HomeMy WebLinkAbout079-300-032• j
6 D7at - 3 0C� 03�
Douglas Geyer
49 Crane Ave., Oroville
Permit #1419-78B,P,E,M(new i;W
lefamily) f �..,/ _ A7
ontr: Everett L. Putman, Inc, Yuba City
ermit#5833-79B,P,E(new private swimming
ool) kvc
> Permi 14175-80B,E,M(new pri.shop &
storage,b )
Permit#829-83B(con�9.!Vge'to fmly rm
& const' patio cover/SF',)
Permit#2.866-83B(w&odburn ngJstove
Setector/829:-83)
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NO.
4175=80B,E,M
!,
PERMIT EXPIRES_,
OWNER Doug Geyer
CONTR. owner
ASSESSOR PARCEL
36-05-132
LOCATION 49
Crane Ave.,
Oroville
{
is
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
i
Temp. Gas Service
t
A
Cal led PG&E
' JOB FINALED (Date)
Signature
• e
V = OK , Ia
0 = Not OK
- = Not Applicable RESIDENTIAL (Single -and Duplex)
* = Not Ready
Date UNDE OOR Plans OK except#'s Date FRAMING (Continued)
(NOTE: An entry must be madeeach time youvisit jobsite)
41 --'Zoning requirements -Setbacks -Easements
!tt:froperty Line Firewall & Openings
. kr t , Main; So' -St el -E . Grnd.- / /" Ftg. Depth
.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
G ; S -S - / Z,/" Ftg. Depth
-69r-Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
Porches & Decks; Soils -Steel- / /" Ftg. Depth
W-."PLywood
on Roof Overhang -Attic Vents -Rafter Outriggers
Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
Siding -Nailing -Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
ucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7. Piers -Fireplace Ftg.-Steel
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
54 Glazing Area -Glass Protection -Skylights -Plastic
hear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10. er Pipe; Test-Anchors-Regulator-Servi Test
Electric; Underground
12. Plenums & Ducts; Clearance -Material -Support -Ins.
13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Date and -BI Date
Date Card -BI Date
FD.,eF
Date Card -BI Date
Card -BI
Date J and -BI Date
s) OK except #'s
Card -BI Date Card -BI Date
Date
PLUMBING (Permit) OK except p's
xt. Steps -Door & Sidelight Protection -Landings
-" " - __
14. Water Ht.; Vent -Access -Combustion Air
urna - earance-Comb. Air -Connector -
=rage; Above Floor-Ducts-Mech. Protection
15. Water Pipe; Test & Anchors -Nail Protection
16. D.W.V.; Test-Fttngs & Anchors -Nail Protection
Access
17. Shower Pan; Test, First Floor -Tub Access
18. Test Tub & Shower, 2nd Floor -Tub Access
6
& Subpanel; Breaker Sizes -Labels
19. Gas Pipe; Size & Anchors
6
airs & Rails
63.
or Stove; Clearances -Hearth
lec. Outlets at Wood Panel; Int. & Ext.
pp lance; Grnd.-Air Gap Cooking Clearance
Card -BI
Card -BI
Date
Date Card -BI Date
Date Card -BI Date
ELECT ICAL Permit OK except N's
Receptacles at Kit. Counter
6
oor; Swing -Landing -Closer
68.
69.
in g -Damper
Wtr. Htr.; Vents -C arance-Comb. Air-Connector-P.R.V.-
In ovoor-Mech. Protection
fixture & Transformer Clearance -Ins. Protection
a}/�jec. Receptacles Spacing -Lights &Switches at Doors
Size Boxes & No. of Conductors-Stapledlec.
Receptacles in Garage; ( -Romex Protec.
omex Installed Close to Edge of Studs & C.J.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72,
ion-oam- oked in Attic ❑Yes
7
Construction -Post Caps
2 pliance Circuits in Kitchen &Conductor Size
74.
Fdn. Vent ole Door -Drainage & Wood -Earth Clearance
ooked under Floor ❑ Yes
ubfeed Wire Size /Z ga. Cu or A.C. Wire Size / / ga. Cu or At
7. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At,
Insulated Neutral ❑Yes ❑No
75,
Following instld.: Driv ❑ Yes No; Walks ❑ Yes
Planters ❑Yes o
Service -Riser Conductors & Ground -Main Disconnect'
76
-
$3- Equip. Clearances; Panels-Motors-Mech. Equip,
77
Irnces-Brkr. & Cond. Size -115V Outlet
-29 -Clothes Closet Light -Shower Light
78,
Ibg.-Appliance-Firep 1. -Clearance to Opngs.
--
Card B -I Date _`�j/�17Card-BI Date
79.
j0eltxterior
onnect, Electrical, Plumbing
Elec. Trim; G.F.I. Receptacle -Underground
81.
Venli+etten-lhraeghout House
Card B -I
Date Card -BI Date
82
Date
MECHANICAL (Permit) OK except fl's
31. A_C_Ou is: Insulation/$, Support
_
83. m revious Inspections
_
84, r T"" - T-gged; Gas -Electric
85. nected-C/O to Grade -HD Approval
2Vent Fan_ xhaust aXove Insulation
33' Condensate in Overflow; Size & Grade
86 _ ce Certificate -Other Certificates
Card -BI
Card -BI
34. Furnace-_Ve_nt; cess -Comb. Air Return Air Vent -115V outlet
35. Attic Access P tform if Furnace in Attic
—
Date _ Card -BI Date
Date Card -BI Date
C -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -61
Date Card -BI Date
Date
FRA G(Plans) OK except N's
Comments at Final:
_
Is; Proper Material & Anchors
-. Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound
4 Baring Walls over Girders & Floor Nailing
Stop in Walls (rat proof)
01
a
ire Stops; Furred Ceilings -Stairs -Chases -Tub
Header & B m -Size & Bearing
'Hangers ost Caps -Anchors -Connector
$� CIA oist-oma-� ^-Roo r=c.-T ss-Shtfing.-R
.d.k Fireplace Ties or Type A Flue -Fireplace Throat
_
-wr!''gttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
Windows or Exiting Doors -Sill Hgt. & Dimensions
/Bdrm.
q Garage Fire Protection Framing
(NOTE: An entry must be madeeach time youvisit jobsite)
e
J = OK
O = Not OK
= Not AppWcable MO B I LEHOM ES
= Not Ready
E MISCELLANEOUS
Date .1 . MOBILEHOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
1. Zoning Requ i rements-Sptbac ks- 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.-Rig.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
_
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
i
i iv
1
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
7. Water and SewerConnected-C/0 to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
;C
' ;AbniS
dial
i
i iv
1
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
A 7 County Center Drive - Oroville, California 959E5 -Telephone 916/534-4541
y APPLICATION AND PERMIT
PERMIT NO. ,
ASSESSgR PAR NUMBER
^
ZO ING
BUILDING PER
NER _ TELEPHONE
Cug 424,1 or
R' AILING A DRESS
SQ. FT. OCC. BUILDING VALUATION
I _
CONTRACTOR' AME TELEPHONE
C N TR R'S,MAI LI ADDRESS
Eln 11 e -02 lJ- V e
CO STRUCTION LENDER
UNKNOWN
Fireplace
Total Valuation' $
LENDER'S AMILING ADDRESS _
Permit Fee .
$
ARCHITECT OR ENGINEERoc
LICENSE NO.
Plan Checking Fee-
Penalty
$ v®
$_
ARCHITECT OR ENGINEER'S MAILING ADDRESS
•
Permit fee
$ r '
BUILDI DRE -
-
PLUMBING PERMIT
Filing Fee 3.00
Each Trap
2.00
Repair drainage or vent piping
2.00
Water •piping
LOT NO.
SUBDIVISION NAMEPARC MAP
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
USE OF STRU _ IJRE
SF ❑ Duplex❑ Mobilehome❑ Other
PDECIG n
Building sewer
Lawn sprinkler system
2.00
+
TYPE OF WORK
New e Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work: —
Permit Fee '
$
Contractor
ELECTRICAL PERMIT
Filing Fee
Main service io°°V OR o S
AMP OR LESS
5.00
L_
Main service EA. ADD -L too AMP
2.50
NEW CONST. D L I
OR ADDNS. ( A S
20 sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check One):
[ I •am licensed under provisions of Chapt. 9, Div. 3 of the Business
and "Professions Code and my license is in full force and effect.
//��'�/ -
License No.3i3��/ - Classification Z-3,
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044) 1
❑ I, as the owner, am exclusively contractirig with licensed contract-
ors. (Sec. 7044) '
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW C0N5TR N LTI- TLE
NON-RESID. BRANCH CIRC ITS
2,50 ea
NEW CONSTR POWER APPARATUS &
NON-RESID. (SINGLE OUTLET CIR.
Ex. Occup( OUTLETS OR FIXTURES
50
B"L@1Oi
FIXED APPLNS. OR
Ex. Occup.(0UTLETS (RESID.) EA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring ,
6.25
Permit Fee _
$
Contractor
MECHANICAL PERMIT
Filing Fee 400
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 -
0o
Hood
2.00
Ventilation
Permit Fee
$ Q
Contractor
I certify that I have read this -application and state that the above information
is correct. I agree tocomplyto 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 ' emnify and keep harmless the County of Butte against
all liabilities, j nts, costs, and expenses which may in any way accrue
against said C In 6co quen of the granting of this permit.
X � - Date 1l �"J
Signa re of p licant - er Contractor El'Agent E-1
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stDriies in height.
Mobile Home Installation Fee $
Land Development Fee $
^
TOTAL PERMIT FEE $ A
OCCUP. GROUP
,. ?
ia
TYPE OF CONST.
v
PARCEL
PD
ND
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
workindicated above for which fees
DIRECTOR OF P BLIC
�-
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date
�-
Receipt No. ��C�®
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
'.Y
�s
V,.1�
f;
✓Y ///�� � / � j /""
/ice
/' ''��!�� /'v/
,/"-� ,
19
4175"80
r
t PERMIT NO. ' 829-83B
PERMIT EXPIRES �/ O
OWNER DOUGLAS GEYER
CONTR. owner
ASSESSOR PARCEL 36-05-132
LOCATION 49 Crane Avenue, Oroville
4
C - i
r'
h
Temp. Power Pole
'Called PG&E
Temp. Elec. Service 1
s
Called PG&E
Temp. Gas Service
Called PG&E
JOB FINALED (Date) �- 3 / ��
C
Signature
r-
t
J = OK -i
0 = Not OK _
-s
= Not Applicable MOBILEHOMES A, • MISCELLANEOUS
* = Not Ready
tY-
Date
MOBILEHOME UTILITIES (Plans) OK.except N's
1. Zoning Requirements—Setbacks—Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except.N's
1• Zoning Requirements—Setbacks—Easements
2. Soils; Special MH Support—Sketch
2. Footings; Size—Depth—Spacing—Connectors
3. Sewer; Location—Test—Fall-C/O—Concrete
.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
6. Gas; Location—Test—Wrap:/ /"L" ft./ /"Nat. or/ L"ft./ P, LPG
5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures
6. Carports; Windows—Doors
7. Utility Clearance
7. Elea
Card -BI
Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except q'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—GF1,
5. Drain; MH'Test—Fall—Flex Connector
S. Elec.; Pool Lighting; 15 volts—GFI
6. Water; MH Test—Regulator—Connector..
6. Elec.; Enclosures; Conduit Entries—Terminals—Listed
7. Water and Sewer Connected—C/O to Grade—HD Approval
7. Elec.; Bonding; Metal w/5'—Cir6ulating Equipment—Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg.
Boxes—Enc losures— Pane Iboards- Ins. to Main in -Conduit
9. Exits; Insp.—Sketch �' -'
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test—Water Supply Test
Card B -I
Card 6-1
Date Card -Bl-.- 'Date. i
' Date Card -131. Date
Card -B1 Date Card -BI Date
Card -BI Date Card -BI Date
V = OK
0 = Not 7K
- = Not Applicable RESIDENTIAL (Single and Duplex)
t♦ = Not Ready
Date
UNDERFLOOR Plans OK except N's
Date
FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Fig., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
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
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
52.
53.
Siding -Nailing -Veneer
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7.
Piers -Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protection -Skylights -Plastic
_
8.
D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
55.
Shear Walls; Nailing -Bolts
9.
Gas Pipe: Size -Anchors
10.
Water Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; Underground
-
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FINAL (PJgps)-OK except H's
96-'fx-t-. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
Date Card -BI Date
PLUMBING (Permit) OK except q's
14. Water Ht.; Vent -Access -Combustion Air
57r4�ee4er
58.
Furnace; Vents- caAee=bomb. Air -Connector -
�a ove Floor -Ducts -Meth. Protection
15. Water Pipe; Test & Anchors -Nail Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
17.
Shower Pan; Test, First Floor -Tub Access
60.
& Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
ec. Trim & Subpanel; Breaker Sizes -Labels
Gas Pipe; Size & Anchors
62•.Btahs"&,Re4e-7
_
_19_.
83.
ve
Fire or Sto; Clearances -Hearth
64
acsoutlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65•
rnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
r 1 1P� Outl_aeceptacles at Kit. Counter
Date.
ELECTRICAL Perr it OK except N's
67.
ing- Land ing-Closer
68.
_ mper
'--
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr. n e -Comb. Air-Connector-P.R.V.-
la -Garage; Above Foor-Meth. Protection
21. Elec. Receptacles Spacing -Lights & Switches at Doors
-
22,
Size Boxes & No. of Conductors -Stapled
7
lec. & Mech. Equip. Listed for Location
711, s' rage; (G.F.I.)-Romex Protec.
23. Romex Installed Close to Edge of Studs & C.J.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72g
Insulation -Foam -Looked in Attic F] Yes CFS
25.
2 Appliance Circuits in Kitchen &Conductor Size
73
i s Deck Construct ton -Post Caps
_
26.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
74.
Fdn. Vents & Craw Door -Drainage & Wood -Earth Clearance
ooked under Floor ❑ Yes
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI,
Insulated Neutral ❑Yes ❑No
75.
Following i ve ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
P s ❑Yes FJ No
-
28.
Service -Riser Conductors & Ground -Main Disconnect
76
-
_-_
_i
29.
30.
Equip. Clearances; Panels-Motors-Mech. Equip.
Clothes Closet Light -Shower Light _
77,
A G WAiii 9i6eeRReet--C17nces-Brkr. & Cond. Size -1.15V Outlet
78,
oo ; g.-Appliance-Firep1.-Clearance to Opngs.
----
--- --
79.
net ectrical, Plumbing
Card B -I
__Date_ _ _ Card -BI _ Date
,
�.F.l. Receptacle -Underground
81,roughout
House
Card B -I
Date Card -BI Date
82•
ection
Date
MECHANICAL (Perrnit) OK except N's
83-
orovtg _=nspections
84.-
85.
rs agged; Gas -Electric
er on eected-C/0 to Grade -HD Approval
- 31. A.C. Ducts: Insulation & Support
_
___33.
32.
Vent Fan: Exhaust above Insulation
Condensate Drain _& Overflow; Size & Grade
86.
Energy Compliance Certificate -Other Certificates
it
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
iso
�s✓ �'
35.
Attic Access & Platform if Furnace in Attic
Card -BI--
Card -BI
Date
-
Date _, Card -BI - Date
Date Card -BI Date
FRAMING(Plans) OK except q's
Caiiocitl
Dateq--.3 Card -BI Date
Card -BI
Date Card -BI Date
Card -BI Date Card -BI Date
Comments at Final:
36.
_Sills; Proper Material & Anchors
_
37.
38.
39.
_
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor_Nailin_g___
Draft Stop in Walls (rat proof)
_40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
42.
43.
44.
Header & Beam -Size & Bearing
Hangers -Post Caps -Anchors -
_Connectors
Cing. Joist-Rfir. Ties-Purlin-Root Brac.-Truss-Shthng.-Rfnq.
Fireplace Ties or Type A Flue -Fireplace Throat
45.
46.
47.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions ---
Garage Fire Protection Framing -
(NOTE: An entry must be made each time youvisit jobsite)
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, -Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
u r4 fi Wr 4 tlr- a9
BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
C° j -.,)1 -06-7-- /A ,
t
Inspectors,Date
IJCOUNTY.OF BUTTE-•DEPFiRTME�I'.T OF PUBLIC WORKS, r �PERMI .NO. f
7 County,Center Drive - Oroville,rCal ifor-.ia, 95965. -,Telephone 916/534-4541 '
'APPLICATION AND PERMIT,
ASSESSOR PARCEL UMB
•BUILDING
ZON JLN
PERMIT '
OW R r3Hp13
f
SQ. FT. - OCC. BUILDING V LU TION
Z
OWNER'S M ING DDRES
_ _
CoN7R CTOR'S NAME _
TELEPHONE
-
•- _
CONTRACTO •S MA" ING ADDRESS
'
Fireplace , r
CONSTRUCTION LENDER ,
UNKNOWN
Total Valuation' $
Filing .Fee -
$ -, 10.00
LENDER'S MAILING ADDRESS
' +
Permit,Fee.
$ 4-00
ARCHITECT OR ENGINEER / , -•
LICENSE NO.
.Plan Checking Fee-
$ - ••
_Penalty •,
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS -
Permit fee
$ s�
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
Each -Trap
2.00
Solar Water' Heater '`
20.00
Water piping
5.00
LOT NO.
SUBDIVISION NAME - " ',
z. +
PARCEL' MAP
Each qas,water heater or vent
5,00 -
Gas piping.'system 1.= 5 outlets
5.00.
USE OF STRUCTURE
SF 0""Duplex❑ Mobilehome❑ Other
" SPECIFY
Building sewer
5.00
Mobile'Home S 'G W
10.00E
-
TYPE OF WORK
New ❑ AdditionE:1 Remodel ❑1Utiliti ❑ instal /Other ❑
Describe work: DaG� V I U �� _`•
6') LJ - _•
Permit Fee'
$
Contractor
'- ELECTRICAL PERMIT'
Filing Fee 10.00
Main service 100v OR LESS
100 AMP OR LESS
10.00
' -
' �' •
Main Sewice EA. ADO'L 100 AMP
2.50 11-7
NEW CONST.DWELLING OCCUP.&
OR ADDNS. ( ACC. BLDGS.
•,
2/2¢sgft
_.
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):NEW
'
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.,31344K • 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) 1
❑ I, as the owner; am exclusively contracting with licensed contract-
ors. (Sec. 7044) `
❑ I am exempt under Sec. Business and Profess_ ions`Code ,
for this reason ;_ r
NEW ULT.' -OUTLET
- R
BRANCH , 2,50 ea NN I
CONSTR. (POWER APPARATUS &\
NON RES D. SINGLE OUTLET CIR.• /
Ex..Occup(OUTLETS OR FIXTURES 120@50C
0 50C
300
FIXED APPLNS. OR
Ex. Occup. OUTLETS (REsiD.J EA.) 2.00 -
• Tempo rary service 10.00
Mobile Home Facilities 15.00
Misc.Wiring 15.00
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 ofsCalifornia: • '
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,,
r
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 say , indemnify and keep harmless the.County of Butte against
all liabilities, ents, costs, and expenses which may in any way,accrue>
against said y in cons nee of the granting of.this permi ..'
X �J �o�Li
i Date ✓�
Si Dture pli ntJ Own er Controctor� Age
An 0 A mit is wired for excavations over 5'0" deep and demolition -or construct-
ion of s ructures ove�rl3 stories in height. -
Mobile -Home Installation Fee
$ '
^
TOTAL PERMIT FEE $ S S®
C{CUP. GROUP]
/
TYPE OF C NST.
' "
PARCEL
PD
HD
155
This; permit is hereby issued under
'sions of the Butte,County Code and/or'resolutions
work` indicated above for which
DIR OR OF. PUBLIC
By
P IT EXPIRES Date
the applicable provi-
to do
fees have been paid.
WORKS
Date+ 7_ -A� -3
��
Receipt No. � • -
WHITE-D.P.W.', YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
. Y I
COUNTY OF BUTTE.- DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
,� E
ZONING
BUILDING PERMIT
OWNEb
TELEPHONE
SQ. FT. OCC. BUILDING VALUA ION
OWNER'S MAIL ADDRES
Av
CONTRA TOR'S A�
V IRA—
TELEPHONE
CONTRACTOR'S
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER fir\
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ ^
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADRESS
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
r
Water piping
5.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home IS I G W
10.00 e
TYPE OF WORK
New F1 Addition Remodel Utilities❑ Installa, on❑ Other
Describe work:FV —
SR
r
r- ��
Permit Fee
$
Contractor
ELECTRIICADL PERMIT
Filing Fee 10.00
LESS
Main service loo AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&`
OR ADDNS. ( ACC. BLDGS. /
2/20sgft
CONTRACTORS LICENSE LAW
1 declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
f
and Professions Cod anm license is in full rce and effect.
y
License No. ?/J� 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) 1
❑ 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 CONSTF ULTI.OUTLET 2,50 ea
NO N.RESID BRANCH CIRC ITS.
NEW CONSTR.POWER APPARATUS &'
NON-RESID. (SINGLE OUTLET CIR,
zo@soa
OR FIXTURES BAL®3O
Ex. Occup(o XED
FIXED APP LNS, OR
A
Ex. Occup. OUTLETS (RESID,) EA.) 2.00
Temporary service
10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
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.
1 shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
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 sadg ndemnify and keep harmless the County of Butte against
all liabilities, ents, co%lo, and expenses which may in any way accrue
against sal u i c uence of the granting of this per . o-�
XDate G'
Signor e o lio r — Owner Contractor Agent ❑
An SHA permit is a red for excavations over 5' deep and demolition or construct-
io of structures ov r stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
TYPE OF CONST.
PARCEL
PD
Ho
ssuE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
D! %0?F PUBLIC WORKS
By Date
PERMIT EXPIRES Dae
Receipt No.7 cT
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
f
_ This set of plans and specifications MUST be NOTE:—All Materials & Workmanship Shall Be in
i keptlon the job at all times and it is unlawful to Accordance with 2ecocinized Good Practices and
make any changes or alterations on same with- of a quality prescribed for the Specified use in the
out wrWorksitten_permission from the Department p# Uniform Building, Plumbing & Mechanical Codes
Publ c
- -
, County of Butte
F - — --� A setback of 5 ft. from the
property lines and a setback
of 50ft. from the road
centerline shall be clear of
structures or equipment excerpt.
j for a 2 ft. eave overhand
` T
OLv-.f• j�
SZ943
BUTTE COUNTY
BUILDING DEPARTMENI
,/,I"
APPROVED
'%
Il 1 I I
15T14LC, 1�L.A�TE/� I
I !•� I - i7
l
I:� l
I
sEcPCAI 257/7067)
Yet/ i/U4 770AI
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{
1 I
- -- - --{ - - -- - - - - - -� i I
llj i i I 3�0 ..>/6o i i 6 i �/0 1• i) I j i
COUNTY
WILDING DEPARTMEW
APP, OVED
}
$RAN /A/DEXt/�Ayv(
C,epc/P 4 COM 11 j
S K 13 F�OA2-GtNDE.Q`. to Yti/E�tIT.
-
�X �s«i,3
ax i� Gvi` " m L ' s✓ y
PRO V106 APP'D
ANC1IA42S.
N� Q
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T L (.t/.i c>.C!S "4.c� A� •c C�ice�" L E��c .eic� � % ��' /� 'Y9
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r
tS/ �Y sy6Ern�
Si�Etr�,r
C H
.5750 1
BUTTE COUNTY
�icK �j�K v���e io �ri.N oFGiA.C�
BUILDING DEPARTMEh
APPROVF-4/4
�79AOMIV
,.,]WidVd3(l ONinno
UNnoo 3iina
193A. -I (1)
lot
u-loejq blenbape ap&Awd
tl� I
01.11
i i (d� j
lokl
S/ V*ldov.
L
5833-79B,P,E
PERMIT
NO.
PERMIT EXPIRES
:i
Douglas Geyer
OWNER
1
\ '
i CONTR.
Everett L. Putman, Inc:, Yuba City
36-05-13.2
LOCATION (A.P. )
49 Crate Ave., Oroville
1F
Temp. -Power Pole
Called PG&E f
Temp. Elec. Serv.
fCalled
PG&E
Temp. Gas Serv.
Called PG&E
2 o
®Jog
FINALED
i99 (Date) ? B
(Signal e)
I
t,
j
COUNTY OF BUTTE = DEPARTMENT OF PUBLIC WOI KS
BUILDING INSPECTION RECORD
BUILDING
BUILDING (Cont'd)
PLUMBING
Setback '6'ZZ 0 S-- 709F
Firewall
Soil Piping
Forms /
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwa I I
Garage Vents
Insulation
Water Htr.
Heaters
Z�l'
Slab
Footings
Prov. for phsically
handica e.1Carport Conformance of ex. j
stAWAure \
Appliances
Gas Piping 8 Test
Temp. Gas
Slab
n 2 2
Svvaiion
Patio
FIREPLACE
Ina
Z Z
Footings
Footing
ELECTRICAL
Masonr Walls
Throat ie I
Rou h
IJ Iq 7
inf. Steel /O �%
Final
Fixtures
2,W yif
Bond Beam
FIRE SPRINKLERS
Motors
V
Framing
Test ,•
Water Htr.
Stucco
Final ��
Subpanels
2 -
Mesh
Mesh
MECHANICAL
Grd. Fault Prot.
Z Z 1
Scratch
Heating i
Service
Brown
Cooling
Finish
Duets
Door Closer I Final \ "irW �Z-2�J
MOBILEHOM 7ILITIES------------------ Elec_ Service Elec. Pedestal
Water Piping Sewer Gas Piping
M 1 E TOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
;
/z�� -
+N
2 2 Fr S -o w Ax. & .
(NOTE: An entry must be made on this form each time you visa: the job site.)
COUNTY OF BUTTE —` DEO'ARTMENT OF PUBLIC WORKS
` r 7 County Center Drive - Otoville, California 95965 fW2
Telepff4e" : 534 4541
APPLICATION AND PERMIT AAA
BUILDING
Owner ! �
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Contractor " 7-,-w — G
Mailing Address b
Fireplace
Total Valuation
Te ephone No.
Permit Fee ,Q1^�
Building Address I
Plan Checking Fee &/or Penalty
`
Permit Fee OLO
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00 ,�O
Each Trap 1.50
6 V I✓L(zi-_
Repair drainage or vent piping 1.50
A. P. No. - _�
Zoning & Planning
Water piping 1.50 i,5_t>
Eac as water at or vent 1.50
G piping system 1 -5 utlets 1.50-'O
FW's
ti
FireDept.
FireZone
Use Permit
EQA
Parking
Plans
Parcel
Declaration
P reel ap
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
11 g. la ec'
-PdyParcel Approval
Plans Approval
Lawn sprinkler system 2.00
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
Permit Fee $ Z5 0'$
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE J$3.00
Main service 600V OR LESS100 AMP OR LESS 5.00
Single Family ❑ Duplex ❑ Mobil Home ❑ Others
Main -service EA. ADD'L 100 AMP 2.50
• _ 1,
`
R LESS 25.00
Main service 100 AMP o
Main service// EA. ADD'L 100 AMP 1.00
NEW CONST. ING
OR ADDNS. l ACCLBLOGS.CCUP. 91 20sgft
CONTRACTORS LICENSE LAW
1 am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Busine�&Professions Code under the name
St of:
.1, �-'d �� `"�
NEW CONSTR ULTI-OUTL T
NON -RE `B(MRANCH CIRCUITS) 2.50ea
NEW CONSTR. (POWER APPARATUS 8
NON-RESID. SINGLE OUTLET CIR.
Ex. Occup (OUTLETS OR FIXTURES aTL 91
Ex. Occu FIXED APPLNS.OR
p• OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
I I d r.
License No.,TV9 y Classification
Misc. Wiring psL 6.25 ZS
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
$
MECHANICAL No. @ FEE
WORKMEN'S COMPENSATION INSURANCE
1 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.
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
1 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.
Date
Sign ure of Permitee or Agent
-�7
Receipt No. ;Z 7 3-�
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
Land Development Fee
$
TOTAL PERMIT FEE
$ 7S
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.
DIRECTO OF PUBLIC WORKS
By Date_z'�
q
ilding permit expires Date (r�� `.-3
?
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING
BUILDING (Cont'd)
PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings " 7
Windows
3rd Floor
Stemwai
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers — �j -
Roofing
: Sewer
Garage
Fdn. Vents
Fixtures
Footings
StemwaI l
Gar a Vents
Insulation
Water Htr.
Heaters
Slab
Carport
p
Footings
Prov. for phsically
handicaped
Conformance of ex.
structure
Appliances
Gas Piping &Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Masnnry Walls
T6.....f
o .. a ci �.�
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heatino
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
MOBILEHOME UTILITIES ------------------ Elec- Service Elec. Pedestal
Water Piping Sewer -Gas Piping
BI E OME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE
REMARKS OR CORRECTIONS
9
"2T V?-(y
_r
i
(NOTE: An entry must be made on this form each time you visit the
..
• _r
�� ''
,,. r,,
,.
�.
RESIDENTIAL ;
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPL7.ANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS
AT
(location)
BUILDING PERMIT NO.y A;P. NO.
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS:
(Check each item or write N/i: if not applicable)
INSULATION:
GLAZING:
Slab Edge. b
Single Glazed. „'d/�
Fdn. Walls d
Special (Insulated)
41 ZZ
FloorsCERT.
& LABELED WDS.
Walls
&:SLIDING DRS.s
Ceiling/Roof mac' .fix
WEATHERSTRIPPED DRS.
�s
Ducts
BACK DAIMPERED FANS
.Circula ing Pipes_—
INTERMITTENT IGNITI
DEVICES �Ys
PPLIANCES
APPROVED HEATER G'_-,&.; CERT. APPLIANCES-
APPROVED WTR. HTR.
APPROVED
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 `
(plea a rint)
Insulation Applicator
State Cont actors
License N . 27/
General Contractor/Owner Name
(please print)
print)
Signature of
General Contractor/owner 1, Date "7
State Contractors
License No.
,THIS -CERTIFICATE 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.
COUIVT.Y. OF t DEPARTMENT OF PUBLIC WQRKS4_
7 County Cel r-,;,, + - — ' Orovi l le, California 95965
Telephone:
APPLICATION AND PERMIT
yr9 �v
BUILDING
Owner 9 .
SQ. FT. OCC. BUILDING VALUATION
D
Mailing Addresso2lV
e
Telephono.
G _
Z6 o Q
Contractor
Mailing Address
Fireplace�° 11 OCA
Total Val tion 0o
Telephone No.
Permit Fee ' oa
Building Address g
Plan Checking Fee &/orPenalty
Permit Fee
PLUMBING No.1 @ I FEE
PERMIT FILING FEE $3.00 ,OV
Each Trap 1.50
Zon'Tng Yee'ification Only
Repair drainage or vent piping 1.50
A. P. No �5-. /�
�Zo g
Water piping 1.50 v
Each gas water heater or vent 1.50
F
nr
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking reel
Plans Declaration
U�/ a
PSrcel
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
BI . Plans Recd
�orce roval
Plans roval
Lawn sprinkler system 2.00
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
Permit Fee $ 6a
ELECTRICAL No. @ FEE
72,,
PERMIT FILING FEE $3.00 .,FQO
S
Main serviceB00V OR LESS
100 AMP OR LESS 5.00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD•L 100 AMP 2.50
OVER 600V
Main service 100 AMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONST OR ADDNS. ( ACCLBLD ° 20 sq ft
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:
T
NEW RESID. BRANCH CIRCUITS
NON.CONS ( BRANCH CIRCUITS) 2.50ea
NEW CONSTR. POWER APPARATUS B
NON.RESID. (SINGLE OUTLET CIR.
Ex. Occuo(OUTLETS OR FIXT11RES B @ 254
L@1
FIXED APPLNS. OR
Ex. Occup.(OUTLETs (REBID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
=1 am 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
E]p
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is Issued 1 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 X pa
Heating /Da O
Cooling
Ventilation, 6A/ v,��% / 0100
00
Hood 2.00 2,
Permit Fee $ ,
$ - p
I certify that 1 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 pr rty for inspection purposes.
{ XDated'%�
et
Signof Per e o -nt
Land Development Fee
$ (,7I
TOTAL PERMIT FEE
$
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.
DIRE OR O%F PBLIC WORKS�J %may
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Receipt ,Z;L,`-
White-D.P.W..W. —'Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date
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