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Home My WebLink About026-080-060AC -08-60 JOHN &BETTY 0 CONNOR 7080 Irwin Ave, Palermo Contr: AMRE 026-080-060 #98-2218 MARCHEL,DEENA 7080 IRWIN AVE. PALERMO UNKNOWN -,'GAS TEST. 026-080-060 03.�,04EE - MARCHEL, DEENA` to -ZZ -0- 7080 IRWIN AVE, PALERMO ` NEW HVAC/ UPGRADE ELE/GASB. ,. r R i 1 l� ly � Cj AC -08-60 JOHN &BETTY 0 CONNOR 7080 Irwin Ave, Palermo Contr: AMRE 026-080-060 #98-2218 MARCHEL,DEENA 7080 IRWIN AVE. PALERMO UNKNOWN -,'GAS TEST. 026-080-060 03.�,04EE - MARCHEL, DEENA` to -ZZ -0- 7080 IRWIN AVE, PALERMO ` NEW HVAC/ UPGRADE ELE/GASB. ,. r J3:2! 9K 1 026-080-060 F { MARCHEL, DEENA 7080 IRWIN AVE, PALERMG NEW HVAC UPGRADE ELEIGAS t { i ELEGIHI Meter By a e I COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SEFVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754. ..P R o (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 026-080-060 ZONING BUILDING PERMIT OWNER 8TY34A rW4RCE EL 532-117P TELEPHONE SO, FT, OCC. BUILDING VALUATION' OWNER'S MAILING ADDRESS 7080 I'IWIN AVF RALERMO CA 95968 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 7080 IRWIN AVE PALERMO Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 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: M wAC f GA.S ANn R rr ism nF '1 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ 35.00 ELECTRICAL PERMIT Fling Fee 20.00 OR LESS Main Service 20EOOV0AORLESS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing wlth,Sectidn 7000) of'Divislgn 13 of the Business and Professions Code, and my license,islin full forcei,6 /8ffect. `00 License Class +✓_( Lit. NO �J� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for th4eollowing reason: �: 'I' as o ner ofiI-dpropE`riy, or my employees with wages as their sole compensation, will do the work, and the IS c re 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. Busirress and Professions Code for this reason TO Main Service To i000A 46.00 NEW CONST. DWOCCUP. W OR ADDNS. ( a ACC. BLDS: SO NEW CONS MULTI -OUTLET NON RESIo. @7.50 ER APPARATUS a s LE ourLEr cIR20 @. Ex. Occu OUTLET OR FIXTURES SAL @ w '.'E ED APPLNS. OR 5,00 S • M Ex. Occup. ouTLETs REsI . EA 5 00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 48.00 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 MECHANICAL PERMIT Fling Fee 20.00 Heating— - r '`" - • 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.) 1 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'rf I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall )rthv, ih comply with those provisions. 7 • X I� __� ! 1. C t i_l Date ;' < "" j/_^� Signature of Applicant - ❑ Owner ❑ Contractor ❑ AgentAn OSHA permit is required for excavations 5'0" dee nd demolition or constructionB1,5 ures er t \ie r g t Mobile Home Installation Fee $ Energy Inspection Fee $ OCC T. TYPE s,° TOTAL FEE $ 48 • HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD IS E This per Is hereby issugd under the applicable provisions of the Buftp Cognty Code and/or Resolutions to do work indicatedM,rfees have been p Y [ i I at® / EXPIRES OND.S, Data IF No. YPERMIT tRece .D. CANARY -ASSESSOR PINY -INSPECTOR GOLDENROD -APPLICANT -COUNTY OF BUTTE BUILDING DIVISION s DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Strbet : Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE IVA rZ c 4C. L z5 -5,g OWNER PERMIT NO. 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. T A --T' /Cl � S i 6N l v -Z0(43.q-. -) L --e-j 2g) - as� A Date �b r r ,� Inspector REV 10192 1 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 • Telephone (530) 538-754o,� ` (Rev. 12/96) APPLICATION AND PERMIT —` ASSESSOR PARCEL NUMBER 026-080-060 ZONING `s BUILDING PERMIT OWNER DEENA MARC TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 7080 ITWIN AVE PALERMO CA 95968 CONTRACTOR'S NAME 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 7080 TRWIN AVE PAL Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 1 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY 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: NFW HVA(' f GAS AND ELEC 12GRADE 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 Fling Fee 20.00 Main Service .OAOR's.s 23.00 23.0 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.PSINGLE 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: i¢ 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. C1 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 46.00so CCU000A 71200A NEW CONST. DWEWNG OCCUP. OR ADDNS. 6 ACC. BIDS. SO 3.50FT. rNio RESIOT. MULTI.OUT UTS @7,50 b OUTLET C R.OWER APPARATUS Ex, Occu OUTLET OR FIXTURES 20 @':50 BAL Ex. Occup. GF"EED Ro CERA 5.005.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 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 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.) 1( 1 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 orthwith complyPwitthose rovisions. X Date j/�/) Signature of Appll ant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations r 60" dee nd demolition or construction of structures a st i Ig Receipt No. MECHANICAL PERMIT Fling Fee 20.00 Heating .00 Cooling .95,00 Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 14 2 HAZ. p, FEES IMP FLOOD COF PARCEL IiDQ HD I IS UE This p r it is hereby issu d under the applicable provisions of the Bu e C Co and/or Resolutions to do work indica ed a o e f c fees have been p By a PERMIT EXPIRES ON I K J(Dafe WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Fn 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. personally plan to provide the major labor and materials for construction of the proposed operty im rovement : YES NO 11 . .. . HAVE, HAVE NOT 13 signed an application for a building permit for the proposed work. . I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: PHONE: CONTRACTOR'S 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: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: MUM i ADDRESS PHONE TYPE OF WORK This Owner -Builder VerifWation is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER SUEDER INFORMATION i Dear Property Owner. 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 party 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. If you plan to do your own worm 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 (mcluding materials and other costs) is $300 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 obligationt; 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 carry 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, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State 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 properly 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., ,R 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. g ,C. Vi ira, C.B.O. Building Inspection NOTE: This Owner -Builder bzfom2a don is regr&ed by Section 19830 of the California Health and Safety Code OVER T 1f'.r V'+�"5'wt�{l�'ri`R".rx`ca��`'G'•'7'f+*i8�:}.n" -�Y-" A � r..rp . 026-080-060 #98-2218 MARCHEL,DEENA 7080 IRWIN AVE. PALERMO UNKNOWN GAS TEST n �O�iF,FICE COPY Address GASDate /—Z Meter By ELECTRIC r , i / 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 `�� IX ASSESSOR PARCEL NUMBER .� O -.. D o(QOWNER ZONING BUILDING PERMIT �^ - ` 1V/ /jT[ TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAIUNG Q SS CONTRA OR'S NAME owkwowpV TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS f C1 1 fI Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ 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: 6 4� 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 Feel 20.00 Main Service 200'. 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.POWER 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. 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 To (poo'. 46.00 WEU200A NEW CONST. DWEWNG OCCUP. OR ADDNS. ( a ACC. erns. SO 3.5QFT: T. 0.OUTLET IpµRESID. MU LT 97.50 APPARATUS 8 SINGLE OUTLET CIR. EX. Occup. OUnEr OR FDRURES 20 .00 BAL Q �. 0 Ex. Occup. OPIxuTLEEDTSAPPLNS RES D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ MECHANICAL PERMIT Fling 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 f of one hundred dollars ($100) or less.) �U 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 forthwith comply with those provisions. �� / ! S, - X i! ` �i' /t / /tom _ Date _ Signature of Applicant'- H.Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" 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. p. FEES IMP I FLOOD I CDF PARCEL PD HD I ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have L• %. PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been paid. Dote- GT 71/ C. 7 Date ReceiptNo. ' r WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. A nn/ ,A Ar ^&I A &111 nr"n\1/T (Hev.IZ/96) NrrL.1VNI1v114j1111V rGnlvll 1 A/SESSORPARCELNU _ 6 6 —660 ZONING BUILDING PERMIT °R TE�P'1ON / SO. FT. OCC. BUILDING VALUATION OWNIER9 WILING CONTRACTOR'S NAME TELEPHONE CON71RACTOR's WILRA ADDRESS CONSTRUCTION LENDER [Fire LENoam LwLM ADORESS lace Total Valuation S ARCHITECT OR ENGINEER LICENSE NO. Filing Fee ° S 20.00 Permit Fee S ARCHEMCT OR ENGINEER'S HALING ADDRESe Plan Checking Fee S SUILD GADDRESS Energy Plan Checking Fee S S PERMIT FEE $ LDTNO. SUeONIS10" HAW PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF O Duplex O Mobilehome O Other 8°m`~ Each Tr 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New O Addition O Remodel O Utliiies O In fmla O Describe Work:l— Q`� Other O Gas 1 in 1 - 5 outlets 15.00 Auildin sower 15.00 Mobile Home I S I G I W @20;00 PERMIT FEE : ELECTRICAL PERMIT Fin Fee 20.00 Main Service zo°DOvoA. tF�ss 23.00 ' _ ' Main Service 2WA TO IOWA 46.00 NEW CONST. OR ADDNS. i ACC. BLDS. owaLING OCCUP. 3.50SFITL NON•RESID. MUI NCIRLET CLM @7,50 POWER APPARATUS L SINGLE OUTLET cm 2000 EX. Occup. OtOR MWES SAL 01 mJ<T :so FDGiD APPLNI OR S.00 Ex. Occup. ovnETa E916. EA Temporary Service 23.00 Mobile Home Facilities 2000. Misc. Wirina 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt S Mobile Home Installation Fee $ Energy Inspection Fee $ °C0 CONST. TYPE TOTAL FEE $ KAZ_ 1 0. FEES IMP I RA00 I COF PARCEL I PD ND ISSUE This permit is hereby Issued under the applicable provisions I of the Butte County Code and/or Resolutions to do work i indicated above for which fees have been paid. By Date PERMIT EXPIRES ON I ..,_._, Receipt No. WHITE-D.D.S.-S.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROO•APPLICANT �- .. �.. ,� f , . •� �� .. � -� � � � � f , �� $ f COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541gg�2 RIT No. (Rev. 12/96) APPLICATION AND PERMIT ASSESSORPARC U /1 _�®� /Uwe ZONING BUILDINGPERMIT OWNER ^ � j/� / ,A , J �' V I�i1L •/iTi TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAIJUUNNOJ SS :77 rvm CONTRACTOR'S NAME 9A) •N U Al TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total valuation $ ARCHITECT OR ENGINEER LICENSE NO. $ 20.00 —FilingFee Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS !YJ Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ 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: _�� s �% Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W PERMIT FEEELECTRICAL P2100 PERMIT 2000 Main Service A OR SS 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.POWER 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. as owner of the property, am exclusively contracting with licensed contractors I, construct the project. to ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OOCUP. OR ADDNS. ( a ACC. S. s0 3.5¢FT. 1pµq�,pT' BRANCH CI CUITS @7,50 APPARATUS a SINGLE OUTLET CI R. OUTLET OR FIXTURES Ex. Occup.BAL 20 Q 1.00 @ ,50 Ex. Occup. OUTLEEDTS pnjp°Ep 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 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. ❑ I 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 forthwith comply with ose provisions. _ X �/,I�� Date �_ Signature of Appllcant - Owner ❑ Contractor ❑ Agent An OSHA permit is require 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 FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE C-0- � TOTAL FEE $ HAZ. D. FEES IMP I FLOOD CDF PARCEL PO HD I 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. �_D^ PERMIT EXPI ES ON _v J Date Receipt No. �b�� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT __ ,_.. _r„- - ,✓�, Vvl,�, ,�.,,... �:.--rwv�;h/Ut,P�"'��j-Y'L�a�� - _-�o'; ,- ..r .. _ _�. -- .:� ;r''..: `r�. ... ., - ,. PErmit#3887-87B JOHN 0"CONNOR 7080 Irwin Ave, Palermo 0 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICAtiON AD PERMIT ASSESSOR PARCEL NU BER dt-l�- ZONING �1//1 BUILDING PERMIT OWNER i _ JJ / , TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS ) r lA.� ►� �A l A r Y1 � �: CONTRACTOR'S NAME ll -� f '( 1%r f v► TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is 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 Each Trap 2.00 r. 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 [X Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I IN 0.00ea TYPE OF WORK New ❑ Addition ❑ Re ode ❑ Utilities ❑ Installation❑ Other A Describe work: v H ,J 11 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service OOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): Q 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 � F] 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.EI� +/ztCsgft OR ADDNS. ACC. BLDGS. NEW CONSTR TI -OUTLET '2,50 ea NON.RESID .BRA C CIRC ITS /POWER APPARATUS.1%) (SINGLE OUTLET CIR. 20 0 507 EX. OCCUp�OUTLET3 OR FIXTURES 200030 FIXED P(RESID LNSOR EX. Occup. OUTLETS 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. Q I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should 'you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. 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. 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. CJI -J X �, Date - .r y Signature of Applicant — Owner ❑ Contractor 0 Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- h i over 3 stories in height. ion of structures ht s Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ Occup. CONST.TYPE scNooL FLOODJ PARCEL I PD I NO 199UE This permit is hereby issued under sions of the Butte County Code and/or work in icated above for which DIREC!'OF PUBLIC By. PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. 1 WORKS i Date /� �� '• G., k Receipt No. WHITE-D.P.W.. YELLOW-A32C330R. PINK -INSPECTOR. GOLDENROD-APPLI CANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AN PERMIT 2PEF3111111117 N0. r/ d d ASSESjSOR PARCEL NUt.}BE ZO I G BUILDING PERMIT OWNER ` 6L #n ELEPH N SO FT. DCCT. BUILDING VALUA ION o O'5 LING ADDRESS rr w ` h Q V1'l CON3FACTOR.S NAMTELEPHONE r 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 r Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 16 In Solar or heat pump water heater Solar 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 0.00 ea TYPE OF WORK New❑ Addition❑ Re odel❑ Utilit• ❑ Installation❑ Other, Describe work: h v I Iq 0 i Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OOV OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 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. 7*7 3o yT 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.m` , OR AODNS. ( ACC. BLDGS. J 20sq ft NEW CONSTF MULTI -OUTLET 2.50 ea NON.RESID .BRA CH CIRC ITS) POWER APPARATUS e (SINGLE OUTLET CIR. EX. DCCUp�OUTLETs OR FIXTURES 2AL930! e AL030 Ex. Occup. OUTLETS P(RESID )FIXED APLNS. REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. IYirin 15.00 g Permit Fee $ Contractor 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. 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 Countyot 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 a sIsaidiiCougty in c nsequence of the granting of this permit. �1 X Ot Date N� / Signature of Applicant — Owner ❑ Contractors 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.TVP! I ISCNOOLIFLOODIPARCELI PD This permit is hereby issued under sions of the Butte County Code and/or work in ed above for which IRE OF PU BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Q� Date Receipt No. WNIT!-O.P.W., YELLOW-ASSLSSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT