HomeMy WebLinkAbout005-421-023Koc Masonry
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992 E. 16th St., Chi
�k3894-7&A B(dem ition/SF)
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p ''rmit #389.4-78 'knew storag 1
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Perinit#2513-83B(Is thru 5th renewal/.
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i 005-421-023 PERMIT#96-1166
KOCH, Roberti / Q
992 E 16th St., Chico
I Cont; Butte Roofing Co.,-,�/��/��
R_eroof /Comm
005-421-023 ��- #98-2629
SCHREDER, SEWARD & ANTO
I 992 E. 16TH ST.,DURHAM
OWNER F41L //!G -4,y
HVAC & GAS SERVICE
i •
LO
005-421-0237 #99-Y6-29
SCHREDER,' .SEWARD & ANTO]
992 E. 16TH ST.,'UUll'lntuvl
OWNER &KO
HVAC & GAS SERVICE
I .,A
0 1 F FICE� C . OPY
Address
GAS
Meter By Via- Date// -/41c#
ELECTRIC
Meter By Date
I-=cMo—Lc4 I I- 16-q 3
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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541- `-, IPERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT 1 ^ `A `` `'J. t
ASSESSOR PARCEL NUMBER po
ZONING
,�-
BUILDING PERMIT
OWNER
e uaa-� ..,t 0't� Phu.
TELEPHONE
G - l/��/
'i `�
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRES
6),&. 7) e<' C k/-, 64
CONTRACTOR'S NAME
!J ►�+++ N GIV'
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
$
BUILDINGADDRESS v,4 ) 9
Z A.r�
Energy Plan Checking Fee
$
$
' `i 1w,
PERMIT FEE
S
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�0-
Describe Work: %��ld G "4( C-, ✓/ C
Gas piping system 1 - 5 outlets
15.00 I
Buildingsewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE
S
ELECTRICAL PERMIT
Filing Fee 20.00
LE
Main Service 200A 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:
❑ 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
Main Service 200A TO I000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( a ACC. S.
SO
3.5QFr:
T.
NEW MULTI -OUTLET
@7,50
APPARATUS
a SINGLE 011fLET CSI R.
EX. OCCu OUTLET OR FIXTURES
.00
SAL @ I. 0
Ex. Occup. pUT�7g palp.OEA
5.00
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
MECHANICAL PERMIT
Fling Fee 20.00
Heating
j
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.)
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 ith those provisions.
X ///5! KV- 2
/- _ Date o-1), ` 10
Sign t e of Applicant - Q► 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
3
- -
HAZ -
D: FEfS IMP'
'FLOOD•--CIF-J
PARCEL
PD
-
HD
-
ISSUE
-Lr
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
B ( ,� 2"-'
Y
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date
ate
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I
t COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
•' 7 County Center Drive • Oroville, California 95965 - Telephone (530) 538-754 Ems, NO.
(Rev. 12/96) APPLICATION AND�PERMIT�-a�
ASSESSOR PARCEL NUMBER 00�._zoNINp�1�
—
r.
BUILDINGPERMIT
OWNER
.ir s,✓eo ��ree�w
TE HONE
- troy
SO- �, OCC. BUILDING VALUATION
yv�0 ERS:A - AooR7,�5— ' C loe �
CONTRACTOR'S NAME
TELEPHONE
-
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAIUNG ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
g 'Z' \ � SP
`
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other s L' o� %'/���
sPECIFY
Each Trap
7.00
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,8'_'
Describe Work:
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE $
S r
ELECTRICAL PERMIT
Fling Fee 20.00
R LESS
Main Service 20.AORLESS
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.
XI, 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
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.)
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
compensation provisions of section 3700 of the Labor Code, I shall
forthwith com ly ith those provisions.
Q(
X - _ Date / C/
Sign t e of Applicant - Ik Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLINo OCCUP. SO
OR ADDNS. ( 8 ACC. BLDS. 3.50FT,
=RESIDT. MULTI-OTLETU@7,50
APPARATUS
8 SINGLE OUTLET CIR.
Ex. OCCU OUTLET OR FDCTURES B20 O 1.00
Ex. Occup. oFuT gES,p.OEl
5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating '
Cooling
Hood 6.50
Ventilation
PERMIT FEE $ s�
Mobile Home Installation Fee $
Energy Inspection Fee $
CONST. TYPE
8
1:occ
E
HD ISSUEcompensation
pt-Bworkers'
—L
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.
4- 10 (�
By /ate C 7
PERMIT EXPIRES ON (lZ11�//
fe
ReceiptNo.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
I OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your signaung
Please complete and return this information at your earliest opportunity to avoid unnecessary do*
in processing and issuing your building permit. No building permit will be issued until this
verification is received.
1. I personally plan to provide th major labor and materials for construction of the proposed
property improvement: YES 1�7, NO C3
2. I HAVER HAVE NOT O signed an application for a building permit for the proposed w o&
3. I have contracted with the following person (firm) to provide the proposed construe ion:.
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
4. I plan to provide poitions of this work, but I have hired the following person to comdhVIN6
supervise, and provide the major work:
NAME: .
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
5. I will provide some of the work but I have contracted (hired) the following persons to prpvide
the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTYOWNER: C e wy-+-e6 �c,_1412k�Im
SOCIAL SECURITY NUMBER:
DATE:
NOTE. This Owner -Builder Verification is required by Section 198.31 and 19833 of Nie
Californla Health and Safety Code. This verification must be -completed oud
returned to our office before we are permitted to issue the permit.
•
OWNER BUILDER INFOILMATION
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-buildee, you are the responsible parry ofrecotd 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 work, with the exception of various trades that you plan to subcontract you should
be aware of the following information for your benefit and protection:
♦ Ifyou employ or otherwise engage any persons other than your immediate family. and the work (inchtding materials
and other costs) is 5300 or more for the entire project, and such persons are not licensed as conttacooci or
subcontractors. then you may be an employer.
♦ If you am an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding; federal social security taxes, .
workers compensation insurance, disability insurance costs, and unemployment compensatloa contributions.
♦ Then 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, contract the Internal Revenue Service (and,
if you wish, the U.S. Small Business Administration). For more specific information about your obligations ander
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 property owner is providing his or her own labor and material personally. Building
permits are hot required to be signed by property owners unless they are performing their own work personally.
Information about licensed contrac!prs may be obtained by contracting the Contractors State License Board in your
community or at 1020 N Street Sacramento, CA. 95814.
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.
i rely,
Mic el C. Vi ira, C.B.O.
M ger, Building Inspection
NOTE. This Owner-Builder.lnjormadon is required by Section 19830 of the Calljornla Health and Safety Coda
OVER
005-421-023 PERMIT#96=1166
KOCH, Robert
992 E.16th St ,Chico.
Cont; Butte Roofing Co.
Reroof/Comm °
I
COUNTY OF BUTTE- DEPARTMENT OF 4EVELOPMENT SERVICES -BUILDING DIVISION -
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PE MIT NO.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
ZONING
BUILDINd PERMIT
OWNER
TELEPHONE/(
EL HON=/ Q
SO.. FT. OCC. BUILDING VALUATION
OWNER'S DRESS �.
CONTRA NA
TELEPHONE
CO MAIUADDRESS
-
Fireplace
CONSTRUCTION LENDER
UNIwOWN
Total Valuation $
LENDER'S MAULING ADDRESS
Filing Fee
$ 20.00
Permit Fee
$ S ea
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
ARCHITECT OR ENGINEERS MANJNG ADDRESS .f
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS •
PERMITFEE $741
+w�aeX.... .• ,.. ,4, :..,.. - , �.
PLUMBING PERMIT
Filing Fee 20.00
Each Trap_.7.00
'
LOT NO.. SU BDrvisioNSAAmE 1
PARCEL MAP
Solar Or heat pump water heater
23.00
USEOSTRUCTURE
SFDuplex ❑ Mobilehome ❑ Other A,Y,Y\ v -,"
SPECIFY I
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK-"'
r
New ❑ Addition ❑ Remodel ❑ U5lities ❑ Installation ❑ Other J
Describe Work: -- c
Mobile Home S G W @20.00
PERMITFEE $
Contractor
ELECTRICAL PERMIT Filina Fee 20.00
Main Service ( zoon 0- RR mss )
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. S i
License Class ^' LIC. No. j
OWNER -BUILDER DECLARATION
1 herebyaffirm under penalty of perjury that I am exempt from the Contractors License
P tY P 1 ry p
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.
❑ 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ I am exempt 'under- Sec. , Business and' Professions Code for this,
reason
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( a ACC. BLDS. )
So.
3.5¢ FT.
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS )
b SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES)
20 Q I.00
aAL SO
Ex. Occup. oFIXEEDTs PLNS..OR
( )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE
$
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.
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' pomperlsation insurance tarn " and policy,7tuber ar r
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE
$
Contractor
Policy Number ) —/7
(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 if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those pr visions.
1,J/
X �t1,A-- 1 Date *a2 _
Sig lure of Applicant -'D Owner ❑Contractor ❑Age
An OSHA permit is required for excavations over 5'0" deep and or construction
/emoliLtio
of structures over 3 stories in height.
Mobile Home Installation Fee Is
Energy Inspection Fee Is
occ
CONST. TYPE
v
TOTAL FEE $ 7
HAZ.
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
BY4;� '/r
PERMITEXPIRESON
applicable provisions
Resolutions to do work
been paid.
Date oZG/ (r
(d -w
Receipt No. a f::
0a I C
WHITE-D.D.S.-B.D. CANARY --AS ESSOR'*' PINK -INSPECTOR GOLDENROD -APPLICANT
i
COUNTY OF BUTTE -DEPARTMENT OF.DEVI&LOPMENTSERVICES -BUILDING DIVISIO
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 P MIT N0.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
ZONING p
BUILDIN PERMIT
OWNERI
"�/��
SQ. FT. OCC. BUILDING VALUATION
OWN ERDRESS
(
r
CONTRA O ✓ TELEPHONE
i
CoNfRJ1QTOR MAW ADDRESS
Fireplace
CONSTRUCTION LENDER
6N_MOWN
Total Valuation $
LENDER'S MAILING ADDRESS .
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
ARCHITECT OR ENGINEERS MAIUNG DRESS
Energy Plan Checking Fee $
Penalty $
BUILDINGADDRESS
PERMITFEE $
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO. SUBDNISIONSNAME �3 `
PARCEL MAP
Solar or heat pump water heater
28,00
USEOFSTRUCTURE
SF Duplex ❑ Mobilehome ❑ Other Lf��VYA M
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ OtheA7
Describe Work:
7
Mobile Home IS I GI W
@20.00
PERMITFEE S
Contractor
ELECTRICAL PERMIT
Filinq Fee 20.'00
Main Service a V OR LESS
( 2ooA OR LESS )
23.00
Main Service ( 200A TO I000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
with Section 7000 of Division 3 of the Business and Professions Code,
9 (commencing )
and my license is in full force and effect. 5—b 16
License Class '—� Lic. No. ��
OW ER -BUILDER DE�ATION
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.
❑ I am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUP.
OR ADONS. ( 8, ACC. BIDS. )
so.
3.50 FT.
NEW CONST. MULTI.OUTLET
NON-RESID. ( BRANCH CIRCUITS )
97.50
POWER APPARATUS
8
(SINGLE OUTLET CIR. )
Ex. Occup. ( OUTLET OR FIXTURES)
B20 @ Is6o
Ex. Occup. FIXED APPWS. OR
p (OUTLETS (RESID.) EA)
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE $
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' mperisation/JV�[1,squrance carriel, and policy umber ar .
Carrier Z17 IAAYLv!/l �
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE $
Contractor
Policy Numberr [ 7
(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 if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
c
X , Date /emmolitio/orco-nstructio—n
Sig ature of Applicant - ❑ Owner ❑ Contractor ❑ AgeAn OSHA permit is required for excavations over 5'0" deep andAll)
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
coNsr. TYPE
foe
TOTAL FEE $ 7 J"
FEES
IMP
FLOOD
CDF PARCEL PD HD
ISSUE
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
Bi C—
PERMITEXPIRESON �J
provisions
to do work
paid.
Date o�q
ate)
Receipt No.
WHITE-D.D.S.-B.D. CANARY -A SESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
i
t p
PERMIT NO.
{ PERMIT EXPIRES s
OWNER Koch Masonry
Masonry
owner
LOCATION (A.P. 46-161-23
992 E. 16th St., Chico
d
1
4
�1
s
Temp. P\ er Pole_
Called PG&E
Temp. Elec. Serrv._
Called PG&E
It Temp. Gas Serv.\
Called PG&E
y JOB /g
FINALED / e
j (Date
` (Signature)
i
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD '
BUILDING
BUILDING (Cont'd)
PLUMBING
Setback a
Firewall
Soil Pipin
Forms ._.
Parapets
1st Floor
Main Wildg.
Restroom Finish
2nd Floor
Footin s
ows
3rd Floor
Stemwall
-.S4ng
To out
Slab
Roof Sheathing
Water Piping
Piers
. Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwa l l
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for phsically
handica ed
Conformance of ex.
structure
Appliances
Gas Piping & Test
TemD. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Stucco
FIRE SPRINKLERS Motors
est Water Htr.
inal Subpanels
MECHANICAL Grd. Fault
bcratcn Heatino Service
Brown Cooling Temp. Pole
Finish Ducts Underground
Interior Lath Ventilation Permanent
Door Closer Final Final
MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal
Water Piping Sewer Gas Piping
OB16EMOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
16.
vx�s
(NOTE: An entry must be made on this form each time you visit the job site.)
_PERMIT NO. 3894-A._
PERMIT EXPIRES
'OWNER KOCH MASONRY
CONTR. owner
•46-161-23
LOCATION (A.P. )
992 K 16th St., Chico
Al
. i
y
F1'
l
� 1
N
d
I
1(4 ¢a�,
r .
r
r
G
Temp. Power Pole
CaIJ\ PG&E
Temp. Elec. Serv.
Called PQ-&E
Temp. Gas Ser',
ti Called PG&E�
,los 7 191
FINALED
(Date)
(Signature)
i
t
FIREPLACE I Final
rootings I Footing I ELECTRICAL
RINKLERS
P-raming
Test
Water Htr.
Stucco
r
COUNTY OFBUTTE — DEPARTMENT OF PUBLIC WORKS
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
BUILDING INSPECTION RECORD
Heating
Service
Brown
Cooling
Temp. Pole
BUILDING BUILDING (Cont'd)
PLUMBING
Setback
j Firewall
Soil Pipiri
Forms
Parapets
i.st Floor :
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
StemwaII
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Garage Vents
Water Htr.
Stemwa I I
Insulation
Heaters
Slab
Prov. for physically
Appliances
Carport
handica ed
Conformance of ex.
Gas Piping &Test
Footings
I structure
Temp. Gas
FIREPLACE I Final
rootings I Footing I ELECTRICAL
RINKLERS
P-raming
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
MOBILEHOME UTILITIES ------------------
Elec. Service
Elec. Pedestal
Water Piping
Sewer
Gas Piping
OBILEUOME INSTALLATION - - - - - - - - - - - - - -
Support
Elec. Continuity
Water Piping
Drainage
Gas Piping
DATE
REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you visit the job site.)
fI
t ' _ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 -Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
/3
ASSESSOR PARCEL NUMBER ZONING
BUILDING PERMIT
OW E TELEPHONE
SO. FT. OCC. BUILDING VALUATION
O NER'SAILI ADDRESS
i
CONTRACTOR'S NAME
ELEPHONE
CONT ACTOR'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 ree
$ t
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
SUBDIVISION NAME
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 S I G I W
10.00 e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Oth
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 1000 AMP ORV OR LESS10.00
Main service EA. ADD'L too AMP
2.50
NEW CONST. / DWELLING OCCUP.&
OR ADONS. \ ACC. BLDGS.
t
2/20sgft
NTRACTORS LICENSE LAW
c.I declare rider pen of perjury (check one):
I am licensed under provisions of Chapt. 9 Div. 3 of the Business
and Professions Code a d my license is fu force and effect.
r Ct � ti
License No Classification;.Zq
�'�'
F-1 1, as the owner, or my employees with wages a -!;,their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044) 4" ,i^
❑ I, as the owner, am exclusively%contracting with licgnsed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. Business,and Professions Code
for this reason r--.+`
NEW CONSTR.r MULTI -OUTLET
NON-RESID `BRANCH CIRC ITS 2.50 ea
NEW CONSTR. ( POWER APPARATUS &)
NON-RESID• SINGLE OUTLET CIR. /
20@500
Ex. Occup(OUTLETS OR FIXTURES`` SAL®300
Ex. Occup. OUTLETS FIXED P(RESID )REA.) 2.00
Temporary service 10.00
Mobile Home Facilities
15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
RKMEN'S COMPENSATION INSURANCE I�
I declare under natty of perjury (check one): /f,
❑ 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 Iia A -is, judgments, costs, and expenses which may in any way accrue
a said County in nsequ ce of the granting of this permit.
�,
X Date
gnature of icant — Owner P Contractor E]Agent E]work
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
I TYPE OF CONST.
PARCEL PD
HD
I ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
indicated ove for which
DIRE 0 F PUBLIC
By
PERMIT EXPIRES to ~�
the applicable provi-
resolutions to do
fees have been paid.
WORKS
—7
Dae /,
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
`�-1
CI, - N .
1
1
�
r
l
'J.
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA. 95965
OWNER -BUILDER VERIFICATION
Attention Property Owner:
Phone: 916-534-4541..
An "owner -builder" building permit has been applied for in your name'and bearing
your signature.
Please complete and return this information in the envelope provided at your
earliest opportunity to avoid unnecessary delay in processing and issuing your build-
ing permit. No building permit will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction
of the proposed property improvement (yes or no) ej5S'
2. I (have/have not) signed an application—for a building
permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following
person to coordinate, supervise, and provide the major work:
Name
--Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
Signed:
Property Owner
Social Security numbe -
Date — 2
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831
. and 19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are
permitted to issue the permit.
• • . a /
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOR S
-7 CoQ%ty Center Drive - Oroville, California 95965 7P
• Telephone: 534-4541
APPLICATION AND PERMIT
''a
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mai I i ng Address h (/
TApho a Noo.
Contractor
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building Address-}-
v
PlanC ckingFee&/or Penalty
Permit Fee
PLUMBING No.1 @ FEE
PERMIT FILING FEE J$3.00
Each Trap 1.50
QQntng Verifcafion OnIii PAY
Repair drainage or vent piping 1.50
A. P. No. '—
A
g
Water piping 1.50
Each gas water heater or vent 1.50
sSanita
to fFireDept. Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans,
Parcel
Declaration
Parcel ap
60' R/W
Impro ents
Each additional outlet .30
sewer 5.00
Bldg. PI ns R c'd
Parcel A rovol
'000Building
Plans Approval
Lawn sprinkler system 2.00
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
permit Fee $
$
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 600V OR LESS
100 AMP OR LESS 5.00
�-,/
Single Family ❑ Duplex ❑ Mobil Home ❑ Others Eg
Main service EA. ADD'L 100 AMP 2.50
r .S
Main service OVER 600V 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW CONSOR ADDNST ACCLBLOGS.CCUP. 'Y) 20sq ft
LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
le of:
style
NEW NON-RESIESID, MULTI -OUTLET
CONSTCONTRACTORS
( BRANCH CIRCUITS) 12.50ea
NEW CONSTR. (POWER APPARATUS d
NON.RESID. (POWER
OUTLET CIR.
Ex. OCCUD(OUTLETS OR FIXTIIRES B L@
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
10 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.
❑1 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.
MECHANICAL No @ FEEPERMIT
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.
ie Date B
h11/
Signatur °'�P(errmitee or Agen
Receipt No. L_(1
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provi'siong of
the Butte County Code and/or resolutions to do work indicated
above for which fees havebeen paid.
DIRECTQ OFJ PUBLIC WORKS
BY Date—%
Building permit expires Date 7-7--c( 7
1 �
PERMIT APPLICATION WORK SHEET
...
Permit fee based upon: 1. Complete contract price.
2. Partial contract price (explain).
r 3. DPW Valuation (show):
Permit No.
A. P. No.
Approved
Not approved
At time of permit application, the applicant was advised the following data or information must be
submitted prior to permit processing and/or issuance:
Date received
1-. All items have been submitted- --------------------------
2. Plot plans in duplicate/triplicate. ---------------------
3. Complete plans in duplicate/triplicate, -----------------
4. Complete engineered plans and calcs- --------------------
5. Fees of $ --------------------
Letter of signature authorization. ---------------------- z/_
a 7. Sanitation approval- ------------------------------------ �` ?5� -6 k
8. Planning approval for --
9. Workmen's Compensation Insurance Certificate - -----------
10. Contractors license information. ------------------------
11. Parcel declaration, recorded copy. ---------------------- '
12. Access declaration. -------------------------------------
13. Aunt Minnie information. -------------------------------- �-
14. Deed of access, recorded copy. -------------- ------------
15. Deed of parcel creation, recorded copy- -----------------
16. Parcel map, recording data. -----------------------------
17. Pre -inspection request for --
18. Improvements - plans required & DPW approval - -----------
19. r --- -- -
By 1 Date:ze_
Bldg. Inspec or,
During plan checking process, the following data
or information must be submitted prior to permit
issuance:
1. Index permit for items
above and in addition the following:
2. Applicant advised by Telephone
Mail
Other
3. Plans checked by Date
4. Plans approved by F,7: Date
bermis issued process as fo ows:
1. Mail to owner.
2. Mail to contractor.
3. Deliver with inspection.
4. Telephone and hold
for pickup @ office.
5. Other
Before permit issuance, all of the following
items must be signed or marked NA:
1. Zoning use
2. Legal parcel
3. Envir.Health - Date Plans Sent
A. Sanitation
B. Restaurant
C. Other
4. Public Works - Date Notice Sent
A. Street Imp.
B. Drainage
C. Permits & Fees
D. Other
5. Planning
A. Use Permit
B. Variance
C. Other
6. Other Agencies - Date Plans Sent
A. Fire Dept.
B. Other
PAGE 1
MULTIPLE FAMILY AND COMMERCIAL PLAN CHECKING GUIDE
Bldg. Permit '#
OWNER I�®C%� %�/�.iO/C)i�� A.P. #
A. GENERAL
Zoning requirements (sideyards, parking, special conditions).
Valuation.
63� Signature by R.C.E. or Architect.(if required). Calculations.
Improvements and drainage.
Complete plot plan with dimensions, easements, other buildings, and other pertinent data.
B. OCCUPANCY REQUIREMENTS .
1. Building use aS'rOA1(9E a= /Yif-c. %`zz ,rer�4" Occupancy Class t �
2. Type of construction F ire Zone 3
..3. Building floor area —Z2 2 O sq.ft. Occupant load___
4. Total allowable floor area sq.ft.
Basic allowable floor area 6'470g:!) sq.ft.
Bass for -increase
Additions, alterations, and repairs exceeding.50% (Sec. 104)..
Compliance with occupancy group requirements (Chapters 5-13).
Occupancy separations (Sec..503).
Frea separations (Sec. 505).
irewalls due to location on property (Sec. 504).
Maximum height requirements (Sec. 507).
i Attic separations (Sec. 3205)._ __..
Ventilation and special hazards requirements (Chapters 6-13).
Fire extinguishing systems (Chapter 38).
Mechanical code requirements.
Restaurant Act. requirements.
Smoke detection system.
C. TYPES OF CONSTRUCTION REQUIREMENTS
Fire retardant roof coverings (Sec. 1704).
Parapet walls (Sec. 1709).
Toilet room floors and walls (Sec. 1711).
Physically handicapped (Sec. 1711 & Table 33A).
Guardrails (Sec. 1716).
.01 Detailed types of construction requirements (Chapters 18-22)'.
/7: Proper roof pitch for roof covering (Chapter 32).
lxnw Attic access and ventilation (Sec. 3204).
Roof drainage (Sec. 3207).
Skylights (Chapter 34).
Stages and platforms (Chapter 39).
Interior wall and ceiling finish. (Chapter 42).
Fire resistive requirements (Chapter 43).
Joe Wall and ceiling coverings (Chapter 47).
Glass and glazing (Chapter 54).
Human Impact (Sec. 5406).
MULTIPLE FAMILY AND COMMERCIAL- PLAN CHECKING GUIDE (continued)
D. STAIRS EXITS AND OCCUPANT LOADS
Number of exits, width and locations (Sec. 3302).
Doors (Sec. 3303).
Corridors and exterior exit balconies (Sec. 3304).
Stairways, rise & run, width, winders, and construction (Sec. 3305).
,k! Horizontal exit (Sec. 3307).
Exit and smokeproof enclosures (Sec..3308 & 3309).
/7 Exit signs and illumination (Sec. 3312).
Exits for.occupancy groups A-E (Sec. 3315-3319).
:b.
PAGE 2
ENGINEERING REGULATIONS DESIGNQUALITY, MATERIALS AND DETAILED REQUIREMENTS.
Complete plans sufficient to show how building is proposed to be constructed and.to
verify conformance with Chapters 23-29. Plans must.include plot plan, floor pilau,
foundation plan, elevations, and complete structural details.
Energy design, calcs, and necessary details (State law).
03! Veneer (Chapter 30).
Chimneys and fireplaces (Chapter 37). Engineered plansif required.
Plastics (Chapter 52).
�! Excavation and grading (Chapter 70) - not adopted.
Continuous or Special Inspection (Sec. 305).
Factory or other certification.
Soils or compaction. data.
- - _ ..� .: r — -•T=om--—.--.---
N
BROGUNIER ENGINEERING--CHICO. CALIFORNIA
PROJECT: S T a R- A G
�i U l D 1 ►.I <.`
m
C) 1.} SHEET NO. 1
PORTION:
DATE:
JOB NO. 3 —I Cp
BY N
2-5'-£s" k
os 4-0
�
1* bld)
f
w,'�� �" ��0�10,.,, ►�-�asanry
V4 all 0. ja r a n
o-. ►�4
+-r u -*-s
v a 4sr m 4 -or
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l_ t v c5 *crz—
:was PI C, Vr,os t br, Ca.
_sqdP—
C> wall_ 3xa
Sg" ,4 ►low v �vt maSor►-� '?Sox
A I 1 a co a b V (34 -1- A -o \4 o o Z. `t o C*
�z c.. c vcc\ z t 1� C9 0 y -x-''A = 1 � G's
TV 1 ►' o b f? F iEr 1
c, -s o
tQ0 D -a be ��•
4144 1
izzmm
'24t' Ar
I4o r r ccs = 'L b p' �/ t 4:c1 ar �'!E S►m i
Mo�s�a�r+t '�So ¢30
2.. 4 " C'E'rt
c'a. 2,
St,ea-qr b T >t^OOT.
Y NitS W41( 58.67 t XWXI x, 133/�`l, 33 �68i I f G�
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6. 1+!& r +* �rote+�+ wa►o-da 23�v�z. i11o� xt,33a 155�s�'
.. '• i' i h Iit1 G,Zi o H r � _ � S O x. 1. 3 3 = �'} C1 8 � .
Li CJ
Ca i d x 17-L s 1 3, 9 011 k►'
Co
=.. BROGUNIER ENGINEERING--CHICO, CALIFORNIA
�. PROJECT: S �- 0 2 A 6 V 1 ►- a j t�1 Q —� �j 'p S O C µ
SHEET NO.
PORTION:
JOB NO. � � (o
DATE:
BY
8
I2 0 o f 3 1 x 28.3 -a Z
1-4 -39
130 1�
-
�
1 d t -N 0;
v Ir-
-I
-------------
INkA. ->C11 yl
bot'*k o; 4.a Dior-. v-8�'
W-0.1 k 68 x-1.4-7 P.s Z*
is a 1.=
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6z5,�3Z
Ca i d x 17-L s 1 3, 9 011 k►'
Co
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Gunter Drive - 5 le, California 95965
Telephone: 534-434-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
is Z;c�t;
at a
D e
Signotu of Permitee or Agent
Receipt No. Q ��-3�
!2
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.
DTOR PUBLIC WORKS
BY
.Bviiding permit expires Date
BUILDING
Owner6 CA
. SQ. FT. OCC. BUILDING VALUATION
Mailing Address O S
Telephone No.
Contractor V^
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building Address
Plan Checking Fee&/or Penalty
Permit Fee
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
A. P. No. --(a
Zoning & Planning
Water piping 1,50
Each gas water heater or vent 1.50
F te<
WkJ
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
ans c'd
Porcel A royal
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
Permit Fee $
$
ELECTRICAL No. @ I FEE
PERMIT FILING FEE J$3.00
600V OR LESS 5•00
Main service 100 AMP OR LESS
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD•L too AMP 2.50
Main service OVER 600V 25.00
100 AMP OR LESS
Main service/ EA. ADD'L 100 AMP 1.00
NEW CONST. OR ADDNS. ACCLBLDGS,LING CCUP. S� 2¢sgft
C
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:
Y
NEW coNsrR BRANCH CIR T
NON-RESID ( BRANCH CIRCUITS 2.50ea
NEW CONSTR. (POWER APPARATUS B
NON-RESID. (POWER
OUTLET CIR,
Ex. Occuo(OUTLETS OR FIXTURES g L@
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
Rram 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.
E]1 have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
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.
is Z;c�t;
at a
D e
Signotu of Permitee or Agent
Receipt No. Q ��-3�
!2
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.
DTOR PUBLIC WORKS
BY
.Bviiding permit expires Date
— — __ - __ - ,�-,.,��,.7 __ - - ___ __ _-,,__7_ �, ; - ' 'I , � - F j . ..... 1 I, �-,�_-7 - �T�Tt --- ,� . v, -T - tjl'- -, — ,:---,--- , �, 1, '. I u_ ,,ya,, �,_,! .. 1 4,�P.,, � , _ -
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