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HomeMy WebLinkAbout029-110-01629-11-16 BANK OF AMERICA (L. Stephens) W/S 4th. Opp. Lindale Ave, Richvale rnntr.: J & J Electric Permit #1481-77E (ele. sere & sub' panel) SIF I MoIomo� - r-KAR CLAIR &HELEN WELSH 29-11-16 //�S `/� 5305 Church st, Richvale Permit#2494-85P(replace leaking gas line/SF) OWPN, Frank 151-66B �i - 29-117-16 fl8r.,, ' 1 ' q 4th St. &Lindale Ave., Richvale CONTR: Mosel .y Rr Hill., 385 Hillcrest Ave ;Cr (reroof) i• - } i C"l � �.,�W^,� �-r,m.-vim �.y,_ -._..,...,sem � `�✓„'��- "„�i - .._ i� ...�;�r`�".-�'�,.'.n,. .-�✓7 - _ '�-1d2;• � �_ - r•_...-.. ,.N --. i COUNTY OF BUTTE — DtPAF{,TMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 Telephone: 534-4541 , APPLICATION AND PERMIT autnorrze representanves or the county OT butte to enter upon ine above-mentioned property for inspection purposes. X Signature of Permitee or Agent Date 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. DIRECTOR OF PUBLIC WORKS By - Date Building permit expires Date BUILDING Owner . - , SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace _ Contractor �� f` Total Valuation Mailing Addressf j• f , f t Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 _ Each Trap 1.50 Or t1t� LL ' Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. l Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W. C. Sanitation FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plans Rec'd Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ I FEE PERMIT FILING FEE $3.00 + Main service 100 AMP OROR SLESS 5.00 Main service EA. ADO'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADONST ( ACCLBLDGS.LING CCUP. &) 20.sgft NEW CONSTR. MULTI.OUTLET NON.RESID• ( BRANCH CIRCUITS) 2.50ea NEWCONSTR.• 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 style of: BAL@2531 Ex. Occup(OUTLETS OR FIXTURES)@ FIXED APPLNS. OR Ex. Occup.(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 $,'�f f.SJ $ 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 $ f autnorrze representanves or the county OT butte to enter upon ine above-mentioned property for inspection purposes. X Signature of Permitee or Agent Date 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. DIRECTOR OF PUBLIC WORKS By - Date Building permit expires Date f�� COUNTY OF BUTTE — P1-:P9VTMENT OF PUBLIC WORKS 7 County Center Drive — OroviIle, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT auurunce rupreseniatives or the County of Butte to enter upon the above -me ' ned property for inspection purposes. %( Date .3'2 7' 77 Signatur f Permitee or A e 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. DIRECTOR JF PUBLIC WORKS BY Date ilding permit expires Date BUILDING IF 1 Owner #Ah G or ar& / f,� S'� � ��/�S SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor G %- Total Valuation Mai I i ng Address 3 l �% 14/x/(1 Lr ���T Permit Fee Plan Checking Fee &/or Penalty �/ Tele hone Permit Fee $ Building Ad ress 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 A. P. No. — ( — IGas Zoning 8 Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 ire Dept. Fire Zone Use Permit Building sewer 5.00 EOA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 N,,k +d Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 00 Main service 100 AMP ORV OR LESS5.00 4,,0 Main service EA. ADD'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ OVR 600V Main service 100E EAMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELINCOR ADDNS. ( ACCLBLDG. S. , &) 20sq ft NEW CONSTR. MULTI.OUTLET NON.RESID. BRANCH CIRCUITS) 2.50ea 00 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 ost le of: Y � _ ( do , -A Vc__ Ex. Occup(OUTLETS OR FIXTURES) BAL�1 FIXED APPLES, OR Ex. Occup. (OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.�qSQVt Classification C' � i7 Misc. Wiring 6.25 Z� ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ 137 W"i 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 $ auurunce rupreseniatives or the County of Butte to enter upon the above -me ' ned property for inspection purposes. %( Date .3'2 7' 77 Signatur f Permitee or A e 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. DIRECTOR JF PUBLIC WORKS BY Date ilding permit expires Date ZZ61 9 a INII J • Permit��2494-85P Clair Welsh 5305 Church St, Richvale X- OFFICE COPY Address om GAS DatQQL— Meter BY ELECTRIC Date Meter BY I -9— e i J • Permit��2494-85P Clair Welsh 5305 Church St, Richvale X- OFFICE COPY Address om GAS DatQQL— Meter BY ELECTRIC Date Meter BY I -9— e COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. I " ASSESSOR PARCEL NUMBER ZONING- BUILDING PERMIT OWNER ( TELEPHONE SO. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS N CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS " Fireplace CONSTRUCTION LENDER tJ to UNKNOWN Total Valuation is Filing Fee $ 10•00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER t }� LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS_ Cl ? A Y Permit fee $ PLUMBING PERMIT Filing Fee 10.00 - Each Trap 2.00 k ` --!A Q Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME 1PARCEL-MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF �'Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W O.00ea TYPE OF WORK New ❑ Addition[]ReRemodel[]Utilities ❑ Installation❑ Other I],'Permit (; Describe work: 'C 1-4 :Z r t o A 'k t r C. " "I I i t.' A Fee $ ,iry ) Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 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 p y perjury y (check one): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the BuslnesS and Professions Code and my license is in full force and effect. ' License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.(DWELLING OCCUP.N OR A.D.S. ACC. BLDGS. 2/20sgft NEW CONSTR. MULTI -OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES eLo300@502AL@ EX. OCCUp. OUTLETS ((RESID,IFIXED APPLNS. REA.\\ ) 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 shal I 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 FiIingFee 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 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 g nting of this permit. `�� �X -% �� .t 1 (�. Date J -- —� �`g ' 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 $ TOTAL PERMIT FEE $ -a 07) occu P, CO.ST.TYPEJ IFLOOOIPARCELI PD MD 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 aid. p DIRECTOR OF PUBLIC WORKS By ` 'T�r .�� Date PERMIT EXP)AES Date - �'^ Receipt Na L><­7� � ')_ . WHITE -D. P. W., YELLOW-ASeE73011, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICA110N AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE .SQ. FT. DCC. BUILDING VALUATION OW S MAILING AD RESS X30 r U CONTRACTOR'S NAME y� 1 TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER 1 , ,A\jr UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 V 74,1 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each gas water heater or vent 5.00 USE OF STRUCTURE SFE Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00ea TYPE OF WORK New E] Additio Remodel[] Utilities❑ Installation❑ Other Describe work:Contractor to S r Permit Fee $ ELECTRICAL PERMIT Filing Fee 1 10.00 Main service 100 AMP V OR ORSLESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ontract- ors.(Sec. 7044) ors. ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.N OR ADDNS. ACC. BLDGS. , /20sgft NEW CONSTRMULTI-OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea /POWER APPARATUS e (SINGLE OUTLET CIR. Occup(OUTLETS OR FIXTURES 120050t D®saeBALD 30 Ex. Oceu BAL FIXED EX. Occup. OUTLETS PREA.1 2.00 (RESID ) Temporary service 1 10.00 Mobile Home Facilities 15.00 Misc. bYirin g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 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 a e to save, Inde if and keep harmless the County of Butte against all liab' flies, judgment ,costs, and expenses which may in any way accrue ag said Count i nsequen a of a anting of this permit. %� Date Signature of Applicant — OwnerEr 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 TOTAL PERMIT FEE $ t OCCUP. CONST.TYPEJ FLOOD PARCEL PD ND ISSUE' This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT R OF PUBLIC By PERMIT EXPIRES Da �� the applicable provi- resolutions to do fees have been paid. WORKS Date �_ Receipt No. 7 ��� WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT 0 COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Orovill.e, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an app ication 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 Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social'Secur' y Number Date--� NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. 029-110-016 PERMIT#98-0349 WELSH, Claire & Helen 5305 Church St., Richvale Cont: K -Designers I Vinyl Siding/SF Ak -q-1,7 LM ..._ , . .. - . � « a; w� • .w .e.ri "�::Fr.'vs, �z.. ct';7 ,r,1 re. 029-110-016 PERMIT#98-0349 WELSH, Claire &'Helen 5305 Church. St . , Richvale Cont: K -Designers Vinyl Siding/SF ' .3110�f-/-/� ♦ � � _' � C �- _ + .l ..�..� � a"'�=may' � f �!�' l .�-. Y COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 .County Center Drive - Oroville, Galifornaa 95965 - Telephone (916) 538- 41 _ PERMIT NO. APPLICATION AND PERMIT , ASSESSOR AR!LNU,MBER ! I0 _ Q l ZONING BUI DING PERMIT OWNER + CJ _I � ��� �'v2��1� TELEPHONE 9-g��-VLI51 SQ. FT. OCC. BUILDING VALUATION on"f 000 OWNER'S 05 C.hu--sJt-541,4ak IA 'I 3,i7(4 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS l rr II 1101 val:-k- ..fry �.,, ��1 �� t,:,.._I�' :� C1} %a % l i� Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ /SS.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ % BUILDING ADDRESS.�� �I PERMITFEE $ 00 � Filing FeeVS PLUMBINGPERMIT 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY 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 ❑ UtilitiesA Installation ❑ Other ❑ ' Describe Work: L ..Iv l� c . (� �� I ��_ I GI I �.J C/ J Mobile Home ISI GI W1 @20.00 + PERMITFEE $ Contractor ELECTRICAL PERMIT Filino Fee 20.'00 Main Service OOOV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO I000A ) 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. ((; / XIJiY License Class l) L/) Lic. No. JJ c (d . f OWNER -BUILDER DECLARATION I 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 NEW CONST. DWELLING OCCUR SO. OR ( &ACC. BUDS. 3.5¢ FT. CNS. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS 97.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup.OUTLET OR FIXTURES 20 Q 1.00 ( ) BAL .50 Ex. Occup. (OFIXE APPLN ..OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE S Contractor WORKERS' COMPENSATION DECLARATION I 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. U I have and will maintain workers' compensation insurance, as required by Section 1\ 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 +-G i I MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number ) b (1) :a It U I (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shallTOTAL 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 those %visions. /� X � ° / '�— .. Date — —! ' Signature of Applicant - ❑ Owner ❑.Contractor [d Ag -- An OSHA permit is'required for excavations over 60" deep and demolition or construction of structures over.3 storiesinheight.-,,Y Mobile Home Installation Fee Is Energy Inspection Fee Is OCC CONST. TYPE FEE $ HAZ. I D. FEES I IMP I FLOOD CDF PARCEL PD HD Issu 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. B ��� /X �.� Date �/ / %/ l ��S(� . % to (gyp PERMITEXPIRE SON (Date) Receipt No. �/ / J WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DDIV ION 7 County Center Drive - Oroville,.Galifortiia 95965 - Telephone (916) 538-7 41(cR PERMIT NO. APPLICATION AND PERMIT ASSESSORP.ARC BFA ,r•1i ©1 zDNI� BU MNG PERMIT OWNER � !, TELEPHONE ��/' � -88a -, SO. FT. OCC. BUILDING VALUATION o►,t 0250 OWNERS os �C us2t,�► S i1t�a:E c�� C. 959 7y CONE OR'S NAME � u oN TELEPHONE 9110-(o3I-9am CONTRACTORS MAILING ADDRE (' 11 (AC Nt2ijZTa,2.JC_ JQ- (7574X Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESS� Jam' i 151. PERMITFEE $on `30'5 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LAT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY 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 yIl Installation ❑ Other ❑ ' Describe Work: �i.J Mobile Home S GI W1 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20.'00 Main Service / 5 OV 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 f II force and effect. p /l� License Class I �Ir Lic. No. Q v 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 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLDS. ) SD. 3.5Q FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 O I•00 BAL .50 Ex. Occup. (ouTLEEDrs RESID.OEEA) 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. I have and will maintain workers' compensation insurance, as required by Section X3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' c T ens9tio syranc carrier and policy number are: Carrier �I I I L+ 1.1 j { MECHANICAL PERMIT Filing 9 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.) ❑ 1 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 com ly with those ovisions. X _ ate S �C " Signature of Ap Icant - ❑ Owner ❑Contractor Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ M.0o HA2. I D. FEES I IMP I FLOOD CDF PARCEL I PD I HD ISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indic bove fo wh' h fees h e een paid. B Dat vll� PERMITEXPIRESON r I (Date) Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT K<< I DESIGNERS 1 SUBJECT: BUILDING PER'�1ITS JOB SITE ADDRESS-. 6305 Ckv" PLEASE ACCEPT THIS AS YOUR AUTHORIZATION'TO ACCEPT THIS APPLICATION AND ISSUE A BUILDING PERN41T FOR THE ABOVE DESCRIBED JOB SITE SUBMITTED BY A REPRESENTATIVE OF K -DESIGNERS. PLEASE ?TOTE THAT THIS AUTHORIZATION 1S RESTRICTED TO THE ABOVE DESCRIBED JOB SITE ONtiTLY kNlD NO OTHER PERMITS ARE AUTHORIZED HEREIN'. RESPECTFULLY, TIM BUTTS SENIOR PRODUCTION MAINTAGER