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HomeMy WebLinkAbout031-243-029R O L D T df'R` 3_ a �F-2 , F 644 COLUSA AVE, OROVILLE CONTR: JAMES EDWARDS a' PERMIT #5214-75E(E ECTRICA SER— VICE ER— VICE CHANGE) S/F • � � %tel-�syi 3 �.-243._ � _ _--- AONTR: WA 1'BCL A/`C PERMIT #299-76E(INST. ASC) SAF .3-1-243-25- ermit'#1477-76Pbld ( g:—sew- Inst )- " rsF AP 31-243-1� CONTR: Foothib1s=Constr.,Pa1 Permit 2553-76B (Detached storage)-- 3� ��3--27 Permit#3998 P,M(install .gas wall furnace) _031-24=3-02993-13-1 LERNER.MARY ANN- 787 B 644 COLUSA AVE,, OROVILLE1``�J i CONTR:-GEORGE RFG, / r REROOF/SF } 031-243 -03 0 :. 02-0697 LERNER,-HAROLD - I a 644 COLUSA AVE., OROVILLE CONT: WOODWARD CONST. CARPORT. Q J 1 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT o2-0697 S SSORARCELNUMBER 1-143-030 ZONING AR BUILDING PERMIT OWNER Harold Lerner TELEPHONE -7134 SO. FT. OCC. BUILDING VALUATION 247 COV 3211 . OWNER'S MAILING ADDRESS 644 Colusa Avenue Oroville , CA 95969 CONTRACTOR'S NAME Woodward Construction TELEPHONE T8'Wo6"`TtWR Oroville CA 95965 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 3211.00 ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ 63.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS .Plan Checking Fee $ 40-95 BUILDING ADDRESS 644 Colusa Avenue 0 Energy Plan Checking Fee $ PERMIT FEE $ 123,95 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome R 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 New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: carport attached to existing res 'A"._10— Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 OOOVOR UE Main Service zo.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full/force and effect.n License Class �` �� Lic. No. ��� 7� 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 if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall '\ not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall pwith comply w' h ose provisions. forth i Date ^oC to—���— Ignature of pp (cant - ❑ Owner J)p 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 TO fOCU00A 46.00so V0 NEW CONST. DWEWNG OCCUP. SO OR ADDNS. ( 8 ACC. BLDS. 3.5¢Fr. ONS9 =R .DT' MULTI.OUTLET 97,50 POWERAPPARATUS a SINGLE OUTLET CIS. B2050 �(, OCCU OUTLET OR FDCTURES 9 I' ea Ex. Occup. oFucu RLNs of 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 3. HAZ. I D. FIE IM'Jf FT I CD I P M H ISS This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Da e V0z PERMIT EXPIRES ON �S f(D, t, Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Orovillel California 95965 • Telephone (530) 538-7541 ERMIT r. rtev 12/96) APPLICATION AND PERMIT ®2— C*? A: SES: On PARCELNUMSER b _ :O O? BUILDING PERMIT DWNER• SO. FT. OCC. BUILDING VA I Lernc � TM- / 5 LUATION _ .. OWNERS aEr AD Ss scL .& nvr vl fie.- Cot{�(T�AcrDn RAMS �JYEs�UV�IC CO�r(r [VUC TCg3 MAIU RE'S S ] ' V(7 CO r1' T RUCTION LENDER LENDE11 S wo;UNO ADDRESS ARC�rTECT OR ENGINEER APCmiTECT OR ENGINEERS MAIUNO ADDRESS BuI6;'q! " Cit, 5cL eve . Dk-6VI7tt, C9- 925 '0 1 LAT NO I SUBDNISIONS NAME PARCEL MAP USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 04her S PEC IFv TYPE OF WORK New ❑ Addition ❑%�Reemodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ( UI,rowja W -16 e i t " PEP IT FEE PAXb SRI • . SHERIFF OTM /2,3.9 S. s DU A �aec�tT t�uN►s� 3 `� ��°`� `� " TO IN PUT ZNTO COWVM Fireplace I Total Valuation b Fling Fee Permit Feeb Plan Checking Fee T Ti_— 15 20.0 ��W Energy Plan Checking Fee $ Filing Fee. 20.c S PERMIT FEE S 1'13_ S PLUMBING PERMIT I Filing Fee 20 C Each Trap I 7.00 Solar or heat pump water heater I 23.001 Water piping I 15.00! Each gas water heater or vent I 15.00' Gas piping system t - 5 outlets 1 5.00 Building sewer I15.00— Mobile Home IS W-1 I 920.00' PERMIT FEE I $ MECHANICAL PERMIT Filing Fee 1 20 Heating i Cooling —_ Hood 6.50: Ventilation I PERMIT FEE I S Mobile Home Installation Fee b Energy Inspection Fee b OCC CONST. TYPE TOTAL FEE $ HAZ. 10. FEES I IMP I N09D I COf PARCEL This permit is hereby issued under the applicable provisi' of the Butte County Code and/or Resolutions to do v` indicated above for which fees have been paid. By Date Receipt No. PERMIT EXPIRES ON wmTE-0.0.S.•B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLOENROO-APPLICANT (LTera) PERMIT FEE I S ELECTRICAL PERMIT I Filing Fee. 20.c Main Service R 20OOOV O0A OR LESLESSS ) I 23.00; Main Service 200A TO 1000A I I 46.00 NEW OR ADON CONST. ( 0 6E RING SUP. \ I / 3.5c FT NEW CONST. NON.RESID. MULTI.OUTLET @7.50: _ POWER APPARATUS I 6 SINGLE OUTLET CIR. I Ex. Occup. OUTLET OR FOCTURES 20 8 1 00 w SAL 1 EX. OCCu . FUEO APPLNS. OR I OUTLETS RESIO EA I S.00I Temporary Service I i 23.00 Mobile Home Facilities I j 20.001 Misc. Wiring I 23.00': I I ! PERMIT FEE I $ MECHANICAL PERMIT Filing Fee 1 20 Heating i Cooling —_ Hood 6.50: Ventilation I PERMIT FEE I S Mobile Home Installation Fee b Energy Inspection Fee b OCC CONST. TYPE TOTAL FEE $ HAZ. 10. FEES I IMP I N09D I COf PARCEL This permit is hereby issued under the applicable provisi' of the Butte County Code and/or Resolutions to do v` indicated above for which fees have been paid. By Date Receipt No. PERMIT EXPIRES ON wmTE-0.0.S.•B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLOENROO-APPLICANT (LTera) COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET �j OWNER: Le me r- ASSESSOR PARCEL NUMBER Proposed Building Use: a H -c w C�-� �� Counter Technician: 77 Date: 3 v� Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1.. Plot plans, 3 or 4 sets, signed by the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 4. Engineered truss details and layouts in duplicate. No faxes! 5. Energy compliance design and supporting documentation -.in duplicate. j'6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or I,x Orfoundation plans, all in duplicate. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received,`plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. #6. 7. ❑ 18. ❑ 19. ❑ 20. ❑ 21. ❑ 22. ❑ 23. ❑ 24. ❑ 25. ❑ 26. ❑ 27. ❑ 28. ❑ 29. ❑ 30. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... Statement of Intent for Non -heated and A/C Buildings ............................... . ... Sanitation and plot plan approval from the Environmental Health Department in T City of Chico Plumbing permit........................................................................ California Department of Forestry plan approval ❑ paid. Sent by: ...................... Planning approval for (A) Use: (B)Parking: (C) Parcel Check: Contact Land Development about ❑ Improvements, ❑ Drainage ............................... Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). Pre -Inspection for required ................ Contractor's license information. (Number, Name Style, Classification) ...................... Worker's Compensation Carrier and Policy Number ..............:.............................. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... Letter of Signature authorization.................................................................... Recorded copy of Agricultural Acknowledgment Statement .................................... Manufactured home utility clearance............................................................... Existing violations and/or expired permits......................................................... ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone and hold for pickup. I have been informed o he above items nd requir ments for obtaining a building permit. Applicant: Date: 1. Index permit application for the above items numbered: 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Plans reviewed by: Date: Plans approved by: Structural reviewed by: Date: Structural approved by: Note transfer by: Date: Yellow: Building Division Plan Check Letter _Date: _Date: Date: Date_ . � yP'.'Yy,;Y - � e�:F.•7'"r i"`< :.� :,f .: '=. 'i r'::k^.� . ��. _ P �w .:,i �.?r' .i,. , g � yr ' ._•-. y -�:r"_ - _{ off , u 93-1787 BL LEP.NER'; MARY. ANN'y 644 COLUSA AVE; OROVILLE t `+ CONTR: GEORGE RFG 'REROOF/SF '... ' \ .. � . cam' 3in'.:.4w. •M1A , n • . 1111' 1c , .. u1 � � �. Q r � .... .� ...rw .�„_ ^VN.w' 'AN I.,�.p.•Y.4A. tt r f ` ;13.6 1 . • COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. ' 7 County Center Drive - Oroville, California�95965 - Telephone: 916/53-7541 APPLICATION AND �ERMIT 9---� ASSESSOR'PARCEL NUMBER .� . -- _�— 7— fs�-/� ZONINGr BUILDING PERMIT OWNER e TELEP ONE 533 13 SQ. FT. OCC. BUILDING VALUATION OWNER'fa MAILING Ab DRESS �. CQVTRACTO 'S NAME r TELEPHONE 93 but 7(J� CI9�1�T RpC TOR' MAILING ADDR SS ' �� Fireplace CONSTRUCTION ENDER t UNKNOWN Total Valuation $ Q, Q•V LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE No. Filing Fee $ 15.00 Permit Fee $ c�%l Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADkJR / - Permit fee $ � 5 /1 7 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 SF Ik 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: , G` E: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 • ,,, Main service 600V OR LESS 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): A1 am licensed under provisions of Chapt. 9, Div. 3 of the Business(POWER and Professions Code and my license is in full for a end effect. License No. y�Y+r�c+C: 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 Main sbrvice 200ATO 1000AI 37.50 NEW CONST.( DWELLING OCCUP.&\ OR 3.64 sq.ft. ADDNS. ACC. BLDGS. rr NEw CONSTR MULTI -OUTLET NO N•R ESID BRANCH CIRC ITS @ 5.00 APPARATUS hl (SINGLE OUTLET CIR. / 20 76d Ex. OCcup(OUTLETS OR FIXTURES FIXED APPLNS. \\ Ex. Occup. OUTLETS ((RESID IREA./ 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. I have placed on file with the County of Butte Building Departmen' a Certificate of Workmen's Compensation Insurance or a Certificate o Consent to Self -Insure. ❑ I shall not employ any person inpany manner so as to become subjec: to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subjec: to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I 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 o- Butte to enter upon the above-mentioned property for inspection purposes. I Aso agree to save, indemnify and keep harmless the County of Butte againstTOTAL all Iiabil'ties, judgments, costs, and expenses which may in any way accrue aid County in Consequence f the grantin /of this permit. agaiYSlt�o Date �Xt%/j / �,,��! � '- Signature of Applicant — Owner ❑ . Contractor ❑ Agent / An OSHA permit is required for excavations over 5'0" deep and demolition or construct -work ion of structures over 3 stories in height. Mobile Home Installation Fee $ Ener Inspection Fee $ 9Y P occ CONST TYPE FEE $ HAz I DFEES I IMP FLOOD 1 CDF PARCEL PD I HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County C. de and/or resolutions to do indica d abov �o hich fees have been paid. IRE On F PUBLIC WORKS By D:e PER IT EXPIRES Date ! ,� Receipt No. I �� _1 � ? f � y • 1 ' WHITE-D.P.W.. YELLOW-ASSCSSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT f COUNTY OF BUTTE --DEPARTMENT OF PUBLIC WORKS % 7 County Center Drive - Orowlle, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER — — 3--� ZO IN BUILDING PERMIT OWNER TELEP oNE 53 `3V OCC. BUILDING VALUATION PakD. O OWNER'$ TAILING DRESS CO TR(/AACTOR'S NAME tee- TELEPHONE 3 X393 TORM MAILING ADDRCIT75UT&4Fireplace CONSTRUCTION ENDER UNKNOWN Total Valuation $ 1.3010 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 AD R Permit fee $ PLUMBING PERMIT Filing Fee 15.00 �y G/ 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 SF Duplex❑ Mobilehome❑ Other SPECT FY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑ Installation[] Other Describe work: f e`- Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 / 600V OR Main service 200AORLESS 18.50 Main service 200ATO1000A, 37.50 CONTRACTORS LICENSE LAW Id cl a under penalty of perjury p y p l y (check one): I am licensed under provisions Of Chapt. 9, Div. 3 of the BUSIneSS and Professions �Code /and my license is in full for a nd effect. License NO._7r?-YP-?a(.� Classification _ (/ ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.9 3.6Qsq.ft. OR ADONS. ACC. SLOGS. / NEW CONSTR ULTI.OUTLET NO N.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS 6 (SINGLE OUTLET CIR. 20 76d Ex. Occup(OUTLETS OR FIXTURES \\ Ex. Occup. OUTLETS ((RESID.)FIXED APPL.NS. RE A./ 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): T e 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 0 onsent 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 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree,to sane' indemnify and keep harmless the County of Butte against all liabilities, judgments;, costs, and expenses whi- may in any way accrue against aid County in nquence f the gra n A this permit. y Date Signature of Applicant — Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3`st/ories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE I. TOTAL FEE $ HAz DFEES IMP FLOOD CDF PARCEL PO HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County de and/or resolutions to do work indica d abo f hich fees have been paid. IRE F PUBLIC WORKS By �L ate 4 iy � PER 'EXPIRES Date Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT I tel: y i� � .., � ., ,r�::.: � ..., -. ��r'tir-,:-�.�, ..e.;.>.�.I�o,.vY-r��!°,,,,, w �-^.,�.,,,v"is ✓+�:;..., ,i:^-„�n'✓�•, :..akvr^.�. '`v `. }r,'.sv`-.y`r..,:N'-iwv-Jk i.r^<�"`;� ✓L -:.-v - ,. -...-,r,, ,...... ..,.. Permit#3998-83P;M Harold L rner P y r0, OFFIC COPY s��Ad- ess d , Meter, By.ti �4 1 �ELECTjR'IC�.. Dane MOleBY 4 S M' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER j I -`"Z �/ 3 .` � 7 ZONING BUILDING PERMIT OWNER J) �Jf ♦ ,` �1 �rl � TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING A� pRl i ; z f p ! ` /tel J CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS - Fireplace CONSTRUCTION LENDER f) r `" UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER /� ' " f�'� b LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT'OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS (D It/ Lf -n t1 c A) rl PLUMBING PERMIT Filin Fee 10.00 9 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF � Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Q- Describe work: '� �^r1� % =� 1 'a C _ O. Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS, ACC. BLDGS. 2�20sgft CONTRACTORS LICENSE LAW I declare under penalty Of perjury p y p i y (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. y License No. Classification ❑Q 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 CONSTR ULTI-OUTLET ID BRANCH CIRC ITS NEW 2.50 ea NEW CONSTR. %/ POWER APPARATUS &' CO NON -R ESID, 151NG LE OUTLET CIR. Ex. Occu / OR FIXTURES P\o 20e50a BAL®30 FIXED APPLNS. OR \ FIXED EX. OCCUp- OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 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 Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. a 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. Heating Cooling Hood 3.00 Ventilation permit Fee $ / ,tJ O 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 — Owner l 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 $ TOTAL PERMIT FEE $ 3 OCCUP. GROUP TYPE OF CONST. PARCEL PD HD SSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By. 1 `� DateD%/- PERMIT EXPIRES Date Receipt No. �-+-� S WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2951. 7 County Center Drive, Oroville — Phone: 534-4541.` Skyway and Elliott,Road, Paradise — Phone: .872-2961, Ext. 57 r CORRECTION NOTICE ` v A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Date -51 T" 7 11'711v.. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATIONAND-PERMIT PERMIT NO. NO. �? d K g!� ASSESSQR PARCEL NUMBER ZONING 33 BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION 'OWNER'S MAILING A R SS CONTRACTOR'S NAM TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEERLICENSE d NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS AAZ 5Z PLUMBING PERMIT Filing Fee Filin Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 S o0 USE OF STRUCTURE SFR -- Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Moble Home S G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remdel [:1Utilities ❑ Installation ❑ Other Describe work: Sza i as, L49 -;q %_ v-- r � Permit Fee $ S� i Contractor ELECTRICAL PERMIT Filing Fee 10.00 800V OR LESS Main service 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADONS. ACC, BLDGS. 2/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p i y (check One): ElI 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 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 CONSTR. MULTI -CUTLET 2.50 ea NO N•RESID BRANCH CIRC ITS) NEW CONSTR. \ POWER APPARATUS &') NON•RESID. SINGLE OUTLET CIR. Ex. Occu 20@S0a P�o Ts OR FIXTURES BAL$30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 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 Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 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 10.00 Heating BTU -0 Cooling Hood 3.00 Ventilation permit Fee $ 1 O 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. �( 9�4��.—��f� /_ Date _1 — Signature of Applicant — Owner K 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 $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. I PARCEL PD I ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which -VTRr=CTOFI OF PUBLIC V BY r PERMIT EXPIRES D e 1—I the applicable provi- resolutions to do fees have been paid. WORKS QDateIt ; '^ Receipt No. s- WHITE-D.P.W., YELLOW-ASSQ$SOR, PINK -INSPECTOR. GOLDENROD -APPLICANT PERM�Y NO: 2553-76B L"•' m Y`N�' PERMIT EXPIRES !fbWNER Harold Lerner Foothills Const.Co., Palermo _ CONTR. h ' .,'LOCATION (A.P. • 31-243-15 644 Coldsa.Ave., Thermalito /a� j7 Y 1 a l 1 Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. ` Called PG&E JOB FINALED p (Date) (Signature) 1 " COUNTY OF BUTTE —,DEPARTMENT 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 StemwalI Siding I To out Slab Roof Sheathing I Water Piping Piers Garage Roofing Fdn. Vents I Sewer Fixtures . Footings Stemwa l I Garage Vents Insulation i Water Htr. Heaters Slab ' Carport Footings Prov. for physically handica ed Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final, Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough r - Reinf. Steel Final Fixtures ' Bond Beam FIRE SPRINKLERS i Motors Framing Test Water Htr. Stucco Final Sub anels Mesh MECHANICAL M Grd. Fault Prot. Scratch Heatinq Service Brown Cooling Temp. Pole Finish Ducts Underground InterlorLath Ventilation Permanent Door Closer Final , Final DATE r REMARKS OR CORRECTIONS a r r y - (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive ' OCgville, California 95965 Telephone: `534-4541 �- APPLICATION-AN6 PERMIT above-mentioned property for inspection purposes. X Date / Sign�P�/�Aqt Receipt No. ���3�� 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 PATOLIC WORKS Bewilding permit expires Date BUILDIN Owner /r�� SQ. FT., OCC. BUILDING VALUATION Mailing Address , Telephone No. Fireplace Contractor f,/ %L �yJ�" Total Valuation ° Mailing Address 76-,F31- fes/ - AliF Permit Fee Plan Checking Fee&/or Penalty Tele hone No. � �dy� Permit'Fee $ T7 7TE Building Address Lj - ©� S /if�L-- PLUMBING No. @ FEE PERMIT FILING FEE $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. No t — ,Z, — J Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe W. do Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parkin arcel Plans Dec 'ration Parcel Ma 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plans ec'd Parcel Approval Plan—pproval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 - Main service 1000 AMP ORV OR L SLESS 5.00 Main service EA. ADD -L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Other Main service ER 600V °o0 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 _ -.rte ' y�� / rem r.* V d r Ea /y /' O OI`/�J �O ♦v NEW CONST. DWELLING OCCUP, & OR ADDNS. ( ACC. BLDGS. ) 20 sq ft (MULTI NEW CONSTP- -OUTLET BRANCH CIRCUI'2.50ea NON•RESI D.TS) - - ' - 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 & Professions Code under the name style of,,- ���JJJ Ex.'Occup(OUT LETS OR FIXTURES) ' BAL@1 Ex. Occu FIXED APPLNS, OR LETS (RESIDJ EA) y cervi 0.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.�23U %ms`s Classification � / Misc. Wiring 6.25- ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor. Code which requires every employer to be insured against liability for Workmen's Compensation. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. F1I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. ' MECHANICAL No. @ FEE .PERMIT FILING FEE $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 r $ above-mentioned property for inspection purposes. X Date / Sign�P�/�Aqt Receipt No. ���3�� 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 PATOLIC WORKS Bewilding permit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Driye — Oroville, California 95965 -• J �--Y Tel ephone .434-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. -� / r i 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 PUBLIC WORKS By /,%•- I Date Building permit expires Date BUILDING Owner l �.; ,. % J SQ. FT. OCC. BUILDING.VALUAT10N Mailing Address Telephone No. Fireplace Contractor .'/. Total Valuation Mailing Address f'' i /, .,, Permit Fee P I an Checki ng Fee &/or Penalty � Telephone No. Permit Fee Building Address /.- , , f , .. r PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 'r ' Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. z f _3 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 FeesW.C. Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 Bldg. Plons-Rec'd' I Parcel Approval Plans Approval Permit Fee $ NEW ADDITION UTILITIES 0 OTHER E] ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (morethan 12) _ Single Family 0 Duplex Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures MZU Receps., switches & fix outlets 20 P 25 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner_ or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ ; , (, $ r •: 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 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 $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relatina to bui Idinq construction. and hereby TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. -� / r i 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 PUBLIC WORKS By /,%•- I Date Building permit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Orovi.11e, California 95965 -7 Telephone: 03`4454 APPLICATION AND PERMIT �- BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Ad s _ s Permit Fee Plan Checking Fee &/or Penalty Telephone No.- Permit Fee Building Address PLUMBING . No. @ I FEE PERMIT FILING FEE $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. No. — 8 e /\5'—Gas Zoning & Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 F Ser*a#+en Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Im rovements p Lawn sprinkler system 2.00 e ons Rec Parcel Approval Plans Approval Permit Fee $ $ NEW ADDITION UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 ,00 Main service incl. 1 meter , Q� Additional meters, each 1.00 Sub -panel (12 or le s) (more than 12) — Single Family Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures btu �2 10 Receps.., switches & fix outlets 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 sty f: M Hood, Ex. Fan or F.A. Furn. Motor 1.00 , Evap. cooler, gar. disp. or D.W. 1_00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 /��nn L License No� Classification ,%/U'�c7',, Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ Q $ 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. 56 1 certify that in the performance of the work for which this rmit .is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Cal i forni a. 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent eceipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant TOTAL PERMIT FEE This permit is hereby issued under the applicable provisic ed the Butte County Code and/or resolutions to do work -- above for which fees have been paid. CTOR OF PUBLICO V- S 5/ By / _IED v permit expires=Date ��/� :. PLRMFT NO. 1477-76P . PERMIT EXPIRES 3/29/77 OWNER HAROLD LERNER ' CONTR. owner y' LOCATION (A.P. 31-243-15 i 644. Colusa Ave., Oroville f t i Temp. Power Pole I Called PG&E Temp. Elea Serv. Called PG&E Temp as Serv. ailed PG&E JOB FINALED (Date) 4 (Signature) -COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECT,ION:'RECO,RD r 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 Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final - Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final• Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels • Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE -REMARKS OR CORRECTIONS (NOTE: An entry must -be made on this form each time you visit the job site.) 1 THERMALITO IRRIGATION DISTRICT , , - 410 GRAND•-AyENUE� _OROVILLE. CALIFORNIA 95965 TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address:"Y"'� Owner's Name: i��'.1/a l 1 ?,ry f%.F� i Date:�y� Address:/ '�'� { �_ Acct. No: A. P. No.:� Phone: ��X/I-V No. Units: /7 Applicant/Agent: .f Agents Proof: Address: Fees: Phone: ^��^i1 Applicati.on + Preliminary Review B(Y: -'� OJJ-,�Dat)e: +- Arrearage CSA 26 -- Remarks: SC -OR 1st mo. S.C. Other Total Fees Collected By: Date: Field Review By: r Date: r Remarks: d f MONTHLY SERVICE'CHARGES WILL COMMENCE AUTOMATICALLY UPON: 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 r � , COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS • •7 County Center Drive — Uroville, California 95965 Telephone- 534-4541 J�/�%--��•._ APPLICATION AND PERMIT BUILDING Owner f V��Q(�� ��E SQ. FT. OCC. BUILDING VALUATION Mailing Address G44 Co L—V S A AV IephoneNo®---ov L Fireplace Contractor ow C Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty • Telephone No. Permit Fee Building Address L44%iLIJ- Av, PLUMBING No. @ FEE PERMIT FILING FEE $3.00 :3 Each Trap 1.50 Repair drainage or vent piping 1,50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. 3 ` 2g �j — Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F SarTMr= Fire Dept. Fire Zone Use Permit Building sewer 5.00 G,00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 qua- per° .a Parcel Approval Plans Approval Permit Fee $ og NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 I L t G _ �� TA LL 0AI Main service i°o°o AMP ORLESS5.00' �. Main service EA. ADD'L too AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ OVER Main service 1100 AMP oR LESS 25.00 Main service EA. ADD'L too AMP 1.00 NEW OR ADONST ( DACCLBLDGLING OCCUP. &) 2¢sgft NEW CONSTR. MULTI -OUTLET NON.RESID, BRANCH. C(RCUITS) 2.50ea • • - NEWCONSTR. 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 & Professions Code under the name style of:. Ex. Occup(OUTLETS OR FIXTURES) BAL@j Ex OCCU FIXED APPLNS, OR P•(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 $ 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: ❑ 1 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.1 @ I FEEPERMIT FILING FEE $3,00 Heating Cooling Ventilation Hood 1 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Signature of Permitee or Agent I /� -S" / ,+ Receipt .W. --t JPO _ White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod-Aoolicant 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. DIRECTOR OF PUBLIC WORKS -i0 -7l BY Date !— ( b BUI dI11Q D21'Rllit @XD1r2S Date c '2-G _77 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive I Oroville, California 95965 , Telephone: 534-4541 APPLICATI.OIK AND PERMIT , cN,caclltaVv— VI L_ VVUllly UI OUllc WCIItUl UPUII tilt!above-rrenntioned property for inspection p/urposes. X pate Signature of Permitee or Agent Receipt No. /4/ � ` / J / 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 -�yO�F/PUBLIC WORKS / By �, �_i!'.rfr// V/\ Date Building permit expires Date /— %J /—:— 7 BUILDING Owner �/ !yn vY SQ. FT. OCC. BUILDING VALUATION Mailing Address � ! Telephone No. Fireplace Contractor , �47!{i j �1 jr �J" �/ `f (�, Total Valuation Mailing Address j j,.r.�., $' Permit Fee Plan Checking Fee &/or Pen aIty Telephone No. - ,- Permit Fee Building Address S PLUMBING No.1 @ FEE PERMIT FILING FEE $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. No. A ! r- .� �"� 1 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fges W.C.' Sanitation- r ! •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—PIans•Rec'd Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 �, e-11- / {/ 1 I/ �! L ��% C I // f _i r� 'r f114 7 ! C 1 ��! Main service 600V OR LESS 100 AMP OR LESS 5.00 - Main service EA. ADD'L 100 AMP 2.50 Single Family Q Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V 1100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 r NEW CONST. DWEL-ING OR ADDNS. ( ACCLBLDGS.CCUP. &) 2¢sgft NEW CONSTR. MULTI.OUTLET NON-RESID, ( BRANCH CIRCUITS) 12.50ea 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: _ �` "� �� !•�(I Ex. Occup(06LETS OR FIXTURES)/ BqL� Ex. Occu FIXED APPLNS. OR (+ — P• ( OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. `%�%N Classification 1e Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ ! WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 =1 'j -174,,?� Ventilation Hood 2.00 Permit Fee $ r $ 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 FEE $ , cN,caclltaVv— VI L_ VVUllly UI OUllc WCIItUl UPUII tilt!above-rrenntioned property for inspection p/urposes. X pate Signature of Permitee or Agent Receipt No. /4/ � ` / J / 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 -�yO�F/PUBLIC WORKS / By �, �_i!'.rfr// V/\ Date Building permit expires Date /— %J /—:— 7 COUNTY OF BUTTE — DEPPATMENT OF PUBLIC WORKS 7 County Center Drive — .'A)roviIIe, California 95965 Telephone: 534-4541 g— �� APPLICATIM A0 PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. � �.c�` Date Signature of Permitteeee 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. DI OR OF UBLIC WORKS By, Date BURPW permit expires Date _ /----;V-77 o� BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address It 4t Telephone No. Fireplace Contractor(J Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone � Building Address S� Permit Fee $ PLUMBING No. @ FEE PERMIT FILING FEE $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. No. ✓ Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F S ire Dept. Fire Zone 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.,d'�e�-et✓t— Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Q r�1 OR Main service 10000 AMP ORSLESS 5.00 Main service EA, ADD'L too AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( DWELING OR ADDNS. ACC`BLDGS. P, &) 26 sq ft NEWCONSTR.ULTI.OUTLET NON -RESID. � BMRANCH CIRCUITS) 2.50e4 NEW CONSTR (POWER APPARATUS & NON -RES,D. (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- y ���17 ��/(f Ex. Occup LETS OR FIXTURES) /@� BALL -1 Ex. (FIXED �FIXED APPLNS, (RESID.)OR EA) 2.00 Temporary service 10.00 T`�� Y�7 Mobile Home Facilities 15.00 License No. fl�Classification s��_ ff— '�lG Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE r 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. �j I have placed on file with the County of Butte a certificate of y=� 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 TOTAL PERMIT FEE is, authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. � �.c�` Date Signature of Permitteeee 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. DI OR OF UBLIC WORKS By, Date BURPW permit expires Date _ /----;V-77 o�