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HomeMy WebLinkAbout017-180-021HOWARD WOL�F SIS Honeyrun Rd, app i mi E cov bridge, Chico Contr: Davy's Ref, Chico Permit W, ilst,, duo pak #4878 -80.P, -.P rrmi! 4? lB- 'nst'.ilew truss roof- ermit #211611-181A :; ,,,//?e/ t// roof was flat B08-1631 017-180-021 MISCELLANEOUS Private Garage/Shop DETACHED GARAGE (480) DUE TO F 1910 HONEY RUN RD WOLFF HOWARD K & CIN, p l7- I80 f O� BUTTE COUNTY FEE SUMMARY 7 County Center Drive Oroville, CA 95965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Permit Number: FEE08-0282 Job Address: 1910 HONEY RUN RD Contractor: Fee Description Printed: 7/18/2008 7:55 am Account Number Fee Amount Paid Date Pmt Amt DBEH Building Review Fee 0021-540013-4614901-10101 $78.90 DBFIRE Fire Inspection (SRA) 0100-450001-4617240-10101 $214.00 DBOMSC Fire Safe Standards Rev 0010-440001-4210501-10101 $118.98 DBFIRE SRA Fire Plan Review (S 0100-450001-4617240-10101 $107.00 DBMSC Garage/Shop/Strge Wood F 0010-440001-4210500-10101 $361.74 DBF Garage -Wood Frame Plan Che 0010-440001-4210501-10101 $241.16 DBSMIP Residential 1001-0-280-1011298 $1.61 Printed By: Gwyn Benedict 19123.39 $0.00 Balance Due: $1,123.39 At the time of permit application, I was advised the above fees are required prior to issuance of the permit. These fees may change during the plan checking process. Signature: Date: 7/18/2008 Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). 9 717 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS "PERMRT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 �v APPLICATION AND PERMIT ASSESSOR PARCELxNUMBER.r, ZONING BUILDING -PERMIT OWNER / -� -.. �._ TELEPHONE SO. FT. OCC. BUILDING VALUATION 1 OWNER'S MAILING ADDRESS CONTRACTOR'S NAME ` TELEPI-IONFrG. CONTRACTOR'S MAILING ADDRESS 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 PLUMBING PERMIT Filing Fee ' o3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 .-� Water piping LOT NO. SUBDIVISION NAME - PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets r CY • _ USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Building sewer ' Lawn sprinkler system 2.QQ. TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other E] - Describe work: �'� Permit Fee $ ,t.., . C - Contractor ELECTRICAL PERMIT Filing Fee 1-.3.00 Main service 1000 AMP 101 OR ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 OR A-DDNST GONS(DWEACCLBL GS.LING CCUP,&\ 20sg'it •' / CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑NON-RESI 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. r " -7 !� 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) FII, 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(MULTI-OUTLET DC H CIRCUITS) 2.50 ea New- CONST R. (POWERAPPARATUS a) , D. SINGLE OUTLET CIR. C. ♦ `_"�' Ex. Occup(OUTLETS OR FIXTURES 50@250 BAL@10S FIXED x. Occup.(OUTLETS (RESID ) EA, 2.00 PR EO(OUT Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee -3.00 WORKMEN'S COMPENSATION INSURANCE 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 =j % 7, Hood 2.00 Ventilation r Permit Fee $! 1 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. I X Date %1 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 $ Land Development Fee $ w TOTAL PERMIT FEE $, OCCUP. GROUP I TYPE OF CONST. -I PARCEL PD I HD I ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. s' DIRECTOR OF PUBLIC WORKS , By w Date PERMIT EXPIRES Date Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT County of Butte DEPARTMENT OF PUBLIC WORKS 695 Oleander Ave,; Chico — 343-4211, Ext. 70 7 County Center Dr., Oroville — 534-4541 Skyway and Elliott Rd., Paradise — 877-3435 C ECTION NOTICE .............-............ .......... .......................................... B.uilding or Property Address A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. ......... ....... Date.. /`.!......`...... Inspector...:..................................................... Do Not Remove This .Tog (400-4) • County of Butte DEPARTMENT OF PUBLIC WORKS 695 Oleander Ave., Chico — 343-4211, Ext. 70 7 County Center br., Oroville — 534-4541 Skyway and Elliott Rd., Paradise — 877-3435 CORRECTION NOTICE J / 4* .............;�.�'.,.....................' `.�...►... .... .. r...... k, Building ddr Property Address A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. t".....!'................................................................................ �...i!. �.'.......... �........ ... L ...w .. s.........: i�!f..... ....... _ `f ....l•„ .......... %:.. .........................................................!!............................................ ........................................... 4�v .. ........... .,.:............. Date,l........... I....... .. Inspecto .. ........ .... Do Not Remove This Tag (400-4) County of Butte 13 DEPARTMENT OF PUBLIC WORKS 695 Oleander Ave., Chico — 343-4211, Ext. 70 7 County Cerrter Dr., Droville — 534-4541 Skyway and Elliott Rd., Par:�dise — 877-3435 C®RRZ,CTI®N NOTICE 3uilding or Property Address 2? g(D A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. ............ ............. dQ. ............... '........................... ..'.�........... ........................................................... F6 Do Not Remove This Tag (400-4) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS-PERMI-T NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-45�� APPLICAT40N' AND PERMIT ASS PARC ER L zBUILDING PERMIT OW TELEPHONE SQ. FT. OCC. BUILDING VALUATION CI0WNEtF;1'S_'MAJLW(JFADDRESS C ,T 'S AME ON T 1611,FG ADDRESS C 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 ef2 Permit fee $ BUILDING ADORE nA� / PLUMBING PERMIT Filing Fee 100 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF/D<Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition s❑R�e�modeerI Ei— /Uti lities ❑ Installation ❑ther Describe work: LAS//YC/G �L>�C�i¢C� Permit Fee $ B Contractor c� ELECTRICAL PERMIT Filing Fee 0 Main service 1DO°1 OR o AMP ORLESS5.00 Main service EA. ADD•L 100 AMP 2.50 NEW CONST.(DWELING OCCUP.& OR AODNS. L ACC. BL -DGS. 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ->Z❑ 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.,Z 7 / / Classification e—Zt)— `3� ❑ 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 ULT' -OUTLET 2.50 ea NON-RESID BRANCH CIRC ITS NEW CONSTPOWER APPARATUS & NON- R RESID, (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 5D@� BAL@10s FIXED APPLNS, OR EX. OCCu p•(DUT LETS (RE SID ,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ ) b Contractor MECHANICAL PERMIT FiIingFee WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F-1Thepermit 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 ___/�� Consent to Self -Insure. �' 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. Heatinga (j Cooling J Hood 2,Op Ventilation Permit Fee $ Contractor 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 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 s 'd County i conse ce of the granting of this permit. oThis Date Signature of Applicant — Owner ❑ ontractor ❑ 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 I TYPE OF CONST. PARCEL PD HD ISSUE permit is hereby issued under sions of the Butte County Code and/or work indicate above for whiV DIRECTOR -OF By PERMI EXPIRES Date the applicable provi- resolutions to do fees have been paid. IC WORKS 2 Date 3 Receipt No. WHITE -D. P. W•. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT V � PERMIT NO. 2161-81B PERMIT EXPIRES 6/24/82- OWNER /24/82OWNER HOWARD WOLFF CONTR. ASSESSOR PARCEL 46-57-21 LOCATION __ SIS Honey run Rd. 2 mi E covered bridge. Chico Temp. Power Pole Called Temp. Ele( �r Called s Temp. Gas F Called f JOB FINAI Signal V = OK O = Not OK = Not Applicable MOBILEHOMES = Not Ready ' MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS,*ETC. (Plans) OK except H's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4, Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rig.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date 'Card -BI Date _ POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4, Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date = OK = Not OK r = Not Applicable = Not Ready RESIDENTIAL (Single, and Duplex) Date UNDERFLOOR P OK exce tk's Date FRAMING (Continued) 1. Zoning req ui me is-Setbacks-Easementsr y ine Firewall & Openings 2. Ftg., Main; oils Steel-Elec. Grnd.- / /" Ftg. Depth 4Q_Ext--Dai§mOne 3' -Check Garage -3rd story, 2 exits 3. Fig., Gara e; Soil -Steel- / /" Ftg. Depth 50_Staa • klt1L-Headroom-Rise-Run-Landing-Fire Protection 4. Ftg., Porches & D cks; Soils -Steel- / /" Ftg. Depth 5 ywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; St el-Blockouts-Wrapped-Slab -52.-5.dlag_ Naffing -Veneer 6. Stemwalls, Garage; teel-Blockouts-Wrapped-Slab ash -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ft -Steel 54:-G;a-zllgSi_rea-Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fitting -Test-2 way C/0- ewer Test a Is; Nailing -Bolts 9. Gas Pipe; Size-Anch rs 10. Water Pipe; Test-Anc ors -Regulator- rvice Test 11. Electric; Underground 12. Plenums & Ducts; Clear nce-Mater' I -Support -Ins. 13. Girders -Sills -Anchor Bo is -lois -Vents-Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card- Date Date FINAL (Plans) OK except #'s Card -BI Date A Card -BI ,Date Date PLUMBING (Permit) OK xcept q's -QB-ERT'SM"-Door & Sidelight Protection -Landings 7P-9mok� etector 14. Water Ht.; Vent- Acss-Combu ion Air _Furnace• Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & A chors- ii Protection 16. D.W.V.; Test-Fttngs Anc rs-Nail Protection biting 17. Shower Pan; Test, Firk,FI or -Tub Access Bath Fixtures & Tub Access 18. Test Tub & Shower, 2n FI or -Tub Access -641-•E+ec-Tr'fm & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & AnchokJ 62� 62_649ptaee-or-Stove; Clearances -Hearth 1T4 EIEC -t3n1+eis at Wood Panel; Int. &Ext. Card -BI Date Card -BI Date 65-Kit-FirM•-& Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date & Receptacles at Kit. Counter Date ELECTRICAL Permit OK A pt p's -67--Garage-F+re-Boor; Swing -Landing -Closer -DUCT"6-in Garage -Damper 20. Fixture & Transformer ie rance-Ins. Protection - 9.-Wtr.-FH*•PrVents-Clearance-Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. ElecSize Receptacles Sp Lights &Switches at Doors �g-p�,Efet & Mech. Equip. Listed for Location 22. Size Boxes & No. and tors -.7_U==FAwca:R=ptacles in Garage; (G.F.I.)-Romex Protec. to to of 23. Romex Installed Clo to E ge of Studs & C.J. % 24. Equip. Ground made dp w/M h. Fasteners -Bond Gas & Water 7.2_Ixis�-Foam-Looked in Attic ❑Yes -74_-G,uard-Balls & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitch n & Conductor Si a 74 Fdn vase & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 26. Subfeed Wire Size / / ga. C or AI-A.C. ' e Size / / ga. Cu or At 27. Range Circ. / / ga. Cu or AI OvenCir / / ga. Cu or Al, Insulated Neutral ❑Yes ❑ o 75.--Fel+ewirTTinstld.: Drive F] Yes ❑ No; Walks E3 Yes ❑ No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Grob, ain Disconnect 17 4Fown-Finish 29. Equip. Clearances; Panels -Motor - ech. Equip. G. Umit,-Disconnect-CLt;x6es-Brkr. & and tze-115V Outlet d 11 30. Clothes Closet Light -Shower Lig MCW. Vents Above Roof Appliance it Clearance to Opngs. 4-WaterN211; Discon , Electrical, g 89--Ezteri' Iec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI DateEViilPfe-ntilation throughout House Card B -I Date Card -BI Date J 82:--@Fass-'PPotect ion Date / MECHANICAL (Permit) ftexcept N's ctions from Previous Inspections Rd r t -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulati Support 8 . a er Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust 00A Insulation 867-S=cJ/rCompliance Certificate -Other Certificates _ 33. Condensate Drain & Over low; Size 4Grade 34. Furnace -Vent; Access -Co b. Air eturn Air Vent -115V outlet 35. Attic Access & Platform if Xurn a in Attic Card -BI Date Card -BI Date Card -BI _Date Card -BI Date Card -BI Date Card -BI Dat 9-4 Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING(Plans) OK except q's roper Material & Anchors _ -Nailing, Spacing & Bracing -Plates -Sound _ 3B.-B_eering-We++s over Girders & Floor Nailing as nraft ton in Walls (rat proof) Furred Ceilings -Stairs -Chases -Tub _, Bader Beam -Size &Bearing _ 42, H Caps -Anchors -Connectors 4 Ing. Joist -Rita Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnp. _ Le Ties or Type A Flue -Fireplace Throat _ Z. ccess; Size & Romex Protection -Draft Stop -Ins. Baffles 6. Bdr tndows or Exiting Doors -Sill Hgt. & Dimensions ire Protection Framing (NOTE: Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone:,891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDIN OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of w,gqrk is completed. If you have any question pertaining to this matter, or need a itionaalll explanation, 'please contact this office immediately. ZA Lam' / r , !w, Inspector- /� // Date - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965-relephohe 915/534-4541 /�/��{/ APPLICATION AND PERMIT wa 1_ 1 ASS ESSO A CE �LB.�,{3 ` / 1 ZO BUILDING PERMIT W ER ljE HONE SO. FT. OCC. BUILDING VALUATION G r R'S MAILING ADI?R ESS CONTRACTOR'S NAME 61TELEPHONE CONTRACTO S M (LING ADDRESS Fireplace CONSTRUCTION LENDER Al:/_) UNKNOWN Total Valuation $ 71-6 0 4 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 8© ARCHITECT OR ENGINEER :�2AI- LICENSE NO. Plan Checking Fee .$ Penalty $ ARCHITECT OR ENGINEER'S ILING ADDRESS Permit fee $ I ING A RESS PLUMBING PERMIT Filing Fee 10.00 + 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 SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New F1 Addition Q, Remodel[] Utilities❑�_),9,6talIation❑ Other Des ibe work: ✓mss ��� /(� /��iU3.l �OO�_ lcza Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1°D°O AMP V OR ORSLESS 5.00 Main service EA. ADD'L too AMP 2.50 NEW CONST. (DWELLING OCCUP.pi) OR ADDNS. ACC. BLDGS. 22 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business d Professions Code and my license is in full force and effect. censeNo. Classification V1,ias 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 1 -OU LET 2,50 ea NON.RESID BRANCH CIRC ITS NEw CONSTR POWER APPARATUS e\ NON.RESID. (SINGLE OUTLET CIR. / Ex. Occup OUTLETS OR FIXTURES BAL@1 IXED APPLNS. OR Ex. Occup.(OUTLE TS(RESID.)EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. 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 Certificate of Workmen's Compensation Insurance or a Certificate fConsent to Self-Insure.od y�oshall 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 3.00 Ventilation n Permit Fee S Contractor 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 authorize representatives of the County of 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 Iia ili 'es, jud ents, costs, and expenses which may in any way accrue again id Coun in cons uence of the granting of this permit. 1 G`&& ( X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ��� f 47�lI` An OSHA permit is required for excavations over 5'0" deep and demofiii6For co sir - ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ oc . GROUP -3 TYPE of CONST. PARCEL PD o ISSUE, This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC By PE T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date �/ JG-/ s ff Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT HOWARD K. WOLFF, PhD EVALUATION CONSULTANT 84 NIMSHEW STAGE CHICO, CA 95926 IL 1-1d LA -L IS 4e y� c