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HomeMy WebLinkAbout005-473-008_ 5-473_-08_ ANTHONY PIAZZISI NW cor Elm & 23rd, St, Chico n ContrL Jack W Wally a�q� Permit#2623-87E(elec ser ch/SF) .F 5-473=08 92-1163B PIAZZ•ISI';''Rose , 568 E,'23rd St -,- Chico Y cont : a ely Roofing .reroof/sf', 7-3- t �.y, .... v. iq�. . . i�Yt�Y;•'ll.i{ifi�•i' :.9 r..., IY «,� _�.•... r ._ �';`-' i . 7 . t F 473-0892-1163B AZZISIRose 8 E • 23rd St; <Chico ` 4 '* cont: ely Roofing - L i reroof/sf t "°�^- _ �''�.4%liilrS!✓xr ,+«K+�"cy'�°I". , slfa''�°'' ...'1•wr. ..- ""� 3 t COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 96086 - Telephone: 916,'6387641 - APPLICATION AND PERMIT PERMIT N0, ZONING 29 BUILDING PERMIT OWNIZIR :cure Piazzisi 345-966*:f, 80, FT, OCC. BUILDING VALUATION 3s740 OWN11111 PAICIN13f Z42 rti 12th Ave Chico CA 95926 C 0 N A NAM Lly ?,00ting Inc L H NC 343-7663 CONTRACTOR'S MAILING ADDRESS e u oox 704 Chico CA 95927 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 155,00 Permit Fee ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee$ Penalty $ BUILDING ADDRESS 5U6 L 23rd 5t - Chico Utt 95928Permit fee a 34.50 PLUMBING PERMIT Filing Fee 15.00 Each Trp 5.0-0],., a 77 :L, ., ... ;;,. ;3. - ., ., - �;. h: 77, I Solar or heat pump water heater 20.001 LOT NO. SUBDIVISION NAME t ' PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF S UCTURE SFDuplex❑ Mobilehome❑. Ot', r' _ ., SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW I 1@ 15.00 TYPE OF WORK New i 01 Addition Remodel C Utilities ❑ Installation❑ Other 129 Describe work: reroofing — 20 yr COLT _ 12 1/3 sqs Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main sEtrvice 200AORLESS 18.50 Main service 200A TO 1000AI 37.550 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): FN I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions ICn7 � Ua d my license Is In full force {Q;J1_d effect. License No. t)V/ �V Classification 39 ❑ 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 OCCUP.I.\ 3.6dsq.ft. NEW CONST. DWELLING OR A_ODNS. ACC. BLDGS. II NEW CONSTR ULTI.OUTLETJI NON-RESID BRANCH CIRC ITS @ 5.00 /POWER APPARATUS e (POWER OUTLET CIR. Ex. OCCup(OUTLETS OR FIXTURES 20 76 A FIXED APLNS. Ex. Occup. OUTLETS PIRESID )RE A.� I .3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. byirin 15.00 9 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100,.00 (valuation) or less. rir I have placed on file with the County of Butte Building Department LJ a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor - MECHANICAL PERMIT Filing BeF15.00 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 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.occ 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 con_s.9q�uence of the granting of this permit. X `' J r+� •% %t�" «� Date 9 Apr 1992 si nature of Applicant — Owner g pp ❑ Contractor ❑ Agent CK An OSHA permit is required for excavations over 5�0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ CONST TYPE TOTAL FEES 3�r• HAz 1 0FEES I IMP FLOOD CDF PARCEL PD I HO ISS This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do -} , , work 'Lsdi ted abova 6r r hich fee4 h 9e been paid. f DIREC P LI KS !' By Date PE EXPIRES Date / T�C� 0l Receipt No. i' 'A WHITE-D.P.W.• YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS • 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. ASAP,7R 00 PAYE4 yU BER ZONIN� BUILDING PERMIT r E U� - OWNER Pose Piazzisi .TELEPHONE 345-9863 SO. FT. OCC. BUILDING VALUA7TIOK 233 7 0 OWNER'S MAILING ADDRESS 242 W 12th Ave Chico CA 95926 CONTRACTOR' SNAME Ely Roofing Inc TELEPHONE 343-7663 CONTRACTOR'S MAILING ADDRESS P 0 Box 704 Chico CA 95927 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ T_9._5U_ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 568 E 23rd St - Chico CA 95928 Permit fee $ 34.50 PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF© Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W 615.00 TYPE OF WORK New ❑ Addition E]Remodel ❑ Utilities ❑ Installation❑ Other 2 Describe work: reroofing — 20 yr comp 12 1/3 sqs Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 200A TO IOOOA) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): MX 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. 607386 Classification C-39 EJ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.( DWELLING OCCUP.tk\ OR ADDNS, ACC, BLDGS. II 3.6Qsq.ft. NEW CONSTFMULTI-OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. OCCup(OUTLETS OR FIXTURES 20 76d Ex. Occup. OUTLETS PIRESID,IFIXED APLNS.REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g '15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g 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 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 con q ence of the granting of this permit. Xal1,0 �� - Date 9 Apr 1992 9 PP ❑ Contractor ❑ AgentAn OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE SO TOTAL FEE $ 3� HAz I DFEES IMP FLOOD I CDF PARCEL PD HD ISS j This permit is hereby issued under the sions of the Butte #Countyde and/or Work I ted abhich fe DIREC LI By I, ow I PE EXPI . ES Date applicable provi- res lutions to do h e been paid. KS Date lyf Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT I 44^.•wCV i- �.t� 'e3rr lr t • k �i * . ,;;T r' t r i� ' . C 87 AVW 66W J• COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WOR�S� r, PERMIT NO. " ` 7 County Center Drive.- Oroville. California 95965-Telephone:.91�6 $3 -7541 g-'_ J/'7 APPLICATION AND PERMIT' it Ss PARCE, N MBER .. Z,ON=I414 BUILDING PERMIT OW ER TELEPHONE' SO. FT. OCC, BUILDING VALUATION OW.y ES A" L' I N G Fye DRESS� 71,1A" (f C OO[N)_TRAA CI TO W'AAME i TELEPHON^jE '9 q2 ' CO TRACTOR'S MAILING ADDR"ESS Al � a � /�� Fireplace CONSTRUCTION LEND`E •` UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ . ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS �...- Permit fee $ PLUMBING PERMIT Filing Fee 10.00 �� ^ s/ Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP JW o Water piping 5.00 Each qas water heater or vent 5.00 " USE OF STRUCTURE SFM Duplex❑ Mobilehome❑ Other j SPECIFY Gas piping system 1 - 5 outlets 5.00, Building sewer 5.00 Mobile Home I S I G JW I iO.00ea TYPE OF WORK New ❑ Addition ❑Remodel ❑ Utilities ❑ Installation ❑ Other ❑ �j Describe work: _ x a Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00• Main service 100v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check.one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BU$IneSS and ProfessionsC de and my license is in full force and effect. License No.�� Classification ' ❑ I, as the owner, or my employees with wages as their SOIe 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 LIN OCCUP.&\ ADDNS'hOsgft oR T DWELG / NEW CONSTR.ULTI.OUTLET NON•RESID BRANCH CIRCUITS 2,50 ea POWER APPARATUS et\ SINGLE OUTLET CIR. E Ex. Occup(OUTLETS OR FIXTURES BAL@30 AL030 FIXED APPLNS. OR EX. OCCup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 ` Mobile Home Facilities 15.00 Misc. Wiring 15.00 / -- Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL'PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 1 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 I all liabilitiesry Judgments, costs, and expenses which may in any way accrue against said C u"nZ�quence of the granting of this pe it. Date "' 7 /�/ ❑ Signature of Applicant — wner❑ Contractor Agent v" //An OSHA permit is required for excavations over 5'0 ' deep and demolition or construct- ion of structures ope�r 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 6— Occup, CONST*TYPEJ FLOOD PARCEL PD ND ISSUE This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which :� DIRECTO OF PUBLIC By--. * x �• PSE"RMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS ? -12 Date - 7 ^ ->^ �1,�1 Receipt No. L. WHITE-D.P.W.. YELLOW-ASSESSIR, PINK -INSPECTOR. GOLDENROD -APPLICANT c COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE z 0 VNER —y -PERMIT/N( 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. s Inspector. Date Z2 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS • 196 Memorial Way, Chico — Phone: 891-2751 1 7 County Center Drive, Oroville'- Phone: 538-7541 747 Elliott Road, Paradise— Phone: 8/2-6307 jCORRECTION NOTICE 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. Inspector G� Date �/ r 0 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, Cafforni 35965 - Telephone: 916/538-7541 4/73 -- D APPLICATION AND PERMIT ASS SO PARC N MBER ZONING BUILD NG PE OW R TELEPHONE �3 5- SQ. FT. OCC. BUILDING VALUATION ER' MAI I DRES %��� -H CON R CTO 'S EIN T�S, EP_ O NE A CO TRACTO 'S LD Fireplace CONST UCTION LEND UNKNOWN Total Valuation Is Filing Fee $ 1000 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 h s/ Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF.X Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home JSFG W 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 1V OR L Main service 100 AMP ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS and Profession i -L de an my license is in full force a. effect. 0 / 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- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.tY CC. BLDGS. , New CONSTR.(A ) =¢sgft MULTI -OUTLET NO N.R ESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS .&) (SINGLE OUTLET CIR. Ex. Occ Up(OUTLETs OR FIXTURES 20®50Q DAL030 FIXED Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 / 5 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice 'to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIirig Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also gee t -save, indemnify and keep harmless the County of Butte against all Ii iliti udgme ts, ts, and expenses which may in any way accrue agai t sai C t co uence of the granting of this p mit. y Date i nature of Applicant - caner g pp ❑ Contractor Agent ❑ An OSHA permit, is required for excavations over 5' deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occuP. CONST.TYPE FLOOD PARCEL PD ND Is90� This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which ZDIRECTO F PUBLIC By-9Date P IT EXPIRES Date the applicable provi- resolutions to do fees have been aid. p WORKS Z� - Receipt No. WHITE-D.P.W.. YELLOW-ASSE,SOR. PINK -INSPECTOR. GOLDENROD -APPLICANT OWNER Proposed Buil i;.�w;;,: `w i'Y '�t\sK<'.V c►d�.`TL"'r. tey'yry�'s. ,� i- P' •y,+.:l. y' t. COUNTY OF BUTTE - DEPARTMENT i:OR,11PUBLIC WORKS - BUILDING bIVISION 7 COUNTY CENTER DRIVE - OROVILLE,.CAU- 0�2NIA 95965 - TELEPHONE: 916/538-7541 1 PERMIT APPLICATION. DATA SHEET Permit No. At time f permit application, I was advised the following data must be submitted prior to permit processing and r issuance: DATE RECEIVED APPROVED <, 1. All items have been submitted. . . . . . . . . . . . — 2. Plot plans in duplicate/triplicate, signed by preparer of plans. _ 3. Complete plans in duplicate/triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. .41 . . . . . . 10. Sanitation approval from _ Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) _14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑) 15. Improvements may be required. . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . -��17. ' Pre -Inspection for Required- Pre-Insper. request to p ------- - - --- ------ q Building Inspector�Y7 IJ1Pr el lDatel 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. _ 20. Plot plan approval from city of _ 21. 22. _ — _— When, you jIssue the permit, process as follows: Mail to contractor. pU H f+ Terephone and hold for pi kup at Li��c#f ice, Deliver w/inspector. �.. Other 77- -7, — App'lican Date Copy of plans sent Health Dept., _4,ire Dept., Other Date 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 c? above required data by—phone—ma il—counter`by date Plans checked by Date Plans approved by , , Date _ Sets of plans on hold in File cabinet AP folder Copy—DPW y COUNTY OF BUTTE - DERARTMENT OF PUBLIC WORKS PERMIT NO. ,� ✓ 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'333-7541 APPLICATION AND PERMIT ASSF7 PARC N MBER ZONING 04 BUILDING PERMIT oW R TELEPHONE SO. FT. OCC. BUILDING VALUATION 5= `3 ER' MA 1 DRESS CON R CTO 'S E TfLEPH0NE CO_ TRAGTO 'S MlYI LINGr ADD ESS Y,2 LENDER'S MAILING ADDRESS ` o ARCHITECT OR R'S MAILING ADDRESS IL Vlrvli NUUIf t`.i5 T NO. SUBDIVISION NAME , SFX Duplex[] Mobil New ❑ AAA; 1; ❑ (UNKNOWN LICENSE IJO PARCEL MA S: USOF T CT JOth r " C F PE OF W10 K + Fireplace �1� Total Valuat Filing Fee Permit Fee Plan Checking Fee — Energy Plan Checking Fee Penalty Permit fee PLUMBING PERMIT / pum&Vryr at.er heater Vater Ings water h r or ventng system 1 - 5 outlets sewer Mobile Home Tsir S $ FilingFee _ 2.00 _ _ 20.00 5.00 5.00 5.00 10.00 ea 10.00 i Ion ncl(lo I U inti s❑ InstallatiorrLJ Other —J ermlt F $ Describe work: ,o ctor ELECTRICAL PERMIT FilingFee 10.00 Main servicecys�ESS 10.00 16'— main service n. AOD L too AMP 2.50 CONTRACTORS LICENSE LAV! NEW Cor'T. F-I.t-- oc'cuP.e — t declare under penalty of perjury (check one): + oR D, s• cc• .�L:,) ?.'i?2sgit J_h� 1 N C .! F? UL rl-CFla ET ❑ I am licensed under provisions of Chapt. 9, DI 3 of he eusines - •E D' e ,, CI:7=.,_ 2.50 ea and Profession -Lode and my license is i fu r aruj effe POWia`APr Ar.1TU tr� — (SINGLE. CLI T_L_ET CIR. License No. r ..4%ri Cilasslflcatl n _/_ Ex. OCCIIP 011 L[:T5 CR FIX TU I➢SS n� 05,, ❑ I, as the owner, or my employees with JOT w e s eir sole compen- Ex. Occup.r11 TL T. (R '• oN-- OUTLE S (P.ESID.I EA.) 2.00 sation, will do the work„and the structur is not intended or offered Temporary service 10.00 for sate. (Sec. 7044) Mobile Horne Facilities 15.00 ❑ 1, as the owner, am exclusively, contra ting with licensed contract ors. (Sec. 7044) Misc. Wiring 15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ WORKMEN'S COMPENSATION INSURANCE Contractor declare under penalty of perjury (check one): MECHANICAL PERMIT FilingFee 10.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ 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. Cooling I shall not employ any person in any manner so as to become subject Hood 3 to the W. C. laws of California. Ventilation to the W. C. provisions of the Labor Code, you must forthwith comply with such Permit Fee $ Notice to Applicant: If after making this statement, should you become subject .)rovisions or this permit shall be deemed revoked. Contractor certify that I have read this application and state that the above information Mobile Home Installation Fee $ s correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee $ o building construction, and hereby authorize representatives of the County of 3utte to enter upon the above-mentioned property for inspection purposes. TOTAL PERMIT FEE atso free t save, indemnify and keep harmless the County of Butte against ..Cul CON ST.TTPC FLOOD PARCEL S �o SSUE tiI Ii iliti 9' dgme ts,� is, and expenses which may in any way accrue tgai t sai C t co uence of the granting of this it. { rP � Date This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do signature of Applicant — wner ❑ Contractor �X Agent ❑ work indicated above for which fees have been paid. 1n OSHA permit is required for excavations over 5'0” deep and demolition or construct- DIRECTOR OF PUBLIC WORKS on of structures over 3 stories in height. ledeipt No. BY Date !MITE-O.P.W.. YELLOW-AO9E3sOR. PINK -INSPECTOR. GOLDENROD -APPLICANT PERMIT EXPIRFC rl'Jto