HomeMy WebLinkAbout017-140-014011-290-014 99-2321 KWATTS, John B 447-69B
WATTS FAMILY TRUST 399-69P
4579
99 69P4579 CABLE BRIDGE DR., CHICO 4135-69E
CONT: DAN HEAL PLBG
Off e Humbug Rd. app -lt mi. no. 07 —Covered
EXTEND GAS LINE/SF
I DIBitidge
011-290-014 99-2398 (new single family) 5- 1 ? 0
WATTS FAMILY TRUST -
4579 CABLE BRIDGE DRIVE, C ILE
CONTR: LAMBERTS MASONR
STOVE GAS INSERT
7-
A
11
0
011-290-0141:.+ 99_2398
WATTS FAMILY TRUST
CCABLE BRIDGE DRIVE, CHICCF
CONTR: LAMBERTS MASONRY
STOVE GAS'.INS.ERT
_ COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive a Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) 01-1 - 190- 0iy APPLICATION AND PERMIT - 4W_03qS
ASSESSOR PARCEL NUM �. )
ZONING
.. BUILDING PERMIT
OWNER
TELEPHONE
tGt1
S9. FT. OCC. BUILDING VALUATION
OWNERS MAID DESS
tAw til O
+
CONTRACTOR'S�,NAME +� '{{
TELEPHONE/
CONTRACTOR5 MAKING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
—Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Plan Checking Fee
$
BUILDINGADDRESSw �"
'� � � 4.,'} �`� � �
Energy Plan Checking Fee
$
$
PERMIT FEE
$
LOT NO.
•
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF Ik Duplex ❑ Mobilehome ❑ Other
SPECIFv
Each Trap
7.00
-
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 ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work:
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE
$
`
ELECTRICAL PERMIT
I Fling Fee 20.00
800V OR LESS
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.POWEPPARATUS
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm unde'r 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.
q% 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 m ,000A
46.00
NEW CONST. OWEWNG OCCUP.
W:o
OR ADDNS. ( a ACC. BLDS.
So
3.5¢Fr.
NOµR6,�T MULTI-OUTLETITS
97.50
a SINGLER AOUTLET CIR.
Ex. Occup. OUTLET OR FDTTURES
20 Q +'50
BAL @ .so
Ex. Occu . DFlx s R DOE.
5.00
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.
❑ 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
(rhe above sections need not be completed if the permit is for work ;f—a valuation
of 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 comply with those provisions.
X ! Vie'' Date
Signature of Applicant - Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or constructionI
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 $
/ ccS
V/ TOTAL FEE $
HAZ. D, IMP FLOOD CDF PARCEL PD HD ISSUE
— _ (/
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indica t d'above for which fees have been paid.
t , <'
By (4r + '.�..� Date /0 _lam f
PERMIT EXPIRES ON /d
I Date
Receipt No. �!. -:?- �3`71_111_ ,I*,"
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
s.. COUN Y OF 4'3UTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENTS ERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530)'538-7541
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
' / r
D'
i
0
e&
k
i
e&
PIMAPA��,�.yr=�°/�UTr6.. 70
I SPOMOVED ❑ CONDITIONALLY APPROVED ❑ RESOLVE PROBLEMS PRIOR ,TO APPROVAL"t'-
0
Permit #:
Genera/InformaG►on
..PERMIT CLEARANCE -
Te - CE.1 ;D*.
AP#: Q f I - z90- oi4
owners Name: C wo- is BUTTE COUNTY Parcel Acreage:
Owners Address:..._ -
Building Site Address: 45 �] (1 !7 �� (�f7 e• �� �` . Y ��
V
P�ertylnformation -p.
Permit Type: ❑ Agriculture Building ❑ Commercial ❑ Industrial ❑ Mobile Home ❑ STD ❑ Residential Accessory
❑ 2nd -Dwelling ❑ Multi -Family >2 units per parcel ❑ Septic _ Well a ❑ Other r -
Date: J uo —ilfx)
Zone District: r
General Plan: A
Date of Zoning Ordinance:
Development Agreement:
Use Permit: Variance:
Parcel Is In:.. Land Conservation Agreement -a No ❑ Yes, check use Minimum Acreage:
• Nitrate Action Plan —� No ❑ Yes
Violation Area — No ❑ Yes
Specific Plan —Jallo ❑ Yes ❑ Chico ❑ D2N ❑ Cohasset
Enterprise Zone NOYe
check use t
7�O,
Floodplain Zone: Panel Number: 0 �� 0 C,
No
Watershed Protection Zone
Proposed Use Complies With: General Plan -75 Zoning
Proposed Use Requires:❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit
❑ Accessory Building Use
Commercial/Industrial/Multi-Family Uses:
Parking: ❑ Parking Requirements are OK as Shown ❑ Other
Landscaping: ❑ Landscaping Requirements are OK as Shown ❑ Other
Road and Drainage Improvements Required: ❑ No ❑ Yes
Applicable Setbacks:
s
Zoning Code
Street d;< Hi hwa
Fire Prevention
Subdivision Ma
Front
=0
Side
0
Side street
Rear
��
–'s 0,
Height
Environmental Health Issues:
Septic Permit Review:
Well Permit Review:
Land Development Review:
Parcel Created bv:
❑ Deeds
❑ Map
Agriculture Affidavit Required `
Designated Well Site
Drainage Plan (Com/Ind/Multi)
No ❑ Yes
❑ No ❑ Yes
❑ No ❑ Yes
Date of Creation: Legal Access (Provided:
Deed Reference: Legal Access Required:
Parcel Frontage on Publicly Maintained Road: ❑ No. ❑ Yes, Road Name:
Complies with County Standards for Deed Creation: ❑ No ❑ Yes
Comments: `
f
❑ No ❑ Yes
❑ No ❑ Yes
Date of Recording:
Lot: Block: Book: Page:
Conditions That Muskbe_Met Prior to Issuance of Permit:
❑ verify Legal Parcel ❑ verify Legal Access ❑ Provide Creation Deed
❑ Comply with condition no: of conditions of approval for the
❑ Obtain a Certificate of Compliance (See Planning Division for application).
❑ Construction across property lines is not permitted (See Land Development fora Merger Application/Lot Line Adjustment).
❑ Comply with Old Subdivision Lot Ordinance (Maps Recorded Prior to Book 17 of Maps Page 23).
❑ Construct road to ❑ Meet parcel size required by zone ❑ Meet current EHD requirements.
❑ Other
General Comments:
3.t.l.n? .4n kiNnOD
C13AI333H�-
•
m
'Omol
011-290 14 99-2321
T
WATTS FAMILY TRUST
r 3'— q .1
4579 =CABLE BRibGkDIL, CHICO
CONT
CONT: DAN HEAL pLBG
EXTEND
EXTEND
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDINIG'DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 568-7541 PERMIT N
.Rev. 12/96) APOLICATION AND PERMIT ,/ ;?"-- ;
' ASSESSOR PARCEL NUMBER q /\�Ut4
ZONI R.
-+
�C) Z
�UILDINGPERMIT
OWNER ��j --f
TELEPHONE r—�j/
SQ. FT, OCC. BUILDING VALUATION
OWNER'S MAILIPAD i C 'v' G Dir• q5-G/j9
CONTRACTOF' NAME it I C7! TELEPHONE
`. LEPH E i
CONTRALTO S LINO ADDRESS
rd 43
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $
ARCHITECT'S ECT OR ENGINEERMAILING ADDRESS
Plan Checkin Fee $
BUILDING ADDRESS
y
Energy Plan Checking Fee $
1
i+ - 2•trt..,
$
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
SF„Of Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00
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: w+ f ',h , ty - ,' f �+ �, „'� • . %, /,
F"fiVale, w 1{ .' 4. HrA.
Gas piping system 1 - 5 outlets 15.00 5—
Building sewer 15.00
Mobile Home S G W @20.00
PERMIT FEE
ELECTRICAL PERMIT Fling Fee 20.00
Main Service 2o.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 C '?? � Lic. No. ly i - J
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
Main Service 200A To L000A 46.00
NEW CONST. DWE111N0 OCCUP. SO
OR ADDNS. ( a ACC. BLnS. 3.5QF.:
NEMUTLET
. LTI-OU97,50
NO
POWER APPARATUS
S SINGLE OUTLET CIR.
�(, OCCU OUTLET OR FIXTURES �� ®' o
Ex. Occup. DFUTELETS PRES,6.) EA 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.
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 work, s' cor�Lpensation insurance carrier and policy number are:
Cal---- 1X1 t �+ ` \ ti v\ c
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Policy Number N) \, ) C, 1-4 ]..1 tog -- 0 2
(The above sections need not be completed H 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.
'
X i. 4 `� ��. L — �_��_C-7_CL Date _ y f
Signature of Applicant - ❑ Owner ED. Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 3 �—
HAZ.
D. FEES IMP FLOOD
CDF
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.
By Date
PERMIT EXPIRES ON
Date
Receipt No. :Z 7J %t. _ _
WHITE-D.D.S.-B.D. CANARY-ASS�SOR PINK -INSPECTOR GOLDEN ROD•APPLICANT
COUNTY OF BUTTE
BUILDING DIVISION,
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
k L91 2?
R
PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
Date Inspector
REV 10/92
OWNER
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
Date /';'/i' /' ` % Inspector
REV 10/4;
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO.
tRev.12/96) APPLICATION AND PERMIT
ASSESSORPARCELNUM I _
ZONING
BUILDING PERMIT
OWNER _ -JL-�
st
TELEPHONE
SO. FT.
OCC. BUILDING VALUATION
OWNERS MAI D S
:ill
I
CONTRACTOR' ME
TELEPHONE 40V44
.9/
CONTRACTORS MAFLING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation
$
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
5 L• r ,
Energy Plan Checking Fee
$
i
PERMIT FEE $
LOT NO.
SUBDNIS IONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF k Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
—Water
15.00
gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: Q (�
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home ISI GI W1 920.00
PERMIT FEE $
ELECTRICAL PERMIT
Fling Fee 20.00
800V R LES
Main Service POA 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 Uc. No.
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.
0 1, 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
1 hereby affirm under penalty of perjury one of the following declarations:
0 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
'f one hundred dollars ($100) or less.)
W 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 compJy with those provisions.
Date r
Signature of Applicant -, ner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Main Service TO t 46.00
NEW CONST. DWELLING
WLING OCCUP. SO
OR ADONS. ( a ACC, slns. 3.52Fr:
T.
NON-REOSIEW D MULTI.OITTLET @7.50
POWER APPARATUS
a SINGLE OUTLET CIF
Ex. Occup. OUTLET OR F ruREs 20 @ 1.00
aAL Q .s0
Ex. Occup. DurLE°Ts(..16.) A. 5.00
Temporary Service 23.00
Mobile Home Facilities
20.00
Misc. Wiring 23.00
PERMIT FEE t
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
�. T AL FEE $ 3-5
D IMP FIAOD
CDF
PARCEL
PD
_
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicat above for which fees have been paid.
By Date ,D _/���
PERMIT EXPIRES ON /D ��1120
Da to
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
I
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965, • Telephone (530) 538-7541 P RMIT N
(Rev. 12/96) APPLICATION AND O'EAMIT
ASSESSOR PARCEL NUMBER _ f� q O /ia
IL—JJ- � U
ZONl
-�
BUILDING PERMIT V
OWNER r
TELEPHONE
OCC. BUILDING
VALUATION
OWNERS MAIU ^ G•1j
7TELEPHONE//�
CONTRACTO NAME
3qs •a
5 UNGESS
CONTRALTO ADDR
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
SUILDINGADDRESS 15
Energy Plan Checking Fee
$
00
$
PERMIT FEE
$
LOT NO.
SUBDNISIOWS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF,9-'Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
-
Solar or heat pumpwater heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ UbliGes ❑ Installation ❑ Other ❑
Describe Work: �}�95 /��/ �7eirC.J�s"'r %S �iSLiyC/Z_
fv?VgA LiIrcti. WrA
Gas piping system 1 - 5 outlets
15.0015—
Building sewer
15.00
Mobile Home S G WF
@20.00
PERMIT FEE
$ 3sr-
ELECTRICAL PERMIT
Fling Fee 20.00
600V OR LESS
Main Service ZOO, 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.
2 g 1 4
License Class C (O Lic. No. 7 L R�
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
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.
l 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 wort'Qommpensation insurance carrier and policy number are:
CarrierO\Yte_ I oaS\'P—Cl,
Main Service 200A To 1000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( a ACC. SLDS.
SO
3.52FT;
,,oµpESIp MULTI-OvrLET
97,50
POWER APPARATUS
8 SINGLE OUTLET CIS.
Ex. Occup. OUTLET OR FIXTURES
BAL @';50
Ex. Occup. OUTFIXLETSRESIO.DEA-
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
S
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
Policy Number t3 W L 1y-- O -)—Mobile
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that f I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Xv. , 'e— Date /C>)5
Signature of Applicant - ❑ Owner Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Home Installation Fee $
Energy Inspection Fee $
Occ CONST. TYPE v
HAZ.
p. FEES IMP FLOOD CDF ISSUE
This permit is hereby issued under the
of the Butte County Code and/or
(indicated above for which fees have
IBy
000� Lor
PERMIT EXPIRES ON
applicable provisions
Resolutions to do work
been paid.
Date
+� � Z p oQ
(Date)
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
9
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965. • Telephone (530) 538-7541 PERMIT -
(Rev. 12/96)
RMI(Rev.12/96) APPLICATION AND PERMIT ,�N—
ASSESSORPARCELNUM I ^ 'r ZONING
BUILDING PERMIT
OWNER „'f'/V_/J�/ TELEPHONE ,
SQ. FT. OCC. BUILDING VALUATION
i
OWNERS MAI O S-I�I���
CONTRACTM v
TELEPMON����
CONTRACTORS MMUNG ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Permit Fee
Plan Checking Fee
$
$
BUILDINGADDRESS
Energy Plan Checking Fee
$
PERMIT FEE
$
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF jib Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
1 7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00 11
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑� ,Ottheerr ❑
Describe
� Work: �j l� � ,.�C//t/a701 �- /
•�- �� / r�
Gas piping system 1 - 5 outlets
15.00
Buildin sewer
1 5.00
Mobile Home S G W
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Filing Fee 20.00
800V OR LESS
Main Service 200A 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
1 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.
GY 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 OCCUP.
OR cDNS. ( AAOCoBi S.
3.5QFa
M
NOµRESIp. ANCH
@7.50
POWELEPPARATUS
i SINR A
GOUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES
20 @ 1'00
BAL @ .50
Ex. Occup. .1.
XirT t°s R'.16.) E
5.00
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.
❑ 1 have and will maintain workers' compensation insurance, as required by Sectionon
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
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
6.50
PERMIT FEE
$
Policy Number
(The above sections need not be completed if the permit is for work of a valuationInspection
�f one hundred dollars ($100) or less.)_I certify that in the performance of the work for which this permit is issued, I shall29
not employ any person in any manner so as to become subject to workers'HAz.
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 these provisions.
/of
X _ Date < ~/��
Signature -6f Applicant -, ner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Home Installation Fee $
LEnergyFee $
T AL FEE $ j% .Qb
�FFE
D IMP FLOOD
cOF
pgRCEI
pp
_
HD
ISSUE
This permit is hereby issued under the applicable provisions
the Butte County Code and/or Resolutions to do work
indicat above for which fees have been paid.
By Date >b"1 el el
PERMIT EXPIRES ON /& ,-/3-00
Date
ReceiptNo.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT