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Home My WebLink About031-290-023k y t — - .rw , . .� 9 4'4B-. 'KING John E •. •f131=29 0".023.a� ' . 2� , , nterprises 5157B_ .fit e sl ;r +c +~�y, d: �: .. + e�tGORDON;; Rdbert , Orov.iller 39g9PJ, 720"Suburban�'Ave,,Co -�1Z 5078Earwa'rd & • 'windows •& vinyl siding�sf a c r 720 Suburban -Ave. Ave . ( Lot 12 After#yvt;s . �� , # . W031 -,29-0- c023;' " 96-10 5 E" + Oroville ' '-GORDON, Roberto, %yc�tQ�� '� (new single family) aM Suburban, 'Oroville. /S ; ;.(elec,ser ch) SE-WebsEer'Elec,' r r u . \ e, �t'Wrsl 1 � e . I OFFICE COPY, {, , [ Address . GAS Meter By 'ELECTRIC Meter Dat Ii J ' t 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. ASSESSOR PARCEL NUMBER 031-290-023 ZONING BUILDING PERMIT OWNER' :?OBER' GORDON TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 720 SUBURBAN ORMILE, CONTRACTOR'S NAME 'WEBSTa R ELECTRIC TELEPHONE 533--P4522 CONTRACTORS MAILING ADDRESS 363 CANYON 11IC ITIAPiDS Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation is Filing Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESS 72C SUM","3AN' PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 UP07Ii T. E Each Trap 7.00 LOTNO. SUBONSION'SNAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF .f] Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK V New ❑ Addition ❑ Remodel ❑ Unities Q Installation ❑ Other ❑ Describe Work: FIFIC SL'RVICr. CMIGr — Mobile Home I S I G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main Service000V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 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 C— / b Lic. No. 3 /�, y�'l 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 NEW CONST. DWELLING OCCUR OR ADDNS. ( & ACC. BUDS. ) SO. 3.50 FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS ( & SINGLE OUTLET CIR. ) Ex. Occup. (OUTLET OR FIXTURES) BAL Q 50 Ex. Occup. (oFIXEEDrs RES o.j OR) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor 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 MECHANICAL PERMIT Filing Fee 20.00 g Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed R the permit is for work of a valuation a'one hundred dollars ($100) or less.) 0-`f 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. _ Date �/3''�- ighf Applicant - ❑Owner �]-contractor ❑ Agent An 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 Is Occ CONST. TYPE TOTAL FEE $ HAZ. I D. FEES IMP FLOOD COF PARCEL PD HO ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have BY /// 4f„ - PERMITEXPIRESON the applicable provisions Resolutions to do work been paid. Date .. (Date) Receipt No. 19530-5 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT L COUNTY OF BUTTE- DEPARTMENT OFDEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville,_ Califolnia 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ^� ASSESSOR PARCEL NUMBER 031-290-023 ZONING BujCbINGPERMIT OWNER ROBERT GORDON TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 720 SUBURBAN OROVILLE CONTRACTOR'S NAME WEBSTER ELECTRIC TELEPHONE 533-8522 CONTRACTORS MAILING ADDRESS 363 GANYON HIGHLANDS Fireplace CONSTRUCTION LENDER UNIwOWN Total Valuation Is , Fling Fee $ 20,00 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 720 SUBURBAN PERMITFEE $ CIROVILLE PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF D Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation ❑ Other ❑ Describe Work: ELEC SERVICE Cf:.!:'v--E — Mobile Home I S I GI W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main Service a OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO i000A ) 46.00 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 �^ / b Lic. No. 3 �Gyy�( OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, 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 NEW CONST. DWELLING OCCUR sO. OR ( 8 ACC. BLDS. ) 3.5¢ FT. CNS. NEW CONST. MULTI.O UTLET NON-RESIO. ( BRANCH CIRCUITS ) @7.50 POWER ( APPARATOUTLETUS ) & SINGLE CIR. EX. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL so EX. Occup. ( OUTLETS (RE ISD.OEA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 43.00 Contractor 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 PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation ne hundred dollars ($100) or less.) 1 certify that in the performance of the work for which this permit is issued, I shallTOTAL 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 �G(/ __ Date ��SG i ature of Applicant - ❑ Owner ontractor ❑ Agent An 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 Is occ CONST. TYPE FEE $ HA2. I D. FEES I 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 Date 77 PERMIT EXPIRESONn! (Date) Receipt No. 1 95 195 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 1VW 100 /, F !� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroviller California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 031-290-023 ZONING AR BUILDING PERMIT OWNER Robert G. .TELEPHONE SO: FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS Ave.,720 Oroville 95965 �� 9,039.00 CONTRACTOR'S NAME .. f l noird ACOA TELEPHONE-• CONTRACTOR'S MAILING ADDRESS 3851 Morrow Lane V. CO 95928 j Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 11 9.039.00 LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE No. Nnna Filing Fee $ 15,00 Permit Fee $ 97.50 Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS t Permit fee $ 112.50 I PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 , ` Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCELMAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF E2 Duplex❑ Mobilehome❑ Other SPECIFY i Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK { New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ® Describe work: Vinyl Biding & Q New Windowk Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 y Main service i60ovORLESS 200A OR LESS 18.50 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. Sa7 �y Classification 1, as the owner, Or my employees With wages as their sole compen- sation, will do the work,and the structure is not intended or.offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed ontract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason Main service 200ATO1000A) 37.50 NEW CONST. DWELLING OCCUPM 3.64 sq.ft. OR ADONS. ACC. BLDGS. // NEW CONSTR. ULTI.OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 (POWER APPARATUS 61 ,SINGLE OUTLET CIR. / EX. OCCUp(OUTLETS OR FIXTURES 20 76 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESIO.) EA.) 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. I� I have placed on file with the County of Butte Building Department J� 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 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�saidounty in consequence of the ranting of this permit X Date � Signoture of Applicant — Owner ❑ can attar ❑ 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 $ DCC CONST TYPE TOTAL FEES 112.50 HAz 1 0FEES I IMP I FLOOD I CDF PARCEL I PD I HO ISSUE 1 (III This permit is hereby issued under the applicable provi- sions of the Butte County,.• ode and/or resolutions to do work indicated/abf ' which fees have been paid. i 6 //;DIRECT,O OF PUBLIC WORKS By /I � � �' Date /4/0-94*_ PERM( EXPIRES Date O Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT / COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 031-290-023 ZONING AR 0 BUILDING PERMIT OWNER d Robert G, Goron TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 7.20 ub rban Ave. Oroville 95965 Contr. 9,039.60 CONTRACTOR'SNAME TELEPHONE CONTRACTOR'S MAILING ADDRESS 3f ane 991 Morrow T7 Chico 5 28 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 9,039.60 -- 039.00LENDER'S LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE ND. Filing Fee $ 15.00 Permit Fee $ 97.50 Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 79n -qlihiirhqn Ay Oroville Permit fee $ 112.50 -P, PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF Q Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W=4615.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ® Describe work: Vinyl sitting & 4 New Windows Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 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. ✓Ca� �0 Classification B 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) ❑ 1, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason Main service 200ATO1000A) 37.50 NEW CONST. ( DWELLING OCCUPM 3.64 sq.ft. OR ACDNS. ACC. BLDGS. NEW CONSTR U TI -OUTLET 5.00 N O N.R ESID BRANCH CIRC ITS (POWER APPARATUS e) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 76 FIXED APPLNS. OR EX. Occup. OUTLETS (R ESID.) EA.) 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. 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 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 1-11 against sai ounty in consequence of the ranting of this permit X , Date �l C ?� Signature of Applicant — Owner ❑ Contractor ❑ Agent CY 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 $ 112.50 HAz 1 0FEES I IMP I FLOOD I CDF PARCEL I PD I HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte Coyntaode and/or resolutions to do work :indicate aba which fees have been paid. OF PUBLIC WORKS By �Date PE I EXPIRES Date _Zl —Cs — T� Receipt No. 129655 WNITC-D.P.W., TEL LOW -A88[980 R, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE�','IIVEPARTMIQNT OF PUBLIC wlb� 7 COUNTY CENTER DRIVE - OROV51E, CALIFORNIA 95965 - 1 1 IV OWNER Proposed Building Use ,,,., BUILDING$D.IVISION Y TELEPHONE (916) 538-75�rww4�.�(/ PERMIT APPLICATION DATA SHEET PAeH,- G . & 4c ri - A. P. No. W / C ?�2 • t h , j L Building Inspector Date H At time of rmit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . .......................... .... 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. .......... Plot plans, 3/4 sets, signed by preparer of plans . .......................... Complete plans, 3/4 sets, signed by preparer o plans . ..................... . Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. Hazardous Material Form . ............... ............................ Energy Design Compliance and supporting docimentation. .................. Statement of Intent for Non -Heated and A/C Buildings . ..................... . Engineered truss details and layout in duplicate (required prior to plan check). .... Mobilehome data and manufacturer's installation instructions, 2 sets. ........... Feesof$ .......................................... Impact fees as shown on attached schedule . .............................. California Department of Forestry plan approva /fees . ........................ Flood elevation letter (100 year flood) by California Engineer . ................. . Sanitation and plot plan approval Health Department . ............. City of Chico plumbing permit . ............ ............................ Plot plan and business license approval from C ty of Biggs/Gridley. ............. Planning approval for (A) Use: (3) Parking: /. ........ Contact Land Development about (A) ImprovEments (B) Drainage. ......... Driveway permit (construction approval required prior to occupancy). .. .. Pre -Inspection req.uesi- Pre-inspection for required. . to Building Inspector (Date) Contractor's license information. (No., Name Stale, Classification) . .............. Certificate of Workmans Compensation Insurance . .......................... Owner -Builder Verification (Given to owner , Mail to owner ) ............ Recorded copy of Agricultural Acknowledgement Statement . ................. . Letter of signature authorization . ........................................ Copy of recorded deed of parcel creation and 6) right of way to a public road. .... . Letter of intent on building use . ......................................... Mobilehome utility clearance . .......................................... Documentation of legal access. ........... Documentation of 50% subdivision developed cr (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... Existing violations/expired permits . ....................+:•.................. t, Plan check list . ..................................... . When you issue the permit, process as follows: Mail to owner Telephone and hold for pickup at Other Parcel Creation Acreage Applicant _ Ma0to contractor. - office. Deliver with inspector. Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: #Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet Copy - Department of Public Works AP folder I-; COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASS S R PARCEL UMBER 1 0`2 O — 005 •ZONIN BUILDING PERMIT OWN�f L t� T G . GO r TELEPHONE SO. FT. OCC. BUILDING VALUATION OTER'S MAILt.MG �j A q�/),"`J k DRESS ` r Uf? t e S CO RACTOR'S AME/'� TELEPHONE CONTRACTOR'S/My�ILING ADDRESS njJ n /, / r /`p �% �rr C Q5 7,� Fireplace CONST UCTION LENDER UNKNOWN C Total Valuation $ LENDER'S MAILING ADDRESS AR ECT OR ENGINEER LICENSE No. 2);ARCHITECT Filing Fee $ 15,00 Permit Fee Plan Checking Fee $ 9.S $ Energy Plan Checking Fee $ OR ENGINEER'S MAILING ADDRESS Penalty $ BUI DItyGOADDRE55� cc��iilt r Permit fee $ S PLUMBING PERMIT Filing Fee 15.00 Each .Trap 1 5.001 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF 7"� 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 ❑ RemodeI ❑ Ut' litie [:]Installation❑ Other 41 Describe work: ( U / �f �lr h 0 n Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 er Main service 600V OR LESS 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F-1NON-RESID 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 17I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1000A) 37.50 NEW CONST./ DWELLING OCCUP.p\ OR ADDNS. 1 ACC. BLDGS. // 3.6d sq.fl. NEW CONSTR MULTI -OUTLET BRANCH CIRCITS @ 5.00 POWER APPARATUS tr (SINGLE OUTLET.CIR. I Ex. OCCUP(OUTLETS OR FIXTURES 120 @ 76d FIXED Ex. Occup. OUTLETS (RESIO )KEA.) 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. 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 ❑ 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 I 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 j 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. 1 X Date Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 1�.5 HAz 1 0FEES IMP FLDOD CDF PARCEL PO HD ISSUE This permit is hereby issued under the applicable provi- f h B Signature of Applicant — Owner❑ Contractor ❑ Agent ❑ sions O t e utte County Code and/or resolutions to do An OSHA permit is required for excavations over 5'0" deep and demolition or construct - work indicated above for which fees have been paid. ion of structures over 3 stories in height. DIRECTOR OF PUBLIC WORKS Receipt No. / rel Z (o �) � NW4IrE-O.P.' . YELLOW-ASSE5SDR. PINK -INSPECTOR. GOLOENROO-APPLICANT By PERMIT EXPIRES Date Date