Loading...
HomeMy WebLinkAbout007-330-025sf� 7 ohn Drake �'`-./�� 474�Waterford Dr., lot 6 Joshua. ``'Tree��2;, Chico - Permit *it-1864-78B(new single family) ._ Permit #2379-78BCi-nstall fireplace/SF) Permit #2416-78B(add covered at SF) - - - -- Contr: Christian & nson Permit #6656-78 sprinkler sys)S Permi�o-,5°358-80B(lst & .2nd renewalvi r868 ) 0-025 01-1403 OLDS, Dorothy -474 Waterford Drive, Chico Cont: Baird Roofing `O Reroof/SF , �� f r I sf� 7 ohn Drake �'`-./�� 474�Waterford Dr., lot 6 Joshua. ``'Tree��2;, Chico - Permit *it-1864-78B(new single family) ._ Permit #2379-78BCi-nstall fireplace/SF) Permit #2416-78B(add covered at SF) - - - -- Contr: Christian & nson Permit #6656-78 sprinkler sys)S Permi�o-,5°358-80B(lst & .2nd renewalvi r868 ) 0-025 01-1403 OLDS, Dorothy -474 Waterford Drive, Chico Cont: Baird Roofing `O Reroof/SF , �� f COI, T ,OF BUTTE DEPARTMEN -1�0F PUBLIC WORKS 4695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway -and Elliott Road,.Paradise — Phone 877-3435 \ - �.i CO RECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection' indicates that the following violations of County Ordinance exist at the above:, address and should be'corrected: Please' notify thisjoffice When correctionork•is completed. If,you have any question per to this matter, or nee t�a[ explan ion p se c ntact this* ffice immedi tely. nspector HERSET RRnn COMPANY i!e LICENSED CONTRACTOR Phone: 342-4764 P. O. Box 3506 — Chico, California 95926 INSULATION (Batted or Blown) 1 pr Date THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT ENERGY REGULATIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: Street Lot Number Tract No. EXTERIOR WALLS, Manufacturer M Clj= Thickness/Type R Value CEILINGS Batts: Manufacturer Thickness R Value Blown: Manufacturer Thickness /*---NO.Bags A102 -d Wt./Bag Sq. Ft. Covered � R Value FLOORS Manufacturer Thickness/Type R Value SLAB ON GRADE Manufacturer Thickness/Type R Value Width'of Insulation Inches FOUNDATION WALLS Manufacturer Thickness/Type R Value GEN L CON R T ` � 0QA LICENSE NUMBER ©(�W'j�yf BY T T/LE DATE l+� �+n INSULA ON C NTRACTOF�/���l��VQQ+7�-. LICENSE NUMBER '� V 9 S B TITLI' `"',v — DATE /� SAVE ENERGY - INSULATE! (DATE) ACCEPTED H SETH OMPANY (Authorized Representative) Raild-I ng Do r F;RCIM —Rj S-awaga ard/or I.-Iatl -and/or Add -t' on "I J. D. Drake Ooshua, Tree II C-unar i -O n Pl—=-ns are app.roved for: Fcld up Final for: Fina? Clearance OK for: Clearance is.forthe foll.e-.---inF C9 (—f6 2) 63 101 -,-102 103 .Type of Llwellin— ','.Bd ROOM 3 Bd. Room 3- Bd. Roo-im 3 Bd. Roca, Ed. 11, U%: n" 3 Bk), J7 -k to om 3 Bd. Loom 3 Bd - Room Sri; o Y- Witer Supply x water Su -.--ply Wat-er Su . Ooly T on Mojave Driva Flo -lave Driva Flo-laya Dri-tra Ploj3-,r.3 Drive o I-onado Way I-lojave Drive Flojave Drive Yoiave lirive V us to I iTl PERMIT NO. 1864-78B PERMIT E41RECW/v OWNER Ahn Dratikei jCONTR- ower 44�2`53-73 t I r �LOCATION (A.P. v 474 Waterford Dr., lot1�1 Joshua Tree#2, Chic( Temp. Power Pole Called PG&E Temp. Elec. Serv.7?-� J)IN Called PG&E Temp. Gas Serv.// Called PG&E Jog FIND (Date) (Signat e) COUNTY OF BUTTE. — DEPARTMENT QF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUI ING (Cont'd) PLUMBING Setback — Firewall Sol[ Piping Forms Para atr—' 1st Floor Main Bldg. Restroom F-iai ft — 2nd Floor Footings / — Windows 3rd Floor Slab Roof Sheat Water Pi in -r Piers Roofing V, Sewer Garage Fdn. Vents—' Fixtures Footings Stemwall Garage Vgage--- Insulation Water Htr. Heaters Slab Car Carport Footings Prov. for&hyjJCaLLV handica e Conformance of ex. structure Appliances — Gas Piping &Test —�� CZiL Temp. Gas T Slab Final 1 San i telien------ Patio F PL CE Final Footings Footing E E R AL Masonry Walls Throat Rou h Rein(. Steel Final Fixtures Bond Beam R EIPJ9 INKLERS Mom Framin "` Test Water Stucco Final Subpanels MECHANICAL Grd. Fault Prot. Scratch Heatin Service Brown Cooling Temp. Pole Finish Ducts 5� Underaround Door Closer Final 7 y Final MOBILEHOME UTILITIES ------------------ Elec" Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEH IME INSTALLATIQN - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping REMARKS OR • • �m�` 4aiif� • / /O-Z-y-po (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PET NO - 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT r ASSESSOR PARCEL NUMBER ZONING + BUILDING PERM' O OWNER TELEPHONE SQ. FT. OCC.1 BUILDING VALUATION OWNER' MAILING ADDRESS i G CONTRACTOR'S NAM ! TELEPHON�EE U CONT ACTO S MAILING ADDRESS C NSTR U��N�� UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit F eZ Q $ �j ARCHITECT OR F.NGINEEE. LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUB VISION NAME 4 PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New F1 Addition Re odel❑ Utilities❑ Installation❑ 'Other �sT ��F�/£ic%�1�/- — Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filin Fee 3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONS. DWELING OR ADDNST ( ACCLBLDGS.CCUP,&� 22 sq ft 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 Professions Code and my license is in full forg and effect. r7 !�u1 License No.? "�T 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 NONNFW-RESID R BRANCH CIRCUITS 2.50 ea NEW CONSTR. (POWER APPARATUS &1 NON-RESID. SINGLE OUTLET CIR. / S0@25c Ex. Occup(o OR FIXTURES gqL@lOt IXED A EX. QCCU FIXED APP LNS. OR p•(0UTLETS IRESIDJ EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 3.00 WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 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 2.00 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against I Co my in co equenc f the granting of this permit. X Date 2 Sign ure of ACIXont — Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 33stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PO ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIR CTOR OF PUBLIC By PERMIT EX e���i.// the applicable provi- resolutions to do fees have been paid. WORKS Dat &G -,22—if d Receipt No./;7/q,75/ WHITE-O.P.W., YELLOW -ASSES OR, PINK -INSPECTOR, GOLDENROD -APPLICANT ki COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS • 7 County Center Drive Oroville, California 95965 .y . Telephone: 534-4541 APPLICATION AND PERMIT aumonze representatives or ine county or tsurie to enter upon the above-mentioned property for inspection purposes. X Date e/ " %%e78 Signature oe e or Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR O"UBLIC WORKS C( -a1 — i lding permit expires Date 7 BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Q Mai I Ing Address O 16° 0 .1 hone GO ° o Contractor Mailing Address Fireplace Total Valuation (� ° Telephone No. Permit Fee J 1 00 Building Address r ° Plan Checking Fee Vor Penalty Permit,Fee Q( PLUMBING No. 4 FEE PERMIT FILING FEE $3.00 Each TraD 1.50 --[� Ing Ywificati n Only. Repair drainage or vent piping 1.50 A., P. No. 3 —7 OAT %` za Water piping 1.50 Each gas water heater or vent 1.50 F/s I W,-- S n tion Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration - I a cel Map 60' R/W I Improv ents Each additional outlet .30 Building sewer 5.00 ec /197 ~ Par A ,oval ill, Plans Approval awn sprinkler Lsystem 2.00 p y 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 (900 Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD -L.100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW LING O OR ADDNST % ACCLBLDGS.CCUP. S� 20sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business 81 Professions Code under the name style of: NEW R.S , MULTI-OUTL T IRI TS 12.50ea NO N.RESID BRANCH CCU NEW CONSTR. POWER APPARATUS 6 NON.RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRES 5B L2; XED APPLNS. OR x. CCUp•OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License- No. Classification Misc. Wiring 6.25 NI 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 � ermit 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 $ bC TOTAL PERMIT FEE $ f b aumonze representatives or ine county or tsurie to enter upon the above-mentioned property for inspection purposes. X Date e/ " %%e78 Signature oe e or Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR O"UBLIC WORKS C( -a1 — i lding permit expires Date 7 %J051-1UA TREE _ SLI5+D[VIS /ON uN1T 1 2. NOTE.—All. Mcterials & W.orkmnnshi,p Shc,ll Be in -AcdorAnnCe t 771, R nI-• M.- *-7r' i 0;11 •i 'J,.,,, -,.L* s i5 and of a qunl;fv n,•p- -:+ -1 .i;�, C.,:_ �,� ,� a Uniform Builth �. "_ t se in 'he the Naiional Ele a+ Cedes and ;y , . 75, OCJ /I ri i nis set of pi 'ns• . nd spu .itications MUJI e5. 601':4 <ept on the job t. ,!! tim--�s nd it i's un?Fav=I.i! tc 'na a c,nv c;i„rl s'or a t^ratio-ns on stm4.+{t ion written pvrmisso M,.f -6m ' e De artmen't of ,''Pub.l:". Works, County c tte. Septic system and focation of :bu•ild- ;, ing drain siub=out 'to'• be as per, County health 'Dept• `:. IgUjrem.ents. � s ki( The Bldg. Setbac �'shall'be t. from.the N 1 side property linand '0 f from the 1 M of the r %_.ad, permi 1i irig a maxi- +...... i �, 2 oyerbang but entir'ely . IT out of all ecsern ants. �1 r,,'aster Plan on,t le for building ' LBUTTE'S OUNTY i ! 3UILDIaNG A EPARTMENI APP VED 75. ov a ZOO. ' �' MA COUNTY OF *TE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Orovi Ile, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT aumorize represemaxives or the Lounty or tsutte to enter upon the above-mentioned property for inspection purposes. y ie ukg�4F. Date 0'-� Sig a rea of Permitee or Agent Receipt No. J 7VZXZ 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 LIC WORKS By 6Date Weng permit expires Date �'��� BUILDING Owner z SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Mailing Address �� Fireplace Total Valuation - Telephone.No. Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE < G PERMIT FILING FEE $3.00 Each Trap 1.50 L— G Repair drainage or vent piping 1.50 A. P. N0. if--�%� �- Zoning &Planning Water piping 1.50 Q Each gas water heater or vent 1.50 IsWl<Sea*4a"n FireDept. ire Zone Use Permit Gas piping system 1 -5 outlets 1.50 v EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 814, P4 -errs -4k -rd Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ Z 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 ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V26� 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNS. ( ACCLBL GSCCUP. S) 22sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: ,ppCcL n .!Yi -e &olw�6 � NEW CONSTR T NON.RESID ( BRRANCANCHH CIRCUITS) 12.50ea NEW CONSTR. (POWER APPARATUS 8 NON.RESID, SINGLE OUTLET CIR, Ex. OccuD(OUTLETS OR FIXTURES 5 L�j FIXED APLNS. Ex. Occup. ( OUTLETS P(RESID )REA) - 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 G _ License No. Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of -Cali fomia. 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 W men's Compensation. / l have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ C aumorize represemaxives or the Lounty or tsutte to enter upon the above-mentioned property for inspection purposes. y ie ukg�4F. Date 0'-� Sig a rea of Permitee or Agent Receipt No. J 7VZXZ 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 LIC WORKS By 6Date Weng permit expires Date �'��� COUNTY OFAFIUTTF,�. — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 (/^�//9 APPLICATION AND PERMIT authprt'ze-r-epresentatives o e County of Butte to enter upon the jabore-eraidned pr perty f r in ection purposes. Date • ignature of Permiitee or Agent Receipt No. , 1/ ,V/te» 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 UBLIC WORKS By Date Building permit expires Date BUILDING Owner �2 `� SO. FT. OCC. BUILDING VALUATION Mailing Address 1.12 z0 �7 7 el e hone No. Contractor Mailing Address Fireplace Total Valuation O0 Telephone No. Permit Fee Building Address �� / L �! PIanCheck ingFee &/orPen aIty Permit Fee 0i PLUMBING No.1 @ I FEE PERMIT FILING FEE $3.00 Each Trap 1.50 r Repair drainage or vent piping 1.50 G y A. P. N _45J —7 21-;-r Zoning& Planning Water piping 1.50 Each gas water heater or vent 1.50 s Sa A"�on Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans I Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 B Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER,0 permit Fee $ is — ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ' Main service 600v OR LESS5•00 100 AMP OR LESS Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 OV AMP OR LESS O Main service OVER e 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST V ADWECCLBLDGS.LING CCUP. Y) 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR BRANCH C1R T NON-RESID; � BRANCH CIRCUITS/ 2.5.Oea NEW CONSTR. POWER APPARATUS B NON.RESID. SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXT11RES 5 i� FIXED A Ex. OCCup. ( OUT ETS PLNS (RESID.)REA) 2.00 Temporary service 110.00 Mobile Home Facilities 15.00 Li se No. Classification Misc. Wiring 6.25 InI 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. V1h e placed onfile with the County of Butte a certificate of men's Compensation Insurance. rtify that in the performance of the work for which this 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 MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilationpt Hood 1 2.00 Permit Fee $ Land Development Fee $ $ TOTAL PERMIT FEE $ 06 authprt'ze-r-epresentatives o e County of Butte to enter upon the jabore-eraidned pr perty f r in ection purposes. Date • ignature of Permiitee or Agent Receipt No. , 1/ ,V/te» 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 UBLIC WORKS By Date Building permit expires Date I =`/GoO2 NOTE:—ATI Materials & Workmanship Shall Be in Accordance with Recognized Good s'ractices and of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Codes and the National Electrical Code. This set of plans and specifications MUST be kept on the job at all times and i` is unlawful f- -make any chencr or cltercticns en same withou'. writiten permission from th' Department of Pul lic Works, County of Butte. IACK A. BURMAN & ASSOCIATES v{ F— I o 0 0 /?"FT6 , The Bldg. Setback shall be 5 ft. from the Side property line and 50 ft. from the centerline of the road, permitting a maxi- -- mur --or-a -2-ft. -e-ave overhang but entirely 'o;—all was m fis: --- 8f�a�'6-7�' BUTTE COUNTY 3UILDING DEPARTMENT APPROVED SWI- iNG DESIGNERS Zzj 7� i i?i , No, 124 5 __-_ -• =ISSN//.4 T �f 1f - el Vol sc•e4-- �s�,r��so�r_P. C 48 JA �4 �owGY XGA M = - _. E SZJAo, v/S0A/ Z.YZ.1 -- - sem- .1 -- COUNTY O.F-BUTTE — DFPAR,TMENT OF PUBLIC WORKS County Center Drive' — Oroville, California 95965 " Tel ephone: 534-4541 APPLICATION AND PERMIT cp�lj�a� Affity . y A/ oture of Permitee or Agent - r i- 7YAd � By �%L( Date Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date _� 7 im BUILDING Owner CE SQ. FT. OCC. BUILDING VALUATION Mailing Address �J f/y� �' P ,1- EI �10f1p•1y.�. �J `ryil'rffY . Contractor(/[/ Mailing Address Fireplace Total Valuation Telephone No. Permit Fee , p Building Address �% Plan Checking Fee&/or Penalty Permit Fee p S O PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 / y Repair drainage or vent piping 1.50 A. P, o. _. Zoning 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 es S on Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Ions Recd Parcel royal PIa royal Lawn sprinkler system 2.00 NEW ❑ ADDITION UTILITIES ❑ OTHER ❑ Permit Fee $ $ t2za<p S �' d` �� ELECTRICAL No.1 @ I FEE PERMIT FILING FEE $3.00 00V OR L Main service 10000 AMP ORSLESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS EA. ADD -L 100 AMP 1.00 Main serviceNEW CONS// OR ADDNST l ACCDWE• B LOGS.LING CCUP. 4122sq ft 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: NON -REBID (MULTI-OUTLET NEW R S,.r BRANCH CIRCU BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS B NON-RESID. SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXT11RES g @jOJ Ex. Occup. ( OUTLETS P(RESID IKEA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Licpi1se No. Classification Misc. Wiring 6.25 1 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 rkmen's Compensation Insurance. 1. certify that in the performance of the work for which this prmit 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 author' resentatives of the CouWy of Butte to enter upon the abov-menti o ed property for inspe ion uiposes. Land Development Fee $ TOTAL PERMIT FEE 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. nlnCn Tnn r4n- nl lol In ��rnn vQ A/ oture of Permitee or Agent - r i- 7YAd � By �%L( Date Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date _� 7 im • COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned Jproperty for inspection purposes. 4�.w i�-I��%G�ar� Date 8 Signature of Perm' ee r A n Receipt No. - White-D.P.W. - Yellow -Assessor - ink -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. Di,RECTOIR.OF PUBLIC WORKS By Date If avi4d+" permit expires Date BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Mailing Address L.,;,`c Fireplace Total Valuation relephone QU t L Z5- [!I SFr �� No. _ • 7 y Permit Fee Building Address Plan Checking Fee &/orPenalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 esu 10524,io dam — ` /cc Repair drainage or vent piping 1.50 73 /IRoA A. P. No. C Zoning & Plannin g Water piping 1.50 Each gas water heater or vent 1.50 Fees vwG. ft it� Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Parcel Plans Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 /1-'51 l / ia{SReT Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ Lc3c%t.�tC 4z2,A,t (o�% �% ELECTRICAL No. @ FEE PERMIT FILING FEE J$3.00 p Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family 59Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 ' Main service OVER 600v 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DW UP. Y OR ADDNS. AC . ) 2¢sgft 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 of: NEW ESID_ONSTR ULTI. CTL T NEW. � BRANCH CIRCUITS) 12.50eja ..NON NEW CONSTR. (POWER APPARATUS a NON-RESID. SINGLE OUTLET CIR. Ex. OCcuo OUTLETS OR FIXTI1RES 50@25 FIXED APPLNS. OR Ex. Occup. (OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 3Gf ?6 f Classification C—/6 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 0 $ 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 PWokmen's Compensation. ave 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 -1 @ FEE PERMIT 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 Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned Jproperty for inspection purposes. 4�.w i�-I��%G�ar� Date 8 Signature of Perm' ee r A n Receipt No. - White-D.P.W. - Yellow -Assessor - ink -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. Di,RECTOIR.OF PUBLIC WORKS By Date If avi4d+" permit expires Date COUNTY OF BUTTE — DEPAR`f.MCNT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT . 1�� /z", authoriz re resentatives of the County of Butte to enter pon t e above- enti ned property forL�-Co ion purposes. /( X , LD1` �- I1� Date Signature of Permitteee or Agent ��Receipt No. � -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. DITO F PUBLIC WORKS 74By Date he _3*Rdtng permit expire Date 4/ BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor G c C CL£LG�,,1o� T ��Mailing Address � Z FireplaceTotal Valuation CjTelephone 491 No. Permit Fee Building Address Plan Checking Fee &/or Penalty Permit Fee /1 PLUMBING No.1 @ FEE ` PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 �/ A. P. N9,. yY © 3&13ZA Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F s NFA GaR4a4ion Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Plans I . Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Btdg.-P­4e�d I Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITI.ON ❑ UTILITIES ❑ OTHER Permit Fee $ $ — 77 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Single Family Duplex ❑ Mobil Home Others ❑ Main service e00v OR LESS 100 AMP OR Less 5.00 Main service EA. ADD•L 100 AMP 2.50 ll CLEC IIER Main service 00 AMP oR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. OR ADDNS. ( ACCLBLDGS.LING CCUP. Yl 22sgft / CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR. BRANCMULTI-OUT LET NON-RESID. ( BRANCH CIRCUITS 2.50ea NEWCONSTR. POWER APPARATUS a NON -RESID. (SINGLE OUTLET CIR. EX. OCcui3(OUTLETS OR FIXTIIRES 1 E3 250 FIXED APPLNS. OR Ex. Occup. (OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 c •� �� ���, � �, � �. 0C, q Mobile Home Facilities 15.00 License No. M_S /Z�) Classification C—Z6 Misc. Wiring 6.25 ❑ 1 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. ❑I certify that in the performance of the work for which this, permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 (Jv Heating Cooling Ventilation Hood 2.00 Q v 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 StateAaws relating to building construction, and hereby fv TOTAL PERMIT FEE $ a(9 O $ authoriz re resentatives of the County of Butte to enter pon t e above- enti ned property forL�-Co ion purposes. /( X , LD1` �- I1� Date Signature of Permitteee or Agent ��Receipt No. � -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. DITO F PUBLIC WORKS 74By Date he _3*Rdtng permit expire Date 4/ COUNTY OF BUTTE _ ,,,,, ,•� DEPT. OF PUBLIC*WOBKy u .! MAY 3 1978 Art] PP1. -- _. _... _... _ i. R COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authMW_�V�e*w_Date sentatives of the County of Butte to enter upon the abovd property for inspection purposes. Signature of Permitee or Agent Receipt No. a (S 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. ECTOFLOFAMBLIC WORKS By Date ?� rmi4 expires Date BUILDING OwnerSO. Y C FT. OCC. BUILDING VALUATION Mailing Address Telephone No. 7 w �e Contractor 6 Mailing Address � Fireplace Total Valuation C a 13 T I pal on p( Permit Fee Building Address (�(f 7(� �'j' � r Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trao 1.50 Z, w Repair drainage or vent piping 1.50 2 A. P. No. q - ® S'3 — 7✓ f e e"f 1 Yoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 tees 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 -Blag. Parcel Approval Plans Approval Lawn sprinkler system 2.00 L7� NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER M Permit Fee $ SC) 7.5 r ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 V OR L Main service 80000 AMP ORSLESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( OR ADDNS. ACCLBLDGS.CCUP. S) ZPSgft 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: e—_6W,1,!5 1kws01,3 Cts NEW CONSTRRANCH-OUTLET NON-RESID (MULTI BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUSa, NON-RESID. SINGLE OUTLET CIR. Ex. OccuD(OUTLETS OR FIXTIIPES g L 1� FIXED APP LNS, OR Ex. OCCup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 15)44(, __2Misc. Q 1 Classification G- Z7 Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ .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 y�L Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 Land Development Fee $ TOTAL PERMIT FEE$ authMW_�V�e*w_Date sentatives of the County of Butte to enter upon the abovd property for inspection purposes. Signature of Permitee or Agent Receipt No. a (S 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. ECTOFLOFAMBLIC WORKS By Date ?� rmi4 expires Date ;� -o. .�-, v -•-. —s.. r... ..-5--=:r •y..vt-,.�6�':��x�tl ..-X:+t,::`D�iT^a�^� i'l!•, �yf .. ,._ -^w�.�'.a'4s: r'y ��7„+,��+*VI"il4T•.3.tr, -�.t.. nw-m�s ,r...-�•-,. •,� .. y_ �.r.. ,..4.,,- 1,� J 1 .t � . • ._ t i • - . COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONINGBUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION Gl) t�� ou.w OWNERS MAIUNG ADDrRESS p� �q� �.VF. . - _!z"', L...�• C.L!W CA CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS _ CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ i, . ' XQ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 55. co ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ .5-5. GO LOT NO. SUBDIVMIONS NAME PARCEL MAP PLUMBING PERMIT Filing 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 ❑ Describe Work: a G� ". r �} c Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W Q20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoOA 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. / / License Class r ■ ., „ �� /�i// ( / r , .• Lic. No. 111 / 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. ❑ 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 xooA To +000A 46.00 NEw coNsr.DWELLMIG occuP. 3.52sFT°. OR ADDNS. a ACC..LDS. I. NNON+.R °ES, ID. MULTI.OUTLET @7.50 POWER APPARATUS a sINGLE oVILEr CIR. Ex. Occup. eA� ®':ourtEroRFFIXTURES oOWNER-BUILDER FU(ED APPUJS. OR 5,00 Ex. Occup. ouTLErs F=. EA Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 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. 0 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' compensation insurance carrier and policy number are: Carrier ; i-1/1 2 /11/. 'i / / Policy Number _. I ,. :; 1. -7 (The above sections need hot 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. Xii.`'! t, �/ /�; Date / / V/ Signatur— a pplicent - ❑ Owner MContractor ❑ Agentl An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HA2. D. FEES IMP I FLOOD I CDF PARCEL Po HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. r ` By ��:: 7//,'i: 1 i Date PERMIT EXPIRES ON '.•�' 1C�'� Dafe Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT `L L Y X COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75&4 (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 007-330-025 R-1 ZONING BUILDING PERMIT OWNER DOROTHY REYNOLDS TELEPHONE SO. FT. OCC. BUILDING VALUATION 24 s 1440.00 . OWNERS MAILING ADDRESS 903 KAREN DR., CHICO CA CONTRACTOR'S NAME BAIRD ROOFING TELEPHONE 342-1631 CONTSS RACTORS MIDWAY CHICO CA 95928 CONSTRUCTION LENDER Fireplace LENDERS MAIUNG ADDRESS Total Valuation $ 1 440.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 35.00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS 474 WATER FORD DR. CHICO Energy Plan Checking Fee $ $ PERMIT FEE $ 55,00 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat um 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 ❑ Describe Work: REROOF OVERLAY 24 SQ Gas piping stem 1 - 5 outlets 15.00 15.00 —Buildingsewer Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 20.A 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 Il Jor and effect. �j / J, License Class Lic. No. �l �'S�C��/�� 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. ❑ 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 WORKERS' COMPENSATION DECLARATION I 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' comp satioA Insurance Carr .e nd policy number are: Carrierop Policy Number (The above sections nee of be com leted 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 3 of the Labor Cod I shall forth ith comply with those provisi p X -C ✓ ete Signat f pplicant - ❑ Owner Contractor ❑ Agen An OSHA p it is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DW OR .W OCCUP. SO a ACC. BLAS. 3.5¢F7; CNS. NEW R61ID T. MULTI -OUTLET RANCH CIRCUITS @7,50 POWER APPARATUS a SINGLE OUTLET CIR. Ex, Occup.Oun ET OR FocruREs gA0 @ 1.000 Ex. Occu . DuTTS RsID,LNS°Ea 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEi_ S Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 55.00 HAz. 1 D FEES IMP I FLOOD I COP I PARCEL PD I HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for fees have been paid. y Date 6-12-2001 PERMIT EXPIRES ON 6-12-2002 ate ReceiptNo. 324868 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT