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HomeMy WebLinkAbout029-143-007M ' _ . � ` ' / of r M1 � ..s.r '�-.,�-`eiity �- :`s'.Td�y-7AT�, '•^�^7n.y� :. ."F r .Pa. � �•..S' - `v:- ..5{ . a.. .css;-_'�?. �i+.r;�-...;4r-. w -i, .,�- t.•-..._.-_..-.. 029-143-007 PERMIT#95-1590 REED, Delores '. 1232 Broadway, Richvale Ele Ser Ch/SF j 1 \► OFFICE COPY Address 1 GAS ``� Dat _ Meter By ELECTRI Dat Meter By .•.... ,w ..,.�,.; .. ._ -. _ ,P..,. -_..o-.-.,. �-..q,n„�ee,.iv�r' arc :• .,;.�;y r;•�,ayi�?�;tK,".►�:F+DR.`n .rs•-- ,r. .. ..c: I 1 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING/41;/!2:e�_ N 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER _ 029-14-3-007 ZONING ARMH BUI ING PERMIT OWNER DFLORES , TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P 0 BOX 94, RICHVALE CA 95974 CONTRAACCT�OORSS NAME CONTRA( A1�L' it TELEPHONE CONTRACTORS MAILING ADDRESS , NONE I Fireplace CONSTRUCTION LENDER UN -OWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS ]NONE Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS 1232 BROADWAY, RIMALE Penalty $ BUILDINGADDRESS PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 1I Other 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 ir. TYPE OF WORK New 0 Addition ❑ Remodel ❑ Utili ❑ Installation ❑ Other ❑ E Describe Work: UPGRADE ELEC'T'RIC SERVICE Mobile Home I S I GI W 1 920.00 PERMITFEE $ Contractor , ELECTRICAL PERMIT Filinq Fee 20.'00 Main Service ( 000200A A OR LESS OR LESS ) 23.00 23 Main Service ( 200A TO 1000A ) 46.00 I 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 Clafs 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: 0( 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. ( & ACC. BUDS. ) SO. 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) &SINGLE OUTLET LIR. Ex. Occup. ( OUTLET OR FIXTURES) 20 @ 1.00 BAl Q .30 Ex. Occup. OUTLETS APPLN .OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23• 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 of one hundred dollars ($100) or less.) 99 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 fort with comply with those provisions. Date Signature of Applicant - 10 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 Is Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ 66. HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL PD HD I ISSU This permit is hereby: issued under the of the Butte County Code and/or indicated ova for which ees have By PERMITEXPIRESON I applicable provisions Resolutions to do work e n paid. Date 7�12�95 7/12/96 (Date) Receipt No. 180288 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT `e :K, COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIV ION 7 County Center Drive - Oroville, Cmltfornia 95965 - Telephone (916) 538-7 41 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 029-14-3-007 ZONING A MH BUILAING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS P 0 BOX 94, RICHVALE CA 95974 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS NONE Fireplace CONSTRUCTION LENDER UNID,OWN Total Valuation Is LENDER'S MAILING ADDRESS NONE Fling Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS 1232 BROADWAY, RICHVALE Penalty $ BUILDINGADDRESS PERMITFEE $ PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome X] Other 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 ❑ Utili%)( ❑ Installation ❑ Other ❑ Describe Work: UPGRADE ELECTRIC SERVICE Mobile Home IS I GI W1 920.00 PERMITFEE S Contractor ELECTRICAL PERMIT Filina Fee 2 0:0 0 Main Service ( E00v OR LESS ) 200A OR LESS 23.00 23.013 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 IL No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ' A I, as owner of the property, army 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 OR ACDNS. ( 8 ACC. BEDS. ) SO. 3.SQ FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) SINGLE OUTLET R. 8 CI Ex. Occup. (OUTLET OR FIXTURES) 20 Q 1.00 BAL 50 Ex. Occup. OUTLEEDTS(RESID.)EA ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I 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 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 (rhe 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 workerscompensation provisions of section 3700 of the Labor Code, I shall rt with comply with those provisions. ^n // _ X J�Ly Date _ 4haure Si of Applicant - Ja Owner ❑ Contractor ❑ 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 a b6.0 HAZ. I D. FEES I IMP I FLOOD COF PARCEL PD HD sSU This permit is hereby issued under the of the Butte County Code and/or indicated bove for which lees have BY LtbgZIUZZA PERMIT EXPIRES ON I applicable provisions Resolutions to do work a paid. juate 7/12/95 7/12/96 (Date) Receipt No. 180 288 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT M 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 K NO[ ]. 2. I HAVE[ ] HAVE NOT[ ] signed an application for a building permit for the propose 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: Com' PHONE: CONTI ACTOR'S LICEN ENO. 4. I pian to provide portions of this work, but I have hired the followin person to coordinate, supervise, and provide the major work: NA1ME: ADDRESS: Com' PHONE: CONTRACTOR'S LICENSE NO. S. 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: X PROPERTY OWNER: �, SOCIAL SECURITY NUMBER DATE: 195 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 information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 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 tar 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 contractorsis to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Buiiding 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. Sincere! , Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Orovi Ile, California 95965 4 Telephone: 534-4541 F F APPLICATION AND PERMIT above-mentioned property for inspection purposes. X Date Signature of PeA<" Agent Receipt No. rm6� 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 0 /S SQ. FT. OCC. BUILDING VALUATION Mailing Address X 3-2 — Tele hone No. Fireplac Contractor 0W A— Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee t 0 �l Building Address J PLUMBING No. @ FEE PERMIT FILING FEE $2.00 -Each Trap 1.50 _ C Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. 3 0 Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 FW. anita ion Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA���qq--P��P``laan4nin s Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 F31dg.LPldh3'Rec��e Pa Approval Plans Approval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 60 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 ^/ 2—D& C, Water Heater or Space Heater 1.00 Light fixtures 15 ba11110 R s., sw es & fix outl9. 10 S Q CONTRACTORS LICENSE LAW 1 am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: H d, E nor F. A. Furn. Motor / 1.00 Evap. cooler, gar. di sp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring )( ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 5 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. @ FEEPERMIT 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 ..ti TOTAL PERMIT FEE $�� above-mentioned property for inspection purposes. X Date Signature of PeA<" Agent Receipt No. rm6� 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 ................................ ........... COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 'APPLICATION AND PERMIT auuwi 1ZI wentauvea ui mt: wunty ui ouue w enter upon ine 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 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 BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address PLUMBING No.1 @ 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. Na Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W. C. Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 200-2 75 Receps., switches & fix outlets a I S 11 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. lisp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. 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 $ ' auuwi 1ZI wentauvea ui mt: wunty ui ouue w enter upon ine 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 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 Ll x '000t.e�' i COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Orovi lie, California 95965 Telephone: 534-4541 .APPLICATION AND PERMIT out tuf l Le ICPluz lllctllveS 111t,-ut111t,-t..vunty pI quite-iv'tmter upon ine above-mentioned property for inspection purposes. X Date 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 Signature of Permitee or Agent By Date Receipt No. — White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address PLUMBING No.1 @ 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. 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( Parcel Plans Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ 'ADDI' ION ❑ UTILITIES ❑ OTHER [:]ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 121 Single Family 0 Duplex p Mobil,Home, D Others Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures b 111 Receps., switches & fix outlets 2�,a33 b9L.14 CONTRACTORS�L1C15NSE' 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. lisp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring ❑ Tam exempt from the,CQntractor!j,Ltcepse-Laws, of the,Stateof California. Permit Fee $ $ WORKMEN'$ COMPENSATiON,tNSURANCE �,., I am aware of the provisions of Section 3700 of the California Labor Code which requires eery employes to be jnkured against liability for workmen's CoTpens�gfion, � ❑ I have placed on file with the County"of Butte a certificate of Workmen's Compensation Insurance., ❑ 1, certify, that%in the�p6'f0zTnenoe,ofthe,woik,fbr�which'this permit is issued I shall not employ any person in any manner so as to become subject to the�WoFkmen's `Compensation Laws of California. MECHANICAL No. @ FEE PERMIT 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. 1 agree to comply to all County Ordinances and State Laws relating to building construction,,, and hereby TOTAL PERMIT FEE $ out tuf l Le ICPluz lllctllveS 111t,-ut111t,-t..vunty pI quite-iv'tmter upon ine above-mentioned property for inspection purposes. X Date 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 Signature of Permitee or Agent By Date Receipt No. — White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant I COUNTY OF BUTTE — •DEPARTMENT OF PUBLIC RK 7 County Center Drive Oro:iIle, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the county or Butte to enter upon the above-mentioned propert for inspection purposes. AX Datem 3`� Signature o erniitee or Agent Receipt No'11 . %�y z/0 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 buildh permit expires Date J!!30 10ev BUILDING Owner Mailing Address SQ. FT. OCC. BUILDING VALUATION Tel pone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address 41 S PLUMBING No. @ FEE PERMIT FILING FEE $2.00 , d� Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 j U Each gas water heater or vent 1.50 A. P. No. — !f/3 --� /�. g Gas piping system 1 - 5 outlets 1.50 p Each additional outlet .30 $61 t on Fire Dept. Fire Zone Use Permit Building sewer 5.00 GQ EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements provements Lawn sprinkler system 2.00 —Re'c'd IfIVrg. Plans Recd ParceFAppfo-val Plproval Permit Fee �% NEW ❑ ADDITION ❑ UTILITIES E9'— OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 f Main service incl. 1 meter 3a' 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 fixturesbal_ Ll_o Receps., switches & fix outlets 20 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 Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ l 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. 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. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee TOTAL PERMIT FEE d authorize representatives of the county or Butte to enter upon the above-mentioned propert for inspection purposes. AX Datem 3`� Signature o erniitee or Agent Receipt No'11 . %�y z/0 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 buildh permit expires Date J!!30 10ev COUNTY OF BUTTE - DEPARTMENT OF PUBLIC W S 7 County Center Drive Oroyille, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT aunrvrrce representatives of the County of Butte to enter upon the above -men ioned property for inspection purposes. X .-a- Date Signature of Per e or Agent 3 Receipt No. •, 'Vel 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. DIRECTQR OF PUBLIC WORKS By Date f Building permit expires Dater- % BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mai I i ng Address �J G "� `�- Tele hone No. -�?fid Fireplace Contractor Hl Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address PLUMBING No. @ FEE PERMIT FILING FEE $2.00 D n Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 } d Each gas water heater or vent 1.50 A. P. No. 9 - 141- - A-7 ZO Gas piping system 1 - 5 outlets 1.50 V Each additional outlet .30 F n FireDept. FireZone Use Permit Building sewer 5.00 EOA Parking Plans Parcel Declaration Parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 /tlti�g. Plo eed Parcel44rppTnal s Approval Permit Fee $ le. $ Q NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3_ 0!::�r4 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_�L Receps., switches & fix outlets �Z�oa 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. lisp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facili ies 5.00 ^ Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ -2. 7Z 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 ermit 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. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee TOTAL PERMIT FEE y aunrvrrce representatives of the County of Butte to enter upon the above -men ioned property for inspection purposes. X .-a- Date Signature of Per e or Agent 3 Receipt No. •, 'Vel 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. DIRECTQR OF PUBLIC WORKS By Date f Building permit expires Dater- % Ar r N -x All utility�ons `� ✓�'`'^:SF"_ '. be located within 4 toutside c the rea third section of he mobile home on the left (road) Ide of the mobile home, The S back shall be 5 ft. fr .M the side pr erty"line and 50 ft. from (� the centerli e of` the road, permitt ng a maximum pf a 2 ft. eave overha K BUTTE CO NTY I BUILDING DEP/,RTMENI APPROVED r x s an specs ica ions MUST be kept on ,the job at all times and.it ii unlawful 1 make any changes or alterations .on same without;:. ritten permisson from the Department of Publ.c w Works, County of Butte. ' i