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Home My WebLink About030-212-016O 3'0-212-16 WILLIAM HOLMES 896 Harlan Ave., Oroville Permit #$15594,76P(bldg. sew, inst) lv_LI� 030-212-016 99-0738�� POTTS, Matthew 896 Harlan Avenue, Oroville Contr: lumen Electric upgrade electric service/jJ �qy 1P HOLMES, William R. 3372-72P,E 0-2 -1 . } 896 Harlan Ave., Oroville:'i (gas & elec service to existing m. home site) t 2 Ur i M h , i PERMIT NO. 1559-76P r PERMIT EXPIR2/77 OWNER WILLIAM HOLMES CONTR. owner LOCATION (A.P. 30-212-16 ) 896 Harlan Ave., Oroville Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) 4 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING I BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer .� Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE�/ REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) THERMALITO IRRIGATION DISTRICT 410 GRANA AVENUE OROVILLE, CALIFORNIA 95965 TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: Qai Ll J,)" Owner's Name: Date: 7 c Address: L Acct. No: 7 rrS ` � y A.P. No.''' Phone: No. Units: Applicant/Agent: - . Agents Proof: I Address: Fees: Phone: Application $ Arrearage Preliminary Review By: Date: CSA 26 Remarks: SC -OR 1st mo. S.C. Other Field Review By: Remarks: Date: Total Fees ,UDIJ Collected By: Date: 7- % A I ../ MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: ❑ Date of TID approval of completed building sewer (early connection). A ❑ 30 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("existing construction", prior to Mar. 5, 1974). ❑ 180 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("new construction", after Mar. 5, 1974). UISTRIBUTION: WHITE - TID, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TID ,I COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICA i ION AND PERMIT icN�c.�cn aau vco UI uIc �Uuniy UI ouuc LU CIIlC1 UNUII ule above-mentioned property for inspection purposes. w ' X AA Date 411z 174 Signature of Permitee or Agent Receipt No. )4 6511 1 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. DIREI�TOR OF PUBLIC WORKS Buildirr5g permit expires Date 4--2--772 BUILDING OwnerNEI SQ. FT. OCC. BUILDING VALUATION Mai I Ing Address SqL1 1AAS-LA" Av E , ^DQ �Q�� COP—D Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/orPenalty Telephone No. Permit Fee $ Building Address 1O A R V PLUMBING No. @ FEE PERMIT FILING FEE $3.00 3,00 It LkE 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 Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 I�Gr etteR I Fire Dept. FireZone Use Permit Building sewer 5.00 1& ()C) EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Improvements provements Lawn sprinkler system 2.00 B WeP+amr-R,-e d I Parcel Approval Plans Approval Permit Fee $ ,Qo $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 U LDI K-16 Main service 100 OR LESS 100 AMP OR LESS 5•O0 T-1 ^L Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ ER 600V Main service 10 0 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 - NE WC ONST.OR ADDNS. ( ACCLBLDGSLING CCUP. &) 20Sgft NEW CONSTR. (MULTI -OUTLET NON.RESID. BRANCH CIRCUITS) '2.50ea NEW CONSTR. POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. J I 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:Ex. I so Ex. Occup(OUTLETS OR FIXTURES) �@1 BAL@1 OCCU FIXED APPLNS. OR P•(OUTLETS (RESID.) EA) 200 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring .6.25 ?( I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. E]I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. x I certify that in the performance of the work for which this jW permit is issued I shall not employ any person in any manner o 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 $ icN�c.�cn aau vco UI uIc �Uuniy UI ouuc LU CIIlC1 UNUII ule above-mentioned property for inspection purposes. w ' X AA Date 411z 174 Signature of Permitee or Agent Receipt No. )4 6511 1 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. DIREI�TOR OF PUBLIC WORKS Buildirr5g permit expires Date 4--2--772 May 13, 1977 Thermalito Irrigation District RE: Building Sewer Installations 410 Grand Avenue Orovil'le, CA. 9.5965 Gentlemen`: With reference to the above subject and your conversation with our inspector, Dennis Hunt, we are listing,below the information you, requested concerning several building sewer installations: 1. illiam Holmes AP 30-212-6 - Copy of.report attached. 2. aro man AP 31-212-19- Copy of report attached. 3. K.F. Rogers -. -- AP 31-2711-.10- Copy of report attached. 4. Wayne Gage ----- AP 31-242-3 - No record of permit with County. 5. Jerry Gage -----,AP 30-40-21 - No record of permit with County. Should you,have any questions concerning these, please feel free to contact ua: ..Yours very truly, Clay Castleberry Director of Public Works J F G1 d an er JFG:dd Assistant Director _ Attachments u 11 FILE NO. BUTTE COUNTY Public Works Dept. (For Action 1, 2, 3) (For InFormationt/ ) Director Dep. Dir, Sec. Rd. & Br. Mtce. Shop; Equip. 8 Yards Ref. Disp. Bldgs. 8 Grds. Bldg. Insp. Admin. D & C/Traffic Const. Rd. Des. Br. Des. Sur. &Loc. Mopping Drng./Permits Sub. Checking • Right of Way ) Director Dep. Dir, Sec. Rd. & Br. Mtce. Shop; Equip. 8 Yards Ref. Disp. Bldgs. 8 Grds. Bldg. Insp. Admin. D & C/Traffic Const. Rd. Des. Br. Des. Sur. &Loc. Mopping Drng./Permits Sub. Checking • Right of Way ' 030-212-016 . 99-0738 POTTS, Matthew 896 Harlan Avenue, Oroville Contr: Lumen Electric upgrade electric service �_ U OFFICE COPY Address GAS Meter By Date ELECT RIC Meter By Date ` 1 . i ' 030-212-016 . 99-0738 POTTS, Matthew 896 Harlan Avenue, Oroville Contr: Lumen Electric upgrade electric service �_ U OFFICE COPY Address GAS Meter By Date ELECT RIC Meter By Date ` % COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SWFIVICES- BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT' �C5739 ASSESSOR PARCEL NUMBER 030-212-016 ZONING AR BUILDING PERMIT WNER i ^_� MAMM Ot'�Ij-j'S f TELEPHONE S0. FT. OCC. - - BUILDING -VALUATION OWNERS MAILING ADDRESS 896 HARLAN AVENUE, OROVILLE CONTRACTOR'S NAME LUMEN ELECTRIC TELEPHONE 533-1370 CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Pilin Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 896 HARLAN AVENUE, OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ IAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome lil Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ ddition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: UPGRADE ELECTRIC SERVICE i Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.0 PERMIT FEE $ ELECTRICAL PERMIT I Fling Feel 20.00 vR LE' Main Service ZDDAORLESS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I F ereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. r License Class_ Lic. No. '1 " v ,� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason-, El 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( d ACC. BUDS. 3.5¢FT. NEW CONST. MULTI.OUTLET NON RESID. , 97.50 POWER APPARATUS 8 SINGLE OUTLET CSI R. EX. OCCU OUTLET OR FIXTURES za @ I.00 BAL @ .50 Ex. Occup. DUTE s AESIo°E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRE INSPECTION 23.00 PERMIT FEE f AA nn MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. C •----- 9of Xf�Q ~I Utz Date '��' Signature of Applicant - ❑ Owner WContractor ❑ 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 Is Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $ 66.00 HAZ. D. FEES IMP FLOOD CDF PARCEL ;THD ISSUE / This permit is hereby issued under the applicable provisions the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. �`�Da By .�La te PERMIT EXPIRES ON A,_; I evate) ReceiptNo. LV�i t) WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT t � - COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office wheri correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, p leals;e"eRntact this office immediately. ' �� c C �1-�� a f REV 10/92 0 ,l COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541PERMIT N (Rev. 12'/96) " APPLICATION AND PERMIT �q_0 73 ASSESSOR PARCEL NUMBER 030-212-016 ZONING AR BUILDING PERMIT OWNER POTTS, MATTHEW TELEPHONE SO. FT. OCC. BUILDING VALUATION - OWNERS MAILING ADDRESS 896 HARLAN AVENUE, OROVILLE CONTRACTOR'S NAME LUMEN ELECTRIC TELEPHONE 533-1370 CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 896 HARLAN AVENUE, OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAPPLUMBING PERMIT FilingFee20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome l] Other SPECIFY Each Trap 7.00 Solar or heat'pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: UPGRADE ELECTRIC SERVICE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service eoov R LEss 200A oOR LESS 2 23.00 23-100 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, ( 9 ) and my license is in full force and effect. n License Class C _ 10 Lic. No. 555 Z % � � OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reasonAA Main .Service 200A TO 1000A 46,00NEW CONST. DWELLING OCCUR OR ADDNS. ( g ACC, elDs. SO 3.50' NEW CONST. MULTI.OUTLEr NON-RESID. ANC CI CU @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 BAL @ I.50 P Ex. Occup. U.P. SESE DOE0. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRE INSPECTION 23.00 PERMIT FEE $ " f)n WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation,- as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comp) with those provisions. X _� Date 13 r��_ Signature of Applicant - ❑ Ownerl GrContractor ❑ 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 TOTAL FEE $ 66.00 HAZ. D. FEES IMP FLOOD COF PARCEL PD HD ISSUE 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. �. By Dat PERMIT EXPIRES ON ate Receipt No. 264767. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ;7* 4, COUNTY OF BUTTE - DEPARTMENT OFDEVEI,.OPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541�� C� RMo. (Rev. 12/96), APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER/`J/�7f �'. h ` ZONING BUILDINGPERMIT OWNER � P TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRES CONTRACTOR 7ME TELEPHONE 370 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER d' Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAULING ADDRESS Plan Checking Fee $ BUILDINGADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 ;USEOFUCTURE SF VDuplex 13MobilehomeOther sPECIFv Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑Installation ❑r Other.❑Buildin Describe Work: iY a9 G��PT (� l�� G—� 5�.�(%/CG� Gas piping system 1 - 5 outlets 15.00 sewer 15.00 Mobile Home I S I GI W1 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service pw oa L.ss 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 force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (rhe above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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 with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO IGODA 46.00 NEW CONST. DT -Ur OCCUP. OR ADDNS. ( DT ACC. S. SO 3.50FT. NEW T. MULTI.OIlTLET 97,50 POWER APPARATUS a SINGLE ounFr CIR. TURES @''0° 20 00 Ex. Occup. OUTLET OR FIXs Ex. Occup. D TS R6�SID.) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 isc. Wiring 23.00 v b PERMIT FEE $ 0--0 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ -� HAZ. I D FEES IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Delo Receipt No. & WHITE-D.D.S.- CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT A 1 PRE -INSPECTION M'ER: A/ ! _%v_t�1 r DATE n CONTRACTOR: ZONING A�e ---------- PRE-INSPECTION FOR: DATE TO INSPECTOR ------------------------------------ PERMIT HISTORY: F3 NONE AS FOLLOWS: TYPE OF OCCUPANCY FIELD - INFORMATION BUILDING USAGE: TENNANT : Elt-c-cu-PIED ,HAS ELECTRIC �S�GAS HAS SANITATION FACILITIES TED. -COOLED ED PERSON CONTACTED OTHER COMMENTS: g O COMMENDED: ISSUE Q HOLD FOR OTHER: DATE _ty - BY �&� -Al � r (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBERC-� ZONING BUILDINGPERMIT OWNER 1,- ,� �^��J OTT TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS AWUNG ADDRES /J L//O`•',LTELEPHONE CONTRACTOR' E zM 1i 53-.I CONTRACTORS "UNG ADDRESS CONSTRUCTION LENDER A Fireplace LENDER'S MNUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee b 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee, $ BUILDINGADDRESS Energy Plan Checking Fee b S PERMIT FEE $ IDT No. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USED UCTURE SF.'e Duplex O Mobilehome Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK /❑ Utilities❑ Installation Or Other.0 _ New O Addition ❑ Remodel Describe Work: [ 9 (� �� G- G�IG Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE fi ELECTRICAL PERMIT Fling Fee 20.00 8.00.voR LESs Main Service soOv o w R LEss 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,NNjpµg6.Ds and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: O I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 0 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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 with those provisions. X Date Signature of Applicant - O Owner O Contractor O Agent An OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO IOOOA 46.00 NEW CONST. DWELIJNO OCCUP. s° OR ADDNS. ( a ACC. BInS. 3.50F{. MULTI.OUTLEf @7,50 PowER APP w TU a SINGLE oURET CIS. zo O 1.00 Ex. Occup. OUTLET OR FIXTURES @ .50 FIXED APPLNS. OR 5,00 Ex. Occup. ouTltTs REBID. EA Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 d IPERMIT FEE 6 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 8.50 Ventilation i I PERMIT FES S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HA2. 1 D. FEES IMP FLOOD COF PARCEL I PD HO ISSUE This permit is hereby Issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date M& to) Receipt No. WHITE-D.D.S.• CANARY -AS ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT