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Home My WebLink About026-050-012PHILLIP NELSON 6885 Melvina Ave, Palermo Permit #2421-77E eplace existing power pole) _ S/F" ;jd%-rI 026-050-012 99-1627 N, Philip E. �! 6885 Me Avenue, Pale / Contr: Owner. Re Roof - 026-b5o=,_o/a, �q_/�a� • C , v�� 1 n -r • _ U 1 n -r Fc W*4 ,t 026-050-011", 99-1628 NELSON, Philip E. 'r 6880 Melvina Avenue, Palermo Contr: Owner !. New Electrical Service as - OFFICE{ •4 ` r m s r 7 t COPY Address GASate Meter BY ELECTRIC DateC v, Meter BY 1 f $t •l P •� _ COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT O. (Rev. 12/96) APPLICATION AND PERMIT 157- /161 ASSESSOR PARCEL NUMBER 026-050-M 008 ZONING BUILDING PERMIT OWNER PHILIP NELSON TELEPHONE 533-9624 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS T.O. BOX 233, PALHM CA 95968 CONTRACTOR'S NAME PAUIS ELECTRIC TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 6880 I ELVINA, PALS Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF 0 Duplex ❑ Mobilehome ❑ Other SPECIIFv 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 13Utilities L3'ggInstallation ❑ Other ❑ Describe Work: M ELECTRIC SERVICE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 .00V OR LESS Main Service 20."OR. 23.00 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. License Class 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: ❑ 1, 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: ❑ 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 employ any person in any manner so as to become subject to workers'HAZ. 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 rovisions. f�0 �' _ `' X Date / ! Signature of,Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA ermit is required for excavations over 5'0" dee and demolition or construction of structures over 3 stories in light. p Main Service TO tOooA 46.00 NEW CONST. DWELLMICi OCCUP. SO W:0 OR ADDNS. ( a Acc. etoS. 3.5QFT; NCONS NON RES D. MULTI.OUTLET @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. .00 EX. Occup. OUTLET OR FD(TURES BAL @ I .50 FULED APPLNs. . OR Ex. Occup. OUTLETS RESIDEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin 23.00 PRE INSPECTION 1 123.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee is Energy Inspection Fee $ f TYPE TOTAL FEE S.not LoccCONST D. FEES IMP I FLOOD I CDF PARCEL Po HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have (' 114'11,*1tL*D By /r '�ate PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. f /�� jsta LReceipt No. L ^ . r WHITE -D. -B. D. CA ARY-ASSESSOR '' PINK-INSP TORGOLDENROD-APPLICANT F y 99-1627 ilipE. Avenue; Palermo r ` Re Roof COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 0 ., 7 County Center Drive - Oroville, California 95965 • Telephone (530) 538-754;W_— PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 16 -17 ASSESSOR PARCEL NUMBER 026-054-012 ZONING BUILDING PERMIT OWNER PHILIP E. NELSON TELEPHONE 533-9624 SO. FT. OCC. BUILDING VALUATION 10 SQ 600 OWNERS MAIUNG ADDRESS P.O. WX 233, PALERHD CONTRACTOR'S NAME OWM ��K TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ 600 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 17.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 6885 MELVINA AVENUE, PALERMO 95968Energy Plan Checking Fee $ $ PERMIT FEE $ 37.00 LOT No. SUBDNIS IONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ;a 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 ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: RE ROOF WITH C" Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fee 20.00 RLESSFiling 600VMain Service zo.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. License Class 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: Wil" 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 Main Service TO 1000A 46.00 NEW CONSTDWELLING OCCU . CUP. SO OR ADDNS. ( 6 ACC. BLDS. 3.5¢Fr. Np REOSID ANCHO TLERCUITS 97,50 POWER APPARATUS s SINGLE OUTLET CIR. 20 00 Ex. Occup. OUTLET OR FDCTURES BAS @':50 Ex. Occup. ourFIX�is R�ID.DE. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE S 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.) IKII 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 with,. ose provisions. //,,��. or I � f, �" 'f / � > X � > Date / ` (- Signature -of ApplicantOwner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ DCC CONST. TYPE TOTAL FEE $ 37,40 HAZ. D. FEES IMP I FLOOD I CDF PARCEL PD I Ho I ISSUE 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. r By Date 1f PERMIT EXPIRES ON ete Receipt No -.2 7 _Is �� 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, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/06) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 026-050-012 ZONING BUILDING PERMIT OWNER PHILIP E. NELSON TELEPHONE E EPHONE 24 SO. FT. OCC. BUILDING VALUATION 10 S 600 .OWNERS MAILING ADDRESS P.O. BOX 233, PALERMO CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation Is 600 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 17.00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS 6885 MELVINA AVENUE, PALERMO 95968 Energy Plan Checking Fee $ $ PERMIT FEE $ 3 7.00 IAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 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: RE ROOF WITH COMP Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE _ ELECTRICAL PERMIT Filing Fee 20.00 Main Service p 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.PSING License Class LIC. NO. OWNER -BUILDER DECLARATION 1 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: ❑ 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 wor rs' compensation prov'sions of section 3700 of the Labor Code, I shall 1, ith omply with ose ovisionS. Ic 'j X _ Date / `�/�_�-- Signature Applicant A Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 61Y' deep and demolition or construction of structures over 3 stories in height. Main Service Zoon TO I000A 46.00NEW CONST. OWEWNG OCCUP. SO OR ADONS. ( ,%N ACC. S. 3.5¢FT. NOµgESlp MULTI -OUTLET @7,50 8 OUTLET CIR. OWELER APPARATUS OUTLET OR FD(TURES 20 @ 1'00 Ex. Occup.BAL @ .so Ex. Occup. GFMG{EjF7g Aa D� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE It 37.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for w 'ch fees have been By PERMIT EXPIRES ON I 0ate) provisions to do work paid. Receipt No.a'%.:�gl�/ WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .IZ A COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P,RM�I,T NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER / b — O's- -0 2 - ZONING BUILDING PERMIT OWNER O1N"ERP / j Q,, 10 S N3°N �4r�L SO. FT. OCC. BUILDING VALUATION OW . -S M0UU W�C mss��--- CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDERS MAILING ADDRESS Fireplace Total Valuation b ARCHITECT OR ENGINEER LICENSE NO. Filing Fee b 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit Fee S Q Plan Checkino Fee b BUILDING ADDRESS �y !O ,� Energy Plan Checking Fee b S PERMIT FEE S o IDT No. SUBDN6pN'SNAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF 4,�uplex ❑ Mobilehome ❑ Other sPr Ecs Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK N dd'Ition O Romall ❑ Utilities O Installation Describe Work: /�— 'L9 O other O i�1 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE : ELECTRICAL PERMIT Fling Feel 20.00 Main Service "w all Lfss 23.00 Main Service 200A TO 1000A 46.00 NEW CONST. DWE11JFq OCCUP. 3.5Qso OR ADONS. 6 AGC. BLDS. NEW CONST. MULTI -OUTLET NON-RESID. H CIRCUITS @7.50 POWER APPARATUS 8 SINGLE OUTLET CUR. OUTLET OR FUTURES EX. OCCU 20 @ 1.00BAt- @ .50 EX. OCCU M0 APPLNS OR OUTLETS ESLD. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 ventilation PERMIT FEU: $ Mobile Home Installation Fee b Energy Inspection Fee b oc` CONST. 11 TOTAL FEE $ 3 , HAZ. t. FEES I IMP FL000 1 CDP PARCEL I Po HD ISSUE 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 PERMIT EXPIRES ON ere 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 majo Jabo'r, and materials for construction of the proposed property improvement :YES 1 �F`O[ . x . . 2. I HAVE[HAVE NOT[ ] signed an^application for a budding 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 __4SOCIAL SECURIT/Y NUMBER: ATE: NOTE: This owner -Builder Verification is required by Section 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. May 1995 2.26 tt • 11L O.B.-1 ................................................... .......................................... Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks'for-you if you do not carryout these obligations, `and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Michael C. Vieira, C.B.O. - Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. May 1995 2.27 "'�*„'•„-V*:r+l^-,"v4.�\..�.er-�.aryr„+r7{Y�"'1,w�.w:..ycc�•�<rw'...v�.�....w..R-r--�.-r �./. .��y.--.,�. ar__,,.�. +r.� -t _;..•_..-.�,.. .-.: •"-.. Y,+. -77 9115F 91'5F Kr. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 1 7 County Center Drive — Orovi Ile. California 95965 Telephoned 534-4541 APPLICATION AND PERMIT 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 Date Signature of Permitee or Agent Receipt No. , White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant v I - L_r $ TOTAL PERMIT FEE $ `% 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 PUBLIC WORKS � _ r By " Date Building permit expires Date BUILDING OwnerSQ. FT. OCC. BUILDING VALUATION Mailing Address t Telephone No. .jam- Fireplace Contractor , r Total Valuation t Mailing Address Permit Fee Plan Checking Fee &/ or Penalty Telephone No. Permit Fee $ Building Address q � �� (1�% � aZ �-� � �( ,� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1,50 Water piping 1.50 .� A.___L+P Each gas water heater or vent 1.50 A. P. No.�; ��• ` U J ��, Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W. C. Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. Plans Rec'd Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Q ELECTRICAL No• @ FEE PERMIT FILING FEE $3.00 _'at�� f f r (J 1! • S C 1 ,� ,, f r !, 1 Main service 1000 AMP ORV OR L LESS5.00 I / Main service EA. ADD'L 100 AMP 2.50 Single Family 0, Duplex ❑ Mobil Home ❑ Others E]Main Main service OVER 600V 100 AMP OR LESS 25.00 service/ EA. ADD•L loo AMP 1.00 NEW OR ADDNST ACCDWELBLDGS.LING CCUP. &� 22sgft NEW CONSTR. MULTI -OUTLET NON.RESID. (BRANCH CIRCUITS) -2.50ea NEW CONST. POWEF APPARATUS & NON -REST R 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 le of: Ex. Occup(OUTLETS OR FIXTURES) BAL @25iO4 Ex. Occup. 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 so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ 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 Date Signature of Permitee or Agent Receipt No. , White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant v I - L_r $ TOTAL PERMIT FEE $ `% 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 PUBLIC WORKS � _ r By " Date Building permit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 ^ , `^�/ �� Telephone:. 534-4541 APPLICATION AND PERMIT UUu IVI&V 1UPIVJGnlaU vca UI ult: 4211ty UI DUMC LU CIIICI UNUM lll6 above-mentioned property for inspection purposes. X _!<!!�& �► T Date $ig ture of Permitee or Agent Receipt No. I�B6 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. - JDIRf C OR OF FJJBLIC WORKS DatBeiiidiar e permit expires Date ��A BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address / . Q iJB ITale hone No. s :3' 6'2 Fireplace Contractor Total Valuation Mai I i ng Address Permit Fee PI an Checking Fee &/or Penalty Tlephone No. e Permit Fee $ $ Building Address�� U PLUMBING No. @ 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 /Gas A. P. No. �(O v v S-��, Zoning & Planning piping system 1 - 5 outlets 1.50 , Each additional outlet .30 Fees W.C. Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 — Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 ,3,.&O QQ Pg AMP OR LESS 5.00 Main service 1000 S Main service EA. ADD•L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 100 AMP—OR LESS O25.00 — Main service EA. ADD'L foo AMP 1.00 NEW OR ADDNST.( ACCLBLDGS.LING CCUP. &) 22 sq ft NEWCONSTR. MULTI -OUTLET NON .RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS &) NON.RESID. (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 St le of: y Ex. Occup(OUTLETS OR FIXTURES) @251'04 Ex. QCCU 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 so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 $ ' �. UUu IVI&V 1UPIVJGnlaU vca UI ult: 4211ty UI DUMC LU CIIICI UNUM lll6 above-mentioned property for inspection purposes. X _!<!!�& �► T Date $ig ture of Permitee or Agent Receipt No. I�B6 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. - JDIRf C OR OF FJJBLIC WORKS DatBeiiidiar e permit expires Date ��A