HomeMy WebLinkAbout024-060-008t
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024-060-008 00-0206
HUGHANS, WA Y43 OBEMERS DLE
CONTR
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GAS L
B08-2019 024-060-008
MISCELLANEOUS Water Heater C/O
WATER HEATER CHANGE OUT
43 OBERMEYER AVE
MACEY, MARY
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BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION (IVR): (530) 538-4365
OFFICE: (530) 538-7541 FAX#: (530) 538-2140
ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds
PROJECT INFORMATION
Site Address: 43 OBERMEYER AVE
Owner:
Permit No: B08-2019
APN: 024-060-008
MACEY,
MARY
Issued Date: 10/01/2008 By TMP
Permit type: MISCELLANEOUS
57 OBERMEYER
AVE
Subtype: Water Heater C/O
GRIDLEY, CA 95948
Expiration Date: 10/01/2009
Description: WATER HEATER CHANGE OUT
(530) 846-6587
Occupancy: Zoning: SRI
Contractor
Applicant:
Square Footage:
RISSE & SONS INC
RISSE
& SONS INC
Building Garage Remdl/Addn
PO BOX 67
PO BOX 67
RIO LINDA, CA 95673
RIO LINDA,
CA 95673
Other Porch/Patio Total
(916) 992-0875
(916) 992-0875
FEE INFORMATION
DBP Water Heater (qty) $59.00
Total Charged: $59.00 Fees Paid: $59.00
Balance Due: $0.00 Receipt No: B8736
LICENSED CONTRACTOR'S DECLARATION
OWNER / BUILDER DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
RISSE & SONS INC 264815 / C36 C20 C34 C42 C4 C2 /
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
,
also requires the applicant for such permit to file a signed statement that he or she is licensed
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9
(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
is in full fo ce and effect.
of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
X 10/01/2008
the applicant to a civil penalty of not more than five hundred dollars [$500];
Please check one of the following:
Contract Signature Date
❑ 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 Code: The Contractor's License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
WORKERS' COMPENSATION DECLARATION
-- -
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
the work himself or herself or through his or her own employees, provided that such improvements
❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
are not intended or offered for sale. If, however, the building or improvement is sold within one
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
year of completion, the owner -builder will have the burden of proof that he or she did not build or
performance of the work for which this permit is issued.
improve for the purpose of sale.).
❑ I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code:
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
The Contractor's License Law dows not apply to an owner of the property who builds or improves
My Workers' Compensation insurance carrier and policy number are;
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Carrier: Dept of Industrial Ripolicy Number: 4505'056Exp. Dater 1/30/2009
Contractor's License Law.).
(This section need not be completed if the permit is or one un red dollars ($100) or less.
❑ I AM EXEMPT under Section B. & P.C. for this reason:
❑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'
X 10/01/2008
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
Owner's Signature Date
provisions.
X 10/01/2008
I hereby certify that I have read this application and stale that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
Date
SicfnaZ"FALILLIRE
WARNTO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
ANDSBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
injury, including death, and property damage caused arising out of, in any way connected with
HUNDRED THOUSAND DOLLARS 5100,000) , IN ADDITION TO THE COST OF COMPENSATION,
(
the issuance of this permit. I hereby acknowledge thatt is issuance of this pea rmit does not authorize the
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
ATTORNEY'S FEES.
County to enter the above mentioned property for inspection purposes. I hereby certify that I am the
Pr arty owner or am orized to a ton the property owners behalf
10/01 /2008
CONSTRUCTION LENDING AGENCY
THEREBYAFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
N o rmittee [SIGN] Print Date
the performance of the work for which this permit is issued. (3097 civ, code)
Ownerractor OR. Agent for Owner Agent for Contractor
FILE COPY
Lender's Address City State zip
BUTTE COUNTY
p�uTrF0 DEPARTMENT OF DEVELOPMENT SERVICES
p pUILDING PERMIT APPLICATION"
B
p p OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
p � '- p
p p A FEE WILL BE REQUIRED AT TIME OF APPLICA TION
C •� Website: www.buttecounty.net/dds
(IN PLEASE PRINT CLEARLY
1''hrn-6lcd,-this-appli tion and all supporting material becomes subject to the California Public Records Act. All pu
related to this application is subject to public inspection and will be posted on the County's website for electronic access.
CONTRACTOR
OWNER INFORMATION
Last Namen�y
VlC
Fir t Name
Mailing Address
City
City
Zip ,7.
State a
Zi
E-mail
Fax
E-mail
State License Number
CONTRACTOR
Name
al.
Address
JA_ � t
City
City
State, ?4
Zip ,7.
Zip
Phone
E-mail
E-mail
Lic. # it �I �
State License Number
Class
APPLICANT Z94NATURE
PERMIT
NO. q
BIN #
lie information
PROJECT LOCATION
API
Property Address (A212 t- MD i tejr
City
WORKER'S COMPENSATION
Policy Number CAPo3o5aagN
Carrier
//hiring anyone other than license contractors, a c Sficate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE OF WORK:
Sq FT- Living Garage Open _ Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
For office use only:
ARCHITECT/ENGINEER
Name
96,
Address .
a lam-` yr„
.ems
City
State
Zip
Phone
Fax
E-mail
P
State License Number
APPLICANT Z94NATURE
PERMIT
NO. q
BIN #
lie information
PROJECT LOCATION
API
Property Address (A212 t- MD i tejr
City
WORKER'S COMPENSATION
Policy Number CAPo3o5aagN
Carrier
//hiring anyone other than license contractors, a c Sficate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE OF WORK:
Sq FT- Living Garage Open _ Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
For office use only:
APPLICANT INFORMATION
Name �7�Cnnfll
96,
Address
a lam-` yr„
.ems
Ci
tate
Zi
P
+F4
le
-
E-mail
,
APPLICANT Z94NATURE
PERMIT
NO. q
BIN #
lie information
PROJECT LOCATION
API
Property Address (A212 t- MD i tejr
City
WORKER'S COMPENSATION
Policy Number CAPo3o5aagN
Carrier
//hiring anyone other than license contractors, a c Sficate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE OF WORK:
Sq FT- Living Garage Open _ Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
For office use only:
Zoning Flood Zone SRA I Yes I No
Occ.
Type Const.
o
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024-060-008 00-0206
HUGHBANKS, WARREN
43 OBERMEYERS, GRIDLEY
CONTR: OWNER
GAS LINE
OFFICE COPY
Address
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Meter By
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ELECTRIC
Mete y
Date
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024-060-008 00-0206
HUGHBANKS, WARREN
43 OBERMEYERS, GRIDLEY
CONTR: OWNER
GAS LINE
OFFICE COPY
Address
GAS
Meter By
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ELECTRIC
Mete y
Date
a.
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 Z
RMIT N .
(Rev. 12/96) APPLICATION AND PERMIT ��""���
i
ASSESSOR PARCEL NUMBER
024-060-Q0
ZONING
BUILDING PERMIT
OWNER
1 � W N `..
TELEPHONE
r
�.)
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS 84 —o' 5L, ]
43 Gi3IMMER. GRIDLLY tL7 !U/
CONTRACTOR'S NAME
C dNLR
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
—Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
4J 01it" ., .- YL�
Energy Plan Checking Fee $
$
PERMIT FEE S
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
Each as water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: (gid T,iP
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00 15.0
Mobile Home S G W @20.00
PERMIT FEE S 35.00
ELECTRICAL PERMIT Fling Fee 20.00
800VOR LE
Main Service 20IIA OR LESS 23.00
LICENSED CONTRACTOR'S 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 the Business and Professions Code,
and my license is in full force and effect.
License Class LIC. NO.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
Ar 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.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
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 is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
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 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
forthwith comply with those provisions.
X r /'.. r ; r ,_. ,,,Date
Signature of Applicant - ❑ Owner/ ❑ Contract& O Agent
An OSHA permit is required for excavations over 60" deep and demolition or constructions
of structures over 3 stories in height.
Main Service TO 1000A 46.00
NEW CONST. DWFIEU
Ws
LNJG OCCUP. SO
OR ADDNS. ( :
ANEW COS MULTI.OUTLET @7.50
APPAUS
OWER RAT
6 PSINGLE 0 rLET CIR.
20 .00
EX. OCCU . OUTLET OR FIXTURES Ex. O I. 0
Ex. Occup. ourEiFrs RESID.OEA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $
HA2.
D. FEES IMP
FLOOD
CDF
PARCEL
PO
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for wWch fees have been paid.
N
By— � —Date
PERMIT EXPIRES ON
" Date
ReceiptNo.,-4y d
WHITE-D.D.S.-g.D;0 CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
* - ,
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'ait
be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of the
proposed prop improvement: YES", NO[ ].
2. I HAVE" HAVE NOT[ ] signed an application for a-buiilding permit for. the.
proposed work.
3. I have contracted with the following person (firm) -to provide. -the proposed
construction:
NAME:
ADDRESS: CITY:
PHONE: CON'TRACTOR'S. 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: CONTRACTOR'S 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:
SOCL-kL SECURITY NUMBER:
DATE: _2_ /3'1Wd
NOTE: This owner -Builder Verification is required by Section 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before
we are permitted to issue the permit.
May 1995 2.26
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of
property improvements specified.
For your protection, you should be aware that as "owner -builder" you are the responsible party of record
on such a permit Building permits are not required to be signed by property owners unless they are personally
performing their own work. If your work is being performed by someone other than yourself, you may protect
yourself from possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a
business license from the city or county. They are also required by law to put their license number on all permits
for which they apply.
If you plan to do your own work, with the exception bf various trades that you plan to subcontract, you
should be aware of the following information for your benefit and protection:
0 If you employ or otherwise engage any ' persons other, than your immediate family, and the work (including
materials and other costs) is $300 or more for the entire project, and such persons are not licenied as
contractors or subcontractors, then you may be an employer.
0 If you are an employer, you must register with the State and Federal Governments as an employer and you. are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance, costs, and unemployment compensation contributions.
0 There may be financial risks for you if you do not carry out these obligations, "and these risks are especially
serious with respect to worker's compensation insurance.
0 For more specific information about your obligations under Federal Law, contract the Internal Revenue
Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your
obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial .
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to
perform their work personally or through their own employees, without a licensed contractor or subcontractor, only
under limited conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder"
building permit, erroneously implying that the property owner is providing his or her own labor and material
personally. Building permits are not required to be signed by property owners unless they are performing their own
work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License
Board in your community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm
that you are aware of these matters. The building permit will not be issued until the verification is returned.
Sincerely,
Michael C. Vieira, C.B.O.
Manager, Building Inspection
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
May 1995 2.27
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION_
7 County Center Drive *Oroville, California 95965 v Telephone (530) 538-7541 • P'RMIT N
(Rev. 12/96) APPLICATION AND PERMIT �
ASSESSOR PARCEL NUMBER
024-060-008
ZONING
BUILDINGPERMIT
OWNER
WARREN
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS 846-6587
43 OBERNIEYER GRIDLEY
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE N0.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
43 OBERNIEYYER
Energy Plan Checking Fee
$
$
PERMIT FEE
S
LOT NO.
SUBDIVISIONS MIME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: (;A$ T.IN F
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00 15.0
Mobile Home I S I G I W
@20.00
PERMIT FEE
s §35.00
ELECTRICAL PERMIT
I Fling Fee 20.00
Main Service eo.Y OR LESS
200A OR LESS
23.00
LICENSED CONTRACTOR'S 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 the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
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.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service TO
46.00so
WEU200A
NEW CONST. DWEWNG OCCUP.
CCU
OR ADD S.. ( & ACC. BUDS.
SO
3.5QFT;
"NoN A° IDT. ISACH MULTI.OUTLET
@7,50
POWAPPARATUS
8 SINGERLE 011fLET CIR.
EX. Occup. OUTLET OR FIXTURES
B4L o I.50
Ex. Occup. OFIxUs D OEA
R
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring23.00
PERMIT FEE
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 is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
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 workers'
compensation laws of California, and agree that if should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with tho provisions.
X L-22
Signature of Applicant - Own ❑ Contractor ❑ Agen
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 35.00
HAZ
D FEES
IMP
FLOOD
CDF
PARCELPD
HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated aove for h fees have
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
ate
Date
Receipt No. �• d
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
(Rev. 12/96)
%COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
Ot�
ZONING
BUILDING PERMIT
OWNER /^ 0 e��,n/G
& f}- n �
T - "E�
(D
.7
SO. FT, OCC. BUILDING VALUATION
OWNER'S MAILING S
W
CONTRACTOR'S NAME
� /
Wc
TELEPHONE
CONTRACTORS MARINO ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuatlon S
ARCHITECT OR ENGINEER
LICENSE NO.
—Filing Fee $ 2 0.0 0
Permit Fee S
ARCHITECT OR ENGWIEA9 MAUNG ADDRESS
Plan Checking Fee b
BUILDING ADDRESS
Energy Plan Checking Fee $
a
PERMIT FEE $
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
Each gas water heater or vent 15.00
New ❑ Addition ❑ Remodel ❑
Describe Work: �p
TYPE OF WORK
Utilities ❑ Installation ❑ Other ❑
�(� �—�
�—
Gas piping system 1 - 5 outlets 15.00
—Building sewer 15.00
Mobile Home I S I G I W 920.00
PERMIT FEE $
ELECTRICAL PERMIT Fling Fee 20.00
Main Service pw oA LEss 23.00
a85�� l
?�lJo�v
Main Service 2WA TO 1000A 46.00
NEW CONST. DWELLING OCCUP. ,3,5¢so.
OR ADONS. 6 ACC. BLAS. Fr.
NDt.C.O D. MULT40LJTLET @7.50
POWER APPARATUS
8 SINGLE OIRLET CIR.
Ex. Occup. OLm Er OR FIXTURES 2a ®t.00
BALI 0 .SO
O APP
EX. Occup. Otm 61D OEA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT EE _
MECHANIC M Fling Fee 00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEPE S
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TrPE TOTAL FEE;
HAL
I D. FEES I IMP
I FLOOD
CDF
PARCEt
I PO
6SUE
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.
By Date
PERMIT EXPIRES ON
ro