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HomeMy WebLinkAbout021-120-00321-12-3 Bert & Betty Onyett W/S Block Rd.,a[pp.-lOO'S-of Little Ave., Gridley Permit #807-81BV, "d d m i 12 '03"'�� V .03 kA TT B'Q'r'�I-' 4:4 3 Ma'd,'-...Gr�idlel n -elec sef. SF. ew Ip CON CN i 1�� MIMMI.R."Iml 1141114 .11111MR111 kA_ *t�v W-, W 21-12-03 403-90E ONYETT, Bert 1443 Block Road Gridley (new elec ser)S' F Or -r -ICE COPY Address — ---------- GAS meter BY— F_U�C F"C [)at,/ meter I o /* -7 N, V Jws- �a7 71) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, Cali fornia95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 21-1 - 2-03 ZONING A40 BUILDING PERMIT OWrIff RT ON= TELEPHONE 846-3766 SQ.FT. OCC. BUILDING VALUATION OW144Ttil NGI�Dkj E OC stridley CONTRACTOR'SNAME nwnpr TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation —1 $ 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 1443 Block RA, Gridley Permit fee $ PLUMBING PERMIT FilingFee 10.00 Each Trap 2.00 Solar or heat pump water heater 20-00 LOT NO. UBDIVISION NAME is PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF[X DuplexF� MobilehomeR Other SPECIFY Gas piping system I - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 110-00 ea TYPE OF WORK New E] Addition [] R emode I [:] Uti lities [I Instal lation Ell �OtherEl Descri be.work: New electrical service Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 10.00 Main service 8001 OR LESS 100 AMP OR LESS 10.00 10.00 Main service EA. ADD -L 100 AMP 2.50 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F-1 I am licensed under provisions of Chapt. 9, Div. 3 of the.13usiness 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) I, as the owner, am exclusively contracting with licensed Cunnaut- ors. (Sec. 7044) I am exempt under Sec.—, Business and Professions Code for this reason NE W CONST. ( DWELLING OCCUP.&) OR ADDNS. ACC. BLOGS. 2'/2(tsqft N EW CONSTFL �"ULT'_OUTLET NON.RESI., BRANCH CIRCUITS) 2.50 ea (POWER APPARATUS.&) SINGLE OUTLET CIR Ex. Occup( OUTLETS OR FIXTURES j.20 @ 50C AL9 309 FIXED APPLN5. OR Ex. OCCUP- OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Pre—Insp 15.Oq 15.00 Permit Fee Contractor $ 37.50 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F� The permit is for $100.00 (valuation) or less. Ej 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 FilingFee 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 ot 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 �z__ 9 x Date. Sig-a=.r.-f Owne A Contractor [I .,Agent An CISH)k per,mit'is r , y.1d for excavations over 5'0" deep and demolition or construct- ion of structure s over ies in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE I TOTAL FEE $ 37.50 HAZ I CUA I PARK I SCHL 1_;TL�PD I HE) Th:s permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees PUBLIC I 1 B v PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date ?-I --s - 90 Z_ 1-;—<; AF Receipt No.— 58683 -APPLICANT WNITE-D.P.W.. YELLOW-ASSE3_36R� PINK -INSPECTOR, GOLOENROO COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 4F 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 536-7541' 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE OWNE --t746-- - MIT NO. 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 ailditional explanation, please contact this office immediately. Pplwloa za. F A F M WAJ ]VAL Al Date— Ir)-3-4?P - Inspector COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovl�le,,Calirornia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ICY �9 0. - ASSESSOR PARCEL NUMBER 21-12-03 ZONIN A4 BUILDING PERMIT "'ff RT ONYETT TELEPHONE 846-3766 SO. FT. OCC. BUILDING VALUATION OWNf44_TAffNG AQ&aE ock slGridley CONTRACTOR'S NAME ITELEPHONE Coj�WnAeff�R'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER's MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1 Z4. Z4.1 R I n r k- Rd Qri fi I PV Permit fee $ PLUMBING PERMIT FilingFee 10.00 Each Trap 2.00 Solar or heat pump water heater 20-00 LOT NO. SUBDIVISION NAME 1 PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFEJ Duplex[] MobilehomeF_� Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ed TYPE OF WORK NewFJ Addition [:] Remode I [] Utilities F1 Installation[] OtherEl Describe work: New electrical service I Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 10.00 Main service EA. ADD -L 100 AMP 2.50 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): of the Busines El I am licensed under provisions of Chapt. 9, Div. 3 S 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) F] 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.&) OR ADDNS. ACC. BLDGS. 2/20sq ft NEW CONSTR. 14ULTI-OUTLET NON-RESID, §,RAN CH C'�!C UITS) 2.50 ea, P WEIR TPF�R TUS.&) (SINGLE OUTLET CIR Ex. Occup(OUTLETS OR FIXTURES --BAL@301! 20@50c FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 — Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Pre—Insp 15.01 15.00 Permit Fee $ 37. 59 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F-] 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 FilingFee 10.00 Heating Cooling Hood 3.00 1 Venti lation 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 ot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date. �q 9i,_ Signature of icant OwnerX ContractorEl Age APPT nt An 0SHA permit is req.18 for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories i n height. Mobile Home Installation Fee $ Energy Inspection Fee occ ONST TYPE I TOTAL FEE $ 37.50 HAZ I CUA. I PARK I SCHL I FLD I PAR PD HD I 4a5l,12'� Th's permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees UBLIC I Bv la!�x I PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Z-17 Date �,_9 Z__ is �14_ Receipt No. rg6gl — WHITE-O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD-APPL I CANT COUNTY OF BUTTE. - DEPAR'T'41M'1510.,odO PUB'Lld� WORKS - BUILDING DIVISION 7,COLINTY CENTER -DRIVE - OROVILLE� CALIFORNIA 95§65 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET 4 Permit No. OWNER A. P.-.No.,;�/— Proposed Building Use Building lnspeTtZ—?-t Date;�/�— At time of permit application, I was advised thejollowing data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPOOVED 1. All items have been submitted. . .. .: ................................ 2. Plot plans in duplicate/triplicate, signed by preparer of plans ......... 3. Complete plans in duplicate/triplicate, signed by preparer of plans 4. Complete engineered plans and calcs, with wet signature on plans 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting dodumentation .......... 7. Statement of Intent for'N6-6-Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions ....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ............... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use:—(B) Parking: . ...... -18. Improvements may be required. Contact Land Development Section DPW I'l 9. Driveway permit (construction approval required prior to occupancy) 20. Pre -inspection for 42k--� required ... Pre-Inspec. request to Building Inspector 21. Contractor's license information (No., Narr�e Style, Classification) ... -22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner cl, Mail to owner 0) ..... -24. Recorded copy of Agricultural Acknowledgment Statement 25. Letter of signature authorization ......... 26. pl,:�r ./,?a 27. Date) when you issue tne permit, process as tollows: I/ Mai I to owner. —Mail to contractor. Telephone —and hold for plAcp at —office. _Deliver w/inspector. Other I Applicant Copy of plans sent — Health Dept., —Fire Dept., — Other— Date The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: Date* -9— 5;;"— P11 6/ (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by —phone---inai I —counter by—.da Contractor, designer, owner, was advised of above required data by —phone —ma I I —counter by— date Plans checked by Date Plans approved by X Date Sets of plans on hold in File cabinet —AP folder Copy—DPW COUNTY OF BUTTE - _DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT I �, ASSESSOR PAR)EL NUMBER ZONING BUILDING PERMIT TELEPHONF_ SQ.FT. OCC. BUILDING VALUATION OWNER*S MAILING ADDRESS _ p 44 AajEl _Q CONTRACTOR';Se2pAE ITELEPHONE (,XA 2AY-0-1- CON'r_kACTOR'S MAILING ADDRESS - Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING AO�ORESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT FilingFee 10.00 Each Trap 2.00 Solar or heat pump water heater 20-00 LOT NO. UBDIVISION NAME 1 PARCEL MAP Water piping 5.00 Each qas water h'eater or vent 5.00 USE OF STRUCTURE SF Duplexo Mobilehomen Other SPECI FY Gas piping system 1 - 5 outlets 5.00 Building sewer _TS_TT17W71 5.00 Mobile Home ea TYPE OF WORK NewF� Addition del 0 Utilities [] Installation[] Other Describe work: .11 Permit Fee $ Contractor ELECTRICAL PERMI T Filing Fee 10.00 main service 101V OR LESS 100 AMP OR LESS Main service EA. ADO -L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El 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 19 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) 0 1, as the owner, am exclusively contracting with licensed mapou, ors. (Sec. 7044) I am exempt under Sec.—, Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.&) OR ADONS. ACC, ELOGS. 2Y2 Osq it NEW C NSTR. MULT'_OUTLET ON.R2S N I., .11.11C. CIRCUITS) 2.50 ea POWER APPARATUS.&) SINGLE OUTLET CIR Ex. Occup(OUTLETS OR FIXTURES 0050C 1.2ALC 30q FIXED APPLNS OR Ex. Occup_._ OUTLETS (RESI*D.) EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 — A610 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F� The permit is for S100.00 (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 FilingFee 10.00 Heating Cool i ng Hood 3.00 Venti lation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — OwnerR Contractor [D 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 $ Energy Inspection Fee cc CONST PE TOTAL FEE $ MAZ CUA PARK I SCHI I FID I PAR �P. ISSUE 01 This permit is nereby issued under sions oi the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date tne applicable provil- resolutions to do have been paid. WORKS Date Receipt No. I - . . . - - - - ­ WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD-APPLI CANT \� o J V. PRE -INSPECTION OWNER: DATE- /jt� -LOCATION: A.P. # CONTRACTO R: ZONING 44() ----------- -------- ------------ PRE-INSPECTION FOR: ELC-. Gczz 71(f 0A1 rA44 6 -CC-e- 1-�Cf Ld4VE -7 --j DATE TO INSPECTOR PERMIT HISTORY: NONE AS FOLLOWS:- 106'kO d- t --�- �A2J�- -iz7 06--eio Q -A,::: - TYPE OF OCCUPANCY_ FIELD - INFORMATION BUILDING USAGE: TENNANT: E::] OCCUPIED HAS ELECTRIC F,]HAS GAS E::] HEATED -COOLED PERSON CONTACTED OTHER COMMENTS: E:] HAS. SANITATION -FACILITIES COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N 7 County Center Drive,- Oroville, California95965 -Te'lephone9l6/534-4541 7 APPLICATION AND PERMIT ASSESS CE BER ��NUM VOW 113 G ZO —40 BUILDING PERMIT OWNER gC_-17y Cq1Jyr_rT y4j�Hyjj SO. FT. OCC. BUILDING VALUATION Or ��.S ML 05kAD7RESS4/2/,pL CONTRACTOR'5 NAME ITELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LEND ___rKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ 11),60 ARCHITECT OR ENGINE R LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ Z0, BUIL I G.ADDR.ESS ,gccic--� PLUMBING PERMIT FilingFee 3.00 L'I 77 -LE A145- Each Trap 2.00 Repair drainage or vent piping 2.00 tel /-,) I/— E+ Water piping LOT NO. UBDIVISION NAME is ARCEL MAP 1P Each qas water heater or vent 2.00 Gas piping system I - 5 outlets USE OF STRUCTURE, SFP?""Duple,[] MobilehorneRA""Other QEJVQQ77i9AJ SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New [_J Add ition [:1 Remode I [I U t i I i t i es 0 InstallationD Other [i; --Contractor Describe work: 0 " 1-70 /1-1 Permit Fee $ ELECTRICAL PERMIT FilingFee 3.00 Main service 600V OR LESS 100 AMR OR LESS 5.00 Main service EA. ADD -L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.& OR ADDNS. ACC.BLDGS. 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El 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 P11,1, 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) r] 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(MULTI-OUT LET NON RESID, BRANC H CIRCUITS) 2.50 ea NEW.CONSTR. (POWER APPARATUS &I NON RESID. SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 50 @ 250 BAL @ 101 FIXED APPLINIS OR Ex. Occup.(OUTLETS (RESI*D.) EA.) 2.00 —Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor MECHANICAL PERMIT FilingFee 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 — Hood 2.00 Venti lation 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 ot 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 agpmiSt said CouWy in cons;eq e of the granting of this permit. k FW, 4 /u nc /I/ _/;) ­64 Date Signature of Alp—pliconl — 0- Contractor F1 Age nt -1 is .,u far :er 0 An OSHA permit Je xcavations over 5'0" deep and demoliti I on or construct- ion of structures over 3 star es in height. or . Mobile Home Installation Fee $ Land Development Fee $ — TOTAL PERMIT FEE $ 2�0.100 OCCUP. GROUP I TYPE OF CONST. IPARCELI PC I HO I ISSUE t-11 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt NO. 3K WHITE-D.P.W., YELLOW-ASSFSSOR, PINK -INSPECTOR. GOLDENROD-APPL I CANT COUNTY OF BUTTE - DEPARfMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT P A7_71 A S S E S�O/R �ARCEI_ NUMBER Z—f 03 ZON1170 ;q AW BUILDING PERMIT OWNER &�� � EET711" ON YIF77- 2/E SO. FT. OCC. BUILDING VALUATION OPEJ)S MA��NG A RESS >/ t) &C OZD/ 4k CONTRXCTOR'S NAME 1 0 1A A /; f—:1Z TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION N OWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee Is ARCHITECT OR,���R, LICENSE NO. Plan Checking Fee Z/ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUIL ING ADDRESS &—ocle P-2), loop /00 S. PLUMBING PERMIT FilingFee 1600 Z -17 -TI -E AV C-, Each Trap 2.00 Repair drainage or vent piping 2.00 67RIDI-C-1111 Water piping /49-00 LOT NO. UBDIVISION NAME Is PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets /40,00 USE OF STRUCTURE SFEJ Duplexn MobilehomeE4---Other SPECIFY Building sewer /a �o a Lawn sprinkler system 2.00 TYPE OF WORK NewEl Addition [:1 R emode 10 Utilities [g"lInstallation[I Othern Describe work: Permit Fee $ 410. tj t) Contractor ELECTRICAL PERMIT FilingFee /,000 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD -L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.& OR AODNS. ACC.BLDGS. 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. icense No. Classification M -11L, 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 NFW.CONSTR MULTI"OUT LET NON RESID. BRANCH RCUITS) 2.50 ea, NEW C ONSTIRL POWER APP AIRATUS & N ON,RESID * I SINGLE OUTLET CIR. 50 @ 25c Ex. OCCUP(OUTLETS OR FIXTURES BAL@1 (FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 . eJ P 70 Z -#F 1700 Permit Fee $ 50 Contractor WORKMEN'S COMPENSATION INSURANCE 1 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 Fi ling Fee 3.00 Heating Cooling Hood 2.00 Venti lation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue ag t said Co ty in conse ence of the granting of this permit. C X Date SiPgnature of pplican OwnerEl Contractor FJ Agent I cc An OSHA erm is re i d for excavations over 5'0" deep and demolition or construct- p it i ion of stru tures over %stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ 53's eD occUP. GROUP I TYPE OF CONST. /Y This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. 4o? 13 V WHITE-D.P.W., YELLOVY-ASSESSOR. PINK-IN�P ECTOR. GOLDENROD-APPL I CANT L I A 7 7 1 L _F7 -either--' fhe- r_e, ar----,bZ----, ;d1!6II TilrTitibi CL rlIu, Vy L Lf LU -1—W -5-Y Was f f h -i r _L_7 .......... ........ war L? H ILIALij_!1 Xf I III I Iylt�A loll I R ge- ime 1.1111 J I I r sc ope r rr I lizoe III 1 1 thiO I I 1 1 i I L V.L_ LL iL c Li I is I I I I If 40 I IOU Mm-. A. Vil i _j 1 1 LL T—f i I 1 1 4 1- 1 A IA -4" j -h L L: I NI I I I I I I I I T1 7N I I MELEE — — — — — — -- Mi no P, ktawmm won No ME ME MEME i MINE MEN MERIMS SEE WEEMEN 0 VrIW707 11101 rp- REMEM --- sm"m