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HomeMy WebLinkAbout005-383-016CARPORT WITHOUT PERMITS IN STREET ,POROTHY JOHNSON . - !tet SETBACK AREA 1 1242 Guill St, "Chico 9/18/91 (f.'0 la T �10�-t R.pS ol(/e,,/ Permit #2617-84E (ele ser chg,s & hook up i existing) - ..� ? Dorothy Johnson ; 1242 Gu i 11 :x. , Chi cfo ! ;' Permit #4833-80B(new gree6 duse) 2 005=383-016 .,PERMIT#9�-0197 JOHNSON; Dorothy 1242' Guill"St.``Chico Cont. SkylineEnterprises Dual Pak/SF A.. _ t � • / '��� fir: 1{ i • � 1 r ,.vv_.,,•„e,•�gi����cr "li. .+.�!'�+`,%a'`:a'k'Vx'•�+r•u�'r.��7�`.r'a+��.s;77�=�y�.r,:, .005-383-016'. PERMIT#97,=0197 r JOHNSON, 'Dorothy ,& •A. 1242 Gull St:, Chico Cont: Skyline Enterprises Dual Pak/SF • � Jr • 1 4 �N q ,z 1 i r • � Jr • 1 4 �N q ,z 1 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - OrovillexCalifornia 95965 - Telephone (916) 538-7541 PERMI NO. APPLICATION AND PERMIT `7-�� ASSESSOR PARCEL NUMBER 005-383-016 ZONING BUI DING PERMIT OWNER DOROTHY & A. JOHNSON TELEPHONE 343-4502 SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS ' 1242 GUILL ST CHICO 95928 CONTRACTOR'S NAME SKYLINE ENTERPRISES '' TELEPHONE• 933-2773 CONTRACTORS MAILING ADDRESS 2611 HIGHLAND HILLS TDR EL DORA ` 95762 Fireplace CONSTRUCTION LENDER •-�:- UNMOWN LENDER'S MAILING ADDRESS 1�. Total Valuation Is Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1242 GUILL ST, CiHICO PERMITFEE $ PLUMBING PERMIT ' Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 Water piping 15.00 yy USEOFSTRUCTURE SF o Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 17K Describe Work: NEW DUAL PAC Mobile Home S G W @20.00 PERMITFEE $ 35.00 Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main ServiceN)Oev oR LESS ( 2ooA oR LESS, ) 23.00 Main Service ( 200A TO I00OA441 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. , License Class%• !.'» -C/,? C Z 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: ❑ 1, 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 NEW CONST. DWELLING OCCUR OR ( 8 ACC. ) SO. 3.50 FT. NEW CCONST. MULTI-OUTLENS. TLE T NON-RESIO. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS ( & SINGLE OUTLET CIR. / Ex. Occup. (ourlFr OR FUTURES ) 50.00 BAL Q I.50 FIXED APPWS. OR Ex. Occup. p' ( OUTLETS (RESID.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23*00 PERMITFEE $ 43.00 Contractor 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 '%Z' �t'I/// MECHANICAL PERMIT Filing Fee 20.00 9 Heating 15.00 Cooling 20.00 Hood 6.50 Ventilation PERMITFEE $ 55.00 Contractor Policy Number r -.a0/4 5/0 G (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, ands 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 p - Islons. �r Date c" Signature of Applicant - ❑ Owner O 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 $ 133.00 HA2. I D. FEES I IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have /I By / J .-ti PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. 209712 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 (916) 538-7541 PERMI NO. APPLICATION AND PERMIT IF ASSESSOR PARCEL NUMBER 005-383-016 ZONING BUILDING PERMIT OWNER DOROTHY & A. JOHNSON TELEPHONE 343-4502 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 1242 QUILL ST CHICO 95928 CONTRACTOR'S NAME SKYLINE ENTERPRISES TELEPHONE 933-2773 CONTRACTORS MAILING ADDRESS 2611 HIGHLAND HILLS DR EL DORADO HILLS 95762 Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Penalty $ BUILDING ADDRESS 1242 QUILL ST, CHICO PERMITFEE $ PLUMBINGPERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF Cf Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer ' 1 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other EX Describe Work:PERMITFEE �iEW T)iiAT, PA('. Mobile Home IS I G W@20.00 E_ g 35.00 Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main Service800v OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 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. 9 License Class L20 f!% !+Z Lic. No. ! ®/ 7 OWNER -BUILDER DECLARATION 1 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 NEW CONST. DWELLING OCCUR OR NS. ( 8 ACC. ) SO. 3.50 FT. NEW CONS. MULTI-OUUTLETLE T NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. (OUTLET OR FIXTURES) BAL Q I:50 FIXED APPWS. OR EX. OCCU p. ( OUTLETS (RESID.( E0.) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 PERMITFEE g 43.00 Contractor WORKERS' COMPENSATION DECLARATION I 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 rrler and policy number are: Carrier 17 L�!!% MECHANICAL PERMIT Filing Fee 20.00 9 Heating 15.00 Cooling 20.00 Hood 6.50 Ventilation PERMITFEE $ 55-00 Contractor Policy Number g:,�/O]KO e_ (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' 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 p isions. � X__ _ ? _ - Data /_ Signature of Applicant - ❑ Owner Contractor ❑ Agent T An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 133.00 HAZ. 0. FEES IMP FLOOD CDF PARCEL PO HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have B y PERMITEXPIRESON���ig the applicable provisions Resolutions to do work been paid. Date —_51 57 7 (Date) Receipt No. 209712 WHITE-D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .... ...- ... . t - Dat CA.Ae—s. Other . Date BUTTE COUNTY, COMPLAINT FORM OWNER Address i Complaint Location VIOLATION TYPE BUILDING F-1 HEALTH COMPLAINT: PERMIT.HISTORY ON FILE- Q NONE Cn�cv�s e ::X7 v t v o ev Cv/24-1gz eP A.P.# S- al.: -1 Zoning TT—/� Taken By: -LL -L-- OTHER AS FOLLOWS : c �-ti� �- &C= - FIELD INFORMATION TENANT: Name ae /lti2-�`� Address I o1 y C Description of Violati OTHER COMMENTS: . Z /MH Size Approx. Bldg./MH Age fta - Approx(!�d Under Construction Built By/For = Present Owner Previous Owner Occupied N� Has Po1ae1 Q Has Gas 11 Has Sanitation Facilities n �, & Attached Person Contacted�]� ?r <` �� m -tkrf C -ib l �ritten Notice Given 0 Describe Action Taken: ACTION RECOMMENDED: Information only, file Letter Other BY: ,,77'x-10 Day Letter Hold for_p Day I DATE File No. BUTTE COUNTY (For Action 1, 2, 3) Public Works Dept. (For Information v/ ) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldg. Insp. Admin. For Design Engr. Bridge Engr. Constr. Engr. Surveys Mapping T ran s p. Land Dev. Drng. /S.I. Sub. & Pcl. Maps Permits Addr. s A.D. & Dorothy Johnson 1242 Guill street Chico, CA 95928 RE: Building Code Violation 1242 Guill Street, Chico Dear Mr. & Mrs. Johnson: June 24, 1992 A.P. ##005-38-3-016 We sent you a warning letter dated October 23, 1991 notifying you that you are in violation of the Butte County Code at the above referenced location. As of this date, the following violations still exist. Failure to obtain the required permits, inspections and approvals from this office for construction of a carport in violation of - the 1988 Uniform Building Code as adopted by Section 26-1 of the Butte County as follows: (a) Section 301(a) Permits Required (b) Section 305(a) Inspections Required (c) Section 305(d) Inspection Approval Required before Use or Occupancy The above violation(s) shall be corrected or abated by you by submitting three (3) complete sets of plans, applying for the -required permits, and paying the appropriate fees, including penalties, within thirty (30) days of the date of this letter. After permit issuance and field authorization to proceed, the work must. be completed and approved by this office within the permit specified time. Unless the violation(s) is (are) so corrected or- abated, a citation shall be issued to you to appear 'in court for said violation(s) and for failing to comply with this notice. Upon conviction of said violation(s) or for failing to comply with this notice, penalties shall be imposed and a Notice of Violation recorded in accordance with Section 41-7 of the Butte.County Code. Should you have any questions concerning this matter, please contact Rod Taylor or David Purvis of this office at (916)538-7541. Yours very truly, Original dgnad .ri1 m, maandw RT:dms J.F. Glander Manager, Building Inspection cc: Building Inspector I 2 3 4 5 6 8 9 10 11 12 13 14 15 1s 17 18 19 20 211 22 23 1 24 EzR 28 PROOF OF SERVICE BY KkIL I am over the age of 18 and not a party to this cause. I am a resident of and employed in the count' where the mailing Building Division occurred. My business address is Department f Deve opment Services #7p County Center Drive California. Oroville, CA 95965 I served the foregoing 30 -Day Violation Letter by enclosing a true copy in a sealed envelope'and depositing said envelope in the United Statas mail with postage fully prepaid on 24th. of June �? 92 , and addressed as follows: A.D. & Dorothy Johnson 1242 Guill street Chico, CA 95928 I declare under penalty of perjury under the laws of the State of California that the fore_oine is true a:id correct and that this declaration was executed on 6/24/92 at OroviIle California. r' File No. BUTTE COUNTY (For Action 1, 2, 3, Public Works Dept. (For Information / ) Director Dep. Dir Sec. Rd. & Br. Mtce. Shop & Yards I I , Bldg. Insp. Admin. I o/ I ( / 4r Design Engr. Bridge Engr. Constr. Engr. Surveys Mapping T ran sp. Land Dev. Drng. /S.I. Sub. & Pcl. Maps Permits Addr A.D. & Dorothy Johnson 1242 Guill Street Chico, CA 95928 RE: Building Code Violation 1242 Guill Street, Chico Dear Mr. & Mrs. Johnson: October 23, 1991 A.P. #: 5-383-16 This is a warning letter to notify you that you are in violation of the Butte County Code at the above referenced location as follows: Failure to obtain the required permits, inspections and- approvals for construction of carport. The carport is in the street setback area. Since the zoning does not allow encroachment into the street setback area, the carport must be removed or you must obtain a variance from .the Butte County Planning Department. If a variance is obtained, submit two (2) com- plete sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and you are author- ized by our field inspector to proceed. The field authorization cannot be made until the existing work is inspected and approved. Please respond within ten (10) days of the date of this letter. Please be aware that Butte County has entered into a Code Enforcement Program that seeks voluntary compliance with the Butte County Code but provides an effectibe means of enforcement if such compliance is not obtained. If voluntary compliance is not obtained, enforcement will be pursued through the issuance of citations, fines and the.recording of a Notice of Violation. Your cooperation in resolving this matter would be appreciated. Should, you have any questions concerning this matter, please contact Rod Taylor or Jim Glander of this office. JFG:dms cc: Assessor Building Inspector, Chico Planning Department Yours very truly, William Cheff Director of Public Works w F -re. J.F. Glander Manager, Building Inspection � LPA d►u"laint Date Other Date OWNER BUTTE COUNTY COMPLAINT FORM ��fayljl //vv s& / Address % (TGti`/l %� S 'en� Complaint Location VIOLATION TYPE N BUILDING Q HEALTH Q PLANNING COMPLAINT: A.P.# Jt-'_ --3063- Zoning A-9 Taken By: U .(� 0 OTHER PERMIT HISTORY ON FILE Q NONE �� AS FOLLOWS: EQQ/--A FIELD INFORMATION TENANT: Name �� . Address 1 a y CO u. - Description of Violation j1Q cku(\, 2y OTHER COMMENTS: Approx(Bld /MH Size )C) X Approx. Bldg. /MH Age 199 1- Next - Under Construction Built By/For-F] Present Owner 2� Previous Owner E) Occupied 0 Has Power M1 Has .Gas Has Sanitation Facilities Written Notice Given & Attached Q Person Contacted N ?) taAaw- d . Describe Action Taken:Q h ACTION RECOMMENDED: Information only, file Letter Other- BY: ther_BY: /0 /0 44?v fH� ay Letterold for_& Day DATE 9- _10. COMPLAINANT ADDRESS: ' PHONE NUMBER: OTHER COMMENTS: COUNTY OF BUTTE / l DEPARTMENT OF PUBLIC WORKS r 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541' 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER S- PERMIT NO. 383- I b 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. I -ZS , Z? � 1--/i c4 at7vtAl' 261,7-,R Date 9- ` 91 Inspector V, 11 � - � �� 111.E 'L•� I -ZS , Z? � 1--/i c4 at7vtAl' 261,7-,R Date 9- ` 91 Inspector V, 11 t r ' �� I� N - Lf __ � �~r gin: , w. ,, __ - ', � � .. .. � ,/�50.11� � �- -_ � _ _. - - - .. r . f _ �_ � .. i i _. - � _ ' � ... .� ,.. r_ . r� •� 1 ' . i• 7. � .. y - r. T � � - .. - ' _ � .. r � o . � - � .�� .� _ - � � ' � � ,. r .._ .. _ - -� _ -� ^ � ,. ' �.. a . ..,a,, a __�f,� , . , � °l � = � h ' (, - i � ! i .. . COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7'County Center Drive - Oroville, California 95965 - Telephone 916/534%45'41 APPLICATION LAND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PE MIT OWNER �/" / TELEPHONE SQ. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace _ CONSTRUCTION LENDER 41f)WJfFiling UNKNOWN Total Valuation Is Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER 2 ",r LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 �7 ��� �A/ �� Si l�.l�i G D . Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO.SUBDIVISION % NAME J,. 5[ j rww PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE /Mobile SF � Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Home S GW 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other,0' Describe work: >��y iS lUlrf e"ZXO"G, r .- ,-/ L/L C Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 600V OR LESS Main service 100 AMP OR LESS 10.00 / Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC, BLDGS. 2I/20sq 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. Classification R❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI-OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR POWER APPARATUS &) NON.RESID, SINGLE OUTLET CIR, EX. QCCUp(OUTLETS OR FIXTURES 9A 50 300 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiringttf`0d1f'A,f ,{r, j1/,t,L 15.00 ���� /5 Permit Fee y' $ S"/) /10 Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. a 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 save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agai(nst,)said Counttyylin consequence of' the granting of this permit. jv� (%C Date V ��5`'" Signature of Applicant— + /Owner❑ Contractor E]Agent❑ 7 An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ occuP. GRouP TYPE OF CONST. PARCEL PD No ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC C_ By — —' PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date,?—/ /- 7 J,`' - +� Receipt No. -�5+ % ? WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPAgTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534=4541 APPLICATION -ANIOERMIT ASSESSOR P RCEL NUMBER .— ZO IN BUILDING PERMIT OWNER v E EPHONE oz SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDR CONTRACTO/R'S NAME N -TELEPHONE CO RACTOR'S MAILING ADDRESS Fireplace rel CONSTRUCTION LENDER UNKNOWN Tota Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER Aels LICENSE NO. Plan Checking Fee $ Penalty $ ARCHI E T OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 G Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME S�/,(/s� > 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 JSJGJWJ 10.00 e TYPE OF WORK New Addition Remodel❑ Utilities Installation❑ Other Describe work: ��� C — N Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 &OOV OR LESS Main service 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADTNS. ACC. BLDGS. 2I/2Psgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElI am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW NON -RESIT R BRANCH CIRC TITS2.50 ea NEW CONSTR POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. Ex. Occu 20@s0e P�o OR FIXTURES 6AL®3o XED FIXED APPLNS. OR A Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Mis . Wiring ,0 C7/ rf i:V 15.00 w I _ J ermit Fee F $ V Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 agai said County in conseq nce the granting of this perm't. 011 Date ner ❑ Contractor Agent Signature of Applica —/ries An OSHA permit is requiexcavations over 5'0" deep and demolition or construct- ion of structures over 3 sn height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ v OCCuP. GROUP I TYPE OF CONST. PARCEL Po HD seu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC PE EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date �� f7 �����/% l� Receipt No. 25-7 r7, ?_By WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT y 4833-80B PERMIT NO. " PERMIT EXPIRES Dorothy Johnson OWNER C.H.I.P. Chico CONTR. , 43-123-16 ASSESSOR PARCEL 1242 Guill St., (hLco LOCATION i .7 L .. t 'C Temp. Power Pole r' Called PG&E y Temp. Elec. Service Called PG&E 4 Temp. Gas Ser ice s Called G&E JOB FI ALED (Dat Signatur V = OK O = Not OK - = Not Applicable RESIDENTIAL (Single' and Duplex) * = Not Ready Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., 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 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. 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 (Plans) OK except #'s Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except #'s 14. Water Ht.; Vent -Access -Combustion Air 56. 57. 58. Ext. Steps -Door & Sidelight Protection -Landings Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. 61. G.F.I. & Bath Fixtures & Tub Access Elec. Trim & Subpanel; Breaker Sizes -Labels 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. 67. Elec. Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closer Date ELECTRICAL Permit OK except #'s 68. A.C. Duct in'Garage-Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 72. Insulation -Foam -Looked in Attic ❑Yes 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 73. Guard Rails &Deck Construction -Post Caps 25. 26. 2 Appliance Circuits in Kitchen &Conductor Size Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes 0 N 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. -- - 79. Water Well; Disconnect, Electrical, Plumbing Card B -I _Date _ Card -BI Date 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Perrr,it) OK except #'s 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric _ 31_ 32. 33. A.C. Ducts; Insulation &Support Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 85. Water & Sewer Connected -C/O to Grade -HD Approval 86. Energy Compliance Certificate -Other Certificates 34. 35. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet Attic Access & Platform if Furnace in Attic Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date _ Card -BI Date Card -BI Date Date FRAMING(Plans) OK except #'s Comments at Final: 36. 37. 38. 38. 39. 40. Sills; Proper Material & Anchors _ _Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & F_Ioor Nailing Draft Stop in Walls (rat proof) _ Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin - Roof Brac.-Truss-Shthng.-Rfnp. Fireplace Ties or Type A Flue -Fireplace Throat _ 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. 47. Bdrm_Windows _or Exiting Doors -Sill Hpt. & Dimensions Garage Fire Protection Framing (NOTE: Anentry must be made each time you visit jobsite) J = OK O = Not OK - = Not Applicable = Not Ready MOBILEHOM'ES MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except H's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except a'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 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance _ 7. 'Elec. Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date POOLS (Plans) OK except a's 1, Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 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 Sewer Connected -C/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater B. Gas and Electricity Tagged B. Elec.; Grounding; Equip,w/5'-Circulating Equip. -Pool Lghig. 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-1 Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date RESIDENTIAL (Single and Duplex) 31te UNDERFLOOR (PI ) OK exept rs - - ; Date FRAMING (Continued) .,d!5n:,ng requirements -Setbacks -Easements 2 I tg.. Main; Soils-Steel-Elec. Grnd.-,CV- Ftg: Depth�'s-One 3'-Chack ��� exits -or-F49,raarage; Soil"teel- [3" Ftg. Depth 1. �Gara 50. S;aqpg: 4. k Fig., Porches .& Decks; Soils -Steel- 0" Fig. Depth -'s -le mwalls, main; SIW-Blockouts-Wrapped-Slab 91. -Ply-veatni Floor O7eT?13Tffg---A Outriqg= 52. SicTing-NaW44-t - 6. Stemwails, G Steel -.;B Iockou!S-Wrapped-S lab t--5a--Siuccn-Ua2_4-4_Wip-Screqed-F 54_-C,4-4W4j:ZI4ea;Z lass 4RfetLrelle h-.04Kj_ri_-qhIs-P I i Wle 7. Piers-10Wiiiace-Ft g. -Steel % 8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 55. She s; Nail N4=EWFtk___-/ 9. Gas Pipe: Size -Anchors 10. Water Pipe: Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -ins. I 13. Girders--Sills-Anchor Bolls -Joists -Vents -Cripples rd -BI Date Card -81 Date- Card -BI Date Card -81 Date Card -BI Date Of581 Ep Date x S -,TOCard-BI Data Date FINAL (Plans) OK except Ws rd -81 Date Card -BI Date to PLUMB I Nq-(Permi I) OK exc/tA111. 56. Ext. Steps -Door & Sidelight Protsction-Landings ­511-6make Detector 14. Water RIN• _Vent- AccVs-Combust Ion Air nO­Clearance-Comb. Air-Connector- In Garage; Above Floor -Ducts -Mach. Protection -T.-.5Q_-aodfeefP-Exiting 15.Water Pipof!Vt &Xnchors-Nail Proibctlon r. 16.-D.W.V.,. Test-Fqks & Anchors -Nail Protection 17. Shower Pan; T st, FI t Floor -Tub Access 69. -B-F-1�7�th Fixtures & Tub Access 18. Test Tub Vhower, 2ndor-TubAccess 1 64- EWe--Trhyr& Subpanel: Breaker Size abals 19. Gas PipeAize & Anchors &aks & R 6.a rifeplase er-Stovo: Clearances -Hearth ---e4--EIec7-()atftrts'at Wood Panel; Int. & Ext. Grnd.-Air Gap -Cooking Clearance .rd -81 Date Card -81 Date :rd -131 its Date Card -81 Date J66. EL ECTRICA ermit) OK except #'s 4 E eplaclos at Kit. Counter -676.-6e.age- e Door: Swing -Landing -Closer Garage -Damper 20. Fixture & Tra2Nrmw Clearance 4rA.Protection I69. Wmp� �-nts-Clearance-Comb. Air-Connecter-P.R.V.- In Garage: Abova Floor -Meth. Protection 21. Elec. Receptacles Npacing-Li gifts & Switches at Doors 22. Size Boxes & No. of nductqfs-Stapled & Ilech. Equip. Listed for Location 23. Romer Installed Close fge of Studs & C.J. Receptacles in Garaga; (G-F.I.)-Romer P[OtBC. 24. Equip. Ground made up.72 _Xech. Fasteners -Bond Gas & Water Insulailo Fes U eked in Attic F) Yes 919. -6 ne Fd Flag 000 9 Deck Construction -Post Caps 25. 2 Appliance Circuits InjRitften & Conductor Size 26.- Subleed Wire Size ga. C\ or AI-A.C. Wire Size ga. Cu or Al CTawl Hole Door-Dr Door -Drainage & Wood -Earth Clearance Looked under Floor[J Yes ----------- 27. v Range Circ. Cu or Al an Circ. ga. Cu or At, Insulated Neutral N Yes EA ___ 76 -*"Following instid.: 9 No; Walks D Yes TH?o; P! - -----Q-*P-b- M-Plo; Creating Drug. Problems C] Yes 28. Service -Riser Cdnti-,rtnr-t A G, k -Mein Disconnect .76 StwsG"sew, -Finish -.7r.--A­e-b�; Disconnect-Cirnees-Brkr. & Cond. Slze-115V Outlet 29. Equip. Clear as; Panels -Motors- A@ch. Equip. 30. Clothes CI et Light -Shower Light #e--Vem3-ftove Root; Plbg.-Appliance-Firepi.-Clearance to Opn9s. -7 Disconnect, Electrical, Plumbing eq, Exupiv, lac. Trim; G.F.I. Receptacle -Underground rd B -I Date Card -BI Date &I"17entilation throughout House rd B -I Date Card -BI Date lass Protection to MECHANICAL (Pe it) OK exce s 83. Corrections from Previous Inspections --e4---BsT-Test-Meters Tagged,, Gas-El--clrlc 31. A.C. Ducts: -Insul1kan,,&j%ppor1 --e5­-W3TWr-& Sewer Connected -C/O to Grade -HO Approval 32. Vent Fan: Exhaust ab - Insulation compliance Certilicate-Other Certificates 33. Condensate Drain & ver w; Size & Grade 34. Furnace -Vent; Acess-Comb. ir-Return Air Vent -115V outlet 35. Attic Access & platform It Fur2N in Attic N LO r Card -BI Date 41 Card -BI Date rd -BI Date 'Card -BI Date Card -BI DateCard-BI Date rd -Bi Date Card -BI Date Card -BI Date Card -BI Date to FRAMING (Plans) K except OK"' s �P� Comments at Final: 36. 37. SU14r'Pro��,'a i3l & A ors t�T V'13LLitude,--N_ai4+ng, Spa ung 40. Fire Stops:1�ed Ceilings - 41. HInt-er & Beam -138 g 42. Han rp:�A r 43. 44. 4 4 CIng. Joist -R la -4 -ifs -Fur I i ng -R oo-f Jakic'.- TruS9--STitkkwj-.-R`Irf7. la �-drin.�V'Jinows or Exiting Doors - 47 COUNTY OF BUTTE ° DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Evt. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTION NOTICE 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 ne additional_ explanation, please contact this office Immediately. (.%� � /it/ �.1�� S%c�i�� �i�/nuc, //row-► G'��.�J G�w_ -. . __Ae.. i ' -- Inspector 4� , ~1 Date I—(— - . xC) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext,. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 A routine inspe exist at the ab CORRECTION NOTICE ILDING OR PROPERTY ADDRESS ction indicates that the following violations of County Ordinance o� ddress and should be corrected. Please notify this office COUNTY OF BUTTE�� DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Eget. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 �C RRE ION NOTICE BUILDING OR PROPERTY ADDRESS A routine Inspecti9A indicates that the following violations of County Ordinance exist at the ab 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 ne , additional anation, please contact this office immedia py. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 A routine Im exist at the when correcl matter, or m ORRECTION NOTICE BUILDING OR PROPERTY ADDRESS indicates that the following violations of County Ordinance address and should be corrected. Please notify this office cork is completed. If you have anv.,ouestion oertainino to this COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT AS SSR`P TN//J A 2_ F.IL...j,4J BUILDING PERMIT 0 O NER T EPH NE 0ded7W;Y J0,i"WS'0A/ SO. FT. OCC. BUILDING VAL ATION OWNER'S MAILING ADDRESS �/ T! -T icI M//"/r E0V��I E� pKo EPHONE CONTRACTOR'S MAILING ADDRESS 5�3 FI -11"E s7 car CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING A DRESS Permit Fee $ 10,049 ARCHITECT OR EN., EER ��LFf LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ , Q' BUILq ING DDRE55 _ l2 3 f , PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 (co Water piping LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other d0 SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other Describework: X 9 `i BEE-AhVC LSU- Permit Fee $ Contractor ELECTRICAL PERMIT Fee 3.00 Fil150@ Main service io00V OR o AMP ORLESS.00 Main service EA. ADD'L 100 AMP .50 NEW CONST. DWELLING OCCUR.& OR ADDNS. ( ACC. BLDGS. sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury ) p y p I y (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business Professions Code and my license is in full force and effect. No.3 / 0 % i9�I Classification 0—� ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code ,for this reason NEW CONSTR U TI -OUTLET NON-RESID BRANCH CIRC ITs 0 ea NEW CONSTFL POWER APPARATUS & NON.RESID, (SINGLE OUTLET CIR. Ex. Occup(ouTLETs OR FIXTURES Sc 250and 0IOs�J FIXED APPLNS,ORLicense Ex. Occup.(OUTLETS (RESID•) EA.) .00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 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 FiIingFee 3.00 Heating Cooling Hood 2.00 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 against said County in consequence of the granting of this permit. X ��/ Xo_ 2 9���_ �� , /� _, Date SignatA of Applicant — Owner ❑ Contractor ❑ Agent e— 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 $ Land Development Fee $ TOTAL PERMIT FEE $ '60''0.0 OCCUP.. GROUP EW 3 TYPE OF CO PARCE PD MD ISSUE Q/ This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DI TOGO UBLIC By. PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Dat Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT