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Home My WebLink About030-430-040icy — '04. N jot ago b- f A lop 7f job i — '04. N 4 TV vr 7f BUILDING DIVISION COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES .7 COUNT.Y.CENTER DRIVE - O.ROVILLE, CALIFORNIA 95965 - TELEPHONE: (530) 538-�541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. 7 -7 6 , Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock" or other, horticultural products. This structure shall not be a place of human habitation ora place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO �so - 41,30 0 (/0 ASSESSOR PARCEL NO. OWNER e,,,4 114r e M6 k PHONE No — 33 6 6 ed OWNER'S ADDRESS /V 40 c,�)40111L,1-4e �T)K/3 LOCATION OF BUILDING USE OF BUILDING r SIZE OF STRUCTURE Ix -T. F TYPE OF CONSTRUCTION: Y- ,W,POD FRAME — STEEL, CONCRETE OTHER (Specify) TYPE OF SIDING,,j� ROOF FLOOR TYPE ESTIMATED C_Q$T.OF C30ST&JSTION rL 6 0 ---- $_ ,AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: FRONT 551 r 6 /�"EAR SIDES a AG Buildings shall be a minimum of five (5) feet from any septic tank or leach -fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the -requirements in effect at that time and before occupancy. Date -3 signature of Owne Z?", Permit Fee - $60.00 The above described AG Building is exempt from a buflding pern)it. iE Receipt No.3 IL719— P V5 I V1 Manager Building Division By Date White — DPW, Yellow — Assessor, Pink B. I., Goldenrod Applicant 030-43-0-640 ELMORE, RICHARD 93-1912 B 1686 GRAND AVE 'OROVILLE BOX IN EAVES/s' . F lelqi( 'N:C'OUNTY OF BUTTE - DEP�,RITIVIENT OF PUBLIC- WOk'L-5�1-'�`,,l 7 County Center Drive - Oroville, C�"Iifornia 95965 - Telephone: 916,`538-m7541 AN RMIT PLICAT(ON-1 PERMIT NO. ?_��_/_Q 4-P I" ASSESSOR PARCEL NUMB R 030-430-'040� ZONIN�G BUILDING PERMIT OWNER TELEPHONE _e 5�33-6641 SQ. FT. Ott: B �U�'I'L'D�l'N"G-"'VA-L�'U�'A'T'l-6N-'-- EST 500 OWNER'S MAILING ADDRESS 1686 GRAND—AVE.'i, OROVILLE CA 95965 CONTRACTOR'S NAME owm ITELEPtipNE CONTRACTOR'S MAILING ADDRESS F i rep l6ce �'CONSTRUCTION LENDER MONE UNKNOWN. Total Valuation -7- F i I ing Fee 5-00 LENDER'S MAILING ADDRESS P -erni it Fee,, AR,CHITECT OR ENGINEER LICENSE NO. NONE ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ Energy P�lan Checking Fee $ Penalty J. BUILDING ADDRESS 1686 GRAND AVE., OROVILLE Permit f'ee 3000101- PLUMBING PERMIT FilingFee 15.00. �Each_Trap, 5.001 Solar or heat pump water heater .00 LOT NO, SUBDIVISION�N�AME P A R C gt�_L_M� P Water piping 7.00 Each qas water heater or vent 7.06 USE OF STRUCTURE SF RV D4,lbx7 MobilehonreF-1 Other SPECIFY 5 outlets Gas,piping system 1 5.0 Building sewer 15.00 -F-F-[7 15.o6l Mobile Home FS G W TYPE OF'WORK' New Lj 'hemode'l E]" 'ti I MitiWs. "n�stallationE,]!,,,O'ihe'r-,U.- Describe work: - BOX IN -EAVES Permit Fee $ Contractor ELECTRICAL PERMIT F i I i nq Fee 15.00 Main service 600V OR LESS 18.50 200A OR LESS Main.service, 20CATO 1000A) 37-.�ql CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I aln licensed under provisions of Chapt. 9, Div. 3 of the,Busiriess and ' Professions Code and.my license is in full force a�d'effect. Lic I ense No. Classificatio . n E,rl 1, as the owner, or my employees with wages as their sole-.,compen- sation, will do the work,and the structure is not intended or:offered for sale. (Sec. 7044) I, as the owner, am exclusively contractirig with licensed Contract- Ors. (Sec. 7044) F-1 I am exempt urider Sec.-, Business and Professio , ns Code for,' -this reason NEW CONST.' DWELLING OC OR ADONS. ACC. BLDGS. CUPM 3.6� SqJt.1 NEW CONSTR. MULTI -OUTLET NON-RESIO, BRANCH CIRCUITS) @ 5.00 POWER APPARATUS &) SINGLE OUTLET CI R. - - Ex. Occup( OUTLETS OR FIXTURES 20rS 76 �AL 44 OCCUP. FIXED APPUN Ex. OUTLETS (RESSI-DO)REA.) 3�001 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor '%-,�idRKM'tN` ;� COMPENSATION INSURANCE I declare under peria'Ity' of perjury (check one): The permit is for $100.00 valuation) or less. E] 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. Ej,. I shall not employ any person in any manner so as to becorffe'§ubject to the W. C. laws of California. I 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' Fi'lilnq�ee� 15.00 Heating Cooling Hood 6.50, VentilAtion. Permit(Fee $ Contractor I certify that I have read this application.and state that the above inf iirmation is correct.' -I agree to comply to all County Ordinances and State Lawi$ reldLing to building c�onstruction, and hereby authoriA,repriesentatives of the 69untyot Butte to enter upo �e above-mefit t ion.ed property . for inspection purposes I also a rpe, indemnify and - k`e 'Count' P\harmiess the y of Buttd�against all -liabilities, judgments, costs, and exj�enses which may in any way accrue against si ty�inn �Conq ;�quence of �the-q�r7ant�xig of thuix-Qermit. aid (;pOn X/�: Va t ig6ature of Applican ONner L o. ant 0 11 A n OSHA,Oermit ip quirTq f ��e x c o 1,ha, ver 5'0'' deep and demolition or,construct- ion of structures o jer� 'stor 0, ar 1� n Wo-6ile Home Installation Fee Energy Inspection Fee - occ CONST TYPE TOTAL FEE'.$'Jr3G.00, HAZ D FEES/ IMP I FLOOD CDF I PARCEL PD I HD kThi�'rperrnit-wis-,her6by issuecl'.uli�dee-,the'applicabie provi- sloTis-zot t --,the But, un ode.and/or resolutions to do _// / i o r klfe a' r, __J - '6 -15- 'd W n a 41. aL Wlh1ichPf�es7,h ve een ai A, 11 1 V 0/ DIRE F �RUBLI� B� t t M� R PEk - ERPIAE§ [Yate \-'," /, , .,. V "i - - 711/ � �= Receipt No. Inn 4� OR 00-APPL I CANT 46 1 I ��*tzvg COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT 0. 7 County Center Drive - Oroville, Califo'r'nia'95965 - Telephone: 916/538-7541, APPLICAT10N AND PERMIT Ass P,ARCEL NUMBER 'ESSO 7* ZONIN BUILbING PERMIT TEL.EPH7,y Owr� nO ja . 'WI'11 ... .. -_ N iES'- MT, L15t -COOILV Z_ SQ�. FT. 0C C. BUILDING VALUATION 1 7__ C(ONTRACT,OR'S NAM J,TELEPHONE , X. C G AQD OR E S S, IT11 nT ` &Z 4ky\lbtfle Ave I Fireplace CONSTRUCTION LktND�_H UWKNOWN Total Valuation LENCER'S MAILING ADDRESS Filing Fee 15.00, Permit Fee ARCHITECT OR ENGINEER LICEN SE NO. Plan Che.cking:Fec ..ARCHITECT OR EN.GINE.ER,'S'MAILING ADDRESS Energy Plan Checking'Fee $ Penalty $ BUILDING 7 Peirmlltjee,,�� F i ing Fee 'PLUMBING PER MIT 15.00 5.00 pum wa E�;Iar-o'r'h�gt t6rh4afei 20.661' LOT Nq�,. -flskYsbivisioN �XiIAE L MAP Water. p I p I ng 7.00 Each qas water heater or vent 7.00 USE OF STRUCI 'URE �F��Duplex.[.,].,Mbbi'le'h�"o�meI ok i�' e r' SPECIFY Gas pi - ping system 1 5 outlets 5.00 Building sewer 15.00 Mobile Home S TG W @ 15.00 TYPE OF WORK New 'Addition R emode I Utilities [:1 InstallationEl Othe Describe'woirk: Permit Fee $ Contractor PERMIT, Fi ingfee], 1.5700 600VORLESS' Nain service� ss 118�50 200A OR LE Mai 6. serv�,ice 20GA TO 1000A) :,'-37.50� '',CONTRACTORS LICENSE LAW6 I declare,under. penalty of perjury (check One):- am llcensej under provisions of Chapt. 9, Div. 3 of the Business k1i n d Profess s—Code an my license is in full f orceqnd ef f ect. L cen�e No I'0_ s cation as 'Cl ifi as the owper, or my emp oyees with"wages as their'�ole compe9,7 %ation will 'a6 the work',dnd the' structure is not intended Or:bft6r6d- for sal'e. (Sec. 7044) 1 1 . I I 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) I am exempt under..Sec. Business and Professions Code �or th'i's reason �NEW'C,ONST: (DWELLING OCC :U P. &) .3.64 sq.ft. OR ADONS." ACC. BLDGS.. NEW CONSTR. MULTI -OUTLET NON-RESID. BRANC H CIRCUITS) @ 5.00 PO I ER APPARATUS.&) _SINVGYLE OUTLET CIR Ex. OCCG'p( OUT E 20 6 LETS.OR FIXTUR L. �A 1116 1Ex .06 C . OUTLETS IRESID.)'Ex U�_FIXED.APPLINIS'. OR' '�.00 76rhpo4ary '�OrVi6e 15'.00 I , Mobile Home Facilities 1.5.00 Misc. Wiring Permit Fee $ - 7.. WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): E] The permit.is for $100.00 (valuationj�or less. �Kl.jave placed on file with the County of Butte Building Depa rtment ertificate of 'Workmen's Compensation Insurance or a Certificate -,4ofilconsent to! Self-lnsure� o be ome s bject F1 'Itshal I not emp"16y any person in any manner so- as t C u 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 pen,nit shal I.be deemed revoked. Wt 1. "_(fointrac or MECHANICAL PERMIT Fi I ing Fee 15.00 Heating cooling 0 6.50 'Venti lation Permit Fee $ Contractor I certify that'l have read this.,%application and_ state, that the above Jinformatiom" is correct. .1 agree to 'comply to �all County Ordi.nahces'and State LaW§r�relating .to bui'lding construction- and hereby authorize. representatives of, the County ot, ButteAo enter upon the �bove.mentidnecl property for inspection purposes. I also agree to save, indemnify and'k6ep harmless toe County of Butte against all liabilities, judgments,:: costs, and 'expenses which may.in any way accrue against/said County in c r n - g of this permit. onsequence of the g A& Dat 4 Signature of Applicant:- --Owner Contfcictor'�P_ ,Ag'ent An OSHA permit is required for exca�'�ti�`ni over 5,0�.' d,ep`0,,'arvd demolition or construct- ion of structures, over..3. stories in height. �d�l Mobile Home Installation Fee Energy Inspection Fee occ CO ST TYPE TOTAL FEE HAZ D F�ES_ OF PARLEL'[PD I_HD This permit is hereb y issued-pnder the.applicable provi- sions Lth o e.Bu CO 0 , t -y C/d I e and/or resolutionsto do work inclic abP9 fo�,which fees have been -paid. DP15C.,TOROF PUBLIC WORKS B y PERMIT EXPIRES' Date yr �V, If �Z_ Recei It No.. P.. _W"7,IE_0:P ...W.YEL'Lon�7AIICS�OR. PiNK-INSRECT�9R. GOLDENROD-APPL CANT V, COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916, 538-7541 APPLICATIONAN"D PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 030-430-040 ZONING ;AR-- --; BUILDING PERMIT OWNER RICHARD ELMORE TELEPHONE 533-6641 SQ.FT. OCC. BUILDING VALUATION EST 500 OWNER'S MAILING ADDRESS 1686 GRAND.AVE., OROVILLE CA 95965 CONTRACTOR , S NAME OWNER ITELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE OWN Total Valuation Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 15.00 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1686 GRAND AVE., OROVILLE Permit fee $ 30.00 PLUMBING PERMIT FilingFee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SU BDIVISION NAME PARCEL MAP Water. p i p i ng 7.00 Each clas water heater or vent 7.00, USE OF STRUCTURE S F [y� Duplex7 Mobilehome[_1 Other SPECIFY Gas piping system 1 - 5 outlets 5.001- Building sewer 15.00 Mobile Home S I G @ 15.00 TYPE OF WORK Newl Addition RemodelE! utilities[:] InstallationD OtherX:1 Describe work: BOX IN EAVES Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 600V OR LESS Main service 200A OR LESS 18.50 Main service 200A TO 1 OOOA) 37.501 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 1 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 �1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) E-1 I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) F-1 I am exempt under Sec.—, Business and Professions Code for this reason NEW CONST. DWELLING OCCUPM OR ACDNS. ACC, BLOGS. 3.6* sq.ft.1 NEW CONSTRL MU LT'_OUTLET NON-RESID, RANC1 CI.C11TS) @ 5.00 POWER APPARATUS.a.) SINGLE OUTLET CIR Ex. Occup( OUTLETS OR FIXTURES 20 @ 76 dAL_ a 4F;� FIXED APPLNS. OR Ex. Occup. OUTLETS I RESID.) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 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. I have placed on file with the County of Butte Building Department a Certificate of Workments Compensation Insurance or a Certificate of Consent to Self -Insure. 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 Fi I ing Fee 15.00 Heating Cooling 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 ot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of B . utte against all liabilities, judgments, costs, and expenses which may in any way accrue agai ^_ said C t . consequence of the granting of this permit. X77' .4c 17 -Q Date L10— - - Signature of Applicant Owner D Contractor n 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 Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 30.00 1 11AZ 1 11 FEES I IMPI r"LOOD I CD1 PARCEL I PO I HD This permit is hereby issued under the sions 5� utte ount ode and/ or — , B w n ated ab f which f B y E rMkPtFVE9 ffa-te applicable provi- r r olutions to do s ve been paid., RKS WJ Dat &K" X; /r-4 �/ I / Receipt No. 143350 WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD-APPLI CANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC '40RKS 7 County Center Drive - Oro.vill.e. California 95965 - Telephone 916 538-7541 APPLICATIONAND-RERMIT, PERMIT NO. -ASSE OR PARCEL NUMBER ZONING BUILDING PERMIT R / , 0�1 � r SQ. F T'. OCC. BUILDING'VALLIATION OWNE S AILg ADDR:T 16 W7, Q y? uc% ore? U �/,e CO TRACT — NA TEL CONTRACTOR'5 MAILING ADDRESS Fireplace COTUCTION LENDER 0 yle- UNKNOWN - Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS 'Permit Fee $ ARCyll�ECT OR ENGINEER /(—/Ll) A LICENSE NO. Plan Checking Fee $ IEhergy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADI?RESS 6y, A) U; I Permit fee 1, d, e9 LIZ a - PLUMBING PERMIT Fi I iN Fee- 15.00 Each -f rap' 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water, pi ping 7.00 Edch-qas,water heater or vent 7.00 USE OF STRUCTURE SF DuplexF_� MobilehomeF� Other SPECIFY _ !t_ Gas piping system.11 - 5 outlets 5.00 Building sewer 15.00 .00 Mobile Home' S G W1, 15.00 TYPE OF WORK Otke" New,17 Addition RemodeLE::! utilit Installation r Describe work: L) Fie- it.Fee $ rm Contractor ELECTRICAL PERMIT Fi ling Fee .15.00 600V OR LESS Main service 200A OR LESS 18.50 Main. sery ice 200A.tO 100 . OA) 37.50 CONTRACTORS LICENSE LAW. I declare under penalty of perjury (check one): I am licensed und . er provisions of Chapt. 9, Div. 3 of the Business and Professions I Code and' my license is in. full force and effect. License'No. Classification I, as the owner, or my employ . ees with wages� as t , heir sole compen- sat ion, wi I I -do the work, and the structure. i s hot intended or offered for sale. (Sec.�7044) I, as the owner, am exclusively contracti.ng with licensed contract- ors. (Sec. 7044) F� I am exempt under Sec. Business and Professions. Code for this reason NEW CONST. ( DWELLING OCCUP.& OR 'ADDNS. ACC.BLOGS.. NEW CONSTR. MULT ICUCT, 'LET NON.RESIO, BRAN C 'C', TS) @ 5.00 (POWER APPARATUS 6 SINGLE OUTLET CIR. 20 Ex. Occup(OUTLETS OR FIXTURES 4AI- 9 AR FIXED APPLNS. OR Ex.'Occup. OUTLETS (RESIO.) EA. 3.00 Temporary service, 15.00 Mobile Home Facilities 15.00 Wiring 1 5 misc. .00 Permit Fee. $ Contractor WORKMEN'S COMPENSATION INSURAII46E I declare under penalty of perjury (check one): The permit is for $100.00 (valuation)'Or less. E] I have placed on file with the County of i Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. - . I . . I z 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 Filing Fee 15.00 Heating Cooling 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"re lat i n`g- 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, indemnity and keep.harmless the County of Butte against all liabilities, judgments, costs. and.expenses which may in any way accruel against said County in consequence 'of the granting'of this permit. X Date Signature of . Applicant OwnerEl Contractor.[] �Agent El An OSHA permit is required for excovat over 5'0" deep and demolition or construct- ion of structures over 3 stories.in .,g,,...n, Mobile Home Installation Fee.,. _s, Energy inspection Fee $ occ C I ONST TYPE TO L FEE $ HAZ 0 FEES IMP I FLOOD [ED -F] PA7RCEL PD HE) ISSUE This be'r.nnit is he'reby issued under the applicable prov17 sions of the Butte County Code and/or resolutionis to do work indicated above'for which fee . s have be'en paid, DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt NO. WHITC-D.P.W.. YELLOW-_A381t3_30.. Plhik-INSPECTOR, GOLDENROD-APPLI CANT COUNTY OF BUTTE De XtMebt of Public Works 7.County Center Drive, Oroville, CA 95965 Phone: 916-538-r7541 OWNER�,BUILDER VERIFICATION Attention Property Owner,: An 'lowner-builder" building permit has,been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity,to avoid unnecessary delay in processing andissu I ing your b . uilding permit. --No building permit will be issued until this verification is received. 1. 1 personally plan to provide the major labor.and materials for construction of the proposed property improvement (yes or no) 2. 1 (have/have not) signed an application for a.buildin'g permit' for t -Fe --proposed work. 3. I'have contracted with the following person (firm.) to provide the proposed construction: Name Address City Phone" Contractors License No. - 4: -1 plan to provide por t 4 ons of this work, but,I have hired-.. the following- person to coordinate', supervise, and provide the major work:, Name Addr e s -s .,C ity Phone Contractors License 'No'., 5. 1 will provide some�'of.the work but I�have-contracted �hired),the.following_, persons to provide the, work indicated: Name Address-. 'Type of Work Phone'. Sighed: Property Owner Social Security Lrmbdr - Date NOTE: This Owner -Builder Verification is sent to you,as required. by Sections 19831._.and 19832.of the California Health and Safety Code. um, This verification must be completed and retdrned to our office before.we are per--., mitted to issue the.permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Cal,ifQrnia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT' PERMIT 0. a7? -7 i�_,Pvl ASSFSWR PARCEL NUMBER (B 19 -- q,3 - III - 61V ZO I G X_R - 7 -_ - - 1 4 r I - /1 BUILDING PERMIT TELEPHOM 533-04 L SQ. OCC.1 BUILDING VALUATION 0 W N-[ �Fr 13 M 6� N-Or4�� 14" CO R A C T R S N! A M� jn��OR& Al lite, YJ # Fireplace CONSTRUCTION LIJNDER WKNOWN IU Total Valuati( LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ 3.0,zc) ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING _Jg,?E, �tS - �� a f)i�l Auke_ Permit fee $ QC�Ml 11,e:4 &4 PLUMBING PERMIT FilinglFee 15.00 Each Trap 5.00 Solar or heat pump water heater —0. 0_0 LOT NO. SU BDIVISION NAME ARCEL MAR T Water piping 7.00 Each q.as water heater or vent 7.00 USE OF STRUCTURE SF�4DuplexF_] Mobilehomeo Other SPECIFY Gaspiping system 1 - 5 outlets 5.001 Building sewer 15.00 Mobile Home S I G I IN I @ 15.001 TYPE OF WORK New Fj Addition [I Remodel [:] Utilities [:1 InstallationD Othe,\(� Describe work: r% 1 1 Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I de I under penalty of perjury (check one): NY I a 1 m licensed under provisions of Chapt. 9, Div. 3 of the Business /'��\,and Profess . 0 Co e n my license is in full force -and effect. License No. Classification El I, as the owner, or my employees with wages as thel'rsole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) El 1, 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 200A TO 1 OOOA) 37.50 NEW CONST DWELLING OCCUP.&I OR ADONS. ACC, BLDGS. I 3.64 sq.ft. NEW CON,-9TR_ 1,1RLTI�-OUTRLCT, .N.RE. . NC, U TO I @ 5.00 POWER APPARATUS &) SINGLE OUTLET CIR. Ex. OCCUP( OUTLETS OR FIXTURES 20 761 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 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. XI 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. 1 shal I 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 Fi I ing Fee 15.00 Heating Cooling Hood 6.501 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against, all liabilities, judgments, costs, and expenses which may in any way accrue., of thi is pqrmit. Da t e Age Z�&f An OSHA permit is required for excavations over 5'0'' deep and demolition or construct ion of s tructures over 3 stories in height. Mobile Home Installation Fee Energy Inspection Fee $ .0 ' V. CONST TYPE TOTAL FEE $ , - , "'' 1 � +HAZ D FEIS IMP I FLOOD I CD1 I PAR&E!TD HD ISSUE This permit is hereby issu nderthe applicable provi- sions of the BuIAV CoLw �,q I/ Id X cle an or resolutions to do work indi a ab �/ ch f s or hi ee have been paid. OrFLPtU,L,C WORKS BY ate PERMIT EXPIRES Date _// , Receipt No.— _3a2 -WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -IN SPECTOR. GOLDENROD-APPLICANI Iwo