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025-240-027
AP 25-24-27 -Gharles Loadholt ap rox. 1000' off n/s Palermo Rd" 2000of Lone Tree Rd., Oroville-- Permit 5240-�-76B,E,M (new refrigeYation cold box) 25-24-271 �Ai�, xmit ##532-78B (lst--Irenew% 25-24-27'. Perm' ##940-79B(2nd. rer:,M1� -76) 025-24-0-027 92-2942P LOADHOLT,'Charles & Janie 1255 Palermo Rd, Palermo gas line/sf 025-240-027 94-1226B LOADHOLT, CHARLES &JANIE 1255 PALERMO RD., OROVILLE (� CONT; K-DESIGNERS,INC.' VINYL SIDING/SF �I 025-240-027 PERMIT#94-1494 LOADHOLT, JANIE & H._ 1255 PALE010 -RDt', PAT ERMrl-✓ ADD DECKS/SF lq-` A.P. 25-24-27 HARL_ES LOADHOLT _ _ _ - off n�s Palermo Rd. app. : mi. west of Lone Tree Rd., Oroville y _Permit, .2840-72B,E,M (convert & remodel) / r i.; HUNSAKER, CALVIN *43008 4177B k 3320 4086E'- AP 086E ■ AP # 2 -24-2 Palermo Rd., app 1 mi N of Lone Tree R ; NIS Oroville ! (new, single family res..) *Addition 0 I I 1 I AP 25-24-27 -Gharles Loadholt ap rox. 1000' off n/s Palermo Rd" 2000of Lone Tree Rd., Oroville-- Permit 5240-�-76B,E,M (new refrigeYation cold box) 25-24-271 �Ai�, xmit ##532-78B (lst--Irenew% 25-24-27'. Perm' ##940-79B(2nd. rer:,M1� -76) 025-24-0-027 92-2942P LOADHOLT,'Charles & Janie 1255 Palermo Rd, Palermo gas line/sf 025-240-027 94-1226B LOADHOLT, CHARLES &JANIE 1255 PALERMO RD., OROVILLE (� CONT; K-DESIGNERS,INC.' VINYL SIDING/SF �I 025-240-027 PERMIT#94-1494 LOADHOLT, JANIE & H._ 1255 PALE010 -RDt', PAT ERMrl-✓ ADD DECKS/SF lq-` A.P. 25-24-27 HARL_ES LOADHOLT _ _ _ - off n�s Palermo Rd. app. : mi. west of Lone Tree Rd., Oroville y _Permit, .2840-72B,E,M (convert & remodel) / r i.; HUNSAKER, CALVIN *43008 4177B k 3320 4086E'- AP 086E ■ AP # 2 -24-2 Palermo Rd., app 1 mi N of Lone Tree R ; NIS Oroville ! (new, single family res..) *Addition 0 I CN �(NJ'd'1 RESIDENTIAL________ _ 025-240-027 PERMIT#94-1494 1 LOADHOLT, JANIE & H. 1255 PALERMO RD., PALERMO ADD DECKS/SF JOB FINALED (D -_ Signature J=OK O=Not OK „ = Not Applicable = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements + 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /' L" ft. / /"Nat. or/ /" L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Urate DEC OVERS, CARPORTS, GARAGES, (Plans)OK except #'s ,4.r.-Zqping Requirements -Setbacks -Easements Foo s; Soils -Size -Depth -Spacing -Connectors -Steel ecks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Elqpkdc--- --'T'Frmg; Sils :Anchors-Studs-Rftrs-Trusses 9. § ;Nailing -Veneer -Stucco -Mesh Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Datel Card 13)�r, Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O=Not OK = Not Applicable Not Ready RESIDENTIAL (Single = Date UNDERFLOOR (Plans) OK except #'s i 1. Zoning -Setbacks -Easements -Flood -Slope I 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth I 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 4. Fla.. Porches & Decks: Soils -Steel-/ /Fta. Deoth 5. Stemwalls, Main; Steel -Bloc kouts-Wra pped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Fipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit).OK except #'s 16. Water Htr.: Vent -Access -Combustion Air -Baffle ------------- - ---------7-------------------------- 17. Water Pipe: Test & Anchor -Nail Protection - - - -------- 18. D.W.V.: Test -Fittings & Anchor -Nail Protection ----------------------------- ---------------- 19. Shower Pan: Test. First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access - ------------------------------------ -------------------- 21. Gas Pipe: Size & Anchors ----------------------------------------- ------------------------------ Date- - Card B_1 --- - Date Card B-1 ---------------------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection ---- -- - -------------------------------- --------------------- Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors-Stapled ------------------------------------------------------------------------------ 25. --- ------ ---- 25. Romex Installed Close to Edge of Studs & C.J. --------------------------------------------------------------------------------- 26. Equip. Ground made up wrMech. Fastners-Bond Gas & Water ---------- ----------------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor SizerGFI -------------------------------------------------------- 28. Subfeed Wire Size r r ga. Cu or AI-A.C. Wire Size r / ga. Cu or AI 29. Range Circ. / r ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral []--Yes------ ❑ No --------------------------------------------------------------------- 30. Service -Riser Conductors -&-Ground -Ma,in Disconnect 31. Equip._ Clearances Panels -Motors -Meth. Equip. 32. Clothes Closet Light -Shower Light -Spa Light --- - --- --------------------------------------- 33. Smoke Detector --------------------------------------------- ----------------------------------- Date Card B-1 Date Card B-1 ------------------ --•------------------------------------------------------------ Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. D icts Insulation & Support ------------- ------------------------------------------------------ 35. Vent Fan: -Exhaust above insulation - -------------------------------------- 36. Condensate Drain & Overflow: Size & Grade -------------------- - ---- - ---- - 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet --- -- --- - - ---------------------------------------- - - 38 Attic Access & Platform if Furnance in Attic ------------------------------------------ I ------------------------------------ Date Card B-1 Date Card -B-1 ----------------- -- - -•-- --------------------------------- ----- --------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils. Proper Material & Anchors ------ •------ -- -------------------- ---------------------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ----------------------------------- 41, Bearing Walls over Girders & Floor Nailing - --------------------------- -------------- ------ --- 42. Draft Stop in Walls (rat proof) ------- -----------------------I------------------•---------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ------------------------------ Heade,s & Beam -Size & Bearing & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors - - 46. Cing. Joist-Rftr. ties-Purlin -roof Brac-Truss-Shthng.-Ring. ---- 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exitina Doors -Sill Hat. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings -------------------------- 52. Ext. Doors -One 3' -Check Garaae-3rd Storv. 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ----------------- - ___---55.-Siding-Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings --------------- 60. Infiltration -Walls -Windows ----------------- - -- ----------------------------- Date _ Card B-1 _ Date _ Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s _ 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 64. Bedroom Exiting _ 65.--G.-F. I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels --------- ---------------------------- 67. Stairs & Rails ------------ _ 68. Fireplace or Stove: Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. .. ----- ---------------------- 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. -Garage -Fire Door. Swing -Landing -Closer 73. A.C. Duct in Garage -Damper ---- -------------- ------- 74. Wtr. Htr.; Vents -Clearance -Comb: Air-Connector-P.R.V. In Garage: Above Floor -Meeh. Protection ---------- --------------------- 75. Plb.. Elec. & Mech._Equip. Listed for Location 76 Elec. Receptacles in Garage; (G.F.I.)-Romex Protection ---------------------------------------------- 7-,. Insulation -Foam -Looked in Attic ❑ Yes ------------------------------- ------------------------ - 78. -Guard -Rails -& Deck -Construct ion -Post Caps ------------------------ - 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following insild.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; -----------------Planters -❑ Yes ❑ No --- 81. Stucco: Brown -Finish is2. A.C. Unit: Disconnect. Electrical, Plumbing 83. Vents Above Roof: Plbg -Appliance-Fireplace.-Clearance to Openings 84. Water Well: Disconnect, Electrical, Plumbing -------------------------------------- --- _ 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House -- --- -- - --------------------------------------- 87. Glass Protection --- .. ----------------------------------------------- - - -----•------- 88. Corrections from Previous Inspections ... --------------------- ---------------- 89. Gas Test -Meters Tagged: Gas -Electric -- ----- ------------------------------------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates ------...-------------------------------- -- --- Date Card B-1 Date Card B-1 ----------------- ------------------------------ ---- Date Card B-1 _ _ _ Date Card B-1 ----------------------------- Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -UILDING DIVISION V 7 -County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT 94-1494 UMBE •*ARMH2.5 ZONING BUILDING PERMITT5—P20-027 OWNER JANIE & H. LOADHOLT ` TELEPHONE 534-8451 SO. FT. OCC(. BUILDING VALUATION OWNER'S MAILING A DRESS 96 PO BOX , PALERMO, CA 95968 250 C 3,250 900• C 11,700. CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS • � Fireplace CONSTRUCTION LENDER l UNKNOWN Total Valuation $ 14,9 0 LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 162.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 105.30 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1255 PALERMO RD., HE PALERMO PERMIT FEE $ 287.30 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE e SF CXXDuplex ❑ Mobilehome O Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 - TYPE OF WORK New O Addition ' Remodel O Utilities O Installation O Other O Describe Work: 2 DECKS PERMIT FEE $ Contractor - ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 800V OR LESS ) 200A OR LESS 23.00 Main Service ( 200A To 1000A ) 46.00 NEW CONST. DWELLING OCCUP.BO- OR ADDNS. ( 8 ACC. BLDS. ) 3.5C FT. CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) O I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. cense No. Classification �I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O lam exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI-OUTLET -NON.RESID. ( BRANCH CIRCUITS ) @7.50 POWINGLE OUTLET CER APPARATUS ) 8 SIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. @ .50 Ex. Occup. FIXED APPLNS. OR p' ( OUTLETS IRESID.1'EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION, INSURANCE I declare under penalty of perjury (check one): �< < O This permit is for $100.00 (valuation) or less:= r O I have placed on file with the County of Butte -Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a g—eftificate of Consent to Self -insure. '4.; shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 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 Butte County Ordinances and California 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 Sig lure of Applicant - wner ❑ Contractor O Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ GCC CONST. TYPE TOTAL FEES 287.30 HAZ- �- I D. FEES IMP I FLOOD CDF PARCEL PD HD SSU This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been ey A��Dae PERMIT EXPIRES ON IDetel provisions to do work paid. N l��✓ Receipt No. 163171 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I ,� •;r....�.ti.�.tP;+�.. Mf`�„r,•.�:*M1rt`:'•;y-(`.� ne.+R3f+�s�^�'Y"'R�,'�1yc��'Tv bsfi^�}7fw1_J7Lx%r't�„"RY 'Pki #rCN"'�- n«h�rr's�lc+�+n-:'�raAs°'*'i,•.a 4K•r+v-••....w-,.�-."- •� COUNTYOF BUTTE - DEPARTMENTOFDEyELOP.MENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 � w e�. �t PERMIT APPLICATION DATA SHEET OWNER /__02W I G -T A.. No. '62'lQ Proposed Building Use,=2� ?V kC_- ff F� Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY An All items have been submitted . ........................................ Plot plans,Q4 sets, signed by preparer of plans . .......................... Z �- 3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... " 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . Flood elevatio Irk etter (100 year flood by California Engineer. . . 14. Sanitation an o &approval & 0 Health Department . ............ 15. City of Chico plumbing permit. ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ ' 18. Contact Land Development.about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). ...areaAspedioA r6QU est 20. Pre -inspection for required. . to Building Inspedor (Date) 21. Cont'ractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance. .......\..................... 23. Owner -Builder Verification (Given to owner , Mail to owner _).*:1 ........... 24. Recorded copy of Agricultural Acknowledgement Statement. ................... 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . .......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoningtarea and frontage requirements. ............... 31. Existing violations/expired permits . ..................................... . 32. Plan check list. 33. 34. When you issue the permit, proc ss as follows: Mail to owner. Mail to contractor. Telephone o and hold for pickup at Q&_ CJ office. i` Deliver with inspector. OtherQ4 PA04-� Parcel Creation A-!3ee4jp Applicant Date Copy of,Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prio er i ; ss (Circle new item not checked above). 1. Index permit for above items No. Ter 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by_ 5 DateG/ Sets of plans on hold in File cabinet AP folder Copv - Department of Public Works . &- T :-�- Q R� M w2 E.H. USE On , - Flat Flan AM h a Floor Plan AuRchad Seat to B.D.�-- TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance GA' C14 0 0 Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for bedroom mobile home. Other 2 % a rc, Hold final for: Final clearance O.K. for: Environmental Health Specialist 8/92 Date COUNTY OF BUTTE Department of Development Services Building Division Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) A&al. -2. 1 (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractor's License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractor's License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. 1Z Fe F P,4 s7aei5 AE�y1%0- E A®T& All Materlats & Workmanship ShMll Be In Accordance with Recognized Good Practices and of a QualiV Prescribed for the Spocified.use jr, the Uniform Builds ig, Plumbing Moate 00dW € ud the N&UG -kCW-, a100�l0. .44/ID. This eft Cf plans and 01AILMEMMUML63A MM be dept on tho job at all tones and it is unlavd to ZOM MRA -0 GAY Ghm9es or alterations on same without Witten Per cion from the Department of Pubno Works, Cowy or Hut6e. y�® -fo Cc4tFr ,"*,k— I — MT, APPROVED Butte County ironmental Heal Date/ ---- _ ------ Signature /—ijl:,- (C; , I tel/ r OVA iz 31,z", 19 "IA1-Nt103 O r►I f` -1 (o (C; , I tel/ r OVA iz 31,z", 19 "IA1-Nt103 a. N F 1 • COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone 1916) 538-7541 PERMIT NO. APPLICATION AND PERMIT D _, C;4 ASSESSOR PARCEL NUMBER1 ZONING BUILDING PERMIT OWNER CHARLES 6 JANIE LOAMOLT TEMN 8451 SQ. FT. OCC. BUILDING VALUATION 19 SQ�IARES $ 0201-.11 OWNER')N/�Gi1RM0 RD., OROVI LLE, CA 95968 ✓ f- I CONTRAMlGNERS' INC. TE63N-E 9300 CONTRA OR' MAI . . S6�D y169)7, SAC., CA 95827 Fireplace CONSTRUCTION LENDERCAS UNKNOWN Total Valuation is , • Filing Fee ,$ 20.00 LENDER'S MAILING ADDRESS Permit Fee S117.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee •. $ Energy Plan Checking Fee ' $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty S BUILDING ADDRESS 1255 PALERMO RU. OROVILLE CA 95968 PERMIT FEE $ 137.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF Duplex CJ Mobilehome ❑ Other RESIDENTIAL SPECIFY Gas piping system 1 - 5 outlets'` 15.00 Building sewer' . $ 15.00 Mobile Home S G +�1► @20'00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other. Describe Work: INSTALLATION OF VINYL SIVING PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ' 101 OR LESS _) 4 200A OR LESS A l3.00 Main Service ( 200A TO 1000A ) a 46.00 NEW CONST. DWELLING OCCURSO. OR ADDNS. ( a ACC. BLDS. )� 3.5C FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) WI am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Cfft8r�i6rrly license is in full force and effect. License No. Classification C-61 498806 ❑ I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET •NON-RESID. ( BRANCH CIRCUITS 11) 7.50 ( POWERAPPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURE B20 @ 1.00 FIXED APPLNS. OR ) Ex. Occu p- , OUTLETS (RESID.1 EA.'" 5•�0 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. "A"ll have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling - Hood 6.50 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 Butte County Ordinances and California 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 Count in consequence he granting of this permit. X /��iy Date .r -t i Signature of Applicant ❑ Owne`Q Contractor Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in"height. Mobile Home Installation Fee $ Energy Inspection Fee $ - ocC CONST. TYPE TOTAL FEE $ HAZ• I D. FEES IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated abov for which fee ave been paid. ;B` Da e S % �j L•�.. r PERMIT EXPIRES ON / / v rDetel / % 2 j Receipt No. ' fG2— (1 % I 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, Californ`i'a,9§965 - Telephone (916) 538-754 /�rPERMIT NO. APPLICATION AND PERMIT o�L ASSESSOR PARCEL NUMBER ^ LlO ZONING BUILDING PERMIT OWNER CHARLES JANIF LOADHOLT �L,3�NNE8451, SQ. FT. OCC. BUILDING VALUATION OWNER'$nfff ANAMMO RD., OROVILLF, CA 95968 CONTRAOJONE FMGNFRS, INC. TEL CONTRA TOR_SMAIllNj'ij1LODI�E76977.9 SAC, CA 95827 XX Fireplace CONSTRUCTION LENCIERR CASH UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 255 PALERMO RD., OROVILLF CA 95968 PERMIT FEE $ 137.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF Duplex O Mobilehome ❑ Other RESIDENTIAL SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other] Describe Work: INSTALLATION OF VINYL SIDING PERMIT FEE g Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 000V OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( 8 ACC. BLDS. ) so 3.50 FT. CONTRACTORS LICENSE LAW II�eglare under penalty of perjury (check one) 41 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions C,oftaljfirmy license is in full force and effect. License No. Classification('_(,] 49k80� ❑ I, as the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET •NON.RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FI%TURES ) BAL. @ 1.0.00 Ex. Occu FIXED (REST .OR ) p• ( OUTLETSIRESID.IEA. 5•CC Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $ 100.00 (valuation) or less. Xhave placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state thatthe above information is correct. I agree to comply to all Butte County Ordinances and California 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 Cou�consequence he granting of this permit. X Date] s�`" Z-714 4Signature ;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. Mobile Home Installation Fee $ Energy Inspection Fee $ ocC CONST. TYPE TOTAL FEES 3-7 HAZ• D. FEES IMP FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated abov for which fe ave been e PERMIT EXPIRE ON r22_1�, (Dati) provisions to do work paid. eS /// nn / 2 Receipt No. 1 (pL(p J I WHITE-O.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY`OF BUTTE - BUILDING DIVISION DEPARTMENT OF DEVELO, PMENT SERVICES 1469 Hurnb6ldt Road,"Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307- CORRE&ION NOTICE VA I =-1 40 -2 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. �. /.gib j�-, , �-IEss /C� •9,'-L) _ i-ej Date —'/7 Inspector,:' REV 10/92 DESIGNERS TO: COUNTY OF BUTTE BUILDING DEPARTMENT SUBJECT: BUILDING PERMITS JOB SITE ADDRESS: 1255 PALERMO ROAD, OROVILLE, CA 95968 PLEASE ACCEPT THIS AS YOUR AUTHORIZATION TO ACCEPT THE APPLICATION AND ISSUE A BUI=ING PERM T EOR THE ABOVE DESCRIBED JOB SITE SUBMITTED BY-�,�� A REPRESENTATIVE OF K -DESIGNERS. PLEASE NOTE THAT THIS AUTHORIZATION IS RESTRICTED TO THE ABOVE DESCRIBED JOB SITE ONLY AND NO OTHER PERMITS ARE AUTHORIZED' HEREIN. S RESPECTFULLY, BRIAN (B.D.) VIDLOCK 'PRODUCTION MANAGER P.O. Sox 276977 • Sa:-ne',to. Cai!fr--iii •-,:,27 • C, Li .. X98 800 • (91-6) • ( 1 74 4 631.930^ 300 • 3- 642 ' ` ^ ' ' ^ 025-24-0-027 92-2942P DOADBOLI, Charles & Janie 1255 Palermo Rd, Palermo gas line/of ` ' C,~ � . V FA ` ' , .� / ' | COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovlllet Callfornla 95965 - Telephone: 916.'536-7541 APPLICATION AND PERMIT PERMIT NO. —ASSESSOR PARCEL NUM59R 025-240-027' ZONING 0 1 BUILDING PERMIT o WNLrR CHARLES W. & JANIE L ADHOLT TELEPHONE , 534-8451 S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS ' P.O. BOX 66 PALERMO 95968 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1255 PALERMO ROAD PALERMO 95968 Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF [3 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 15.001 Mobile Home I S I G JW - @ 15.00 TYPE OF WORK New❑ Add ition❑ Remodel❑. Utilities❑ Installation❑ Other❑ Describe work: _ GAS PIPE FOR NEW STORE Permit Fee $ 20.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600v OR LESS 200A OR LESS 18.50 Main service 200ATO1000AI 37.50 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 �—yFiXED 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) ❑ as the (Sec. owner, am exclusively contracting with licensed contract- 7044) ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.o-`` OR ADONS. ACC. SLOGS. 1 3.64sq.tt. NEW CONST R. ' ULLOUT LET NO N.RE SID BRANT CH CIRC 'IT$ @ 5.00 POWER APPARATUS o- SINGLE OUTLET CIR. EX. Occup( OUTLETS OR FIXTURES RAO 76d APPLNS. OR EX. OCCUp. OUTLETS IRESID.) EA.) j 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penaltyof_ 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 15.00 Heating Cooling Hood 6.50 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 agai�said�_County i cons uence of the granting of this permit. r� X Date O " 1 " Sig 41ure of Applicant — owner CD Contractor Contractor l l 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 S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 20.00 HAz 10FEES I IMP I FLOOD COF PARCEL I PD HD ISSUE This permit is hereby issued under the sions of the Bu a Coufirty Code and/or work indic ab e r hich fees I F PUBLIC By iz�— PERM T EXPIRES Date / applicable provi- resolutions to do have been paid. WORKS Date i9 -9Z Receipt No. 122498 YELLOW-43eE3SCA, PIN R-IN3PECTOtt./GOLDENnaD-APPLICANT ' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, Callforwla•95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARC&L NUMBER 025-240-027 ZONIN# 1 BUILDING PERMIT OWNER CHARLES W. & JANIE LOADHOLT TELEPHONE 534-8451 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. BOX 66 PALERMO 95968 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Ener Plan Checking Fee Energy g ARCHITECT OR ENGINEER'S MAILING ADDRESS - Penalty $ BUILDING ADDRESSPermit 1255 PALERMO ROAD PALERMO 95968 tee PLUMBING PERMIT FilingFee 15.00 Each Trap I 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF [3 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.001 5.00 Building sewer 1 15.001 Mobile Home I S I G JW - @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: GAS PIPE FOR NEW STOKE Permit Fee $ 20.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 LESS Main service 200A OR LESS 18.50 Main service 200ATOI000A1 37.50 CONTRACTORS LICENSE LAW I 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 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.& OR ADONS. ( ACC. SLOGS. 3.6Csq.ft. NEW CONST R. r RANCHULT T LET NON .R E: SID. BRANCH CIRC 'ITS CIRCUITS) @ 5,00 POWER APPARATUS e ( SINGLE OUTLET CIR. Ex. OCCup(OUTLETS OR FIXTURES 20 76d A FIXED APPLNS. OR Ex. Occup. OUTLETS 4RES' 0.) Fr I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. 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 FilingFee 15.00 Heating Cooling g Hood 6.50 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 Ot 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 agai said Count i cons uence of the granting of this permit..q X Date J - 9 PP ❑ 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 S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 20.00 ' HA2 1 0FEEs IMP I FLOOD I COF I PARCEL I Po I HD ISSUE This permit is hereby issued under the sions of the Bu a Cou y Code and/or work indic ab e r hich fees By I T F PUBLIC Gt� PERM T EXPIRES Date / applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 122498 WHITE-O.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT ... COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, Callfori,:a 95985 - Telephone: 918.'538.7541 APPLICATION AND PERMIT PERMIT NO. A!!E!! R ARC 8 2 NIN �—-� � ( BUILDING PERMIT OWNER l/5 ` , IC (� � rELE�oNE J SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS _. /,3oX 66 R,�t-cgMo 195cr6 - CONTRACTOR'SNAME co 2 TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING_ ADDRESS ,��y7 %� alTO v\ J � Permit fee $ _ PLUMBING PERMIT Filing Fee 15.00 �"�� Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE Duplex❑ Mobilehome❑ Other VSPECIFY Gas piping system 1 - 5 outlets 5.001 spuSF Building sewer 15.00 Mobile Home S I G JWH615.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other,9 Describe work: Qf oe 4 1tr kieLo S'fblf'� / \ Permit Fee $ 0 C� Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200ATO1000A) 37.50 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 ❑ 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.Iti OR ACDNS. ( ACC. BLDGS. 3.66 sq.ft. NEW CONSTR. PAUL T' -OU T LET NO N.R ESID BRANCH IRC, C 'ITS 5.00 (POWER APPARATUS h\ SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 20 764 At FIXED Ex. Occup. OUTLETS PRESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. 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 Filing Fee 15.00 Heating Cooling g Hood 6.50 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 Si nature of Applicant – Owner 9 PP ❑ 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 ,$ ' HAZ 0FEES IMP FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date rl 2 1 '1 0 9 9 Receipt No. •C WNITE-O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive; Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information "at -.your earliest opportunity to avoid unnecessary delay in processing -and issuing your building permit. No -building permit will be issued until this verification is received. 1. I -personally plan to provide the major -labor and mate-ials for construction of the proposed property improvement (yes.or no) 2-. I Oniiiave not) signed an application for a building permit for the proposed work. 3...I have contracted with -the following person (firm) to provide the proposed construction: Name Address City ---Ph-one Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name - Address City 'Phone' - --Contractors License No. -`— - 5. I will provide some of the -work but I have contracted (hired) the following persons to provide the work indicated: - Name Address Phone Type of Work - NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must -be completed and returned to our office before we are per- mitted to issue the permit. dr q PERMIT NUMBER _ B 2840-72B,E v P i f E PERMIT EXPIRES/DLl6/%3 OWNER Charles Loadholt 'CONTR: owner fi LOCATION (A.P. 25-24-27 � } off n/s Palermo Rd. app. mi. west of Lone Tree Rd., Oroville 41,2 COUNTY OF BUTTE ' Department of Public Works " BUILDING INSPECTION RECORD Zoning Setback Forms Foundation Piers & Girders Fireplace Rgh. Plumbing Bond Beam Lath & Plaster Rein. Steel Gas Piping & Test Found. Vents Framing Plmg. Topout Rough Elec. ©/L Wtr. Htr. Furnace Kitchen Vent Firewall Garage Vents Sanitation & Water ELECTRIC GAS BUILDING Tempora Temporary Cert. of Occup. Final �� Final Final DATE /REMARKS OR CORRECTIONS s COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 0 (1 Telephone: 533-1230, Ext. 259 APPLICATIONANDPERMIT w '� ievresenrau ves of the County of Butte to enter upon the above mentioned property for inspection purposes. X A" Datel D Signature of Perm / ite9e or Agent Receipt No. / 0d 2 /, _ White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -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 P_JBLIC WORKS Building Permit Expires Date/b-, BUILDING Owner 0 19 — SO. FT. OCC. BUILDING VALUATION 0 TO4L 2 o. o 0 Mailing Address P� S' 3 941 10 CA' v Z/!' Fireplace Contractor 0�j F Total Valuation O Mailing Address Permit Fee 2-(. a � Plan Checking Fee&/or Penalty Permit Fee $ Go $ 6ro Bui ding r6 O �U PLUMBING No. @ FEE PERMIT FILING FEE $2.00 j .lolyc 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. s— Z — Zoning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .50 Fire Zone Fire Dept. Sanitation Planning Building sewer 5.00 Plans Z_—FeesC-'-- W. C4--*-fRAN Encroachment Lawn sprinkler system 2.00 NEW ❑ ADDITION OTHER ❑ Permit Fee $ $ _ /v/�� ELECTRICAL No. @ _ FEE PERMIT FILING FEE $3.00 70,0 W/NV 046/v Main service incl. 1 meter . Additional meters, each 1.00 USE OF STRUCTURE . Single Family Duplex ❑ Others ❑ Sub -panel (12 or less) (more than 12) Range, dryer or water heater 1.00 U Oven, Cook -top or space heater 1.00 Li ht fixture / z R ceps., switc es & fix outlets p 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 Misc. wiring License No. Classification I am exempt from the Contractors License Laws of the State of California. Permit Fee S $ 61.7 5 WORKMEN'S COMPENSATION INSURANCE aware of the provisions of Section3700 of the California Labor I,610 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. Q 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. @ I FEEPERMIT FILING FEE $3.00 3,00 Heating ,L E /iT 0 .OU Cooling Ventilation Permit Fee $ 71 $ . 0 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 fh tate Fee for Str g Motion $0.07/$1000 Evaluation nate Fee for n (grrogram $ TOTAL PERMIT FEE $ w '� ievresenrau ves of the County of Butte to enter upon the above mentioned property for inspection purposes. X A" Datel D Signature of Perm / ite9e or Agent Receipt No. / 0d 2 /, _ White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -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 P_JBLIC WORKS Building Permit Expires Date/b-, COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings ✓ Windows 3rd Floor Stemwall SidingTo out Slab Roof Sheathing Water Piping Piers 1 t Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handica ed Conformance of ex. structure Appliances Gas Piping & Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing Masonry Walls Throat Rough Relnf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Pn Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Under rouni Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS l l S 4NOTE: An entry must be made on this form each time you visit the job site.) PLUMBING ELECTR PERMIT NO. `5240=16 B,E,M PERMIT EXPIRES OWNER Charles Loadholt CONTR. Owner A I LOCATION (A.P. 25-24-27 � 7. approx. 1000' off n/s Palermo Rd., 2000' W. of Lo�ne.Tree Rd., Oroville Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E ^ Temp. Gas Serv. Called PG&E,` ' JOB j FINALED h (Date) )I (Signature) i r COUNTY OF BUTTE — DEPARTMENT OF PU.BLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 53424541 APPLICATION AND PERMIT 9�0-79� authorize representatives of the county of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature offPermitee or Agent Receipt No. /9 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This ermit is hereby issued under the applicable provisions of u e County Code and/or resolutions to do work indicated yaboverw 'ch fe have been paid. IR CTOR OF PUBLIC WORKS Date Z Z3 7 Building permit expires Date �� �S BUILDING Owner �i✓�S QA -t.> 1�_O` SO. FT. OCC. BUILDING VALUATION Mailing 10-0. Address (3OX -/ ,4 0 . �.JJ8 �I _Ov e//sf Contractor © W/ e Mailing Address Fireplace Total Valuation Telephone No. Permit Fee , O Building Addressi, IOdO d�F S Plan Checking Fee&/or Penalty Permit Fee , v6 OC p� f�/9-LC-4/,�,C) ;PD. ?1000 �GtJ. O,�LOA) PLUMBING No. @ FEE ,5 G[� PERMIT FILING FEE $3.00 Each Trap 1.50 Pl,qL,eie 49 Repair drainage or vent piping 1.50 A. P. No. l� J �j �� Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F W,e- senf•latton I Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg--P+vns-Ree°d =Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ _20 &(,(i/- IA FOS 1'A 5.2,70-7& ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5•00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others Main service EA. ADD'L 100 AMP 2.50 Main service O100VERAMsoovPOR LESS 25.00 Main servlce EA. ADD'L 100 AMP 1.00 NEW CONST. ( OR ADDNS. ACCLLING BLDGS.CCUP. !i� 2¢Sgft CONTRACTORS LICENSE LAW 1 am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le of: Y TLET NEW CONSTR BRANCH CIRCUITS) NON -REBID � BRANCH CIRCUITS 2.50ea NEWCONSTR. POWER APPARATUS a NON -RESID. (SINGLE OUTLET CIR, Ex. Occuo(OUTLETS OR FIXTIIRES g L ,M I Ex. Occu FIXED APPLNS. OR p• OUTLETS (RESID•) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 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 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 o 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 Land Development Fee $ TOTAL PERMIT. FEE authorize representatives of the county of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature offPermitee or Agent Receipt No. /9 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This ermit is hereby issued under the applicable provisions of u e County Code and/or resolutions to do work indicated yaboverw 'ch fe have been paid. IR CTOR OF PUBLIC WORKS Date Z Z3 7 Building permit expires Date �� �S J COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOR p�� �7/ 7 County Center Drive — Orovi Ile, California 95965 (J / 6 T61ephone: 534-4541 APPLICATION AND PERMIT v...a i , iG VVulI y v UU UG lv OIIICI uPVII uIU above-mentioned property for inspection purposes. X o-Z).,�i�'r/��Date Signature of Permitee or Agent Receipt No. ! / White-D.P.W. — Y sol c -In c o e rod App 1 This permit is hereby issued under the applicable provisions of ye utte County Code and/or resolutions to do work indicated for which fees have been paid. DIRECTOR F PUBLIC WORKS By Date 0—t wilding permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address O Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee :YllanCheckinaFee /or Penalty 0-0 Telephone No. Permit Fee $ , b0 o f Building Address 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 — Z � _;7 ,Z 1 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees V Sanitatiorl Fire Dept. Fire Zone Use Permit Building sewer 5,00 EQA Parkingl Pla Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. ens Recd I Parcel Approval Plans Approval Permit Fee $ NEW ,0 ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 600 Main service 100 AMP ORV OR LESS5.00 Main service EA. ADD•L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Main service 1100EAMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 „ NEW CONST. DWELLING OCCUP. & OR ADDNS. ACC, BLDGS. ) 20sgft NEW NON-RESID R. (BRANCH CIRCUITS) 2.50ea , Q NEW CONST R. POWER APPARATUS & NON- RESID, (5 GLE UTLET CIR. CONTRACTORS LICENSE LAW 1 ,am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: 3-00,3-00 L— p se + Ex. Occup(OUTLETS OR FIXTURES) BAL@ia 09 (FIXED Ex. Occu FIXED APPLNS, OR (RESID.) EA 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 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 ,j,�Q7 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 v...a i , iG VVulI y v UU UG lv OIIICI uPVII uIU above-mentioned property for inspection purposes. X o-Z).,�i�'r/��Date Signature of Permitee or Agent Receipt No. ! / White-D.P.W. — Y sol c -In c o e rod App 1 This permit is hereby issued under the applicable provisions of ye utte County Code and/or resolutions to do work indicated for which fees have been paid. DIRECTOR F PUBLIC WORKS By Date 0—t wilding permit expires Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Cienter Drive — Orovi lie, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT White-D.P.W. _ YellaW_Assessor - Pink -Inspector - Goldenrod•Applicant Building permit expires Date /�� %� 7 BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mailing Address Ie -9,0 466 Telephone No. n Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Perialtr Telephone No. Permit Fee $ Building Address ti S PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Ej 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.= —a. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 "� Sa?tr�n Fire Dept. FireZone Use Permit Building sewer 5.00 EOA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval I Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER [� ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 a Main service 100 001 AMP ORSLESS 5.00 Main service EA. ADD'L 10o AMP 2.50 OVER Main service 00 AMP OR LESS 25.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others Main service EA. ADD'L loo AMP 1.00 NEW OR A.D.S. ( ACCLBLOGS.LING CCUP. &) 2¢sq ft NEW CONSTR. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTPOWER APPARATUS & NON.RESIR. D. (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: Ex. Occup(OUTLETS OR FIXTURES)NL 7vC BALImi FIXED APLNS. Ex. Occup. (OUTLETSP(RESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 14 1 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.1 @ FEEPERMIT r FILING FEE J$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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X 7[%�ate .. Signature of P/ermitee or Agent Qo el.. fl/!n� � cl 4 TOTAL PERMIT FEE ts-7-57-- This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above f hich fees have been paid. DI ECTO 0 PUBLIC WORKS By at ,O White-D.P.W. _ YellaW_Assessor - Pink -Inspector - Goldenrod•Applicant Building permit expires Date /�� %� 7 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive -- Urov111e, California 95965 Telephone: 534-4541 J APPLICATION AND PERMIT BUILDING Owner © hV o L �` � FYI 2 K SQ. FT. OCC. I E3UILDING VALU TION Mailing Ad ss PA , A^ v -(A L , l S S' " Fireplace ions of pter 9, Div. 3 the WORKMEN'S CO PENSATIO I SURANCE MECHANI A No. @ FEE Contractor 0UJ'ki E, k,Total Ex. 0 u (OUTLETS R FI TUR. Valuat n style o He g Ex. (OUTLETSFIXED L SID, Mailing Address for Workmen's Compens tion. Permit Fee 10.00 ❑ I have placed on ile with the Co , ty of Butte certi 'ca of Plan Checkin#ee&/orPeKaity 15.00 Workmen's Com nsation In u L d� sc. Wiring X 6.25 I certify that In the perf rm Telephone No. ee PTrL-� c permit is iss d I shall no a loy any perso in manner n Building Address /� S ©2o O'(f}NV LUMBI G No. @ FEE PERMI ILING E informatio is correct. I agr to comply to all Coun y Ordinances and Stat Laws relating to building construction, and hereby $3.00 authoriz representatives of the County of Butte to enter upon the above- ntioned property for inspection purposes. ` the tte County ode and/or res ution to do work indicated Eac rap 1Aj tRiCT' / 1.50 DIR CTOR PUBLIC W RKS Signature of Permitee or Agent BY pair drains a or vent piping ate 1.50 White-D.P.W. — Yellowy ;_JV -Inspector _ Goldenrod -Applicant Building permit expires Date Z —7� rlon?Ag .Vermc nllEach Water pipi 1.50 ga water heater orivent 1.50 A. P. o. Ste^ �— 1 b I Za • Gas p' ing sy t 1 - outlets 1.50 Eac addit'on I .30 Fe .C. Sa '.t f Fire Dept. Fire Z' e U P tmit ilding ew r 5.00 EQ° PPlans Declaration Parcel Map 6 � R/W provements awn rinkle j�stem 2.00 Bldg. Plans Rec'd Parcel Approval P/ n (sApproval Per/it Fee $ NEW ❑ ADDITION UTILITIES � THER 0 ELECTRICA No. @ FEE E T FILING F $3.00 ,eO ai s vice got OR Ess 5.00 ai service EA. AD too AMP 2.5 Single Fam' Duplex ❑ obi me ❑ Others service OVER 6 oR LESS 25.0 sin service EA. AD L too AMP 1. 0 L L GOCCU O ADDNST. (D F1 q / CONSTR ULTI-OUTLET NON-RESID. RANCH CIRCUI S� NEW CONSTR. / OWER APPAR AT & 2.50 , Q CON RA OR LICEAW INCC 1 am exempt fr the Contract/s License L of State of al omia I am licensed un er th rov� ions of pter 9, Div. 3 the WORKMEN'S CO PENSATIO I SURANCE MECHANI A No. @ FEE State .f Californi Busin Professi s Code under name Ex. 0 u (OUTLETS R FI TUR. A �� style o He g Ex. (OUTLETSFIXED L SID, 2.00 for Workmen's Compens tion. m orary # rvice A 10.00 ❑ I have placed on ile with the Co , ty of Butte certi 'ca of le HomeX\acilitie 15.00 Workmen's Com nsation In u anc sc. Wiring X 6.25 I License Classifica o 1 am exempt fr the Contract/s License L of State of al omia Pe it Fee Q WORKMEN'S CO PENSATIO I SURANCE MECHANI A No. @ FEE I am aware of the provisi s of Secti n 00 of the California L ERM T FILIN E $3.0 3. Code which requires ev y employer o b i sured against liabil He g for Workmen's Compens tion. ❑ I have placed on ile with the Co , ty of Butte certi 'ca of o 0 76 Workmen's Com nsation In u anc I certify that In the perf rm ce of the work h ch this Venti ti c permit is iss d I shall no a loy any perso in manner n so as to becom subject to th Wo men's Comp satio Laws of Hood 2.0 California. Permit Fe �\ $ $ I certify th I have read this pplication and state h the above informatio is correct. I agr to comply to all Coun y Ordinances and Stat Laws relating to building construction, and hereby TO AL PER IT FEE authoriz representatives of the County of Butte to enter upon the above- ntioned property for inspection purposes. This rmit is he by issued unde the plicable provisions of the tte County ode and/or res ution to do work indicated a e for which f es have been paid. 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