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HomeMy WebLinkAbout026-191-006r - 26-19l-6 _-- -. 06l B .D . McELHANEYt#P�slermo 2356 William AvVOORHEES, S.JohnX5Permit ##3899-76 er ch) YSF + 1117V Edamage� 1524'26-191-6 Icontr: Quality Const., Oroville Permit#627-82B( epair bom n/e Corner William& Hewitt, Palermo SF)�'nq��� 026-191-006 PERMIT#95-2059' MCELHANEY, B.D. O i 2356 William Ave., Palermo Reroof/SF & Garage / J 0 9 -�a+�'7`:r"'r"Q*�YY)!a,�.�j' ,'•`'rci"i�'rty ... ter^ ��2C�. ...-- fir} : v� ., � y � _ �l�a�►�'�'�S1Mr:'n_`�"t.,`.'•`''.'*rs 026-191-006 PERMIT#95-2059 MCELHANEYR' B.D. 2356 William'Ave., Palermo Reroof/SF & Garage PT r COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 X`, PERMIT0• APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 026-19--1-006 ZONING BUILDIN ERMIT OWNER B. 1). p�' AL=r� T°FPHONE SQ. FT. OCC. BUILDING VALUATION 1 0 60 1380 OWNERS MAILING ADDRESS 2356 ':'IIr..LI.A* AVE. PALERM CA 95968 CONTRACTOR'S NtA�My�E ,TER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER �y'[e 1 X11{E '11 UNKNOWN T -tai Valuation $ Filing Fee $ 20,00 LENDER'S MAIUNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER ' 113 LICENSE NO. Plan Checking Fee $ ' Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESSr7'�' 2356 4'lIIs IA1k'{ AVE. , PAJ.ry,RPM PERMITFEE S 53.00 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE S00 Duplex ❑ Mobilehome ❑ Other AIM GARAGE SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other YJ Describe Work: R"CIR 0 WAC( IT Mobile Home S G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.'00 Main Service 00V OR LESS ( :..A OR LESS ) 23.00 Main Service.( 200A TO 1000A ) 46.00 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 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: l 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. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR s0. OR ADDNS. ( & ACC. BLDS. ) 3.50 FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( d SINGPOWELE OR APPAUTRATUS ) LET CIF. Ex. Occup. (OUTLET OR FIXTURES ) 20 @ 1.00 BAL SO Ex. Occup. OUTLETS (RESID.)EA ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc . Wiring 23.00 PERMITFEE $ Contractor 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 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation p Of one hundred dollars ($100) or less.) si I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall f rthwith comply with those provisions. X - r 'ka t ,Date Signature of Applicant v/ner ❑ Contractgr ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is occ CONST. TYPE C�•M TOTAL FEE $ J 111.E HAZ. 1 D. FEES I IMP I FLOOD I CDF 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,,,a ove for which fees have bee paid. �/ BY w*�r', Date t.. ` PERMITEXPIRESON'- (pyre) Receipt No. 13530+1 I WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVs LOPMENTSERVICES- BUILDING DIVISION 7 County Center Drive - Orowillg, Calif6rnia 95965 - Telephone (916) 538-7541 PERMIT o. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 026-19-1-006 ZONING BUILDINERMIT OWNER B. D. MCELHAPIEY TELEPHONE SO, FT, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 2356 WILLIAM AVE. PALERMO CA 9596$ @60 __1380 CONTRACTORS NAME TELEPHONE OWNER CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Pian Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 2356 WILLIAM AVE. PALERMO PERMITFEE $ 53.00 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT No. SUBDN5IONS NAME PARCEL MAP Solar or heat pump water heater 23,00 USE OF STRUCTURE SF)r_1 Duplex ❑ Mobilehome ❑ Other AND (;ARAGR SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other K7 Describe Work: REROOF WCOMP Mobile Home S G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Serviceeoov oR LEss ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 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 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law fob 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 NEW CONST. DWELLING OCCUP. OR ADONS. ( 8 ACC. BUDS. ) So. 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS (8 SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES) 20 @ 1.00 I aAL 0 .50Ex. Occup U1T. APPWS. OR (OUTLETS (1101D.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor 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 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation ��of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall f rthwith comply with those provisions. (�, r XDated �►6_��01 _ Signature of Applicant -LT 04her ❑ Contractca ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ 53.00 HAZ. I D. FEES I IMP I FLOOD CDF PARCEL I PD MD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated ove for which fees ha/elpaid. By IX, 14 PERMITEXPIRESON applicable provisions Resolutions to do work Date $ /2895 $/2$/96 (Date) Receipt No. 155301 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 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 l,bor and materials for construction of the proposed pro improvement: YES[ ,� NO[ ]. 2. I HAVE[ 1 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: SOCIAL SECURITY NUMBER: � DATE: 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. 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 in¢'ormation 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 5300 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 carry out 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. S;in'clrel Michadl 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. .rl w . � ... , . .- ... � wa.-wr.Y✓�-.+�.-+J" ... l_ �.+}r, v r'.JJ `w-,+�. �, -� e COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS " 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASS E,!�O PAR CEN UMBER 00 - i ' _ ZO ING - 'L BUILDING PERMIT OWPER TELEPHONE SQ. FT. OCC. BUILDING VALUATION - OWN' R'S MAILING ADDRESS 1 �- C TRACTO 'S NAME - i� TE EPHONE CONTRACTOR'S M LING ADD ESS S' c :? - Fireplace CONSTRUCTION LENDER rFilin U K WN Total Valuation Is g Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER f LICENSE NO. Plan Checking FeeN is Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDR S Permit fee $ BUILDING ADDRESS job ' t A j PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets USE OF STRUCTURE i SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New El Additign.❑ Remodel Utilities Installation❑ Other©' Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main SefVICe 100 AMP LESS 100 5.00 Main service EA. ADD'L too AMP 2.50 NEW CONST. /DWELLING OCCUP.y) 22 sq ft OR ADDNS. `ACC. BLDGS. 4 CONTRACTORS LICENSE L- W I declare under penalty of perjury (check One): / l�. I am licensed under provisions of Chapt. 9, Div. 3 of the BusinessA and Professions Code and my license is in full f. rce and effect. License No. I-1 2 ` r '- �i' �- -, 1 Classification � r' ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR.u C1 u L T 2.50 ea NO _.ES..BRANCH CIRC ITS NEW CONSTR / POWER APPARATUS 6) NON.RESID, `SINGLE OUTLET CIR, so®asc Ex. Occup OUTLETS OR FIXTURESBALpt Ex. QriCiU p.( OUTLETS PRE (RESID ) A.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 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. Heating Cooling Hood 3.00 Ventilation permit Fee S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County' in cons quence of the granting of this permit. ? _ X x" "� �. Date j' (r Signature of Applicant — Owner ❑ Contractor,,n 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 _ $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. REC O OF PUBLIC WORKS BY PERMIT EXPIRES Dfte _� Receipt No. !i� .�1 CJ WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovilie, California 95965 -Telephone 916/534 41 /�' APPUCAT-tON AND PERMIT —! ASSE O PAR; N MBER - A z0 '�G..1' BUILDING PERMIT 0 W-bi.E R C TELEPHONE SQ. FT. OCC. BUILDING VALUATION OW R,S MAILING ADDRESS CTRACT •S NAME TE EPHO�((NE nun Cb CONTRACTOR-SMAIIILING ADD ESS D aka �91 le Fireplace CCTNSTRIJCTIO14 LENDER Ut4K14bWN Total Valuation is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT ORENGINEER'S MAILING ADDRESSPenalty Permit fee $ BUILDING ADDRESS t PLUMBING PERMIT Filing Fee 10.00 Each Trap 1 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets �/ USE OF STRUCTURE SF 9? Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New [:1 Additi Remodel[] Utilities Installation F-1 Other Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service DOOV OR LESS 100 AMP OR LESS 5.00 `M 1 ain service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.DI) OR ADDNS. ACC. SLOGS. 22 sq ft CONTRACTORS.LICENS W 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 f rce and effect. r License No. -35h2•� S — J'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 NON.RESID R BRANCH CIRCMULTI-OUIUITS 2.50 ea NEW CONSTR. (POWER APPARATUS fid NON-RESID. `SINGLE OUTLET CIR. 50 @ 28Q Ex. OCCUp OUTLETS OR FIXTURES BAL01 FIXED APPLNS. OR E.Occup.�OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. a Certificate of Workmen's Compensation Insurance or a Certificate b have placed on file with the County of Butte Building Department f 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. Heating Cooling Hood 3.00 Ventilation Permit Fee S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabili ies, judgments, costs, and expenses which may in any way accrue against s d Count in s qu ce of the granting of this permit. 3_ o X Date Signature of Applicant — Owner ❑ Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ Occup. GROUP TYPE OF CONST. I PARCEL PD I ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which EC OF PUBLIC By. PERMIT EXPfRES D to the applicable provi- resolutions to do fees have been paid. WORKS Date -3 o3 Receipt No. nJ A C1rA_7k,_,J1 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 9:+. '."c:�`°. �" �i'�.. ""ca'._ :^'�.ttiu^; ::'Y`. r-...�.rr..n.w�.+a"""`��V:°�i+P3�+�:rim. :ao•-w�..:u 35 r COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 TelepFpone: 534-4541 APPLICATION AND PERMIT Owner Mailing Address BUILDING SQ. FT. OCC. BUILDING VALUATION LJ • u I G VI14JL Ilum uie wnlractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE MECHANICAL I am aware of the provisions of Section3700 of the California Labor PERMIT FILING FEE Code which requires every employer to be insured against liability Heating for Workmen's Compensation. ❑ 1 have placed on file with the County of Butte a certificate of Cooling 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 Ventilation so as to become subject to the Workmen's Compensation Laws of Hood California. 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 Permit Fee $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 $3.00 5.00 2.50 25.00 1.00 2.00 10.00 15.00 6.25 $3.00 2.00 FEE FEE TOTAL PERMIT FEE is 77 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 By Date Buildingpermitexpires Date Telephone No. Contractor Fireplace Total Valuation Mailing Address --Fermit Fee Telephone No. Plan Checking Fee &/or Penalty Permit Fee Building Address PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent A. P. No. p Fees`' W.C. Sanitation Fire Dept. Fire Zone Zoning 8 Planning Use Permit Gas piping system 1 - 5 outlets Each additional outlet Building sewer EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Improvements Lawn sprinkler system Bldg. Plans Ree'•dParcel Approval Plans Approval Permit Fee NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL PERMIT FILING FEE Main service 600V oR LESS 100 AMP OR LESS Main service EA. ADD•L 100 AMP Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. (DWELLING OCCUP. & OR ADDNS. ACC, BLDGS. _ NEW CONSTR MULTI.OUTLET NON.RESID, (BRANCH CIRCUITS NEW CONST R. POWER APPARATUS IIION.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 style of: Ex. Occup(OUTLETS OR FIXTURES Ex. Occup.FIXED APPLNS. OR ( OUTLETS (RESID.) EA) Temporary service Mobile Home Facilities License No.Misc. Classification Wiring LJ • u I G VI14JL Ilum uie wnlractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE MECHANICAL I am aware of the provisions of Section3700 of the California Labor PERMIT FILING FEE Code which requires every employer to be insured against liability Heating for Workmen's Compensation. ❑ 1 have placed on file with the County of Butte a certificate of Cooling 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 Ventilation so as to become subject to the Workmen's Compensation Laws of Hood California. 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 Permit Fee $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 $3.00 5.00 2.50 25.00 1.00 2.00 10.00 15.00 6.25 $3.00 2.00 FEE FEE TOTAL PERMIT FEE is 77 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 By Date Buildingpermitexpires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 53'4-4541 APPLICA'I`ON AND PERMIT above-mentioned property for Inspection purposes. X Date Signature of Per/mitee or Agent Receipt No. /07.5!83 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DI OR OF PUBLIC WORKS BY Date 13 7.G permit- Jblild#Wexpires Dace BUILDING OwnerSQ. N FT. OCC. BUILDING VALUATION Mailing Address Ty L1 $`� �`� Telephone No. -3` 08 Fireplace Contractor Total Valuation Mailing Address �, Permit Fee Plan Checking Fee&/or Penalty, Telephone No. Permit Fee $ $ Building Address a� s-% W, fr L t A M A v PLUMBING No. @ FEE PERMIT FILING FEE $3.00 i<J .E 1. M 0 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.(, -- i �i f '•' Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F C. Sat�ieetirni 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 R1A9_F4ansRve4.d I Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® ELECTRICAL No.1 @ FEE PERMIT FILING FEE 1 $3.00 2,0 �'e 1 C 100 AMP OR LESS -5.00 Main service 600V OR LESS , O Q Main service EA. ADO'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service R 600V OOEAMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. OR ADDNS. ( ACCLBLDGLING OCCUP. &) 2�sgft NEW CONSTR. MULTI.OUTLET NON.RESID. BRANCH CIRCUITS) 12.50ea NEW CONSTPOWER APPARATUS & R. RESID. (SINGLE OUTLET CIR. NON. 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) LL@1 BAL�1 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 $ Ori 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 MJ permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the TOTAL PERMIT FEE $ Io O This permit is hereby issued under the applicable provisions of above-mentioned property for Inspection purposes. X Date Signature of Per/mitee or Agent Receipt No. /07.5!83 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DI OR OF PUBLIC WORKS BY Date 13 7.G permit- Jblild#Wexpires Dace B. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: C. Electrical 1. 2. 3. 4. Service and ground: Receptacles: Fusing: D. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4. Comments (continued on back) BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT Owner: rC). �� A/ �' L %��,-je y A. P. # Address: 3 5- AliZI-A,, syye- e, -/w o Date of Inspection Tenant: Inspector Building Location: �3.5"� Grf/ GLi4 A4 44/,-- Type of Inspection requested: 1. Housing / / 2. Financing 3. Change of Occupancy to 4. Other, (specify) eye- .- .S2✓SPe-e-774) •✓ C y 9 hr aQ Present use of building: V Je LG , AJ G A. Sanitation (Housing) 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connection to sewage disposal: 12. Connection to water supply: 13. Rubbish and garbage facilities: 14. Comments: B. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: C. Electrical 1. 2. 3. 4. Service and ground: Receptacles: Fusing: D. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4. Comments (continued on back) E. Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Comments: F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. Comments: G. Field Problems or Violations 1. Problem or violation (give complete description): 2. What action taken (give complete description): 3. What action recommended: A..Information only - file. B. Hold for ten (10) days, then write letter. C. Write letter. —% D. Other: