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025-050-002
I 39 26-16 John Bell 09-5— ,3226 Larkin Rd,, -Biggs [Termit #'2110-:82B(reroo SE Four 'Coun, eRfg, Chico�/� ' 10 � 1 D -r2-,, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville California 95965 - Telephone 916/534-4541 APPLI6404 AND PERMIT ASSESSOR PARCEL.,NUMBER (ZONING La BUILDING PERMIT OWNER - TELEPHONE SO. FT. OCC. BUILDING VALUATION OWN AILING DDRESS 42 CONT R'S NA E / ,, ri�f •� T 9 'TELEPHONE%� I ` � CO NTR ACOR'S MAILING AD-! ESS , r'1M�Iac CONSTRUC N LEND R UNKNOWN` Total Valuation $ / Filing Fee $ 10.00 LENDER'S MAILING ADDRESS _ Permit Fee $ , W,,,..9.f-_ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee BUILDING ADDRESS 1 PLUMBING PERMIT Filing Fee 10.00 _ Each Trap 2.00 Repair drainage or vent piping 5. Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 o t ets p� USE OF STRUCTURE SF 6L1 Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler ystem 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other . Describe work: •. // �l t"� Y� Permit We $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00v OR LESS 100 AMP OR LESS 5.00 ' Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.8i1 OR ADDNS. ACC. SLOGS. / 20 sq t CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business /7� and Professions Code and m license is in full orce a effect. �i "3 License No. Classification r, or my employees with wages as their sole compen- El I, as the ownev 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 CONSTR. MULTI -OUTLET T NO N.RESID BRANCH CIRCUITS 2,50 ea NEW CONSTR. I POWER APPARATUS 6 NON.RESID. %SINGLE OUTLET CIR. Ex. Occup OUTLETS OR REIIj 50 a ac BAL@1 Sl R Ex. Occup.(ou LETS FIXED P(L ID.)EA.1 2.00 Temporary service 10.00 Mobile Home Fvfrities 15.00 Misc. Wiring," 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE e - I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (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. ❑ 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilit'es, judgments, costs, and expenses which may in any way accrue against -S ' ebnty I consequenceofthe granting of this permit. C 1�A ,c / .-� — �. X �,LL.C[11 Date Signature of Applicant - Owner g pp ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories height. Mobile Home Installation Fee $ TOTAL PERMIT FEE&_'5�40_ $ OcCUP. GROUP I TYPE OF CONST. PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work iNicated above for which fees r, -, ! 'DIRECTOR OF PUBLIC `�yd PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date 1 " 41— 0 L" fS Receipt No. 25 �� / �, �0!p O ��� I WHITE-D.P.W., YELLOW-ASSE 30R, PINK-INSf ECTO R, GOLDENRODrAPPL I CANT LZ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - OroviIIe, Ca4kfornia')5965 - Telephone 916/534-4541 APPLICATION,ANbVERMIT PERMIT NO. / ASSESSOR PARCNU BER �— ,—Q ZONING BUILDING PERMI OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWN AILINGtDDRESS CONT R'S N AM E O CONTRAC OR'S MAILING AD ES e 0 Fireplace CONStR_UCTTON LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ " ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAIL NG ADDRESS Permit fee S-35, BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.0 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent�;k 5.00 Gas piping system 1 - 5 aykfets USE OF STRUCTURE SF�q Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler stem 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other1W Describe work: 4 Permit Fle $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 5.00 100 AMP OR LESS Main service EA. AOD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.EI) 2� t OR ADDNS. ACC. BLDGS. > CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): &rI am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and_jn license is in full Jorce a effect. License No. Classification —,'J`Ex. ❑ 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) ❑ 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 NNEW ON -RESIT R. BRANCH CIRCT Ts .50 ea NEWCONSTR. POWER APPARATUS 6 NON.RESID. (SINGLE OUTLET CIR. eDeaa Ex. Occup OUTLETS OR FIX RES BAL@1 IXED APP OR Occup.(ouP TLE Ts EA. 2.00 Temporary service 10.00 Mobile Home Fagifities 15.00 Misc. Wirin 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee .00 WORKMEN'S COMPENSATION INSURANCE c I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. AIhaveplaced 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 F $ 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 liabili 'es, judgments, costs, and expenses which may in any way accrue again aMntconsequence of the granting of this permit. ' X Date Signature of Applicant — Owner [I Contractor ❑ Agent An OSHA permit is required for excavations ver 5'0" deep on demolition or construct- ion of structures over 3 stories n height. Mobile Home Installation Fee $ TOTAL PERMIT FEE. $ OCCUP, GROUP I TYPE OF CONST. PARCEL PO I No I ISSUE This permit is hereby issued under the applicable provi- sion f the Butte County Code and/or resolutions to do wo i ica d Ej o`e for which fees have been paid. IR CTOR OF PUBLIC WORKS B 1-1 Date — PERMIT EXPIRES Date p Receipt No. ZS 3 32, 99 O ©0 WHITE-D.P.W., YELLOW-ASSE SOR, PINK -IN ECTOR. GOLDENR. -APPLICANT i COUNTY or BUTTE DEPS; OF PU3LIC wpRKS AN L 121982 71819110,11112111213141S'