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HomeMy WebLinkAbout007-200-068w arweO Nelson ° 5. 4 vi l rive, Chico ST... -CLAIR .CONST.. _ J_ _ _446-7_2B contr: Chi ustom Pools +Chico 1764­72 E 1258-72P Permit #4319-76 (new pri ate �� 1311-72 M wwimming pool) -bh j Villa Dr., Chico ontr- Bud r i anew singy le famil) yx C / Permit 8-76E (enlar.g ele ser &` wire upply for pool) SF 7-20-68 2823-90B j NELSON, Harvey 662 Villa Dr, Chico Contr: Cecil Hall (reroof/sf) 9_a�'92 ► 5 ' i �• i i i I 0 or <•ta! e •,I�„,..w•.a�wev —r...� .p+T�7Rrp; 'li,,;,-1..r7+r; COUNTY OF BUTTE -'DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, Cali{ornPa 95965 -Telephone: 916/538-7541... 4 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 7-2Q=W, ' I ZONING R-1 BUILDING PERMIT OWNER HARVEY NELSON TELEPHONE — SO. FT. OCC. BUILDING VALUATION 27 1,620 OWNER'S MAILING ADDRESS 662 Villa Drive Chicos Ca 95926' CONTRACTOR'SNAME Cecil Hall TELEPHONE 341-9741 CONTRACTOR'S MAILING ADDRESS 14 CrOWMiCOFireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 28.W ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 662 Villa Dr. Chico Permit fee $ 38.00 PLUMBING PERMIT Filing Fee 10.00 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 rr��Yr USE OF STRUCTURE SF LA Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: RerOOf _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V 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 BuslnesS and Professions SrCuode and my license IS In full force and effect. 4V T771� �. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason LIN OCCUP.&) NE CONST DWELG / OR ADDNS 21h2sgft NEW CONSTR ULTI-OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS h (SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 209090 Ex. Occup. OUTLETS ED P(RESID )LNS.REA.) 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 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 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 d Count in co sequen a of the granting of this permit. ? X , Date ���J �g V Signature of Applicant — Owner ❑ Contractor & Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ AZ CUA PARK SCHL FLD PAR PD Ho Issue This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR O PUBLIC By '9.;,—= PERM EXPIRES Date—/ the applicable provi- resolutions to do have been paid. WORKS ate / `.- 7 Receipt No. 70706 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 -�PPrE�RMIT NO. C—P9Z-a— 9 ASSESSOR PARCEL NUMBER 7-20-68'R-1 ZONING I BUILDING PERMIT OWNER ,.' HARVEY NELSON TELEPHONE - SQ. FT. OCC. BUILDING VALUATION 27 1,620 OWNER'S MAILING ADDRESS 662 Villa Drive Chico, Ca 95926 CONTRACTOR'S NAME Cecil Hall TELEPHONE CONTRACTOR'S MAILING ADDRESS 14 Cro Chi,r) Q5g2$ Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 28.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ;$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Villa662 Permit fee p $ 38.00 PLUMBING PERMIT Filing Fee 10.00 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 Is G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: Reroof _ 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 BUsineSS and Professionsf Code and my license Is In full force /wand effect. 4.% 7 C •-3 -/ License No. Classification I ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCC UP. 51 OR ADDNS. ACC. BLOGS. I /Z¢sgft NEW CONSTR. ULTI.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e ( SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES .20@ 50 FIXED Ex. OCCUp. OUTLETS P(RESID )REA.) 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 I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against d Count in c equen a of the granting of this permit. X __ Date 'T))3 �� (7 SL Signature of Applicant — Owner ❑ Contractor & Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAz I CUA I PARK I SCHL I FLD I PAR PD ND IssuE This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR 0 PUBLIC By PERM EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date ,�)� Receipt No. 707 � /WNITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT L COUNTY OF BUTTE - DEPART 41ERNT,OF PUBLIC WORKS - BUILDING DIVISION 4 7 COUNTY CENTER DRfVE - "' OO lrRvwY ALIFORNIA 95985 - TELEPHONE: 918/538-7541 ` �;' PERMIT APP.( (CATION DATA SHEET �,•� Permit No. OWNER r�A /AVL % A 4 L S D 0�1 t�. A. P. No. _ Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED � All 'te s ha a been s bmitted 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. Im v u . .................................... Plot plans in duplicate/triplicate, signed by preparer of plans ........ Complete plans in duplicate/triplicate, signed bylpreparer. of plans . . Complete engineered plans and calcs, with wet signature on plans .. Hazardous Material Form ......................... ............. . Energy Design Compliance and supporting documefitation ......... Statement of Intent for Non -Heated and AC Buildings ............... Engineered truss details and layout in duplicate (required prior to plan check) Mobilehome installation data including manufacturer's installation instructions....................................................... Feesof $ ........................ Chico Urban Area fees paid ....................................... Park fees paid .................................................... School District fees paid .............. Sanitation approval from Health Department City of Chico plumbing permit ..................................... Plot plan and business license approval from City of (see City for other requirements) Planning approval for (A) Use: (B) Parking: ...... Improvements may be required. Contact Land Development Section DPW Driveway permit (construction approval required prior to occupancy) Pre -Inspection for required Pre-inspec.request to Building Inspector (Date) Contractor's license information (No., Name Style, Classifications ... Certificate of Workmans Compensation Insurance .................. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... Recorded copy of Agricultural Acknowledgment Statement ......... Letter of signature authorization ...... : ....... .................. . When you issue the permit, process as follows Telephone Other Mail to owner. XMail to contractor. and hold for pickup at office. I Deliver w/inspector. Copy of Haz-Mat form sent Health Dept. Fire Dept. Air?ollution 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_jnail_counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in Copy—DPW File cabinet AP folder COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMB R ��� �O OWNER ZONINyy�� d� BUILDING PERMIT PERMIT - /k G ELSb - ' TELEPHONE 3 x(08' S0. FT. OCC. BUILDING VALUATION ' ZO N R'S MAILING ADDIR Vim/+ Gid i CA- gS126 ONTR CTOR'S NAME TELEPHONE = LlL -4�L 3113-971'3 2 CO NT(gCTQ?0-0 .9 -DU SQ�J /-_ Z, CONSTRUCTION LENDER UNKNOWN �^ Fireplace Total Valuation 5 LENDER'S MAILING ADDRESS `— ARCHITECT OR ENGINEER LICENSE No. Filing Fee $ 10.00 Permit Fee Plan Checking Fee $ Z r $ ARCHITECT OR ENGINEER'S MAILING ADDRESS BUILDING ADDRESS ViLLf} 7� Energy Plan Checking Fee $ Penalty Permit fee $ $ 1 PLUMBING PERMIT Filing Fee 10.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each Trap 2.00 Solar or heat pump water heater Water piping 20.00 500 Each qas water heater or vent 5,00 USE OF STRUCTURE SFEB, Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile HomeS G W 10.00e TYPE OF WORK New❑ Addition Remodel❑ Utilities❑ Installation[]Other❑ Describe work: I R apu P- Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OROOV OR LESS10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Cha t. 9, Div. 3 of the Business p and Professions Code and my license is in full force and effect. License No. 4 5-`f71 0 Classification �_ 3 � ❑FIXED 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) El 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 Main service EA. ADD'L 100 AMP 2,50 NEW CONST, DWELLING OCcuP.tr OR ADONS. (ACC. BLDGS. ) I /z¢sgft NEW CONSTR. ULTI-OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATU ( S tri SINGLE OUTLET CIR. Ex. Occ Up(OUTLETS OR FIXTURES BAL@30 APPLNS. OR Ex. Occup. OUTLETS (RESID.1 EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 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. taws of California. Notice to Applicant: If after making this statement, should you beco me 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 Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of to enter upon the above-mentioned property for inspection purposes.TOTAL 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 again id Co ty in c nseq/uenn%ce of the granting of this permit. X ��`" Date 47 )3/9 o Signature of Applicant — Owner ❑ Contractor [Jn�L, Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONSTPYPEButte FEE $ HAzARK SCHL I FLD I PAR PD HD ISSUE This permit is Hereby issued under sions of the Butte COUnty Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. %o WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT i : q��i PERMIT NO. 14319-76B,P,E PERMIT EXPIRES OWNER Harvey Nelson CONTR. Chico Custom Pools, Chico LOCATION (A.P. 44-38-68 4 Villa Dr., Chico ip Temp. Power P le Called P E Temp. Ele . Serv. Calle PG&E Temp. as Serv. C 1,ed PG&E J B INALED (Dale) (Signal re) -4 i : q��i PERMIT NO. 14319-76B,P,E PERMIT EXPIRES OWNER Harvey Nelson CONTR. Chico Custom Pools, Chico LOCATION (A.P. 44-38-68 4 Villa Dr., Chico ip Temp. Power P le Called P E Temp. Ele . Serv. Calle PG&E Temp. as Serv. C 1,ed PG&E J B INALED (Dale) (Signal re) �YG COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING ( ont'd) PLUMBING Setback - .i Firewall Soil Piping Forms, Parapets 1st Floor `— Restroom Finish 2nd Floor ootin s Windows 3rd Floor Stemwall Sidinq To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwall Garage Vents Insulation Water Htr. Heateis Slab Carport Footings Prov. for physically handica e Conformance of ex. structure A llances Gas Piping & Test Temp. Gas Slab Final — Sanitation Patio FIRE LACE Final Footings Footing q ELE&RlbAlf Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS I Motors Stucco Fault Prot. Scratch Heatin Servl Brown Cooling Finish Ducts nder round Interior Lath Ventilation Permanent Door Closer Final Final / / — DATE REMARKS OR CORRECTIONS ter" i (NOTE: An entry must be made on this form each time you visit the job site.) r, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center DAve —_ Uroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 176 autnor)z% representatives of the County of Butte to enter upon the above- ntioned pro ty for inspection purposes. X Date Signature of Perm it��ttee(�or Agent Receipt No. � =1 0 —7 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/RUBLIC WORKS BY _ Date 0 aiding permit expires Date BUILDING Owner -tAPwe o SQ. FT. OCC. BUILDING VALUATION ©C'D Mai I i ng Address Telephone No. Fireplace / Contractor C_N (, C-0 GLJ S 7D K& POO Total Valuation Mailing Address (0 C) "()&-(A M, Permit it Fee Fee L Planng Fee&/or Penalty CIA t, C,0 /( 2L Tele hone Permit Fee $ , 0 � Z Building Address V I L D�. PLUMBING No. @ I FEE PERMIT FILING FEE $3.00 C�l Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 p / A. P. No. O ' Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 e Sa) on Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking arcel Plans Declaration Parcel Ma P 60' R/W Improvements provements Lawn sprinkler system 2.00 18g. Plans Recd I Parcel Approval et Pion pprovaI Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 73X00 Main service 100 AMP OR01V OR LESS5.00 Main service EA. ADD -L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ❑ Others® Main service 1 OEAMP OR LESS 25.00 Main service EA. ADD'L too AMP 1.00 ,V�^y.�,}.�+ C • • _- t? I_Pont—NEW NEW CONST. DWELLING OCCUP. & OR ADDNS. ACC. BLOGS. ) 2¢sgft CONITR. MULTI -OUTLET NON.RESID. (BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS & NON•RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the ns Code under the name style�f: State of California Business &Z25 21v' Lev � %� 9`,Vay (_ (_, cul" P 50 Ex. Occup(OUTLETS OR FIXTURES) BA�L@1 FIXED APPLNS. OR Ex. Occup. (OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 8� C- Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ q 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. Workmen's Compensation Insurance. \ I have placed on file with the County of Butte a certificate of 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.1 @ FEEPERMIT FILING FEE J$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 TOTAL PERMIT FEE $ autnor)z% representatives of the County of Butte to enter upon the above- ntioned pro ty for inspection purposes. X Date Signature of Perm it��ttee(�or Agent Receipt No. � =1 0 —7 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/RUBLIC WORKS BY _ Date 0 aiding permit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS .., - 7 County Center Drive — Uroville, California 95965 ' /���% Telephone: 534-4541 (`,::2 APPLICATION AND PERMIT authorize representatives of the county of Butte to enter upon the above-mentioned property for inspection purposes. X 4 Date '-6- 74 Signature of Permitee or Agent G� Receipt No. I 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 e= - Date 'D--6-76 Build Ing permit expires Date BUILDING Owner E - E L OU SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor U IC) ra ay k Total Valuation Mailing Address Q1C L2 Permit Fee Plan Checking Fee&/or Penalty T I phon 1,1, Permit Fee $ Building Address V WA DR- PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 L( Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 /�__�j A. P. NO. �—CC as Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 • I S I aI n FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 ns ec d I Parcel Approval I Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 0 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 c7 -AQjG & f—L�.� (� I Lf– C" Main service i°o°o AMOR LE P ORSLESS 5.00 5,00 p �� ®L Main service oa; ADD'L too AMP 2.50 ,SO Single Family Duplex ❑ Mobil Home ❑ Others ❑ OVER 60 Main service 1100 AMP OR LESS 25.00 Main service EA. ADD'L too AMP 1.00 NEW CONST. DWELLING OCCUP. & OR ADDNS. ACC. BLOGS. ) 20sgft NEW CONSTR. MULTI.OUTLET NON.R ESI D. BRANCH CIRCUITS) 2.50ea NEWCONSTR. /POWER APPARATUS & NON .RESID. %SINGLE OUTLET CIR. 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: / �� ® tJp VY -2v�E 1r Ex. Occup(OUTLETS OR FIXTURES)50 @25M BAL@1 (FIXED Ex. Occu FIXED APPLNS. OR (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No._5LO'0S`M Classification C`t) Misc. Wiring 6.25 rZ� ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ 5 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. ' ❑ WI have placed on file with the County of Butte a certificate of orkmen'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. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE $7 T tJ r authorize representatives of the county of Butte to enter upon the above-mentioned property for inspection purposes. X 4 Date '-6- 74 Signature of Permitee or Agent G� Receipt No. I 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 e= - Date 'D--6-76 Build Ing permit expires Date