HomeMy WebLinkAbout018-450-029M3
L
- �29�
�9
� & "EVE RIVAS
n .s••Laz - S Rd. a 100' west..of .... -���®�� A--�_
M I
Stilson Canyon Rd., Chi
CONTR: Charles. Priddy r. Chic
Permit 1984 B,P,E, �.
(new single f milt'
STEVE RIVAS
n/s Lazy S app.1 0' w st of
Stilson Ca o Rd r; 'co
CONTR: arl Priddy, Chico
Permit 2976-72'
(convert
garage to family'room)
vas hK,,, S. Rd.,ap.100'W.of Stilson
. , Chico T/ N _ /�,��U_�Ateve Sicke, Chico. 7O6018-77B(newvpri.detached garage,
Ad
.#62 78P (inst, lawn sprink
F //�� •i`, k�e,l�IaYI I �,,�
Contr: Heal Plumbing, Chico
Permit#1236-81P,E(install' solar water
heating &.relocate ele water heater)SF
11-09-29 '-FA
14 Lazy S Lane Chico
Permit#2674-87B(reroof/SF) Q/07
9
Y
)AT E
BUTTE COUNTY INTER -DEPARTMENTAL CORRESPONDENCE
DELIVER TO LAST PERSON NAMED
NAME I DEPT. I DATE I NAME
10
DEPT.
PERMIT NUMBER — B 1984-72 P,T
Y
0
i
P
E
PERMIT EXPIRES 4?
<owER Mr. & Mrs. Steve Rivas
`lCONTR: Charles Priddy, Jr., Chico
yLOCATIOW(A.P. 46-54-3
n/s Lazy S Rd. app. 100' west of Stilson Canyon
A Rd., Chico
c
Au
a 1
i
4 �
fid
DATE REMARKS OR CORRECTIONS
, M�,mxLx
?
600- 1
e��40<
e -e h /19
OZ (,�j / I G �i u. ���. �l 70r,—,r
V
COUNTY OF BUTTE
Department of Public Works
BUILDING INSPECTION RECORD
� --`i�,)
Zoning
Setback ?S
Forms'
Foundation ��
a �`
Piers & Girders
F' 1 ee _t•`
Rgh. Plumbing
--7--D �-
Bond Beam
aster
Rein. Steel
Gas Piping & Test
Found. Vents
Framing 20
Plmg. Topout
Rough Elec.Z--
Wtr. Htr.
Furnace
Kitchen Vent
Firewall
Garage Vents
Sanitation & Water
ELECTRIC
GAS
'BUILDING
Temporary -
– 1� Z�
Temporary
Cert. of Occup.
Final
Final
Final 1.
DATE REMARKS OR CORRECTIONS
, M�,mxLx
?
600- 1
e��40<
e -e h /19
OZ (,�j / I G �i u. ���. �l 70r,—,r
V
E
PERMIT EXPIRES
OWNER Steve Rivas
CONTR: Charles Priddy, Chico
LOCATION (A.P. 46-54-3
n/s Lazy S. Rd. app. 100' west of Stilson
Canyon Rd., Chico
Zoning
Foundation _
Rgh. Plumbing
Rein. Steel_
Framing
Wtr. Htr.
Firewall
ELECTRIC
Temporary
Final
DATE
COUNTY OF BUTTE
Department of Public Works
BUILDING INSPECTION RECORD
_ Setback
Forms'
_ Piers & Girders
Fireplace
_ Bond Beam
Lath & Plaster
_ Gas Piping & Test
Found. Vents
_ Plmg. Topout
Rough Elec.
_ Furnace
Kitchen Vent
_ Garage Vents
Sanitation & Water
GAS
BUILDING
_ Temporary
Cert. of Occup.
_ Final
Final
REMARKS OR CORRECTIONS
h
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center DriveQroville, California 95965
Telephone: 533-1230, Ext. 259
/ 99x1- -7Z-1
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection pur oses.
X Date to --14
Signature of P�ermiteee or Agent
Aggent
Receipt No. ��,7 � 0 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 PUBLIC WORKS
By �� Date to — Z 7 — 7 Z
Building Permit Expires Date -73
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
on
Fireplace
Contractor aiLN
Total Valuation
Mai I ing Address
Permit Fee
Plan Checking Fee&/or Penalty
Permit Fee $
$
Building AddressPLUMBING
t
No. @ FEE
PERMIT FILING FEE $2.00
Each Trap 1.50
e
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. '—
Zoning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .50
Fire Zone
Fire Dept.
Sanitation ✓
Planning
Building sewer 5.00
Plans
Fees
I W. C.
I R/W
Encroachment
Lawn sprinkler system 2.00
NEW ADDITION,,o OTHER
Permit Fee $
$
I
ELECTRICAL No.1 @ I FEE
PERMIT FILING FEE $3.00
C'
Main service incl. 1 meter
Additional meters, each 1.00
Sub -panel (12 or less) (more than 12)
USE OF STRUCTURE Single Family Duplex ❑ Others ❑
Range, dryer or water heater 1.00
Oven, Cook -top or space heater 1.00
Light fixtures
Receps., switches & fix outlets 20 2.52
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: /'n/� 1
GIL kA PrL% fJ�+JY 12 -
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. 2 .1_ (o(,e Classification 6
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
MECHANICAL No. @ FEE
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
Bhhave placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
❑I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Fee $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
,$Permit
Instrumentati ntrp a Motion $0.07/$1000 Evaluation
$
TOTAL PERMIT FEE
-S
+
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection pur oses.
X Date to --14
Signature of P�ermiteee or Agent
Aggent
Receipt No. ��,7 � 0 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 PUBLIC WORKS
By �� Date to — Z 7 — 7 Z
Building Permit Expires Date -73
\ ' COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive Qroville, California 95965
Telephone: 533-1230, Ext. 259
q,%!(1-��PA APPLICATION AND PERMIT
,Z63�-7��3
Signature of Permitee or Agent y �p 2
� BDate/ GSL '��7
Receipt No. �D3 1� — Building Permi Expires Date
White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant
BUILDING
Owner--��+G. �Z 1 �Q
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Fireplace
Contractor r j�
Total Valuation
Mailing Address L J'/S /� \
Permit Fee
Plan Checking Fee &/or Penalty
Permit Fee $
$
Building AddressAJ S '
PLUMBING No. @ FEE
PERMIT FILING FEE $2.00
f
()A6 5 77
Each Trap 1.50
yd 04 1 C
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. �� `� ��
Zoning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .50
Fire Zone
Fire Dept.
Sanitation
Planning
Building sewer 5.00
Plans
Fees
W. C.
R/W
Encroachment
Lawn sprinkler system 2.00
NEW ADDITION ❑ OTHER ❑
Permit Fee $
$
/ z et-
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
2—
Main service incl. 1 meter
Additional meters, each 1.00
USE OF STRUCTURE . Single Family,i Duplex ❑ Others ❑
Sub -panel (12 or less) (more than 12)
Range, dryer or water heater 1.00
Oven, Cook -top or space heater 1.00
Light fixtures25
Receps., swItFfies & fix ou &T20 25
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:
G' " A 2-L �� • — a
Hood, Ex. Fan or F.A. Furn. Motor 1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump3 K ),.5—o
Water pump
Misc. wiring
License No. _1-4'1-1 (01.a Classification & i
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEEPERMIT
FILING FEE $3.00
Heating
Cooling
Ventilation
Fee $ j sex
$ f % ^ ®®
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 the County utte to enter upon the
abov entioned property for !he
urp es.
jf,-O,AL P. late 9 - 4- r-
sSPermit
I�s1 umenta° on r gram n $0.07/$1000 Evaluation
$
TOTALY PERMIT FEE
$ 0
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 PUBLIC WORKS
Signature of Permitee or Agent y �p 2
� BDate/ GSL '��7
Receipt No. �D3 1� — Building Permi Expires Date
White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center,Drive, - Oroville, California 95965
Telephone: 533-1230, Ext. 259
APPLICATION AND PERMIT
CLit Or'nu
Ze ieN1eaetave5 of the t uunry of Butte to enter upon the
above entioned pro rty o 'nspection oses.
X /Date I—l; l-1 2
Signature of P rmitee o Agent
Receiot No. ���a-
White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant
This permit is hereby issued under the applicable provisiQns ofr
the Butte County Code and/or resolutions to do work indicated_
above for which fees have been paid.
DIREC OR OF PUBLIC WORKS
BY Date
Building Permit Expires Date
BUILDING
Owner /.f
SQ. FT. OCC. I BUILDING VALUATION
Mailing Address
ZQ •- cry
�
Fireplace �U
Contractor ,111 4a
Total Valuation
Mailing Address —'ade3ej a
Z 10
Permit Fee
Plan Checking Fee&/or Penalty
_QA .4
wGPermit
Fee
$
$
Building Address�.s'
PLUMBING_
No. @
FEE
PERMIT FILING FEE $2.00 Z
Each Trap ® 1.50
r
Repair drainage or vent piping
1.50
s
/ e
Water piping 1.50 o�D
Each gas water heater or vent 1.50.
A. P. No. S^ -- Zoning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .50
Fire Zone
Fire Dept. Planning
Building sewer 5.00
Plans
Fees
W. C.
R/W
Encroachment
Lawn sprinkler system 2.00
NEW ADDITION ❑ OTHER ❑
Permit Fee
ELECTRICAL
No. -@
I FEE
PERMIT FILING FEE $3.00 :3
Main service incl. 1 meter
Additional meters ch
1.00
USE OF STRUCTURE Single Family [B' --Duplex ❑ Others ❑
Sub -panel (12 or less) (more an 12)
Range, dryer or wate eater 1.00 1 6
0 CooliTp or space heater
1.00
,Q 0
Light'xtures b. ,s
R s., sw es & fix ou4ap Staal Lid
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: n
--�Y
Ho , Ex. Fan or F.A. Furn. Motor
1 1.00
O�
Evap. cooler, gar. di . or D.S.1.00 -.
Air conditioner or heat pump
Water pump �g
Misc. wiring
License No.q-4"*2-_T (o Co Classification
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not em
p to an employ y person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL
No. @
FEE
PERMIT
$3.00IT FILING FEE
c) cm
I
Cooling S v(ooi
Ventilation Z,yCle�
Permit Fee
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
Snots Fee for Srr�n a anion $0.07/$1000 Evaluation
Instrumentation
$
TOTAL PERMIT FEE
-7
CLit Or'nu
Ze ieN1eaetave5 of the t uunry of Butte to enter upon the
above entioned pro rty o 'nspection oses.
X /Date I—l; l-1 2
Signature of P rmitee o Agent
Receiot No. ���a-
White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant
This permit is hereby issued under the applicable provisiQns ofr
the Butte County Code and/or resolutions to do work indicated_
above for which fees have been paid.
DIREC OR OF PUBLIC WORKS
BY Date
Building Permit Expires Date
LjC,--5
COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS PERMIT NO.—
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 / * AI S/
APPLICATI10N AND PERMIT 00 /
AS SOR PARCEL NUMBER ZONING
BUILDING PERMIT
OWNER _ /� TELEPHONE I
ISO. FT. I OCC.1 BUILDING VALUATION
OWNER'S MAILIN/G ADDRESS y
Filing Fee 10.00
CONTRACTOR'S NAME,;
TELEPHONE
Solar or heat pump water heater
20.00
CONTRACTOR'S MAILING'ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNO_ WN _
Total Valuation $
Filing Fee $ 10.00
LENDER'S MAILING ADDRESS
Permit Fee 5 err -U
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee .$
Energy Plan Chef king Fee
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
Permit fee $ 5r 4�
LOT NO
NAM
l
9k USE OF STRUCTURE
SF 0, Duplex❑ Mobilehome❑ Other
PARCEL MAP
I
SPECIFY
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: —
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. 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
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
Water piping
5.00
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
0.00 ea
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.
Mobile Home Installation Fee $
Permit Fee
$
Contractor
OCCu P.
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600v OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. / DWELLING OCCUP.ai\
OR ACDNS. l ACC. BLDGS. //
��2Q:Sgft
NEW CONSTR.MULTI-OUTLET
NON.RESID BRANCH CIRC ITS
2,50 ea
POWER APPARATUS e
l SINGLE OUTLET CIR.
Ex. Occu p�OUTLETS OR FIXTURES
20e50e
eAL@30
FIXED APLISIS
UTETS P(RESID )REA.)
EX. Occup. OUTLET S
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
for this reason
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
MECHANICAL PERMIT Filing Fee 10.00
Heating
❑ 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.
dI shall not employ any person in any manner so as to become subject
Cooling
Hood 3.00
Ventilation
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.
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 County of
Butte to enter upon the above-mentioned property for inspection purposes.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
1 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
OCCu P.
CONST.TYPE
I
I FLOOD
PARCEL
I PD
ND
39UE
against s d County in consequence of the granting of this permit.
X M /" Date /tIM_ // I 1 -
.,
This permit is hereby issued under the applicable do
Bions of the Butte County. Code and/or resolutions to to do
�T
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.
work indicated above for which fees have been paid.
DIRCTOR OF PUBLIC WORKS
f
By f �lr_Ze Date
PERMIT EXPIRES Date 111
Receipt No. a 7-3 G
WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PER T NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 _�
APPLICAT16N AND PERMIT
AS77OR AR L NU ZONING
BUILDING PERMIT
S
owNF� TELEPHONE SO. FT. I OCC. BUILDING VALUATION
CONSTRUCTION LEND
LENDER'S MAILING AC
ARCHITECT OR ENGIN
T NO
&M
T OR ENGINEER'S MAILING ADDRESS
G ADDRESS
SUBDIVISION NAME
U N K N Wj� Nom"
PARCEL MAP
USE OF STRUCTURE
SFLA Duplex❑ Mobilehome❑ Other
SPECIFY
Fireplace
Total Valuation $
Filing Fee
Permit Fee
Plan Checking Fee
Energy Plan Checking Fee
Penalty
Permit fee
PLUMBING PERMIT
Each Trap
Solar or heat pump water heater
Water piping
Each qas water heater or vent
Gas piping system 1 - 5 outlets
Building sewer
Mobile Home FS G W
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Permit Fee
Describe work:
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. Classification
-� 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)
ElI, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
F -1I am exempt under Sec. , Business and Professions Code
for this reason
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
E]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.
d1 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.
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 s�'d County in consequence of the granting of this permit.
X e4� /1"trt_,� A Date VIL /!
Signature of Applicant — Owner ElContractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 33 stories in height. .
Receipt No. 9'7J 41 5 —
WNITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
$ 4
Filing Fee
2.00
20.00
5.00
5.00
5.00
5.00
[10-00e
10.00
10.00
Contractor
$
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&)
OR ADDNS. ACG. BLDGS. //
y2QSQft
NEW CONSTR. ULTI.OUTLET
NON.RESID BRANCH CIRCUITS)
2,50 ea
(POWER APPARATUS d )
1 SINGLE OUTLET CIR.
Ex. Occup OUTLETS OR FIXTURES
e20000C
AL030
FIXED ALNS.
EX. — -- OUTLETS P(RESID )REA.1
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
Permit Fee
$
Contractor
MECHANICAL PERMIT
Filing Fee
10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
Mobile Home Installation Fee
$
Energy Inspection Fee
$
TOTAL PERMIT FEE
$
S
OCCUP.1 CONST.TYPEI I I FLOODI PARCELI PO 11
ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County. Code and/or resolutions to do
work indicated ab ve for which fees have been paid.
D1REt�TOR OF PUBLIC WORKS
By "U �/ Date L l
PERMIT EXPIRES Date
t.
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An'"owner-builder" building permit has been applied for in your name and bearing
your. signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit: No building permit
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (.yes or no) S
2. Ihave ave not) tYdtJ`e signed an application for a building permit
for a proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
- Phone Contractors License No,
4. I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I will provide some of the work -but I have contracted (hired) the following
persons to provide the work indicated:
Name Address . Phone Type of Work
Signed:
Property Owners
Social Security Number
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
/;4 16-91P
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER ZONING
BUILDING PERMIT
OWNER TELEPHONE SO, FT. OCC. BUILDING VALUATION
CONTHACTAH'5 NAME TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER UNKNOWN
ARCHITECT OR ENGINEER'S MAILING ADDRESS
BUILDING ADDRESS -
LOT NO.I SUBDI VISION NAME I PARCEL MAP
USE OF STRUCTURE
SF ❑ Duplex[-] Mobilehome❑ Other
SPECIFY
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti Iities ❑ Instal lation ❑ OtherEl
Describe work:
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. 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
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.
Fireplace
ELECTRICAL PERMIT
Total Valuation $
Main service DOOV OR LESS
100 AMP OR LESS
5.00
Filing Fee
$
10.00
Permit Fee
$
,50 ea
Plan Checking Fee
$
Ex. Occup OUTLETS OR FIXTURES
Penalty
$
2.00
Permit fee
$
Mobile Home Facilities
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
$
5.00
Water piping
MECHANICAL PERMIT
FiIingFee 10.00
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
Cooling
Building sewer
3.00
Venti lation
Lawn sprinkler system
5.00
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service DOOV OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.y\
OR ADDNS. ACC. BLDGS.
2� sq ft
NEW CON STR. U
NON.RESID BRANCH CIRC ITS
,50 ea
NEW CONSTR, I POWER APPARATUS
NON.RESID, ISINGLE OUTLET CIR.
Ex. Occup OUTLETS OR FIXTURES
5BAL0@ 25
EX. OCCUp.�OUTLETS P(RESID )REA.
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
7.50
Permit Fee
$
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
Hood
3.00
Venti lation
Notice to Applicant. If after making this statement, should you become subject Permit Fee S
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked. Contractor
1 certify that I have read this application and state that the above information Mobile Home Installation Fee $
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. TOTAL PERMIT FEE $
I also agree to save, indemnify and keep harmless the County of Butte against OCCUP. CROUP I TYPE OF CONST. PARCEL PD ND ssuE
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
This permit is hereby issued under the applicable provi-
X Date sions of the Butte County Code and/or resolutions to do
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ ; work indicated above for which fees have been paid.
An OSHA permit is required for excavations over 5'0" deep and demolition or construct- DIRECTOR OF PUBLIC WORKS
ion of structures over 3 stories in height.
Receipt No By ' " Date
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT PERMIT EXPIRES Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WOR
7 County Center Drive - Oroville, California 95965 - Telephone 916/ 4-4541
APPLICATION AMD PERMIT
PERMIT /OfV�NO.�!
ASSES O JRCELL NUMBER
Z01J1 G /
J
,
BUILDING PERMIT
OWNER ,
_� f4c� ltf
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILI G ADDRESS - -
CONTRAC R'S NAME d
TECEPHONE�
�JJ �(iiyy//ff
CONTRACTOR'S MAILING ADDRESS
7�
Fireplace
CONSTRUCTION LENDER
dziu
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
/&_0`t/c
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDINfo/ DRESS .r ti
PLUMBING PERMIT
Filing Fee 10.00
1 �/t/ o I
K✓
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
j 0 0
LOT NO. SUBDIVISION NAMEPARCEL
3 /��fQ �,L h/ �,
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
O
TYPE OF WORK
New ❑ Addition Remodel ❑(' Utilities ❑ I stallation❑ Other
Describe work: ✓'G %ELECTRICAL
/C.��C�GG G% ���Cit/f E4��,✓
Permit Fee
$ MOO
Contractor
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. ( DWELLING OCCUP.y\
OR ADDNS. ACC. BLDGS. I
22 sq ft
CONTRACTORS LICENSE LAW
I declar nder penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professi d. d y license is in full force. -an effect.
License No. Classification
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 CONSTR -OU LET 2,50 ea
NON-RESID BRANCH CIRC TS
NEW CONSTR. /POWER APPARATUS.9
NON-RESID. SINGLE OUTLET CIR.
EX. Occup OUTLETS OR FIXTURES 50 BALM
00
(FIXED APPLNS. oR
Ex. Occup. UTLETS (RESID.) EA. 2.00
Temporary service
10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $ d
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
n Xe 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
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
co uction, and hereby authorize representatives of the Countyot
t up n the above-mentioned property for inspection purposes.
to s ve, indemnify and keep ha7less the County of Butte agains
Aagrto
ex es which may in any w acc eid Co ty in coosequ e 1 ranti of this perry .This
ies, j gments, costs, I�)
to
Applicant — Owner Contractor Agent ❑
An OSHA permit is required for excavations over 5'0" deep and d molition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee
$
TOTAL PERMIT FEE $ ,00
OCCUP. GROUP
TYPE OP CONST.
PARCEL
Pb
ND
ISSUE
permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRE OR OF PUBLIC
By
PERMIT EXPIRES
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No.�0,_),52&z
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
PERMIT NO. 6018-7,7B
PERMIT EXPIRES -/"Opp
71?
Steve Rivas
OWNER
CONTR. Steve Sicke, 'Chico
LOCATION (A.P. 46-54-3 )
N/S Lazy S Rd„app.100'W.of Stilson Canyon Rd..
Chico
4
4
1
n •
r
Temp. Power. Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
OB
FINALEDZ 41
(Date)
(Signatu
COUNTY OF BUTTE 2 DEPARTMENT OF PUBLIC`,WORKS
MUMILrHUMt U I ILITILS --------------•--- Elec_ Service " Elec. Pedestal
Water Piping Sewer Gas Piping
MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
•�REMAIRKS
05 C• • ��.
b
I 'r
• try ad /
/ !.
BUILDING INSPECTION RECORD
BUILDING
BUILDING (Cont'd)
PLUMBING
Setback -
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings -
Windows
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathing ZZ�/ —7
Water Piping
Piers - -
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Garage Vents
Water Htr.
Stemwal I
Insulation
Heaters
Slab
Carport
p°
Footings
Prov. for physically y
handicaped
Conformance of ex.Gas
structure r
Appliances
Piping & T t
Temp. Gas
Slab
Final
Sanitation
Patio
FI EPLACE
Final
Footings
Footing
ELE •TRICAL
Masonry Walls
Throat
Rough 3J7-`' PP
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRIN LFRS
Motors
Framing d
Test
Water Htr.
Stucco
Final
Subpanels
MeshM
C NICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown,2,— -
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
I Final 7
Final
MUMILrHUMt U I ILITILS --------------•--- Elec_ Service " Elec. Pedestal
Water Piping Sewer Gas Piping
MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
•�REMAIRKS
05 C• • ��.
b
I 'r
• try ad /
/ !.
0 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS J ���yyy
.,� 7 County Center Drive — OroviIle, California 95965 (/ -717
Telephone: 534-4541 /
APPLICATION'AND PERMIT y�
auu1O11GC 1Ct/1C5eI1LdLIVC5 UI Ine Guuniy OT Butte to enter upon the
above- ntioned propq7ty for inspection purposes.
X x4VIAX Date
Signature of Permitee or Agent
Receipt No. 17-07-96
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF BVBLIC WORKS
By ZZ -7 7 7
Building permit expires Date
BUILDING
Owner W1 V S
SO. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor
Total Valuation
Mailing Address ,
Permit Fee
Plan Checking Fee&/or Penalty
Telephone No.
_ Q
Permit Fee $ .240o r
Building AddressS S
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
b C)1 6 S
Each Trap 1.50
Repair drainage or vent piping 1,50
CA 1 C4
Water piping 1.50
Each gas water heater or vent 1.50
[�
A. P. No. . 4
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F
S n FireDept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
s
Declaration
Parcel Map
60' R/W
Improvements
Lawn sprinkler system 2.00
11PPlanrking
Parcel ApprovalPlows Approval
Permit Fee $
$
NEW ADDITION ❑ UTILITIES ❑ OTHER [:]
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 1000V OR 0 AMP ORLESS5.00
Main service EA, ADD•L Too AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home ❑ Others
Main service 1100EAMP oR LESS 25.00
Main service EA, ADD'L Too AMP 1.00
,� b` `
Far
&
NEW CONST. ` DWELLING OCCUP. 20sgft
A )
NEW CDONSTR MULC.BTI-OUTLET
NON•R ESI D. ( BRANCH CIRCUITS)2.50ea
NEW CONST R. (POWER APPARATUS&J
NON •RESID. SINGLE OUTLET CIR,
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
Stye `
Ex. Occup(OUTLETS OR FIXTURES)@25a
BAL@T
FIXED APPLNS. OR
EX. DCCup.(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
^�
, `ill
License N E%J13?p Classification _
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
•� I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
El permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No.1 @ I FEEPERMIT
FILING FEE J$3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
TOTAL PERMIT FEE
1�
auu1O11GC 1Ct/1C5eI1LdLIVC5 UI Ine Guuniy OT Butte to enter upon the
above- ntioned propq7ty for inspection purposes.
X x4VIAX Date
Signature of Permitee or Agent
Receipt No. 17-07-96
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF BVBLIC WORKS
By ZZ -7 7 7
Building permit expires Date
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — UroviIle, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
ab ve-mentioned property for inspection purposes.
V,0�X Date
Signature of ermnitreor Agent
J 7
Receipt No. ^G0
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
__,,--BIRECTOR OF PUBLIC WORKS
-permit expires Date
BUILDING
Owner �
SQ. FT. OCC. BUILDING VALUATION
Mailing Address 1�vc".. �Q
/I
Telephone No.
77_
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee $
I' / O i
Building Address Z
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00 p
l cJ. 2 per/ p�
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. 3
Zoning &Planning
Gas piping system 1 - 5 outlets 1.5U
Each additional outlet .30
es
Serrrtat n
I Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
ImprovementsLawn
sprinkler system 2.00 , p p
Parcel Approval
Plans Approval
Permit Fee $ p
$ s lei L
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE J$3.00
Main service 6011 OR 100 AMP ORLESS5.00
Main service EA. ADD'L 100 AMP 2.50
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service OVER 600V
1100 AMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. DWELING
OR ADDNS. ( ACCLBLDGS.CCUP. &) 20sgft
NEW CONSTR. MULTI -OUTLET
NON-RESID. BRANCH CIRCUITS 2.50ea
NEW CONSTP- POWER APPARATUS &
NON.RESID. (SINGLE OUTLET CIR.
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:
Ex. Occup(OUTLETS OR FIXTURES) BAL@1
Ex. Occu // FIXED APP LNS. OR
P.(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
® I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑ I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
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 herebys
TOTAL PERMIT FEE$
authorize representatives of the County of Butte to enter upon the
ab ve-mentioned property for inspection purposes.
V,0�X Date
Signature of ermnitreor Agent
J 7
Receipt No. ^G0
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
__,,--BIRECTOR OF PUBLIC WORKS
-permit expires Date
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965 `' 6; 6
/
Telephone: 534-4541
APPLICATIOWAND PERMIT
authorize representatives of the County of Butte to enter upon the
above- ntioned property for inspection purposes.
X Date/2 12 -21,,22 -
Signature o /' f? ermitee orAgent
/
Receipt No. �%Z 0
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By — �, v.� Date 12--2-2—
Big permit expires Date &—Ie -7d?
BUILDING
Owner e 2l I J A
SQ. FT. OCC. BUILDING VALUATION
Mai I i ng Address
Telephone No.
Fireplace
Contractor 7"4ave--J5-
Total Valuation
Mailing Address �2 7g C 1'd .4 !rE
Permit Fee
Plan Checking Fee &/or Penalty
cl AllTele
hone No.
^7 O
Permit Fee $
Building Address
PLUMBING No. @ FEE
PERMIT FILING FEE J$3.00
/001 AJ N c
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
G O
Each gas water heater or vent 1.50
A. P. No.
Zoning &Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F
�ertita n
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
I Parcel
Declaration
Parcel Ma P
60' R/W
Im provements
Lawn sprinkler system 2.00
au _E1 R
Parcel Approval
Plans Approval
Permit Fee ,$
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHERi❑
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE $3.00 3,00
jr,-cC. rig r �� b/a'r- %
Main service io00o AMP ORSLESS 5.00
Main service EA. ADD -L too AMP 2.50
Single Family F]Duplex ❑ Mobil Home ❑ Others
R 600V
Main serviceVEAMP OR LESS 25.00
Main service EA. ADD'L too AMP 1.00
YI %��% TC (Q�} I�� �_
NEW CONST.( &
OR ADDNS. ( DWELLING O
ACC. BLDGS. �) 20sgft Z1 O
NEW CONSTMULTI-OUTLET
R.
NON-RESID, ( BRANCH CIRCUITS) *2.50ea
NEW CONSTR. POWER APPARATUS &
NON-RESID. (SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State o),,CaliforniajBusiness & Professions Code under the name
sty a
Ex. Occup(OUTLETS OR FIXTURES) BAL@ta
FIXED APPLNS. OR
Ex. Occup.(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification ��' /
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
' Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑ I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
TOTAL PERMIT FEE
$ SC
authorize representatives of the County of Butte to enter upon the
above- ntioned property for inspection purposes.
X Date/2 12 -21,,22 -
Signature o /' f? ermitee orAgent
/
Receipt No. �%Z 0
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By — �, v.� Date 12--2-2—
Big permit expires Date &—Ie -7d?