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Home My WebLink About030-110-03930-11-39 Douglas French 1432 18th St., Oroville Permit #610-81B(new"pri.det. garage) 030'` 1;170-039,.93-6 8 B DENNY;'FRANCES A " 1432 18TH ST, OROVILLE. -4 - CONTR: STILWELL ROOFING, REROOF/SF / 4 N aN ? Yfi IS.i rq "• h� h _ �. 03D -tel' A D l ,I. FRENCH, 'Douglas 300-67B 0-11-3 1432 18th St'Or ,Oro ille `(add carport) ;(., :.,;`{.dt.r'firh�l,�+'°S.'``;�:p-,.,�'.i:9�./y r'':.+"r.`,•.`. r Jlri^L. .. �� :ay;:��..: r'`"tlt. ,_ . 5..r-,a'_..'�•� � :�r.-ti A ,.._�;` {.:iit i.' ..r+- � :��; _ 030-11-0-039 93-618 B DENNY, :FRANCES i 1432 18TH ST, OROVILLE ct CONTR: STILWELL'ROOFING REROOF/SF i, T } t 1 .. , J �f COUNTY OF BUT D P TE - E ARTMEN I OF PUBLIC WORKS• • PERMIT NO. „s 1 7 County Center Drive - Oroville, California 95969 —Telephone: 916/538-7541,.- /_ /8 APPLICATI6WAND PERMIT (Q l ASSESSOR 1139NUMBER o J�(A�7- ZONJ,jJG BUILDING PERMIT OWNER Frances Denny T.iW—J�� SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1432 18th St., Oroville 95965 17 A 60 1,20n.M CON Stillwell Roofing TTI—Pm CONTRACTOR'S MAILING ADDRESS P.O. Sox 1052, Magalia 95954 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 1$1.200.00 LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 15,00 Permit Fee $25.00 Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 40.00 1432 18th St., Oroville PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF E4 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ] Remodel ❑ Utilities ❑ Installation[] Other Describe work: Reroof w/Comp. Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): Ro"I am licensed under provisions of Chapt. 9, Div. 3 of the Business and ProfeEsions Code and my license is in full force and effect. ' License Nc.- 9--� Classification C w-, I, as the owner. or my employees with wages as their sole compen- sation, wil do the work,and the structure is not intended or offered for sale. (Sac. 7044) El1, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7744) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200ATOI000AI 37.50 NEW CONST. ( DWELLING OCCUPM 3.64 sq.ft. OR ADDNS. ACC. BLDGS. NEW CONSTR. M ULT' -OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 (POWER APPARATUS e) l SINGLE OUTLET CIR. 20 76 Ex. Occup(o OR FIXTURES FIXED A EX. Occup. OUTLETS (RESID,)REA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penal -y 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 t:) 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: f after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to ,-ompiy 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 all liabilities, judgments, costs, and expenses which may In any way accrue against�sa'dCounty in con equence of t granting of this permit. XC" Date /-.4 Sig Or— of Applicont�— ' Owner ❑ - ContractorX Agent ❑ An OSHAwOfk permit is requoied for excavations over 5'U'" deep and demolition or construct- ion of structures over 3 s-ories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 40.00 HA2 1 0FEES I IMP FLOOD I CDF PARCEL I PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Bvpte County Code and/or resolutions to do In dIC ted a�vfor which fees have been paid. RE TOR OF PUBLIC WORKS By PERMIT EXPIRESDate // ' Date r / .129y5b Receipt No. WHITE-D.P.W., YELLOW-ASS'!SSOR,PINK-INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. _3-6 / j. ASSESSOR PARCEL NUMBER 030-110-039 ZONING AR BUILDING PERMIT OWNER Frances Denny TELEPHONE 534-5186 SQ, FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1432 18th St., Oroville 95965 17 60 1.200.00 CONTRACTOR'S NAME Stillwell Roofing TmPnn CONTRACTOR'S MAILING ADDRESS P.O. Box 1052, Magalia 95954 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 0 LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 15,00 Permit Fee Plan Checking Fee $ .00 $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 40-0 1432 18th St., Oroville PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF [X Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I GW @ 15.00 TYPE OF WORK New Addition❑ Remodel❑ Utilities❑ Installation❑ Other® Describe work: Reraof w/Cemp Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR 200AORLESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of er ur P Y perjury y (check one): 01,_1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profess s Coe and my license is in full forcck and effect. r� License No. Classification i, as the owner. or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ElI, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200ATOI000A) 37.50 NEW CONST. ( DWELLING OCCUPM OR ADDNS. 1 ACC. BLDGS. // 3.64sq.ft. NEWNON.RESICONSTR U TI.OUTLET D BRANCH CIRCITS @ S.00 /POWER APPARATUS 0\ \ SINGLE OUTLET CIR. l Ex. OCCU OUTLETS OR FIXTURES P� 20 76 Ex. Occup. OUTLETS FIXED P(RESID )REA.) .3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shal I not employ any person in any manner so as to become subject to the W. C: laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filirig Fee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyof Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against sa'd County in con equence of t granting of this permit. X C ' Date -3 — �� — Sig ure of Applicant — Owner ❑ Contractor � Agent ❑ An OSHA permit is required for excavations over 5'0'" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 40.00 tiAZ DFEES I IMP I FLOOD I CDF PARCEL I PO HD ISSUE This permit is hereby issued under the sions of the B e u Code and/or work Indic o or which fees E R OF PUBLIC By PE PIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 129758 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER t� L� GTS �7 %�/�/y `/ ! A. B',No. Proposed Building Use 11&212 Building Inspector Date Z `7 At time of per it application, I was advised the following data must be submitted prior to permit processing and/or issuance: 1 i DATE RECEIVED BY 1. All items have been submitted.f........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . ......................�... . 3_ Complete plans, 3/4 sets, signed by preparer of plans . ..................... . .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form. ? ...................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). ...PfelAsp*e'cgo; r64 est 20. Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner )............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28' Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. ail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant �' Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent i lealth Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COMPLAINANT: ADDRESS: PHONE NUMBER: OTHER COMMENTS• 610-81B PERMIT NO ------------- ?6 PERMIT EXPIRES OWNER Douglas French CONTR. owner ASSESSOR PARCEL 30-11-39 LOCATION 1432 18th St., Oroville Temp. Power Pole Called PG&E Temp. Elec. Service Called ,PG&E J Temp. Gas Service Called PG&E Z JOB FINAL ED" (Date) Signatur ' = OK = Not OK . = Not Applicable MOBILEROMES = •Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 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.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"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 -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except H's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except q's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -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 -Regulator -Connector 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 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date 3 J = OK , 0 = Not OK Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready _ Date U RFLOOR Plans OK except #'s Date FRAMING Continued 1. Zoning requirements -Setbacks -Easements 4 roperty Line Firewall & Openings 2. -Ste -Elec. Grnd.- / /" Ftg. Depth 4 xt. Doors -One 3' -Check Garage -3rd story, 2 exits 3- ., 3. F G ; S -Steell / .2 /" Ftg. DepthHeadroom-Rise-Run-Landing-Fire Protection 4. Ftg., Porches & Decks; Soils -Steel-./ /" Ftg. Depth 5 lywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab iding-Nailing-Veneer 6. Stemwalls, Garage; Steel-6lockouts-Wrapped-Slab 59�'StIIi'Co-Mesh�Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel tg a -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test hear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test-Anchors-Regulator-Seryice Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples C -Bl Date If - Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date -/3,jt,-, ) Card -BI Date // Date FINAL ISns) OK except q's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except p'so 14. Water Ht.; Vent- Access-Combustio r 5 xt. Steps -Door & Sidelight Protection -Landings e etector Sn Eumaco' vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors- Protection 16. D.W.V.; Test-Fttngs & ors -Nail Protection 17. Shower Pan; Test rst Floor -Tub Access Beth Fixtures & Tub Access 18. Test Tub & S er, 2nd Floor -Tub Access m-&-Subpanel; Breaker Sizes -Labels 19. Gas PiP,2!!, ze & Anchors 62 --- 6 Fireplace or_Stove; Clearances -Hearth 64rE4ec"Oatlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 6 & Appliance; Grnd.-Air Gap -Cooking Clearance Card;.69' Date Date Card -BI Date ELECTRICAL Permit OK except q's 66rc1ccweTets & Receptacles at Kit. Counter BTr Qaragtire Door; Swing -Landing -Closer Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 60--4*r.-Firr.l7ents-Clearance-Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at D 7g-PtD" "E2a,& Mech. Equip. Listed for Location 71 ceptacles in Garage; (G.F.I.)-Romex Protec. 22. Size Boxes & No. of Conductors -Stapled 23. Romex Installed Close to Edge of Studs .J. - 24. Equip. Ground made up w/Mech. Frs-Bond Gas &Water 25. 2 Appliance Circuits in KitcheDCConductor Size 26. Subfeed Wire Size / / g u or AI-A.C. Wire Size / / ga. Cu or Al lion -Foam -Looked in Attic E3 Yes 71_6nerd-Rails &Deck Construction -Post Caps 74.-VUnTss& Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. 006 or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral Yes El No 75, Following instl : Drive es ElNo; Walks ETYes E:)No; Planters es 0 N 28. Service -Riser onductors & Ground -Main Disconnect 76--gMcror,.Brown-Finish 29. Equip. Cl an es; Panels-Motors-Mech. Equip, a7,; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothe Closet Light -Shower Light 78--Vents-Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 74-40er Weit,-Disconnect, Electrical, Plumbing 815-64ta&oc_E4ec. Trim; G.F.I. Receptacle -Underground Card B-1 Date Card -BI Date i ation throughout House 83.-6+e9sPtS'fec t i on Card B- Date Card -BI Date Date MECHANICAL (Permit) OK except N's 1112-IC-orrections from Previous Inspections 84_ -Gee -Tv -a+ -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support / 85.yyer Connected -C/0 to Grade -HD Approval ._. 32. Vent Fan; Exhaust above Insu a ion 86.-Fse1g*-ftmpliance Certificate -Other Certificates _ 33. Condensate Drain & Overf ; Size & Grade 34. Furnace -Vent; Acce - omb. Air -Return Air Vent -115V outlet 35. Attic Access U.4fiform if Furnace in Attic We-- C BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI to _ Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRA G(Pla sr() OK except q's Comments at Final: ts; Proper Material & Anchors a? -'.-Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 30�-6e&-mg Walls over Girders & Floor Nailing 39:--Baa1t-Stop in Walls (rat proof) _46-FfPrSlo�s; Furred Ceilings -Stairs -Chases -Tub 4L/Fleader & Beam -size & Bearing 42- Banners -Post Caps -Anchors -Connectors 4�ng. Joist-Rftr. Ties -Purl in -Roof Brac.-Truss-Shthng.-Ring. 44---F4rep+acETies or Type A Flue -Fireplace Throat 4 c ccess; Size & Romex Protection -Draft Stop -Ins. Baffles 4dows or Exiting Doors -Sill Hgt. & Dimensions 4 arage 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 IL/ BUILDING OR PROPERTY ADDRESS 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,tor'n`eed additional explanation, please contact this office_immediately. �. \. ,.•./-7� ,T"`..Y�'�, .P� I ,� �/',J�7 i.�i \-'1. )�+�/.ci .- � 7 lit'/ �M'�: ^_? V / � t Inspector �- } ✓ " Date — ),I— COUNTY OF BUTTE - DEPARTMENT Of: PUBLIC WORKS PERMIT N j 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 !/ APPLICATION AND PERMIT AA ASSESSOR PARC EL dJUMB ER _ _ ZO ING _Z BUILDING PERMITIFV O WNE ! 1 TELEPHONE r SQ. FT. OCC. BUILDING VALUATION OWN MA ING ADD SS ^ J iv\ Ik E4 CIMCTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace, CONSTRUCTION LENDER UNKNOWN Total Valuation I $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER 19' LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESSSS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 TD 1 Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRU� URE SF ❑ Duplex[]Mobilehome❑ Other ► 11 �� _ C'b'e_-) Y SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New Addition❑ Remodel❑ Utilities❑ Installation❑ Other❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service OOOV OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 -NEW CONST. DWELLING OCCUP.011 OR ADDNS. ACC. BLDGS. 2� sq ft 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. (cense No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR I.ou LET 2.50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR. ( POWER APPARATUS D) NON-RESID. SINGLE OUTLET CIR, Ex. OCCUp OUTLETS OR FIXTURES gAL� oo (FIXED APPLN5. OR Ex. OCCU p. OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 • Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or.a Certificate of Consent to Self -Insure. ® I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith Comply with such provisions or this permit shal I be deemed revoked. Heating 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 all liabilities, judgments, costs, and expenses which may in any way accrue. again aid Cou ty in c sequence of the granting of this permit.v n— 23 _�f X Date e;C Signature of plicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee. $ TOTAL PERMIT FEE $ O O OCCUP. GROUP �,� TYPE F co ST. 1,J PARCEL Pb HD 15suE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC R OF PUBLIC BY P IT 6XPtRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date �� `�y�� 1.�7✓� `C7 Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT