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Home My WebLink About021-131-027'21-131"27 '1659-89B KIBBEY' Alma e, Gri ley 653 v- 'DOUGHTY, -Len.- of Lewis Oa. ridl� � - . ` ~ ' . . � � ' ' | 'ew single, f ami -1 x ,;�-. � , .•: J ,+ {'<' _ t � � r .� _ 1 � � ,. [� � � . � ._ is • •� � .. � .. ,� , 1- t '+{ x ,;�-. � , .•: J ,+ {'<' _ t � � r .� _ 1 � � ,. [� � � . � ._ is • •� � .. � .. ,� , 1- t t COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS /PERMIT NO,. / ; 7 County Center Drive - Oroville, Calif2rnia 95965 - Telephone: 916/538-7541 /� G �!� APPLICATION AND PERMIT / ) ASSESSOR PARCJJ L NUM ER. - f7 L ZONING - k BUILDING PERMIT OWN R \ 'Cwf L iD'2.. UL_EPH�oy/e�r TJT "T:lta SQ. FT. OCC. BUILDING VALUATION I l.� ,OWNER'S MAIL I SS / CONTRACTOR'S NAME- TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee t $ 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. n v -C,_ Permit fee $ PLUMBING PERMIT Fee 0 12 >�Eacb;.TraP,^ �'- � tx _ _ I , r..l .00 _ C "_ Solar or heat pump water heater. 20.00 LOT NO.SUBDI VISION NAME PA CEL MAP ' Water piping 5.00_ t 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 Is G W 0.00 ea' "TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ 'Installation[-] Other Describe work: ffAeQ:! S�, �� , Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 u Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 'CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one):- fv-.++•�-'^r•"^ ❑ 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 ! +«w I�r-o- - ) I, as the owner,r my°employees with wages as their sole compen- "i°?'� sation, will do the work,and the structureris not intended or offered for sale. (Sec. 7044) + -1 I, as the owner, am exclusively contracting with licensed, contract- ""` ors. (Sec. 7044) , "'❑. 1 am exempt under Sea_1 Business and Professions Code e y _ v._ j - - -, - for this.,reason g NEW CONST.. DWELLING OccuP.a ,h¢Sgft OR ADDNS. ACC. BLDGS. NEW CON STR U TI.OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS POWER APPARATUS tr (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 2ALO 30 ewL030 FIXED APP LNS. OR Ex. Occup. OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 - - , - S - " - -- - '-Permit Fee - ~ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ~ The permit is for $100.00•-"(valuat_ion) or less.4 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. E" 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 of Butte to enter upon the above-mentioned property for inspection purposes. INalso;agree to save, indemnify and keep harmless the County of Butte against all Iiabili.ties,. judgments, costs, and expenses which may in any way accrue -against said County in consequence of the granting of this permit. X ^ _ s„ustX, 1 Date 6: `�'� %� Signature of Applicant - Owner -[V Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $�j, Occup. CONST.TYP! ISC1100LI FL.000 PARCEL P11 1 NO 1 ISSUE This permit is hereby issued under sions of,the,Butte County Code and/or work irfdicated above for which fees � DiREcTd �OF PUOLIC B �r Y OWNIT!-D.P.W.. EAMIT EXPIRES Date the applicable provi- resolutions to do have beenaid. p WOR�),wR Date t Receipt No. l / - YELLOW-ASSE330R, PINK -INSPECTOR. GOLDENROD -APPLICANT / — COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS P RMIT NO e - 1 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 Id L APPLIC=ATION AND PERMIT J ASSESSO PARL.NUMQE �C�ff) ZONING BUILDING PERMIT o "R 1 C;E Ho f/ T D SO. FT. OCC. BUILDING VALUAT ON M IN DRESS Jb WN R'S IL fi�Le ONTR CTORSNAME T LEPH NE NTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 653 Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 ` Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PA CEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF 2� Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other Describe work: A --CYP Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service OOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100AMP 2.50 -07VCONTRACTORS 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) ❑ 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 , New DCONSTR� AUC BI.OUTLET h2sgft NON-RESID .BRA C CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 2AL@ eL930 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Yirin 15.00 9 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury check one): ❑ The permit is for $100. (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. rA 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee = Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 st said County in consequence of the granting of this permit. Date Pignature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 3j, M OCCUP. CONST.TYPEJ ISCHOOLIFLOOOIPARCFLI P11 1 ND 1 ISSUE This permit is hereby issued under sions of utte County Code and/or work cate I above Nr whichf IRE F PU P IT EXPIRES Date the applicable provi- resolutions to do s have been paid. WORKS AW Date Receipt No. WHIT[-D.P.W.. TELLOW-ASBE350PINK-INSPECTOR. GOLDENROD -APPLICANT 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.pe'rmit 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) 2. I (.have/have not) signed an application for a building permit for the 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 -fo.11owing 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 Owner Social Security Number. Date NOTE_:. This Owner -Builder Verification is sent to you as required by Sections 19831 and '49832°of the California Health and Safety Code. - 'tTtiis,verification must be completed and returned to our office before we are per- mitted to issue the permit. -Alma c (k 131-07 OF �S COUOF O "X W& DEi'T•