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Home My WebLink About024-100-048— . 24-10-48 E/S of Larkin Hwy, app 600' S of Richards Ave. W I Permit #3193-76B, p E,M(new single E93-76) SF 24-10-48 ~~''`~-" 024'100'048 MISCELLANEOUS Gas Recon-nect INSTALL GAS LINE, 1156LARKON RD U MORGAN, H0LL|S\\&F&YCO U ' ` � / BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 1156 LARKIN RD Owner: Permit NO: B07-0040 APN: 024-100-048 MORGAN, HOLLIS V & FAYE Issued Date: 01/09/2007 By KCG Permit type: MISCELLANEOUS 1156 LARKIN RD Subtype: Gas Reconnect GRIDLEY, CA 95948 Expiration Date: 01/09/2008 Description: INSTALL GAS LINE (530) 846-6882 Occupancy: Zoning: A10 Contractor Applicant: Square Footage: FLETCHER'S PLUMBING AND CONTR FLETCHER'S PLUMBING AN Building Garage Remdl/Addn 219 BURNS DRIVE 219 BURNS DRIVE YUBA CITY, CA 95991 YUBA CITY, CA 95991 Other Porch/Patio Total (530)673-2489 (530)673-2489 FEE INFORMATION Gas System (enter outlets) $55.00 Total Charged: $55.00 Fees Paid: $55.00 Balance Due: $0.00 Receipt No: B1437 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 FLETCHER'S PLUMBING AND 309313 / C36 B A / 06/30/2008 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 AFFI M UN ENA TY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing h Se 7000 f Divisio of the Business and Professions Code, and my license pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000) s in full f and a �— 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 01/09/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's Signatu a 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 Contractors 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 Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractors 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 State Fund 1841676 01/01/2008 Cartier. Policy Number: Exp. Date: Contractors License Law.). (This section need not a completed if the permit is or one hundreddollars ($100) or Tess.F ❑ 1 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 i any manner so as to become subject to the Workers' Compensation laws of Trfomia, an ee t if I should become subject to the workers'X 01/09/2007 compensation prov' o, s of ectio 3760 o e Labor Code, I shall forthwith comply with those Owners Signature Date provisions. X 01/09/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signat re Date WARNING: FAILURE TO 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 AND SHALL SUBJECT 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 ' ZiIk tre , or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter e m ne o for inspectio purposes. I hereby certify that I am the property o m r' ct on the pro o �s�e.T 9/2007 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) ❑ Owner Contractor OR. Agent for Owner DAgent for Contractor FILE COPY Lenders Address City State Zip k BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name BG! irst Name Mailing Address G A City r� S to Zip 9 Phone �3 Fax E-mail CONTRACTOR ARCHITECT/ENGINEER Name City Address Address City Fax City �� L ,r Zip State Zip Phone 9 L 6 E-mail Fax �3 �l E-mail 11L APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Lot # Fax E-mail State License Number 11L APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail I ANT SIGNATURE X For office use only: Zoning Flood Zone . SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. zoo�l BIN # PROJECT LOCATION AP# _ Property Address Arl. `2w" . Fr70�et WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description orrSco a of Work: �Lt �,0 - Z rA e Sq FT- Living Garage Open Cov ❑ 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:"��- Amount: S 00 Bldg SRA �j Receipt #:1(�`� &- d JIJ�' I I Sheriff SMIP Date: +' + 0760 Other Total ° .,.� "�'� •;. :y h �� '` / � �,� ��_ �_._-moi . �--- - - ' i, � �. /• � � � �(y,,,At r�.-�r COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Tel ept.one: 5N4-4541 APPLICATION AND PERMIT X Signature of Permitee or Agent Receipt No. Date the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant I Buiiding permit expires Date Date BUILDING OwnerSQ. i' FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/orPenalty Telephone No. Permit Fee Building Address - PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 a Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. i' Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. Sani.ta4en Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA ParkinDeclaration Plans IBldg: Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 P+arrrR"'d` I Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL N0.1 @ FEE PERMIT FILING FEE J$3.00 Main service ;0000 AMP V OR ORSLESS 5.00 Main service EA. ADD•L too AMP 2.50 Single Family E]Duplex ❑ Mobil Home ❑ Others ❑ OVER 600V Main service 100 AMP OR LESS 25.00 Main service EA. ADD'L too AMP 1.00 NEW OCCUP. &) 22sgft OR ADDNST ( ADWECCLBLOGLING S. NEW CONSTR. MULTI -OUTLET NON -RES,., BRANCH CIRCUITS) 2.50ea NEW CONSTR. ( POWER APPARATUS &) NON-RESID. 1 SINGLE OUTLET CIR. 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: Ex. Occup(OUTLETS OR FIXTURES)_Laa BALG? Ex. Occu 1�.(FIXED APPLNS, OR OUTLETS (RESID.) EA) 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 $ s $ WORKMEN'S COMPENSATION INSURANCE 1 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 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 FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE $ ; This permit is hereby issued under the applicable arovisions of X Signature of Permitee or Agent Receipt No. Date the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant I Buiiding permit expires Date Date LVA COUNTY OF BUTTE — DE%�\RTMENT OF PUBLIC WORKS • 7 County Center Drv6=' ' Oroville, California 95965 _ Telephone 534-4"341 �a y APPLICATION AND PERMIT ..........y ...... .- — V, UP— I IV above-mentioned property for inspection purposes. X�Date J� Signature of lP'ermitee or Agent Receipt No. /�/ti '7 a 0 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -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. DIRECT R OF PUBLIC WORKS By Date S permit expires Date X" T/77 BUILDING Owner /I—"'- �l0 �7u��' SQ. FT. OCC. BUILDING VALUATION Mailing Address33 V5— _S'T _ ✓1� T e hone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address .S O� �/` PLUMBING No. @ FEE PERMIT FILING FEE $3.00 �ppp-o( Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. —/Q —4/017 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. SBpi=sen I Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parkin Plans Declaration IB Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER [rJ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP ORLESS5.00 ro gy Main service EA. ADD'L too AMP 2.50 2 Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Main service °a EROR LESS 25.00 Main service EA. ADD'L too AMP 1.00 YDWELLING & ORADDNS. ACCBLDGS, ) 2¢sgft NEW CONSTR. MULTI -OUTLET NON-RESID, BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. 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 of: t,. in,µesor .2�0® Ex. Occup(OUTLETS OR FIXTURES)@@SQ BAL@1 FIXED APPLNS.style Ex. Occup.(OUTLET. S ((RESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ZNI1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ /•Z ,S p $ f.Z 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 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 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 auri.n.iec ...�.o...... ,.s . TOTAL PERMIT FEE $l,Za 7% ..........y ...... .- — V, UP— I IV above-mentioned property for inspection purposes. X�Date J� Signature of lP'ermitee or Agent Receipt No. /�/ti '7 a 0 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -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. DIRECT R OF PUBLIC WORKS By Date S permit expires Date X" T/77 f . BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT Owner:- ,dlii/D/i/� /T�S Address:3_-->V5- Tenant • A. P. # 2`15-140 -h�� Date of.Inspection Inspector Building Location: S V. -C/ -9/e f/Y ��% ��P`'O d00 S'. O� ��,L/¢,e6j Type of Inspection requested: 1. Housing / / 2. Financing �4. Other (specify) Present use of build 3. Change of Occupancy to Afo , Bu /c-dI A. Sanitation (Housing) 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and ventilation: .8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connection to sewage disposal: 12. Connection to water supply: A 13. Rubbish and garbage facilities: 14. Comments: B. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments• . C. Electrical 1. Service and ground: 2. Receptacles: 3. Fusing: 4. Comments: D. Plumb in 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4. Comments: 0 (continued on back) E. Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. ,Weather protection: 5. Underfloor and attic ventilation: 6. Comments• F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: 4. Restroom floors and walls: 5. -Exits• .6. Improvements: 7. Zoning: 8. Comments• G. Field Problems or Violations 1. Problem or violation (give complete description): 2. What action taken (give complete description): 3. What action recommended: T A. Information only - file. B. Hold for ten (10) days, then write letter. " C. Write letter. IN D. Other: e ' Y S �t-5,7— 77 ✓PEFtMIT NO. -31-93_7_6.B;P,E,M ' PERMIT EXPIRES OWNER F. Dixon Hoskins A CONTR. owner tt. LOCATION (A.P. 84-10-48 � E/S Larkin Hwy, app. 600'S.of Richards Ave., Gridley /el-/ "own=, ' h 7 . x r t �t. ' l L. -s .a Y Temp. Power Pole {!� Called PG&E Temp. Elect Serv: �. Call�l.ed PG&E Temp''. Gas Serv. /—Z ze-W �� alled PG&E ' j. 1 >. JOB FINALED- (Date) F' (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS. BUILDING INSPECTION'RECORD BUILDING BUILDING (Cont'd) PLUMBING • Setback - / Firewall Soil Piping Forms Parapets 1st Floor 3 Main Bldg. Restroom Finish, _ 2nd Floor Footings Windows d F / 3rd Floor Stem wall t Sldin —' To out Slab / Roof Sheathing a Water Piping Piers Roofing / Sewer Garage Fdn. Vents-----� Fixtures Footings Garage Vents Water Htr. Stemwall Insulation Heaters Slab Carport Footings Prov. for physically handica ed Conformance.of ex. structure 0071 Appliances Gas PI In g & Test Temp. Gas —� Slab Final Sanitation // 7 Patio _/ FIREPLACE 4doting Final /L Footings E ECTRICAI„ Masonry Walls Throat Rou h 5111716ur I Relnf. Steel Final 'Vfl Fixtures _� r • Bond Beam FIRE SPRINKLERS Motors % Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL _� , Grd. Fault Prot. Scratch Heating — Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation• . Permanent Door Closer ` Final ` Final DATE �o REMARKS OR CORRECTIONS IdOxl-l; (NOTE: An entry must be made on this form each time you visit the job site.) CERTIFICATIONS As required by the State regulations, -both the builder and the insulation applicator must sign a card certifying that the proper "R" values for all insulation locations have been installed. An:example of a certification card, which is furnished by the builder or insulation applicator is shown in Fig. 13. THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE.WITH THE CURRENT, ENERGY REGULATIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25. STATE OF CALIFORNIA. IN THE BUIL ING LOCATED AT:00, . Vis- Co an Street c umT'—her rac EXTERIOR WALLS Manufacturer&L'UL s -niekness/Typo ✓ ? _ R Yalue CEILINGS Batts: Manufacturerickness R Value ....... Blow: Manufacturer . . .. '... Thickness No. Bags " ' Wt./Bag Sq. Ft. Covered R Valuo FLOORS Manufacturer Thickness/Type R Value SLAB ON GRADE Manufacturer Thicknoss/Type R Value Width of Insulation Inchon FOUNDATION WALLS Manufacturer Thicknoss/Type R Value GENERAL CONTRACTOR LICENSE NUMBER B TITLE DATE 7 INSULATION CONTRACTOR G,,OCLi LICENSE NUMBER BY TITLE DATE Fig. 13' 5-14 COUNTY GF I�UTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — OroviIle, California 95965 Telephone: 534,4541 APPLICATION AND PERMIT S707- 77 411 �� authorize representatives of the county of Butte to enter upon the above-mentioned property for inspection purposes. X J 1 , ,!LT�`� �� Date Signature ofPermitee or Agent I_A/ Receipt No. �:2 h White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -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' .PF P BLIC WORKS By Date Building permit expires Date BUILDING Owner y 0 Qk1 SQ. FT. OCC. BUILDING VALUATION Mailing Address )e o Telephone No. e Fireplace Contractor p Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ G( Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 12 :jC X kJEach Trap 1.50 i Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Z Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees I Wre— SeR+-taSinn Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 L.- dg. Plans Recd I Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600v OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family. Duplex ❑ Mobil Home ❑ Others ❑ Main service 1100ER 60AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. OR ADDNS. ( DWEACCLBL GS.LING CCUP. &� 20sgft ,- NEW CONSTR. (MULTI -OUTLET NON.RESID. BRANCH CIRCUITS 2.50ea NEW CONSTR. POWER APPARATUS & NON.RESID. (SINGLE OUTLET CIR. 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 St le of: y Ex. Occup(OUTLETS OR FIXTURES) 2@51009 Ex. Occu 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 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 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. MI 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 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. 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 MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE $ Q authorize representatives of the county of Butte to enter upon the above-mentioned property for inspection purposes. X J 1 , ,!LT�`� �� Date Signature ofPermitee or Agent I_A/ Receipt No. �:2 h White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -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' .PF P BLIC WORKS By Date Building permit expires Date I I{ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 Oounty Center Drive — Uroville, California 95965 �� Telephone ^ : 534-4541 6 APPLICATION AND PERMIT"1 �r•��••• •�� • " _y v -- u , clivi UFV11 HIC above-mentioned property for inspection purposes. X _� % Date Signature of Permitee or- Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -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 BYi Iding permit expires Date BUILDING Ownerxo U No s �>I �, ' � es SQ. FT. OCC. BUILDING VALUATION 9 3 L a Mai IIng Address T 4k / acy 4 7 91-.- � r, d e Telephone No. Fireplace J'yea sra,.G%iPo—q "S0_-00 Contractor Total Valuation 710.4210 Mailing Address Permit Fee Z. 00 Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ 7A.co $ 1.1 00 Building Address -PLUMBING �� q►'1ri v //WYPERMIT No. @ FEE FILING FEE $3.00 Oe P t-0 it 6C. S F o ([a Y ds op v e_ Each Trap -1- 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 1> D Each gas water heater or vent 1.50 A. P. No. a Jp — 4/,? Zoning $ Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F a Fire Dept. FireZone Use Permit EQA Parking arcel Parcel Ma 60' R/W Im Plans Declaration p provements Building sewer 5.00 Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel pproval PIc pproval Permit Fee $ )5-v0 $ C OTHER NEW ADDITION ❑ UTILITIES ❑ ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 2,040 OV OR L Main service 100 AMP ORSLESS 5.00 Main service EA. ADD•L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW CONST. DWELLING OC & OR ADDNS. ACC. BLOGS. ) 22 sq ft 0 NEW CONSTR. MULTI.OUTLET NON.RESID. ( BRANCH CIRCUITS) 12.50ea NEW CONSTR POWER APPARATUS & NON.RESI D. (SINGLE OUTLET CIR. J 1 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: Ex. Occup(OUTLETS OR FIXTURES)50 @250 BAL O I Ex. OCCU FIXED APP LNS. OR P•(OUT LETSPPEA) 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 $ 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 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 FILING FE $3.00 Heating c eo coo IF74 Cooling Ventilation Hood 2.001 JoV Permit Fee $ q,00 $ 0 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 TOTAL PERMIT FEE $ e/ �r•��••• •�� • " _y v -- u , clivi UFV11 HIC above-mentioned property for inspection purposes. X _� % Date Signature of Permitee or- Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -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 BYi Iding permit expires Date