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HomeMy WebLinkAbout007-370-041• ti �10 "0 RYDER HOMES Almond Tree Sub, lot 41, Chico io Permit#7381-79E (temp power pole) - r me por U. 794 Ha 'e Ct.<single 1,q Almond Tree Sub, Chico armit ��529- family) CONTR: Al Dietz Plum g Permit 680=80P (for 52 80) ' Contr: Tony Jess_- P,,O,,F- 'Ch/5 Permit#2691- 44 Contr: -eed Electric, Chico- Pe it#2812-80E (ele/529-80) t -007-370-041 - 02-2 N&ED BURCHAM, MARK ' 794'HALIE CT., CHICO`' RE-ROOF g v i i I }0 007-370-041 39 . } r 02-24 BURCHAM, MARK 794 HALIE CT., CHICO t RE -ROOF • ` i � Y ' 11J COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ` 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 E 1� (Rev. 12/96) n 7 r; APPLICATION AND PERMIT M`� ASSE SORPARCELNUMBER /' ZONING BUILDINGPERMIT D`""E,j' tJi�rc.�� �fIi, /11/1 THO�"-E SO. FT. OCC. BUILDING VALUATION /c /1 OWNER'S MAILING9ADDRESH, 6',f rjd • /1 L e47 0 %, 27 2 2 111 ��, Il. ! i iI CONTRACTORS NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ q00- ov— ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $-2-3-CO ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS1 I* � � l Energy Plan Checking Fee $ $ PERMIT FEE $ L IAT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling 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 gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ublities ❑ Installation ❑j Other ❑/' \ Describe Work: �( roof��Pr l �� C ) Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service ' 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 full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law or the following reason: IV 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 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. ( & ACO. KOS. SG 3.50FT. 1NJO1}RES. MULTI -OUTLET BRANCH CIRCUITS 97.50 POWER APPARATUS & SINGLE OUTLET CIR. Ex. Occup. OUTLET ORFDTTURES 20@'.w BAL @ .SO Ex. Occup. DF: EIDTs RESID.DEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirino 23.00 PERMIT FEE S 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' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) VI 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 Ia s of California, and agree that H I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply. with, those provisions. X yf , ..• Date �iF Signature of Applicant - ❑. Owner ❑ Contractor ❑ Agent` An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL I PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated'a Ove for which fees have been paid. /J ��✓ `�/ �/ By Date (( c PERMIT EXPIRES ON (D19 to) Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 (Rev. 12/96) V70 D APPLICATION AND PERMIT —2i �p ASS ORP ELNUMBER / (.' ZONING BUILDING PERMIT o'" IN /��L � � / SO. FT. OCC. BUILDING VALUATION i 5 ti . 00 . OWNERS MAIU DRESS 1 /,,,fi c�• /} / /,{,_,j(/�[' lv"AV./ll' rV[TL Ohl moi/ iy� � ✓ ! L �J CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 3+ 00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS+_ -� !v(!Jl Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00. TYPE OF WORK New ❑ Addition ❑ Remodel ❑1��Utilities 13 Installation ❑ Other ❑ Describe Work: ,re ' C tl gerI �� �'r Gas piping stem 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 1100V OR LESS Main Service zo.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 full force and effect.POWFii License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law jthe following reason: jar E/ 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 200A TO +000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLD S. SO 3.5¢FT: NOµAOEs - MULTI -OUTLET @7,50 APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 g 1.00 BAL Q .50 Ex. Occup. O.S ag oEl 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self-insure'for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation Vof one hundred dollars ($100) or less.) 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 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 com those provisions. X Date Q 'Signature of App scant - V Owner ❑ Contractor ❑ Agen 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 FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ I MAZ. D. FEES IMP I FLOOD I CDF PARC0. POHD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicate a ove for h fees have been paid. ► n By//4Date PERMIT EXPIRES ON Date Receipt No. D-79//4-6 • WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification'is received.,, I personally plan to provide the major labor and materials for construction of the proposed property improvement: YESD�— NO O I HAVE HAVE NOT C3 signed an application for a building permit for the proposed work. . I have con cted with the following person (firm) to provide the proposed construction: ' NAME: _ _ ADDRESS: CITY' PHONE: CONTRACTOR'S LICENSE NO. 4.. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work_ but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNE . =DATE: G NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER r OWNER BUILDER INFORitiIATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection. you should be aware that as "owner -builder" you are the responsible parry of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors. then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under -limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit. erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. aTiA(6k___1 Mic el C. Vi ira, C.B.O. M ger, Building Inspection NOTE: This Owner -guilder Information is required by Section 19810 of the Cagornla Health and Safety Coda OVER I PER ,71T NO. 529-802 1. lot /ell .', PERMIT EXPIRES Ad Ryder Homes R R. owner TION (A.P. 44-38-1 port. 794 Halie Ct., lot 41, Almond Tree Sub, Chico •3. Temp. PoweYole Called PG&E Temp. Elec. Serv. , Called�PG&E I '�k�- /L Temp. Gas Serv. Called PG&E JOW FINALED (Date (Si nature) THIS IS TO CERTIFY THAT INSULATION NAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT ENERGY REGULATIONS, CAL-IFORN:A'ADIIINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIA. IN -THE BUILDING LOCATED AT: Almond Tree Estates 41 Chico Streetp Number City EXTERIOR MALLS Manufacturer J M Th1'ekness/Type 3 2 R Value 1 1 CEILINGS Batts: Manufacturer J M Thickness 711 R value 22 Blown: Manufactures CT Thickness 2" No. Bags 15 wt./Beg 2 4 Sq. Ft. Covered 760 R Value 22 FLOORS Manufacturer Thickness/Type R value Manufacturer FOUNDATION MALLS Thickness/Type R value Manufacturer Thickness/Type R Value GENERAL'CONTRACTOR LICENSE NUMBER By TITLE DATE INSULA ONTRACTO T ION LICENSE NUMBER 212461 BV TITLE Pres DATE 7-1-80 RESIDENTIAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT Lot 4.1'; Almond Tree Estates, Chico (location) BUILDING PERMIT NO. A. P'. NO. THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: Slab Edge�_ Vitt Fdn. Walls Floors n/A Walls R11 Ceiling/Roof R22 Ducts Circulating Pipes APPROVED HEATER APPROVED WATER HEATER i2/ GLAZING: / Single Glazed Special (Insulated) IzAt CERT. & LABELED WDS. i & SLIDING DRS. WEATHERSTRIPPED DRS. BACK DAMPERED FANS INTERMITTENT IGNITION DEVICES CERT. APPPLIANCES I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED 'IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name Nicholson -Insulation --I (please print) Signature of . Insulation Applicator General Contractor/Owner-Name Signature of General Contractor/Owner State Contractors License No. 212461 please print) Date State Contractors License No. THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. 0 Not Oil, _ X = Not Applicable RESIDENTIAL (Single and Duplex) (blank:) = Not dealt witr,"tiyep ,- Date UNDE LOOA Plans OK exe t N's Date FRAM!Continued ng re uirements-Setbacks-Easements ro y Line Firew&WW-Opgpjnga-` t ain; Soils-Steel-Elec. Grnd.- " Ftg. Depth - - tg., Garage; Soils -Steel- " Ftg. Depth - - -Fire Ply on Ro ang-A!tic.iaaoe5l-Raftetow igPl3rs 5. Stemwalls, Main; Stee l-0lockouts -Wrapped-Slab 52. S' - - 6. Stemwail , Garage; Steel-Blockouts-Wrapped-Slab to Mesh -Drip -Fdn s-Undsrils.ke e s ' a &4—G larea-Glass ction-Sky4ehT5:P&We 1 .W.V.: Fall=Fittings-Test-2 way C/O-Sewor Test Water Pipe; Test-Anchors-Regulator-Seryice Test Card -BI earanc a er a u s. 13 o s -Joists -Vents- Date Card -BI Date Card- Date and -BI • Date Card -Br Date Card -BI Date Card -81 Date Date Card -Bl Date FINAL (Pla OI( except N's Card -BI Date Card -81 Date Date PLUMBING (Permit) OK except ti's i�tevi9t.; -Ac" Comb ` ' 56. Steps -Door & Sidelight Protection -Landings 57. Detector 58. e; Vents -Clearance -Comb. Air -Connector- In Garage; Above Floor -Ducts -Mach. Protection 5&-.9adebm Exiting 15• : T AnchgEA.,Nail Pr -n 1 .; Test -F AncKacs•WaaiiI P 00 _ .I. & Bath Fixtures & Tub Access _ eA_64ec. Trim & Subpanel; Breaker Sizes-Labals Size & An s ails eplace or Stove; Clearances -Hearth J_Elec. Outlets at Wood Panel; Int. & Ext. Card -B Date to I I kMAl-BI Date . Fixt. & Appliance: Grnd.-Air Gap-Cpaking Clearance Card -BI Date Card -BI Date 6 Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's eIrGarage Fire Door: Swing -Landing -Closer A.C. Duct in Garage -Damper dbr-tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-frlech. Protection 2 kture nstormer Clearapc�kr4. Pr ctiefi 2�c. Rec= tac Spacing -Li is itches atDzef� __ Ele Mech. Equip. Li or Location Sized& No. of &oadactors-Stag�.� ec. Receptacles in Garage: Romex Protec. ' 23i�ex Ins ose to Edge -of Stud&&X-d�. nsulation-Foam-Looked in Attic @;VIt%- 2s,Equip. G7 ade up yr/Me�aste and ater 76--G-u-ahl Fails & Deck Construction -Pott Caps 35/1 ApplianoAGirCGits In Kitchen & Co Sze 74n. Vents &Crawl Hole Door -Drainage &Wood -Earth Clearance . Looked under Floor ❑Yes _ J' 27. Rangy Circ. / ga. Cu o A - van Circ. /, / ga. Cu or Al, Insulated Ne al ❑Yes UNo plowing instl Drive es ❑ No; Walks es ❑ No; Planters es El No; Creating Drug. Problems ❑ Yes - Grou ain Dii. ct 7 co; Brown-Finish29Equip. nces; Panels-wlets-Mech.cEquip! 77 . Unit; Discan nect-Clrnces-Brkr. & Cond. Size -115V Outlet 3O?Clothes.Clds'et Light -Shower -Light 7 encs Above Roof; Plbg.-Appliance-Firept.-Clearance to Opn s. 7 ..11; Disconnect, Electrical, Plumbing Card B-1 Card B-1 Date BI Data Date Card -BI Date 8 xt 'or Elac. Trim; G.F.I. Receptacle -Underground 8 tilation throughout House Glass Protection Date MECH ICAL (P t) OK except k's 83 ons om Previou Insp tions 4. G st-Meters T ed; G -Ela c Insul Su ater & Sewer Connected -C/O to Grade -HD Approval mpliance Certificate -Other Certificates 32. V . xhaust ab lation 33 r ndensato n A n ri---�-�_ r�1 15Vroutist- Attic cess - `-BI Card -BI Card -BI Date and -BI Date Date Card -BI Date Card -BI Date arDate Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's Comments at Final: 4&SiLl.& P Mat&4a1-& Antliors- 37. Wafts-aftm-S-N3i 1761, SpLeinr& B�ge g -PI .e -S ' 34r -.Dr a top in Wvfls (rat proof) 4'8!Fire6re�F Ceil' s -St it C4as2s-TbH/ ' d1.rHeaSer-8 Baaa�Sr Be�®.� Ha s os s Ancbara-Corm dors • 4ta!CInQ,feisC- f es -Pu g-Rpo..Bfac.-Tru -Shth .-R�g! gyAttia.Aee�ss; S4w-& R6mt3'.CProtection-Db1r,op-InsARaffals- 4a►H�(drm. W'n or Exitinf44c MT 5ilL4$q,1r& Dia%neeons G. ire Prpt6etffn Fra ' UNDER. LOOR , Permit Igo,,S —p c 1 Plans 2 S -Eas �nts- 4-.-"'Soils--Fo'ot:ings & Stem all--/ /" `Fill R",.i- red- =Steel -Block-outs--Elec.Ground (4 Pie -s --Fireplace Footing: & Steel 5! / Pl ,bing--Drain--Fall-Fittings--:•Trapped in Concrete _ 42" test/ / Gas Pipe --Size & Test _ I -later Pipe --Test & Anchors --Regulator Electrical _ 9,1 Plenurs & Ducts --Clearance- :Material & •SU sort & Insulation Girders--Sibs--Anchor Bolts--Joists--Vents-=Cripple.:: FRAMING Permit r:o.J� Plans �y 2. Sills --Proper Material and Ancz-ors 3. Walls---Studs--Nailing & Spacing; & Bracing --Plates 4. Bearing Walls over Girders & Floor Nailing 5. Draft Stop in Walls (rat proof) _ 6. Fire Stops --Furred Ceilings--Stairs--Chases--Tub 7. Header & Beam --Size & Bearing: 8. Hangers --Post Caps--Anchors--Connectors 9. Ceiling Joists, Rafter Ties, Purlins, Roof Bracing, Trusses, Sheathing, Roofing 10. Fireplace Ties or TX2e A Flue --Fireplace Throat'. 11. Attic Access --Size & Romex Protection 12. Bedroom Windows or Exiting Doors --Sill lIg & Dimensions 13. Garage Fire Protection Framing - 14. Area Separation Walls --1 hr. Fire --2 hr„ F4�:re 15. Ext. Doors --One 3' - Check Garage 16. Stairs—Width, Headroom, Rise, :Run, Landin& -F ire Protection 17. Plywood on Roof Overhang--Atti-c Vents--:Ra-t:er Outrigbers 18.-Siding—Nailing—Veneer 19. Stucco Mesh, Drip Screed & Foundation Vents & Underfloor Access 20. Glass Protection if required COUNTY OF, BUTTE — DEPARTMEN-I- OF PUBLIC WORKS BUILDING INSPECTION RECORD BUDJNG BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Tarapets 1st Floor Main Bldg. Restroom Finish- +? 2nd Floor Footings Windows. 3rd Floor Stemwall Siding — To out Slab - Roof Sheathing Water Piping Piers Roofing. Sewer' Garage "` Fdn.' Vents Fixtures Footings Stemwall Garage •vents. _ Insulation Water Htr. Heaters Slab Carport- Footings Prov. for ph handica edy sically Conformance of ex. structure i' Appliances Gas Piping & Test Temp. Gas Slab Final ' ';- Sanitation Patio FIREPLACE • Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final ' Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch - Heating Service Brown Cooling J a Temp. Pole Finish ' Ducts Underground Interior Lath Ventilation Permanent- Door Closer Final Final MOBILEHOME UTILITIES ---•--------------•- Elec- Service +-; Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) (11 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 at Telephone: 534-4541 j (- �%� APPLICATION AND PERMIT (J/ uutnonce repro tat)vts of ine %,ounty of tsutte to enter upon ine above -m 'on roper y for inspection purposes. X Date ` v Signature of Permitee or Agent Receipt No. S(4-733 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. DIRECTOB4OF PUBLIC WORKS By Date- 7'� Building permit expires Date _ � BUILDING owner Ryder Homes SQ. FT. OCC. BUILDING VALUATION Mailing Address P.O. Box 4008 O Walnut Creek, Ca. 94596 (415) �V-4173 2 10 Co 1614 / 2 1( 512- 12Contractor ContractorOwner Mai I i ng Address Fireplace Total Valuation Telephone No. Permit Fee Building Address A- _ Plan Checking Fee &/or Penalty Permit Fee S j Chico PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 fP1 qn , % Ot Pr 7VTP S Repair drainage or vent piping 1.50 A. P. No.LI 1j $_1 Port ��� Doing B rPfannin9 Water piping 1.50 Each gas water heater or vent 1.50 F s I WS Fire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Pa Ing Parcel sans Declaration Parcel M 60' R/W Improvements p Each additional outlet .30 Building sewer 5.00 Bldg. Plans Rec'd Parcel A royal Plans Approval Lawn sprinkler system 2.00 NEW ❑X ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ 2/ Z - ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600 VAMOR MP ORSL ESS 5•00 Single Family 0 Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L too AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service/ EA. ADD'L 100 AMP 1.00 NEW CONSTR ADDNS. \ ACCLBLDGS.CCUP. 4\ 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: Ryder Homes NEW CONSTR MULTI .OUTL T ....RES,BRANCH CIRCUITS)i 2.50ea NEW EW CONSTR. (POWER APPARATUS e NON.RESID. SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTIIRES B L�; FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 3 %4650 Classification B-1 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit 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. 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 Is .00 TOTAL PERMIT FEE $ �j uutnonce repro tat)vts of ine %,ounty of tsutte to enter upon ine above -m 'on roper y for inspection purposes. X Date ` v Signature of Permitee or Agent Receipt No. S(4-733 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. DIRECTOB4OF PUBLIC WORKS By Date- 7'� Building permit expires Date _ � COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 F Telephone: 534-4541 APPLICATION AND PERMIT E� authorize representatives of the c;ounty of t3utte to enter upon the above-mentioned property for inspection purposes. X r! -.�e� Date,�--f3 -qe SignatureoofP�e^r7mit r Agent "�eT L Receipt No. 757- 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. DIAOECTOR OF PUBLIC WORKS By ` Date Building permit expires Date �/ BUILDING Owner ass? 14f SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor �L D /,E r,2 PLigG Mailing Address r I Ao,t(-72s Fireplace Total Valuation ^� Ba7`h, 1 TelepU�JA�_ 3112h'one No. Permit Fee Building Address _)qL1 6T Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Ob Each Trap T60 j �P -W L/ ,, '' ll� / 07- 141 C /-// co Repair drainage or vent piping 1.50 0 7 n A. P. o. `� C7 " 7 3' V1 �n6/27� Zoning & Planning Water piping -Lao 2.00 Each gas water heater or vent bw 2. 00 F s I #./C. I Sam -Mi —on FireDept. FireZone Use Permit Gas piping system 1 - 5 outlets DW 21 00 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Parcel AEproval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ L P I 1 Tba & sact- so ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR L ESS 5•00 Single Family ✓� Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD•L too AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST � ACC. BLDGS.LING CC UP. S\ •Z¢Sq ft I 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 st le of: _ y NEW CO ID BRANCH CIRCUITS 2.50ea NEW RESID, BRANCHMULTI-OCIRCUITS:, NEWCONSTR. POWER APPARATUS & NON .RESID. SINGLE OUTLET CIR. Ex. OCCUP(OUTLETS OR FIXTIIRES) 5 L ,219 Ex. QCCU FIXED APPLNS. OR p•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 r , License No. _� G � �� t✓ Classification Misc. Wiring 6.25 ❑ 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. ave placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. r-11 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 N0.1 @ FEEPERMIT FILING FEE J$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 E FE $ J ,5 authorize representatives of the c;ounty of t3utte to enter upon the above-mentioned property for inspection purposes. X r! -.�e� Date,�--f3 -qe SignatureoofP�e^r7mit r Agent "�eT L Receipt No. 757- 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. DIAOECTOR OF PUBLIC WORKS By ` Date Building permit expires Date �/ F NOTE: --Alla eria s Workmanship Shall go In. Accordance with Recognized Good of a auality prescribed for the Specifi Uniform Building, Plumbing g'ac`hanic the National Electrical Code. �102.5� iS%/Iti /'7(I/c-- i76 /E06 l/E/ : C U2 3 , G 4.i-7--rG 02 See Master Plan on f`il T--- ti�pk .D . jAr //- e �u�t�am9 tv� CUT 4U at 0 A setback of 5 ft. from the property lines and a setback e of 50ft. from the road V Q ��--' centerline shall be clear of U o structures or equipment exCept v - �3 u. E .� ` - �?� --- %r a 2 ft. eame overhang. e h UT 4z2 BUTTE COUNTY BUILDING DEPARTMENT �U APPROVED This set of plans and •specifications MUST rN C UT <7 - kept kept on the job at all times and it is unlawful % /JC A,!,QA/1-D make any changes or alterations on same WAV& written permission from the Department o#P _ i -80 County of Butte. !�E ,•ir; ED /2 -12 - 2,9 sc� c E / -,30 ' /_7 ciG /.9 73 / COUNTY OF BUTTE — DEPARYMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 54,4541 APPLICATION AND PERMIT authorize re .r ntatives of the County of Butte to enter upon the above -m nt' prop rty for inspection purposes. X Date Z7 Signature of Permitee or Agent Receipt No. J23L-tY 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 OFh1bUBLIC WORKS By L�1� .-}?�� Date B permit expires Date �� BUILDING Owner SQ. FT. OCC. BUILDING VALUATIO Mailing Addre Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 Each Trap 1.50 C8-ico Repair drainage or vent piping 1.50 A. P. 14o. g `' CV %� )Ij— Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F s I A/C. 4ap4atierr Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W I Improvements Each additional outlet .30 Building sewer 5.00 PIff-s-R—ec-JParcel A royal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHERCK rj P AQUIr 12 M.Z5 Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 13 '� Main service soov OR LESS 7' 100 AMP OR LESS 5•�� i W Single Family ❑ Duplex ❑ Mobil Home ❑ Others Main service EA. ADD'L 100 AMP 2.50 Main service OVER 100100 AMPsoov OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONS. I DWELING OR ADDNST % ACCLBLOGS.CCUP. 4') 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of Ca rnia Business & P ofessions Code under the name style of: NEW CONSTR. MULTI.OUTL T NEW CO ID BRANCH CIRCUITS) 12.50ea NEW CONSTR. POWER APPARATUS 11 NON.RESID. SINGLE OUTLET CIR. Ex. OCCUi7(OUTLETS OR FIXTIIREs B L 1CJ EX. OccupAPPLNS ( FIXED TS (RES. OR • OUTLETS (REST D.) EA) 1 2.00 Temporary service 110.00 Q. C)d Mobile Home Facilities 15.00 // License No.�3�L��0Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors ,License Laws of the State of California. Permit Fee $ 7F.00 $ g d 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. 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 �aws relating to building construction, and hereby Land Development Fee Is TOTAL PERMIT FEE $ authorize re .r ntatives of the County of Butte to enter upon the above -m nt' prop rty for inspection purposes. X Date Z7 Signature of Permitee or Agent Receipt No. J23L-tY 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 OFh1bUBLIC WORKS By L�1� .-}?�� Date B permit expires Date �� t. COUNTY OF BUTTE — DEPARTMENT'OF PUBLIC WORKS —BUILDING DIVISION 7 Countyr,Fenter Drive — Oro'ville, California 95965 — Telephone 534-4541 PERMIT APPLICATION DATA SHEET C� �� Permit No. OWNER % 7 A.P. No. L4 of 4hO,i; Proposed Building Use L=reout�p /2ocz Permit fee based upon: Complete Contract Price DPW Valuation Other (explain) 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 1. All items have been submitted..............'................................................... 2. Plot plans in duplicate/triplicate............................................................... 3. Complete plans in duplicate/triplicate................................................... 4. Complete engineered plans and calcs..................................................... 5. Plans with Energy Design Compliance Statement ............................ 6. State Energy Forms No. .................... 7. Statement of Intent for Non -Heated & AC Buildings ................... 8. Fees of $.................................................. 9. Letter of signature authorization............................................................. 10. Sanitation approval from Health Dept... 11. Planning approval for ............. 12. Certificate of Workmen's Compensation Insurance ........................ 13. Contractors License Information (no., name style, classification). 14. 1 mprovem '' a e Ired. Contact Land D �p�rnt Sec Ion of Dept. Public Works (see 0 a a�ress below)................................................................................................. 15. Pre -inspection for / required. Pre-inspec. request to --� bldg. inspector (date) 16. Other _ When you issue the permit, process as follows: -r= Mail to owner Mail to contractor. .F -o. �'�Telephone ��7 Q �� and hold for pic^up at ; / i� office. Deliver w/inspection. Other Applicant K .- Date i2 Copy of- plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by Date OTHER: Cnnv/DPW ( J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PER IT NO 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 • APPLICATION. AND PERMIT ASSESSOR PA C L NUMBER Ll ZONING R—/ BUILDING PERMIT OWNER I"Z er eS TELEPHONE SQ. FT. OCC. BUILDING VALUATION ' ' OWNER'S MAILING ADDRESS f__X__Dy_ y� - T CONTRACTOR'S NAME ( 1 o ev �S Se, --e TELEnPHONE• CONTRACTOR'S MAILING ADDRESS l `Z Nore-V A v CONSTRUCTION LENDER ' UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS - Permit fee $ BUILDING ADDRESS !7 c1q I C_� , PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SU/nB�DIVISION NAME f7� d PARCEL MAP Each pas 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 W Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ❑ Describe work: Pabat) I FM - —= 5_2`Z° -Rn Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD -L 100 AMP 2.50 NEW CONSOR ADDNST ( ACC. DGS.NG CCUP.&) 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I--7 IyV�I 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. �ny r� License No. 317b y3 Classification C _a6 ❑ 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 NNF ON.RESID R BRANCH CIRCTITS 2.50 ea NEW CONSTR POWER APPARATUS &) NON•RESID, (SINGLE OUTLET CIR. Ex. Occu 50@25` P(o FIXTURES BAL@los (FIXED A PL FIXED APPLNS. OR Ex. Occup.(0UTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6,25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 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 3.00 Heating 5z ow B -TU f--� OG 00 Cooling 60 40d Hood 2,Op o0 Ventilation Permit Fee Od $ 13-_ 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 l Ii ilities, judgments, costs, and expenses which may in any way accrue ains said County i consequence of the granting of this permit. ;agIdAJ�����d Date ure of Applicant — Owner ❑ Contractor ❑ Agent �- An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3nin height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP TYPE OF CONST" 17AR7111 ssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTW OF PUBLI By PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date ristories Receipt No. 3 ?)( ` 7 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 r � APPLICATION AND PERMIT ASSESSOR E�MBER ZONING BUILDING PERMIT - OWNER TELEPHONE `� 97 / SQ. FT. OCC. BUILDING VALUATION OWNER'S MA ING ADDRESS /&aw�� e 9Ys' v CO RACTO NA �e TELE PF1ONE CONTRACTOR'S MAILING ADDRESS 'CONSTRUCTION LEVC1 ER UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER 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. AIVISION N E `�{� �� �S PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SFX Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK Nemr4%Add ition❑ Remo I❑ Utilities/l Installation❑ Other Describe work: o�� F�'Y ��S,�,Cj–�� Permit Fee $ Contractor ELECTRICAL ELECTRICAL PERMIT Filing Fee 3.00 Main service 100 AMP ORSLESS 5.00 S Main service EA. ADD'L 100 AMP 2.50 NEW CONS. OR ADDNST (DWELING ACCLBLDGS.O49ACC 2¢sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): P—T am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. No.;� 2.2 S- 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 NEW CO ID R BRANCH CTRL ITs 2.50 ea NEW CONSTR. / POWER APPARATUS &� NON-RESID, \SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 50@25C BAL@10S (FIXED APPLNSO)R Ex. Occup. OUTLETS (RES,D.EA.) 2. 00License Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ �^ Contractor MECHANICAL PERMIT FiIingFee 3.00 WORKMEN'S COMPENSATION INSURANCE i 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 shal I 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. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgm rits, costs, and expenses which may in any way accrue against said nt n cons e f the granting of this permit. X Date �b Signature of Applicant — O rIn— 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 $ Land Development Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP TYPE OF CONST. I PARCEL PD I HD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for whic ECTOR-OF LIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 3 �O Receipt No. 3� OK WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT