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HomeMy WebLinkAbout030-200-100u 30-20-0., ► ov DR. GEORGE J. HIGUE 11623 Biggs Ave, Oroville Contr: Erwin Roofing, Oroville perm',t#k349 8 0B (reroof) SF 30-20-100 Contr: Sweems AC, Oroville ermit#4082-80P,M(inst. duo pac )SF � 30-20-10 Con r: Newm n Electric, Oroville Lrmit#4181-80E (ele ser ch).. SF � �� `�, `1 4 O. � .. t } i' PEFiL�1 3490-80B PERMIT EXPIRES 7/9/81 OWNER I DR. GEORGE J. HIGUE oNTR. Erwin Roofing, Oroville 11 LOCATION (A.P. 30-20-01 11623 Biggs Ave, Oroville i� •i t Temp Ci Temp Ci Temp Ce JOB FINA Setback Forms Main Bldg. Footings StemwaI I Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footings Masonry Wall! Relnf. Stee Bond Beam COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ' BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Firewall Soil Piping Parapets 1st Floor Restroom Finish 2nd Floor 1 Windows 3rd Floor Siding To out Roof Sheathing Water Piping Roofing Sewer Fdn. Vents Fixtures Garage Vents Insulation Water Htr. Heaters Prov. for phsically handica e. Conformance of ex. structure Appliances Gas Piping&Test Temp. Gas Final Sanitation FIREPLACE Final Fixtures ELECT btucco Final Subpanels Mesh MECHANICAL Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec- Service Elec. Pedestal Water Piping Sewer Gas Piping OBm I�LEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) F h.. L� / ♦f w 1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT jPERMIT NO. ASSESSOR PARCEL NUMB R O ZON NG 2 BUILDING PERMIT NERTELEPHONE r ,A SQ. FT. OCC. BUILDING VALUATION O'WNER'S MAIL�G E55 TRA TOR'S NAM G TELEPN NE CONTRACT 'S MAILINGDDRESS AA 60 _ ONS RUC N LEN UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEERLICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING AD—DRESS 4y1! PLUMBING PERMIT Filing Fee 3.00 'Q iuA Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each pas water heater or vent 2.00 Gas piping system 1 - 5 outlets , USE OF STRUCTURE SFP"Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ FlemodelEj Utilities ❑ Insta ation❑ Other Describe work: P1 S [,` q ( U () 2 _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 1000V OR 0 AMP ORLESS5.00 Main service EA. ADD'L too AMP 2.50 NEW CONS. DWELING O OR ADDNST ( ACCLBLDGS.CCUP,&\ / 2¢Sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BusinessSD and Professions Code and my license is in full force and effect. �/ License No. 45-3 Classification CZ -0 C 7 ,� ❑ 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 CONSTRULTI-OUTLET NON-RESID, BRANCH CIRCUITS 2,50 ea NEW CONSTR.POWER APPARATUS &) NON-RESID, (SINGLE OUTLET CIR. @ 25¢ Ex. Occup(o XD OR FIXTURES BAL@10C A FIXED A EX. QCiCiUPP LNS. OR p•(OUTLETS IRESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor MECHANICAL PERMIT FiIirig Fee 3.00 WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. n 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 —1 Cooling Hood 2.00 Ventilation permit Fee $ Q 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. 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 said County in con equegee of the granting of this permit. %��y�-.- �'�- Date G r �fJ Signature of Applicant 1� Owne Contractor R 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 $ Land Development Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. F PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which , DtRfE`Couq PUBLIC By - PERMIT EXPIRES Date• the applicable provi- resolutions to do fees have been paid. WORKS ,• i Date•• r- -a I Receipt No. `/ WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARC L NUMB R Q.� r ZON NG _`Z BUILDING PERMIT NER I e— TELEPHONE S0. FT. OCC. BUILDING VALUATION NER'S MAIL G A KESS 4v SC¢ TRA TOR'S NAM TELEPH NE CONTRACT 'S MAILINd fDORESS CONSTRUC ON LEN U KNOWN Fireplace Total Valuation is LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING AQDRESS Rim-& A�ve_ PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system - 5 outlets USE OF STRUCTURE SF Duplex Mobilehome❑ Other SPECIFY -1 Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ 0emoqeID Utilities ❑ Insta.LLationD Other Describe work: _hSc� I �Zl�e _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONS. OR ADDNST ( ACCLBLDGS.CCUP &) 20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ElNON-RES 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.�sr+— � � Classification 2'� e���_ 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) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR f M U TI.OUTLET 2,50 ea NON-RESID, BRANCH CIRCUITS NEW CONSTIR ( POWER APPARATUS .& & D. SINGLE OUTLET CIR 50@25c Ex. Occup(OUTLETS OR FIXTURES BAL@10¢ FIXED Ex. Occup.(OUT ETSP(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. n 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. MECHANICAL PERMIT FiIingFee 3.00 Heating 60 Cooling Hood 2.00 Ventilation Permit Fee $ 0 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. 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 said County in coeque a of the granting of this permit. X /��+�i'n� Date _r— Signature of Applicant Own.3W Contractor RJ 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 $ Land Development Fee $ TOTAL PERMIT FEE $ occUP. GROUP I TYPE OF CONST. PARCEL PD ND 550E 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. D EC OMY PUBLIC WORKS By irD1ate �S PERMIT EXPIRES Date ^r —ap Receipt No. WHITE-D.P.W., YELLOW- ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT -Z V- X COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBERZO LO ING _ y -- BUILDING PERMI W, Dov' NER , v�< v TELEPHONE • SO. FT. OCC. BUILDING ALUATION OWNER'S }}MA NG ADDRESS / v �QU G/t 6 �� • ��f CONTRACTOR'S CAME - TELEPHONE 513 ' CONTRACTOR'S MAILI G ADD SS CONSTRUCTION ENDER UNKNOWN. Fireplace Total Valuation $ LENDER'S MAILING ADDRESS �-- Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 3 cr Q BUILDING ADDRESS t S v PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater'or vent 2.00 Gas piping system- 5 outlets USE OF STRUCTURE SF b4 Duplex ❑ Mobi lehome ❑ Other SPECIFY _1 Building sewer Lawn sprinkler system HJF2.00 ` TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallationC Other g Describe work: �►/� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100 AMP OR001 OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADONS. ACC. BLDGS. 22 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): V-1 am licensed under provisions of Chapt. 9, Div.3 of the Business .and Professions Cod and my license is in full force and effect. i� 9 License No. Classification � ` �T ❑ 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 N.N.R.SID BRANCH CIRCUITS) 2.50 ea NEW CONSTPOWER APPARATUS 6 R RESID. (SINGLE OUTLET CIR. NON. Ex. Occup( OUTLETS OR FIXTURES 50@� BAL@10t EX. OCCU //FIXED APPLES, OR p•\OUTLETS (RESID.) EA,) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6,25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 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 9f, 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 prbvisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 3.00 Heating Cooling Hood 2.00 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 County of 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 liabilitie judgments, costs, and expenses which may in any way accrue against s Cy ounty in co uence of the granting of this perm' . X Date � Signature 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 $ Land Development Fee $ TOTAL PERMIT FEE $ x,00 OCCUP. GROUP I TYPE OF CONST. PARCEL PD ND ssUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which O OF PUB By ` PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. IC WORKS y p Date Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT E. Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Comments: F.. Commercial Buildings 1. Roof covering: 2. Distance to property.lines: 3. Physically handicapped: 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. Comments: G'. Field Problems or Violations 1. Problem or violation (give complete description): - 2. wnat action taken (give complete description): 3. What action recommended: TT A. Information only - file'. /7 B. Hold for ten (10) days, then write letter. / / C. Write letter. 7 D. Other. BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT A � '- I Owner: A. P. # 3©- z o - / Address:__ Date of Inspection Tenant: Inspector Building Location: /�,, r;(;� 1 -Fq <" //!J Type of Inspection requested: T% 1. Housing " 2. Financing 1__L 3. Change of Occupancy to = 4. Other (specify) Present use of building: A. Sanitation (Housing) 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connection to sewage disposal: 12. Connection to water supply: 13. Rubbish and garbage facilities: 14. Comments: B. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: C. Electrical 1. Service and ground: 2. Receptacles: 3. Fusing: 4. Comments: D. Plumb in 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4. Comments: (continued on back) U k -o 0 i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATI6N AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBERZO —" �ING — Z BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION O NER'S MAILING ADD �.q r 5 V_ 'PQ 1 0-6 / C - RAC OR'S NAME - W TELEPHONE 1. CONTRACTOR'S -MAIL I NG ADD -7-700 CONSTRUCTION LEND R UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUIL)NG ADDRESS ,,////(!/� '1fJ� 1 PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 r Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti Iities ❑ Installation ❑ Other L*J Describe work: C s �. — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 9.00 Main service 600V OR L.ESS 100 AMP OR LESS 5.00 R Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELIN OR ADONS. ( ACCLBLDGS. OCCUP.&) 20 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. License No.rt'' 1 ', tr 7 Classification - L! ❑ 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 NEWCONSTNON-RESIT R BRANCH O CIRCTITS 2.50 ea NEW CONSTR.( POWER APPARATUS IN NON-RESID, SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 50BAL@@250 1 os FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring -6-2& 7,22) '. Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 3.00 WORKMEN'S COMPENSATION INSURANCE 1 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 LYJ 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 2.00 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 inconsequence of the granting of this permit. X Date Signature of Applicant — Owner ElContractor@ 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 $ Land Development Fee $ TOTAL PERMIT FEE $ OcCUP. GROUP I TYPE OF CONST. F PARCEL PD ND SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which IREGTO OF PUBLIC By d , PERMIT EXPIRES Date �� the applicable provi- resolutions to do fees have been paid. WORKS Dayte-� ? Receipt No. ll/,/ WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLIC&DON UD PERMIT PE MIT NO ASSES ARCEL NUMBER ` ^ ZO IN BUILDIN MIT D E l VIIFL TELEPHONE SO. FT. OCC. BUILDING VALUATION O ER'S MAILI G ADD 5 1 C TRpA�C� OR'S NAME ^ QW C TELEPHONE CONTRACTOR'S MAI ING ADDRESS :774 P1 cut D tib -% ONSTRUCTION ENDE Ll--Y\Q UNKNOWN Fireplace Total Valuation Is LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILD NG ADDRESS a:3 13,vQc Ave PLUMBING PERMIT Filing Fee 3.00 4 Each Trap 2.00 Repair drainage or vent piping 2.00 r Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ - Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallationEl Other Rol Describe work: e C s C Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee ADPO Main service 100 AMP ORV CR LESS5.00 2!G 00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. OR ADONS. ( ACCLBLDGS.CCUP,&) 22 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. C^ l License No. -9 6 q 3 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 NON-RESID R. BRANCH CIRCTITS 2.50 ea NEW CONSTR.POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. s0�aa Ex. Occup(o OR RES BAL@/OG IXED A S. OR FIXED APP LNS. OR Ex. Occup.(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring ZSD 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 of Consent to Self -Insure. I� 1 shall not employ any person in any manner so as to become subject �l 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 FiIingFee 3.00 Heating Cooling Hood 2.00 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 Iia ilities, judgments, costs, and expenses which may in any way accrue agai t aid County in consequence of the granting of this permit. XDateg,(,r (g8,0 Signature of Applicant — Owner ❑ Contractor K 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 $ Land Development Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. I PARCEL PO HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which IR F PUBLIC By PERMIT EXPIRES Da the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt NO. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT