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Home My WebLink About029-240-0060 I AP 29-24-6 JOHN BULTEMA S/s--Richvale-W..--Rd--,,- betwe-en--,5-rd - & 4th st., Richvale ice CtIpLnge Permit# 288 75 & haatin-a' Arp 29-24-6 em u�a J��n B -u' ema- 1263 Rich �� le Hwy, Richvale contr- Bel A -re Contr., Chico ,r e 'o n t Permit #464-8 P,E,M(addition & remodel/SF) 29-24,,6 Con�r- Daniel He al Plumbi , Chico - 'Perm it#1 253-8 IP (so -1-ar--addn, --w NO heating)SF 2t 29-2 -06 Contr: Bel Aize.�;�_- Contr Permjt#1-736—<lP(add'1 plbg/464-- 81) SP .17 029-Z4U-UU6 02-0040 GRELL, Larry 1263 Richvale 1i vy, RicIvale Cont: Ideal Plum)ing jjr1lab ReplaceSewe L-ne/SF 1.,16-( M f CN 09 029-240-006 02-0040 :-GRELL, Larry 1263 Richvale Hwy, Ri6hvale Cont: Ideal Plumbing, j Replace Sewer Line/SF COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DI'VISION 7 County Center Drive * Oroville, California 95965 9 Telephone (,1530) 536-�1'541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 029n24021W ZONING /BUILDING PERMIT OWNER bmr 9r -J I TELEPHONE SO. Fr. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1263 IO-hople Im. Alichavole CONTRACTOIR'S RKME TDRAT. M MING TELEPHONE CON'rRACTOWS MAILING ADDRESS 3120 TWIMATT, DR. XJJRA CITY 95093 CONSTROCTION UNDER7 Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1263 RICHVALE HWY RICHVALE Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIOWS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF t Duplex 0 Mobilehome 0 Other SPECIFY Solar or heat pump water heater — 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other Describe Work: REMACE SEM LINE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G (P20.00 PERMIT FEE J-) 0 UUJ ELECTRICAL PERMIT Filing Fee 20.00 800V OR LESS Main Service .A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 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 fo ce and effect. Lic. N _769 License Class P - _,, E 0. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 0 1, 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. 0 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. 0 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST DW �LING OCCUP. OR ADONS. ACC 0 3.50' FF NEW CONST NON-RESIO. MULTi_0.T1.r_1T1S @7.50 PONf.E.RAPPARATUS , CIR. 0 r. Occup. OUTLET OR FIXTURES 20 @ 1.00 BAL @ .50 —Ex. O=PPLNS OR Ex. Occup. E. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.0� PERMIT FEE WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 0 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, forthe performance of workforwhich this permitis issued. My workers' compensation insurmance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation I P . ERMI T FEP $ - Policy Number (The above sectionsn-e4d'hof bi completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 0 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 C__ forthwith compl A ith those provisions. Date 61;z. X 49 JAN Signature of?'AfpOligant - 0 owner Contractor 0 Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Hom'e Installation Fee Energy Inspection Fee $ Occ CONST. TYPE TOTALFEE$ 35.00 HAZ. I'D. FEES _1NIP I �FLOOD I COF PARCEL I po I HD I UE This permit is hereby issued under of the Butte County Code and/or indi4cate ,,e)for which fees have abov Bv PERMIT EXPIRES ON I the applicable provisions Resolutionv to do work been paid. Date (Date) ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD-AFPLICANT (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING D ION 7 County Center Drive * Oroville, 6ailifo5riiia 95965 * Telephone (530) 53 541 S'O' APPLICATION AND PERMIT 02-0040 PERMIT NO. ASSESSOR PARCEL NUMBER 1199-940-006 ZONING /tUILDINGPERMIT OWNER Ja ir drel I TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS M ILINGTbDRESS 1963 lichlr2le lury, &J-Chaval-e CONTRACTORS WME TDRAT PT-1JM'RTNG TELEPHONE 791-5100 CONTRACTORS MAILING ADDRESS 3120 D YUBA CITY 95993 -R, CONSTRUCTION LENDER Fireplace LENDERS MA1UNG ADDRESS Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 1263 RICHVALE HWY, RICHVALE Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF I Duplex 0 Mobilehome 0 Other SPECIFY Trap 7.00 —Each Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other Describe Work: REPLACE SEWER LINE Gas piping system I - 5 outlets 15.00 Building sewer 15. o o T5-.TYO- Mobile Home I S I G I W @?20.00 PERMIT FEE $ 35.00 ELECTRICAL PERMIT Filing Fee 20.00 800V OR UE:S Main Service .A OR. 23.00 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 folce and effect. License Class 0 - _; 10 Lic. No. -76 9- 11 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 0 1, 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. 0 1. as owner of the property, am exclusively contracting with licensed contractors to construct the project. 0 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DW ,"NG OCCUR OR ADDNS. C. S. — 0. 3.50sFT. NEW CONST MULTI 0 NON-FIES'D BRANCH @7.50 POWE.RAPPARATUS IT. CIR. Ex. Occup. OUTLET OR FIXTURES j 20 @ 1.00 BAL @ .50 Ex. Occup. O�'.E' A ',,.I6.)0E, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 0 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, forthe performanceof workforwhich this permitis issued. My workers' compensation insu ance carrier and policy number are: Carrier 5 4Q 4-. 1 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Policy Number RU, %7-6 (The above sections'n e -6d -not b6 compfeted if the permit is for work of a valuation of one hundred dollars ($100) or less.) 0 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 comply �fth those provisions. X Date .'9 JAN 02, - Signature cYp'p6lWant 0 Owner AContracior 0 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 $ Occ CONST. TYPE TOTALFEE$ 35.00 _�AqD. FEES IMP I FLOOD I CDF PARCEL I PD I HD ISSUE X This permit is hereby issued under of �:t Bu:bOC: nty Code and/or ind for which fees have rBv *P� \_/ PERMIT EXPIRES N 4_� the applicable provisions Resolutions to do work been paid. Date Y" (Date) J.5 / 40D ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF. DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive 9 Orovh1e. 6ilifornia 95965 - Telephone (530) 538.7541 (Rev. 12NO) APPLICATION AND PERMIT --?- �-Oz) RW 'esu'""mmmumm ;Z b C9 amw B U I FM 114-0 P—E—R—M —IT---- OWNM so. Fr. occ. BUILDING— �A�L�TION T 00NMACTUM VAIM ADORM ,��9ZO COPSTMOC"M LIND41% Lemon UNLRA ADDren 't---Juynbi�ai V 6/"-"9"/ 0 6 ive Y1,1hA ej�, Fireplace Total Valua Flon AIAN*n= OR 04MMKIN a HM Filing Fee 23. AACHR= OR V4096MI WAAAQ ADOMS Permit Fee Plan Checkina Fee Energy Plan Checking Fee $ PERMIT FEE S LarW6 SUGOWNS)"Mm PAWAL MAP I I PLUMBING PERMIT Filing Fee 20., USEOPSTRUCTURE Each Trap 7.00 — Solar or heat pump water heater 23.00 SF 0 Duplex 0 hioblehorne 0 Odw Water piping 15.00 Spec" Each gas watw heater or vent 13.00 TYPEOFWORK Gde piping systoen I - 5 ouderts 15.00 Now 0 Adddm P-4��sl 0 LUfte 13 Insiollellm P Otheir C Building sewer 15.00 -K Describe Work: epo�too �eoj-er Lm6 Mobile Home I S I G I W @20.00 PERMIT FEE 00 ELECTRICAL PERMIT F111rig Fee 20., Wn Service = OORR 23.00 Win Service 20" TO IOWA 46.00 -- T O -f- - k ADONS. =m NEW C4*4L NOWRE90. X== 97.50 Ex. Occup. ovnzr ost RmA= a Le -ft- Ex. Occu p. Z=E-6.)ORIA 5.00 Temporary Service 23.00 Mobile Home Facilitie3 20.001 Msc. Wiring 23.00 PERMIT FEE MECHANICAL PERMIT Fjong Fee 20. Heating Cooling Hood 6.50 Ventilation PERMIT FEP- S Mobile Home In3taflatIon Fee $ Energy inspection Fee $ -------- occ CONST. TYK ITOTALFEE $ to K&L 1 0. no I tMP, I AACO I COF This permit is hereby Wsued under the &ppkable P11" of the Butte County Code and/or ResolutiOns to do w indicated above for which Z have been paid* By Date ------- �ZiptNo. PERMIT EXPIRES ON 71 CGUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 TelephCne: 5344541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Signature of Permitee or Agent Date Receipt No. White-D.F.W. - Yellow -Assessor - Pink -Inspector - Goldenrod-Appli cant This permit is hereby issued under the applicable pro ' visions 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 permit expires Date..... Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace - Contractor Total Valuation Mai I ing Address Permit Fee PlanChecking Fee&/orPenalty 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. !!oning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees I W. C. San i tat ion F 1 re Dept- Fi re Zone Use Permit Building sewer 5.00 EQA 1 Par'.<ing Plans I Parcel : Declaratio:n P I M arce ap 60' R/W I Improvements Lawn sprinkler system 2.00 Bldg. Plans Rec'd Parcel Approval Plans Approval Permit Fee $ NEW ADDITION UTILITIES OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (I or less) (more than 12) Single Family Duplex Mobil Home Others EL Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 _M 25 Light fixtures bal(610 - ZU (W �e_- Receps., switches & fix outlets 1b.1 GlIn 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 amexempt from theContractors License Lawsof theStateof California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code wh.ch 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 perm't 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 is authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Signature of Permitee or Agent Date Receipt No. White-D.F.W. - Yellow -Assessor - Pink -Inspector - Goldenrod-Appli cant This permit is hereby issued under the applicable pro ' visions 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 permit expires Date..... Date ow'' - - - X COUNTY OF BUTTE — DEPARTWE14TPOF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives ot the County of Butte to enter upon the above-mentioned property for inspection purposes. ate Signature of ermite or Agent - Receipt No.. 72-0 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod-Appli cant 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. DIRE IC WORKS By 4, ' i Date-, 44Ce-7` :7�_3 - 4�t�permit expires Date ....... / - BUILDING Owner UZ 7-4!t74 SQ. F T. OCC. BUILDING VALUATION Mailing Address 0, A0 A Z,�A 1,fl) J/,4,LE Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee PlanChecking Fee&/orPenalty Telephone No. Permit Fee $ Building Address 5K_7_14eV 7-'V PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 file-61,44—Ir A144'r 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. 0 O.0 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 FeesTW. C. F i re D ep t. Fire Zone Use Permit Building sewer 5.00 EQA I Parking Plans Parcel I DeclaraLion Parcel Map I 60' R/W I I Improvements — Lawn sprinkler system 2.00 I B I d g. P I a n s -'R -e 71' Parcel Approval lans Approval Permit Fee $ NEW ADDITION UTILITIES OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3,0io ei-42 (F. SPVI-IJ2 d -e-, Main service incl. 1 meter :3, ao C Ll�t'd 2�= Additional meters, each 1.00 Sub -panel (12 or less) (more 0<5-. 12) Single Family Duplex IT— Mobil Home Others Range, Cook -top or Oven 1.00 Water Heater or Space Heater. 1.00 Light fixtures 20 (d25 bal (d10 __ Receps., switches & fix outlets _ba 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 <�A_ir style of: Hood, Ex. Fan orF.A. Fura,14okor J 1.00 Evap. cooler, gar. di sp. or D.W. 1.00 conqi4_1o`n-e"P-�)r heat purnixe-7---, Water —pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring -41 ,:,f I am exempt from the Contractors License Laws of the State of California. Permit Fee $ IN WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte,a certificate of Workmen's Compensation Insurance. I certify that in th� 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 /oz �_ Cooling zr- —z;m Ventilation Hood 2.001 Permit Fee $ $ 14_� 0 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 $ _-�21 ac authorize representatives ot the County of Butte to enter upon the above-mentioned property for inspection purposes. ate Signature of ermite or Agent - Receipt No.. 72-0 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod-Appli cant 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. DIRE IC WORKS By 4, ' i Date-, 44Ce-7` :7�_3 - 4�t�permit expires Date ....... / - 464-81B,,,'P,E,M PERMIT NO. PERMIT EXPIRES OWNER John Bultema CONTR. Bel -Aire Contr., Chico ASSLSSOR PARCEL 29-24-6 LOCATION .1263 Richvale Hwy, Richvale A4� Temp. Power Pole Called PG&E Temp. Elec. Service-/ Called PG&E S Temp. Gas Service ce Per G& CalledPG& ed � JOB FIN (Daate) eC>r- Signat re V = OK .0 = Not OK - =-Not Applicable MOBILEHOMES MISCELLANEOUS * = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except #'s Da te DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requ irements-Setbacks- Easements 1. Zoning Requirements-Setbacks�Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or -Joists-Decking-Bracing-Stairs-Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-B-racing 5. Electricity; Location-Clearances-Grnd.-/ Amp-Concr�te 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap: L"ftJ /" Nat. or/ L"ft./ LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -Bl Date - Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requ i rements-Setbacks- Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'S 1. Setbac ks- Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils: Compact i on -Structure Stability 3. Gas; MH Test- Demand-Va I ve-Con nec tor 3. Pool Structure; Stee I -Connect ions -Th ickness-Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test- Regu I a tor -Con nector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.: Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged B. Elec.; Grounding; Equip.w/5'-Circulating Equip. -Pool Lghig. Boxes -Enc I osures- Pane lboards- In i. to Main in Conduit 9. Exits; Insp.-Sketch 10. Carl. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -Bl Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -Bl Date V = OK 0 = Not OK - = Not Applicable * = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR (Plans) OK except #'s bate FRAMING (Continued) Le.'5.9��ng req u ire ment s-Setbac ks- Easements 48--Pteperty Line Firewall & Openings &O�Ftg, Main; Soils-Steel-Elec. Grnd.- / / Ftg. Depth 49-'5_xt_._ftors-One X -Check Garage -3rd story, 2 exits Garage; Soils -Steel- / / Ftg. Depth eft.r-6tairs; Width -Headroom -Rise -Run -Landing -F ire Protection Ze�Ftg., Porches & Decks; Soils -Steel- / /" Ftq. Depth -fn-Stemwalls, Main; Stee I -B lockouts -Wrapped -S lab 'ST -,Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 42—.Siding-Nailing-Veneer ty. q emwalls, Garage; Stee I -B I ockouts-Wrapped-S lab 3,W41 @T.:�Stucco mesh -Drip Screed-Fdn. Vents-Underfir. Access L?O�Piers F -E 5d--G4azing Area -Glass Protecti on-Skyl ights-P last ic -&. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 55—.Shear Walls; Nailing -Bolts -gr Gas, Pipe; Size -Anchors t/7 e)ki . Water Pipe; Test-Anchors-Regu lator-Sery ice Test IC 11. Electric; Underground akl 2. Plenums & Ducts; Clearance -Material -Support -Ins. ��3. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -B! te ?-,)LO Card -BI Date Card-Bj2e�� Date,? -i5 J �' Card -BI Date Card -BI Date Card -BI Date Card-BV�,Date 3__X1 Card -Bl Date Date FINAL_LF-ians) OK except #'s Card-Blj6t,__,_Qa1e-'3_/'7 Card -BI Date Date PLUMBING (Permit) OK except #'s 1*. -,Water Ht.; Vent- Access -Combust ion Air 40,�Ext. Steps -Door & Sidelight Protect ion- Land i ngs rawware;-UnNs In- - - r—otection ,s1R1Wa1rj_ Pipe; Test & Anchors -Nail Protection JAoo*'9,W.V.; Te t- Fttngs & Anchors -Nail Protection 59. tbmd. eal I Ex Shower Pans; Test, First Floor -Tub Access 60- 5,Po _.r. & Bath Fixtures & Tub Access -*-�est Tub & Shower, 2nd Floor -Tub Access 6*"o-Elec. Trim & Subpanel; Breaker Sizes -Labels -rT.--Ms Pipe; Size & Anchors 5,)0--U[fQ&njgaOut lets at Wood Panel; Int. & Ext. Card-Bl/�;_ Date 3,-2,D :V Car�-B I Date Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card-Bl&_�ate KI Card -BI Date W.-f-lec. Outlets' & Receptacles at Kit. Counter f Date ELE��I�IA�L OK except #'s 68.-A.G Bum Be 2117 ure ��enrrnit) sformer Clearance -ins. Protection 69. Tlllcle-�omto Ac=C;ormuurur--t-.R_V-- ln,-Raoa@o+-��-Mec ion Elec. Receptacles Spacing -Lights & Switches at Doors 701�_Plb, Elec. & Mech. Equip. Listed for Location Boxes & No. of Conductors -Stapled I . 9 ea--homex installed Close to Edge of Studs & C.J. a4w,'g-quip. Ground made up w/Mech. Fasteners -Bond Gas & Water 7e,135.wmion-Foam-Looked in Attic j&Tes P0',Gya;4_Aeils & Deck Construct i on- Post Caps Circuits in Kitchen & Conductor Size ,&2&=2-XP'pliance -2&.--&wbfeed Wire Size / " / ga. Cu or Al-A.C. Wire Size ga. Cu or Al UeT:dn. Vents & Crawl Hole Odor -Drainage & Wood -Earth Clearance L_g �dunder FlogrJAIgMes 7r. --Range Circ. / / ga. Cu or Al -Oven Circ. ga. Cu or Al, .Insulated Neutral OYes El No 7�'%;Iirog inst abriv Yes EJ No; P ters ters -q@@r--&wvice-Riser Conductors & Ground -Main Disconnect - - - - - - - 7iW"Stwo—, Bq4n-FWR%*%_ �41!��uip. Clearances; Pane I s-Motors-Mec h. Equip. Disconnect-cirnces-Brkr. & Cond. Size -1 15V Outlet -40—Clothes Closet Light -Shower Light 7A. -Vents Above Roof; Plbg.-Appliance-Firepi.-Clearance to Opngs. 40.-lrx-terior Eleq. Trim; G.F.I. Receptacle -Underground Card B Z��ate Card -BI Date IMILh�2,ughout Hva"- AW, Card B-1 Date Card -BI Date gV:5�-G�l tec tio Date MECHANIS��!_ (Permit) OK except #'s nc rn �revious Inspections Du�� Z%-.�.C. t ; Insulation & Support X-4 V- R q-- r.,nnected-C/0 to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation Energy Compliance Certificate -Other Certificates 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card-B7k;-, Card -Bi 26%--Dafe-A D-�e Card -Bl Date , L�3 Card -Bl ;.$7-%- Date Card-B!(��te Card -BI Date Card -BI Date Card -BI Date Card -61 Date Card -BI Date Date FRAMMG(Plans) OK except #'s Comme nts at Final: S_i.Us; Prope Material & Anchors Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing #Y.d9:FMft Stop in Walls (rat proof) oDe-V-1r_eQ4cps; Furred ceiiings-Stairs-Chases-Tub Beam -Size & Bearing 4 --Ha -r-s- Post Caps -Anchors -Connectors 4;--C-lnWg-. fi�es-�Turlin - Roof Brac. -Truss-Shthng.-Rfnq. -TT.—Fireplace Ties or Type A Flue -Fireplace Throat -*�Fic Acces s ; Size & Romex Protect i on-Dra ft Stop -Ins. Baffles Windows or Exiting Doors -Sill Hgl. & Dimensions %Z-Iftl-age Fire Protection Framing (NOTE: Anentry must be made each time you visit job site) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE :.263 /4� BUILDING OR PROPERTY AD A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is cornp leted. If you have any question pertaining to this matter, or need additional explanation, 'please contact this office immediately. KA (--po co COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDREA A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, 'please contact this office immediately. �� P/Za , i r nl-r t P j E R S�A',-V rR-2'1"-"0rX. :V X, - i3 7 A F F. W-9.31 MY A COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 '7'C�ounty I Center Drive, Orovi Ile — Phone: - 534-4`541 Skyway and Elliott Road, Paradi'se — Phone: 872-2961, Ext. 57 CORRECTION NOTICE /,P 6--:3 141,14 L C- - 144'r, - BUILDING OR PROPERTY ADDAESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. L- 14 0- L Inspectorwo '0 Date RESIDENTIAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY COIASERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT 1-2 (,:5 Q k C_ " e . C-&., - (location) BUILDING PERMIT NO. 4" - �Sll A.P. NO. o2q_ �Z4 -0(,, THE FOLLOWING 1UNE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: Slab Edge. 0 #4 r-,,- Fdn. Walls— 1p KI A Floors 'D -f-4 enh. Walls T:Z_1 I Ceiling/Roof %Z-1!3 Ducts Circulating Pipes_ptA_Q, APPROVED HEATER APPROVED WTR.11TR. Fzxt,,-rj CLAZ ING: Single Glazed SpeLial (Insulated) CERT. & LABELED WDS. & SLIDING DRS. tqo.-n0"ChA,_ 'Ou'at- cbt WEATHERST RIPPED DRS. , — S L � G, t - BACK DAMPERED FANS V �4 r -- INTERMITTENT IGNITION DEVICES prqo, CERT. APPLIANCES I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE rNERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name 64D&y7'noaCTzXU Si -nature of (please print) 0 Insulation State Contractors License No. -3q 7 %S Ceneral.-Contractor/Ovnier Name -F,9�E:L- 4112e C0'"-7TZAaC7?->f?4 (pl�ea8e p�ri"t) Siguature of Date 15/m/81 General Contract State Contractors License No. --;I Cj *Z 5, 1 -7 THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLlNG. RESIDENTIAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT 1 -2 C. C- VA %'-t-vtna- r -- (location) A --P. NO. o2!9- !7-4 -OL, BUILDING PERMIT No. 44L4 THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: GLAZING: Slab Edge. 0 W r&. Single' Glazed Fdn. Walls 10 &1 A Special (Insulated) Floors CERT. & LABELED WDS. Walls & SLIDING DRS. tqA-nQw.3cm- 1D%3jm1- rem Ceiling/Roof tZ-19 WEATHERST RIPPED DRS. %(eRr, G. Ducts tD" et, BACK DAMPERED FANS 0 #-4 iM, Circulating Pipes_LpmQ, INTERMITTENT IGNITION DEVICES— Dr4o. APPROVED HEATER 6:xis-nme CERT. APPLIANCES APPROVED WTR.HTR. Ah.CD'Otmo I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SU&MITTED. Insulation Applicator Name- (?dDxrrrwmzvu Signature of (please print) Insulation Applicato4�� State Contractors License No. Sq 7 zS) :1 General, Contractor /Owner Name dt ge 001ArMAaCTOtM (pl�ease print) Signature of General Contractd Date Stat e Contractors L ic ens e No. -A Ck 7- S 1-7 THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. COUNTY OF BUTTE - DEPARTN&ENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT NO. * F4 F PAR4!.*LNUMBER V_ to 4�0 ING zxek &- - BUILDING PERMITC * W N�7 IW etj C_7�e", TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS C08TRA c To .el4ul-7�20Y-M,24 e 4;,o�r 0 P R1271ils-. CONTRACTO A L C',ovyCo/ Fireplace CONSTRUCTION LENDER _Fi7i�N Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 1�49 CO -0 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 56'ev Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ VO BUILD N ADDRESS PLUMBING PERMIT FilingFee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 3 gtC1W&.6 Water piping %�o LOT NO. SUBDIVISION NAME 1 ARCEL MAP 1P Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF [9""DuplexFj. MobilehomeF] Other SPECIFY Building sewer Lawn sprinkler system 5.0 0 . TYPE OF WORK NewF_1 Addition 9?'. --Remodel [P�UtilitiesEl Installation[] Other Describe, work: zpreo-c� Xw). aev. PC- L-01CAre All 0/�M[ Permit Fee $ 17, o0- Contractor ELECTRICAL PERMIT Filing Fee 10.00 main service 6111 OR LESS 100 AMP OR LESS 5.00 I .01 vek/ GI—C—Lr at/ y P.AJ Main service EA. A..'L I.. AMP 2.50 NEW CONST DWELLING OCCUP.01) OR ADDNS. ACC.BLDGS. 20 sq it 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._�?V?_ s / :7 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) 1, as the owner, am exclusively contracting with licensed 'contract- ors. (Sec. 7044) F� I am exempt under Sec.—, Business and Professions Code for this reason NEW.CONSTPL(PU LTI-OUTLET 2.50 ea NON RESID, BRANCH CIRCUITS) NEW C ONST R. /POWER APPARATUS NON-RESID. %SINGLE OUTL T CIR. Ex. Occup(OUTLETS OR FIXTURES 50 @ 250 BAL@100 (FIXED APPLN5. OR — Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ 17, !;_0 Contractor MECHANICAL PERMIT Fi I ing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I dec I are 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. F-] 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 forthwitn Comply with such provisions or this permit shall be deemed revoked. Heating . 1eC-t_e2C47-C- 7,) J/&F Cooling Hood 3.00 Ventilation Permit Fee S 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 and keep harmless the County of Butte against kall, liabilVities, j dg e ts, costs, and expenses which may in any way accrue a. I ni nty , onsequence of the granting of this permit. D te ---- / �:Z:2 oe�� I Signature of Applicant — OwnerEl Contractor Agent F-1 An OSHA permit is requi . red for excavations over 5'0" deep and demolition or construct- ion of structures ove�3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 0 !�o ZP. GROUP I TYPE OF CONST. I IPARCELI PO This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE R F PUBLIC . . 4� iq By A =Aa.—Date PERMIT EXPIRES Date the applicable provi7 resolutions to do fees have been paid. WORKS 1 'a — ?_ — Z—z—al Receipt No. WHITE-O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD-APPL I CANT COUNTY OF BUTTE -,DEPARTMENT OF PUBLIC WORKS PERMIT NO 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541Z -��6 APPLICATION AND PERMIT -Z2, ASSES 8 1- Fb So P E L* Z7B C� G 411 �4 H . L�l BUILDING PERMIT O.N.All�'a I t - 13 y - a TELEPHONE SQ. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS C?gRA)TO.R4NAME - . ive— MCI, ts C�q . NTRA TOR'S MAILING ADUR:7ESS Al C 95 e 6 'n IF r=s_�J -W;:;D e 4 Fireplace CONSTRUCTION LEtJDER Y o -A TINKNOWN Total Valuation -7s- Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR_ ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS IQ 6, R I a�� e PLUMBING PERMIT FilingFee 10.00 - Each Trap 2.00 00 C) Repair drainage or vent piping 5.00 water -piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF[90."�bupIex[--1 Mobilehomen Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New n Addition PA modelE] u 'I't-es 0 Installatio Other Describe, work: 1n, I no k- IM ,Permit Fee $ loo Contractor ELECTRICAL PERMIT FilingFee 10.00 main service 6001 OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD -L 100 AMP 2.50 NEW CONST. DWELLING OCCU OR ADDNS. ACC. SLOGS. P-51) 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): J< 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.6q2 :91:7 Classification Z 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) F1 I am exempt under Sec. Business and Professions Code for this reason NE W CO N S T P- M U 177MO U —TL E T 2.50 ea .0 N -RE S, � BRANCH CIRCUITS) NEW CONSTF;L I POWER APPARATUS.&) NON-RESID. % SINGLE OUTLET CIR Ex.. Oc LETS OR FIXTURE 50 @ 25C C=UPOUT S BAL @ lot Ex. Occup. (FIXED APPLNS. 0 R OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 1 Permit Fee $ Contractor MECHANICAL PERMIT Fi I ing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): R The permit -is for $100.00 (valuation) or less. jZL 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 th.e.W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Venti lation 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 ot 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 ag. ai. oi��in consequence of the granting of this permit. , . .. 4 ;�� - — , - Date Signature of Applicant — Owner Contractor 9 Agent F1 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 $ TOTAL PERMIT FEE $ /K o o OCCUP. GROUP I TYPE OF CONST, IPARCELI OD [ No I ISSUE This permit is hereby issued under sions of the Butte County Code and/or Work indicated above for which By D!�F, PUBLIC PERMIT EXPIRES Dat the applicable provi7 resolutions to do fees have been paid. WORKS Date.,5 --43 Receipt NO. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD-APPL I CANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-45Z411 2�ow APPLICATION AND PERMIT P A ASSESSOR., RCEI NI — ��4 _&BER ZONIN +A?.A4-q-*- BUIWDING PERMIT Umw TELEPHONE_— SQ.FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME Z)ANIC-i- hLEAL- PLVA4&A14 TELEPHONE 13 45- Z/ CONTRACTOR'S MAILING ADDRESS krl 7- 13OX 3Z*714 Fireplace CONSTRUCTION LENDER 41-L4�� OWN Total Valuation i$ Filing Fee $ 10.00 LENDER'SMAILTNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR "GINEER'S MAILING ADDRESS Permit fee $ BLJ�DING AJ?DRESS im 11,5 /40 PLUMBING PERMIT FilingFee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 VA Z -C— Water piping LOT NO. SUBDIVISION NAME 1 PARCEL MAP 1 Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF 9--� D . uplexM Mobilehomen Other SPECIFY Building sewer ' Lawn sprinkler system 5.00 Vo .00 TYPE OF WORK NewEl Addition Remodel[]- UtiliVes[:] InstallationE] Other, Describe work: L 14-4 Aw /V � -M IVIVEPO� Permit Fee 6 d Contractor ELECTRICAL PERMIT Filing Fee 10.00 600V OR LESS Main service 100 AMP OR LESS 5.00 Main service EA. ADD -L 100 AMP 2.50 NEW CONST. (DWELLING OCCUP.01) OR ADDNS. ACC.BLOGS. 20 sq ft CONTRACTORS LICENSE LAW I dec;1arq,,,d'hder penalty of perjury (check one): 1 aim licensed under provisions of Chapt. 9, Div. 3 of the Business and Professi y license is in full-�force,�- ffect. License No. Classification t ( �Zne 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) 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) El I am exempt under Sec.—, Business and Professions Code for this reason NE W C ONSTFL MULT'-OU L E T 2.50 ea N 0 N -R ES'.. ( BRANCH dTI RC. ITS) NEW CONSTFL ( POWER APPARATUS.&) NON-RESID. SINGLE OUTLET CIR 50 @ 254� Ex. OccUp,(OUTLETS OR FIXTURES BAL@10� (FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15-00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Fi I ing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare u9der penalty of perjury (check one): El he permit is for $100.00 (valuation) or less. III 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 orthis permit shal I be deemed revoked. Heating Cooling Hood 3.00 Venti lation Permit Fee Contractor I certify that I have read this application and state that the above information is correct. ree to comply to all County Ordinances and State Laws relating correct ree t' to buildin co struction, and hereby authorize representatives of the County ot bu''d'n sruc Butte to ter on the above-mentioned property for inspection purposes. I also ree to ave, indemnify and keep har less the County of Butt against ep har le ss the "o alil lia i2 S ,s� �a exp es which may in any w accr III 'ties, udgments, co exp t , aid C unty t rmit a, t ran I f t h i'� :gai 'A in wns ranti f t his pez X te Xignature of Applicant — OwnerEl Contractor Agent An OSHA permit is required for excavations over 5'0" deep and dezition /orconstruct- ion of str ctures over 3 stories in height. - Mobile Home Installation Fee $ TOTAL PERMIT FEE $ %Llu 0 0 OCCUP: GROUP TYPE OF CONST. I 1PARCELI Pa 1 1111 1 ISSUE Thi t s hereby issued under 'IS R sio o9the 'Butte County Code and/or wo in te ab e for which I TOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do' fees have been paid. WORKS Date '1-13 -S-1 IF 2-- Receipt No.— 5oz--1 l(, WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD-APPL I CANT " p I .". MI!ki"'UNT "'A' "IMP, Iq " , %v.A"'__-'_"7 J,�':,' ", "i". I", ', V� ''�'.' ,� it , I �, � , I , 0 4j" '� . 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