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HomeMy WebLinkAbout026-192-011I L P 75-6 Irwin Ave . , Permit 39g2 -73B (new. sing e fame _� t�thJ 26-192-11 Rov Conn 7561 Irwin Ave., Palermo Permit #1401-80B,E(conv.garage to family room SF) /_/ q - qZ C*q �I � ?_GSI C*q C PERMIT NO. 1401-80B,E PERMIT EXPIRES OWNER 'Roy Conn CONTR. owner LOCATION (A.P. \26-192-11 7561 IrOin ve., Palermo x r #y r`. Temp. Power Pole Called PG&E i Temp. Elea Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB o FINALED (Date) (Signature) s COUNTY OF BUTTE — DEPARTMENT OF (PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING I BUILDING (Cont'd) I PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall - Sidinq To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwall Garage Vents Insulation Water Htr. Heaters Slab Carport p Footings Prov. for physically handica ed Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Stucco mean MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec- Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY �OFBUTTE — DEPARTMERT OF PUBLIC W RKS 7 County Center Drive — Oroville, California 95965 r,. Telephong: 534-4541 APPLICATION AND PERMIT Bt BUILDING VALUATI Address _)hone No Contractor .4-� Mai I i ng Address ITelephone No. Building Address A. P. No. C/ — / I Zoning & Planning F:8pw eki_ Fire Dept. FireZone Use Permit EOA Parking Parcel Plans Parcel Ma60' R/W ImP rovements De ration Bldg. P146's Recd I Parcel Approval Plans Approval Lo NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Single Family Duplex ❑ Mobil Home ❑ Others ❑ 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: Fireplace Total Valuation P9rmit Fee Pian Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service 600V OR LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP Main service OVER 600V 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. I OR ADDNS. DWELLING OJJJJP S ACC. BLDGS2eVb NEW CONSTR. NON.RESID_ (MULTI.OUTLET BRANCH CIRCUITS Ex. OCCUri{OUTLETS OR FIXTIIR Ex. Occup ( FIXED APPLNS. OR OUTLETS (RESID.) E Temporary service Mobile Home Facilities Misc. Wiring License No. Classification yrI am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT FILING FEE 1 am aware of the provisions of Section3700 of the California Labor Heating 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 Cooling orkmen's Compensation Insurance. t'l f th t' th f f th k f h' h h' @ $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 FEE FEE .e 20sgft ,2C% ?.50ea 0@256 ICO 2.00 10.00 15.00 6.25 $ 6 O 2- @ FEE $3.00 cer y a )n a per 01M.—o e war or w Ic t Is Ventilation permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Hood 2.00 California. 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 1A�/� - Date :ZAX nature o�f PPeermitee or Agent Receipt No. �—�"" S-7 S— White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Land Development Fee $ TOTAL PERMIT FEE $ 96 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 0 UBLIC WORKS By Date7-26 —62o Bu/ding permit expires Date _. 7 Z'6 -?/ ,COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS — BUILDING DIVISION 7 County Center Drive — O..r.oville, California 9596.5 — Telephone 534-4541 PERMIT APPLICATION DATA SHEET � Permit No. OWNER ,,�v1 '�'��1 �'>✓ A. P. No. a- Proposed Building/UseG� Permit fee based upon: Complete Contract Price 4:�`DDPW Valuation -,a-,Other (explain) / Building Inspector /. C��1� �i� Date 3 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:r DATE RECEIVED APPROVED 1. All items have been submitted................................................................... 2. Plot plans in duplicate/triplicate............................................................... 3.. Complete plans in duplicate/triplicate................................................... 4. Complete engineered plans and calcs..................................................... 5. Plans with Energy Design Compliance Statement ............................ 6. State Energy Forms No. .................... 7. Statement of Intent for Non -Heated & AC Buildings ................... 8. Fees of $ 9. Letter of signature authorization............................................................. 10. Sanitation approval from Health Dept.... 11. Planning approval for ............. 12. Certificate of Workmen's Compensation Insurance 13. Contractors License Information (no., name style, classification) ............................... 14. Improvements may be required. Contact Land Development Section of Dept. Public Works (see addressbelow)................................................................................................. 15. Pre -inspection for required. Pre-inspec.request to 16. Other bldg. inspector (date) �-''" When you issue the permit, process as follows: __AMail to owner Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspection. Other Applicant t �-.�� //7 ., � .14" . Date . ., - Copy of plans sent Health Dept., Fire Dept., Other Date_ During the plan checking process, the following data must be submitted prior to permit issuance: (For requireditems not checked above at -time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Plans checked by Plans approved by OTHER: rnnv/npvv Mail Other Date Date Date 3 — Z6 — $O Ar l r � This sdf o� p l n and if'eeaiie�s MUS? be y f x kept on the job I t all timei and it is two Ful +0 ithout make any changes or alters ions on some o public �� written permission from the Dgp•� works, County of Butte. F�owT •N0TE; --AA Materials & Workmanship Shall Be in Accordance with Recognized Good Practices and of -a quality prescribed for the Specified use in the Uniform Building, Plumbing '& Mochanical Codes aind ,the National 8ectrical Code. 5 Pea0PI/ 70 �Y ,baa CE/Gl�(iC/ M�1BE,eS. surra couNTr BUILDING DEPARTMEN' APPRO)/�D Nc x O ff} M r � This sdf o� p l n and if'eeaiie�s MUS? be y f x kept on the job I t all timei and it is two Ful +0 ithout make any changes or alters ions on some o public �� written permission from the Dgp•� works, County of Butte. F�owT •N0TE; --AA Materials & Workmanship Shall Be in Accordance with Recognized Good Practices and of -a quality prescribed for the Specified use in the Uniform Building, Plumbing '& Mochanical Codes aind ,the National 8ectrical Code. 5 Pea0PI/ 70 �Y ,baa CE/Gl�(iC/ M�1BE,eS. surra couNTr BUILDING DEPARTMEN' APPRO)/�D f 1 S ' 4 S i j TZ Jf(4j pf Ii:irp�3+x}J �� 'fa r,f}fi earth #+db 1'f �� flY•jj1 'tilCtf�14Y� .�. f '1 ..F •! a •11 a'a c%, it +0fr:o7t i turnv'� �s-t 4 bra s.e i70i..700 3 1 U Gf i��SCif� i • ., t Cfia4�Caf►}"44� tee';' A n3iCl O-A r[IJ?i �^nxa ,: ��i,...,� �r€xt� �S.ire•n�99 �#iw , •}r- n^ mat w� t tt t i iw:; $moi oitolvI „Rza I PERMIT NUMBER - B 3982-73B P 'r E M1 PERMITEXPIRES --{'OWNER Gordon K. Bihl CONTR: Owner LOCATION (A.P. 26-192-3 r, 7561 Irwin Ave . , Palermo A 'w FC � k 6jH6 1.\' R � i Zoning Foundation Rgh. Plumbing JZ -3- 3 Rein. Steel Framing Wtr. Htr. Firewall. ELECTRIC Temporary Final z DATE REMARKS OR CORRECTIONS � - .®rte - 2. wzr--G-0�. COUNTY OF BUTTE .4•w jj Department of Public Works t BUILDING INSPECTION RECORD $etback . �" ��/ -- %� Forms Piers & Girders 'Fireplace Bond Beam Lath & Plaster Gas Piping &Test 1 Found. Vents Pimg. Topout 5 Rough Elec. 411t - Furnace _� Kitchen Vent Garage Vents_ Sanitation & Water GAS BUILDING Temporary h Cert. of Occup. Final ��' ` " Final 03 DATE REMARKS OR CORRECTIONS � - .®rte - 2. wzr--G-0�. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 %��� Telephone: 5�4-4541 �/ APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X _/SLGr. / xc� Dat —/7 - Signature of Permitee or Agent Receipt No. 1Z1-15--1,-.2— 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. DIRECTOR OF PUBLIC WORKS BY Dater Building permit expires Datd °..-3ft=.y ,.— BUILDING Owner /709 6169 SQ. FT. OCC. BUILDING VALUATION Mailing Address, 00 a S OD d hone No. Fireplace Contractor ��,�� Total Valuation " Mai I ing Address Permit Fee Plan Checki ng Fee &/or Penalty Telephone No. Permit Fee $ ` $ Building Address -46/s- a'�/r �� �� a PLUMBING No. @ FEE PERMIT FILING FEE $2.00 2OU l h 1 U// ,en�' —�— Each Trap 1.50 �ZdZRepair ` drainage or vent piping 1.50 Water piping 1.50 Each gas water. heater or vent 1.50 � A. P. No.��,/Y.L- /D2 3 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet 30 S�rf(<.on FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking EQ Plans Parcel Declaration Parcel Ma P 60' R/W Improvements_ Lawn sprinkler system 2.00 ' BT Plan`si��'d g. proval ParceKA�� Pla proval � Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 25- bol_ _�P10 Receps., switches & fix outlets 20075 1@10 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 r7 ' l iY —bal 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 Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No.1'2�734F Classification Misc. wiring ❑ 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 $ $ 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 TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X _/SLGr. / xc� Dat —/7 - Signature of Permitee or Agent Receipt No. 1Z1-15--1,-.2— 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. DIRECTOR OF PUBLIC WORKS BY Dater Building permit expires Datd °..-3ft=.y ,.— COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT auinorize repres atives or the county of tsutte to enter upon the above t' ed p perty for inspection purposes. Date ignature of / ee or �nt�„ Re ipt No. / ite-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. IREC- OF PUBLIC WORKS By DateI.—�4��. Building permif a res Dafe.........:.... BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor / Total Valuation Mailing Addres � Permit Fee Plan Checking Fee &/or Penalty ' Telephone No. Permit Fee Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 7,'5I 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. 9 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 / Fos W: . 6entMt'= Fire Dept. Fire Zone Use Permit Building sewer 5.00 EOA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 ans ec Parcel Approval Plans Approval Permit Fee $ $ NEW fg ADDITION UTILITIES ❑ OTHER❑ ELECTRICAL No. @ FEE PERMIT FILING FEE- 3.00 — Main service incl. 1 meter V., Additional meters, ach 1.00 Sub -panel (12 or ess) (more than 12) Single Family Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Li fixtures 3 bal((@10 ,a g Rece s., swi es & fix lets Z 7b, fa23 7-0 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Profe sions Code under the name style of: / /l Hod, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. lisp. or .W. 1.00 0?. Air condi loner or heat pump,2 Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No.� d Classification C 1,�) Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ .6 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 @ FEE PERMIT FILING FEE J$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 TOTAL PERMIT FEE $ auinorize repres atives or the county of tsutte to enter upon the above t' ed p perty for inspection purposes. Date ignature of / ee or �nt�„ Re ipt No. / ite-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. IREC- OF PUBLIC WORKS By DateI.—�4��. Building permif a res Dafe.........:.... COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives or the county of t3utte to enter upon the above-mentioned property for inspection purposes. X ate �4 _3 Signatureof Per or Agent Receipt No. 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. DIREC OR OF PUBLIC WORKS By_N` Date Building permit expires Date ........ ...... _.._..w. BUILDING Owner zi ` SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace r- Contractor Total Valuation Mailing Address d Permit Fee Plan Checking Fee &/or Penalty 7 ephone No. Permit Fee $ $ Building Address ` Q-.�-T PLUMBING No. @ FEE PERMIT FILING FEE $2.00 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. .l Z zoning 8 Planning. Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F W. S Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking• Plans Parcel Declaration Parcel Ma P 60' R/W Im provements Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval Plans Approval Permit Fee $ $ NEW, ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 t ,^ Main service incl. 1 meter _ Additional meters, each 1.00 Single Family ©' Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bal__025 Receps., switches & fix outlets b 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: - 4✓G-e If:! Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar, lisp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 c 3 Temp. Power Pole 5.00 l Q License No. �� � �7 � Classification C• �—� Misc. wiring ❑ 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 Heating cpr-A0 Cooling Ventilation Hood 2.00 , 7 C'W 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 $ a authorize representatives or the county of t3utte to enter upon the above-mentioned property for inspection purposes. X ate �4 _3 Signatureof Per or Agent Receipt No. 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. DIREC OR OF PUBLIC WORKS By_N` Date Building permit expires Date ........ ...... _.._..w. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date ignature of /Peimitep� Agent Receipt No. 41 �v 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. , DIRECTOIR OF PUBLIC WORKS BY G Date �� 7-3 Building perrnit expires Date _Z�:.�9-1;14r BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address po i Telephone No Fireplace Contractor w h e/ Total Valuation Mai I ing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address TS PLUMBING No. @ I FEE PERMIT FILING FEE J$2.00 O t S_Z!K ' Each Trap 1.50 Repair drainage or vent piping 1.50 <� Water piping 1.50 Each gas water heater or vent 1.50 prvv a A. P.No. — Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fcks I W":�. Fire Dept. I Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Im provements Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 "1 Main service incl. 1 meter Additional meters, each 1.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 20 25 bal__ &10 Receps., switches & fix outlets 2U (a 25 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 Mobil Home Facilities 5.00 r Temp. Power Pole 5.00 c'c Li nse N D 3 Classific tion Misc. wiring I am a empt from the Contractors License Laws of the State of California. Permit Fee $ V 0-1 $ 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. fDl 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. 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 MECHANICAL No.1 @ FEE PERMIT FILING FEE $3.00 Heating Cooling. Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE $ 6G authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date ignature of /Peimitep� Agent Receipt No. 41 �v 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. , DIRECTOIR OF PUBLIC WORKS BY G Date �� 7-3 Building perrnit expires Date _Z�:.�9-1;14r COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORK 7 County Center Drive - Oroville, California 95965 Tel eohone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Signature of Permiiteee or Agent _ Receipt No. Z/ `"+" 7 `i > 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. DIRECTOR OF PUBLIC WORKS Building permit expires Date_' °.'� BUILDING Owner1e / ar SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mai I i ng Address 4 7_G 3 , Permit Fee Plan Checking Fee &/or Penalty / Teleph e nIdo. L/00 Permit Fee $ $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 'p Each Trap 1,50 2- Repair drainage or vent piping 1.50 Water piping 1.50 j7> Each gas water heater or vent 1.50 cJ 9,r, , "7 .-1 o A. P. No. — 6< JJ Zoning & Planning Gas piping system 1 - 5 outlets 1.50 �O Each additional outlet 30 F W-45 1 3errft-dTtMrJ Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma A P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee $ $ ; NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Single Family 0' Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixturesbaIaid Receps., switches & fix outlets -U7d25 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Busingo & Professions Code under the name s 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 Mobil Home Facilities 5.00 Temp. Power Pole 5.00 �y License No,�c�! 3 f Classification(_! -d Misc. wiring 1 ❑ 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. 91 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 FILING FEE $3.00 Heating Cooling Ventilation Hood 1 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 $ S authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Signature of Permiiteee or Agent _ Receipt No. Z/ `"+" 7 `i > 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. DIRECTOR OF PUBLIC WORKS Building permit expires Date_' °.'�