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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