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HomeMy WebLinkAbout031-201-02731-201-27 Ke m.th Jayne 1127�Plumas Ave., Oroville Permit YA4O96-77B,P,E(add bath; extend bedroom & conv.porch to Util.room/SF) - 31-201-27 Contr : Waibel AC t Permit #3271-77P,E, (inst. h tg & . � AC) -11-201-2 y. Permit #772-79B(lst:.# enema / 3096-77)' SF 31-201-27 Perini 83-80B(2nd renewal/3096- L77' enewal/3096- 77) 'F 031-201=027 1-. •04-2038 • CHESLEY, JOHN " .... '1127 PLUMAS AVE, OROVILLE Cont: GREENE ROOFING REROOF & WINDOWS/SF L x. + f C J; r 1 t i { ' f • r� 4 i )!yf -11-201-2 y. Permit #772-79B(lst:.# enema / 3096-77)' SF 31-201-27 Perini 83-80B(2nd renewal/3096- L77' enewal/3096- 77) 'F 031-201=027 1-. •04-2038 • CHESLEY, JOHN " .... '1127 PLUMAS AVE, OROVILLE Cont: GREENE ROOFING REROOF & WINDOWS/SF L BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVIL'LE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP042038 LICENSED CONTRACTORS 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 7 Issued Date: 07/12/2004 APN:O31-201-021-000 the Business and Professions Code, and my license is in full force and effect." License Class: License Number:1 37 S . Site Address: 1127 PLUMAS AVE ORO Date:.,?—/.2 -0 Contractor: 6ePz -fA BCC -17 'Z r Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from Ithe Description: REROOF (25 SQ) RETROFIT 13 WINDOWS ' Contractors' State License Law for the following reason (Sec. 7031.5 Business and. Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: CHESLEY JOHN DARWIN & MARCELLENE to its issuance, also requires the applicant for such permit to file a JOANN " signed statement that he or she'is licensed pursuant to the provisions of the Contractor's Slate License Law (Chapter 9 commencing with Section 1127 PLUMAS AVE 7000) of Division 3 of the Business and Professions Code) or that he or OROVILLE, CA she is exempt therefrom and the basis for the alleged exemption. Any 95965-3232 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 owner of property who builds or improves thereon, and who does Applicant: CHESLEY JOHN DARWIN & MARCELLENE such work himself or herself or through his or her own employees, JOANN provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 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 sale.). a ❑ 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, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: EAGLE TEC ❑ I am Exempt under Article 3 of the Business and Professions Code 9456 JONES AVE Date: Owner: DURHAM, CA 95938 (530) 895-3980 ' WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: jerry.eagletec@earthlink:net ❑ 1 have and will maintain a certificate of consent to self -insure for License #: 737452 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 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation Engineer: + insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy #: I certify that in the performance of the work for which this permit is Valuation: $0.00 issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Census Code: and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: .p. Applicant: WARNING: Failure to secure worker ' mpensation coverage is unlawful, and shall subject an employe o 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. Yf' U r CONSTRUCTION LENDING AGENCY This permit is he b sue under the applicable provisions of the Butte Cr_unty Coda andlor I hereby affirm that there is a construction lending agency for the Resolutions to�Jdrk' sated bove for which fees have been paiperformance of the work for which this permit is issued (Sec 3097 Civ.) ,Name: By:= a Date: PERMIT EXPIRES ON: Date Address: ❑ I 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. x ❑ 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 Caunty. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purpos . r Print Name: ar`cC I Te r`G /7 7_ Signature: Date: 7— 4-2 -O �/ ❑ Owner ! Contractor ❑ Agent for Owner ❑ Agent fbr Contractor imL :lr . BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" APPLICANT NAME OWNER Last a e Name irst Nam Zip�s��� City � � Address Address 9 Scs�es �cS e Cityora s Sta Zip StG' Zips' Phone — 9v Fax E-mail 3 �'- APPLICANT NAME CONTRACTOR Name Name Zip�s��� City e i-rtiId State Address 9 Scs�es Map Book Fax s e City StG' Zips' 3 �'- Phone �, S ^ 3 S Sip Fax es- 3.762 E-mail Lic. # 7ys-_2, IClass APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip�s��� City Fax State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT NAME Name Address s G City State Zip�s��� Phone Fax E-mail APPLICANT SIGNATURE OEM For office use only: Zoning Property Address 11-2 7 Flood Zone Cross Street SRA I Yes I No Occ• I Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: uvER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\Bld Ap IS bR is PERMIT NO. WD 63 BIN # LOCATION AP# Property Address 11-2 7 City c 17P,1 Cross Street WORKER'S COMPENSATION Policy Number Carrier 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 g p u qm .doc Page 1 of 2 Description or Scope of Work: e , �/S (Z� cro� 5 Sq. Footage ❑ 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. Re • ed by: Amount: Bldg 5/ SRA Receipt #: Sheriff q, (Y SMTP Date: Other LVj O Total REV 6-16-04 SUBMITTAL 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 IV INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPERI ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GR.4PHPAPERI OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department: ❑ 9. Metal Buildings: (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 bytthe engaimeer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPHPAPERI ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (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. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04 0 '771-7? PERMIT NO. 3096-77B.P.E PERMIT EXPIRES /34 � � +OWNER Kenneth Jayne CONTR. owner LOCATION (A.P. 31-201-27 1127 Plumas Ave., Oroville el glin :2 Temp. Power Pole Called PG&E Temp Called PG&E Temp. Ga/sserv. C,1 PG&E V J, /6 F'INALED 7,)-7-R/ (Date) (Signature) Reinf. Steel Final • I Fixtures Bond Beam. _ FIRE SPRINKLERS I Motors Mesh .7 MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish , . , „a, Ducts Underaround / Door Closer Final I Final MOBILEHOME UTILITIES ------------------ Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping 0616EH12ME INSTALL^ATTIIO� N - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE - REMARKS OR CORRECTIONS Glu - ;1177XX Z -F `' .. . A JA f (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE. = DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTJON RECORD BUILDING' BUILDING (Cont'd) PLUMBING' Setback / Firewall Soil Piping -0, Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings , Windows 3rd Floor Stemwall ' Siding To out 21, 17 Slab 4g 4 Roof Sheathing Water PI in Piers / Roofing Sewer Garage Fdn. Vents 2 Fixtures Footings Garage Vents Water Htr. Stemwa l l Insulation Heaters Slab Carport Footings Prov. for phsically handica e. ^ Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio �.,.: FIREPLACE Final Footings 'Footing i ELECTRICAL Reinf. Steel Final • I Fixtures Bond Beam. _ FIRE SPRINKLERS I Motors Mesh .7 MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish , . , „a, Ducts Underaround / Door Closer Final I Final MOBILEHOME UTILITIES ------------------ Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping 0616EH12ME INSTALL^ATTIIO� N - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE - REMARKS OR CORRECTIONS Glu - ;1177XX Z -F `' .. . A JA f (NOTE: An entry must be made on this form each time you visit the job site.) • 1 .COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION ANb PERMIT BUILDING ' Owner Mailing Address I t ` I� SQ. FT. OCC. BUILDING VALVA10 Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address was Plan Checking Fe &/or Penalty is Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 •.: °A. P. No. I — Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 ' EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Improvements p Each additional outlet .30 Building sewer 5.00 +yam Parcel AEprovol Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER [G--' Permit Fee $ vug - -77 ELECTRICAL No. @ FEE ,',�� Q PERMIT FILING FEE $3.00 Main service 600V OR LESS 5.00 100 AMP OR LESS Single Family Duplex ❑ -Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 ' Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW CONST. (DWELLING OCCUP. &') 20 sq ft OR ADONS. 1 ACC. BLDGS. 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: y NEW CONSTR. /MULTI.OUTL T NON.RESID `BRANCH CIRCUITS) 12.50ea NEW CONSTR. POWER APPARATUS 6 SINGLE OUTLET CLIR. -NON.RESID. Ex. QCCUD(OUTLETS OR FIXTI1RES BAL@1 Ex. QCCU FIXED APPLNS. OR \ 2.00 Occup. (RESID.) EA) Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 License No. Classification ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ $ MECHANICAL No. @ 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. - ❑ WI have placed on file with the County of Butte a certificate of orkmen's Compensation Insurance. j�j 'e6rtify 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. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the poses. above-mentioned pro=—Dates-6- X Uv Signature of mite or Agent Receipt No. White-D.P.W. — Yellow -Assessor.— Pink -Inspector — Goldenrod -Applicant Land Development Fee $ TOTAL PERMIT FEE $ 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. DIR F PUBLIC WORKS •— By_Q Date 7 Building permit expires D to 60-3jg—�z� • COUNTY OF BUTTE, - DEPARTMENT OF PUBLIC WORKS .� 41 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 �% �%� ��% �!• APPLICATION AND PERMIT '"Y'�-��,,•�•,•�� �„. vvun�y v� outtc lV C11LUI UPVII \IIC above-mentioned property for inspection purposes. X Date Signature of Permitee r Ag?Kt Receipt No. 11? 9 03r) 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. DIRECTO. CF -PUBLIC WORKS Date 7 PEI lding permit expires Date 6-3,o-7,0 �. BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Z Ave, Telephone No. wV`a Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee L Building AddressPlanCheckingFee&/orPenalty /% Zi V>� r -i Permit Fee �-L PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. b r 7 Zoning"$ ann ng Water piping 1.50 Each gas water heater or vent 1.50 Fees W. C. Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans Parcel Declaration I Parcel Map 1 60' R/W I Improvements Each additional outlet .30 Building sewer 5.00 Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® Permit Fee $ is 3 O ct C` 7 % ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Single Family Duplex 9 y p ❑ Mobil Home ❑ Others ❑ Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 OVER 600V Main service 00 AMP OR LESS 25.00 Main service(( EA. ADD'L 100 AMP 1.00 NEW CONS. OR ADDNST l ACCLBLOGS.DWELING CCUP. �� 22sgft CONTRACTORS LICENSE LAW am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style Of: Y T NEW RESID.CONSTBRANCH CIRCUITS NON.RESI D, � BRANCH CIRCUITS 2.50ea NEWCONSTR. POWER APPARATUS 11I NON -RESID, (SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTURES 5 L� FIXED APPLNS, OR Ex. Occup.(OUTLETS (RESID•) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Li nse No. Classification Misc. Wiring 6.25 .J 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. 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 No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2:00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby I Land Development Fee $ TOTAL PERMIT FEE $ Z '"Y'�-��,,•�•,•�� �„. vvun�y v� outtc lV C11LUI UPVII \IIC above-mentioned property for inspection purposes. X Date Signature of Permitee r Ag?Kt Receipt No. 11? 9 03r) 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. DIRECTO. CF -PUBLIC WORKS Date 7 PEI lding permit expires Date 6-3,o-7,0 �. COUNTY OF BUTTE. — DEPARTMENT OF PUBLIC WORKS t 7 County Center Drive — Orovi Ile, California 95965 A, Telephone: 534-4541 APPLICATION AND PERMIT A authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. x .-: 7it+- A0�9= Date 6 A -? � I 1 Signature of Per tee Ir Agent Receipt No. lK411,5 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 be paid. DIRECTOR/OF/PUBLIC WORKS By i pate uilding permit expires Date • '�✓° ' ?, BUILDING Owner �����' SQ. FT. OCC. BUILDING VALUATION a� o� /` Mailing Address 'Ge�'c, r / i Te e hone No. 3 "Ls Fireplace ContractorTotal Valuation 1/ 0 Mailing Address Permit Fee (�Q Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ OO OC Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 L,00 Each Trap 1.50 dQ / �L•��� Repair drainage or vent piping 1.50 Water piping 1.50 ff Each gas water heater or vent 1.50 A. P. 51o. 3 ✓ O 97 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F' s . S FireDept. FIreZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Improvements p Lawn sprinkler system 2.00 Bldg. o -ns Recd Parce pproval PIQpe-AppraVaI Permit Fee $ , crO NEW ❑ ADDITION UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 p� �gpyd/ •-r p % Main service 10ov OR LESS 5.00 100 AMP OR LESS r Main service EA. ADD•L 100 AMP 2.50 OVER 600V Main service 100 AMP OR LESS 25.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD•L 100 AMP 1.00 NEW CONST. / DWELLING& OR ADDNS. ( ACC. BLDGM* 21Psgft NEW CONSTR. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS) '2.50ea NEW CONSTR./POWER APPARATUS&j NON-RESID, ISINGLE 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) @251104 FIXED APLNS. Ex. Occup. ( OUTLETS P(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ® I am exempt from the Contractors License Laws of the State of California. ' Permit Fee $ ZT, _:T5 � MECHANICAL No. @ 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. I certify that in the performance of the work for which this K permit is issuedI shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. x .-: 7it+- A0�9= Date 6 A -? � I 1 Signature of Per tee Ir Agent Receipt No. lK411,5 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 be paid. DIRECTOR/OF/PUBLIC WORKS By i pate uilding permit expires Date • '�✓° ' ?, COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 /V/ �f•//`fTelephone: 534-4541 S,27 APPLICATION AND PERMIT autnurlce representatives of the county of Butte to enter upon the This permit is hereby issued under the applicable provisions of Bove -mention property for inspection purposes. the Butte County Code and/or resolutions to do work indicated Q above for which fees have been paid. `/ Date IRECTOR OF PUBLIC WORKS Signature of Permitee or Agent o �j rz - o r% Date V / Receipt No. �� White-D.P.W. _ ellow-Assessor — Pink -Inspector — Goldenrod•Applicant kj permit expires Date BUILDING Owner Z.� SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor st Total Valuation Mailing Address 00 Permit Fee Plan Checking Fee &/or Penalty - Telephone No. 177— /f Permit Fee $ Building Address a tom% PLUMBING No. @ FEE PERMIT FILING FEE $3.00 fj c7 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 J� d Z A. P. O. �J '�'� (' Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 / i0 Each additional outlet .30 F s Saw4ui.op Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Rli o --'a Parcel Approval Plans Approval Permit Fee $ $ l NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 J, D-0 G �J Main service 60ov OR LESS 5.00 �—' 0(7 100 AMP OR LESS r L2 L 12 &J, e. 2 ain service EA. ADD'L 100 AMP 2.506 �O z 4 (Z Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ( ADWECCLBLDGS.LING CCUP. &) 2¢sgft NEW CONSTR. MULTI.OUTLET NON.RESID. ( BRANCH CIRCUITS) '2.50ea NEW CONSTR. (POWER APPARATUS & NON.RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Prof sions Code under the name Sty ` ' Ex. Occup(OUTLETS OR FIXTURES)50 @2rg 104 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ Z 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. Of I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑ 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. 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 MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 HeatingNO Al 8�w , o Cooling n, /4,00 Ventilation Hood 2.00 Permit Fee $ $ � TOTAL PERMIT FEE $ EC autnurlce representatives of the county of Butte to enter upon the This permit is hereby issued under the applicable provisions of Bove -mention property for inspection purposes. the Butte County Code and/or resolutions to do work indicated Q above for which fees have been paid. `/ Date IRECTOR OF PUBLIC WORKS Signature of Permitee or Agent o �j rz - o r% Date V / Receipt No. �� White-D.P.W. _ ellow-Assessor — Pink -Inspector — Goldenrod•Applicant kj permit expires Date > C -0 r=- 2 z c < 7 0o OD o � O W < > c Z m3 Q Z v (iJ -4 c er o �' a °, o L O wnw � jgjjj ua }ng 6uoyjaAgpc q O8 c euqJa}uao _►xqw o 6ui}}iw'ad p 4 } ado,d apes UAOJuq au!I �}� ay+ waf *44 5 9 41 OS Pg4s jogg}as -6PIa 84-L s M w W n C < 7 0o O � n G* N.� (iJ �V c o �' a °, o ®(D+CA( n CL0. aO N a 'aPOO IgaPIoa13 10u !mPN• a4+ m 3 H PUD saPoO �oo!ug4oaw 6uigwn�d '6t�!p'ma wjoi!un -t- � a4+ ul asn paij!oadS a44 ao} pagposaid %+!Ionb o }o o� + c PUD- sao!}ogad poOE) p9ziu6Ooa- 41!m aou*PJOooy o c -+ ua 98 IIg4S di 4SUIDWIJOM 1 sjo!1a+DY4 ]IV—:31ON�O-