Loading...
HomeMy WebLinkAbout005-391-003WILLIAM E. THOMPSON THOMPSON, Chas. 485-66B +T 780 Wisconsin St, unit #3, Chico r` ' _ 372-66E ermit #4377-78P(repair ga Tine) 1 �`t"�---Q 8-6 duplex _t MGI��o.l_ _Gj_%,. 780 Wisconsi St 005-391'-003 � ''''` {94-0799E, , , Y' + n • � Chico (cI nverting 2 residences to duplex lby add�in THOMPSON; WILLIAM { ci Dr , halls & baths) / r' -780V ISCONSIN ST UNITS "1� 6, CHICO `,r k CONT : ' TIrI JOHNSON►:'= iNEWELE-SERVICES/MFS` 0 F PRE—INSPErTION (� OWNER: e�! I%�114 y D �^ DATE -3 A LOCATION: 780 t:s r oA)s,4i 5 i [ % CO A.P. # aO S •- -' 9' li- ave CONTRACTOR: 17^1 -�--0 4 /uso to _ ZONING PRE -INSPECTION FOR: 6a) s61zu1 C6:g DATE TO INSPECTOR. 3/,;?- 9 / 9 y PERMIT HISTORY: NONE AS FOLLOWS: 7,9 A N �eye2 Z /1 es"�1PN�cs to ��l'c�C ,b y ��y�:vcP C�4 pQ� Grp ��s 4 ti� TYPE OF OCCUPANCY BUILDING USAGE: TENNANT : 6 5,5;curr"� FIELD - INFORMATION Q OCCUPIED HAS ELECTRIC HAS GAS HAS SANITATION FACILITIES Q HEATED -COOLED PERSON CONTACTED OTHER COK1,MNTS : ACTION COMMENDED: 'ISSUE Q HOLD FOR OTHER: 16/ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7£ounty Center Drive — Oroville, California 95965, Tel eph,1.ne: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Signature of Permitee or Agent Date Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date BUILDING . "� ! , Owner - J Ir SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Mailing Address ` Fireplace Total Valuation Telephone No. Permit Fee Building Address =�, '/�� ' - r ' Plan Checking Fee Vor Penalty Permit Fee ` ' • _;- - PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 r (�! �f iI. Repair drainage or vent piping 1.50 A. P. NO. �• ! 1 f • - ` j Zoning 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees W.C. Sanitation Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plans Recd . Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER/❑ Permit Fee $ ��-U $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplexio Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 OV AMPP OR LESS O Main service OVER 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ( ACCONSCLBLDGS.CCUP. &+) rLPSgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR BRANCH NON-RESID (MULTI BRANCHH CIRCUITS) 2.50ea NEW CONSTRPOWER APPARATUS & . NON-RESID. (SINGLE OUTLET CIR. EX. OCCUP(OUTLETS OR FIXTURES BAL@10Q FIXED APPLNS, Ex. Occup. (OUTLETS (RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL Noi @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 Land Development Fee is TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Signature of Permitee or Agent Date Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-041 APPLICATION AN PERMIT spy -7 p12 authorize representatives of the County of Butte to enter upon the above-mentioned property/For inspection purposes. -157 ��- Date Zd re of Permi , or Agent Receipt No. -I / a ay 1P White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. ?ZR EC OF PUBLIC WORKS B Date _74-6 Z7 IF Building permit expires Date 1v b BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address SO Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each TraD 1.50 • Repair drainage or vent piping 1.50 A. P. No. �— — 3 Zonin &Planning Water piping 1.50 Each gas water heater or vent 1•.50 F Seni-� Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration I Parcel Map 60' R/W I Improvements Each additional outlet 30 Building sewer 5.00 Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ is ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3,00 00V OR LE Main service 100 AMP ORSLESS 5.00 Single Family ❑ Duplex Mobil Home ❑ Others ❑ Main service EA. ADD•L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service/ EA. ADD'L 100 AMP 1.00 NEW CONSTOR ADDNS. \ ACCLBLDGS.DWELINGCCUP 711 22sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le of: y T NEW RESID,CONSTBRANCH CIRCUITS NON -REBID � BRANCH CIRCUITS 2.50ea NEW CONSTR. POWER APPARATUS 6 NON.RESID, SINGLE OUTLET CIR, Ex. Occur){OUTLETS OR FIXTURES B L@1 Ex. Occu FIXED APPLNS. OR p•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. B�f certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property/For inspection purposes. -157 ��- Date Zd re of Permi , or Agent Receipt No. -I / a ay 1P White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. ?ZR EC OF PUBLIC WORKS B Date _74-6 Z7 IF Building permit expires Date 1v b ��'�y;�.i=-i�.${�rK'.-+7..y..F;,vi%c`-,}','i'''. oaf"'.`. r,"F:':;7iyis'�`'�.F 5'v^;q; Li. +za'�ia+rnb'n7+ti.Y"a d+t::'�'j"..'•+_^F.f *'f'`i�.f+� � •7• �a„r� - .Gy, f�...�'C'� 005-391=003 ' • � j`" _ � '".THOMPSON,•.WILLIAM t -'780 :WISCONSIN ST., UNITS 1K6., CHICON - CONT: 4TIM JOHNSON '`"- ^ NEW .ELE SERVICES/MF`+`'� • { C(3UNIY.4F BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ¢7 County Center Drive - Oroville, California 95,965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT f-7 7 `�- ASSESSOR PARCEL NUMBER 005-391-003 ZONING A8 BUILDING PERMIT OWNER WILLIAM THOMPSON TELEPHONE 343-0508 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS E ROAD CHICO 95928 4 79 DAYTON WEST CONTRACTOR'S NAME TIM JO N TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 20,00 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 780 WISCONSIN STREET CHCIO PERMIT FEE $ jjjQl'j'S 1 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SFO Duplex ❑ Mobilehome O Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK U Installation O Other ❑ New ❑ Addition ❑ Remodel ❑ Utilities y Describe Work: 6 NEW SERVICES (ELECTRIC) PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 2OOA0 LESSR LESS ) 6 23.00 138.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUR OR ADONS. ( 8 ACC. BLDS. ) S(. 3.5C FT. NEW CONST. MULTI -OUTLET .NON-RESID. ( BRANCH CIRCUITS ) @7.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 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 compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) Oil 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason ( POWER APPARATUS ) a SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.000 BA0 Ex. Occup.FIXED APPS. OR (OUWTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home FacilitiesL23.00 Misc. Wiring _RRVI INSPE MON 23, WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 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 Butte County Ordinances and California 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 liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X /ff � - Date —�? - ti Y Signature of Applicant* 'ElOwn r ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 181.0 HAZ• I D. FEES IMP I FLOOD I CDF PARCEL PD HO I ISSUE Nor This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for hich fees have been paid. ` By Date 3 3/ q PERMIT EXPIRES ON 33� lDetel Receipt No. 156702-43.00// 0 -• WHITE-D.D.S.-B.D. CANARY -ASSESSOR PIN -INSPECTOR /GOLDENROD -APPLICANT J/to/ COUNTY ;OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville,, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 005-391-003 ZONING AR BUILDING PERMIT OWNER WILLIAM THOMPSON TELEPHONE 343-0508 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 4 7 DAYTON WEST ROAD, CHICO 95928 CONTRACTOR'S NAME TIM JOHNSON TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER ucENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 780 WISCONSIN STREET CHCIO PERMIT FEE $ UNITS 1-6 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7,00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF O Duplex 0 Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer ­FG 15.00 Mobile Home TS W @20.00 TYPE OF WORK New O Addition ❑ Remodel O Utilities Ili Installation O Other ❑ Describework: 6 NEW SERVICES (ELECTRIC) PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( & ACC. BLDS. ) S0. 3.50 Fr. CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full farce and effect. O I, as the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044) I am exempt under Sec. Business and Professions Code forthis reason NEWCONST. MULTI -OUTLET .NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B20AL. .50 FIXED APPLNS. OR Ex. Occup. UTLETS IRESID.) EA. ) (O 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRE !NSPECTION PERMIT FEE $ 93 0 181 0C WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. O 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. jL I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 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 Butte County Ordinances and California 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 liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the nting of this permit. Date c� %� f� — !r Si nature of Applicant7QOw r O Contractor O Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 181 .0 HAZ• 1 D. FEES I IMP I FLOOD I CDF PARCEL PD HD I ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions in above for which fees have been (A By PERMIT EXPIRES ON Y-9/Ak )Date) provisions to do work paid. Date all Q Receipt No. 156702-43.00// IS(o_731 139,0 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PIN -INSPECTOR GOLDENROD -APPLICANT ..,T•q,ev��:.x"7,�.-y-��•�'+iti.a��-�cr�Y7 f,,,w-'�^nr'w�"`�,�,,,y.,�,ArC}•r�NQ1*iF"'.+wFvr1"}ax}2,..n.-snv+;'�,.;:^.:.<."vcY�7•ilryr'+¢.'�"'i`^-\rT �'t..-..�_,..-....n��- ..�w1.TM....�.. ^r:#�r. .. �,.. .. .�,.. �.. .. COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE (916) 538-7541 V PERMIT APPLICATION DATA SHEET OWNER V ( / /11 Proposed Building Use 6M A. P. No. &Lt- - 39 i - OCZ3 �? Building Inspector t I o Date 3 S At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form. ....... 6. Energy Design Compliance and sup rting documentation . ................. . 7. Statement of Intent for Non -Heated and A/C Buildings . ..................... . 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome ata and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ /Jl8s'-......................................... 1. Impact fees as shown on attached schedule. ........................� 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit ..... . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). ...Preanspe'ction rags 20. Pre -inspection for We1A(,VA4'441 !t Y-427WI-Ps' ITC, required. .. to Building lnepela-r30 4� -696--Date) ( 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _). .......... . 24 Recorded copy of Agricultural Acknowledgement Statement. .................. . 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... Ff 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30.f Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: mailtoiowner. Mail to contractor. c,­"'Telephone,3Y-3 �cf and hold for pickup at %< < office. Deliver with inspector. Other Parcel Creation_ Acreage Applican i0-ez�'r ate a �� Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required:-' Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date tans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION 7 County Center Drive - Oroville,, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER �s OO ^ 'dl ZONING -1511F BUILDING PERMIT OWNER W,-1114114 G1 Sd TELEPHONE 343-05` SO, Fr, OCC. BUILDING VALUATION OWNER'S MAILINd ADDRESS O (!� CONTRALTO NOWE rlk TELEPHONE CONTRAC OR'3 MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS BUILDING ADDRESS Penalty $ PERMIT FEE S PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAMEPAR CEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE S Duplex O Mobilehome O Other sPECIFr Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition ❑ RemodelO Utilities Installation O OtherElContractor Describe Work: � � It eW 5feulif6:S PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BGOv OR LESS ) 2WA OR LESS 23.00 8� Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCC P. OR ADONIS. ( a ACC. BLDs. ) SO. 3.50 FT. CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) O I am a licensed under provisions of Chapter 9, Division 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 compensation, 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 contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST, .NON•RESI ID. I BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) Bn2 @ I.w Ex. Occu p' (FIXED APPLNS. OR OUTLETS iRESID.i EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20,00 Misc. Wiring 28,00 c WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 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 Butte County Ordinances and California 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 said County in consequence of the granting of this permit. X Date Signature of Applicant - O Owner O Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ HAZ• I D. FEES IMP I FLOOD I COF PARCEL PO HO 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. By Date PERMIT EXPIRES ON lOetel y Receipt No. 1%11e+1 �� rCG S "jU I Sr�j L WHITE-O.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT '�a � �`� ,�; - ■■■■■■■■■r_I■,f■■■■■■■■ ■■ ■■■■■■■■%zMA'■■■■■■■■ ■■ ■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■r■ ■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■ 3■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■M■■t■■■■■■■■■■■ i■■Rn■ I■■! -w• i■■■■■ i 14 � �� rlvtwl�i: t• 4 41,.c�IT1 ! iJI, _1�'!5. •'�.'-��V !_. LIQ`\ ■■■■■■■■■r_I■,f■■■■■■■■ ■■ ■■■■■■■■%zMA'■■■■■■■■ ■■ ■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■r■ ■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■ 3■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■M■■t■■■■■■■■■■■ i■■Rn■ I■■! -w• i■■■■■