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HomeMy WebLinkAbout025-200-02325-20=23 2927ea 90B CANADY, Ralph 495 East Gridley'Rd, Gridley�I i Contr: Vinyl Designs ' (vinyl siding/sf) ' 025-20-0-02398-2936 Ralph 98-2936 PEM 495 East Gridley Road, Biggs ` (hvac)SF J & S HTG g a � a COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541L1 Z�� O APPLICATION A -N.0 PERMIT t ASSESSOR PARCEL NUMBER _A40 ZONING BUILDING PERMIT OWNER Rnlnh r TELEPHONE 846-2869 SO. FT. OCC. BUILDING VALUATION 6500 OWNE'R'S MAILIN ADDRESS r+ R CO T R'S v1 a 1— TELEPHONE G-- - CON RAC 'S� LING ADDRESS #D. Fireplace OtJS R C I N ENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 02.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING 49SEafat Gridley Rd Gridley Permit fee $ 72.50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Install _ Of ylinyl Aiding _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 IIIA OR LESS Main service 100 AMP OR LESS 10.00 Main service EA. AOD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declaare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full 7rce and effect. License No. �� Classification ' ❑ 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 NEW CONST. DWELLING OCCUP.e OR ACDNS. (ACC. BLDGS. 2/z¢sgft NEW CONSTRESID,MULTI-OUTLET NO N•R ESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES a20 0 ALOSot Ex. Occup. OUTLETS PRESID )FIXED APLNS. REA.� 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 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. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Coolin g. Hood f 3.00 Ventilation Permit Fee $ 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, jgdgments, costs, and)expenses which may in any way accrue against said Co ty in con Iquence {{ the granting of this permit. X ; k1`. �r �� Signature of Applicant — Owner ❑ Contractor Agent ❑ An OSHA permit is required for excavations over 5' 'deep and demolition or construct. ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 72.50 HAz I CUA I PARK I SCHL I FLD I PAR I PD HD IssuE Th;s permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC Ale BY _ P IT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Dater Z -Qy X. -2 1 Receipt No. ��) GS' � % WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT . 'nw,y�f ^ry.Ra'.a•'sF�:�: �r�:r"�?f!�.��-"5w�i{�,. :7. yv 025-20-0-023 98-2936 PEM CASSADY, Ralph 495 East Gridley Road,,Biggs (hvac)SF J & S HTG COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530)'538-7541 .�.1`7,JINO• (Rev. 12/96) APPLICATION AND PERMIT ` -- . r r ASSESSOR PARCEL NUMBER 0257200-230 ZONING A40 BUILDING PERMIT OWNER CASSADY, RALPH TELEPHONE SO. FT. OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS495 FAST GRIDLEY ROAD, BIWS CONTRACTOR'S NAME T q S ,ATZN,f, 4X AC T�L�PFjON 764 (�(� L - - - CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER - Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS Energy Plan Checking Fee $ $ - — PERMIT FEE S -' LOT NO. SUBONISIONSNAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY 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 ❑ Unities ❑ Installation ❑ Other ❑ ' Describe Work: UVAr 6JTT s Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ 35.00 +� a. 1 ELECTRICAL PERMIT Fling Fee 20.00 800VOR LESS Main Service 200A OR LESS 23.00 r LICENSED CONTRACTOR'S DECLARATION t 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. I '' j'! LiC. No. License Class tj= 03 ?Q3 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 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 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 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 St I certify that in the performance of the work for which this permit is issued, I shall r 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. Date %��t/^Y Signature of Applicant - bwner + Contractor ❑ Agent' An OSHA permit is required for excavations over 5'0" deep and demolition or construction. sof structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWEWNG OCCUP. SO OR ADDNS. a ACC. S. 3.5¢FT; NEW CONST. MULTI.OUTLET NON-RESID. CU @7.50 POWER APPARATUS 'POWER OUTLET CIR. zo p 1.00 Ex. Occup. OUTLET OR FIXTURES BqL @ .50 flXED APPLNS. OR 5.00 Ex. Occup. our. RESID. EA Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE i MECHANICAL PERMIT Fling Fee 20.00 Heating 15.00. Cooling 17 Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE •• TOTAL FEE $ 75.00 . f IMP FLOOD cOF PARCEL PD HD ISs This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for high fees have been paid. B. / Date � t4,d PERMIT EXPIRES ON G7 / Date Receipt No. 1*ri 7 n WHITE-D.D.S.-B.D.` cANARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT r ` COUNTY OF BUTTE - DEPARTMENT OF DtVELdPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P R T NO. (Rev. 12/96) APPLICATION AND PERMIT �� ASSESSOR PARCEL NUMBER 025-200-230 A40 ZONING BUILDING PERMIT OWNER CASSAnY, RALPH TELEPHONE SO. FT. OCC. BUILDING VALUATION � .OWNERS MAILING ADDRESS - 495 EAST GRIDLEY ROAD, BIGGS CONTRACTOR'S NAME T & S HEATIn10, `. ACTf�L�P�ON `�LF 764 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 MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Pian Checking Fee $ $ - PERMIT FEE $ LOT NO. SUBDNISIOWSNAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY 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: FTVA('C, TjtjTT Gas piping system 1 - 5 outlets 15.00 1.5 , 00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ 35.00 ELECTRICAL PERMIT Fling Fee 20.00 "OOVOR LE Main Service zoOA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 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 '� full force and effect.( License Class Lic. No. 6 ?322 3 � 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 TO Main Service TO 46.00 NEW CONST. DWELLOCCUCUP. EE OR ADDNS. ( a ACC. BLAS. SO 3.50Fr. =REESDT MULTI -OUTLET 97,50 POWER APPARATUS a PSOUTLET CIR. Ex. Occup. OUTLET OR FWTURES 20 Q 1.00 BAL @ •50 Ex. Occup. OLIT>Frs p D°E UYS 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 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 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 com ly wi those provisions. Date —, _ S' nature of App cant - caner Contractor 13A e 5 n OS HAA permit is required for excavations over 60" deep and demolition or construction i of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEES 5 .00 Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE . TOTAL FEE $ . 75.00 HAz. D. FEES IMP I FLOOD I COF PARCEL PD HD ISS This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for fees have been paid. /y _ PERMIT EXPIRES ON Date Receipt No. CV 7, 7 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT " , A COUNTY, OF BUTTE - DEPARTMENT OF D60tLOoM 'NT SERVICES - BUILDING DIVISION • 7 County`;Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO. (Rev.12/96)'` APPLICATION AND•PERMIT ASSESSOR PARCEL NUMBEAO. 25-200-230 .. ZONING A40 a BUILDING PERMIT, OWNER CASSADY, RALPH ( f TELEPHONE SO. FT. OCC. BUILDING VALUATION +i.• .OWNERS MAILING ADDRESS 495 EASTGRIDLEY ROAD, $IGGS CONTRACTOR'S NAME J & S HEATING, & AC LL-E�TPP TAT60N2764 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 MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ - PERMIT FEE $ — LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT • ' - Fling Fee 20.00 a 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: NVAC rjrrZT Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 Mobile Home I S G W @20.00 PERMIT FEE $ 35,00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2o.A 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.POWER License Class �0� 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 astheir sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, 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 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 Main Service 200A TO 1e00A 46.00NEW CONST. owEwNG OCCUP. sO OR ADDNS. ( a ACC..0CC 3.5QFT; N0,-RCEOS pT MULTI.OUTLET 97,50 APPARATUs 8 SINGIP OUTLET CIR. EX. OCCU OUTLET OR FDRURES B20 O `� Ex. Occu , o. ED p IES p,OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt: S 50.00 Policy Number (The above sections need not be completed 0 the permit is for work of a valuation of one hundred dollars ($100) or less.) C 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 w' those provisions. Date �-q Si - nat�&A�pprl6ciri't - wrier Q Contractor ❑ A ert n OSHA permit is required for excavations over 60" deep aril demolition or construction of structures over 3 stories in height. `' " Mobile Home Installation Fee $ •- Energy Inspection Fee $ OCC CONST. TYPE . TOTAL FEE $ 75.00 RAZ. I D FEES IMP I FOOD CDF PARCEL PD I HD 651 This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for hic� fees have been paid. Date Cryo ` PERMIT EXPIRES ON Date ReceiptNo.9'7 dd WHITE-D.D.S.•B.D. 0 CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT i COUNTY OF BUTTE - DEPARTMENT OF 061il-OPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO- (Rev.12/99) APPLICATION AND PERMIT Ex. Occup. ou ®n�"ERm.)FA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 "sc. Wirina 23.00 PERMIT FEE IS pU► MECHANICAL PERMIT Fling Fee 20.00 Coolin 9.5o 1 Ventilation PERMIT FEP- ! Mobile Home Installation Fee S Energy Inspection Fee E occ coNsT, r`Fe TOTAL FEE $ d NAZ I D. FES I WF I FW00 I OOF 1 FARCEl FO 1a 6St;E 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 �— ReceiptNo. Jr PERMIT EXPIRES ON .-...--- �C-> C-) _... BUILDINGPERMIT 01NM°ar�"ON8 SO. FT. OCC. BUILDINQ VALUATION awNrae MALM AD-- wNraw�oFrs RwAa �' �_ te��,e_ pr COMMAAWAI MUD* MOWN' OOFeTR e"m umet tlWOn MOAM ADOR W Fireplace Total Valuation $ ARCMfr=oa eaa►M uce+se No' Filin Fee $ 20.00 ARCMffWr OR D1001=1 www ADORER Permit Fee $ Plan Checkin Fee $ euaDewAooaess Energy Plan Checking Fee $ i PERMIT FEE _ wrw. suammm"mm FAace. NW PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE Solar or heat pump water heater 23.00 SF O Duplex D Wbilehome O Other Water piping 15.00 �esv Each as water heater or vent 15.00 TYPE OF WORK s piping syshmi. 1 -5 ou" 15.00 Now 0 Addition 0 Re nodd Ute 0 Inatatiatlon 0 Other 0Ikling sewer 15.00 Describe Work: Mobile Home I S I G I W .i @?.0.00 PERMIT FEE t ELECTRICAL PERMIT FRn•Fee 20.00 Main Service gcom 23.00 Main Service 20" TO 1000A 49.00 NEW CONST. oWBil10 OCCW. OR ADONs. a ACC. dD8 3•5oFT. mLW NONAE9IA' YV<riOVrtEr @7.50 -• ' Fowa� AF'PAMTtA a a oun T cn � Ex. _Occup. OLAU7 OR FKTURM 20 a f.0o Ex. Occup. ou ®n�"ERm.)FA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 "sc. Wirina 23.00 PERMIT FEE IS pU► MECHANICAL PERMIT Fling Fee 20.00 Coolin 9.5o 1 Ventilation PERMIT FEP- ! Mobile Home Installation Fee S Energy Inspection Fee E occ coNsT, r`Fe TOTAL FEE $ d NAZ I D. FES I WF I FW00 I OOF 1 FARCEl FO 1a 6St;E 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 �— ReceiptNo. Jr PERMIT EXPIRES ON .-...--- COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Ca;fornia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 25-qn-n ZONING A40 BUILDING PERMIT OWNER TELEPHONE 846-2 69 S0. FT. OCC. BUILDING VALUATION 6500 OWN 'S M I IN ADDRESS C R' 1694-2208 TELEPHONE C N C LING ADDRESS Citrus lits 95691 Fireplace R I UNKNOWN Total Valuation Is Filing Fee $ 1000 LENDER'S MAILING ADDRESS Permit Fee $ 2. 0 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee$ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING 495East Gridley Rd GridleyPermit tee $ 72:50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Jnstall of vin3l si di nD _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1000V OR 0 AMP ORLESS10.00 Main service EA. ADD -L 100 AMP 2,50 CONTRACTORS LICENSE LAW I de re under penalty of perjury (check one): 7 I am licensed under provisions of Chapt. 9, Div. 3 of the Business and ProfessionsCode and my license is in full rce and effect. License No. 111� �� Classification ❑ 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 NEW CONST. DWELLING OCCUP.5i OR ADDNS. ( ACC. BLDGS 2hQsgft LET. NEW REST-,CON5TULTI.O CIRCUITS) NO N•R ESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLEOUTLET CIR. Ex. OCCup(OUTLETS OR FIXTURES 9A 50300 Ex. Occup. OUTLETS P(RESID.)LNS REA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 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. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ 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. I also agree to save, indemnify and keep harmless the County of Butte against • all liabilities,)Jdments,costs, and)expenses which may in any way accrue again s id Cn uence 0 the granting of this permit.%� �� Date Signature of A licant — Owner g pp ❑ Contractor Agent ❑ An OSHA permit is required for excavations over 5' 'deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 72.50 AL HAZ cuA PARK Fro PAR PD HD IssuE This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By _ P IT EXPIRES Date the applicable provi- resolutions to do have been aid. p WORKS Date JO 2 —L_R Z� /JA Z,7—^'7 Receipt No. -76 A__� 6 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroviller California 95965 - Telephone: 916.'538-7541 APPLICATIQU AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 25-20— 023 ONING BUILDING PERMIT OWNER TELEPHONE HLOVNEn/ SC. FT. OCC. BUILDING VALUATION MAILING ADDRESS f /y 6OWNER' s� CONUA_C,TOR'5 NAME V TELEPHONE CONTRACT R'S MAILINII ADDRESS � /�711— 6 36 3 �� # D 6',(/Lw r"3 . w- 6 Z,f r Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation S LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER2. LICENSE NO. Filing Fee $ 10.00 Permit Fee Plan Checking Fee $ $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS. Permit fee - $ -72.6a PLUMBING PERMIT Filing Fee 10.00 j Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME P4RCEL MAP Water piping 5,00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G VV 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities[], Installation❑ Other ❑ Describe work: 61k4IX 6t LY./LLUI Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 OR L Main service GtOOVAMP ORSLESS 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure isnot 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 Main service EA. ADD -L 100 AMP 2.50 OR AOONST DDWEACCLLIN GOCCUR.&\ !iZ¢sgft NEW CONSTR. nULTI.OUTLET NON-RESIO BRANCH CIRCUITS 2.50 ea (POWER APPARATUS e) SINGLE OUTLET CIR. Ex. OCCU OUTLETS OR FIXTURES P 20150¢9At.030 FIXED APLNS. Ex. OCCup. OUTLETS P(RESID,)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 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-Ihsure. ❑ 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. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3,00 Ventilation Permit Fee $ 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 liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner El' Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct. ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 2" V HAz I CUA PARK I SCHL [.F Lo I PAR PD HD Issue This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. WHITE-D.P.W. YELLOW-AseEssOR, PINK -INSPECTOR, GOLDENROD -APPLICANT