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HomeMy WebLinkAbout056-110-007iJ _ COMPLAINT TO INSPECTOR, ARL 8 MCoha Tet' S ` 80 & 82 Cohasset�Stage; Chico v P mitt 480- '6E( a ser�„c„h)SF 4ef. AA t*i 1 1) A 56-11-07�"fir i, Contr: Bunge Electric l lJl/ 4 Permit#3664-86E(e1e ser ch/SF) _. h,3 . \. 4T Y Clol 56-11-07 y CARL & MABEL TIETZ 80 & 82 Cohasset Stage, Chico (o N 6E(ele ser h)SF .. �wmiti'0480-/-ate d�� 56-11-07 =�1 Contr: Bunge Electric �� d�'!�`JP IAJ Permit#3664-86E(ele ser ch/SF) l CLAIMANT: ADDRESS: anud* Of XU& OROVILLE, CALIFORNIA GENERAL CLAIM James Neilsen Box 83A Cohasset Stage CITY & STATE: Chico, CA 95926 IMPORTANT: January 8, 1987 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Duplicate permit app lication made by contractor.(Bldg Permit Appin. 3480-86E Receipt #69568, dated 11/18/86, A.P. #56-11-07, Owner: r Car Ile Z). Total fees paid ------------------------------- $85.00 Retain filing fee----------- $10.00 Retain pre -inspection fee ---$20.00 Amount retains ------------------------------ TOTAL REFUND DUE ----------------------------------------- $55.00 $55.00 TOTAL $55.00 I, the undersigned, declare under penalty of perjury that the services or articles claimed he Xclaim is true and correct se stated. Dated this ................ day of ..C/,l /j/ 9► (. , 19z, et V,/ / L(%....., Calif. been performed or delivered, and that this �. ir...../..T../; .............. Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have livered and that In is a Budget Appropri tti�on /❑ or Specific Board Approval ❑ (Checkone) for the some. Dated this,,,,,,,,. f....�,r................... de of �,,,J ('v 19 et j� /Jjj Y...... . Calif. .......... L��. Performed or de- ......................... W_D eputy Dept. Exp. Code............................................ Code ................................................PAYABLE FROM............................................................................................ FU DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. I SUB. OBJ. I CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSSAMT. c COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO./(�j�/ 1 /A/ ASSES:? PARCEL NUMBER � S ZONING BUILDING PERMIT OWNER 1 C (Aa6cl 29 TELEPHONE aaa-a� SO. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS (a-4,,. 4c,,) W0.. os CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS O a .4 CO Permit fee $ PLUMBING PERMIT Filing Fee 10.00 5 � � n uy la tX Each Trap 2.00 R SGS 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 SF9L Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: EIeC;}- Sr rvtc® L.4.ct,rE. a. <r_ "1LeS 06?Yk.4 n Perm Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 A ` ✓ V 800V OR LESS Main service 100 AMP OR LESS ` 10.00 O, 0� Main service EA. ADD'L 100 AMP 2.50 Q© 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 1, as the owner, or my employees With wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) �] 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.8i , OR ADDNS. ACC. BLDGS. /2CSq tt NEW CONSTR UL '.OUTLET 2,50 ea NO N.RESID BRANCH CIRC ITS /POWER APPARATUS e %SINGLE OUTLET CIR. ) Ex. OCcup(OUTLETS OR FIXTURES 20050C eALO 3o FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Home Mobile me Facilities 15.00 Misc. H 15.00 9 O.00 Ili>rc,+ s O. ov Permit Fee $ �yv WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 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 Hood 3,00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all lAli lities, judgments, costs, and expenses which may in any way accrue aga' said County in conse9pence of the granting of this permit. X Date — �' 'gnature of Applicant — Owner ❑ Contractor ❑ Agent F 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. CONST.TYPEJ I FLOOD PARCEL I PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. Ceq.f6S-- WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF --PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. OWNER c� —�c i -z A. P. No. Proposed Building Use Building Inspector02,—_ Date At time of permit application, I was advised the following data must be submitted prior to permit processing andJor issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate./triplicate, signed by preparer of plans. . 3. Complete plans in duplicate./triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . Contractor's License Information (no., name style, classif.) 14 Owner -Builder Verification (Given to owner, Mail to owner L_'1') 5. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . ` `� Pre-Inspec. request to . Pre -Inspection for >rlc.�� S Required. Building Inspector (Date) 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. 22. When you issue the permit, process as follows: Mail to owner, Mail to contractor. lephone and hold for pickup at—off ice, Deliver w/inspector. t/ Other � e.l ��e,✓ l� ��'l- `Sn� e D e Appl ica Date �/ - Ac' h, Copy of plans sent Health Dept., FinYDept., Other Date The following data must be submitted prior to prior to permitissuance: (Circle new item not checked above)(Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: 1 Contractor, designer, owner, was advised of above required data by_phone-AJnail—counter by date Contractor, designer, owner, was advised of above required data by—phone _mall—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder — Flours: 10:00 a.m. - 3:00 p.m. Copy—DPW �� �' n _,. __,_ t VN, _1� \L � }yam - ~\ � •' ' - �. - � Y 1 J i 7 &"d* OfE 3U& v OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: ADDRESS: James Neilsen Box 83A Cohasset Stage CITY & STATE: Chico, CA 95926 IMPORTANT: January -8, 1987 SEE INSTRUCTIONS DATE OF CLAIM:ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Duplicate permit application made by contractor.(Bldg Permit Appin. #3480-86E, Receipt #69568, dated 11/18/86, A.P. #5611-07, Owner: Carl Tietz). ' Total fees paid ------------------------------- $85.00 Retain filing fee----------- $10.00 Retain pre -inspection fee--- 20.00 Amount retained ------------------------------ TOTAL REFUND DUE ----------------------------------------- $55.00 $55.00 i Mr. Neilsen: Since you paid the fees for the electrical permit for Carl Tietz the claim form must be signed by you. Please date and sign the attached form and return to I this office so we may continue processing the claim. Thank you. Anne/Butte County Bldg Dept, 7 County Center Dr, Oroville 538-7541 95965 TOTAL $55.00 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. X Dated this .................................. day of ............................ 19...... at................................ Calif. ......... .......... ................................... . . . ......... . ............... ..... Signature of Claimant I, the undersigned, hereby certify that, to the beet of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation ❑ or Specific Board Approval Q (Check one) for the same. Dated this .................................... day of ............................. 19......, at .............................. , Calif. ..... .. ............... ........ ............. ........................... Department Head or Authorized Deputy Dept. Exp. Code ............................................ Code ................................................PAYABLE FROM ............................................................................................ FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. I INV. NO. . INV. DATE I ENCUMB. GROSS AMT. Y emuttly, xutte OROVILLE, CALIFORNIA 43 GENERAL GENERAL CLAIM CLAIMANTI_._._yy_.__Cr,..J. .I-._...._.. ---._.....-. 7­ A D D R E 5 S:, ._ADDRESS:;--- -- - -- CITY b STATEr..�.... IMPORTANT: Dr,TC. OF CLAIM: ....�� =,l �._ __• -_ _ ON RE SEE -INSTRUCTIONS i SE SIOE SUBMIT CLAIM' TO DEPARTMENT RECEIVING GOODS OR SERVICES DATI: 1 DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) -- ------•._.....—._—..—.--•--_:.; -=-::_ _: _::_:::-____::___= -__:_—:_-:_-_::� ::_::-:.-_.:_:� —... _ :.1.10 U N I ...._..._�#3480-86E,pRecei tp#69568----- •-�-----...X..----..._. .._ .. _-.._.�.__g-------..P-P..._._.ln.. i.-- -------------.._ II Du licate er_mit application made b Contractor. Bld Permit A , Receipt dated 11/18/86, A.P. #56-11-0___ t • � 1 i i .... ' 1 TOTAL 1. the an.iersignrtd, d.:clure under penalty of lierJury that the services or urnc:ir claimed have been perlunnrd or Jet v, mJ, ­0 the tbis _ . INtl:l :11 tr11e mid Correct 110 ll Ole,. I j..• .................. 11uy •I �� .......... .... ........... Sig... it of Cloimunt 1. Iht under►iQtted, hrreb)• Certify lh.lt, to lite best of my knowledge, the nrrvir,<•-ur.nrlicles specified above hove Leen petinnnrJ or de- -- Ilve,rJ and Il,„t there is u IludgR t .\1•1•n •in i,.tiun or SI.ecilic Huard Approval l (r hrrk ane) for the snnir, i l,.tad this ........................................ .................. ............................ ...-_.___—.•_...,___--__.__—.—_,_,....._....—_. _. Del,artmenl 11,,1 r.r Auth�,rizrd I)ryuty COJr -::.._.•—._._—..........q.:......................... VUNE) DO NOT WRITE BELOW THIS LINE - AUDITOR'SUSE ONLY DEPT. - SUB. CLAIM I INVOICE INVOICE T— CODE & SUB. PROJ,- I GROSS OB.. N0, NO. DATE DISC. AMOUNT ENCUMB. I SUB-DISI _ • I COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 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 materials for construction of the proposed property improvement (yes or no) JZ eS. 2. I (have/have not) fYA ee— signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following 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 of Work ZAn!es A/ &lfC.y doV—? 3 A- Jq91;11-,9s3.3 ,ar, /a/—T-/- QaZ,y/ r- J7m,yv 5:99- 7 4? 2 gf Ag,tef 44.o Signed: Property Owner Social Security Number Date I/- a? -r- r,6 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. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT j ASSESS0 PARCEL NUMBER ?G — j — 0 ZONING BUILDING PERMIT OWNER C, rbc TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS ,?& I o) N ci+k +o" WL. ti s CONTRA CTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 1000 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS C to i`4a CO . Permit fee $ PLUMBING PERMIT Filing Fee 10.00 s erf P AI SLS. f u 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 SFR Duplex❑ Mobilehome❑ Other ECI F6' Gas piping system 1. - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00 ea TYPE 0 RK New ❑ Addition ❑ Remodel ities ❑ stall Ion Other ❑ Describe work: �} `Twp ��-.cvl�ri Pvtt��-,nt, Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 _ V Main service eoov OR LESS 100 AMP OR LESS 10.00 Q, (i1 Main service EA. ADD'L 100 AMP 2,50 CONTRACTORS LICENSE declare under penalty of perjury (chec o e) ��„ I am licensed under p v Ion Of ap .7D�. 3 of the Business and Professions Code a li en a Is in full force and effect. License No. Classifi ation 1, as the owner, or my empl yees with wages as their sole compen- sation, will do the work,and the struct re is not intended or offered for sale. (Sec. 7044) d I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST, DWELLING OCCUP.&,I oR ADDNS. (ACG. BLDGS. �2¢sgft NEW CONSTR T1.OUTLET NON-RESID BRANC CIRC ITS 2.50 ea (POWER APPARATUS O) SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 2AL@3t eAL030 EX. OCCU FIXED APPLNS, OR p• OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Ci. J , JQ0. ot; 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 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 Countyof Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all 1���' IIIties, judgments, costs, and expenses which may in any way accrue aga' said County in copse ence of the granting of this permit. X 1r �+ s-, � � { Date ynatura of Applicant — 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 $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPEJ I JFLOOJPARCFLJ PO ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. AG9S6I?/ W i4ITE-O.P.W„ YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT m c z-' j:. � Ol� � `, ,..., ;., r• .O. i � � CEJ ►�c• w \A� .v I • I i Iy i I i S I_'_i� c• --,� _,:ar •� / V � aS I � GI ot iz 06 iy Ail IL DOt�A SSROA D °pC fl .D t I d► ` U? Q 4 !40 ^'� a ..ti � goo O� •fir !� iQ--�'4 04) i. A � ' 4 mom 1.1 .Z..I'"'Y `4%%�('•�...r'J � irl ti ::�f r far ;.�s � r 0 1 -Ti a 1.1 .Z..I'"'Y `4%%�('•�...r'J � irl ti ::�f r far ;.�s � r 0 1 -Ti W OFFICE COPY Address GAS Meter By ate ELECTRIC Meter By Date'�� ' OFFICE COPY Address GAS MeterBy —�— Date Date �„ y, MeterELECBRI�--'.. W COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-454114 / / APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 5—(„ — I I — p 7 ZONING BUILDING PERMIT OWNER ee�m t TF+ r_r� TELEPHONE S0. FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS' - CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S M -AILING ADDRESS 4-)7n <-1.-,r,_C /ti ..�,,,_,., gS414:_ Fireplace CONSTRUCTION LENDER- (\I,,.0 UNKNOWN Total Valuation is Filing Fee g $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER A/., 0R LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ♦ n � �� l % . rr. r_ � � e• i � �Cl L Q Permit fee $ PLUMBING PERMIT Filing Fee 10.00 /C le ., I.— e .. 4-- C!I Each Trap 2.00 U 1 s)c ,QL c, � �,n.,1. 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 9, Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 1 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation❑ Other ❑ Describe work: �I-•�� ���•� �+.� ��rC _ p.� '"c� dJ^A- ^&J lai1.1 r ,x nnLrldf1V Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 _y� t t Main service OOOV OR LESS 100 AMP OR LESS 10 00. Main service EA. ADO'L 100 AMP 2.50 ? 5� CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): a I am licensed, under provisions of Chapt. 9, Div. 3 of the Busines$ and Professions (Code and my license Is In full force and effect. License No. �n7� Classification 4:11m el. - In ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP..) /zQsgft OR ACDNS. ACC. SLOGS. I NEW CONSTR. ULTI.OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS POWER A. RATU- e (SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES eA 030 FIXED APPLNS. Ex. OCCUp. OUTLETS ((RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 /4, uv Permit Fee $ `y,Is- U Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑k I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 I 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. t X Date Signature of Applicant — Owner ❑ Contractor E] Agent ❑ An OSHA permit isrequired for excavations over 5'0" deep and demolition Or Construct- ion of structures over 3 stories in height.f� Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPE I JFLOOOJPARCELJ P11 ND ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. /DIRECTOR OF, PUBLIC WORKS / s / ., BY v Date PERMIT EXPIRES Date / ` Receipt Na in � 9 ;2 1- WHITE-O.r.W•. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 " Skyway and Elliott Road, Paradise -- Phone: 872-2961, Ext._ 57 CORRECTION NOTICE G� U Z, 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 matt r, or need additional explanation, please contact this office immediately. '� Inspector_4 "' V Date t 2 /2' C�� 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 T NO. 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 mat r, or need additional explanation, please contact this office immediately. Iwo a, Inspector___// w c' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATIM AND PERMIT PERMIT NO./ ASSESSO PARCEL NUMBER -- — 07 ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC, BUILDING LUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE y� CONTRACTOR 'S WILING ADDRESS I,v Fireplace CON TRUC ION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 671`! 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❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ U.tilities ❑ Installation❑ Other ❑ Describe work: J lie CA 0 S _ % �� P .lJ(Jhc, 6c� ..... i vycc) Aa -- oy prw- a00V Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 -cf. OR Main service 100 AMP ORSLESS 10.00 ,(JV Main service EA. ADD'L too AMP 2.50 s -O 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.�OO�0 Classification_ �'--�� ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.&` OR ADDNS. ACC. BLDGS. / , /20sgft NEW CO D R BRANCH CIRCTITS 2.50 ea POWER APPARATUS 11 SINGLE OUTLET CIR. EX. OCcup�OUTLETS OR FIXTURES 20®SOt SAL990 EX. OCCUp. OUTLETS (RESID.IFIXED APPLNS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 , cTt3 Permit Fee $ -7 T-0 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 FiIingFee 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. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against aid C unty in consequence of the granting of this permit. X Date Sig a ure of Applicant — Owner ❑ Contractors Agent E]work An SHA 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. C0"ST*TYPEJ I IFLOOOIPARCELI PD ND 59UE This permit is hereby issued under sions of the Butte County Code and/or indic d abo r ich DIR F UBLIC BY �� PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date p� �1 Receipt No. � -6 47 o� 0L WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT