831 of AW
California Health and Safety Code. This verification must be completed vtd
returned to our office before we are permitted to issue the permit
OVER
OWNER BUILDER INFORMATION • . I
Deal: Property Ow-_"
An application for a building permit has been submitted in your name listing yourself as the builder of property
improvements specified.
For your protection, you should be aware that as "owner -builder" you are the responsible parry of record on such
a permit. Building permits are not required to be signed by property, owners unless they are personally performing their
own work. If your work is being performed by someone other than yourself, you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business
license from the city or county. They are also required by law to put their license number on all permits for which they
apply.
Ifyou plan to do your own work, with the exception of various trades that you plan to subcontract, you should
be aware of the following information for your benefit and protection:
♦ if you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is S300 or more for the entire project, and such persons are not licensed as contractors or
subcontractors. then you may be an employer.
♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
There may be financial risks for you if you do not catty out these obligations, and these risks are especially serious
with respect to worker's compensation insurance.
♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and,
if you wish, the U.S. Small Business Administration). For more specific information about your obligations under
Scale Law, contact the Department of Benefit Payments and the Division of industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License Board in your
community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you
are aware of these matters. The building permit will not be issued until the verification is returned.
1
rely.
Mic el C. Vi ira, C.B.O.
til ger, Building Inspection
NOTE: riris Owner -Builder Information is required by Section 198J0 of the California Health and Safety Codi
OVER
,�s. +�,.� v� --eo T �^".'d'y�'K'r",�'�^'".�"as'ts�MS o'" yi.VT��!`''lv�'���:.S:+W*,yr7-sc+'.'t•v��.KfaxssfKrw�'::_ ;1'✓PB . _ �1i�r .,,.;�';
� -•
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7 !► PERMIT NO.
Iao„ 12/961 APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 036-050-.084
7L050084
ZONING
BIJILDINGPERMIT
OWNER L OIhE, DANIrI-
T�LEWN �v
SO. FT. OCC. BUILDING VALUATION
1500
OWNERS MAILING ADDRESS 445 OAKVALE AVE. N' , OROVILLE 95966
CONTRACTOR'S NAME � ml oW�
Ui'! 11911
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS 445 OAKVAI� AVENITE', (TROVI11F,
Energy Plan Checking Fee $
$
PERMIT FEE $ 55.00
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Fling Feel 20.00
Each Trap 7.00
USEOFSTRUCTURE
SF IX Duplex ❑ Mobilehome ❑ Other
s°ECIFv
Solar or heat pump water heater 23.00
Water piping 15.00
Each gas water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Unities ❑ Installation ❑ Other ❑
Describe Work: RE—ROOF - 25 YEAR. Cd?',f'
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home S G W @20.00
PERMIT FEE S
ELECTRICAL PERMIT Fling Fee 20.00
eoov oR LESS 23.00
Main Service zoOA OR tESS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. NO.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
' 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. , Business and Professions Code for this
reasonFlin
Main Service 200A To 1000A 46.00
NEW CONST. DWELLING OCCUP. SO
OR ADONS. a ACC. BLAS. 3.50FT.
NEW CONST. MULTI.OUTLET
NON RESID. @7.50
a PSINGLE OUTLET OWER APPARATUs
CIR.
OUTLET OR FIXTURES O I.50
Ex. Occu aAL w
FIXED APP
LRESNS. OR 5.00
Ex. Occup.OUTLETS ID. EA
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT 9 Fee 20.00
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
fo with co I with th rovisions.
^j
X Date
nature of Appli ant - Owner ❑Contractor ❑ Agen
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $ 55.00
HAZ.
D. FEEs IMP
FLOOD
I CDF
PARCEL
PD
I HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
fel Date `7
By-lllrrr , ll
PERMIT EXPIRES ONfC
De
ReceiptNo.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMEN— SERVICES - BUILDING DIVIS
7 County Center Drive • Oroville, California 95965, • Telephone (530) 538- 1 . PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 036-050-084
ZONING
B ILDING PERMIT
OWNER ONOFRE, DANIEL
TEONS003
SO. FT. OCC. BUILDING VALUATION
1500
OWNERS "AILING ADDRESS 445 OAKVALE AVENUE, OROVILLE 95966
CONTRACTOR'S NAME
UNKNOWN
TELEPHONE e
CONTRACTORS MAIUNG ADDRESS
CONSTRUCTION LENDER '
LENDER'S MAIUNG ADDRESS Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
I Filing Fee $ 20.00
Permit Fee $ J5. 00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDINGADDRESS 445 OAKVALE AVENUE, OROVILLE
Energy Plan Checking Fee $
$
PERMIT FEE $ 55.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
Each Trap 7.00
USEOFSTRUCTURE
SF EX Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater 23.00
Water piping 15.00
Each gas water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Ufilities ❑ Installation ❑ Other ❑
Describe Work: RE—ROOF — 25 YEAR COMP
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G I W 920.00
PERMIT FEE S
ELECTRICAL PERMIT Fling Fee 20.00
600VOR LESS
Main Service 2o0A OR LESS 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages astheir sole compensation,
will do the work, and the structure is not intended or offered for sale.
I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Main Service 2 To 4s.
Eo
CCU000A
so
NEW CONST. OWEILING OCCUP. SO
OR ADDNS. ( a ACC. BLDS. 3.5¢FT;
NO.RESI�T' MULTBRANCI-OU.0 @7.50
PONGWERLEUAPPARATUS
a SI OTLET CIR.
ourLEroRFaruREs
Ex. Occup. BAL @ .50
Ex. Occup. ountrstRRtM.DEE 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE _
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
fo with comW with the revisions.
Date
gnatur of Appl' ant - Owner ❑ Contractor ❑ A e
An OSHA permit is requir d for excavations over 5'0"deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $
HAz.
o. FEES IMP
FLOOD
CDF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
�(� / Date
PERMIT EXPIRES ON -! `c
e
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
= QK
0 = Not'OK
- = Not Applicable
= Not Ready
Date MOBII
i
MOBILE HOMES
E UTILITIES (Plans) OK except #
uirements-Setbacks-Easements
oils Is MH Support -Sketch
ewer; Location -Test -Fall -C/O -Concrete
ater;,Location-Test-Easement Needed (Sketch)
ectricity• Location-Clearances-Grnd.-66/ Amp -Concrete
6.5as; Location -Test -Wrap: / /"L"ft.
/ t at. or/ /"L"ft./ /"LPG
tility Clearance
Card -61 Date42gard-131 Date _
Card -131 Date Card -61 Date
Date MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
MISCELLANEOUS
Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Elec.
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Card -131 Date Card -61 Date
2. Footings; Size -Spacing -Marriage Line Card -131 Date Card -131 Date
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s
5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements
6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability
7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness -
8. Gas and Electricity Tagged Dead Men -Lining
9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI
10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
' 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
Card -B1 Date Card -B1 Date 8. Elec.;Ground ing; Equip. w/5' -circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
Card -131 Date Card -131 Date 9. Health Department Approval
t
.10. Plumb.; Cir. Test -Water Supply Test
Card -131 Date Card -131 - Date
Card -131 Date Card -B1 Date
f
t, •
= uK
0 = Not OK
Applicable
- =Not Applicable . RESIDENTIAL (Single and Duplex)
= Not Ready
Date
UNDERFLOOR (Plans) OK except #'s
Date
`FRAMING (Continued)
1. Zoning -Setbacks; -Easements -Flood -Slope
45. Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth
47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5. Stemwalls, Main; Steel-Blockouts-Wrapped
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
50. Garage Fire Protection Framing
7. Slab; Steel -Wrapped
51. Property Line Firewall & Openings
8. Piers -Fireplace Ftg.-Steel
52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
10. Gas Pipe; Size -Anchors
54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
11. Water Pipe; Test -Anchors -Regulator -Service Test
55. Siding -Nailing Veneer
12. Electric; Underground
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
13. Plenums & Ducts; Clearance-Material-Supprt-Ins.
57. Glazing Area -Glass Protection -Skylights -Plastic
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
58. Shear Walls; Nailing -Bolts
15. Insulation
59. Insulation-Walls-Clg.
60. Infiltration-Walls-Wndws
Card -131
Date Card -B1 Date
Card -131
Date Card -81 Date
Card -131
Date Card -131 Date
Card -B1
Date Card -81 Date
Date
PLUMBING (Permit) OK except #'s
16. Water Ht. Vent -Access -Combustion Air -Baffle
Date
FINAL (Plans) OK except #'s
17. Water Pipe; Test & Anchors -Nail Protection
61. Ext. Steps -Door & Sidelight Protection -Landings
18. D.W.V.; Test-Fttngs & Anchors -Nail Protection
62. Smoke Detector
19. Shower Pan; Test, First Floor -Tub Access
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Mach. Protection
20. Test Tub & Shower, 2nd Floor -Tub Access
21. Gas Pipe; Size & Anchors
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes -Labels
Card -131
Date Card -81 Date
67. Stairs & Rails
Card -B1
Date Card -B1 Date
68.Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
Date ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
23. Elec. Receptacles Spacing -Lights & Switches at Doors
71. Elec. Outlets & Receptacles at Kit. Counter
24. Size Boxes & No. of Conductors -Stapled
72. Garage Fire Door; Swing -Landing -Closer
25. Romex Installed Close to Edge of Studs & C.J.
73. A.C. Duct in Garage -Damper
26. Equip. Ground made up w/Mach. Fasteners -Bond Gas &Water
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor -Mach. Protection
27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I.
75, Plb., Elec. & Mech. Equip. Listed for Location
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga.
Cu or Al
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral Yes No
77. Insulation -Foam -Looked in Attic ❑ Yes
78. Guard Rails & Deck Construction -Post Caps
30. Service -Riser Conductors & Ground -Main Disconnect
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
31. Equip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
33. Smoke Detector
81. Stucco; Brown -Finish
Card -B1
Date Card -131 Date
82. A.C. Unit; Disconnect, Electrical, Plumbing
Card -131
Date Card -B1 Date
83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Openings.
Date
MECHANICAL (Permit) OK except #'s
84. Water Well; Disconnect, Electrical, Plumbing
34. A.C. Ducts Insulation & Support
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
35. Vent Fan; Exhaust above insulation
86. Ventilation throughout House
36. Condensate Drain & Overflow; Size & Grade
87. Glass Protection
37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
88. Corrections from Previous Inpections
38. Attic Access & Platform if Furnace in Attic
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
Card -B1
Date Card -131 Date
92• Roofing Certificate
Card -B1
Date Card -B1 Date
Card -B1
Date Card -131 Date
Card -131
Date Card -131 Date
Date FRAMING (Plans) OK except #'s
39. Sills, Proper Material & Anchors
Card -131
Date Card -131 Date
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
Comments at Final:
41. Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Header & Beam -Size & Bearing
(NOTE: An entry must be made each time you.visit job site)
ter -
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751 yE
i
7 County Center Drive, Oroville — Phone: 538-7541 a
747 Elliott Road, Paradise — Phone' 872-6307
CORRECTION NOTICE
JNER PERMIT NO.
V
A routine inspection indicates that the following violations of County Ordirfance
exist at the above address and should be corrected. Please notify this office :y
when correction of work is completed. .If you have any question pertaining to this
•z
matter, or need additional explanation, please contact this office immediately. y
"» U77LI IV P i 7 s 7zK Pr's =
//R— ` —:2— Inspector
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovi,tle,•CaliLornia 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT N0.
ASSESSOR PARCE NUMBER '
ZO G
BUILDING PERMIT
O WNE
TELEPHONE
SQ. FT. OCC. BUILDING VALUAT N
OW 'S MAILING ADDRESS
CGN7R AC TOR'S NAMETELEPHONE
CONTRACTOR'S MAILI DDRESS
_
Fireplace
CONSTRUCTION LENDER
VNKNOWN
Total Valuation ..Is
LENDER'S MAILING ADDRESS
Filing Fee
$ 10.00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
E,
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 MAP
Water piping
5,00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF Duplex❑ MobilehomeW Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home
10.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remo el ❑ Utilities] Installation❑ Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP ORSLESS
10.00 / 0 J
Main service EA. ADD'L too AMP
2.50J.
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check one):
El 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 CONST. DWELLING OCCUPM ,
OR ADDNS. ACC. BLDGS. / /Zdsgft
NEW CONSTR MUCTI-OUTLET
NON.R ESID BRANCHCIRCITS 2.50 ea
(POWER APPARATUS INS
SINGLE OUTLET CIR,
EX. Occup(OUTLETS OR FIXTURES e20050t
AL9 30C +
Ex. Occup. OUTLETS ED APP(RESID.)LNS.REA.I 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring
g 15.00
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement,should you 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 a ree to save, indemnify and keep harmless the County of Butte against
all liabi ties, ill 111 met costs, nd expenses which may in any way accrue
against aid Count a of the granting of this permit._
— 6" 7
Date
Signature of Applican — Owner V1 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 $
Energy Inspection Fee $
TOTAL PERMIT FEE
OCCUP.
CON ST.TYPE
SCHOOL
—
Flop
PARCEL
✓
PD
v
ND
ISSu
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTO OF PUBLIC
BY
PERMOF E PIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date 0-!
Receipt No.io/V�rj
WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
o COUNTY OF BUTTE - DEPARTMrN,T OFfPUBLIC WORKS - BUILDING DIVISION
N 7 COUNTY CENTER DRIVE - ORO.V&LE, CALIFORNIA 95965 - TELEPHONE: 916/536-7541
IIERMI'T APPLICATION DATA SHEET
h.
Permit No. /-�`��
OWNER fi��"� ��1� EES A. P.No.
Proposed Building Use r -�? ��l. Z,� Building Inspector ?%1Z Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
✓1 . All items have been submitted. .
2. Plot plans in uplicat /triplicate, signed y preparer of plans........
3. Complete plans In duplicate/tripllca e, signed by preparer of plans ..
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Energy Design Compliance and supporting documentation .........
6. Statement of Intent for Non -Heated and AC Buildings ..............
7. Engineered truss details and layout in duplicate (required prior to plan check)
8. Mobilehome installation data including manufacturer's installation
instructions.......................................................
9. Fees of $ ..........................
10. Chico Urban Area fees paid ........................................
11. Parkfee paid .....................................................
12. BAJA School District fees paid .................
3. Sanitation approval from ern �= Health Department ...
4
1 City of Chico plumbing permit ......................................
15. Plot plan and business license approval from City of
(see City for other requirements)
16. Planning approval for (A) Use: (B) Parking: .........
17. Improvements may be required.
18. Driveway permit (construction approval required prior to occupancy) ...
19. Pre -Ins ection for re ulred . , , Prerequest to
p q ' � Builldingding inspector (Date)
20. Contractor's license information (No., Name Style, Classification) .......
::�01. Certificate of Workmans Compensation Insurance ......... :..... .
2. Owner -Builder Verification (Given to owner o, Mail to oner
23. Recorded copy of Agricultural Acknowledgment Statementw.......... .
Let er of sign t auth ion .................................... .
26.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone',G3V—_TA"1 and hold for pickup at office. Deliver w/inspector.
Other
Appl ican
Copy of plans sent Health Dept., Fire Dept.,
Other Date
Date r�
The following data must be submitted prior to permit issuance:rtCkcle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone_—naiI—counter by date
Contractor, designer, owner, was advised of above required data by—phone —mai l—counter by date
Plans checked by Date Plans approved byg:�� Date r
Sets of plans on hold in
Copy—DPW
File cabinet AP folder
COUNTY OF BUTTE -,rDepartment..of Public Works
7 County Center Drive, Oroville,� CA `95965 Phone: 916-538-7,541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your -name and bearing
your signature-..
Please complete and -..return this information at your earliest opportunity to avoid
unnecessary delay in processing -and issuing your building permit. No building permit
will be issued until this verification is received..
)/1. I personally plan to provide the major labor and aterials for construction of
the proposed property improvement (yes or.no.) es.
f 2. I (have/have not) -11A VE signed an application for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to :provide the proposed
constructions
Name
Address City .
Phone _ Contractors License No.
4. J .plan toprovide portions of this work, but I have hired the fo.11o.wing person
to. coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type o.f Work
Signed: (�
Property Owner _
Social Securj"ty Numbelx
-- Date ro
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
AFFIDAVIT OF COMPLIANCE
WITH COUNTY ORDINANCE 2277
(ADDITIONAL.DWELLING IN
SINGLE FAMILY RESIDENTIAL'ZONES)
r
Applicant 'E L �/�1Q�,Q.
,/ Date � �
/ill
Zone AP #"[� -fore Building Permit #
I, � �tJ/zz (!/" C-) -'7—O-E do declare, that the dwelling
(Building Permit �� �. / r/ ) at address -(present)
on AP # is intended for the ,
sole occupancy of one adult or two adult persons who are 60 years of age or
over, and the area of floor space.of the dwelling unit does not exceed 640
square feet.
I also understand that violations.of these provisions are subject. to the
penalties provided in Section 24-63.1`of the -Butte County Code.
r�
Signed
+ Dated Z�
R10TEr-AA Ma#ertals & w6rkmanslh.ip ShaA Be. in
i➢�t.
Accordance with RecogniY he S° ec ified use in the al] times and it is "lavdul.tc
of a quah"q prescribed for p on the Bol, at
plumbing & Meehanical Codes and � r� any c'hcsnges or alterotioris on s�rte'aIfhcut
Uniform Building, eta .
►hq National Electrical Code. � gten aermissian $conn the ®epi
v
T
LMIT
872-74B,P,E,M
NO.
E
M
iNH UTIL.
'PERMIT NO.
PERMIT EXPIRES
Lamy_ Hughes
OWNER
Owner
;i':ONTR.
LOCATION (A.P. 36-05-84.
..4 _ .
`♦
445 Oakvale Avenue, Oro.
rt
I.
T
{
u
t
•
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.�;'- 7 d�
Called PG&E,
Temp. Gas Serv. i
Called PG&E
•
JOB • � "'�% '�� �
FINALED `S
(Date)
(Signature)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd) PLUMBING
Setback _ Firewall Soil Piping
Forms Parapets 1st Floor c� —
Main Bldg. Restroom Finish 2nd Floor
Footings Windows 3rd Floor
Stemwal I Siding To out % g —
Slab Roof Sheathin Water Piping
Piers Roofing 6 7 — — % Sewer
Garage Fdn. Vents Fixtures
Footings Gara a Vents Water Htr..
Stemwall Prov. for physically Heaters
Slab handicapped Appliances
Carport Conformance of ex. Gas Piping & Test
Footings structure Temp. Gas
Slab Final r Sanitation
Patio FIREPLACE Final
Footings Footing ELECTRICAL
Masonry Walls Throat Rough
Reinf. SteelFinal Fixtures
Bond Beam FIRE SPRINKLERS Motors
Framing -- 7 Test Water Htr.
Stucco Final Subpanels
Mesh MECHANICAL Grd. Fault Prot.
Scratch Heating Service '
Brown Cooling Temp. Pole
Finish Ducts Underground,
Interior Lath Ventilation Perman / r C5
Door Closer Final Final / 5
DATE REMARKS OR CORRECTIONS
Q,.4z,— 14
d
Ll
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive Proville, California 95965 ///''')))
Telephone: •534-4541 / _
APPLICATION AND PERMIT /
authorize representatives of the county of Butte to enter upon the
above-mentioned property for in ection p poses.
X Date
i -L -ZZ
Sign a of PerrWee or Aeent
Receipt No. c 6
White-D.P.W. — Yellow -Assessor — 6ink-Inspector = Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By-��� a Date 3 '�
Building permit expires Date ....... .,a........ ....?.:.s..........
BUILDING
Owner L�,�
SQ. FT. OCC. BUILDING VALUATION
Mailing Address `" /v
f
Telephone No.
Q
Fireplace
Contractor
Total Valuation
Mai I i ng Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
$
$
Building Address
PLUMBING
No.
@
FEE
PERMIT FILING FEE $2.00
Each Trap 2 1.50
_ V
Repair drainage or vent piping
1.50
Water piping 1.50
f� Q
3 — _
Each gas water heater or vent 1.50
.-
Zoning & Planning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
F
WZ.
Sanitation
FireDept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
I Parcel
Declaration
Parcel Ma P
60' R/W
Im rovements
P
Lawn sprinkler system 2.00
Bldg. P s Recd
o
PI pprovaI
Permit Fee
$
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL
No.
@
FEE
PERMIT FILING FEE $3.00
300.
Main service incl. 1 meter
3a
Additional meters, each
1.00
Sub -pa (12 or less) (more than 1
Single Family Duplex ❑ Mobil Home ❑ Others [I
Rarjg6, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixtures JA17 20 bo_l ]1�0LL
Ci d
R p hes & fix ets 225
•.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Hooff, Ex. Fan or F.A. Furn. otor
/?
1.00
U
Evap. cooler, gar. disp. or D. W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No. Classification
Misc. wiring -IMO
S(1 Q
-+ ® I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
$
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws'of
California.
MECHANICAL
No.
@
FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
.:20 �
Permit Fee $
$ S'
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
e
TOTAL PERMIT FEE
$
authorize representatives of the county of Butte to enter upon the
above-mentioned property for in ection p poses.
X Date
i -L -ZZ
Sign a of PerrWee or Aeent
Receipt No. c 6
White-D.P.W. — Yellow -Assessor — 6ink-Inspector = Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By-��� a Date 3 '�
Building permit expires Date ....... .,a........ ....?.:.s..........