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HomeMy WebLinkAbout030-360-0520 i . HOTTINGER, ALBERT -36-52 1641 ALMA ST. OROV I E 9_7 PERMIT'739—%6P(BLDG. SEWER I Ns� SF 30-36-52 3353-91B ; HOTTINGER, Al 1641 Alma St, Oroville cont: HArward & Co (vinyl siding/sf) 030-360-052 -PERMIT#98-0315 ! HOTTINGER, Al III 1641'A1ma.St., Oroville, Cont: B. Sharp Electric Ele Ser Ch/SFS,VgG I� r<1 1 ■ r` �� M ���� Q , t� C.�I R �� �uTjr Department ®f Public TAT®rks C o O 0 C o u n t y o f B u t t e 0 0 C o 7 County Center Drive o O Oroville, CA 95965 J. Michael Crump,.Director (530)538-7681 (FAX) 538-7171 A�'eCIC Shawn H. O'Brien, Assistant Director Assessors Parcel Number: U' 30 `360-06k Building permit # Owners Name: Owners Mailing Address: Property Address: ENCROACHMENT PERMIT ACCEPTED: PERMIT NUMBER: O 6 d 6 V2- ENCROACHMENT ZENCROACHMENT PERMIT EXEMPTION: Reason for exemption: FJ Not a County maintained road F] Existing driveway conforms to County S-31 standard n Other Approved by Printed Name `,o t of s Title ell Date G CONDITIONS FOR EXEMPTING A DRIVEWAY PERMIT 1. An existing home with a driveway 10 years or older and doesn't cause any problems with the county road or drairiage. 2. An existing home with only minor remodeling or repairs. i 4 r:HOTTIZEIR, 30-360052 PERMIT#98-0315 `V Al III 641 Alma St., Oroville ont: B'. Sharp Electric le Ser Ch/SF 3 1� 1 1 4 • i 1 OFFICE COPY Adtlress GAS fJ Dates Meter By ELECTRIC _�Date 2 Meter By �" 1` i 4 r:HOTTIZEIR, 30-360052 PERMIT#98-0315 `V Al III 641 Alma St., Oroville ont: B'. Sharp Electric le Ser Ch/SF 3 1� 1 1 4 • i 1 OFFICE COPY Adtlress GAS fJ Dates Meter By ELECTRIC _�Date 2 Meter By �" 4r COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIVISION i 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev .12/9) APPLICATION ANUPERMIT Q$" 03/1- ASSESSOR 3/1 ASSESSOR PARCEL NUMBER 030-360-052 `' ZONING AR BUILDINGPERMIT OWNER IIOTTINGER, AL III .. TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1641 ARIA STREET, OROVILL.E, CA 95965 C .R � SME r5NA; M—WRIC z+BOiX TELEPHONE CO ACTOR'S MAKING ADDRESS0. �J 1390, ONVILI.E, CA 95965 CONSTRUCTION LENDER ,t Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 1641 AIWA STREET, OROVILLE, CA Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF F1 Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK Z' T New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: ELEmiC suyia a1ARGE t Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I G1 W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.0 IlOOV OR LESS Main Service 2 OR LESS 23.00 23 • LICENSED CONTRACTOR'S DECLARATIONMain ' 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.POWER License Class (-/0 Lic. No. 591 / Q -2 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 Service ( 200A To I000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLDS. SO 3.5¢x, rN,pN-RESID RANCHO CIRCUITS @],50 APPARATUS & SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FUTURES BAS@'.w Ex. Occup. OUTLETS RES D.OEA 5.00. Temporary Service 23.00 Mobile Home Facilities 20:00, Misc. Wiring PRE -INSPECTION PERMIT FEE $ 66A0 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. I I 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 -''rare (JMF� MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number '// S - 97 (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 Gode, I shall .foFthv✓ith compV, VFit'}ri those provisions. X 1.�� % ' Z Date _S O —SignatJ're of Applicant - ❑ Owner ® Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and"demolition or construction?A� of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE 75to.UU TOTAL FEE $ HAZ. D. FEES IMP FLOOD CDF PARCEL PD I HD I ISSUE ✓ This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicate4lboveifor which fees have been paid. ` By Date PERMIT EXPIRES ON .? lvll I Date Receipt No. LJ 839 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE BUILDING DIVISION ' DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 CORRECTION NOTICE O NER Or PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at 'the above address and should be corrected. Please notify this office when correction of work is completed. If yqu have gny questions pertaining to this matter, or need additional explanation, please conte this office immediately. e a ✓ 41 o v,` / d it V -e- c/ ✓Jou,-e n r �r , f Date - - �J Inspector' k Gell REV 10/92 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT q$- ASSESSOR PARCEL NUMBER 030-360-052 ZONING AR BUILDING PERMIT OWNER HOTTINGER, AL III TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1641 ALMA STREET, OROVILLE, CA 95965 C RA JR'S NAME 8fiff ELECTRIC r TELEPHONE ' CONTRACTOR'S MAILING ADDREB50. BOX 1390, OROVILLE, CA 95965 r CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENS E NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1641 ALMA STREET, OROVILLE, CA Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF a Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 9X Describe Work: ELECTRIC SERVICE CiARGE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 600V LESS Main Service ss 23.00 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. 2 QQ2 License Class C- /0 Lic. No. 39� / 7j 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 Main Service 200A TO 1000A 46.00NEW CONST. DWEWNGOCCUP. So OR ADDNS. ( a ACC. BLAS. 3.5Q FT. NEW CONST. MULTI OUTLET NON-RESID. q C @7.50 POWER APPARATUS 3 SINGLE OUTLET CIR. EX. OCCU OUTLET OR FIXTURES BAIL 9 .50 Ex. Occup. GL,T.A(RR'o,o.RA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PRE—INSPECTION23.0 PERMIT FEE $ 66.0 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. I 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' compens tion insurance carrier and policy number are: Carrier S'r•AiE/wP MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number 7/ 3 - 9 7 (The above sections need not be completed if the permit is for work of a valuation ( of one hundred dollars ($100) or less.) 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 with c 1 those provisions. /� Date _ j` / 1,3;Sgnat of App cant - ❑Owner Q' Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE 66.0 $ HAZ. I D. FEES IMP I FLOOD COF PARCEL PO HD I ISSU This permit is hereby issued under the applicable provisions of the Butte Co my Code and/or Resolutions to do work indi Ove or which fees have been paid. s 51" By Date PERMIT EXPIRES ON 3� X10 I Date Receipt No. 231839 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF, DEhLOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE-- ORq.yILlE CALIFORNIA 95965 - TELEPHONE (916) 538-7541 ti, <. PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER: Proposed Building Use: QDY. 4A.— at& I Building Inspector: Date: At time of permit application, I was ad ' ed the following data must be submitted prior to permit p e sing and/or issuance: Date Received By ❑ 1. All items have been submitted .----------------------------------------------------------------------7-------------- ❑2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑ 3 . Complete plans, 3/4 sets, signed by the prepares of plans. ----------------------------------------------------- 114. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. --------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications. ❑ 10. Fees of $-------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ------- ❑ 12. California Department of Forestry plan approval/fees. ❑ 13. Flood elevation certificate. ------- ❑ 14. Sanitation and plot plan approval Health,Department. ------------------------------------------- ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use (B) Parking: ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 1.9. Encroachment Permit for(A'veway (construction approval prior to occupancy). ---------------7------------ / /O. Pre -inspection for AZ required Request to Building Inspector on (Date) ❑21. Contractor's license information. (Number, Name Style, Classification). ---------------------- ------------- El 22. Workers' Compensation carrier and policy number. -------------------- 1123. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑) 024. Letter of signature authorization. ----------------------------------------- ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. ----------- 026. Letter of intent on building use. ------------- ❑27. Manufactured Home utility clearance. ----- 028. Existing violations and/or expired permits. El 29. 1343 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 030. Other When you issue the permit, process as follows ❑ Mail to ownerraMail to contracto —� ❑ Telephone and hold for pickup at off'i eliver with inspector. Applicant: Date: Copy of Haz-Mat form sent 11Health Department, ❑ Fire Department, ❑ Air ution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: 2. Additional items required X �;01-� ❑ Plan Check List Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. (Rev. 12/96) COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER _ ` ZONING BUILDING PERMIT 1TELEPHONE, OWNER Al HfA,�i TELEPHONE SO, FT, OCC. BUILDING VALUATION OVYR5M ADDR S ' C2 ,= NAME TELEPHONE ' COM- TORSIU 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 Checkin Fee $ BUILDING ADDRESSAI I Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF �',Dupiex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile, Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2ppAoRLESS 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 1 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 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if 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 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELUNG OCCUP. so OR ADDNS. ( & ACC. �pS. 3.50FT. =RESlpT MULTBRANCI.OUTLEi @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. oun.EroR FonvREs 20 @'•0° Ex. Occu 134,L o .w Ex. Occu .oUTLEEDrs RE�4I6.oEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 3 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE o HAz D FEES IMP FLOOD CDF PARCEL PO HD ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON provisions to do work paid. le Receipt No. - WHITE-D.D.S.-B.D. CANA Y -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT OWNER: LOCATI PRE—INSPECTION CONTRACTOR: PRE—INSPECTION FOR: ------------------------------------------------ ------------------------------------------------- PERMIT HISTORY: NONE AS FOLLOWS: R DATE 4 A.P. #_D50— ZONING V 0—ZONING DATE TO INSPECTOR a TYPE OF OCCUPANCY ---------- FIELD — INFORMATION BUILDING USAGE: TENNANT: OCCUPIED D HAS ELECTRIC Q HAS GAS Q HEATED—COOLED E:l PERSON CONTACTED OTHER COMMENTS: O HAS SANITATION FACILITIES. ACTION RECOMMENDED: ISSUE HOLD FOR 4,0- 4th. 1Ayl" OTHER: BY���� DATE Z6 .,T HOTTI NGER, ALBERT -36-52 . 1641 ALMA ST., OROV 1 E`.29_7 j" ' y PERMIT #739-76P(BLDG. SEINER INS)! r SF 30-36-52 3353-91B HOTTINGER, Al _ . r 1641 Alma St, Oroville cont: HArward & Co G/ ` (vinyl siding/sf) !�� A 1. (Rev. 12/96) COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California -95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER Z°"^N° BUILDING PERMIT OWNER -I TELEPHONE SO, Fr, OCC. BUILDING VALUATION 1r:1r:M ADOR S 'I '� � • r ', l CONTRACT NAME _ TELEPHONE ' CO;36CTORS IU ADORESS 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 I A1 Y �(�/ Energy Plan Checking Fee $ $ PERMIT FEE $ LOTNO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF KDuplex ❑ Mobilehome ❑ 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: -r Gas piping system 1 - 5 outlets 15.00 . Building sewer 15.00 Mobile Home I S G W (920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 0.00.ORLEss 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 (The above sections need not be completed it the permit is for work of a valuation of one hundred dollars ($100) or less.) 131 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'rf 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 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLINGOC. S OR ADDNS. ( a Ate, BLDSCUP, 3.5¢FO: Np RE°SIU. T.MULTI.OtlN (97.50 owER APPARATUS IPS wGLE ovnET cIR. Ex. Occup. OUTLET OR FixTURES 2° p 1'00 SAL p .SO FIXLNS Ex. Occup. DUTIEEDTS RESID,°.R. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 ti 3 PERMIT FEE $ bA MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE '1 TOTAL FEE $ HA2. D. FEES IMP I FLOOD I CDF PARCEL PO HO ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON - provisions to do work paid. le Receipt No. WHITE-D.D.S.-B.O. CANA Y -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ��y��'`°°�''a'`i��s'�xirw�,�:k;�tr;�y`�'�rio�Q'� ,jy�Y:E►ia6:3P,ic� st�$.i�-y�.:�@'�'�' �Y%.��"��4'�y'sr++ydrr:. � a: `'' r�m^��!+�"`-y,."M _., F,.. v �x� rte." .. ,� ' .. k .� { _ � � ' t _� �� ^. . t '� . jr .. i f � .. . i . • 4 '� . �. ^. �� ,.,, '� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. �} 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 YT APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 30-360-052 ZONING A R BUILDING PERMIT OWNER AL HOTTINCER TELEPHONE SO. FT. OCC. BUILDING VALUATION 500 r OWNER'S MAILING ADDRESS 1641 ALMA ST OROVILLE CONTRACTOR'S NAME HARWARD & OD TELEPHONE y_ i CONTRACTOR'S MAILING ADDRESS 3291 MMIER CIRCLE RANCHO CORDOVA 95670 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1641 ALMA ST OROVII,I.L Permit tee $ 7. PLUMBING PERMIT Filing Fee 15.00 t I Each Trap 1 5.00 I Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL. MAP ( Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE j SF J1 Duplex❑ Mobilehome❑ Other I SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JWF @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ 1her ® Describe work: _ WINDOW REPLJIICE Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 18.50 200A OR LESS Main service 20cATO1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): �� P101, LK l 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 .Jo. � f9 10-d? Classification - El 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.&\ 3.64 sq.ft. OR ADDNS. ACC. BLDG S. // NEW CONSTR.ULT'-OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 (POWER APPARATUS sl \SINGLE OUTLET CIR.1 I 20 Ex. Occup(OUTLETS OR FIXTURES L_ 75d ED APPLN Ex. Occup. OUTLETS ((RESID,)REA.) I 3.00 Temporary service 15.00 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. 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. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 iabilities, judgments, costs, and expenses which may in any way accrue ag Inst said Coun r onse -ence of the granting of this permit. X / Date �%' �8'- 9� Si nature of Applicant - owner g pp ❑ Contractor ❑ Agent �~ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEES b7.50 HAz 1 11 FEES I IMP I FLOOD I CDF I PARCEL I PO I HD 7SSU This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do .•--� work indicated above f which feewhave been paid. � DIRECf10 F UB IC INORKS By X Date PERMIT' EXPIRES Date C' %,, . '; , f Receipt NO. I I � 4, . % WHITE -D. r. W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle. California 95965 - Telephone: 916:538-7541 APPLICATION -AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 30-360-052 ZONING A R BUILDING PERMIT OWNER AL HOTTINGER TELEPHONE S0. FT. DCC. BUILDING ION �+ EST f OWNER'S MAILING ADDRESS 1641 ALMA ST OROVILLE CONTRACTOR'S NAME HARWARD & CO TELEPHONE CONTRACTOR'S MAILING ADDRESS 3291 MONIER CIRCLE RANCHO CORDOVA 95670 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 5-2-50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING1641 ADDRESALMA ST OROVILLE Permit fee $ 67.50 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SFP Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ® Describe work: WTNT)OW RFPT A(F, Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 CONTRACTORS LICENSE LAW I declare der 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. 1/0!!2I3 License No. c �! �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 Main service 20GATO1000A) 37.50 NEW CONST. / DWELLING OCCUP.&\ OR ADDNS. `ACC. BLDGS. I 3.6Qsq.ft. NEW CONSTR ULTI.OUTLET NO N.R ESI BRANCH CIRCUITS /� 5 00 l: POWER APPARATUS 9 SINGLE OUTLET CIS. Ex. Occup( OUTLETS OR FIXTURES 20 @ 75 AL 8 4F;1 FIXED APLNS. Ex. OCCUp. OUTLETS (PRESID.)REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. byirin g '15.00 Permit Fee $ • — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): E] Tjle 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. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all,,liabilities, judgments, costs, and expe s which may in any way accrue ag inst said Coun nseence ranting of this permit. X Date — �8� 9� si Signature of Applicant — Owner 9 PP ❑ Contractor ❑ Agent �— An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 67.50 HAz DFEES IMP FLOOD CDF PARCEL PD HO Issu This permit is hereby issued under the sions of th Butte County Code and/or work i Ic ed abov f which ee DIRE IF UB C By XPI • PER EE Date applicable provi- resolutions to do have been paid. DRK$ Date Receipt No. loo WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT �.>. 41 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVII 6k, 6kJ_-W_i0AIA 95965 - TELEPHONE: 916/538-7541 I• PERMIT APPLICATION DATA SHEETi,�, —� Permit No. OWNER f 1 A. P. o. �� Proposed Building Use/rt//if/ZYi� X45111-46-6—Building Inspector Date- At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: / I DATE RECEIVED APPROVED Y 1. All items have been submitted. ...... ........ ..... .......... 2. Plot plans in duplicate/triplicate, signed by preparer of plans :-....... 3. Complete plans in duplicate/triplicate, signed by preparer. of�'plans . . 4. Complete engineeredl�plans and calcs, with wet signature on plans .. 5.1Hazardous Material Form ................... .................... . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions...................................... .............. 10. Fees of $ ( ....... 11. Chico Urban Area fees paid ........................................ 12. Park fees paid ..... i .......................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ...................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: " 18. Improvements may be';'required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for I required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. I 27. i 1000 When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. T_Other Date By. The following data must be submitted prior to permit issua 1. Index permit for above 11 items No. 2. Additional items required: �E (Circle new item not checked above). Contractor, designer, owner, wlas advised of above required data by—phone _mail_counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by Date — Sets of plans on hold in File cabinet AP folder Copy—DPW #i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovillet California 95965 - Telephone: 916.538-7541 APPLICIATIDN AND PERMIT ASSESSOR PARCEL NUMBER — 4 S Z ZONING BUILDING PERMIT OWNER AL -�� TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS !o' ST agy u' L e#& 6 3 CONTRACTOR'S NAME A TELEPHONE /J b& -G' 0 CONN -TRACTOR'S MAILING ADDRESS cX ice$ N -- i - f(e-Jo Fireplace CONSTRUCTION LENDER .UNKNOWN Total Valuation 5 LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 15.00 Permit Fee Plan Checking Fee $ 1 r� $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee S. P ena i-ty $ BUILDING ADDRESS S 9, MA P` 62 -Permit tee $ T, - PLUMBING PERMIT FiIingFee 15.00 Each T Yap Solar or heat pump water heater 5.001 1 1 I 20.00' LOT NO.I SU E1 CI ViSiON NAME I PAR'C'EL MAF water piping 7.00 Each aas, WaTer neater Or vent 7.00 USE OF STRUCTURE SF&�' DuplexJ Mobilehome[] Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 1 15.00 Mobile Home S 1 G 1 W @ 15.00 TYPE OF WORK New% Addition' Remodel[ Utilities ❑ Installation[ Othe 1 Describe work: 160 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service LESS 200A OR LESS 1 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I i _ 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. Classification LI 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) [j I am exempt under Sec. Business and Professions Code for this reason Main service 200A TO IOOOAI I 37.50' oa COADONST' ( WELL.I ccsCCUP.&) 13.6Csa.rt.l OR CONSTR Auu-l.ourL_r `JON.P E510. BRA NC i-! CIRC' ITS I .@ S•OQI (POWER APp ARATUS s lJINGLE OU.L=r c:P. ) Ex. OCCup(OUTLZTS OR=IxTIJPES I �pO� 7 Ex. Occup. OUTL TS ;REAppl_151O.!REA. ) I 3.00 I Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g I 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. CI 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. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heatina_ l I Cooiing Hood 5.50 Ventilation penult 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. 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. X Date Signature of Applicant _ OWnerC Contractor C Agent An OSHA -on of structures toverr 3 storiesornehea9hattions over 5'0" deep and demolition or construct- Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ I HAL 1OFEES IMP I FLOOD ICOF PARCEL IPO I RO ssuE I This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS 1 Date ' Receipt No. I w"IYt-a.P.W.. YELLa W- Mf. an. PINw•IMSPIL YaR. Win, n...onn_.oe, ...... I 1 f. —' PERMIT NO.9— HP 7 �. P E M MH UTIL. t PERMIT NO. r PERMIT EXPIRES OWNER ALBERT HOTT I LAGER I+ CONTR. OWNER LOCATION (A.P, 30-36-52 ) 1641 ALMA ST., OROVILLE y1i !/ Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E i f JOB i FINALED (Date) ' (Signature) T v.' r f .. -.. „ . ,. , ... '�'/.' w •� r . . � 1, r. 'I••�J r .� n v.... T r , �. - .. THERMALITO IRRIGATION DISTRICT 410 GRAND AVENUE OROVILLE. CALIFORNIA 95965 TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: I (n y I A l Owner's Name: n r\nAr' Date: 7A, Address: boy I A Mme.. Acct. No: A.P. No.: Phone: S3 "' 93ns` No. Units: Applicant/Agent: Al Iq Agents Proof: N /,a Address: Fees: Phone: Application $ Arrearage f Preliminary Review By: Date: .9 1,-7117(- CSA 26 % Remarks: SC -OR J 1st mo. S.C. Other Total Fees P M,44r Collected By: Date: Field Review By: Date: Remarks: MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: Q Date of TID approval of completed building sewer (early connection). ❑ 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). DISTRIBUTION: WHITE - TID, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TID COUNTY OF BUTTE — DEPARTMF_NT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING 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 Pi Ing & 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 jDATE q / REMARKS OR CORRECTIONS 9 J COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 Telephon9:,534-4541 APPLICATION AND PERMIT 739-71 authorLC representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. rAx�_71 4 X .1 Date a ignature of ermitee or Agent Receipt No. 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 FFg-PUBLIC WORKS ^� By.dT/' \.G�B�°" Date permit expires Date 77 BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address 6 Telephone No. J733, 0-' 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 1$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 A. P. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fes S9dP1t-tattea I FireDept. FireZone Use Permit Building sewer 5.00 SvU EQA plans Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 B4dgr-Wor1s-Ret;'d I Parcel Approval Plans Approval Permit Fee $ Uv $ NEWADDITION ❑ ❑ UTILITIES ❑ OTHER ,® ELECTRICAL No. @ FEE PERMIT FILING FEE $3.0_0_ /J C-. 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 ❑ Main service VER 600V 10 0 AMP OR LESS 25,00 Main service EA. ADD'L 100 AMP 1.00 NEW OR ADD NST ACCLBLDGS.LING CCUP. &) 2¢Sgft NEW CONSTR. MULTI -OUTLET NON-RESID, ( BRANCH CIRCUITS) '2.50ea NEW CONST. POWER APPARATUS &) NON- R 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: Ex. Occup(OUTLETS OR FIXTURES)@L @129C BA Ex. Occup.FIXED APPLNS, OR (OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.Classification Misc. Wiring 6.25 1 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. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. R1 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 N0.1 @ I FEE PERMIT FILING FEE J$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 $ ea authorLC representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. rAx�_71 4 X .1 Date a ignature of ermitee or Agent Receipt No. 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 FFg-PUBLIC WORKS ^� By.dT/' \.G�B�°" Date permit expires Date 77