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Home My WebLink About024-300-014I 11 �- L4- , 14 Mel Deeds N/W corn`e �'o!-� Ienn Elle Dr. , Gordon states lot #14, Grimley ermit 01187-76B,P,E,M(new s' rrgL� amily) VZV M 1 24-30-14 illiam Chane N S Glerf Ellen Dr., app.250'W.of Larkin Rd., lot 14, Gridley contra Mlson Pools, Yuba City Permit #320-78B P;E(new private swimming pool) i MA �'1t` 1� 024-300-014 01-1687 CHAMBERS, BETTY 1572'.GLENN ELLEN DR. GRIDLEY CONT:'G H CUSTOM BUILDERS RE ROOF L %0'10 A E i . 1 4 E . d r J f 1 .. r COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING' DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR RPPAyR'CCEEL NNU�MBER �' 1 ZONING BUILDING PERMIT ay d unTELEknown SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 1572 chi EUEN DR., MXEG CA 95%8 �CONpTRAC//TS�O�R��'SSN�NAAMyMyE�� pp��}}��''�(�� H -H CUSUM I,7VM11% TELEPHONE CONTRACTQR'S„fMILI[Jf�,A rSS �y_ =_ � ` r.u..c�tx �.:s(►i, /VIA9ITFI WrA fL+V� U7 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace ° Total Valuation s2,,100 ARCHITECT OR ENGINEER LICENSE NO. ' —Filing Fee $ 20.00 Permit Fee $ 54.00 W ARCHITECT OR ENGINEERS MA,UNG ADDRESS Plan Checking Fee $ BUILDINGADDRESS VMG W Energy Plan Checking Fee $ $ PERMIT FEE $ • LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 .USEOFSTRUCTURE SF Q[Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other L'J �y Describe Work: ''tIC (' < <^e-� ;� C. Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service z�oo� oa mss 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 fu��+++]]]ll force and effect. /} { 1 License Class 1 Lic. No. Y �i -. 'Z_ OWN WILDER DECLARATION 1 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 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: J2'*"I 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 p olicy number are: Carrier -2►” Policy Number�1-"y (j/.�3 (The above sections n ed Hot tie completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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 Date _ Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. So OR ADDNS. ( a ACC. BLDS. 3.5¢FT, NEW CONS MULTI -OUTLET NON RESID. 97.50 POWER APPARATUS a SINGLE OUTLETaR. 20 Ex. Occup. OUTLET OR FDCTURES Q''00 BAL Q .SO Ex. Occup.. o EEDAR6ID.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 FEIE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 74.00 HAZ. D. FEES IMP FLOOD CDF I PARCEL I PD HD ISSUE This pe mit is hereby issued under the applicable provisions of the Putts Glounty Code and/or Resolutions to do work have been paid. indicated X&,i-Date �/ n / By /f /(/ PERMIT EXPIRES ON eta Receipt No. j3O Ulf */4e00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT No. / �� (Rev. 12/96) APPLICATION AND PERMIT k - Z ASSESSOR PARCEL NUMBER 024-300-014 ZONING SR -1 BUILDING PERMIT OWNER BETTY CHAMBERS TELEPHONE tmknown So. FT. OCC. BUILDING VALUATION 3S 2,100 OWNER'S MAILING ADDRESS 1572 I_MELLEN DR., GRIDLEY, CA 95948 CONTRACTOR'S NAME H -H CUSTOM BUILDING TELEPHONE CONTRACTORS MAILING ADDRESS P.0—BOX 1341 GRIDILY CA 95948 CONSTRUCTION LENDER Fireplace LENDER'S MAIUNO ADDRESS Total Valuation 1$2,100 ARCHITECT OR ENGINEER LICENSE NO. Fling Fee $ 20.00 Permit Fee $ 54.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1572 GLENN Ff M DRIVE Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF LX Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 19 Describe Work: (�M Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service A OR LfSS 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 fu 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: ❑ 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 her!py affirm under penalty of perjury one of the following declarations: fir I 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 andlicy number are: Carrier Policy NumberMobile (The above sections need o e completed . the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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 Date _ Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO I000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a ACC. BLDS. 3.5¢FT. REOSINEW D 177— MULTI.OUTLETU. 97,50 RANC POWER APPARATUS 8 SMGLE OLRLET CIR. Ex. Occup. OUTLET OR FORURES BAS @ .50 Ex. Occup.GFlx s Aa ) A 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 FEt S Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 74.00 HAZ. D. FEES IMP I FLOOD I CDF I PARCEL I PD HD ISSUE This pe mit is hereby issued under of the utte unty Code and/or indicat d a v f r wh' h fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date (� ate Receipt No. 3251M V4.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive a Oroville, California 95965 • Telephone (530) 538-7541 PER (Rev. 12196;,, APPLICATION AND PERMIT AKE.390A PARCEL NUMBED ZOMNO BUILDING PERMIT OWNER TELEPHONE 777��••• G'' �QiVvt of s k—�,v�� SO. FT. OCC. UAJ BUILDING VALUATION OWNER'S MAUNG AD S G Q CONTRALTO 8 NMMe TELEPHONE 7 ei, 'As LAI MRA ^TDR9�jj MAl4 AD 3 y l V CONSTRUCTION LENDER LENOER'S MAJUNG ADDRESS ARCHITECT OR ENGINEER LICENSE NO. ARCHITECT OR ENGINEER'S M11L1NG AOORESS BUILDING ADDRESS 7� � �/ f -P�✓ G l�ti (7i i f t9 LOT NO. SIIBOM6pN'SNAME e.n..�. ...., USEOFSTRUCTURE SF 9/'Duplex ❑ Mobilehome ❑ Other I I svectFr TYPE OF WORK New ❑ Addition ❑ Remodel ❑ 1UdG(3ties ❑ Installation Other A2 f� Describe Work: /`'eJ'B0 T �l I i *PERMIT FEE PAID SRA SHERIFF OTHER AAIIOVNT RECEIVED $= *RECEIPT NUMBER 7 302 6 O * TO k PVT INTO COMPUTER Total Valuation $ �f--/ 0 4 Ficin Fee $ Permit Fee $ Plan Checkin Fee b Energy Plan Checking Fee S $ PERMIT FEE S PLUMBING PERMIT Each Trap Solar or heat Pump water heater Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Building sewer Mobile Home S G W PERMIT FEE I $ PERMIT FEE S MECHANICAL PERMIT rCHeatingoolina 20.00 B� [ - N7V =sling Fee 20.00 7.00 23.00 15.00 15.00 15.00 15.00 020.00 Filln Fee 20.00 23.00 46.00 3. S Tr. @7.50 40 11.00 SAL @ SO 5.00 23.00 20.00 23.00 iling Fee 20.00 6.50 PERMIT FEL: S Mobile Home Installation Fee S Energy Inspection Fee S oco coNST TYPeTOTAL FEE $ Z 0. FEES I IMP I FLOOD COF PARCEL I PD I NO I iSSU 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 ELECTRICAL PERMIT - Main Service 000V OR LESS 100A OR LESS Main Service paw TO t000A NEW CONST. DWELLING OCCUP. OR ADDIS. y ACC. BUDS. NON•RESID. MULTI -OUTLET POWER APPARATUS 6 SINGLE OUTLET CIA. Ex. OCCU OUTLET OR FIXTURES I OMO PLS.EX. OCCU oR OLETS ESID. A . 1 I Temporary Service Mobile Home Facilities Misc. Wirina PERMIT FEE S MECHANICAL PERMIT rCHeatingoolina 20.00 B� [ - N7V =sling Fee 20.00 7.00 23.00 15.00 15.00 15.00 15.00 020.00 Filln Fee 20.00 23.00 46.00 3. S Tr. @7.50 40 11.00 SAL @ SO 5.00 23.00 20.00 23.00 iling Fee 20.00 6.50 PERMIT FEL: S Mobile Home Installation Fee S Energy Inspection Fee S oco coNST TYPeTOTAL FEE $ Z 0. FEES I IMP I FLOOD COF PARCEL I PD I NO I iSSU 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 PERMIT NO. `-1187-76B,P,E,M J PERMIT EXPIRES. OWNER Mel Deeds CONTR. owner LOCATION (A.P. 94-10-14 ) ".NW corner of Glenn Ellen Dr., Gordon Estates, lot #14, Gridley j �. d7 a r Temp. Po er Pole Calle PG&E ii Y3 7 Temp. ec. Serv. _ a Cal ed.PG&E , Temp Gas Serv. lied PG&E JO F ALED (Da i ( na ure) e '—J COUNTY OF BUTTE = DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING I BUILDING (Cont'd)_ I PLUMBING Setback Firewall� ol—d b Soil Piping v. Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows3U 3rd Floor i Stemwall ` Siding�^�—.� To out Slab �, Roof Sheathin d / (p O Water Piping G' Piers Roofing Sewer Garage Fdn. Vents ---�_ _� Fixtures 7 Footings ✓' Gara a Vents Water Htr. ,Z Stemwall Slab v�"� ` Prov. for physically c hand ic r Heaters ..: Appliances Z Carport Foot ings onformance-of structure Gas Piping Tem . Gas & Test zz- Slab Sanitation,. Patio I EPL C Final Footings Footing EL/EC R,1JCAJ, Masonry Walls Throat Rough Reinf. Steel Final 3 Fixtures �- Bond Beam FIRE SPRINKLERS.,-" Motors Ab Framing 7 r Test Water Htr. Stucco _ i Final _. Suboanels -114r171- Mesh — MECHANICAL rd. Fault Prot. / Scratch!/,r2 . Heating il Service._ � Brown Cooling Temp. Pole Finish , DuctsUnder round Interior Lath ,J Ventilation Permanent Door Closer Final Z,3 Final 30 DATE REMARKS OR CORRECTIONS104 10e, Z ✓Z� �� at'�Zaz�y (NOTE: An .entry must be made on this form each time you visit the job site.) t - - - -- -- --/�'G ��-- ___ - --,%9-'-� �� - - - --- ----- -- - --- -- - - _ - -- -- -- - - �� Fuer Glass Insulation BUI rDEnS INSULATION STATEMW BLOWN INSULATION Manufacturer's minimum thickness to provide the level of insulation resistance (R) Values as show R Values are determined in accordance with ASTM C-687 and C-236. Conforms to Federal Specification 1 -11 -1I -1030A. This insulation has been installed in conformance with the above recom- mendations to provide a value of R/!using—bags of insula- tion to cover�L?)square feet of area. Insulation Contractor (Sign) Builder (Sign) Company Name Company Name BATTS AND BLANKET R INSULATION R INSULATION VALUE THICKNESS VALUE THICKNESS R-22 61/2" R-13 35/a" R-19 6" R-11 31/2" Date Meets Federal Specification HHI-521E Fiber glass balls or rolls have been installed in accordance with the manufacturer's recommendation to provide an R -Value of in the ceiling, in the exterior walls, in the floor or crawl space perimeter. Ins ation ontractor (Sign) Builder (Sign) =161 Company Name Company Name CSG -32-11-C Date B CERTAIN TEED PRODUCTS CORPORATION. P.O. U X 860, VALLEY FORGE PA. 19482 C CERTAINTEED V of COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive—^Oroville, California 95965 / ^ Telephon"e:M534-4541 i /, APPLICATION AND PERMIT 4--) X Dater Si ature of Permitee or Agent Receipt No.�yCQ/��.++��}} White-D.P.W. — Yel OW -AS e6so�r'��nk-Inspector — Goldenrod -Applicant mte tsuiie Lounxy t;oae anaior resolutions to do work indicated above for which fees have been paid. �� DI�ROFIC WORK-�S/`�By—.-Date�� Building permit expires Date ? 6�%� BUILDING Z;P, OwnerZlc e S SQ. FT. OCC. BUILDING VALUATION S Mai I Ing Address �/ Lo Oct �� elephone No. 214 Fireplace � Contractor Total Valuation Mailing Address Permit Fee ,vQ Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ vU Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Q L Each Trap 1,50 ,0Q Repair drainage or vent piping 1.50 Water piping 1.50 6 Each gas water heater or vent 1.50 D A. P. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fes k�Ra n FireDept. FireZone Use Permit Building sewer 5.00 EQA Plans Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. P anf s Recd Parcel pproval Plans Approval Permit Fee $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service 100V OR 00 AMP ORLESS5.00 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. I DWELLING O OR ADDNS. ACC. BLDGS U & ) 20sgft Q NEW CONSTR. (MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS) 12.50ea NEW CONSTP- 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 style of Y Ex. Occup(OUTLETs OR FIXTURES) L@100 FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00. Temporary service 10.00 Mobile Home Facilities 15.00 O // 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 FEE $3.00 2,0� Heating Q U Cooling Ventilation Hood 2.00 1,7.00 Permit Fee $ $ OQ 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-mentinneri mmnprty fnr iiri—,tine nocc TOTAL PERMIT FEE A OO $77 O&4 This permit is hereby issued under the applicable provisions of X Dater Si ature of Permitee or Agent Receipt No.�yCQ/��.++��}} White-D.P.W. — Yel OW -AS e6so�r'��nk-Inspector — Goldenrod -Applicant mte tsuiie Lounxy t;oae anaior resolutions to do work indicated above for which fees have been paid. �� DI�ROFIC WORK-�S/`�By—.-Date�� Building permit expires Date ? 6�%� 1320-78B,P,E 'PERMIT NO. PERMIT EXPIRES William Chaney OWNER CONTR. Nelson Pools, Yuba City LOCATION (A.P. 24-•30=,14 ) :. NIS" Glen ;::EllenDr:,, ,a p,250'W.of Larkin 'Rd. , �. lot= 14"' 'Gordon Est:,: Gridley ..s r Temp. Power Pole Called PG&E Temp. lec. Serv. Iled PG&E T p. Gas Serv. .. Called PG&E JOB FINALED (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ,BUILDING INSPECTIOW RECORD UILDING BUILDING (Cont'd) PLUMBING Setback d Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Sidinq To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwa I I Insulation Heaters Slab Carport p° Footings Prov. for phsically handica ed Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing E ECTRICAL Masonry Walls Throat Rough Relnf. Steel Final Fixtures Bond Beam FIRE CPRINKI FRC lunfnm btucco Final Subpanels Mesh MECHANICAL Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOMEUTILITIES ------------------Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping MOSILEHOME INSTALLATION - - - - - - - - • - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS ,;?,q -7 (NOTE: An entry must be made on this form each time you visit the job site.) r. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone:,534-4541 APPLICATION AND PERMIT CY / autH01I Ze reweschtauves o1 the County or Butte to enter upon the /Do,v,,e-ntioned property for inspection purposes. ate / gnatureof Permitee or"Agent Receipt No. �� b p 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 DIRECTOR OF/PUBLIC WORKS BY Dat�e_�— 27 Bu�2�_ 'z • ding per�itexp�iresate BUILDING OwnerI S'elQ. FT. OCC. BUILDING VA DATION Mailing Address Telephone No. Fireplace Contractor $ �y� ®-� S Total Valuation Mai I i ng Address �7Permit Fee Plan Checking Fee &/or Penalty Te ephone No. /I yt)C� r — Permit Fee $ Building Address s PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 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.Zoni ng & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F es eoertFireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W rove Im `ents P Lawn sprinkler system 2.00 Bldg. PI4-n-s Recd Parcel Approval t Plans pproval Permit Fee $ $ 77 NEW ADDITION ❑ UTILITIES ❑ OTHER [' ELECTRICAL No.1 @ FEE 41,. PERMIT FILING FEE $3.00 10D LESS Main service 600V OR 100 AMP 5.00 Main service EA. ADD•L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ❑ Others OVER 60 Main service 00 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 «� o�_ Y CV C NEW CONST . (DWELLING.00CUPa OR ADDNS.` . ) 2�sgft NEW CONSTR.A(MULBTL 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 Stat of California Business & Professions Code under a name S Of: _ Ex. Occup(OUTLETS OR FIXTURES) 50 @� BAL@1 EX. OCCU FIXED APPLNS. OR P• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 t�� License No.;��% �!7 Classification `Sv 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 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 TOTAL PERMIT FEE $ autH01I Ze reweschtauves o1 the County or Butte to enter upon the /Do,v,,e-ntioned property for inspection purposes. ate / gnatureof Permitee or"Agent Receipt No. �� b p 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 DIRECTOR OF/PUBLIC WORKS BY Dat�e_�— 27 Bu�2�_ 'z • ding per�itexp�iresate