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HomeMy WebLinkAbout017-170-045...�--.Y • . t;�''k-,, OND W. 'HELMS 19.47 / s1s Honey Run Rd. app. 1,mil, rabove bbridgep Chico � ,' ` 1..-7 . 174 • G��f-5 4' -Permit 353-73B,PE;M �_jQ� + ,�+ (convert from porch to 1 ving area & ` remodel) - f ! . 1 J1 1125, WAYNE LEAT ER ° ,t S E H'oneyrun Rd,, app 1200'W:Oak Haven 1 Lane,j Chico r Contr: Servamatic Soler; Systems;. -Inc,, !' Permit#3037-82P(instasolar*weter' • } heating system)SF C44 fih.l ` i I 11-25-45 J.2178 Honey Run Rd, Chico Contr: AMRE Remodeling //'/� `. PErmit#155-88B(vinyl siding/:SF) - 0 l 7' 1707045 .+,,r#,':$ mst �,; 04-3013. l t Z _ _ i .. j�PENCERsDANIELIr.�:.�i''„`�' x',�', � •. - r� ` 178,HONEY, RUN; CHICO '. yCont UPGRADE ELEC SERVICI-I,�#A�.',%, s;•, 74ff isre. I 0 �E 0 BUTTE COUNTY ° DEPARTMENT OF DEVELOPMENT SERVICES ° BUILDING PERMIT APPLICATION ° AND SUBMITTAL REQUIREIYIENTS ° 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 ° OFFICE #: (530) 538-7541 A FEE WLEL BE REO UIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" APPLICANT NAME OWNER Last Name � �� ` / � a e � Address City Sta City C Zip State Zp C) a� Ph .9-1 3- O b� Fax E-mail UQQ\C k_ m 1^1 sTY-9, 0 0 C& O, of • c�0�` APPLICANT NAME CONTRACTOR Name- —•rs p Address Zip City Sta State Zip Phone E-mail Fax E-mail Planner Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Sta Zip Phone Fax E-mail State License Number APPLICANT NAME Name ow>JEi2 Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Property Address .21 78 o N Flood Zone Cross Street SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. Bpo4sa 13 BIN # o 11 •sso • c45 LOCATION AP# 0 7. 170 , o 4-S Property Address .21 78 o N city CL, Cross Street WORKER'S COMPENSATION Policy Number Carrier Nhhing anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Ec:ec s vc Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNBS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. II Received by: ��'( Amount: I t 0. _ Bldg I I SRA Receipt 1P +I Sheriff SMIP Date: i o • 1-4 04— Dther 1 l � • T..hl SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BEACCEPTED. ALL PLANS MUST BE LEG/BLEAND ININIG ❑ 1. - Site'plans, 3 or 4 sets, signed by the preparer of the plans. No graph paperl ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paperl) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 7 3. Engineered truss details and layouts in duplicate (if required). No faxesl 1 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) :1 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. 7 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or find plans, all in duplicate. 7 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). 9. Site plan and business license approval from the City of Biggs. 10. Letter of intent for non-residential buildings. 1 11. Detached Accessory Building Form filled out by the owner (if required). 1 12. Hazardous Material Form (for Commercial Buildings only). 1 13. Sanitation and site plan approval from the Environmental Health Department. remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning .view (May require additional plan review upon receipt of the following items.) 1 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). 1 2. Impact Fees. 1 3. California Department of Forestry plan approval (if required). 1 4. NPDES Form. 1 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). 6. Contractors license information. (Number, Name Style, Classification). 7. Workers Compensation Carrier and Policy Number. 8. Owner -Builder Verification Cf required). 9. Letter of Signature authorization (if required). 10. Recorded copy of Agricultural Acknowledgment Statement. 11. ❑ Grant Deed, ❑ M.H. Titre/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). you have questions or would like additional information regarding this process, contact a Permit )plication Assistant at (530)538-7541. EXPIRATION OF APPLICATION plications for which a permit has not been issued will expire one year after date of application. In order to renew action an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS funds can only be made upon written request by the person who paid the fee. The request must be made within two irs from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits jed; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan .,ck fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION DRMSIBUILDING F0RM 91dnAnnlCosNPn—t. A-- 8Po43o3 �ttyT .ccs4,rE PRE -INSPECTION REPORT . �� OWNER: LOCATION: LOCATION: Z176 41014 Ey ►21,4..14 ko, CONTRACTOR: _ REASON FOR PRE -INSPECTION ELec. s vci' LLIDr. 40,-0 E DATE: 'io - '`t '04 A.P.# aid• �7o•o1s ZONING: DATE TO INSPECTOR: ► 5• a'F PERMIT HISTORY ( ) NONE (,,<S EE ATTACHED 6�3. 0644 BUILDING INSPECTOR'S REPORT Building Description: Commercial/Usage: Sanitation: Plumbing Working ( Yes ( ) No Obvious Sewage Problems ( ) Yes ( Ovo i ACTION RECOMMENDED: Hold for permits or verify: _ ISSUE ( Yes ( ) No Inspector:. Date: SKETCH. BUILDINGS ON REVERSE AND INDICATE LOCATION ON PROPERTY. 1 Residential # of Units: Mobile home # of Units: Currently Occupied ( Yes, ( ) No AbandonedNacant: Electric: Electric Currently ( ( ) Off &e> Condition of Electric Gas: Currently Off ( n ( ) Condition Sanitation: Plumbing Working ( Yes ( ) No Obvious Sewage Problems ( ) Yes ( Ovo i ACTION RECOMMENDED: Hold for permits or verify: _ ISSUE ( Yes ( ) No Inspector:. Date: SKETCH. BUILDINGS ON REVERSE AND INDICATE LOCATION ON PROPERTY. ti.ti .TMU MU W. HELMS a. n NOW10 • or s1s Honey Run Rd. app. 1 mi. above bridge, Chico Permit 353-73B,P,E,M )�" A � y (convert from porch to 1 ving area & remodel) 1-2-15 WAYNE LEATHERS S E Honeyrun Rd, app 12001W Oak Haven Lane, Chico Contr: Servamatic Solar Systems, Inc, Permit#3037-82P(instasolar water heating system)SF �il 94 a 1 0/11 �P--" 11-25-45 2178 Honey Run Rd, Chico. Contr: AMRE Remodeling� PErmit#155-88B(vinyl siding AF) ol� COUNTY OF BUTTE'°`+E°PARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZCWING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONJRAC�r/T�OR'S NAME i .. r TELE{PHpO.7NE CONTRACTOR'S MAILING ADDRESS /,/, % 0 / o Fireplace C,,//OINSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER ✓N E LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILD'I ADDRESS, -r-1P i9l J 0 Ili .•. PLUMBING PERMIT Filing Fee 10.00 j ! ( Each Trap 2.00 Repair drainage or vent piping 5.00 , Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets �. USE OF STRUCTURE ©D SF uplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 �,/r fi•t��•/ ?�.� U TYPE OF WORK New ❑ Addition Remodel❑ Utilities ❑ Instal lation❑ Other Q Describe work: 25 /Z SGS/Gir' i. 7,5,�ile!' rfG .G Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 OR Main service 100DD AMP ORSLESS 5.00 / Main Service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP,y\ OR ADDNS. ACC. BLOGS. I 2� sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. ^,l r/ Classification i ❑ 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 CONSTR NON-RESID BRANCH CIRC ITS NEW CONSTF;L / POWER APPARATUS &) NON-RESID. %SINGLE OUTLET CIR. / Ex. Occup OUTLETS OR FIXTURES a �� FIXED AP LHS, OR \ Ex. Occup.(OUTLETS (RESID.) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Mise. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I 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. Heating Cooling Hood 3.00 Ventilation Permit Fee S 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 County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all Iiabilj.ties, judgments, costs, and expenses which may in any way accrue against aid County. in consequence of the granting of this permit. i // -) / ' �-./ .� L_ X.%,,/ ' `r.� ; L <}-�. Date / Signature �' of Applicant - Owner ❑ 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 $ TOTAL PERMIT FEE $ Cj 120 OCCUP, GROUP I TYPE OF CONST. PARCEL PD HD, ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which q1R�!C*&T0OFPUBLIC By PERMIT EXPIRES Dae /O the applicable provi- resolutions to do fees have been paid. WORKS p - Date %� 3 �Ct Receipt No. 71 1D I WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT P COUNTY OF BUTTE ="bEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. 13 413 7- ASfFEF �top.9^RCEL NUMBER ,, �� ZONING ' - F BUILDING PERMIT OWN �t (,I,// , / TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S 7AILING ADDRESS CO �,RACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING DRESS G iJ Go Fireplace CONSTRUCTION LENDER L UNKNOWN Total Valuation $ FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER Oils E LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ UIL ADDRE 5 SPLUMBING PERMIT FiIingFee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 I Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SFDuplex❑ Mobilehome❑ Other SPECIFY Building. sewer Lawn sprinkler system 5.00 I(e�. O`O O TYPE OF WORK New❑ Addition Remodel E:1 Utilities [:1 Installation[] Other Describe work:YIO/" !�Ila�ile 14"'k /1.f/el_ Permit Fee $ Q Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 5.00 Main service EA_ ADD'L 100 AMP 2;50 NEW CONST. OR ADDNS. �PD.CCLBLDGS.LING CCUP.e111 2¢sgft ONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business IN and Professions Code d my license is in full force an effect. License No. G Classification S(FIXED El 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW NO N.RESID R BRANCH MUL OUCI RCTITS 2.50 ea NEW CONSTR. (POWER APPARATUS &) NON.RESID. -(SINGLE OUTLET CIR. 50 za¢ Ex. Occup(OUTLETS OR FIXTURES BAL@1 APPLNS. OR EX. Occup. OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare unde p nalty 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. Heating Cooling Hood 3.00 Ventilation permit Fee S 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 liabili ies, judgments, costs, and expenses which may in any way accrue ainid unto n consequence of the granting of this permit Dat Signature of Applicant — Owner ❑ Contractor ❑ Agen ion of structures over 3 stories in height. An OSHA permit is required for excavations over 5'0" deep and demolition or construct -(y Mobile Home Installation Fee $ TOTAL PERMIT FEE $ Q OCCUP. GROUP I TYPE OF CONST. PARCEL PD I HD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which By % PERMIT EXPIRES Dae L D the applicable provi- resolutions to do fees have been paid. WORKS S _Q''% —Date!) r Receipt No. Flo WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT PERMIT'NUMBER - B 353-73B,P,E,M P E ;r ` PERMIT EXPIRES OWNER Raymond W. Helms y). JCONTR: Owner s�j LOCATION (A.P. 55=01-124 s1s Honey Run Rd. app. 1 mi. above bridgeyChicO 1' r c v t I b i' t DATE REMARKS OR CORRECTIONS - h -e V� 4W- -/ad vl /7' 7 49 -9 4 9 COUNTY OF BUTTE Departnfent of Public Works BUILDING INSPECTION RECORD Zoning Setback s Forms Foundation Piers & Girders. -' Fireplace A : Rgh. Plumbi. Bond Beam' Lath & Plaster 15 /IY ...Rein. Steel Gas Piping & Test Found. Vents ' Fromin'g-11-15 '731 Plmg. Topout-e)!§— Rough Elec. 773= Wir. Htr. Furnace Kitchen Vent - Firewall Garage Vents 7----%6 Sanitation & Water ELECTRIC GAS BUILDING Temporary Temporary Cert. of Occup. Final ' 19- '74 Final Final -7:! -.1, DATE REMARKS OR CORRECTIONS - h -e V� 4W- -/ad vl /7' 7 49 -9 4 COU(VTY,,OF BUTTE — DEPARTMENT OF PUBLIC WORK) /��� 7 County Center Drive — Oroville, California 95965 (((VVV Telephone: 533-12 0, Ext. 259 APPLICATION AND PERMIT authorze repreSehtdUves of the county of Butte to enter upon the above mentioned property for inspection purposes. X Date Signature of Permi`te�e or Agent ` Receipt No. 163 ✓^ C. White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR /OF PU LIC WORKS BY.Date 2 Building Permit Expires Date Z"_ �-' 7� BUILDING Owner SQ. FT. OCC. BUILDING VALUATION 43 ZO Mai I i ng Address p c v✓ y ® O O Fireplace ContractorG �/ Total Valuation Z Mailing Address �jU Permit Fee Plan Checking Fee &/or Penalty Permit Fee $ $ Building Address 'G PLUMBING No. @ FEE PERMIT FILING FEE $2.00 7-- t d Each Trap _3 1.50 ,3 Repair drainage or vent piping 1.50 Water piping 1.50 ) .3 Each gas water heater or vent 1.50 A. P. No. — — A.?Zoning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .50 Fire Zone Fire Dept. Saraiielrvrt— Planning Building sewer 5.00 Plans A"--Feesd'� W. R/W Encroachment Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ OTHER Permit Fee $8-6b $ - --- z ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Idel 1b, Main service incl. 1 meter 3 OC-" Additional me each 1.00 USE OF STRUCTURE Single Family Duplex ❑ Others ❑ Sub -pan (12 or less) Aare than 12) 115 Range, dryer or water heater 1.00 Oven, Cook -top or space heater 1.00 �j o 3a Li htfixtures �% 2 0 R ps., swit u e s & fix ots CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. FanorF.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Misc. wiring License No. Classification ❑'i am exempt from the Contractors License Laws of the State of California. Permit Fee $ .1141 YE 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. 11 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 the Workmen's Compensation Laws of California. I certifythat I have read this application and state that the above PP information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating S,Uopou Cooling Ventilation Permit Fee $� fD _ tate Fee for Srr� aarn $0.07/$1000 Evaluation note Fentfo S $ ! $ TOTAL PERMIT FEE authorze repreSehtdUves of the county of Butte to enter upon the above mentioned property for inspection purposes. X Date Signature of Permi`te�e or Agent ` Receipt No. 163 ✓^ C. White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR /OF PU LIC WORKS BY.Date 2 Building Permit Expires Date Z"_ �-' 7� ft j t +4 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS / PERMIT NO. / 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 APPLICATIOWAD PERMIT ASSESSOR PARCEL NUMBER // ) ' ZONING /w ` BUILDING PERMIT OWNER - /J r1 a (' 6 r= r, F 1' 5 TELEPHONE SQ. FT. OCC, BUILDING VALUATION OWNER; (M'�LINGADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS 7, , �< ,'Y' ���' I rr %S / Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS/ 'JII f�� t. i & /j Permlt fee $ PLUMBING PERMIT Filing Fee 10.00 r Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF R1 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities J Installation[]Other$Permlt Describe work: . - �n o I Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 1100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): a 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is In full force and effect. 'and License No. Classification �� -FIXED El 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure Is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.aI) '/zQsgft; OR ADDNS. ACC. BLDGS. NEW CONSTR. MULTI -OUTLET 2,50 ea NON.RESID BRA CH CIRC ITS POWER APPARATUS IN)^7 SINGLE OUTLET CIR. i; Ex. OCcup(OUTLETS OR FIXTURES SAL&30 2.00 Ex. OCCUp- OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I 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 I 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 FiIingFee 10.00 Heating Cooling Hood 3.00 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, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. �l y Date ��, Signature of Applicant — Owner Contractor ❑ Agent Q An OSHA permit is required for excavations over 5'0" deep and demolition or construct-/DIRECTO ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPZJ 177LOODIPARCELI PD I No I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which %OF PUBLIC B '." / ! ly PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date I /` / / � Receipt No. �J I WNITE-D.P.W.. YELLOW -Ase ESSOR. PINK -INSPECTOR. GOLDENROD-AP►LI CANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO/ , .� 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 �` _ v APPLICAT& A D PERMIT Q ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT O f TELEPHONE SO. FT. OCC. BUILDING VALUATIO OWN 'S AILIN DORESS .- © 9 CON A OR'S NA C- O - TELEPHONE CON RACTO S MAILING AD ESS / s S S , V (!Ly,✓ lI^ _�13 AFn9s Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS - Permit Fee $ / ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS A 11 Penalty $ BUILDING ADDRESS. WF tf Permit fee $ PLUMBING PERMIT FiIirig Fee 10.00 Each Trap 2.00 Solar or heat pump water heater '20.00 4 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF; Duplex❑ Mobilehome❑ Other • SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G I W 10.00 ea TYPE OF WORK j New❑ Addition❑ Remodel❑ Utilities❑ `Installation[] Other Describe work: �/ Permit Fee - $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 0V OR L Main service 100 AMP ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License No. 73 1051�2 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 OR ADDNS. CONST. ACC. BLDGS. DWELLING OCCUPM , �20sq ft NE w CONST R U TI.OUTLET 2.50 ea NON-RESID .BRA C CIRC ITS - - /POWER APPARATUS eI (SINGLE OUTLET CIR. 20 0 pot EX. OCCUp\OUTLETS OR FIXTURES .AL930 FIXED APLNS.❑ EX. OCCUp. OUTLETS P(RESID )REA.� 1 2.00 Temporary service 10.00 Mobile Home Facilities - 15.00 Misc. �Yirin 15.00 9 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE. I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. PI have,placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,. should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL -PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 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, judgments, costs, and expenses which may in any way accrue agai st said County in c equence f the granting of this permit. /�/i-/ �1p' Date 7` u Signature of plicant - Owner ❑ Contractor ❑ Agen/t � An OSHA permit is required for excavations over 5'0" deep a dF demolition or construct- ion of structures over 3 stories .in height. Mobile Home Installation Fee $ Energy Inspection Fee $ - TOTAL PERMIT FEE $ QJ Occup. CONST,TYPEJ SCHOOL FLOOD PARCEL PO I NO I ISSUE This permit is hereby issued under utte County Code and/or sions of the�te work in ' aabove for which R OF P B I EXPIRES Date the applicable provi- resolutions to do f s have been aid. P WORKS Dat —/ — Receipt No. D g.�8 WHIT[-D.P.W.. YELLOW-Aee E33OR, PINK -INSPECTOR. GOLDENROD-AP►LI CANT