HomeMy WebLinkAbout031-271-00931-271-9
ROY PARKER �.�-<P-?�
11.60 NEVADA AVE.
PERMIT #6305-75P tNSTAI:-L---g1=D-G�-
SEWER) S/F
031-271-009 PERMIT#98-0215
MEFFORD, Carl
1160 Sierra Ave., Oroville
Cont: Skilled Builders '�41�40-1151
Reroof Portion/SF
031-271-009 PERMIT#98-0243
MEFFORD, Carl
1160 Sierra Ave., Oroville
Cont: Skilled Builders
Repairs/SF 'w& Ire��
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COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISJPN
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBERy •�
31-2714M
ZONING
BUILDING PERMIT
OWNER MEFFORD, CARL
TELEPHONE
Sq. Fr, OCC. BUILDING VALUATION
3,600.00
1960 SIERRA
OWNERS MAILING ADDRESS CVENT E
CONTRACTOR'S NAME
SKILLED BUILDERS
TELEPHONE '
533-65830
CONTRACTORS MAILING ADDRESSS o 0 o BOX 526, PALM10 o CA I.
S
CONSTRUCTION LENDER j
Fireplace
LENDER'S MAIUNG ADDRESS I
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $20.�/0(0�
Permit Fee $ 63.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
i
Plan Checking Fee $
BUILDING ADDRESS
fl 160 SIERRA AVENUE OROVIL:LE
Energy Plan Checking Fee $
$
PERMIT FEE $ 830W
LOT NO.
SUBDrvISIONS NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USE OF STRUCTURE
SF •❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
Each gas water heater or vent 15.00
TYPE OF WORK r
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
I
Describe Work: R'a'%?(}jiF. RAT^�F.i) M COR AND REPT .A(:�: f>rPfTi3 STAR
Aim MOTOGS AT LIVING RWM. RE: 48-0215 �
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home. S G W @20.00
PERMIT FEE $
ELECTRICAL PERMIT Filing Fee 20.00
i
e00V OR LES9
Main Service 20.OR LEs, 23.00
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
•
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
/ 5,17 `
License Class /� Lic. No. t� v�
OWNER -BUILDER DECLARATION
1
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
`Law for the following reason: i
❑ 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.
❑ 1, 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
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLING OCCUP. S0
OR ADDNS. ( y ADD. BLDS. 3.5QFT,
NEW CONS . MULTI -OUTLET
NON-RESID. HCI 97.50
POWER APPARATUS
3 SINGLE OUTLET CIR.
.00
Ex. Occup. OUTLET OR FIXTURES BAL @ I.50
FIXED APPLNS. OR
Ex. Occup. ourLETs RESID. EA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wirina 23.00
PERMIT FEE S
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
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
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.)
O- 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in anymanner so as to become subject to workers'
compensation laws of California, and agree that 0 1 should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X /2
2aAL4 C4� Date
����
Sign atZire of Applicant - ❑ Owner -pt -Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 83000
HAZ.
D. FEES IMP
I FLOOD I
CDF
PARCEL PD
HD
ISSUE
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 �� �,�Av iv Date
PERMIT EXPIRES ON ��/,�� 9 moi'
/ / Date
Receipt No. a,..T a-7
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
CQUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDINGDMS
j 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75 PERMIT NO.
(Rev. 12'/96) APPLICATION AND PERMIT e- oa1_,3
ASSESSOR PARCEL NUMBER
31-271-009 '
ZONING
BU ING PERMIT
OWNER MEFFORD, CARL
TELEPHONE
SO, Fr, OCC. BUILDING
VALUATION
OWNERS MAILING ADDRESS 1160 SIERRA AVENUE
3,600.00
CONTRACTOR'S NAME
SKILLED BUILDERS
TELEPHONE
533-6580
CONTRACTORS MAULING ADDRESS P.O. BOX 526, PALERMO, CA
CONSTRUCTION LENDER
[Fireplace
LENDER'S MAILING ADDRESS
'
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
63.00
ARCHITECT OR ENGINEERS MAILING ADDRESS -
Plan Checking Fee $
BUILDING ADDRESS
1160 SIERRA AVENUE OROVILLE
Energy Plan Checking Fee $
$
PERMIT FEE $
83.00
LOT NO.
SUBDIVISIONSNAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF JR Duplex ❑ Mobllehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: RF,MnVF RAISFT) FT,nnR AND RFPT,ACF WITH SLAB
AND FOOTINGS AT LIVING ROOM. RE: 98-0215
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
920.00
PERMIT FEE $
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service oonoa�ss
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in fu 11 force and effect.
l! L ��
License Class /� IL E I
OWNER -BUILDER DECLARATION
1 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
Main Service 200A TO LuooA
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( & ACC. EMS.
s0
3.50,.
T.
NON-RESID MULTI -OUTLET
97,50
POWER APPARATUS
d SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES
a ®'.50
Ex. Occup. GuxTLEE. AES.LNS6.) E
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE $
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
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling\
Hood
6.50
Ventilation
PERMIT FEE $
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.)
54— 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
fort with comply with those visions
X Date _
Siga of Applicant - CI Owner "Contractor ❑ Agent
An ofis required for excavations over 5'0" deep and demolition or construction
of s;VHermit
uctures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 83.00
FEES IMP
FLOOD
CDF
PARCEL PD
HD
ISSUE
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 Date o
PERMIT EX RES N
ale
Receipt No. 2,3/7
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
0
N
121
(Rev. 12/96)
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541
APPLICATION AND PERMIT
PERMIT NO.
1—- ' _
ASSESSOR PARCEL NUMBER 27q
31-271—W9
LL/ 11
ZONING
BUILDING PERMIT
OWNER A
CARL AtF D
TELEPHONE
SO. FT. OCC. BUILDING VALUATION ,
6 sa ia corn
360.00 i
OWNER'S MAILING ADDRESS
IPSO SIERRA
CONTRACTOR'S NAME _
SKILLED BUILDERS
TELEPHONE
533-6595
CONTRACTORS MAILING ADDRESS r T
Cl ! � . l /^� / f"
CONSTRUCTION LENDER ,
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation S
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ 15.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
Ria
Energy Plan Checking Fee
$
PERMIT FEE
S 35.00
LOT NO.
-
SUBONISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFS'TRUCTURE
SF 301 Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
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: Wtint6+ aRrIa n
Gas piping system 1 - 5 outlets
15.00.
Building sewer
15.00
Mobile Home. Is I G W1
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service '..A oR LEN
200A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
,and my license is in full -force and effect. �9
License Class % Lic. No. �.� �� I
OWNER -BUILDER DECLARATION
1 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
Main Service 200A TO 1000A
46,00
NEW CONST. DWELLING OCCUP.SO
OR ADDNS. ( a ACC. BLDS.
3.52FT.
=14ESID.T MULTI -CUTLET
@7,50
POWER APPARATUS
3 SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES
20 ® 1.00
BAL @ .SO
Ex. Occup. ourLEET:(RESlo.OEa
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
$
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
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
-
Hood
6.50
Ventilation
PERMIT FEE
$
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.)
0- 1 certify that in the performance of the work for which this permit is issued, 1 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
forthwith comply with those provisions.
X %af,� f( _ Date �.�/
'NSignj�ure of Applicant - ❑ Owner ❑ Contractor ❑ Agentf
Ar�OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee
$
Occ
CONST. TYPE
TOTAL FEE $ 35.000
HAz.
D. FEES IMP
FLooD
CDF
PARCEL
PD
HD
L
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By _ ") _ti-a.�
PERMIT EXPIRES ON 3 /
/
the applicable provisions
Resolutions to do work
been paid.
p
Date
10 y�%OJ
De'te °
Receipt No. 2,7190�?_
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVIS N
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75 PERMIT NO.
(Rev.12/96) APPLICAT16N AND PERMIT
ASSESSOR PARCEL NUMBER 31-271-009
ZONING
BUILbING PERMIT
OWNER
CARL MEEFORD
TELEPHONE
SO. FT. OCC. BUILDING
VALUATION
OWNER'S MAILING ADDRESS
1160 STERRA AVENUE
6 sqs comp 360.00
CONTRACTOR'S NAME
SKILLED
TELEPHONE
CONTRACTORS MAILING ADDRESS
P.O. BOX 526, PALERMO, CA
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
'
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
Energy Plan Checking Fee $
PERMIT FEE $
35-00
LOT NO.
SUBDNISIOWS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF)CX Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
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: �nn� n�nnTno
—nvvx--zr�rTr
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
(a?20.00
PERMIT FEE $
ELECTRICAL PERMIT
Filing Fee 20.00
SS
Main Service eoOOA OR OR LE.
2OLESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in fui force and effect.
License Class Lic. No. d� /
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
Main Service YOGA TO 1000A
46,00
NEW CONST. / DwELUNG OCCUP.
OR ADDNS. \ 8 ACC. BLDS.
SO
3.5¢x.
NEW
NOWRESID. MULTI -OUTLET CIRCUITS
(LD7,50
POWER APPARATUS
b SINGLE OUTLEr c1R.
Ex. Occup. OUTLET OR FIXTURES
20 @''OO
BAL 50
Ex. Occup. Gfl�XED L o.) E
R
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
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
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEt $
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.)
2;--1 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
fort with comply with th a Prov' fdns.
�/
X d/Z�— _Date
ig re of Applicant - ❑ Owner ❑ Contractor ❑ Agen �
A, SHA permit is required for excavations over 60" deep and demolition or construction
structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $
HAZ.
D. FEES IMP
FLOOD
CDF
PARCEL
PD
HD
SSUE
This permit is hereby issued under the applicable
the Butte County Code and/or Resolutions
in
indicated above for which fees have been
By 4,e Date
PERMIT EXPIRES ON :2-
2WHITE-D.D.S.-B.D.
I I 0tq),
provisions
to do work
paid.
L / ( 11q.
Receipt No. a3ig UZ
WHITE-D.D.S.-B.D.CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
=PERMIT NO. Fi-,'n�i�-%5P
P
E
M
MH UTIL.
PERMIT NO.
PERMIT EXPIRES 12/12/ 6
OWNER ROY PARKER
CONTR.
LOCATION (A.P. ')1-271-9
)
1160 NEVADA AVE., OROVILLE
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 Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Sidino
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_
U— ' - v
THERMALITO IRRIGATION DISTRICT 4 �,
410 GRAND AVENUE �.
OROVILL'E, CALIFORNIA 95965
TELEPHONE 533-0740
CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT
Service Address: n N511-2,14AA 2,,k Av`!
Owner's Name: Oe-,tJ, /c 'V�s,�t���
Address:
v'
Acct. No:ls�r
u
A.P. No, -5-u-2 7
Phone: 4`¢� L� ?
No. Units:
Applicant/Agent: °, �� ,>
qg
Agents Proof: XY9s_
Address: O
d
Fees:
Phone:
Application $
Preliminary Review �By: �_ rn,As n Date -J, 1�'� Phi %���
Arrearage
CSA 26
...
Remarks: t. "
SC -0 R
1st mo. S.C.
y�
Other J
Total Fees
Collected By:
Date:
Field Review By: Date:
Remarks: -4=2
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
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive QrrpyiIle, California 95965
Telephone: 5344'41
APPLICATION AND PERMIT
cza � �0 7S
authorize representatives of the County of Butte to rater upon the
above-mentioned property for inspection purposes.
X Date
i nat o Permite/e-o Agen
Receipt NV /S";;,
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.
IRECT R OF PUBLIC WORKS
B Date % S/
UA+ag permit expires Date _ /AV/." 'A�'
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Tel epl1o`e No.
�3
Fireplace
Contractor
Total Valuation
Mai I i ng Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
$
Building AddressPLUMBING
No.1
@ FEE
PERMIT FILING FEE $3.00 ,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.�--� 9
Zoning &Planning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
F
Saekeien
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00 ��AQ
EQA
Parking
Plans
Parcelparcel
Declaration
Ma P
60' R/W
Improvements
P
Lawn sprinkler system 2.00
c d
Parcel Approval
Plans Approval
Permit Fee
$ "�
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER gQ
ELECTRICAL
NO -1
@ FEE
PERMIT FILING FEE $3.00
Main service incl. 1 meter
Additional meters, each
1.00
Sub -panel (12 or less) (morethon 12)
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixtures '20 2
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
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
m exempt from the Contractors License Laws of the State of California.
Permit Fee
$71
$
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.
MECHANICAL
No.
@ FEE
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 relating to building construction, and hereby
TOTAL PERMIT FEE
$ --
authorize representatives of the County of Butte to rater upon the
above-mentioned property for inspection purposes.
X Date
i nat o Permite/e-o Agen
Receipt NV /S";;,
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.
IRECT R OF PUBLIC WORKS
B Date % S/
UA+ag permit expires Date _ /AV/." 'A�'