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HomeMy WebLinkAbout021-100-02621-10-26 ,CARL FERGUSON o N/'S LiLLle Ave, dpp 4501 E ut Oregon St., Gridley --''ermit##7326-78E (iiew. el -6 i%�dh) u 4200-89M. ', t, '!*10 26 FERGUSON M-1 eti Z • �:,;;:z Contr r Mountain *Air ,� .,�"�� _, r,'L� �;, � . 3'282�Little Ave; Gridley :yam n.r. a � , . ± ark ,,„4(re,.glace :furnace) 4• � � a,, �; ,.i 021-110-'026' 1 �! E'": 04 2832} .JANUARY; MILDRED+ 51436 VERMONI,ST GRIDLEY Cont:.GALLAGHERS HEAT &AIR r • :.. C/O: HVAC BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.neAdds PERMIT NO. BP042832 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 09/28/2004 APN: 021-110-026-000 the Business and Professions Code, and my license is in full force and effect. 7� 33 License Class: License um/�ber: 3m6 Site Address' • 1436 VERMONT ST GRI Date ractor. Map Index: Description: CHANGE OUT HVAC p OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: JANUARY MILDRED R to its issuance, also requires the applicant for such permit to file a P O BOX 611 signed statement that he or she is licensed pursuant to the provisions of GRIDLEY CA the Contractor's State License Law (Chapter 9 commencing with Section , 7000) of Division 3 of the Business and Professions Code) or that he or 95948-0611 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: GALLAGHER'S HEATING & AIR Code: The Contractors' State License Law does not apply to an owner of property,who builds or improves thereon, and who does such work himself or herself or through his or her own employees, E. HWY 99 provided that such improvements are not intended or offered for LOS MOLINAS, CA sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 800-892=3556 proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor• GALLAGHER'S HEATING &AIR not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). E. HWY 99 ❑ I am Exempt under Article 3 of the Business and Professions Code LOS MOLINAS, CA 800-892-3556 Date: Owner: License #: 777334 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: I I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: �TL Carrier: T C Total Square Ft: 0 S. F. Policy #: �' 7 — �E9O Valuation: $0.00 f Census Code: ❑ 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall j forth wi h complyw'lh those provisions. �j Date: { � 1 i I r' Appli WARN Failure t secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one $ 1 6 5 3v� . q • 1$ o Q hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. ' I CONSTRUCTION LENDING AGENCY This permit is hpreby issued under the applicable provisions of the Butte County CodR and/or I hereby affirm that there is a construction lending agency for the Resolutions to o work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By: Date: PERM E IRES ON: 9' Z8.O S Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, I handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter th u ce of any official form or d u ent of Butte County. I hereby I. authorize representatives ofButteCounty to upon the above mentioned property for inspe tion pure se -enter r Print Name: C IY irh /p I�1 �7 Signature: i Date: J` I U 0 Owner ❑ Contractor ❑ Agent for Owner Contractor Agent for BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" APPLICANT NAME OWNER La t Name ilo r(4 Q t'5 irst m A dresS L L 'l City Gir� JL [ lr joS State ^ I.Zip �-t Zi Phone � � I TJ Lj 1t Fax E-mail State License Number APPLICANT NAME CONTRACTOR Name 66(1 Q t'5 4Vft ( , Address 6 ©� 3 City [ lr joS State G� Zi Phone Lj 1t Fax E-mail State License Number Lic. # lass APPLICANT NAME ARCHITECT/ENGINEER Name Ci ; cvr- Address Book City Fax State Zip Phone Address Fax E-mail State License Number APPLICANT NAME Namej,fA Address2L21 Ci ; cvr- Subdivision Name Map Book Phone 0�71!1 V Fax E-mail AQpo*ice use o Zoning Flood Zone SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BP,o BIN # LOCATION AP# 01i•►to. D3-� Property Address I Cwt-ry)on j Cityn j v Cross Street WORKER'S COMPENSATION Policy Number c3 S WYI Carrier —� aq s If hiring anyone other than license contractors, a certify to of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address OVER FOR SUBMITTAL REQUIREMENTS LL -K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Description or Scope of Work: a G 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 REFUNDS 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. Received by: 1___" Amount: — Bldg SRA Receipt #: Sheriff Date: c1,Z8.0¢ SMIP Other 15!5.— REV 7-27-04 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 BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 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 paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) - ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 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 enqineer. ❑ 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. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). ❑ 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 review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ . 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538.7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 .."Nee might or Jr -6 tree •-rm August 31, 2004 Butte County Department of Development Services 7 County Center Drive Oroville, CA 95966 Dear Sir or Madam: The following people should be the only ones on our list of qualified personnel to pull permits for Gallaghers Heating and Air, Inc.: Jennifer Gruber Dan Harvey Steve Carrier Scott Lawrence Chuck Crossland Dan McLaughlin Lance Gallagher Don Nelson Tim Gallagher Aaron Price Jim Garey Lyndy Rose • Roy Gillham Jeff Watson Jim Gochnauer Bob Watters Bill Green Paul Young Geno Gruber Please remove all other names from our list. Thank you. If you have any questions or concerns, please contact me. Thank you very much. Sincerely, Tim Gallagher, P esident Gallagher's He ing & Air Conditioning, Inc. TG: cic H4 Hour Emergency Service: P -800-892-35585 ° voice 530-384-@444 Fax 530-384-1944 7808 Hwy 99E, P.C. Honor 35, Loy Molff, noff, California 959755 W. �l I f 3, A /Go 0 b 1 41, JAU D" zd' I 6nin ppw i'%X (916) 671-6625 14lg a IWAOMr. V 17 0 it o 4 t',p , is- 'Vj .<40 ika -69vaURRENTj_ 4r, ',OCCUPANT Ty+ Ngo wit, JDAPANT HHA, --101' 9 09I)l U IN 13 D A T 7 _9 n', k ',,-Jb2A81 C , 1 2M-fr.4- �1r,DATE AND - SET felms—'101 to ',l ON, ]PROT 1 0 0 m 69Fjfd,,'v'NOTIC9­ TOWYOURIWAS"OFF x 9070UA81710 O�%itth-AY."" E tl-w y q k V MAIN. IS- Z- gp 1w Oty CfibS99j" U6 X3771991, t7c x 'v:,y..�..y+.-,lr-�..•w. ..., •"•^►G�i+ti" .....-i• � r � _ _ . ...-„}� - -� • . � o•,�rinr.!'=. :v � r r r �,�v,�� , ,: i & t: FV: I_T, " ­p�"'p ' . t. ,np MR M V4 7i 1 COUNTY OF BUTTE - DEP;TMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, C fdrni4l95965 - Telephone: 916/538-7541 L./2 111-7) 2 APPLICATION AND PERMIT l ASSESSV, PJRCEL N • ER zONijd'G BUILDING PERMIT OWNER// AOL, TEL`EEPPPHONE , SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDR SS / J y ') ...f Li��7 CONTR, C/'OR'S NAMESTELEPHONE 44, 2 CONTRACTOR'S MAILING ADDRESS' '_�' ? "/`A( Fireplace CONSTROCTI 'N 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 Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 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� Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 10.00e TYPE OF WORK New❑ Addition❑ Remodel El Utilities❑ Installation❑ Other Describe work: R LY1 440-&A. 0 _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 OR L Main service ;$o AMP ORSLESS 10.00 Main service EA. ADD'L too AMP 2.50 CONTRACTORS LICENSE LAW I dec are under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business t and Professions Code and my license Is In full orce and effect. License No. _7Classification 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.a+ OR AODNS. M. SLOGS. , 2h0sgIt NEW CONSTR. M ULTI.OUTLET NON-RESID BRANCH CIRCUITS 2.50ea POWER APPARATUS 6 SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES 2 SAL0AL030 30 \\ Ex. OCCUp. OUTLETS P(RESID IRE A./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 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 t a Certificate of Workmen's Compensation Insurance or a Certificate �j 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 Filirig Fee 10.00 Heating —Cooling Hood 3.00 Ventilation. perm it Fee $ 16 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. 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. X��i�+_�..__ — ~� ��7/h— -• � � � Date --�� Signature of Applicant — Owner g pp ❑ Contractor "❑ Agent An OSHA permit is required for excavations over 5'0" deep andolition or construct- of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee occ CONST TYPE TOTAL FEE $ AL HAz CUA PARK FLD PAR PD HD ISSUE This permit is hereby issued under Bions .of the Butte .County Code and/or work indicated above for which fees � DIR�EC OR OF PUBLIC/WORKSion B PERMIT EXPIRES Date r - a r the applicable provi- resolutions to do have been aid. p %ate ` r v Receipt No. si %� WHITE-D.P.W., YELLOW -ASSESSOR, PINK-INSPEGOLDENROD-APPLICANT CTOR, COUNTY OF BUTTEDEPAF4�jENT OF PUBLIC 7 County Center Drive - Oroville, �8 !Abrnla 95965 - Telephone: APPLICATION AND PERMIT WORKS PERMIT NQ, 916/538-754. ASSESSO Py, `R=EL N ER Zo"I�,.C� BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDR SS qqqq LZs / CONT C OR'S NAME TELEPHONE J4, Ao,12t CONTRACTOR'S MAILING ADDRESS Fireplace CONSTFTrJCT1CM LENDSW— KNOWN 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 Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT FiIingFee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each gas water heater or vent 5.00 USE OF STRUCTURE SF Cg Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W 10.00e . TYPE OF WORK New ❑ Addition ❑ Remodel ❑ //U��ti lities ❑ Installation[] Other Describe work: J214 �Ah AA4,&� _ Permit Fee $ Contractor 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 CONTRACTORS LICENSE LAW I de are under penaltyof perjury p I y (check one): I am licensed under provisions Of Chapt. 9, Div. 3 of the Business and ProfeSsl s Code and my license IS In full orce and effect. License No. Classification El1, 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.81\ OR ADDNS. l ACC. BLDGS. / , �ZQSgft NEW CONSTR. ULTI.OUTLET NON.RESID BRANCH.CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETs OR FIXTURES SOS BALM BALD 30 FIXED APPLNS. Ex. OCCUp. OUTLETS IIRESID )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 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 County unty 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 liabilities, judgments, costs, and expenses which may in any way accrue against said County in asequence of the granting of this permit. X �-` ,G� Date Signature of Applicant — Owner❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep a V.emolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ L'kAA occ CONST TYPE TOTAL FEE $ ALSCH HAz CUA PARK ELD PAR PD HD ISSUE This permit is hereby issued under sions of the Butte County. Code and/or work in ' ated above for which fees G DIR OF PU I JdAd B AA P MIT EXPIRES Date trout- the resolutions resolutions to do have been paid. ORKS D te` Receipt No. -Y%� WHIT!-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY.OF BUTTE — DEPARTMENT OF PUBLIC WORKS 1 7 County Center Drivel — Oroville, California 95965 Tel ep(41one:W534-4541 APPLICATION AND PERMIT .. ,cr. v.�cn ira U.vca VI C¢IIG VUUlily U'•UUllc AU CIIICI UPUII LIIC above-mentioned property for inspection purposes. X f11i-e- - r im « ..-7 DateA-7- 2.1-29 Signature of Permtitee or Agent Receipt No: White-D.P.W. - Yellow -Assessor - Pin , linspector -G olde�d-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 iC~ Date/ ? 1. Building permit expires Date BUILDING Owner +1r`,. .` v _;y,� SQ. FT.. OCC. BUILDING VALUATION Mailing Address; �4 ) Telephone No. Contractor Mailing Address Fireplace Total Valuation-• -- �.. Telephone No. Permit Fee Building Address' `��� ; .� �! .` Plan Checking Fee &/or Penalty Permit Fee _ �.�? , ! 7 d �i ,E d i t� i� 4s U. ' T PLUMBING No. @ FEE PERMIT FILING FEE $3.00 was°r'+� Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. Zoning & Planning Water piping 1.50 Each gas water heater or vent -1.50 Fees' -W,. Saniaation Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg: PIBnn. R 'd Parcel A proval Plans Approval Lawn sprinkler system 2.00 NEW ❑ . ADDITION ❑ UTILITIES ❑ OTHER 0" Permit Fee $ is t✓�'Gt;,a ��c .�o�`- . � �C'(/1 C z r16/ div s!-' ELECTRICAL No. @ FEE /a® „•, ��� -PERMIT'FILING FEE $3.00 3,00 Single. Family a Duplex ❑ Mobil Home ❑ Others El .Main service ' 600V OR LESS /^ �f 100 AMP OR LESS 5•00 7 r 0/✓'� Main service EA. ADD•L 100 AMP._ 2.50 �,�(;• - - _ - Main service OVER e00v 25.00 100 AM.P OR LESS Main service// EA. ADD'L 100 AMP 1.00 OR ADDNS. \,ACCNEW CONST. LBL GS.CCUP, 4) 20sgft _ 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: - CONSTR. MULTI -OU NEW CO NON-RESID �BRANCH . CITLET RCUITS) 2.50ea A/1 4 7 m, NEW CONSTR. POWER APPARATUS d1 NON.RESID. SINGLE OUTLET CIR. / Ex. Occup{OUTLETS OR FIXTIIRES g L 1@ EX. QCCU FIXED APPLNS, OR p•�OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 OI am exempt from the Contractors License Laws of the State of California. Perm it, Fee $j ... $--74d.,,U! WORKMEN'S COMPENSATION INSURANCE I am aware•of the provisions of Section 3700 of the California•Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with4he County of Butte a certificate of Workmen's Compensation Insurance. X I certify that in the perf6rma6 e*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 FLING FEE $3.00 Heating Cooling Ventilation Hood 2-.00--j, Permit Fee I certify that) 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 Land Development_Fee $ TOTAL 'PERMIT FEE E� �`� $ .. ,cr. v.�cn ira U.vca VI C¢IIG VUUlily U'•UUllc AU CIIICI UPUII LIIC above-mentioned property for inspection purposes. X f11i-e- - r im « ..-7 DateA-7- 2.1-29 Signature of Permtitee or Agent Receipt No: White-D.P.W. - Yellow -Assessor - Pin , linspector -G olde�d-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 iC~ Date/ ? 1. Building permit expires Date COUNTY OF BUTTE — ;DEPARTMENT OF PUBLIC'WORKS "^ 7 County Center Drive - Oroville, California 95965 Telephona� 534-4` 41 APPLICATION AND PERMIT /AA Cf/ BUILDING Owner SQ. FT. OCC. BUILDING VAL ATI N Mailing,Address or 7 %T0 � / 7 Tele�one o`7 ✓✓ Contractor r 4j Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building AddressPlan AVSL- L C A OF Checking Fee&/or Penalty Permit Fee APO 5'0 OIQCGV517— PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 iV Repair drainage or vent piping 1.50 r A. P. No. / �0- oX6 ���,1y'�7� !loping K Planning Water piping 1.50 Each gas water heater or vent 1.50 ita4ren Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans ParcelEach Declaration Parcel Map 60' R/W Improvements additional outlet .30 Building sewer 5.00 BI g. Id h ans Recd Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER KJ - Permit Fee $ iFA) 4616� c6: 0110AICF ELECTRICAL No. @ FEE X0,0 PERMIT FILING FEE $3.00 3, 00 Main service 10ov DR LESS 5/� 100 AMP OR LESS .00 7 r 00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 R40 Main service OVER e O 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( DWELLING OCCUP. 51 2¢Sgft OR ADDNS. ACC. BLDGS. 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: T NEW CONSTMULTI -OUTLET R NON-RESID BRANCH CIRCUITS) 2.50ea NEW CONSTRPOWER APPARATUS a� NON-RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTURES Ig LL9; FIXED ALNS. Ex. Occup. ( OUTLETS P(RESID.)REA) 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 MECHANICAL No. @ 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 PJ 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 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 hereby Land Development Fee $ TOTAL PERMIT FEE ib $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X 1� 4 r7— 4,, d&,4 Date a• 97 Signature of Permit or Agent Receipt No. o White-D.P.W. — Yellow- s essor — Pin -Inspector — oldanrod-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 aid. DIRECT( been WORKS By Date�7-' 2J, Building permit expires Date