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HomeMy WebLinkAbout007-200-081c �- — 7-:10-61 A.P. 44-38-81 S. G. EVANS SAv #10 San Gabriel Dr., Chico Permit -1292-72B (new --triplex) ..7--20-81 . 7=20-81 1795�Ch KATZ, Myra I 10 San Gabriel Dr ,f units- A, B-,ico i contr: Sierra `Roofing �/ 93 reroof/triplex 1' 7 V 007- Z®' i n s-•:.;, w,,�u•`^',a�Pt ySt�t y$,:*q+y.:«.y... .,, ;.�•.. .y -f.�L :bn�P.�i,#':"�'' ,X `�w p'- r ,r-:Mnra•..i. t:.r.r �4.,asaT�t(z• .,� t -20-8"7 1 `AT92-1795t�. 10 San 'contr:rer reroofofingits A,B,C, Cfiico /t 2 t C�� COUNTY OF BUTTE -*DEPARTMENT OF PUBLIC WORKS PERMIT N0. - 7 County Center Drive - Oroviller California 95965 - Telephone: 916/538-7541 _ t APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER MILW 10� - /11, 4—� l ZONING _,&, BUILDING PERMIT OWNER **'' WM �K TELEPHONE �7�iIG So. FT. OCC. BUILDING VALUATION 20 MOD OWNER'S MAILING ADDRESS M West &xrmlflto, Mico, Ca. CONTRACTOR'S Sierra °4bofinq Co. Tsai -1 4N E CONTRACTOR'S MAILING ADDRESS , 0 BOX 22, QIiCO, U. Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee 'vt $ 45.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS #10 Sm G3briel, NCO, Ca. 04 Permit fee $ PLUMBING PERMIT Filing Fee 115.00 Each Trap 1 5.00 A Solar or heat pump`water heater 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 Triplex SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: 48 St7mms of Caulisition mmif Permit Fee .;r. $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 18.50 200A OR LESS Main service 200A TO IOOOA, 37.50 CONTRACTORS LICENSE LAW " I declare under penalty of perjury (check one): ❑X I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification C 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) Ll I, as the owner, am exclusively contracting with licensed contract -Mobile ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUPM 3.64 sq.ft. OR ADONIS. ACC. BLOCS. // NON.RESID NEW CONSTR. BRANCH CIRCTITS @ 5.00 POWER APPARATUS t1 (SINGLE OUTLET CIR. Ex. OOCUp(OUTLETS OR FIXTURES 20 76 EX. Occup. OUTLETS (RESID )REA.1 I 3.00 Temporary service 1 15.00 ". Home Facilities 15.00 Misc. byirin 9 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. 1 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 'Fili- ng Fee 15.00 Heating . :r 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 consequence of the granting of this permit. X I ''/ 4 Date 5^22-92 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 S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEES HAz I DFEES I 4: RAJ FLOOD I CDF I PARCEL PD HD I ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicSted abovfor which fees have been paid. � b DIRIECT R OF PUBLIC WORKS / By �, Date f Zt �� PERMIT EXPIRES Date ./.Z . ��►.� l!t Receipt No. i0 1� 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 PIT [-(4— -7 ASSESSOR PARCEL NUMBERpA� 0107-:26V -- V Y ZONING BUILDING PERMIT OWNER N�Ta Katz TELEPHONE 342-0876 SO. FT. OCC. BUILDING VALUATION p pp(� (y0 28 S d s 2880.0 OWNER'S MAILING ADDRESS 2062 West Sacrawito, Chico, Ca. CONTRACTOR'S NAME Sierra Roofing Co. TELEPHONE 342-1864 CONTRACTOR'S MAILING ADDRESS PO Box 252, Chico, Ca. Fireplace CONSTRUCTION LENDER COUNTY C,. SUT—, ,_ DEPT. OF UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee 9 $ 15.00 Permit Fee $ 45,00 ARCHITECT OR ENGINEER ' LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS #10 Sall Gabriel, Chico, Ca. Permtt tee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 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 Triplex SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W 1 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 48 squares of CQ7 sition rerrof _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I perjury declare under penalty of p y p er l y (check one): ® I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. 299844 Classification C 39 ❑ 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 Main service 200A TO IOOOA) 37.50 NEW CONST. ( DWELLING OCCUP.9 3.64 sq.ft. OR ADDNS. ACC. BLDGS. // NEW CONSTR U TI.OUTLET NO N..ESID BRANCH CRC., TS @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES20 @ 76 FIXED APLINIS Ex. OCCup. OUTLETS P(RESID.)REA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00Misc. 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. n I have placed on file with the County of Butte Building Department Y� a Certificate of Workmen's Compensation Insurance or a Certificate Of Consent to Self -Insure. ❑ 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 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 Countyof 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 §aid County i consequence of the granting of this permit. X Date 5 -?2-92 Signature pp ❑ Contractor Agent nature of Applicant - caner ❑ 1:1 An OSHAwork 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 S Energy Inspection Fee $ 60 00 OCC CONST TYPE TOTAL FEE $ HAz 1 11 FEES I IMP I FLOOD I COF PARCEL PD HD I ISSUE This permit is hereby issued under the applicable provi- sions sions of the Butte County Code and/or resolutions to do indic dab for which fees have been paid. i R OF PUBLIC WORKS By to29 PERMIT tXPIRES Date Z // Receipt NO. I lD f(,L� WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT PERMIT NUMBER B 1272E L PERMIT EXPIRES OWNER S. G. Evans CONTR: Owner :i JI LOCATION (A.P. 44-38-81 #10 San Gabriel, Dr., Chi co • pl / t a: DATE REMARKS OR CORRECTIONS Ila C7 (� S z�G`C/IJ I�f -4d I1� 7 Zd�J%cr :v�l���r�� i�Zia 000000 03 6c U'OK 4A.r v / 1. J COUNTY OF BUTTE Department of Public Works BUILDING INSPECTION RECORD Zoning Setback Forms p Foundation 0 - 2 Piers & Girders `—� ' l Fireplocel Rgh. Plumbing Bond Beam Lath & Plaster 5�L��� Rein. Steel f _ � Found. Vents Framing - Z I - 72----S Plmg. Topout _ 9- 7,_1- 7 ?i g Rough Elec. - l 7 2-- Pj Wtr. Htr. Furnace- Kitchen Vent 9I-/4- 7 Z IC ' Firewall / - f-' Z Garage Vents % 2/C Sanitation & Water ELECTRIC GAS BUILDING Temporary Te Temporor/� - ��\�--- Cert. of Occup. Final '" �- Final — Finalfz DATE REMARKS OR CORRECTIONS Ila C7 (� S z�G`C/IJ I�f -4d I1� 7 Zd�J%cr :v�l���r�� i�Zia 000000 03 6c U'OK 4A.r v / 1. J COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOR 7 County Center Drive — Oroville, California 95965 / Telephone: 533-1230, Ext. 259 APPLICATION AND PERMIT Owner '- 13 Mai I i ng Address Contractor Mai I i ng Address Building Address A. P. No. �r 0 Fire Zone I Fire Dept. Plans ✓/ Fees W. C.- R/W NEW ® ADDITION ❑ BUILDING SQ. FT. OCC. BUILDING VALUATION 3 016 H � A. /q22 d Fireplace Total Valuation Permit Fee USE OF STRUCTURE Single Family ❑ Duplex ❑ Others ❑ 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: License No. Classification ❑ i am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. FM 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. 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 ab a mentioned propert for inspection urposes. �^ X 31 Date Signa tur of/'Permitee or Agent Receipt No. [ , 2— l4a. s� White-D.P.W. — Pink'Jr(Vpe?aRo; (3Id€fP3'tJ-Ass4Ak5 Yellow -Applicant mi .ELECTRICAL PERMIT FILING FEE Main service incl. 1 meter Additional meters, each Sub -panel (12 or less) (more than 12) Range, dryer or water heater Oven, Cook -top or space heater Light fixtures Receps., switches & fix outlets Hood, Ex. Fan or F.A. Furn. Motor Evap. cooler, gar. disp. or D.W. Air conditioner or heat pump Water pump Misc. wirinq Permit Fee MECHANICAL PERMIT FILING FEE Heating Cooling Ventilation _5�3D 2, ,5 FEE $2.00 1.50 1.50 1.50 1.50 1.50 .50 5.00 2.00 ra � rZt7�7_ ■n7Gl— � ra MI @ FEE $3.00 Permit Fee $ $ Ptate Fee for Str ng Motion $0.07/ 1000 Evaluation n Strumentotion fgrogrom $ $ TOTAL PERMIT FEE $ 2„5W This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Building Permit Expires Date eckiTa-Fee rPenalty Permit Fee -� � PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Zoning Gas piping system 1 - 5 outlets Each additional outlet Planning Building sewer Encroachment Lawn sprinkler system r% -u=m 71 Per 't Fee USE OF STRUCTURE Single Family ❑ Duplex ❑ Others ❑ 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: License No. Classification ❑ i am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. FM 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. 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 ab a mentioned propert for inspection urposes. �^ X 31 Date Signa tur of/'Permitee or Agent Receipt No. [ , 2— l4a. s� White-D.P.W. — Pink'Jr(Vpe?aRo; (3Id€fP3'tJ-Ass4Ak5 Yellow -Applicant mi .ELECTRICAL PERMIT FILING FEE Main service incl. 1 meter Additional meters, each Sub -panel (12 or less) (more than 12) Range, dryer or water heater Oven, Cook -top or space heater Light fixtures Receps., switches & fix outlets Hood, Ex. Fan or F.A. Furn. Motor Evap. cooler, gar. disp. or D.W. Air conditioner or heat pump Water pump Misc. wirinq Permit Fee MECHANICAL PERMIT FILING FEE Heating Cooling Ventilation _5�3D 2, ,5 FEE $2.00 1.50 1.50 1.50 1.50 1.50 .50 5.00 2.00 ra � rZt7�7_ ■n7Gl— � ra MI @ FEE $3.00 Permit Fee $ $ Ptate Fee for Str ng Motion $0.07/ 1000 Evaluation n Strumentotion fgrogrom $ $ TOTAL PERMIT FEE $ 2„5W This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Building Permit Expires Date 1 )-,7 2_-7 Z13 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Orovi Ile, California 95965 Telephone: 533-1230, Ext. 259 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date rS''_1�'" Signature of Permitee or Agent Receipt No. — White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -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 --1 - Date5>'-1 — % Building ermit Expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Fireplace ContractorTotal 04 Z Valuation Mai I Ing Addressei Permit Fee Plan Checking Fee &/or Penalty G Permit Fee $ Building Address# Q PLUMBING No. @ FEE PERMIT FILING FEE $2.00 1 oa Each Trap 1.50 v —14 Repair drainage or vent piping 1.50 Water piping 1.50 EachVs water heater or vent 1.50 A. P. No. — 3 -- g Zoning Gas piping system 1 - 5 outlets 1.50 a Each additional outlet .50 Fire Zone Fire Dept. Sanitation Planning Building sewer 5.00 ---Plans _ Fees ✓ W. C.►✓ I R/W I Encroachment Lawn sprinkler system 2.00 NEW ADDITION ❑ OTHER ❑ Permit Fee ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 - USE OF STRUCTURE Single Family ❑ Duplex ,W Others=Ea— Sub -panel (12 or less) (more than 12) Range, dryer or water heater 1.00 Oven, Cook -top or space heater 1.00 Light fixtures Receps., switches & fix outlets 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Misc. wiring License No.,2fo I f Z �o Classification C , 1!n ❑ 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. 1:1 I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. Z]� CEcertify 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 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 jjPermit Instrumentaoi $�rrpn groonion $0.07/$1000 Evaluation $ TOTALY PERMIT FEE $ p0 �r authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date rS''_1�'" Signature of Permitee or Agent Receipt No. — White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -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 --1 - Date5>'-1 — % Building ermit Expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 533-1230, Ext. 259 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date 2 '� Signature of of Permitee or Agent Receipt No. -7 '- -3 — White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -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 r� By Date_ GF ' 2 Building P rmit Expires Date BUILDING Owner G SO. FT. OCC. BUILDING VALUATION Mailing Address Fireplace Contractor Total Valuation Mailing Address— Permit Fee Plan Checking Fee &/or Penalty Permit Fee $ $ Building Address © PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Ca Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. —3 — I Zoning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .50 Fire Zone Fire Dept. Sanitation Planning Building sewer 5.00 Plans Fees W. C. R/W Encroachment Lawn sprinkler system 2.00 NEW ADDITION ❑ OTHER ❑ Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter a� Additional meters, each Z 1.00 dd Sub -panel Cf -2. less (more than 12) 00 USE OF STRUCTURE Single Family FmAr Duplex❑ Others ® Range, dryer or water heater 1.00 Oven, Cook -top or space heater 1.00 Light fixtures bgI [di , R& ., swMb es & fix o 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 f: r gem -!kS •l t C IA1�T L,"t Hood, Ex. Fan or F.A. Furn. Motor 1.00 3,4) Evap. cooler, gar. disp. or D.W. 1.00 co Air conditioner or heat pump Water pump v Misc. wiring License No.y740,arl Classification 6— I I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 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 $Permit In5t umentatti for $irpn 9 Motion $0.07/$1000 Evaluation $ TOTAL PERMIT FEE $ O authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date 2 '� Signature of of Permitee or Agent Receipt No. -7 '- -3 — White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -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 r� By Date_ GF ' 2 Building P rmit Expires Date Z A % �— COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 533-1230, Ext. 259 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. t X� Date �v Signature of Permiittee or Agent Receipt No. qer! `2 ? 3 — White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date _ 22— Building 2— Building Per it Expires Date BUILDING Owner 4ZE 1-z SQ. FT. OCC. BUILDING VALUATION Mailing Address Fireplace Contractor cr Total Valuation Mai ling Address _ Permit Fee Plan Checking Fee &/or Penalty Permit Fee $ $ Building Address O PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 eo ` U Repair drainage or vent piping 1.50 WaterP� 9 i in 1.50 P Each gas water heater or vent 1.50 A. P. No. Zoning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .50 Fire Zone Fire Dept. Sanitation Planning Building sewer 5.00 Plans Fees I W. C. R/W Encroachment Lawn sprinkler system 2.00 NEW ADDITION ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00— Main service incl. 1 meter Additional meters, each 'Z 1.00 v° USE OF STRUCTURE Single Family ❑ Duplex ❑ Others Sub -panel (12 or less) (more than 12) 4. Fro Range, dryer or water heater 1.00 cx:) r Oven, Cook -top or space heater 1.00 Light fixtures (A, Receps., switches & fix outlets 2 6,20 CONTRACTORS LICENSE LAW 1 am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: ff VLc �4A5. 1�,_��tn�Tr—, Hood, Ex. Fan or F. A. Furn. Motor 1.00 C.50 Evap. cooler, gar, disp. or D.W. 1.00 oo Air conditioner or heat pump M Water pump Misc. wiring License No.1_49// Classification C �� ❑ 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. gi I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation 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 S5Permit Insr umeenro°i $�rrDn g Motion$0.07/$1000 Evaluation $ TOTALY PERMIT FEE $ S authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. t X� Date �v Signature of Permiittee or Agent Receipt No. qer! `2 ? 3 — White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date _ 22— Building 2— Building Per it Expires Date r� Z -2 Z /?j COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telepl orie: 53�-1230, Ext. 259 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property 'Afor riinspection purposes. X �' vVG� Date f^,P2-7 Signature of Permitee or Agent eceipt No. — White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date _t6-22_ Building 4rmit Expires Date BUILDING Owner �f SQ. FT. OCC. BUILDING VALUATION Mailing Address Fireplace Contractor Total Valuation k Mai I ing Address S— AAaA4q Permit Fee Plan Checking Fee &/or Penalty v Permit Fee $ $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 /`' Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 _� O _ O A. P. No. Q o Zoning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .50 Fire Zone Fire Dept. Sanitation Planning Building sewer 5.00 Plans I Fees W. C. I R;;_Encroachment Lawn sprinkler system 2.00 NEW ADDITION ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) USE OF STRUCTURE . Single Family &— Duplex ❑ Others Range, dryer or water heater 1.00 t Oven, Cook -top or space heater 1.00 Light fixtures Receps., switches & fix outlets Emi� 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 ofQ� �' Hood, Ex. FanorF.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mi sc. wiring License No. U0 !!6 7 Classification ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. (I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. r -1I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating/�fJ� 44 Cooling 114 019, 17, Ventilation Fee $ f,� $ 3, G!� 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 relatinq to buildinq construction, and hereby SjPermit Insfrumenrati ntr�n q Motion$0.07/$1000 Evaluation $ TOTALt PERMIT FEE $ �j3 ®� authorize representatives of the County of Butte to enter upon the above-mentioned property 'Afor riinspection purposes. X �' vVG� Date f^,P2-7 Signature of Permitee or Agent eceipt No. — White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date _t6-22_ Building 4rmit Expires Date