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HomeMy WebLinkAbout025-060-0050 oar'- CGU A A.P. 25-06-5 PIKER n/s Lattin 5001 east,of Dos Rios Rd.,E. Biggs Permit 1920-73B.,,E (addition) 25-06-5 o-estt & Dorothy Fel-kins N/S.Lattin.Rd..,..ap.P.500.'E..of Dos Rios, Rd., E. Biggs Permit # 17 7 9 - 7 9 B , E �afl j��/.- S F.) B07-2146 V25" MISCELLANEOUS Re-Ro f 0 -,-RE-ROOFSF.W/COMP(49SQ)., ,717 UATTIN 1?,D "F ERDIG 'RICK Cq, B 0 7 - 2 10 0'.1,, 02570601005," MISCELLANEOUS HVAC'CMfig6 Ouf - - - I I 1 1. � 4.bf " I - - 11 , ' , , CHANGE OUT SYSTEM l7affN kh6, 4i' -.0 �, k �RJC c�13 I 0 oar'- CGU Ln CD' I�Ml 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: 717 LATTIN RD Owner: Permit NO: B07-2190 APN: 025-060-005 FERDIG, RICK C Issued Date: 10/23/2007 By KEJ Permit type: MISCELLANEOUS 724 VILOET LN Subtype: HVAC Change Out VACAVILLE, CA 95687 Expiration Date: 10/22/2008 Description: CHANGE OUT SPLIT SYSTEM (530) 864-1922 Occupancy: Zoning: A5 Contractor Applicant: Square Footage: R B SPENCER INC R B SPENCER INC Building Garage RemdUAddn 1188 HASSETT AVENUE 1188 HASSETT AVENUE YUBA CITY, CA 95993 YUBA CITY, CA 95993 Other Porch/Patio Total (530)674-8307 (530)674-8307 FEE INFORMATION DBM Heat Pump (Package Unit) $58.00 Total Charged: $58.00 Fees Paid: $58.00 Balance Due: $0.00 Receipt No: B5072 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 R B SPENCER INC 664429 / C-20 C-38 / 02/28/2007 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 EREBY AFFI M UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 ( mencing action 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.4full fo " a ct. 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 10/23/2007 the applicant to a civil penally of not more than five hundred dollars [$500]; Please check one of the following: Contractors 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 WORKERS' COMPENSATION DECLARATION 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 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, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED 1pVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: fiction 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' Compansation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the INSURANCE CO OF WSA216272200 04/11/2008 Carrier: Policy Number: Exp. Dale: Contractors License Law.). (This section need not a completed if the permit is or once hundreo Ilars ($100) or ess. ❑ I AM EXEMPT under Section B. 8 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' Compo laws of California, and agree that if I should become subject to the workers' X 10/23/2007 comp of Section 3700 of the Labor Code, I shall forthwith comply with those Owners Signature Date govisions pr s 10/23/2007 1 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 Signature Date WARNING: FAILURE TO SECURE WO E '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 RIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS $100,000 , IN ADDITION TO THE COST OF COMPENSATION, ( ) the issuance of this permit. I hereby acknowledge thatt is issuance of this permit 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. Coun ter the above mentioned property for inspection purposes. I hereby certify that I am the pr er or am authorized to a on the property owners behalf. CONSTRUCTION LENDING AGENCY 10/23/2007 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency forNaWIF Perm eeN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) ontfactor OR; Agent for Owner Agent for Contractor Owner 1:1 FILE COPY Lenders Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecountynet/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name Addres Mailin re vQ city Addr City / Fax E-mail Name CONTRACTOR Addres Occ. city Addr City S may/ Phon Zip E-mail -Gq Lic Fax State License Number APPLICANT SIGNATURE PROJECT LOCATION AP# Prope r T City /V PERMIT NO. oj.al9ol BIN # Policyer Carrier If hiring anyone other than license contractors, a certificate of wor'* compensation must be shown at the time of permit issuance. . o 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 Occ. Address Addr City State Zip Phone Fax E-mail Fax State License Number APPLICANT SIGNATURE PROJECT LOCATION AP# Prope r T City /V PERMIT NO. oj.al9ol BIN # Policyer Carrier If hiring anyone other than license contractors, a certificate of wor'* compensation must be shown at the time of permit issuance. . o 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 Occ. Type Const. Addr City Phone _ Fax 3 E-mail APPLICANT SIGNATURE PROJECT LOCATION AP# Prope r T City /V PERMIT NO. oj.al9ol BIN # Policyer Carrier If hiring anyone other than license contractors, a certificate of wor'* compensation must be shown at the time of permit issuance. . o 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. 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: 717 LATTIN RD Owner: Permit No: B07-2146 APN: 025-060-005 FERDIG, RICK C Issued Date: 10/16/2007 By KCG Permit type: MISCELLANEOUS 724 VILOET LN Subtype: Re -Roof VACAVILLE, CA 95687 Expiration Date: 10/15/2008 Description: RE -ROOF SF W/ COMP(49 SQ) Occupancy: Zoning: A5 Contractor Applicant: Square Footage: BAIRD ROOFING CO BAIRD ROOFING CO Building Garage Remdl/Addn 11025 MIDWAY 11025 MIDWAY CHICO, CA 95928 CHICO, CA 95928 Other Porch/Patio Total (530)342-1631 (530)342-1631 FEE INFORMATION DBMSC Re -Roofing $287.00 Total Charged: $287,00 Fees Paid: $287.00 Balance Due: $0.00 Receipt No: B5000 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 BAIRD ROOFING CO 631460 / C39 / 10/31/2007 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 d under provisions of Chapter 9 I HEREBY AFFIRM UNDER PENALTY OF PE:of (commencing w' h Section 7000) of Division 3essions Code, and my license pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) =Busiss is in full force d 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 0/16/2007 the applicant to a civil penalty of not more than five hundred dollars [$5001 Please check one of the following: Contractor's SO tura bate ❑ 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 WORKERS' COMPENSATION DECLARATION 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 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, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by 9—my 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 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 238,0090367Exp. Date: 04/01/2008 Cartier: Policy Number: Contractors License Law.). (This section need not be completed if the permit is or on. hunared ($100) or es— s ) ❑ I AM EXEMPT under Section B. 8 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 come subject to the workers' X 10/16/2007 compensati provisions of Section 3700 of the Labor Cade, hall f with comply with those Owner s Signature Date provisions. X &16/2007 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 Sign of VD e WARNING: FAIL E O 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 SUBJ TAN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE injury, including death, and property damage caused arising out of, in any way connected with HUNDRED THOUSAND DOLLARS $100,000 , 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 authorZrepr/1ntatives of Butte ATTORNEY'S FEES. County enter the above mentioned rope for inspection purposes. I hty that I am the grope owner or am authorized a on pr party owners behalf CONSTRUCTION LENDING AGENCY AJ tYWAn,1 6/2007 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for ' WUPermittee[51W Prl t Date the performance of the work for which this permit is issued. (3097 civ. code) Owner 1:1 Contractor OR: Agent for Owner VAgent for Contractor FILE COPY Lender's Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (5'30)538-7541 FAX #: (530) 538-2140 A FEE WILL BE REO UIRED AT TIME OF APPLICA TION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** 11 OWNER INFORMATION Last Name AC / 0 First Name C A, ✓ V Mailing Address / & City l rl i State Z l:??�y L Phone -7 IFax t ' `�/ E-mail 11 CONTRACTOR Name Name Address Address City Address Slate Zip Phone City Fax Staten Fax 11/0�_ Zip Phone Fax r► � E-mail Lic. #( D Class 11 ARCHITECT/ENGINEER Name \ Address Address City ,^ �Y �/ I J Slate Zip Phone Zi Fax E-mail Fax 11/0�_ StateU ense Number 11 APPLICANT SIGNATUR X /f V PROJECT LOCATION AP# S- • ob Property Address Pyez PERMIT NO. 80�21�1 BIN # I WORKER'S COMPENSATION Policy Number Carrier If hiring any&re other than license contractors, a certificate of worker's l compensation must he shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF W RK: Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): , For office use only: APPLICANT INFORMA ION Name — Lf 41Ila-., SRA Address 5 – An ,^ �Y �/ I J City i 0 StatCe' Zi Phone t'L � Fax 11/0�_ E-mail APPLICANT SIGNATUR X /f V PROJECT LOCATION AP# S- • ob Property Address Pyez PERMIT NO. 80�21�1 BIN # I WORKER'S COMPENSATION Policy Number Carrier If hiring any&re other than license contractors, a certificate of worker's l compensation must he shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF W RK: 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. PERMIT NO. 1779-79B,E PERMIT EXPIRES �7/ / •�/ OWNER Forest Forest & Dorothy Felkins CONTR. owner 25-06-5 LOCATION (A.P. ) NIS Lattin Rd:, app.500'E.of Dos Rios Rd.;, E. Biggs s . �r l: t 'A_ �y _ J- :7 Temp. Power Pole i' Called PG&E Temp. Elec. Serv. i Called PG&E Temp. Gas Serv. 1' Called PG&E i, JOB FINALED Scratch i Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec- Service Elec. Pedestal Water Piping Sewer Gas Piping 1 EHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS 7 � � �. � A/- �a" (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall ys Soil Piping Forms Parapets .1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwal i Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwal I arage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handica ed Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Slab Final — Sanitation Patio FIREOLAC94 Final Footings Footing ELECTRICAL Masonry Walls Throat Rough �- Reinf. Steel Final Fixtures Bond Beam FIRE SPRI LE RS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh — MECHANIC4 Grd. Fault Prot. Scratch i Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec- Service Elec. Pedestal Water Piping Sewer Gas Piping 1 EHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS 7 � � �. � A/- �a" (NOTE: An entry must be made on this form each time you visit the job site.) .COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS \� 7 County Center Drive — Orovi Ile, California 95965 Tel tphone: `534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above -menti property fo inspection purposes. n X Date Signature of ermitee or Agent Receipt No. «� 74& 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. DIRECTZMOF PUBLIC WORKS By Date L wilding permit expires Date BUILDING Owner SO. FT. OCC. BUILDING V L TI `7 Z J Mailing Address p6 0 Z Telephone No. J.G Contractor Mailing Address Fireplace Total Valuation o Telephone No. Permit Fee Building Address' L Plan Checking Fee&/or Penalty Permit Fee r39 - 3Z ai AEAsr PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 h A. P. No. --b�-- t'3 S Z Zoning 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 Fqpgl Vge. I S> taaa FIreDept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvem nts Each additional outlet .30 Building sewer 5.00 -AW wb-Ree'd Parcel A val Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ER UTILITIES ❑ OTHER ❑ Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3,00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L too AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST OR ADDNS. ACCLLING BLDGS.CCUP. '1)22sq ft 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: NEW CONSTR. ( BRANCH CIRCUITS) NO `BRANCH CIRCUITS) 2.50ea NEW CONSTR- POWER APPARATUS B NON.RESID. SINGLE OUTLET CIR. Ex. OccuD(OUTLETS OR FIXTI1RES g L@j FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Mise. Wiring 6.25 , I am exempt from the Contractors License Laws of the State of Cali fomia. Permit Fee $ MECHANICAL No. @ 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. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. Iii 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. 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 hereby41 Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above -menti property fo inspection purposes. n X Date Signature of ermitee or Agent Receipt No. «� 74& 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. DIRECTZMOF PUBLIC WORKS By Date L wilding permit expires Date T PERMIT NUMBER _ g 1920-73B,E F P yr i E b PERMIT EXPIRES ,/(6/74/ OWNER Norman Spiker t CONTR: owner ti LOCATION (A.P. 25-06-5 v n/s Lattin Rd. app. 001 -east of Dos Rios Rd., 4 y y COUNTY OF BUTTE Department of P.ublt�o Works BUILDING INSPECTION' RECORD I Zoning Setback �i —, � Forms+ esle �6.Y Foundation Piers & Girders Fireplace Rgh. Plumbing Bond Beam Lath & Plaster Rein. Steel Gas Piping & Test Found. Vents Framing s J^-7 Plmg. Topout Rough Wtr. Htr. Furnace Kitchen Vent Firewall Garage Vents Sanitation & Water ELECTRIC GAS BUILDING Temporary Temporary Cert. of Occup. Final Final Final DATE REMARKS OR CORRECTIONS n COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — •0roville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above --mm/�e/n//tiio/nyedd property for inspection purposes. is Date 611112-3 Signature of Permitee or Agenor Receipt No. - ,26,7 !��2 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 WBLIC WORKS By Date C Building permit expires Date .. �-_` i a - BUILDING C Owner C/ SQ. FT. OCC. BUILDING VALUATION s 76-- T' Mailing Add s o -Z(Z�l •T lep _e No. .a+ Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checki ng Fee &/or Penalty Telephone No. Permit Fee $ Building Address / S J ` PLUMBING No. FEE PERMIT FILING FEE $2.. 00 r • �.� 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 (p ^s—Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F S Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Parcel' Plans Declaration Parcel Ma P 60 R/W Improvements P Lawn sprinkler system 2.00 Parcel Approval Plane Approval Permit Fee $ $ NEW ❑ ADDITION ©UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Li fixtures 010 R eps., switches & fix outlets h. 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring 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. ❑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 TOTAL PERMIT FEE $G /0 a authorize representatives of the County of Butte to enter upon the above --mm/�e/n//tiio/nyedd property for inspection purposes. is Date 611112-3 Signature of Permitee or Agenor Receipt No. - ,26,7 !��2 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 WBLIC WORKS By Date C Building permit expires Date .. �-_` i a -