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Home My WebLink About031-255-00931-255-9 �� A 'e �A�" Fcontr: ,,� o� e a Ave., Or04101ie 0 0 Ull�� n or Roofing, Berry Creek I Permit #6016-77B(reroof/SF) i Permit #659-87P(sewerlline/SOF) 031-255-009 BAKER, v, 93-1776 B 921 COLUSA AVE., OROVILLE i!K c� CONTR: VINYL DESIGNS (VINYL SIDING/SFj I� 5ca NNED 3 - - MISCELLANEOUS Re-Roof REROOF 18 SQ 921 COLUSA AVE BEN A BEGIER COMPANY, I 51 b ; I rt i• 031-255-009 93-1776 B I BAKER, V. 921 COLUSA AVE., OROVILLE CONTR: VINYL DESIGNS (VINYL SIDING/SF) y ;Y' «- � .. ah � � iti. "`a•...F1�Jr�V'�?jti"�-l;<-n i _�:.',�.= 4Jt.;,.; 3- f�t'''�''r•+'v'�, vrr:-.. ^1 L. .t:. _J' f r j. I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916,'538-7541 1 "P"j'd�� APOL'ICATION AND PERMIT 1 i f c ASSESSOR PARCEL NUMBER 031-255"W9 -. ZONING BUILDING PERMIT OWN�EyR IDpgyE TELEPHONE SQ. FT. OCC,.BUILDING VALUATION ,V Com OWNER'S MAILING ADDRESS 921 COLUSA AVE, OROV.= CA 95965 CONTRACTOR'S NAME VI CTESWI, TELEPHONE 4 CONTRACTOR'S MAILING ADDRESS 11344 0010ML RD. B00--3845 COLD RIVER Cly 95670 Fireplace CONSTRUCTION LENDER NOME UNKNOWN Total Valuation Is - Filing Fee 1'5.00" ` $ LENDER'S MAILING ADDRESS Q' Permit Fee $ 60,00 ARCHITECT OR ENGINEER HONk: LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS �' Penalty $ BUILDING ADDRESS �� 721 CO►LUSA QQP,QRQV= Permit fee $ y 50GO PLUMBING PERMIT Filing Fee 15.00 f 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 SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G I W 615-00 TYPE OF WORK New ❑ Addition [I Remodel❑ Utilities 0'Installation❑ Other[ Describe work: VINn SIDING _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600v OR LESS 18.50 200A OR LESS Main service 200A TO 1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ! A I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license IS In full +force and effect.SINGLE License 4o. + "I, ``t 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.tIc\ 3.64 sq.ft. OR ADONS, l ACC. BLDGS. / NEW CON T;`"UL U TI -OUTLET n NON -R ESID BRANC CIRC ITS `_ 5.00 POWER APPARATUS &) OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20S76 Ex. Occup. OUTLETS ED APP(RESID )REAJ I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor — 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 u 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. MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws 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 :.1: .� c` `` �4' Date �t t� ` Signature of Applicant — Owner ❑ Contractor g Agent E An OSHA permit is required for excavations over 5'0•' deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ �q , Y� . HAz I DFEES I IMP I FLOOD I CDF PARCEL I PD HD ISSU This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do A J fy� // work indicated ab9ye1fof,phich fees have been paid. ffIT J DIRECTR OF PUBLI • WORKS Q, By I 1XI,l��' �� ill � Date �;!/J9 J PERMIT EX0IRES'� Date X d!? ,;;, V" f ( W 1 '7- Receipt No. fl4399fl WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Califori'ia 9% 5 Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT No. 3 -117(o- ASSESSOR I F (o ASSESSOR PARCEL NUMBER 031-255-009 ZONING BUILDING PERMIT OWNER V BAKER TELEPHONE 534-6846 SO. FT. OCC. BUILDING VALUATION CONTE 4290 OWNER'S MAILING ADDRESS 21 COLUSA AVE. OROVILLE CA 95965 CON TRACTOR'S NAME VINYLDESIGNS TELEPHONE CONTRACTOR'S MAILING ADDRESS 11344 COLOMA RD -345 GOLD RIVER CA 95670 Fireplace CONSTRUCTION LENDER UNKNOWN NONE Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ 60.00 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 921 COLUSA AVE., OROVILLE Permit fee $ 75.00 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 SFED 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 L; Remodel ❑ Utilities ❑ Installation[] Other [ Describe work: VINYL SIDING Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 200A OR LESS j$,50 Main service 200A TO 1000A) 37.50 CONTRACTORS LICENSE LAW I declare nder penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profess ons Qode qnd my license is in full force and effect. License .Jo. Classification 06k ❑ 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.&\ OR ADONS. ACC. BLDGS. // 3.64sq.ft. NEW CONSTR. MULT'-OUTLET NON•RESID BRANCH CIRC ITS @ 5 00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES L_76 Ex. Occup. OUT ETS (RESID )REA.1 I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. IlVirin g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): 11j ,The permit is for $100.00 (valuation) or less. ,In I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence nof� the granting of this permit. Date - -G3 si narure�af A Iicant - Owner �, g pp ❑ Contractor Agent An OSHA permit is required For excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 115 , V HAz 1 1) FEES J IMP I FLOOD I CDF PARCEL PD HD ISsu This permit is hereby issued under the sions of Butte County Code and/or work � di ted ab o hich fe DIRE P BLI By PER Date applicable provi- r solutions to do ve been paid. RKS D to Receipt No. 143991 ' WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD-APPLI CANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ` 4 7 County Center Drive - Oroville, Cal ifornia,9 65 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR A CEL,�g1UMB R Q/1/� •SCJ U ZONING BUILDING PERMIT W ER T_ELLEPHONE`� J - `f� SQ. FT. OCC. BUILDING VALUATION O ER'S MAI NG ADDRESS a -k U's C, e- ; Cq�AiTO 'S NAMIE f 6 T1ELEPMO0 '0 1l10 '\��p�� V ,CUUONTR CTOR'SS MASI G Apq,R FESS - L Fire; ace Fireplace CONSTRUCTION LENDER UNKNOWN c Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSENO. Plan Checking Fee - $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUIL IN A DREP ermit fee $ tJ PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each des water heater or vent 7.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY 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 a Remodel;_ Utilities ❑ Installations Other ❑ Describe work: \r)�W\ bqn ( Si'6. nq 4AZno ,Dc) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 - Main service 600V OR LESS 200A OR LESS 18.50 Main service 200ATO1000A) 37.501 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): �� 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.W-Va-l2� Classification C�� LJ 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.S\ OR ADONS. l ACC. BLOGS. II 3.6Qep.ft. NEW CONSTR ULT"OUTLET NON•RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS 6 SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76d Ex. Occup. OUTLETS ED ( R RESID )EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. er-rhave 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. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee ; Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the CountyOt Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may In any way accrue against said County in consequence of the granting of this permit. Date �. M_ q 3 i nature — Owner �ofA_Pplicont g❑ Contractor Agent �� An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S 4' Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAZ 1 DFEES IMP I FLOOD CDF PARCEL PO HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. �� WHITE-O.P.W.. YELLOW-ASD[SSO PINK -INSPECTOR, aOLDEMROD-APPLICANT 11 , PERMIT NO, 6016-77B PERMIT EXPIRES 1 M Prater OWNER CONTR Don George Roofing, Berry Creek LOCATION (A.P. 31-255-9 921 Colusa Ave., Oroville Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E /Toe.Gas Serv. alled PG&E / FINALED (� (Date) (Sig rfa'Fdre) CtaUN7Y OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTLON RECORD BUILDING I BUILDING (Cont'd) PLUMBING Setback Firewall Permanent 1 Soil Piping Forms Parapets MOBILEHOMEUTILITIES ------------------ list Floor,- loor -Main MainBldg. Restroom Finish Sewer 2nd Floor Footings Windows Y Elec. Continuity 3rd Floor StemwalI Sidino To out Slab Roof Sheathing Water PI In / Piers Roofing Sewer ' Garage Fdn. Vents Fixtures Footings StemwaI I Garage Vents Insulation V 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 j Footing ELIAOTRICAL Masonry Walls ! Throat Rough Reinf. Steel Final Fixtures Bond Beam FI SPR KLERS Motors Framing i Test 4 Water Htr. Stucco E Final Subpanels Mesh MgChiANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent 1 Door Closer Final Final 1 MOBILEHOMEUTILITIES ------------------ Elec_ Service Elec. Pedestal Water Piping I Sewer Gas Piping MOBILEHOME IT10N --- - -- - - - - - - - - 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.) JCOUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Centgr Drive- — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspe . n purposes. / X Dated U ~ Z 1_7 Receipt No. I_ l ":!100- :7 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 Buildirrig permit expires Date /�—� BUILDING Owner SQ. FT. OCC. BUILDING VALUATION ,o Mailing Address Telephone No. Ch Fireplace. Contractor ylQ Total Valuation Mailing Address , 11 Permit Fee Plan Checking Fee&/or Penalty Telephone o. Permit -Fee S' Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1,50 YrN \ Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. 3 1 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet 30 F s C. S Fire Dept. -Fire Zone Use Perriit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Parcel Approval Plans Approval Permit Fee $ $ - NEW ❑ ADDITION ❑ UTIL,ITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP ORV OR . 5.00 Main service EA. ADD -L too AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER eoov 100 AMP OR LESS 25.00 Main service EA. ADD'L loo AMP 1.00 NEW CONST. OCCUP. &) 2¢Sgft OR ADDNS. ( DACCLBLDGLING 5. 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 styl f: , (JY 4? t►tC Ex. Occup(OUTLETS OR FIXTURES) 50 P25C BAL@1 Ex. Occup.(FIXED APPLNS. OR OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 '^ License No.07 �7' .0740 Classification 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. 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 TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspe . n purposes. / X Dated U ~ Z 1_7 Receipt No. I_ l ":!100- :7 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 Buildirrig permit expires Date /�—� eount* q t�JUtte OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Marvin Prater ADDR ESS: 921 Colusa CITY & STATE: Oroville, CA 95965 IMPORTANT: April 1, 1987 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Building Permit Application not required - clerical error. (Bldg Permit Appin. #659-87P, Receipt #78096, dated 3/2/87, A.P. #31-255-09). Total fees paid--------------------------- $25.00 TOTAL REFUND DUE ---------------------------------------- $25.00 $25 00 TOTAL I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that '4is claim Is true and correct as stated. 0-4e—.. /�j�Dated thi,,,,,,,., day of , 19 at(r^�GCali %�I!;`��/�y.,.eture of la Si C imam I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above h been performed or de- livered and that there is a Budget Appropriation ❑ or Specific Board Approval a (Check one) fore./) Dated this...........5 ................ day of ........ Apx.il...... i9...5.l at Oroville.... , Ceuf. .l 1. artment heed or Authorized D Dept. Exp. IV Code............................................ Code ............. I .................................. PAYABLE FROM............................................................................................ FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. I SUB. OBJ. I CLAIM NO. I INV. NO. I INV. DATE I ENCUMB. GROSS AMT. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSPERMIT NO. 7 County Center Drive - Oroville, CaliforrRa 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR CE NUM R ZONING BUILDING PERMIT O WIJ ER TELEPHONE SQ.FT. OCC. BUILDING VALUAT OW ER'S MAILIN A DRESS CONTR CT R' AME '^ I TELEPHONE CONTRACTOR'S MAILING A DRESS _ Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$' Energy Plan Checking 'Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 / Each Trap 2.00 yr 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 rufi- Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer I 5.00 Mobile Home I S I G JW I 110-00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utl lities ❑ Installation ❑ Other ❑ Describe work: h�—/�� /�^ l S.M 1 Permit Fee $ Z25 CD Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 70Dv OR LESS 00 AMP OR LESS 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 Professions Code and my license is in full force and effect. License No. Classification ElI, 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.8i , OR ADDNS. ( ACC. BLDGS. /22sgft NEW CONSTR MULTI -OUTLET NO N.RESID BRA CIRC s 2.50 ea /POWER APPARATUS y\ (SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 20060t BAL030 FIXED Ex. Occup. OUTLETS P(RESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. lYirin 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 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 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, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again said C unty ' onseque a the granting of this permit. X, 7X,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 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPEJ �110001PARCELJ P11 ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC BY `� P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date^�yj�� % ` -7R Receipt No. WHITE-D.P.W., YELLOW -ASSES OR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENO PUBI WORKS -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIF6RNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET / Permit No. ` OWNER �a l(�rl/� A. . No. 3l - Proposed Building Use_&UJI- Building Inspector Date *2Aff At time of permit application, I was advised the fol-Iowirig data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . It . . . . . . 2. Plot plans in duplicate/triplicate, signed by preparer of plans. . 3. Complete plans in duplicate/triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . 3. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner, Mail to ownerE]), _15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec.request to (Date) 17. Pre -Inspection for Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. 22. When you issue the permit, process as follows: ail to owner, Mail to contractor. Telephone and hold for pickup at—off ice, Deliver w/inspector. Other Appl is Date Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index Dermit for above items No. 2. Contractor, designer, owner, was advised of above required data by_phone---nall—counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder — Hours: 10:00 a.m. - 3:00 p.m. Copy—DPW f MENTAL HEALTH " THERMALITO IRRIGATION DISTRIRON 410 GRAND AVENUE APR 15 1887 OROVILLE. CALIFORNIA 95965 TELEPHONE 533-0740 - fWnWLE, CAUFARNIA CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: Owner's Name: Date: - s' Address: .. _ ,. , Acct. No: A. P. No. . Phone: No. Units: Applicant/Agent: Agents Proof: Address: Fees: Phone: Application $ Arrearage Preliminary Review By: Date: CSA 26 - Remarks: .. ... SC -0 R s 1st mo. S.C. Other Total Fees Collected By: Date: Field Review By; Date: Remarks: 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