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PFSIMONt- Max 5467B
2650 William Ave., Pa�prmo
(new' single family)
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COUNTY OF BUTTE -`DEPARTMENT OF PUBLIC WORKS PERMIT NO,
7 County Center Drive - Orovlllet California 95985 - Telephone: 918/538.7541
APPLICATION AND PERMIT
ROSE S R N
27--30--30
ZONING
U
BUILDING PERMIT
OWNER
MAX SIMON
TELEPHONE
533-7622
SO. FT. OCC. BUILDING VALUATION
p (�(�y(�1 p
28 SQ. CO 1600
OWNER'S MAILING ADDRESS
2650 WILLIAMS PALMMI 95968
CONTRACTOR'S NAME
CATH CONSTRUCTION
TELEPHONE
i
CONTRACTOR'S MAILING ADDRESS
PO BOX 236 BANGOR 95914 j
Fireplace
CONS_TOR_UCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
NONE
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
2650 WILLIAMS PALERMO
Permit fee
$ 38.00
PLUMBING PERMIT Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF0 Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
O.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other
Describe work: REROOF
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
of pjy (check one):
I declare under penaltyperjury )
I am licensed under provisions Of Chapt. 9, Div. 3 of the Business
and Professions[ Code ao my license is in f 1-i force and effect.
SJ �)
License No. Classification.
El 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. ( DWELLING OCCUP.d+\
OR ACDNS. ACC. BLDGS.
yxQsgft
NEW CONSTR. MULTI -OUTLET
NON•RESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
ew O Oe
FIXED APPLNS. OR
Ex. Occup, OUTLETS IRESID.) EA.�
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you',must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify d'keep harmless the County of Butte against
all liabilities, judgments, cost , and expenses which may in any way accrue
agains ail ioliinty in conseq" nce of the granting of this permit.
X �,///
�J Date / —�
Signature of Applicant — Owner ❑ Contractor [�J_ 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 $ 38.00
HAZ
CUA
I PARK
I scHL
I FLD
coF
I PAR
PD
i HD•
ISS E
Thls permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work i ated above for which f s have been paid.
DI f> C OF P C WORKS
B Date !/) ",v h �
PERMIT EXPIRES Date
Receipt NO. 96870
WHITE-O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATIOW AND PERMIT
ASSESSOR PARCEL NUMBER
27-30-30
ZONINS
ti U
BUILDING PERMIT
OWNER
SIMON
TELEPHONE
533-7622
SQ. FT. OCC. BUILDING VALUATION
28 SQ. COMP 1680
OWNMAX
NGADDRESS
26ER '50 WILLIAMS PALERMO 95968
CONTRACTOR'S NAME
CATON CONSTRUCTION
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
PO BOX 236 BANGOR 95914
Fireplace
CONSTRUCTION LENDER
NONE
UNKNOWN
Total Valuation Is
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$ 28.00
ARCHITECT OR ENGINEER
NONE
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BU12650AWILLIAMS PALERMO DDRESS
Permit tee
$ 38.00
PLUMBING PERMIT Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping ,
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF9 Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other
Describe work: REROOF
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service e00V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
El'i am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code an my license is in f��J( force and effect.
3 0:, Y -T V
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 OCCUPM
OR ADDNS. \ ACC. BLDGS.
Yz2sgft
NEW CONSTR MULTI—OUTLET
NON.RESID BRANCH CIRC ITS
2.50 ea
I POWER APPARATUS 6
%SINGLE OUTLET CIR.
EX. Occup(OUTLETS OR FIXTURES
20050t
eALO 30
Ex. Occup. OUTLETS (RESID )FIXED APPLNS. REA.I
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
E_ I
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
a 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.
❑ Ishall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
I 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 nd keep harmless the County of Butte against
all liabilities j dgments, cos and expenses which may in any way accrue
agains i ty in con nce of the granting of this permit.
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 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $
—
38.00
HAz.
CUA PARK SCHL
FLD
CDF
PAR
PD
) HD,
ISS E
This permit is hereby issued unoer the appiicable provi-
sions of the Butte County. Code and/or resolutions to do
work i 'cated above for which f s have been paid.
DI OF& WORKS
B Date
PERMIT EXPIRES Date
Receipt No. 96870
WHITE-O.P.W., YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541
APPLIDATION AN,,D PERMIT
ASSESSOR a7PARCEL NUMBER
l//�
6 O
zoW��c , I
BUILDING PERMIT
RN^ /�
SI mor1
TELEPHON
53
SO. FT. OCC. BUILDING VALUATION
1680
OWNER'S MAILING ADDRESS
26SVd l ra s (ryoo Cc,,-,
CONTRACTOR'5N ME
o.° C_C)�_ rRuc.T1vl,v
TELEPHONE
"
CONTRACTOR'S MAILING A DRESS _
/� , /3 ox `2 25C/ V
Fireplace
CONSTRUCTION LENDER I
U -1A'6-2-
UNKNOWN
Total Valuation $
FilingFee
$ 10.0
LENDER'S MAILING ADDRESS
Permit Fee
; 040
ARCHITECT OR GINEER
f') C5 Vk
LICENSE NO.
Plan Checking Fee
$
Ener Plan Checking Fee
Energy g
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS 1� I
6 v V �( I
Permit fee
;
PLUMBING PERMIT
Filing Fee 10.00
V✓�C7
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF04 Duplex❑ Mobilehome❑ Other
SPECT FY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
EE
Mobile Home TS_7GTWT7.
0.00 ea
TYPE OF WORK
New❑ Addition Remodel Utilitie ❑ Insta/llation❑ Other
Describe work: ! G(
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
600V OR LESS
Main service 100 AMP OR LESS
10 00
Main service EA. ADO'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty
p y of perjury y (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.SINGLE
License No. Classification.
El 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. ( DWELLING OCCUP.&
OR ADDNS. C ACC. BLDGS.
,
2h¢sgft
NEW CONSTR. ULTI.OUTLET
NON.RESID BRANCH CIRCUITS
2.50 ea
POWER APPARATUS e
OUTLET CIR.
EX. OCCUp(OUTLETS OR FIXTURES
SAL930
eAL0e
FIXED PR
Ex. Occup. OUTLETS (RESID )EA.1
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ 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.
❑ Ishall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
FHood
3.00
I 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
Signature of Applicant — Owner [I Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over3in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $
HAL
CUA
PARK
SCHL
FLo
coF PAR PD
; Ho.
IssuE
This permit is hereby issued unaer
sions of the Butte County. Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provl-
resolutions to do
have been paid.
WORKS
Date
-sstories
Receipt No. q( 70 -4'304
'NNITE-D.P.W.. YELLOW -ASSESSOR. PINK-IINSPECTOR. GOLDENROD -APPLICANT