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HomeMy WebLinkAbout030-200-082' - � � ~ ' , .. ` ` ' ` � �v ^ � J' ' . | ^ | r\ � /\ | / . � |' | , � . / ' . / / r . . FOOD 3TORE A.P. 30-2 JI 1408: 0_ D -- Blvd-W-� - - Or. ovillew .............. e 3 5Z -73B (new com.grocery storej 1408 Oro ?a vd Permit Ae99-73P(transfer conk 30-2N 2 .EZ SERVE fl"YWI Contr: Western Meter Service Permit 4 6462-76E(inst. gas pumps) grocery & gas station 30-20-82 Jiffy Food Stoke, -;A Of 1408 Oro Dam Blvd.West, Oroville rPermit #2736-81B(reroof/store) t7 30-20-82 Contr: Givens & Sons, Oregon House Permit#1526-85B(redesign marquee/food � � � ~ ` B __~~ � ` ` ` � ' �� o 0 COUNTY OF BUTTE — DE,�ARTMENT OF PUBLIC WORKS 7 County Center Drive -;' Oroville, California 95965 �; i' Telephone 534-4541 / ; APPLICA 1101,7 AND PERMIT autrlorize representatives of the County of t3utte to enter upon the above-mentioned property for inspection purposes. S F �vrl, Lfr�'F� G�l4t�£o� X r� IiA��-+'Gai �` . ,lam ' Date Signature of PerCm—fee or Agent Receipt No.� �L 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—/ Z - B� ilding permit expires Date /Z ' F BUILDING Owner j5- ---7 SQ. FT. OCC. BUILDING VALUATION r Mailing Address Telephone No. Fireplace Contractor f���� rl/'° Total Valuation Mailing Address �� 5� Gr ? Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address „i PLUMBING No. @ FEE PERMIT FILING FEE $3.00 fL.�'C./)%,•, % 1 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. _ . _-- Zoning.$, -Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 FSr I� Sani.tatioi Fire Dept. Fire Zoe '77eYt}iitS Building sewer 5:00 EQA Parking Plans -- Parcel Declaration parcel Ma p 60' R/W Im provements Lawn sprinkler system 2.00 BI'do 'Ptar>is-Reid I Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 , (-41„/1,/ A +r Main service 600V OR LESS 100 AMP OR LESS 5.00 / Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ❑ Others,Q Main service OVER 1100 AMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW CONST. DWELLING OCCUP. & OR ADDNS. (ACC. BLDGS. ) 20Sq ft NEWCONST' NON.RESID R. (BRANCH CIRCUITS) 12.50ea "a NEW CONSTR. POWER APPARATUS & ' NON-RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: _ �' //m Ex. Occup(OUTLETS OR FIXTURES)@ 294 BALD/ Ex. OCCU FIXED APPLNS.D.) EA) 2.00 OR Occup. (RES[.D.) Temporary service 10.00 Mobile Home Facilities 15.00 �y�✓ License No.�J� /3 �Jy .� Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors ly se Laws of the State of California. Permit Fee $ 5G $�; WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ, any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ �C autrlorize representatives of the County of t3utte to enter upon the above-mentioned property for inspection purposes. S F �vrl, Lfr�'F� G�l4t�£o� X r� IiA��-+'Gai �` . ,lam ' Date Signature of PerCm—fee or Agent Receipt No.� �L 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—/ Z - B� ilding permit expires Date /Z ' F COUNTY OF BUTTE — DE-PAUMENT OF PUBLIC WORKS R r 7 County Center Drive - 5 le, California 95965 Telephone: 534-434-4541 APPLICATION IID PERMIT .+uu w„ -c ,cNicaeniauves OI LIC bounty UI Butte to enter upon the apove-mentioned property for inspectioi purposes. �-' •'�`� Date Signature of Per tee or Agent Receipt No. T�--3 -4 d' �L 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 OFABLIC WORKS BY Date 7L � �Z� ✓ 130//ding permit expires Date BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Maili g Address Permit Fee Plan Checking Fee&/or Penalty ' TelhN e on o. _ Permit Fee Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 C A. P. No. o -Fn anning Gas piping system 1 - 5 outlets 1.50 Each addi Tonal outlet .30 F Fire Dept. Fire Z a �_ e� Building sewer 5.00 EOA plans Declaration Parcel Map 60' R/W Improvements_ -,Lawn sprinkler system 2.00 Breg-'Ptinm flet -4! I Parcel Approval I Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE J$3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ❑ 41 P Others Main service OVER 600V 100 AMP OR LESS 25.00 Main service/ EA. ADD'L 100 AMP 1.00 EW OR ADONST ACCDWE•BLDGS.LING CCUP. &) 2¢.sgft NEW CNST R. MULTI.0 UT LET NON.FCESI D, BRANCH CIRCUITS)12.50ea NEW CONSTR. POWER APPARATUS &) NON-RES,D. (POWER OUT ET CIR. 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 t style � %f ,� 4: (�.J�i •'i(jJ��/ _U L//."L,� ,/� "+ 'Q Ex. Occup(OUTLETS OR FIXTURES) @� BAL@1 Ex. (OUTLETS (FIXED PR ESID )RE A) 2.00 TemporOccupary Temporary service 10.00 Mobile Home Facilities 15.00 �� /�Q + License No.9,7 Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ SIC$ 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. [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.1 @ FEEPERMIT FILING FEE J$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 .+uu w„ -c ,cNicaeniauves OI LIC bounty UI Butte to enter upon the apove-mentioned property for inspectioi purposes. �-' •'�`� Date Signature of Per tee or Agent Receipt No. T�--3 -4 d' �L 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 OFABLIC WORKS BY Date 7L � �Z� ✓ 130//ding permit expires Date i PERMIT NO. 1526-85B i PERMIT EXPIRES (O //,q //J C, i' OWNER JIFFY FOOD STORE ' CONTR. Givens & Sons, Oregon House � ASSESSOR PARCEL 30-20-82 ,. LOCATION 1408 Oro Dam Blvd, Oroville ' Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Sei til Cal led PC G JOB FINALE[ Signature 0 V1 •OK - 0 = Not OK = Not Applicable MOBILEHOMES - Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -.Easements 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 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 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 N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except k'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- Enc losures- Pane lboards-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 -81 Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date Mf J = OK 0 = Not OK -'= Not Applicable * = Not Ready RESIDENTIAL (Single and Duplex) )ate UNDERFLOOR (Plans) OK except N's 1. Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Dept 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 6. Stemwalls, Garage; Steel -Bloc .uts-Wrapped-Slab 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -T -2 way C/O -Sewer Test 9. Gas Pipe; Size-Anc s 10. Water Pipe; Test nchors- Reg ulator-Service Test 11. Electric; Undpirground 12. Plenums ucts; Clearance -Material -Support -Ins. 13. Girders ills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air Date Card -BI Date 15. Water Pipe; Test Anchors -Nail Protection Date Card -BI Date 16. D.W.V.; Test ttngs & Anchors -Nail Protection 17. Shower Pap/Test, First Floor -Tub Access 18. Test T & Shower, 2nd Floor -Tub Access 19. Gas ipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth Card -BI 64. Date Card -BI Date Card -BI 65. Date Card -BI Date Date ELECTRICAL (Permit) OK except N's Elec. Outlets & Receptacles at Kit. Counter 20. Fixture & Transformer Clearance -Ins. Protection Garage Fire Door; Swing -Landing -Closer 21. Elec. Receptacles Spacing -Lights & Switches at Doors A.C. Duct in Garage -Damper 22. Size Boxes & No. of Conductors -Stapled Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 23. Romex Installed Close tofEdge of Studs & C.J. Plb., Elec. & Mech. Equip. Listed for Location 24. Equip. Ground made ug /Mech. Fasteners -Bond Gas & Water Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 25. 2 Appliance Circuit in Kitchen & Conductor Size Insulation -Foam -Looked in Attic ❑Yes 26. Subfeed Wire Size / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al Guard Rails & Deck Construction -Post Caps 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neyfral ❑Yes El No Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 28. Service -RL er Conductors & Ground -Main Disconnect Following instld.: Drive ❑ Yes (-]No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 29. Equip. earances; Panels-Motors-Mech. Equip. Stucco; Brown -Finish 30. Cloths Closet Light -Shower Light A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Card B-1 Date Card -BI Date Card B-1 Date Card,, -BI Date Date MECHANICAL (Permit) 0 except q's 31. A.C. Ducts; Insulation & Support 83. 32. 33. Vent Fan; Exhaust above Insulation Condensate Qrain & Overflow; Size & Grade 84. 34. Furnace-tj nt; Access -Comb. Air -Return Air Vent -115V outlet 85. 35. Attic Agdess & Platform if Furnace in Attic 86. Energy Compliance Certificate -Other Certificates Card -BI ate Card -BI Date Card -BI Date Card -BI Date Date FR G Plans OK except q's s; Proper Material & Anchors 38. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing 3op in Walls (rat proof) 40 -F -Fe Sto s; Furred Ceilings -Stairs -Chases -Tub -41:- Bader"`& Beam -Size & Bearing -Post Caps -Anchors -Connectors W. 4 Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfn_g._ _ place Ties or Type A Flue -Fireplace Throat 45_-AA+tc Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46.�Windows or Exiting Doors -Sill Hgt. & Dimensions 47. -Daratltrrire Protection Framing Date FRAMING Continued 48�Property Line Firewall & Openings 49. Moors -One 3' -Check Garage -3rd story, 2 exits Srs; Width -Headroom -Rise -Run -Landing -Fire Protection 5t/Plywood on Roof Overhang -Attic Vents -Rafter Outriggers -52-.-Siding-Nailing-Veneer 53. -Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 54!13I'a`zing Area -Glass Protection -Skylights -Plastic -55.-Shear Walls; Nailing -Bolts Card -6 Date („A!//'Mard-BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. 58, 59. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic ❑Yes 73. Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following instld.: Drive ❑ Yes (-]No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 76. Stucco; Brown -Finish 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. 82. Ventilation throughout House Glass Protection 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 86. Energy Compliance Certificate -Other Certificates Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Coprgiepis at Final: (NOTE:Anentrymust be made each time youvisit jobsite) f;. COUNTY OF BUTTE fr, _ DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 , 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57. CORRECTION NOTICE OWNER PERMIT NO. 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 immeMately. Inspector__ Date_ X COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville,'ClaliforMar 95965 - Telephone 916/534-4541 5 APPLICATION AND PERMIT ASSESS PARCEL UMBER -� ZONI BUILDING PERMIT OWN y `r& TELEPHONE S . FT. OCC. BUILD NG VALUATION OWNER'S MAIL G A/DRES - ftJ r CONT ACT R'S N ME TEL P ON 06 cl- n Y - CON ACT R'S MNG ADDRESS Fireplace CONST CTION LENDER 0 V (A- UNKNOWN Total Valuation is FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCH OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARC 11111 ECT OR ENGINEER'S MAILING ADDRESS Permit fee $ .s - BUILDING ADDRESSf � n PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE _ �t SF ❑ Duplex ❑ Mobi lehome ❑ Other % 1 Q ("l? SPECIFY Building sewer 5.00 Mobile Home S G W 1 10.00 e TYPE OF WORK New* Addition❑ rRdenl Utilities ❑ In ation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC, BLDGS. t 220sq ft CONTRACTORS LICENSE LAW I declare.0 der penalty of perjury (check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professio s C de and y license is in full force and effect. /� License No. `' 3 Classification 6 ❑ 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 _(MULTI -OUTLET 2.50 ea NO N.RESID BRANCH CIRC ITS NEWCONSTR. /POWER APPARATUS & NON . RES I D. (SINGLE OUTLET CIR. Ex. Occu 20®s0e P(ourLErs OR FIXTURES 9AL®ao FIXED APPLNS. OR EX. OCCUp. OUTLETS (RESID.) EA,) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate Consent to Self -Insure. �f' u shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 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 agai t said County in o quence of the granting of this permit. X ( ZG%- s� Date Sig otu of Applicant — Owner ❑ Contractor gent ❑ An OS A permit is required for excavations over 5'0" deep and demolition or construct- ion f tructures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUPTr�� COg15T. ,A,`/,J PARCEL -� PD HD ISSoy This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIR OR OF PUBLIC By / POM IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS ,- Date �—/ Recei t No. P WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT V-736-�0 q® g, �,►� l� LAr 4 i A 5 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ' 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBEIR - ZONING ' BUILDING PERMIT OWNERd _ J 1rL r l , `�r' TELEPHONE SQ. FT. OCC. BUILDING VALUATION { t 1. 1 •. .f 1 I OWNER'S MAILING ADDRESS CONTRACTOR'S NAME / , TELEPHONE CONTRACTOR'S MAIL NG ADDRESS CONSTRUCTION LENDER trD UNKNOWN Fireplace Total Valuation Is l Filing Fee $ 10.00 LENDER'S MAILING ADDRESS ` - Permit Fee $ /G% -- ARCHITECT ARCHITECT OR ENGINEER f-� LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ -', c c. BUILDING ADDRESS' PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE_ J SF [:]Duplex❑ Mobilehome❑ Other ! I +' SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ ldtilities ❑ Installation[] Other ❑ Describe work: 4'- �-,�r'+ ,rf f.-.? t r �' f �!8001 l N ,r Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 OR LESS Main service 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.y) OR ADDNS. 1 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 nd y license is in fulforce n� License No. Classification LI, as the owner, or my employees with wages as thei�le 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 ...RES,., N-RESID BRANCH CIRCUITS) NEW CONSTR IPOWER NON-RESID. %SINGLE OUTLET CIRAPPARATUS 6 , �0asa Ex. Occup( OUTLETS OR FIXTURES BALP1 IXED APPLNS. OR Ex. QCCUp.�OUTLETS (RESID,) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 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 shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in con se uence of the granting of this permi .° / r,This X _1 ��/� J /1 It l.L%�r� Date 71,2JAV Signature of Applicant — Owner ❑ Contractor 2 Agent An OSHA permit is required for excavations over 5'A ' deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF cONsT. PARCEL PD HD 99UE permit is hereby issued under sions of the Butte County Code and/or work indicated above for which 1 DIRECTOR OF PUBLIC / 1 By. PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 7-� �-� Receipt No. 7`- > WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSPERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 �� r / APPLICAT��J111 'ASD PERMIT ) '('cT ASSESSOR PARCEL NUMBERti 30 — 20 � _ ZONING e,— Z_ BUILDING PERMIT OWNED ` TELEPHONE SO. FT. OCC. BUILDING VALUATION L OWNER'S MAI ING ADDRESS CONTRACTOR'S NAME G- IOW C N ad TELEPHONE — aq — CONTRACTOR'S MAILING DDRE Z36 S`_ vc�t �. Fireplace c Total Valuation $ CONSTRUCTION` LENDER UNKNOWN Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ (j�'ri ARCHITECT OR ENGINEER'aLICENSE K NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 20.00 BUILDING ADDRESS 440S (2�^ DT � ul-eJ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 �� • Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets USE OF STRUCTURE No' P SF ❑ Duplex❑ Mobilehome❑ Other 5 SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition❑ model ❑ pilities [_1Installati 4 h Describe work: 1P_ r, -040'i W�F�� p'F• _tea D e i1 �0�. �� t/ / / -Lr 0 1 N fffVVV Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee , .10.00 Main service 100 AMOR LES SLESS 5.00 P ORS Main service EA. ADD'L 100 AMP 2.50 NEW CONST. /DWELLING OCCUP.y) 22 sq ft OR ADDNS. \ ACC. BLDGS. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): rid I am licensed under provisions of Chapt. 9, Div. 3 of the Business50 and Professions Cod d y license is in full .force and effect. License No._7 Classification � -- �� XI, 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR -OUTLET 2,50 ea NON.RESID BRANCH CIRCUITS) NEW CONSTR POWER APPARATUS 6 NON.RESID. SINGLE OUTLET CIR. @ zsa Ex. Occup OUTLETS OR FIXTURES BAL@IOC Ex. OCCU p OUTLETS PLNS (RESID )REA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Mi sc. 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 shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 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 authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabiliti judgments, costs, and expenses which may in any way accrue against d ounty in conse a of the granting of this permi X / 7 Date Signature of Applicant — Owner ❑ Contractor M Agent ff 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 $ 0= 2Q, Occu P. GROUP TYPE OF CONST. PARCEL PD HD ISSUE ✓ This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. �IIR OF PUBLIC WORKS (J , By Date PERMIT EXPIRES ate — Z/—IoT Zi Receipt NO. J zSA7� WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT 346 �(N)LFaG all rrEd yo �P �. W 3/nxs�i"L. /G ��o !. 6o FTA0gp��� U � t 6�G � gYecl.cvs MI! I CU/Oft t A04a►' 7-rh 3l8'� (ge This set of plans and specifications MUST be kept on the iob at all times and it is unlawful to m, 063 any ch.onges, or aiteratior,g on same without Written porm:ission from the Department of P Worlrs, County of Butte. 1) 6 � QPM f � Hca NOTE:—All Materials & Workmanship Shall Be in Accordance with Recognized Good Practices and of a quality prescribed for the Specified use in the -� Uniform Building, Plwmbing & Mechanical Codes and, N tae National Electrical Code. f /5-21 BUTTE �S UN 501 13V . 6w XS. - 4. , lee, 4 .4e & oko all r ®r �Lo j jl�l 30 A -I Lxj-;.•4 Zt i r Va Il eDX www �/CQL� llaOti c/$ ,fes `l L. 3—l6 -d ro Xe o .v rig p gy, wt 2 k qoP 2y , .i-..� .-.>; x ..sem. -.. N• -^� , •. 9 � � � i i 1 � i PERMIT NUMBER _ B 395073B -a: P E PERMIT EXPIRES I/-tet -717L 17L owNER Jiffy Food 'Store CONTR: Owner LOCATION (A.P. 30-20-75 1408 Oro Dam Blvd. West$ (roville, 7 a :i L r k 1 4C Zoning _ Foundation Rgh. Plumbing Rein. Steel Framing Wtr. Htr. Firewall ELECTRIC Temporary ` Final > DATE r COUNTY OF BUTTE Department of Public Works BUILDING INSPECTION, RECORD Setback Piers & Girders Bond Beam Gas Piping & Test "!— Plmg. Topout 0 --' Furnace Garage Vents GAS Temporary Finale 7 Forms Fireplace Lath & Plaster Found. Vents Rough Elec. Kitchen Vent Sanitation & Water BUILDING Cert. of,Occup. REMARKS OR CORRECTIONS ✓����t� � �fo_7 71— Y G/' 00, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WO K N10 7 County Center Drive — Oroville, California 95965 v/ -- Telephone: 554-4541 (J \VJ APPLICATION AND PERMIT Qu VIV11LC 1CP1USC11Ldk1VCJ Ol the County OT Butte to enter upon the above -menti ed property for inspection purposes. X Veu�lz?l Dateh) -/O gnoture o erm ee r Agent Receipt No. '/l 3 93 White-D.P.W. – Yello—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. n DIRECTOR OD"PUBLIC WORKS BY Date //— -A- _2 Building perntif expires Dafe BUILDING Owner Vtlr ( 'aSO. BB /L FT. OCC. BUILDING VALUATION Mailing Address d �, Te No. 7 W912 Fireplace 110 1=9% O /+%`� Total Valuation r w/ Mailing Address ! lfT Permit Fee , Plan Checking Fee &/or Penalty �' TVle hone No. Permit Fee Building Address ST373 PLUMBING No. @ FEE PERMIT FILING FEE $2.00 K Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 �rT A. P. No. 20 O� Zonin P. n Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe a ire Dept. FireZonese ennit Building sewer 5.00 EQA Parking Plans Parcel Pa a Declaration P 60' R/W m r p ovements' Lawn sprinkler system 2.00 Bldg. Plans Recd Parc 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 Single Family ❑ Duplex ❑ Mobil Home ❑ Others Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 c¢ 1 T r2 Water Heater or Space Heater 1.00 Light fixtures bal_ _(6 5 Receps., switches &fix outlets Z�f�2S CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business r & 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 �^ �,J �yJ 3dq L/�`L 7I�IVV4'E Svc //�Oy�%p��f� �3Cf �1S/d Temp. Power Pole 5.00 /y/� Q�/f�, License No. `/!J 40' W Classification 161 Misc. wiring ❑ lam exempt from the Contractors License Laws of the State of California. Permit Fee $ 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. 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. 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 MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE $ T ySd Qu VIV11LC 1CP1USC11Ldk1VCJ Ol the County OT Butte to enter upon the above -menti ed property for inspection purposes. X Veu�lz?l Dateh) -/O gnoture o erm ee r Agent Receipt No. '/l 3 93 White-D.P.W. – Yello—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. n DIRECTOR OD"PUBLIC WORKS BY Date //— -A- _2 Building perntif expires Dafe COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - OroviIIe, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT auuiunce representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. c X Date � Signature of Perm;or Agent Receipt No. /2 c1 �2 T' 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. DIRECTIJR OF PUBLIC WORKS Building permit expires Date r� /� BUILDING Owner _,,/ SQ. FT. OCC. BUILDING VALUATION Mai I i • g Ad ess P �Jcy Telephone No. Fireplace Contractor / 3�® Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address d ,�� 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. Z -c3 — Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 zaes- Sa,4wa ea Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements provements Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval Plans Approval Permit Fee $ $ N W ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 � , '1H Single Family ❑ Duplex ❑ MO'it Hom Others-ff Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 20 61o Receps., switches & fix outlets 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 E211"am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ 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 forWor men's Compensation. 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.1 @ I FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE $ oZ 1iG auuiunce representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. c X Date � Signature of Perm;or Agent Receipt No. /2 c1 �2 T' 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. DIRECTIJR OF PUBLIC WORKS Building permit expires Date r� /� COUNTY OF BUTTE — 7 County Center Drive DEPARTMENT OF PUBLIC WORKS — Oroville, California 95965 Telephone: 834-4541 APPLICATION AND PERMIT �a3 �, -? 0- auuwnce representanves or the ounty or fjutte to enter upon the above -men ' ned prop or in ection purposes. X Date A'7 Signature o Permittees or Agnt Agent Receipt No. z/T �� e) 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 _// % 3 ;__J Building permit expires Date �. _� 1 BUILDING Owner 1 may,, � lar T Y � ` iOool rL SQ. FT. OCC. BUILDING VALUATION Mailing Address ,► i g� G Telephone No. Fireplace Contractor y ly Total Valuation Mailing Address ST Permit Fee Plan Checking Fee&/or Penalty I/ Telephone No. 2 Permit Fee $ Building Address 6 &)-10— We PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 7, j Repair drainage or vent piping 1.50 Water piping 1.50 / ^� Each gas water heater or vent 1.50 .— o✓ A. P. N Q — ('% " �7 0� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s W,111_6erriteteorr Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA I Parking Plans Parcel Declaration Parcel Ma p 60' R/W Im provements Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval Plans Approval Permit Fee $ Q $ eG NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE FILING FEE $3.00 A'ePERMIT " D Main service incl. 1 meter Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others Sub -panel (12 or less) (morethon 12) Range, Cook -top or Oven 1.00 _ a ±22 Water Heater or Space Heater 1.00 20 Light fixtures pal Bio Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Busines & 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 1 / License No. '2 �/ Classification 3 ! , Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ 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 �l 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. 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 MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE $ auuwnce representanves or the ounty or fjutte to enter upon the above -men ' ned prop or in ection purposes. X Date A'7 Signature o Permittees or Agnt Agent Receipt No. z/T �� e) 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 _// % 3 ;__J Building permit expires Date �. _� 1 Owner -"/," V Mailing Address Contractor Mailing Address Building Address Lj% .+ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 _ Telephone: 534-4541 APPLICATION AND PERMIT BUILDING rh � SQ. FT. OCC. BUILDING VALUATION Isl enhoria No Telephone No. A. P. No. qu--Q20 Zoning& Planning Fjk<tW. Saftr"MVr Fire Dept. Fire Zone Use Permit EQA Parking Parcel Parcel Ma 60' R/W Improvements Plans Declaration P Bldg. Plans Rec'd Parcel Approval Plans Approval NEW ACJ ADDITION ❑ UTILITIES ❑ OTHER ❑ a Dim .., 0- ^ — _ & Single Family ❑ Duplex ❑ Mobil Home ❑ Others r41 V N 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: Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee $ PLUMBING No.1 @ 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 Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Building sewer 5.00 Lawn sprinkler system 2.00 Permit Fee ELECTRICAL PERMIT FILING FEE Main service incl. 1 meter Additional meters, each Sub -panel (12 or less) (more t n 12) Range, Cook -top or Oven Water Hea er or Space Heater LIght;Lxtures ` e9 Rece`'O5., sw i tM es & fix o ets Hood, Ex. Fan or F.A. Furn. Motor Evap. cooler, gar. A10- or D.W. Air conditioner or heat pump 5'T Water pump Mobil Home Facilities Temp. Power Pole Misc. wiring License No. Classification I am exempt from the Contractors License Laws of the State of California. Permit Fee MECHANICAL WORKMEN'S COMPENSATION INSURANCE PERMIT MEMEFI L E I am aware of the provisions of Section3700 of the California Labor Heating 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 Cooling Workmen's Compensation Insurance. 4sasI certify that in the performance of the work for which this Ventilation permit is issued I shall not employ any person in any manner_ to become subject to the Workmen's Compensation Laws of ood / California. Permit Fee I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. t X Date `' Signature of Permite r Agent 11 Receipt No. .4/ 1 73 5iK White-D.P.W. — Yellow -Assessor — ink -Inspector — Goldenrod -Applicant FEE @ FEE $3.00 5.6o 3, u a 1.00 2-a'd 1.00 1.00 a1�20 3, 1.00 1.00 . d 2, vo 5.00 5.00 .3 2i FEE TOTAL PERMIT FEE I $ z5 -- 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 PUJBLIC WORKS By Date '3 Building permit expires Date----.---.- Wm. Evert Co. buil er&d eloper D 389 Lighthouse Avenue, Monterey, CA 93940 (408) 373-4982 ��'��°I .._..... y.