HomeMy WebLinkAbout030-212-018FRLER
Dam W. lot'14, Oroville
ggitt Elec., Wroville
012-75E(service change -storm
l�ua.Y
J.0
LOT
LOT BLOCK SUBD�V. Cont: Sierra Roofing �'Un U !a//0
(permit #2162-85B(reroof comp/S`/F)
TYPE OF PERMIT NO. PLAN NO. DATE IS D
PERMIT
- ---'_ - �— 030-212-018 06-1164
WEINZINGER, ROBERT
1607 1 W ORO DAM BLVD, OROVILLE
Cont: GALLAGHERS HEAT&AIR
HVAC A/C)
REMARKS
I
PERMIT DESIGNATION: S—BUILDING E—ELECTRICAL U—USE PERMIT HM—HOUSE MOVING
DEPARTMENT OF P—PLUMBING TV—RADIO-TV ANTENNA V—VARIANCE EP—ENCROACHMENT
BUILDING AND SAFETY T—TRAILER S/W—SIDEWALK NOTICE S_ SIGN PERMIT D — DEMOLITION 600.1
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EXTERIOR
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PLASTER
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BUTTE COUNTY
0 1JTTF° DEPARTMENT OF DEVELOPMENT SERVICES
° ° BUILDING PERMIT
° ° 24 HOUR INSPECTION M (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
o - t " • ' ° OFFICE M (530) 538-7541
L o -,- R''�- °
PERMIT•NO.
BP061164
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS.
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
Issued Date: 05/17/2006 APN:O30-212-018-000
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 Plaskc, License Number: 1 33
Site Address: 1607 1 W ORO DAM BLVD ORO
Map Index:
Dat Contractor::smftc
Description: CHANGE OUT AC
OWNER -BUILDER DECLARA ON
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
Owner: WEINZINGER ROBERT D & NANCY B
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
signed statement that he or she is licensed pursuant to the provisions of
1374 HWY 70
the Contractor's State License Law (Chapter 9 commencing with Section
OROVILLE, CA
7000) of Division 3 of the Business and Professions Code) or that he or
she is exempt therefrom and the. basis for the alleged exemption. Any
95965
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ 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 (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
Applicant: GALLAGHER'S HEATING & AIR
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
PO BOX 35
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
LOS MOLINAS, CA 96055
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
800-892-3556
sale.).
❑ I, as owner, of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
Contractor: GALLAGHER'S HEATING &AIR
and who contracts for such projects with a contractor(s) licensed
,
pursuant to the Contractors' State License Law.).
PO BOX 35
❑ I am Exempt under Article 3 of the Business and Professions Code
• LOS MOLINAS, CA 96055
Date: Owner:
800-892-3556
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penally of perjury one of the following declarations:
License #:.777334
❑ 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.
Architect:
I have and will maintain workers' compensation insurance, as
Engineer:
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier: S --k k " A
Total Square Ft: 0 S. F.
(?� ' (�D I �R 5'5 -valuation:
Pony #:_I(
$0.00
❑ 1 certify that in the performance of the work for which this permit is
Census Code:
issued, I shall not employ any person in any manner so as to
become subject to the 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 omplly w th those provisions.
f L Q
Date:
Appli t:
WARNIN Failure secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
} _7—
CONSTRUCTION LENDING AGENCY
This permit is(hvisoy iss ed under the applicable provisions of the Butte County Code and/or
I hereby affirm that there is a construction lending agency for the
Resoluti `A wd ndicated a ove for which fees have been paid.
S ` 0 Q�O
performance of the work for which this permit is issued (Sec 3097 Civ.)
Date:
Name:
By: %
PERMIT EXPIRES'N
Address:
Date
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspectio oses.
iv
O Signatur .
Print Name:
j
`
Date: i'
❑ Owner ❑ Contractor ❑ Agent for Owner 0Agent for Contractor
B. C. Building Permit 01-16-04 pg 1
r� BUTTE COUNTY
O DEPARTMENT OF DEVELOPMENT. SERVICES
O BUILDING PERMIT APPLICATION
O AND SUBMITTAL REQUIREMENTS
O 24 HOUR rNSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
O OFFICE #: (530) 538-7541
�.` A FEE WILL BE REQUIRED AT TIME OF APPLICATION
Website: www.buttecounty.net/dds
**P EASE PRINT CLEARLY**
12
10/0ff oplr 01�20d� 41A11i4'-4
E IFOR ATION
CONTRACTOR
cahm Last Name I
ame I
Address #
City ,r
Stat
Zip
Phone /3
J
Fax
E-mail
J
CONTRACTOR
Name
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Addre
—To 2k
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CityLk�S
rnott'no
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State
" I
Zip
Phone
Fax
Fax
E-mail
Map Book
Lic. � 3 3 Q
CI s
J
APEILICANT SIGNATURE
X
For office use nly:
ARCHITECT/ENGINEER
Name
t V A-l�
V
Address
-
City
'; �
State
Zip
Phone
Fax
Fax
E-mail
Map Book
State License Number
APEILICANT SIGNATURE
X
For office use nly:
APPLICANT INFORMATION
Nam 1
t V A-l�
V
Address ?b
3�
City �
'; �
State
Zi
lU
Phone
E-mail
Fax
APEILICANT SIGNATURE
X
For office use nly:
A 030 21 z - 01
Zoning
�DUt
Flood Zone
SRA
Yes I
No
Occ.
Type Const.
Subdivision Name
Address
Map Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc
PERMIT
NO.
Vj- tlq
BIN #
PROJECT LOCATION
A 030 21 z - 01
Property Address
118A I A rA Daw N i
�DUt
Cross Street
WORKER'S COMPENSATION
Policy Number
Carrier ,7 '�t, - 00 + 3S S�;-
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
Page 1 of 2
Description or Scope o Work:
o�AG
Scl FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
by:
Amount: —7 -
Bldg
SRA
SMIP
Other
ti
Total
REV 8-12-05
t
SUBMITTAL & PERMIT REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply for a
permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK.
❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper!
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes!
❑ 4. Energy compliance design and supporting documentation in duplicate.
❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. '
❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans,
all in`duplicate
❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) .Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor
plans in triplicate. All of these must be stamped and wet -signed by the engineer.
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required).
❑ 9. Site plan and business license approval from the City of Biggs.
❑ 10. Letter of intent for non-residential buildings.
❑ 11. Building Permit Application Without Required Clearances Form
❑ 12. Hazardous Material Form (for Commercial Buildings only).
Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning
review (May require additional plan review upon receipt of the following items.)
❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
❑ 2. Impact Fees.
❑ 3. California Department of Forestry plan approval (if required).
❑ 4. NPDES Form.
❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑ 6. Contractor's license information. (Number, Name Style, Classification).
❑ 7. Worker's Compensation Carrier and Policy Number.
❑ 8. Owner -Builder Verification (if required).
❑ 9. Letter of Signature authorization (if required).
❑ 10. Recorded copy of Agricultural Acknowledgment Statement.
❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO.
❑ 12, Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, please contact a
Permit Assistant at (530) 538-7541. '
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after date of application. In order to renew action
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS `1
Refunds can only be made upon written request by the person who paid the fee. The request must be made within two
years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits
issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05
2162-85B
NORMA WHEELER
1607 OroDam West
oroville
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COUNTY OF BUTTE - [t=PARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Orovil le,s California 95965 - Telephone 916/534-4541 r -
APPLICAT49N AND PERMIT
ASSESSOR PARCEL NUMBER y
ZONING
BUILDING PERMIT
OWNER
`•e ,- Q (f t F F F V,
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
I
/ i 7 �/
OWNER'S MAILING ADDRESS
J I - It I,, -
CONTRACTOR'S NAME (
V t/ a • 6 1 i h ,.r
TELEPHONE
CONTRACTOR'S MAIL NG ADDRESS I %
,/ GI ,
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee $ 10.00
LENDER'S MAILING ADDRESS
Permit Fee $ r/ /
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS '
Permit fee $
PLUMBING PERMIT Filing Fee 10.00
Each Trap 2.00
k 0 U f / F
Solar or heat pump water heater 20.00
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Water piping 5.00
Each qas water heater or vent 5.00
USE OF STRUCTURE
SFE Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 5.00
Mobile Home S I G I W 10.00ea
TYPE OF WORK
New Addition [:1 Remodel.[] Utilities.❑ Instalrlation❑ Other El
Describe work: r���L-1-� �1j� 1 �i�i _
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 10.00
Main service Boot/ OR LESS 10.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
O' I am licensed under provisions of Chapt. 9, Div. 3 of the BUsines$
and Professions Code and my license is in full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ 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 CONST. DWELLING OCCUP.ai ,
) �22sgft
New
CONSTP ULTBI OUTLET
NON.R ESIO BRANCH CIRC ITS 2.50 ea
POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 200301
eALe30
Ex. Occup. OUTLETS FIXED P(RESID )LNS REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. INirin 15.00
g
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
The permit is for $100.00 (valuation) or less.
a 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 FiIirig 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 Countyof
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
'' e
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 overstories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $ c.
occu P.
I CONST.TYPc
I FLOOD
PARCEL
P11
I NO
I 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.
'DIRECTOR70F PUBLI¢WORKS
! / r
BY /' -; Date A_ t
PERMIT EXPIRES Date / /�V
13
Receipt No.
WNITC-D.P.W., YELLOW-A58l7304, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California i35965 - Telephone 916/534-4541
APPLICARO.N AND PERMIT
PERMIT NO.
ASSES O PARRC L NUMBER
ZONING
BUILDING PERMIT
OWN ]
✓ m Q rl - ✓-
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRE
I ✓
//J(9—tJ L
CO ACTOR'S NAME
a
T EPHONE
'
CONTRACTOR'S MAIL NG ADDR SS
` _ 0. d:Mc 0
Fireplace
CONSTRUCTION LOENDER
UNKNOWN
Total Valuation Is
Filing -Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$ w
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS Z
Permit fee
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2,00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME PARCIftL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF�J Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
O.00ea
TYPE OF WORK
New Addition ❑ Remodejp Utilities Insta tion❑ Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6001 OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD -L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I decfar under penalty of perjury (Check One):
- I am -licensed under provisions Of Chapt. 9, Div. 3 of the BUSIne$S
and Professions Code and my license is in full force and effect.
License No. 5)q_`9 �C h�/-� Classification _ C 3 Y '
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-
ontract-
ors.
ors.(Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.8i ,
OR ADDNS. (ACC. BLDGS. / �2�Sgft
NEW CON5TR ULTI.OUTLET
NON•RESID BRANCH CRC ITS 2.50 ea
I
POWER APPARATUS tr
(SINGLE OUTLET CIR. )
09SOQ
Ex. Occup(OUTLETS OR FIXTURES 2
eAL030
FIXED APPLNS.❑
Ex. Occup. OUT ETS ((RESID )REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring
g 15.00
'
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
fVr I have placed on file with the County of Butte Building Department
LIN 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.
Contractor
MECHANICAL PERMIT
FiIingFee 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—sav , indemnify and keep harmless the County of Butte against
all liab�l.iti�Jus, s and expenses which may in any way a rue
again, se nce of th ranting of this permit
X Date
Signature of p I nt — Owner❑ Contractor ❑ Agentff
An OSHA perm is required For excavations over 5'0" deep and demolition or construct-
ion of structures overLL3 stories in height.
Mobile Home installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
oCCUP,
CONST.TYPE
I
�FL00DJPARr1LJ
PD
I ND
I 9UE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRE F PU
BY
PERM& EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
1 ORK$
�y
Dae O
Receipt No-_ ''
4-i' /
WHITE-D.P.W.. YELLOW-ASSE6SO , PINK -INSPECTOR. GOLDENROD -APPLICANT
Wit ec
Vs
as 3 A7
Y 1 ,
E
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
e -7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
0
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X
Signature of Permitee or Agent
Date
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
DIRECTOR OF PUBLIC WORKS
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
$
Building Address
PLUMBING
No.1
@ FEE
PERMIT FILING FEE $2.00
Each Trap 1.50
Repair drainage or vent piping
1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No.Gas
Zoning $ Planning
piping system 1 - 5 outlets
1.50
Each additional outlet .30
Fees
W. C.
Sanitation
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Im rovements
P
Lawn sprinkler system 2.00
Bldg. Plans Recd
Parcel Approval
Plans Approval
Permit Fee
$
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL
No.1
@ I FEE
PERMIT FILING FEE $3.00
Main service incl. 1 meter
Additional meters, each
1.00
Sub -panel (12 or less) (morethonl2)
Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixtures balk io
Receps., switches & fix outlets b.1 In
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Hood, Ex. Fan or F.A. Furn. Motor
1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No. Classification
Misc. wiring
❑ I 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
Workmen's Compensation Insurance.
F1I 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 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
$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X
Signature of Permitee or Agent
Date
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
DIRECTOR OF PUBLIC WORKS
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ~�
7 County Center Drive — Oroville, California 95965
TelepFane:' 54-'4541
APPLICATION AND PERMIT
autnurice representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X DateAll
Signature of Permitee or Agent
Receipt Nn
White-D.P.W. — Yellow -Assessor — Pink -Inspector Aoldenrod-Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for ich fees have been paid.
_,666IRECT R OF PUBLIC WORKS c /
BY Date S
permit expires Date ...... �....,17. ...........
BUILDING
Owner r
SO. FT. OCC. BUILDING VALUATION
Mai I i ng Address 6 Q V& v
V
6VIM90 6/ ` 1 Ile
Telephone o.
Fireplace
Contractor �� /.r/r
Total Valuation.
Mailing Address 9 Rs- ati
Permit Fee
Plan Checking Fee &/or Penalty
� ,&Il1l e LYSo.
Tel
Permit Fee
$
$
Building Address
PLUMBING
No.1
@ FEE
PERMIT FILING FEE $2.00
Each Trap 1.50
i
Repair drainage or vent piping
1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No.2
Zoning 8 Planning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
F
SwW4et
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
ImprovementsLawn
sprinkler system 2.00
Bldg. Plans Recd I
Parcel Approval I
Plans Approval
Permit Fee
$
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL
No.
@ FEE
PERMIT FILING FEE $3.00 2,00
Main service incl. 1 meter
Additional meters, each
1
1.00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Sub -panel (12a4e6sT_(morethan 12) i '
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixtures 20 19 bal d20
Receps., switches & fix outlets .112-
1,0
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 -Water
r.z/'ZZ; 7—&
Hood, Ex. Fan or F.A. Furn. Motor
1.00
Evap. cooler, gar. disp.or D.W. 1.00
Air conditioner or heat pump
pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No.-2Classification `���
C^
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.
5 1 have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
lecertify 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 $
$
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
a
TOTAL PERMIT FEE
autnurice representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X DateAll
Signature of Permitee or Agent
Receipt Nn
White-D.P.W. — Yellow -Assessor — Pink -Inspector Aoldenrod-Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for ich fees have been paid.
_,666IRECT R OF PUBLIC WORKS c /
BY Date S
permit expires Date ...... �....,17. ...........