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HomeMy WebLinkAbout025-210-028 t I 25-21-18.� �� ON INSON 709 Hwy K Gridley /a 7/f� ontr: Robert titer / ermit#2.738-86B(r-er _ _.__,� .• 25-21-18p� Contr: Rob Fichter Permit 2-86B repair dry rot damage/ roo eathing & siding/SF) .. r 1707 Hw 25-21-18....r! _ Y 70, ORoville Woodburn n Q t' Permit 3976-87B(new SF # g inset) �e U ZS- Z►p _GZ� 1707 Nwy 76 - d I,Or e l 0611,31oq d' e ass r w �< t COUNTY OF BUTTE - DEPARTMENT OF PUBLIC JVORKS 7 County Center Drive - Orovill California 95965 - Telephone 916/534-4541 APPLICAkION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNERTELEPHONE I r rl /C':- [ , �-. /' I-) 1 SQ. FT. OCC. BUILDING VALUATION �4 -t.- OWNER'S MAILING ADDRESS CONTRACTOR'S NAME r / i' • TE`L /ONE., / /��//ii))''// l/ CONTRACTOR'S MAILING ADDRESS !� r` Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 r Each Trap 2.00 /J ✓ : r /R ►/ Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MA,p / Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑x. Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00ea TYPE OF WORK New❑ Addition❑/ Remodel❑ Utilities❑ Installation❑11 Other Describe work: ! •" u' < , / 1�^' T Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 e00V OR LESS Main service 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW C I declare under penalty of perjury (check One): F -1I 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. i/ i Classification El 1, 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 OCCUPM OR ADDNS. (ACC. BLDGS.21/2 Osgft NEW CONSTR.ULTI.OUTLET 2,50 ea NO N.R ESID BRANCH CIRC ITS POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURESeA 0530 FIXED PR\\ Ex. Occup. OUTLETS (RESID.IEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 g Permit Fee $ Contractor 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. MECHANICAL PERMIT FiIingFee 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 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, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date 1 Signature of Applicant-- Owner ❑ Contractor �x - 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 $ TOTAL PERMIT FEE $ occuP. CONST*'1YPFJ I JFLO..J1.IICr1J PD 1 Z7.. This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. I DIRECTOR OF PUBLIC WORKS By` r ^_ r/�.f'l.f',(� Date •! / / , /�, r PERMIT EXPIRES Date / l' Receipt No.�.. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 15965 - Telephone 916/534-4541 APPLICATIDNN ANS' PERMIT PERMIT NO. A SS E;JOZ-P ARL NUM ) — ZONING BUILDING PERMIT OWN D TELEPHONE SQ. FT. OCC. BUILDING VALUATION I OWNE 'S MAILING ADDRESS CO RA TOR'S NAME —, 19 ,I TEL ON.E V l CONTRA_TOR'S MAI I G ADDR SS Gr; Fireplace CONSTRUCTION L DER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS O Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 y1 ' Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MA Water piping 5.00 Each pas 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 W 10.00ea TYPE OF WORK New ❑ Addition ❑Remodel [:1Uti litie Installat' ❑ Other Descri work: \ _ p �-- Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 \ r Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 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 El1, 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, , New CONSTR.(AMULTI-OUTLET ) �z¢sgft NON•RESID BRANCH CIRCUITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20®50t DAL@30 FIXED Ex. OCCup. OUTLETS P(RESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin 15.00 g Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 152—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. 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. Ialso agree to save, indemnify and keep harmless the County of Butte againstoccu costs, and expenses which may in any way accrue all liabJ s,!2rbbn�seque�pee agai; 't i ranting of this permit. Date Si azure ofp 'cant — Owner ❑ Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct -E ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ — P. CONST*TYPEJ 1 Loop PARCEL PD MD 39UE This permit is hereby issued under sions of the Butte County Code and/or wor2above for which PUB B PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. RKS to Receipt No. WMITE-D.P.W., 1E1LOW-As8[350R, PINK -INSPECTOR. GOLDENROD -APPLICANT ':�i'•�^'r v;i7yr,-,.,i'Yj''+"v-•7.�P'--�i�1I-�' *.:1:~ti':ii/�(!h"`T''%�+'I•rt c.,..7w4r 1•��i.tv`1-%+,%'�9v^:1�'f15`-`"1`s�i'1"y.Aly�':+�"^'''E. t''vy'L..;ef".�' .. '*.,.�....—../N"L�•. d•"� t 9 Permit#3976-87B DONALD ROBINSON F !&)& Hwy 70, Oroville W� !� -6 C) r g e r S 9 0 Ml COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION ANIO PERMIT PERMIT NO. r ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNERS - ")'. • - 'c' - }} I1.' . . TELEPHONE LEONE 1 n SO. FT. OCC.i BUIL'DING'.V•AL•UATION OWNER'S MAILING ADDRESS!— CONTRACTOR'S NAME /J' ( TELEPHONE CONTRACTOR'S MAILING ADDRESS \ Fireplace q � f ---(DIn ' CONSTRUCTION LENDER , , Y r,, � •a-�^ � �l i �=�,;�` - 2s l� i`l� UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS ` ° Permit Fee $ 117 t0 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS / y -7� 7 t% G,/ , • , %i! i Permit tee $ 1 PLUMBING PERMIT Fili ng Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. ' 'SUBDIVISION NAME - - r" ..- PARCEL MAP Water piping - - 5.00 Each qas water heater or vent 5.00 USE OF. -STRUCTURE" '' 1 �- SF� Duplex[] ❑ i MobilehomeOther f i�Lft ^�1} / / rr 1 , SPECIFY H Gas'piping,system 1,7- 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00ea TYPE OF WORK New Addition! , ❑ Remodel❑ Utilities❑ "Installation[] Othe Describe work: Y -- _ ,, r Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 y ` ^ Main service 1000 V OR AMP ORLESS10.00 Main service EA. ADD—L.100 AMP _ 2.50. _ ' CONTRACTORS: LICENSE LAW �I" I I declare under penalty of perjury' (check one): .' ❑1 (' P 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 Qi 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 OCCUPAW ,/Z¢sgn OR ADDNS. \ACC. SLOGS. NEW CONSTR. MULTI-OUTLET.s r NON.R ESID BRANCH CIRC ITS 2.S0ea POWER APPARATUS &) SINGLE OUTLET CIR. ( EX. Occup\OUTLETS OR FIXTURES eA 030 Ex. OCCUp. OUTLETS FIXED PLISIS IRESID IREA.) 2.00 _ Temporary service "It 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 .- g Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury:(check one): F] The permit is for $100.00 (valuation) or less. ❑ 1 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. 0 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 shal I be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating f { 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. ` •1 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. •1fc.-, %AThis X �, .4 !� — ^^ '� Date Signature of Applicant — Owner Q Contractor 11AgentEl 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 $ TOTAL PERMIT FEE $ 7 50 OCCu P. CONST.7 SCHOOL FLOOD PARCEL I PD I ND I ISSUE permit is hereby issued under sions of the_Butte County Code and/or work indicated above which DIRECTOR OF PUBLIC % B� ta'f'� � /� 9��ir PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date/ %�/j%l Receipt No. ���4 �� WHITE-D.P.W.. YELLOW-A38Z3SOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICALON,AND PERMIT JE_7VIT NO/ / T AS: SOR'PA C L_NUM R ZONING BUILDING PERMIT OWNER TELEPH-Al 22_ONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILItITG ADORES CONTR C R'5 NAME -TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace _ CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS l /', l/iJ/[ U Permit fee $ PLUMBING PERMIT FilingFee 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 SIF Duplex❑ Mobilehome❑ Other Ecl Fr Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00 ea TYPE OF WORK New& Addition❑ Remodel❑ Utilities[]Installation❑ Other Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service coov OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW declare under penalty of perjury (check one): ❑ 1 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 1, 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,' , OR ADDNS. ACC. BLDGS. h2SQft NEW CONSTR. 1 -OUTLET NON-RESID 2,50 ea BRANCH CIRC ITS POWER APPARATUS e SINGLE OUTLET CIR. I Ex. Occup OUTLETS OR FIXTURES eA 50 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee' $ Contractor 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. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation penult 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 Countyof 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, judgments, cost5ejohd expenses which may in any way accrue again said County in cons of the granting of this permit. Date d� Signature of Applicant — Owner Contractor Agent ❑ An OSHA permit is required for exca tions over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ �O occu P. CONST.TTPE SCHOOL FLOOD PARCEL PD NO I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work i ca d above for which Dlig T OF PU y PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. L WORKS Date Receipt No. WNITE-D.P.W., YELLOW -Ale L33On. PINK -INSPECTOR, GOLDENROD -APPLICANT Permit#2738-86B Don Robinson 1709 Hwy 70, Gridle} COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS :. 7 County Center Drive - Orovillej Cali.tornia 95965 -Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER j I if 14 /C,� � ► � .� �� TELEPHONE SO. FT. OCC. BUILDING VALUATION - t _. C I-+^� OWNER'S MAILING ADDRESS- r CONTRACTOR'S NAME 0 (56 . T _ I G TELEPHONE ,t Ile- G_4 CONTRACTOR'S MAILING ADDRESS C_� " Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is 4n Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 4ft -n ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 1 ' 2 Solar or heat pump water heater 20.00, - LOT NO.. SUBDIVISION NAME PARCEL AP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF -R Duplex❑ Mobilehome❑ Other SPECIFY Gas piping sy3tem 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 1 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe work: n 12 no (C .'a /, Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service -A. ADD'L 100 AMP 2.50 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. �7�a7 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- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.yd , OR ADONS. ( ACC. BLOGS. ) /22sgIt NEW CONSTR.MULTI-OUT LET 2.50 ea NON.RESID BRANCH CIRCUITS) /POWER APPARATUS e iSINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20®50t 5AL030 Ex. OCCUp. O UTLETS P(RESID.)FIXED ALNS.REA.) 2.00 Temporary se -vice 10.00 _ Mobile Home-acilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor 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. MECHANICAL PERMIT FiIingFee 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 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, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. t.. X Date ` Signature of Applicant — Owner E:1 Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" tdeep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OcCUP. CONST.TYPC I FLOOD PARCEL I PD ND ssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which r q DIRECTO J F PUBl:,1C,.VY By �:r-: • /�/ // e PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. Date�ORKS �y/�7"x�y /) Receipt No. [7� 1 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - OroviIIe, CaU_forn.ia X05965 -Telephone 916/534-4541 APPLICATION AND PERMIT cMIT yo.� ASSESSOR PARCEL NUMB 7R — J ••SL a(/ z°"'"G .BUILDING PERMIT OWNERS © TELEPHONE SO. FT. OCC. BUI DING VAL TION _2& OWNER'S MAILING ADDRESS CONT ACTOR'S NAME 0SFr , •FlCHR-EP, TEL PHONE CONTRACTOR'S MAILING ADDRESS 01-0"(6 5 69104 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Qp Filing Fee $ 10.00 LENDER'S MAILING ADDRESS - Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 12-02 70 Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL AP Water piping 5,00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF -9- Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 10.00ea TYPE OF WORK New ❑ Addition ❑c� �R,e^moodde2l ❑ Utilities ❑ Installation❑ Other [, Describe work: J•l ;2 G-6S Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ® I am licensed under provisions of Chapt. 9, Div. 3 of the BuslneSS and Professions Code and my license is in full force and effect. License No. 7 7 7 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. ( ACC, BLDGS. DWELLING OCCUP.h , �20sq ft OR ADDNS.NEW CONSTR. MULTI -OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS ((POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20050t eALO 30 FIXED APLNS. Ex. OCCUp. OUTLETS (PRESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. Im 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. MECHANICAL PERMIT FiIingFee 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 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 liabilities, judgme costs, and expenses which may in any way accrue against a' Co asequence of the granting of this p mit. _ X Date S' nature of Applicant - Owner ❑ Contractor Agent I]work An OSHA permit is required for excavations over 54"deep deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ ,.1 - ,J occu P. cox sT.rrve IFLOODIPARCELI PD I No I ISSOE This permit is hereby issued under sions of the Butte County Code and/or indicated above for which DIRE FPUB BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have 'been paid. ORKS Date Receipt No. g�n WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT