HomeMy WebLinkAbout031-272-00931-272-09
LLOYD D. BOSWELL_X,, aal.
1 485 10th. St., Oroville
Permit #k1145-76P(seker inst) S/F
031-27-2-009 93-1985 B
BOSWELL, CLOYD
1485 10TH ST, OROVILLE
CONTR: GEORGE RFG �o2O
REROOF/SF
�-
031-27-2-009 00-0913 _
BIGSBY, RON
1485 10TH ST., OROVILLE U
REROOF
0 - - -009 �O0-1402
BIGSBY & E �1485 10TH STREET, IIk
CONTR: OWNER ') q • 1
ELECTRIC SERVICE CHANGE
l
- 272 =
031-27-2-009 00-1402
BIGSBY &,LYTLE ,
1485 10' STREET, OROVILLE
CONTR: OWNER
ELECTRIC SERVICE CHANGE
OFFICE COPY
Address
GAS Date
Meter By
ELECTRIC Dat ��
Meter By
I�
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
ASSESSOR PARCEL NUMBER
o3.19272
ZONING
BUILDING PERMI
OWNER
Fir t _ 1AV
TELEPHONE Q p
5 -*-1188
SO. FT. OCC. BUILDING
VALUATION
. OWNERS MAIUNG ADDRESS
2716 RM LN. OUCO CA,
CONTRACTOR'S NAME
1 AMER
TELEPHONE
CONTRACTORS MAULING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS`
1
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE• NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGWEERS MAIUNG ADDRESS
f
Plan Checking Fee $
BUILDINGADDRESS
1485 IMI STT OROW
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL,MAP
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF ff Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat um 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: 1 .GILIME
Gas piping systeni'l - 5 outlets
15.00
Building sewer
15.00
Mobile Home IS I GI W1 1
920.00
PERMIT FEE S
ELECTRICAL PERMIT
Filing Fee 20.00
800VOR LE
Main Service 2ooA OR LESS
23.00 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.
License Class Lic. No.
..EX.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
101, 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.
❑ I 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
Main Service TO 1000A
48.00
NEW CONST. � DEWNOOCCUP.
WEE
OR ADONIS. ( 8 ADC. BLD..
SO
3.5QFT:
App}R61D ' MULTI -OUTLET
97.50
POWER APPARATUS
8 SINGLE OUTLET CIR
OCCU . OUTLEr OR FIXTURES
BZ ® I O
Ex. Occup. ou Ds C.ES D.GEA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE :
43M
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
8.50
Ventilation
PERMIT FEI: $
Policy Number
(The above sectioris,need not be completed if the permit Is for work of a valuation
�-,�of one hundred dollars ($100) or less.)
tf 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 1 should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those_ provisions.
. �
/ / / /
-19 D` r� I �'7 Date (n �y-
.-Signature of Applican -Owner 11Contractor 13Agent
An OSHA permit is re4 it for excavations over 5'0" deep and demolition or construction
of structures over 3 stori height.
o In
Mobile Home Installation Fee $
Energy Inspection Fee $i
CONST. TYPE
TOTAL -FEE $ 4n0.
LL
HAT.
,o 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.
Date &/V)
PERMIT EXPIRES qN' 1?n
Det
Receipt No.
WHITE-D.D.S.-B.D. CANARY.ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
1 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P RMIT NO.
(Rev.12/96) _ APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
031-272-009
ZONING
BUILDING PERMIT
OWNER
D0
TELEPHONE
534-1188
SO, FT, OCC. BUILDING VALUATION
s uNG AooREss
lWMaREYERE LN. CHICO, CA
CONTRACTOR'S NAME
Q W LY
TELEPHONE
CONTRACTORS MAIUNG ADDRESS
CONSTRUCTION LENDER
Fire lace
LENDER'S MAIUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Flin Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
1485 10TH ST., OROVILLE
Energy Plan Checking Fee $
$
PERMIT FEE $
LAT NO.
SUBDNISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF f Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Tra
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: IIE SER CHANGE
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 zooA OR LESS
23.00 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.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
Imo, 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 t000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( a A.C. BLDS.
so
3.5¢FT.
pgµRalO, - MULTI -OUTLET
@7.50
POWER APPARATUS
a SINGLE ourtEr cIR.
EX. Occup. OUTLET OR FIXTURES
.00
BAL 20 ®I.50
Ex. Occup. o TS D °EA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE $
43.00
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.)
P l 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' corT}�ensation provisions of section 3700 of the Labor Code,") shall
forthwith corT�ly with those provisions.
Date 4 ' �v— Q v —6
gnature of Applica Owner ❑ Contractor ❑ Agent
An OSHA permit is re uir for excavations over 5'0" deep and demolition or construction
of structures over 3 stori in height.
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 43.00
HAz.
D�
IMP
FLooD
CDF
PARCEL
PD
MD
ISSU
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
// Da
PERMIT EXPIRES
provisions
to do work
paid.
6791
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
-1 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERM r, NO.
(Rev.12/96j— ' APPLICATION AND PERMIT ��-�-
ASSESSORPARCELNUMBER ZONM BUILDING PERMIT
TELEPHONEJ 8 SO. FT. OCC. BUILDING VALUATION
CONTRACTOR'S NAME TELEPHONE
CONTRACTOR'S MAWNO ADDRESS
CONSTRUCTION LENDER
LENDER'S MNL ING ADDRESS Fireplace
Total Valuation S
ARCHITECT OR ENWNEER
—18—
SAL .50
LICENSE NO.
Filing Fee $
ARCHITECT OR ENOWEERs MMUNG ADDRESS
23.00
Permit Fee $
Plan Checking Fee $
BUILDING ADDREss
23.00
Energy Plan Checking Fee $
ct
42
$
PERMIT FEE $
LOT NO. 7
SUBONISION'SHAME
PARCEL
PLUMBING PERMIT
USEOFSTRUCTURE
SF k Duplex ❑ Mobilehome ❑ Other
SPECFY
Each Trap
Solar or heat pump water heater
Water piping
Each gas water heater or vent
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑
Describe Work: %i R 49 yo
--
Other
Gas piping system 1 - 5 outlets
Building sewer
Mobile Home S G W
PERMIT FEE $
ELECTRICAL PERMIT
Main Service eoov OR LESS
200A OR LESS
Main .Service 200A TO 1000A
NEW CONST. DWELLING OCCUP.
OR ADONS. a KY` FU na
20.00
dung Fee 20.00
7.00
23.00
15.00
15.00
15.00
15.00
020.00
ng Fee 20.00
23.00
46.00
3.5¢FT.
@7.50
EX. OCCU . OUTLET OR FIXTURES
—18—
SAL .50
EX. OCCU FDMO APPLNS. OR
ouTLETs ESID.) EA.
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirinq
23.00
PERMIT FEE $ '001
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEPE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ CONST. IPE TOTAL FEE $ 00
HAZ• I
D. FEES I IMP I FLOOD COF PARCEL I PO I H) I 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.
/ 1 By tate
PERMIT EXPIRES ON
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your
signature.
Please complete : and - returnthis information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No budding permit will
be issued until this verification is received.
AI.I personally plan to provide the labor and materials for construction of the
rop operty improvement: S J NO[ VE j HAVE NOT[ ; ] geed an application for a budding permit for the .
rop sed work....
3. I have contracted with the following person (firm) to provide_. -the -proposed
construction:
NAME:
ADDRESS:
- CITY:
PHONE: CONTRACTOR'S LICENSE NO. -
4. I plan to provide portions of this work, but I have hired the following person to
coordinate, supervise, and provide the major work:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
5. I will provide some of the work but I have contracted (hired) the following -persons to
provide the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
X
PROPERTY OWNER:
SOCIAL SECURITY NMNIBER:_ /
DATE: � r -
NOTE: This owner -Builder Verification is required by.Section 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before
we are permitted to issue the permit.
Mav 1995 2.26
J.B.- I
M Kim
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as . the builder of
property improvements specified.
For your protection, you should be aware that as "owner-builder" you are the responsible party of record
on such a permit. Building permits are not required to be signed by property owners unless they are personally
performing their own work. If your work is being performed by someone other than yourself, you may protect
yourself from possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a
business license from the city or county. They are also required by law to put their license number on all permits
for which they apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you
should be aware of the following information for your benefit and protection: -
0 If you employ or otherwise engage any persons other than your immediate family, and the work (including
materials and other costs) is $300 or more for the entire project, and such persons are not licensed as
contractors or subcontractors, then you may be an employer.
0 If you are an employer, you must register with the State and Federal Governments as an employer and you. are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions. .
0 There may be financial risks for you if you do not carry out these obligations,xand these risks are especially
serious with respect to worker's compensation insurance.
0 For more specific information about your obligations under Federal Law, contract the Internal Revenue
Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your
obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to
perform their work personally or through their own employees, without a licensed contractor or subcontractor, only
under limited conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder"
building permit, erroneously implying that the property owner is providing his or her own labor and material
personally. Building permits are not required to be signed by property owners unless they are performing their own
work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License
Board in your community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm
that you are aware of these matters. The building permit will not be issued until the verification is returned
Sincerely,
Michael C. Vieira, C.B.O.
Manager, Building Inspection
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
'May 1995 2.27
�.r
031-27-2-009 00-0913
BIGSBY, RON
1485 10TH ST., OROVILLE
REROOF
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 E T,No.
(Rev. 12/96) APPLICATION AND PERMIT _ // ' `Zi 1!1
BER
4R
ZONNG
ZON'NO
BUILDING PERMIT
fav B1GS1� - OWNER
TELEPHP1S:iSG70
SQ. FT. OCC. VALUATION
QBUILDING
1Ov0°
OWNE� 5 MAIUNG ADDRESS
3J�1 ASHUY AVE.,OROMU9 CA 959,56
C��O77NT�77R,,ACTOR'S NAME
Vt11lY�
TELEPHONE
CONTRACTORS MAILING ADDRESS
I
CONSTRUCTION LENDER
"' Fireplace
LENDER'S MAILING ADDRESS
Total Valuation Is
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20/.
Permit Fee $
X0{0
VV
27M
ARCHITECT•OR ENGINEERS MAILING ADDRESS I
Plan Checking Fee $
BUILDINGADDRESS Ii
1485 10TH ST. C;0MI
Energy Plan Checking Fee $
$
PERMIT FEE $
47000
LOT NO.
SUBDIVISION'SNAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF 411� Duplex 13Mobilehome ElOther
- 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 i
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other` i7
Describe Work: RAF 18 SQ 0 '
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home F§T-6 W
(920.00
PERMIT FEE $
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service .DR mss
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.
License Class Lic. No.
- OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
tel, 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
I hereby affirm under penalty of perjury one of the following declarations:
19-`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 workerscompensation 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
forthwith comply with those provisions.
X Date
[.Signature of Applicant - ❑ er 13 Contractor ❑ Agent
An OSHA permit is requir for cavations over 5'0" deep and demolition or construction
of structures over 3 stories in height
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP. SO
OR ADDNS. s ACC. BLD.. 3.5¢x:
NON•RESID. ' ANCHOU OUITS T
@7.50
POWER APPARATUS
3 SINGLE OUTLET CIR.
Ex. OCCu OUTLET OR FIXTURES gyp @ I.5
PPUNS
Ex. Occu . our rFIXEDs . ES, D.)"EA
5.00
Temporary Service
23.00
Mobile Home Facilities 20.00
Misc. Wiring
23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood
6.50 a..
Ventilation r' r ,' ,• I ,
; , ,; •, -
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
coNsr. TYPE
TOTAL FEE $ 47.00
HAZ.
D. FEES IMP
FLOOD
CDF
PARCEL
PD
HD
ISSUE
This permit is herebyilssued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
,
` Date D�
EXPIRES ON ��� A
'� �T Oere
Receipt No.PERMIT
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
1
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING ISION }'
7 County Center Drive • Oroville, California 95965 • Telephone (530)
5X-754 1el�/
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
031-272-009
ZONING
BUILDING PERMIT
OWNER
RON BIGSBY
TELEPHONE
534-1188
SO. FT, OCC. BUILDING VALUATION
. OWNERS MAILING ADDRESS
3711 ASHLEY AVE. OROVILLE CA 95966
1080.
N��R77A�CC��TppOR'S NAME
CO��LYI:,L\
OW
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ 27.00
' ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
1485 10TH ST. 0.FQVTI _E
Energy Plan Checking Fee
$
$
PERMIT FEE
$ 47.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF W 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 ❑ Ufilirm ❑ Installation ❑ Other'9
Describe Work: REROOF 18 SQ COMP
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S I G I W r
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service soon ow .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 full force and effect.
License Class LIC. NO.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
tel, 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.
OR ADDNS. ; Ate, BLAS.
SO
3.50FT.
NON-REW ESID. MULTFOUTLET
@7.50
POWER APPAAAr IS
8 SWGLE OURET CIR.
Ex. Occup. OUTLET OR FUTURES
B20 @ 1 .000
Ex. Occu . o °Ts° (PRM.) E
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
i
WORKERS' COMPENSATION DECLARATION
I berebaffirm under penalty of perjury one of the following declarations:
9%f 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 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.)
'• f�j 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
forthwith comply with th Be provisions.
Date
3n/6,re plicant - 13r ❑Contractor ❑ Agent
An OSHA permit is require or cavations over So" deep and demolition or construction
of structures over 3 stori in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $ 47.00
HAZ.
D. FEES IMP
FLOOD
CDF
PARCEL
PD
I HD
I ISSUE
This permit is hereby Issued under
of the Butte County Code and/or
indicated above for which fees have
,
B
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.f
D e /
Date
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 - Oroville, California 95965 - Telephone (530) 538.7541 PERMIT NO.
12."96) APPLICATION AND PERMIT
: ESS DR PARCEL WWW BUILDINGPERMIT
NEA SO.. FT. OCC. y�E-'JILDIING VALUATION
WAL)NO AZ
- PAcTOR''8 WJAE
C)c1\Iyc111,
n'TRACTOAE MALINO ADDAES8
`S TAUC MN LEND EA
,)M'S kULWG ADDRESS '
:. ECT OR ENGINEER
:K -.ECT OR ENGWEERI WALING ADDRESS
L0440 ADDAESS LA V 1
NO. I SUBON610NS NAME
a
USEOFSTRUCTURE
hV Duplex ❑ Mlobilehome ❑ Other
6Pf Gc FY
TYPE OF WORK
:ew ❑ Addition ❑ model ❑ Utilities ❑ InstaEation ❑ Other
ascribe Work: d�:� — ) K �� &�!�
T
Fireplace I I
I J
I
ELECTRICAL PERMIT I
Total Valuation 5
Main Service 8.00YA
23.001
Filing Fee
b
20:00
Permit Fee
5
CD
Plan Checking Fee
$
NEW CONS T. MULTI-0URET
NON-RESIO. an ua^u ran I
Energy Plan Checking Fee
i
Fling Fee 20.00
Heating
S
Cooling
PERMIT FEE
_
6.50
PLUMBING PERMIT
I
Filing Feel 20.00
Each Trap
1 1
7.00
Solar or heat pump water hrm-:er
1 1
23.00
Water piping
I
15.001
Each gas water heater or ver::
1 15.001
Gas piping system 1 - 5 outlets
1 15.001
Building sewer
1 15.001
Mobile Home I S I GI W i
1
1 @20.00
PERMIT FEE S
I J
I
ELECTRICAL PERMIT I
Fling Feed 20.00
Main Service 8.00YA
23.001
00.11 LESSS
23.00
Main Service 200A TO I0*.A
46.00
NEW CONST. DWR I M Ow JP.I
SO.I
OR Aa DNS. A ACC. 9 -DS.
(
.
3.5cFT.
NEW CONS T. MULTI-0URET
NON-RESIO. an ua^u ran I
l D ^� 7.50
1511 APPAR T, I:
a sWWi o ca
I J
I
Ex. Occup, ouncr OR FDCTURES
30 @ 1 0D
EA-' 0 50
Ex. Occup. °R
ouTlF'rs ESID. EA
I 5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
_
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
6.50
PERMIT FEE $
Moble Home Installation Fee $
Energy Inspection Fee $
occ CONST' TYPE TOTAL FEE $ *7 dD
NAZ 1 O. meS I W► I F=O I coir PARCEL PO MD i 6SUE
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
PERMIT EXPIRES ON
f-
...
Attention Property Owner:
An "owner -builder" building permit has-been applied for in your name and bearingyyour
-
signature. �._
Please complete - and . return this information at your. earliest opportunity to -avoid, -..
unnecessary delay in processing and issuing your building permit. No building permit
'be issued until this verification is received.
1. I personally plan to provide them ' r labor and materials for construction -of=the
proposed_ property improvement : ] NO[ ].
Z. I j HAVE NOT[ ] sign , ...an application for a bu�dmg penmt for the
proposed work.:::
3. I have contracted with the following person (firm) to provide the proposed
construction:
NAME: r
ADDRESS:
CITY:
PHONE: —--_._...-.--- ._.. _....__._ ._ :-CONTRACTOR'S. LICENSE NO.-.'
4.- I plaii �to -provide` portions of this work, --but I have hired the following person to
coordinate, supervise, and provide the major wow
NAME: .
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
S. I will provide some of the work but I have contracted (hired) the follo*gpeisons to
provide the work indicated:
NAME ADDRESS .. PHONE TYPE OF WORK
SIGNED:
PROPERTY OWNER:
SOCL.kL SECURITY NUMBER:
DATE:
NOTE: This owner -Builder Verification is required by Section 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before
we are permitted to issue the permit.
kfgv 1995 2.26
`'' %r�'�x '!iCcGrLw:3+t, :;4'y4."..Yv��:�'if�.s�.��?d. •
iv-": ti(:�ifn.:�✓(.2i.1v::}x::..e.;k�+;i�wwY�/.
•-9.:<
%
7
:
roXat i}M
:.�
Dear Property Owner.
An application for a building permit has been submitted in your name listing yourself as the builder of
property improvements specified ":ti::: .
For your protection, you should be aware that as "owner -builder" you are the responsible party of record
on such a permit Building permits are not required to be signed by property owners unless they are personally
performing their own work. If your work is being performed by someone other than yourself you may. protect
yourself from possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a
business license from the city or county. They are also required by law to put their license number on all permits.
for which they apply.
If you plan to do your own work, with the exception of various trades that you "plan to subcontract, you' -
should be aware of the following information for your benefit"and protection:
0 If you employ or otherwise engage any persons other than your immediate hmily,-and the. -work' including
materials and other costs) is $300 or more for the entire project, and such persons are not licensed 'as
contractors or subcontractors, then you may be an employer.
0 If you are an employer, you must register with the State and Federal Governments as an employer, and you. are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability -ins rance costs, and unemployment compensation contributions..,. _.. .
0 There may be financial risks'for you if you do not carry out these obligations,"and these risks are especially,
serious with respect to worker's compensation insurance.
0 For more ssecifc information about your obligations under Federal Law, contract the Inteinal Revenue
Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your
obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial
Accidents.
. If the structure is intended for sale, property owners who are not licensed contractors are allowed to
perform their work personally or through their own employees, without a licensed contractor or subcontractor; only
under limited conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder"
building permit, erroneously implying that the property owner is providing his or her own labor and material
personally. Building permits are not required to be signed by property owners unless they are performing their own
work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License
Board in your community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm
that you are aware of these matters. The building permit will not be issued until the verification is returned.
Sincerely,
Michael C. Vieira, C.B.O.
Manager, Building Inspection
NOTE: This 0,i-ne-Builder Information is required by Section 19830 of the California Health and Safety Code.
Ltav 1995 2.27
'
_____
. ..� g3-lg8� 8
' -
L 1485 IOTH ST, OROVILLE
�
�.C• �—,_, -r ..,.�,^�„^.a,^{A-. .,^Z,--^TM-�q�-"';•"6�r--'--"`--o.mr-.-v�,r'-��.�� "1�7wd-7r� �`^`-'".,. r�->-�'".-=`a'-r.,:-^",� a.
COUNTY OF -'BUTTE'- DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Orovillur California 95965 - Telephone: 916,538-7541.
APPLICATIONUD PERMIT
ASSESSOR PARCEL NUMBER
0I —27Z_ 66J
ZONING
BUILDING PERMIT
ow R
l cv
TELEPHONE
J.33��3
S0. FT. OCC. BUILDING VALUATION
D.
OWNER'S MAILING A DRESS,
ars«
a
ACTOR'S NAME � / -- TLELEPH N
CO-N.
�? 3
T ALTOTR
CO 'S MAILING A 'D' ,ESS
Fireplace
CONSTRUCTION LPNDER V UNKNOWN
Total Valuation $
Filing Fee $ 15.00
LENDER'S MAILING ADDRESS
_
P_ermit Fee $ s
ARCHITECT OR ENGINEER
LICENSE NO.
-Paan Checking Fee $
`�Ehergy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS �;,-:-
Penalty $
BUILDING,,DDRESS ..
['J � ''�`
Permit fee $
PLUMBING PERMIT FiIingFee 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
SDuplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.00
Mobile Home I S I G JW I @ 15.00
TYPE OF WORK
New ❑ Addition U Remodel ❑ Utilities ❑ Installation❑ Other
Describe work: ///���_
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 600V OR LESS 18.50
200A OR LESS
Main service 20cATO 1000AI 37.50
CONTRACTORS LICENSE LAW
I dec are under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Profession Code nd my license is in full force 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)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. / DWELLING OCCUP.EI\ 3.64 sq.ft.
OR ADDNS: 1 ACC, BLDGS. II
NEW CONSTR ULTI-OUTLET @ 5.00
NON-RESID. BRANCH CIRC ITS
POWER APPARATUS e
(SINGLE OUTLET CIR.
20 76
Ex. Occup( OUTLETS OR FIXTURES
\\
Ex. Occup. OUTLETS FIXED P(RES]D 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 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 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 authorise 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
ail liabil ties, I udgments,o costs, 'and expenses whi•eh9may in any way accrue
agar aid County in 6risequence o the granting�f this permit.
K ��� Date
Si nature 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 stories in height.
Mobile Home Installation Fee S
Energy Inspection Fee $
occ
CONST TYPE
w
TOTAL FEE $
HAz
DFEES
IMP
FLOOD
CDF
PARCEL
PD
_rib
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.
_(0'IIQECT R OF PUBLIC WORKS Ir6J_;
BY 1! ` �,sy✓- , Date l., _„.
PERMIT EXPIRES Date ,72 r`A/ T
,
p
Receipt No. /
A
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT,
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville. Califorpia-15965 - Telephone: 916.'538-7541
APPLICATION AND PERMIT
1l$,�jo
PERMIT NO.
ASSESSOR PARCEL NUMBER
O31 —27Z-' ®09
ZONING
BUILDING PERMIT
LIZ
owN R
U
TELEPHON
533 -
SQ. FT. OCC. BUILDING VALUATION
OWNER' MAILING ESS
i
COy, RACTOR'S NAME t
HO
CO/N�TA(�L/TO 'SMAILING A SS �
Fireplace
CONSTRUCTION L DER UNKNOWN
Total Valuation $
,$
Filing Fee 15.00
LENDER'S MAILING ADDRESS
Permit Fee $ �S
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUIL I DRESS
Permit fee $
PLUMBING PERMIT Filing Fee 15.00
S
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
SFXDupiex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.00
Mobile Home I S G W @ 15.00
TYPE OF WORK
New ❑ Addition LJ Remodel ❑ Utilities ❑ installation[]Other
Describe work: _
Permit Fee $
Contractor
ELECTRICAL PERMIT FiIingFee 15.00
Main service 600V OR LESS 18.50
200A OR LESS
Main service 200A TO 1000AI 37.50
CONTRACTORS LICENSE LAW
I dec ar under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professio Code nd my license is in full Jorce a effects 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 CONST. ( DWELLING OCCUPM 3.6Qsq.ft.
OR ADONS. 1 ACC. BLDGS. /
NEW CONSTR MULT'.OUTLET @ 5.00
NON-RESID BRANCH CIRC ITS
POWER APPARATUS e
(SINGLE OUTLET C'R.
20 76
Ex. Occup( OUTLETS OR FIXTURES IAL 4F;
Ex. Occup. our ETSP(RESIM.)REA.� 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 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
Cool in g
Hood 6.50
I 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 agr a to save, indemnify and keep harmless the County of Butte against
ail liabi ties, judgments, costs, and expenses w 'c may in any way accrue
again aid County in ns�gt7ence o the gr ti this permit.
Date - "
Signature of Applicant — Owner Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and de olition or construct-
ion of structures over 3 stories in height.E
Mobile Home Installation Fee 3
Energy Inspection Fee $
Occ
CONST TYPE
TOTAL FEE $
HAz
0FEES
IMP
F100D
cDF
PARCEL
PD
HD
SSUR
V
This permit is hereby issued under the applicable provi-
Bions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
T R PU L C WORKS
By Ar
PERMIT EXPIRES Date Dat lis
Receipt No.—
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
PERXT NO. 1145-76P
PERMIT EXPIRES 3/12/77
OWNER CLOYD D. BOSWELL
CONTR. owner
LOCATION (A.P. 72 31-272-09 )
1485 10th. St., Oroville
Temp. Power Pole
Called PG&E
Temp.Elec. Serv'
Called P E
Temp. Ga Serv.
Cal d PG&E
JqB
NALED
(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
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer iZ .
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
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
� �L �
(NOTE: An entry must be made on this form each time you visit the job site.)
THERMALITO ARRI-GATION DISTRICT
410 GRAND AVENUE �r 5
OROVILLE, CALIFORNIA 95965
TELEPHONE 533-0740
CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT
Service Address: F_�R F�
Owner's Name:
Date: 75— �--)C,
Address:? 4"`���'�
Acct. No: `
rll���Ni�C���_�<-
A. P. No.: Z'YZ"011
Phone:
No. Units: CA
Applicant/Agent: Bf
Agents Proof: SAV
d
Address:
Fees:
Phone:
Application $ d
Arrearage
Preliminary Review By:� -� Date:
CSA 26
Remarks:
SC -OR
y
1st mo. S.C.
Other
D
Total Fees �)—uz- a
Collected By:
47
Date:
Field Review By: Date: �- 3
Remarks: /� S
1
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
t�
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Uroville, California 95965
Telephone: 534:4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
l2^
X Date 3 — r
Signal re ofmitce�e or Agent
Receipt No. 4Sy0
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 Date 3-1 -Z--21-
Building
L^/b
Building permit expires Date �,—lZ -7
BUILDING
Owner L Leo •
SQ. FT. OCC. BUILDING VALUATION
Mailing Address 1 �m sr.
QV LA_
Telephone No
3—� ��
Fireplace
Contractor P
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee $
Building Address
PLUMBING No. @ FEE
PERMIT FILING FEE t $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. A --L-7 -2--061
ZoningGas
&Planning
piping system 1 - 5 outlets 1.50
Each additional outlet .30
F s
VtLG`^
-Senife4itm'
Fire Dept.
FireZone
Use Permit
Building sewer 5.00 S.00
EQA
I Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Improvements
p ovements
Lawn sprinkler system 2.00
Parcel Approval
Plans Approval
Permit Fee $
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 00V oR LESS 5.00
1 S
100 AMP OR LES
Main service EA. ADD'L 100 AMP 2.50
Main service OVER 600V
100 AMP OR LESS 25.00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. DWELLING OCCUP. &
OR ADDNS. ACC. BLOGS. 20sq ft
NEW CONSTR. (MULTI -OUTLET
NON.RESID. BRANCH CIRCUITS) 12.50ea
NEW CONSTPOWER APPARATUS &
NON -REST R. 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:
Ex. Occup(OUTLETS OR FIXTURES) BAL@1
FIXED APPLNS. OR
Ex. Occup. OUTLETS (REST D.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
k141 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-liabiIity
for Workmen's Compensation.
❑ I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
�(nn I certify that in the performance of the work for which this
1� 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
$ CJI.
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
l2^
X Date 3 — r
Signal re ofmitce�e or Agent
Receipt No. 4Sy0
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 Date 3-1 -Z--21-
Building
L^/b
Building permit expires Date �,—lZ -7