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