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Home My WebLink About031-246-025• y i. i i i i r r • y I r Fa �� A 31 -246 -fes j North Sierra Qnstruction 778 Thermalito Ave., lo;t413, Or oville Permit #439-7 B,P,E,M(new single family) -10 Eerm #300-77g a&'d'j foo 439-77 �l footage for 31-2461-25, 92 1..303B -TULL, Lozata 778 Thermal to A e,.Oroville- contr K Designers' 9 vinyl siding/sf. 'f y r �� A v COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATIOMAND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER U"3 -- I6-• Co. ZONING; BUILDING PERMIT OWNER LOZATA MARIE TULL TELEPHONE 533-8036 ,SQA FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 778 THE-RMALITO AVENUE OROVILLE CA. 95965 CONTRACTOR'S NAME . —V TELEPHONE 1631-4300 CONTRACTOR'S MAILING ADDRESS P.0. BOX 276977 SACRAMEMfO, CA. 95827 Fireplace CONST_RUC_TION LENDER UNKNOWN Total Valuation 1 $ 3 • 00 LENDER'S MAILING ADDRESS Filing Fee $ 15. 06&.,ft Permit Fee $ 52.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS ' Penalty $ BUILDING ADDRESS 778 TffERMALITO AVF.MtE Permit fee $ 67.50 PLUMBING PERMIT Filing Fee 10.00 OROVILLE CA, 95965 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME - - PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE ` SF Rq Duplex❑ Mobilehome❑ Other -4 `-`' • SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S FIGTWT 0.00 ea TYPE OF WORK New M'' Addition ❑ Remodeli ❑ Utilities ❑ Installation❑ Other � Describe work: VINYL SWING 1 _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 • Main service 10DDG AMP V OR LESS RSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professio s Code and my license is in ful for a and effect.' License No. 398806 Classification —�� F1 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) T j ❑ 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 r NEW CONST. DWELLING OCCUP.a` OR ADDNS. ACC. BLDGS. / , /Z QSQ It NEW CONSTR MULTI -OUTLET NON.RESID .BRA CH CIRC ITS 2.50 ea POWER APPARATUS 6 SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 2ALdP30@5t AL030 5FIXED APLNS Ex. Occup. OUTLETS P(RESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): i�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. ❑ 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 becom6'subject to the W. C. provisions'of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee _ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, in6ninify and keep harmless the County of Butte against all ligbilities, judgments, costs, and expenses which may in any way accrue against said County In consequence of the granting of this per it. X - -��" Date L�This Si natu a -of Applicant — Owner g pp ❑ Contractor ❑ Agent/ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stori/e�s in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 67.50 OCCUP. CONST.TYPEJ SCHOOL FLOOD PARCEL PD HD 139 E permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees f DIRECTOR OF PUBLIC B � � f/ ��lff�,// ff Y� . - 'j �tf PERMIT EXPIRES Date the applicable provi- resolutions to do have been aid. P WORKS 1� �� /�� Date /� {J 1 ^""` Receipt No. 464 '/ WHITE-O.P.W., YELLOW-ASBCSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 APPLIPATI6N AND ERMIT ASSES C]y AREL NUM ER /� ZONIN BUILDING PERMIT _ OWNER TELEPHONE LOZATA MARIE TULL 533-8036 OWNER'S MAILING ADDRESS 778 THERMALITO AVENUE OROVILLE CA. 95965 SO. FT. OCC.1 BUILDING VALUAT ON CONTRACTOR'S NAME TELEPHONE K—DESIGNERS 1631-9300 CONTRACTOR'S MAILING ADDRESS - P.O. BOX 276977 SACRAMENTO, CA. 95527 o 1 Fireplace CONSTRUCTION LENDER - UNKNOWN I LENDER'S MAILING ADDRESS - Total Valuation $ 3,943.00CASH n Filing Fee $ 15.08e.ee Permit Fee $ 52.50 ARCHITECT OR ENGINEER LICENSE NO. y ARCHITECT OR ENGINEER'S MAILING ADDRESS �11 Plan Checking Fee Energy Plan Checking Fee Penalty .$ ' $ $ BUILDING ADDRESS 778 THERMALITO AVENUE - - Permit fee - $ 67.50 PLUMBING PERMIT Filing Fee 10.00 OROVILLE CA. 95965 Each Trap. 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF M Duplex❑ Mobilehome❑ Other SPECI FY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK Newo Addition[:] Remodel❑ Utilities[] Installation❑ Other Describe work: VINYL SIDING . Permit Fee $ j Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 500V OR LESS 100 AMP OR LESS 10.00 CONTRACTORS LICENSE LAW - I declare under penalty of perjury (check one): • JIM I am licensed under provisions of Chapt. 9, Div. 3 of the BUsines$ and Professions Code and my license is in fulfill force and effect. 498806 C-61 License No. Classification El 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 contracting with licensed contract- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.111 OR ADONS. ACC. BLOGS. ,/20sq ft NEW CONST R.MULTI-OUTLETNHCIRCUITS)2,50 ea NON.R ESID .BRANCH CIRC ITS (POWER APPARATUS &I (SINGLE OUTLET CIR. / Ex. OCCup(OUTLETS OR FIXTURES 20050¢ SALa 30 FIXED APLNS. Ex. OCCUp. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. IYirin 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 I'ess. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 -Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction,do hereby authorize representatives of the County of Butte to enter upon the ove-mentioned property for inspection purposes. 1 also agree to save, i emnify and keep harmless the County of Butte against all lie iti judgme s, costs, and expenses which may in any way accrue against s C ty in onsequence of the granting of this per it. %� r Date 2Z r� Signorr..f.,,Appl icant — Owner ❑ Contractor ❑ Agent An 0mit is required for excavations over 5'0" deep an demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 67.50 DCCUP.J CONST*TYPIIJ SCHOOL FLOOD PARCEL PD I HD 59 E This permit is hereby issued under sions of the Butte County Code and/or +vork, in ' ated above for which DiIR OF P By - 2ERMIT EXPIRES Date the applicable provi- resolutions to do s have been paid. C WORKS Date o`s 9 Receipt No. �a /� WNITE-D.P.W.. YELLOW -ASSESSOR. PINK -IN SPECTOR.. OOLDEN ROD -APPLICANT °#1 IN THE WEST' KC DESIGNERS P.O. Box 276977 Sacramento,, California 95827 , (916) 631-9300 (800) 282-3111 (916) 631-7370 FAX CA Lic. #498806 TO: SUBJECT:, BUILDING'PERMITS JOB SITE ADDRESS: PLEASE ACCEPT THIS AS -YOUR AUTHORIZATION TO ACCEPT THE APPLICATION AND ISSUE A WILDING PERM T FOR THE ABOVE DESCRIBED JOB -SITE SUBMITTED BY A.,REPRESENTATIVE OF K -DESIGNERS. PLEASE NOTE THAT THIS AUTHORIZATION IS RESTRICTED TO THE ABOVE DESCRIBED JOB SITE ONLY AND NO OTHER PERMITS ARE AUTHORIZED HEREIN. t r RESPECTFULLY, (S.D.) VIDLOCK ODUCTION MANAGER 5825 W. 6th Avenue 2330 5th Avenue So. Lakewood. Colorado 80224 Billings. Montana 59017 (303)231-0044 (406)245-6804 i THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT REGULA- TIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE* 25, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: Street Lot Number Tract No. EXTERIOR WALLS Manufacturer Thickness/Type R',Value CEILINGS Batts: Manufacturer Thickness R Value Blown: Manufacturer Thickness `� No. Bags 1i-?' Wt./Bag Sq. Ft. Covered R Value_'Z,0 FLOORS Manufacturer ( ''��. Thickness/Type Z —" R Value SLAB ON GRADE Manufacturer Thickness/Type R Valu,- Width alueWidth of Insulation inches . 1 FOUNDATION WALLS Thickness/Type R Value GENERAL CONTRACTO U,' fA 4fz - " -% BY TITLE _ INSULATION C NTRACTOR: HAWKIN1,S INSULATION CO BY �' ✓/�Pa/ �`�— TITLE ' � k LICENSE No. — DATE gjZ ..c LICENSE N7. 215-925 DA 'Z% ` �% 7 "4 COUNTY'OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING I BUILDING (Cont'd) PLUMBING Setback, Firewall a9/7 Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish , 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out —� 7 Slab Roof Sheathing Water Piping Piers Roofing % Sewer Garage Fdn. Vents Fixtures L4 A4r Footings Stemwall AGarage Vents li Insulation a / Water Htr. Heaters Slab Carport Footings �" Prov. for physically handica e. �— Conformance of ex. structure Appliances Gas PI In Temp. Gas &Test 3 Slab Final Sanitation Patio, FIREPLACE Final Footings Footing , EL,ECTRICA Masonry Walls Throat I Rough �2' aGY- Reinf. Steel Final I Fixtures Bond Beam FIRE SP KLERS I Motors Stucco I I Final l ISuboanels Mesh MECHANICAL Grd. Fault Prot.! Scratch / % Heating Service Brown Cooling Temp. Pole Finish Ducts / Underground l� Interior Lath Ventilationor Permanent Door Closer 40 Final -z Final oP MOBILEHOME UTILITIES ------------------ Elec. Service Elec" Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS /dam%%% �_`y,� � G��i�• k�„�-' (NOTE: An entry must be made on this form each time you visit the job site.) M PERMIT NO. 1300-77B F. Sepc 1;0139-r� PERMIT EXPIRES OWNER North Sierra Construction CONTR. owner LOCATION (A.P. " 31-246=10 Y 778.T4ermalito Ave., Oroville (lot#13) r= f 1 { k Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB " FINALED . (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING 'INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Pipin Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor ' Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Pio in Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa l l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for phsically handica e. Conformance of ex. structure A fiances 7 Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h 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 MOBILEHOME UTILITIES ------------------ Elec- Service Elec. Pedestal Water Piping Sewer Gas Piping BILfHOME INSTALLATION -.- - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOR " 7 County Center Drive - Uroville, California 95965 9 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X - Date 'gnat a of rmitee 't Agent Receipt No. S� �0� 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 BLIC WORKS BY Date ��-y %`% �, wilding permit expires Date -74 BUILDING Owner SQ. FT. OCC. BUILDING VALUATION /// _ Mailing Address ws-66?7.4121 D , d It - elephone o. Fireplace Contractor Total Valuation Mailing Address Permit Fee o �� Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building AddressPLUMBING :77k aKe4.A" No.1 @ FEE PERMIT FILING FEE $3.00 pO Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 /7 Zoning Verification Only Each gas water heater or vent 1.50 - /� �� „ A. P. No. .,a'r /� zon Gas piping system 1 - 5 outlets 1.50 Each additional outlet 30 F&.sC� S ire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements_ Lawn sprinkler system 2.00 g. s Recd �rcel Approval Plan pproval Permit Fee $ 2 $ s NEW R1 ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 no Main service i o°°V OR o AMP ORLESS5.00 _ Main service EA. AOD'L loo AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L$$JJ100 AMP 1.00 NEW CONST.DACCLBLNG OR ADDNS. ( WE Dp' � &) 22sgft NEW CONSTR. MULTI -OUTLET NON-RESID, BRANCH CIRCUITS) 2.50ea " NEW CONSTPOWER APPARATUS &) NON.RESIR. 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 st le of: Y ' f / /��7�/�" %l� (�4(i� r 25 Ex. Occup(OUTLETS OR FIXTURES) BA@L@@109 Ex. QCCU FIXED APPLNS. OR P' (OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.'-Za3Z q1Classification , 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. [5�rl 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 3.p Heating '7U Cooling —U Z 3 Ventilation Hood / 2.00 Permit FeeJ. 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 / ' 04 TOTAL PERMIT E $/ 6 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X - Date 'gnat a of rmitee 't Agent Receipt No. S� �0� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF BLIC WORKS BY Date ��-y %`% �, wilding permit expires Date -74 ti I THERMALITO U-NIGATION DISTRICT ' 410 GRAND•AVENUE ��R..��.••!llWf�l7 , OROVILLE, CALIFORNIA•95965 • TELEPHONE 533-0740 ♦ �. r R;.. DISTRIBUTION: WHITE -TID, YELLOW -APPLICANT, PINK -DPW, GOLDENROD - DPW to,.TID CSA 26 SEWER -SERVICE APPLICATION AND CONNECTION PER Service Address: "?. -7<9 Owner's Name:, _ ; Date:' ? . Address: Acct. No: A. P.- No.: reo Phone: ./ 'No. Units: Applicant/Agent: Agents Proof: Address: ' ,• Fees: Phone:. Application '$•" ; Arrearage- rrearage-Preliminary PreliminaryReview By:� Date: ate`' CSA 26•x' Remarks: SC -OR a•i ` 1st mo. S.C. Other I ` Total Fees Collected By: Date: - ,' : •?' 7' ,. Field Review By: Date: Remarks: ------------- MONTHLY SERVICE CHARGES•WILL COMMENCE AUTOMATICALLY'OPON: 4 0. Date of TID approval of completed building sewer (early connection). -El 30 days after date above, or on date,, of D.P.W. approval of completed building ` sewer, whichever comes first ("existing construction", prior,to Mar. 6, 1974). 0 180 days after date above, or on date of. D.P.W. approval of'compl•eted building sewer; which eve'r.comes" first ("new construction", after Mar. 5, 1974). ♦ �. r R;.. DISTRIBUTION: WHITE -TID, YELLOW -APPLICANT, PINK -DPW, GOLDENROD - DPW to,.TID kat,s ra 0015 s K� E�71]itt �dLlf}.• '/ °11' ��w/\I' a�•LjZ1IC:a! �.t C+4�'S �. .-� �y BUTTE COUNTY BUILDING DEPARTMENT APPROVED i i y rt % L C I -f .. 3 ' I-- r a � nIL,i I Of a 2 it. eove overs,,; -,q but e,,.IrCj�� out of all easements. r: i K� E�71]itt �dLlf}.• '/ °11' ��w/\I' a�•LjZ1IC:a! �.t C+4�'S �. .-� �y BUTTE COUNTY BUILDING DEPARTMENT APPROVED i i y rt % L C I -f .. 3 ' I-- r a � nIL,i I Of a 2 it. eove overs,,; -,q but e,,.IrCj�� out of all easements. r: .-COUNTY OF BUTTE — DEPARTMENT• OF PUBLIC WORKS' 7 County'Center.Drive Orovi Ile, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT �r ooh CULIIUI IGC ICF/ICACIIIQUVCS UI Lilt! k UUIJty UI ouue to enter upon the above-mentioned property for inspection purposes. XI Date Sign re ermite r Agent , Receipt o. 2I�a ZIF 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 aid. DIRECTOR 0 P BLIC WORKS By Date_ -3"- i6P- % 7- B ding permit expires Date ?�— 7 BUILDING r Owner `�� %�S SQ. FT. OCC. BUILDING VALUATION Mailing Address 0 D � �I Telephone �o..l Fireplace _ Contractor Total Valuation '77s -d oQ Mailing Address Permit Fee d Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ C Building Address' PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Ae �/ Repair' drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. �/� —'�U Zoning8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fid es W—• Serrttatmn Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Pllaans Parcel Declaration Parcel Ma p 60' R/W Improvements p Lawn sprinkler system 2.00 /� ail,Recd Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 041,c "+ Main service 1000V OR 0 AMP ORLESS5.00 Main service EA. ADD -L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 1.00 NEW CONST. OR ADDNS. ( DWEACCLBLDLINGOCCUP. &) 20Sgft 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 & Professions Code under the name Style Of ��_�/�%,®/�/��/� '�: Ex. Occup(OUTLETS OR FIXTURES)50 @251 109 FIXED APPLNS OR Ex. Occup. OUTLETS (RESI,D.) 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. or ❑ 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 +2.00 Hood 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 CULIIUI IGC ICF/ICACIIIQUVCS UI Lilt! k UUIJty UI ouue to enter upon the above-mentioned property for inspection purposes. XI Date Sign re ermite r Agent , Receipt o. 2I�a ZIF 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 aid. DIRECTOR 0 P BLIC WORKS By Date_ -3"- i6P- % 7- B ding permit expires Date ?�— 7