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Home My WebLink About024-010-097t 4 tr I 24-01-97 Gary Embree 292 Archer Ave., Gridley contr: Servamatic Solar Sys.,Chico Permit #4646-81P(inst.solar w/h-SF)m 9 ,�� r _ , 9 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. BUILDING PERMIT OWNER I r TELEPHONE SQ. FT. I OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS �.vry ra .... i vr< J rvgMG TELEPHONE ELECTRICAL PERMIT Filing Fee 10.00 CONTRACTOR'S MAILING ADDRESS ' Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee LENDER'S MAILING ADDRESS Permit Fee ARCHITECT OR ENGINEER i ' 11 f • , rJ LICENSE NO. Plan Checking Fee Penalty ARCHITECT ORENGINEER'S MAILING ADDRESS Permit fee BUILDING ADDRESS J t I PLUMBING PERMIT Mobile Home Facilities Each Trap Repair drainage or vent piping 7.50 WaterP•P I in 9 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex Mobilehome❑ Other SPECIFYr Building sewer Lawn sprinkler system , i / "t TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti Iities ❑ Installation ❑ Other Q' Describe work: 7-)1, � Permit Fee Contractor 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 ander my license is in full force and effect. License No. Lim `�� ' Classification t — ❑ 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) 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 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): f-] The permit is for $100.00 (valuation) or less. ❑,►j 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. $ 10.00 a Filing Fee 10.00 2.00 5.00 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 shal I be deemed revoked. Penult Fee ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP LESS 100 5.00 Main service EA. ADD'L too AMP 2.50 NEW CONST. (DWELLING OCCUP.51 OR ADDNS. \ ACC. BLOGS. 20 sq NEW CONSTR I.OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea NEW CONSTR. POWER APPARATUS &) NON.RESID. (SINGLE OUTLET CIR. Ex. OCCUR OUTLETS OR FIXTURES 50 @ 25 IXED APPLNS. OR EX. OCCU p.(OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation 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 shal I be deemed revoked. Penult 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 Mobile Home Installation Fee TOTAL PERMIT FEE OCCUP. GROUP TYPE OF CONST. S 3 �.gilr� PARCEL PD HD I ISSUE 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 / Vsions of the Butte County Code and/or resolutions to do Signature of Applicant — Owner ❑ Contractor ❑ Agent a - ' 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. rl 9 �1 Receipt No. gy Date � �) •'J..•.. - WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT PERMIT EXPIRES Date �n - - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC 7 County Center Drive - Oroville, California 95965 - Telephone APPLICATION AND PERMIT 4 WORKS PERMIT NO 916/534- 41 ASSESSOR PA�L UMBER ZONING BUILDING PERMIT ER c L.i kKt� rl S TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S NJAILING ADDRESS NTRACTOS ME J R'Y TELEPHONE CONTRACT R S MAILING ADDRESS 1l 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 $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 I Water piping LOT NO. SUBDIVISION NAME PARCEL AP 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 syst m 5.00 e TYPE OF WORK New ❑ Addition ❑ Remo el ❑ Utilities Installation ❑ Other Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 D00V OR LESS Main service 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. /DWELLING OCCUP.y\ 2d sq ft OR ADDNS. % ACC. BLDGS. / CONTRACTORS LICENSE LAW I decla 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. �t��0 �� ClassificationG-�'� 'f4 ❑ 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) E] 1, 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 I MULTI.OUTLET 2,50 ea NON-RESID BRA CH CIRC ITS POWER APPARATUS 01 NEW NON -CONSTR. RESID, `( SINGLE OUTLET CIR, / so @ a¢ Ex. OCCUp OUTLETS OR FIXTURES BAL@100 EX. OCCU OUTLETS IXE PLNS (RES(D )RE A. 2.00 p Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION IN I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. Vhave placed on file with the County of Butte Building Department 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 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 again,,A said Couni nsequence of the granting of this permit X Date Signature of Appli nr - Owner ❑ Contractor ❑ Agent ®� An OSHA permit is required for excavations over 5'0" deep and demolition or construct-MTKOF ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ r Occup. GROUP I TYPE OF CONST. PARCEL PD HD ssuE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. PUBLIC WORKS (2 By i PERMIT EXPIRES Dale IQL 10—e -)-,) Receipt No.6!Z WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT