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HomeMy WebLinkAbout033-023-00433-023-4 Oscar B. Jetton 300 Fig St.., 10010, Oroville' - I Permit #2332-77-P,E.(util. EEC. F. GAS T SUPPORT STRUCTURE REQ. r Y ' COMPACTION 'OT REQ. '• � � � .u:� :SC�Co '609 ��Ave}��f0v11�G �r�y�t �� P wla lec� c�,[ .. � � r � 'A mat �,y, •-r.;�^`.. O 1 v � y . r .f BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 - ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 166 GOLD AVE Owner: Permit NO: B08-1800 APN: 033-023-004 VANDEVENTER, CRRISTOPHE Issued Date: 09/03/2008 By KCG Permit type: MISCELLANEOUS 166 GOLD AVE Subtype: Electric Panel OROVILLE, CA 95966 _ Expiration Date: 09/03/2009 Description: REPLACE MAIN ELECT BOX (530) 533-5761 Occupancy: Zoning: ARMH Contractor Applicant: Square Footage: VANDEVENTER, CH[RISTOPI Building Garage Remdl/Addn 166 GOLD AVE OROVILLE, CA 95966 Other Porch/Patio Total (530)533-5761 FEE INFORMATION DBE Single Phase Service-Resid $59.00 Total Charged: $59.00 Fees Paid: $59.00 Balance Due: $0.00 Receipt No: B8455 LICENSED _CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, , also requires the applicant for such permit to file a signed statement that he or she is licensed 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 pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000) is in full force and effect, of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 09/03/2008 the applicant to a civil penalty of not more than five hundred dollars [$5001; Please check one of the following: ' Contractor's Signature Date Ill 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 WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractors License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). Carrier: Policy Number: Exp. Date: (This section nee not a completed if the permit is for one hundred ($100) or less. ❑ I AM EXEMPT under Section B. & P.C. for this reason: j� I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS L.ZUJSSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California, and agree that if I should become subject to the workers'X 09/03/2008 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date ovisions. X r� 09/03/2008 . I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building .y Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE injury, including death, and property damage caused by, arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the !Winer authoriz t t o the pr arty o ers behalf. � CONSTRUCTION LENDING AGENCY 9 09/03/2008 xal 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for N.Tme of Permi ee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) r�A Owner 1:1Contractor OR; i YiAgent for Owner Agent for Contractor FILE COPY Lender's Address City - State zip Butte County Department of Development Services- TIM ervices-TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroviite, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.netldds OWNER -BUILDER INFORMATION p.2 An application for a building permit has been submitted in your name listing yourself as the builder of the 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: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $5UU or more for the entire Project and such pumns-are-notdicensed!as contractorsor•subcontractors, then you maybe ancmployer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal a income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact 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 acid the Division of bndustrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" 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 contacting the Contractors' State License Board's automated telephone inf6rmation system at 1400=32 r -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. .1. I PERSONALLY. PLAN TO PROVIDE THE MAJOR LABOR AND..MATF.RIALS�FOR CONSTRUCTION OF THE PROPOSED PROPERTY.. IMPROVEME S NO) ,*2. 1 (HAVE/16VE NO SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK 3.1 HAVE CONTRACTED WTTI I THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO S. 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 Description: REPLACE MAIN ELECT BOX Reference Number: B08-1800 Applicant Name: VANDEVENTER, CHRISTOPHER Owner's Name: VANDEVENTE C H AP # -Signature of Property Owner: Date: :033-023-004 4 �-3 -oi" �-- JJ// �� G� q. u,e �bh��_��,_p/e U� / �. � <S i�K ` ,', 4 a .. r. ,. 4 r _ .. I;` � � I L BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION* OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.neVdds PLEASE PRINT CLEARLY PERMIT NO. BIN # "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. OWNER INFORMATION Nae First Name e s Mailing Address City / State Zip Phone 3 3 _s Fax E-mail APPLICANT INFORMATION CONTRACTOR Name City Address Zip City Fax State Zip Phone Fax E-mail Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail PLICANT SIGNATURE X �• PROJECT LOCATION AP# 3 -o2 3 Property Address 46 d , city P_0 -e WORKER'S COMPENSATION Policy Number Carrier IIf hiring anyone other than licensed contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK. Scl FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA Yes No Occ. Type Const. Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds "PERMIT APPLICATION DATA SHEET" Reference Number: B08-1800 Date: 09/03/2008 Location: 166 GOLD AVE By: KCG Parcel Number: 033-023-004 Sub Type: Electric Panel Owner Name: VANDEVENTER, CHRISTOPHER Phone: (530) 533-5761 Description: REPLACE MAIN ELECT BOX The above permit application has the following Clearances required prior to permit issuance. Please contact each department indicated below regarding specific requirements pertaining to your permit application. Yes No SEWER DISTRICTS 1:1 ❑ Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740 ❑ ❑ LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 C] ❑ City of Chico, PO Box 3420, 411 Main Street, Chico CA 95927 - (530) 879-6700 PARKS & RECREATION DISTRICTS El 71 Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393 ❑ 0 Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER 0 ❑ Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions 91E]❑City of Biggs Planning Department, 3016 Sixth Street Biggs CA 9591 - (530) 868-5447 Other: Or 5 Other:q -b 51 am )ln � 1 r) Z�xx �1.�C Q When fi ""led, this application and al supporting material becomes subject the tailifonila Public Records Act. All p blic information related to this application is subject to public inspection and will be posted on the County's website for electronic access. Signature of Applicant:��� iV���� Date: 09/03/2008 FILE SCHOOL DISTRICTS 0 ❑ Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 ❑ ❑ Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 ❑ ❑ Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 ❑ ❑ Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000 Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 ❑ ❑ Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext: 105 ❑ 0 Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER 0 ❑ Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions 91E]❑City of Biggs Planning Department, 3016 Sixth Street Biggs CA 9591 - (530) 868-5447 Other: Or 5 Other:q -b 51 am )ln � 1 r) Z�xx �1.�C Q When fi ""led, this application and al supporting material becomes subject the tailifonila Public Records Act. All p blic information related to this application is subject to public inspection and will be posted on the County's website for electronic access. Signature of Applicant:��� iV���� Date: 09/03/2008 FILE 0 %3T TFo Department of Development Services I ]Building Division O o 7 County Center Drive o Oroville, CA 95965 °C J - 0 (530) 538-7541 (530) 538-2140 FAX UN www.butt.ecounty.net FACSIMILE COVER SHEET Date: At To: To: NOS pt.. From: K0114ri �m Subject: tjt, Al Tf tk Number of pages (including this cover sheet):_ Fax Number: 53D ' E -1 D10 If you do not receive all of the pages, please call (530) 538-7541 as soon as possible. Special Instructions: Review and respond accordingly. / 7t For your information only. ij - d �Ibv--M 11111IMNUUMNEW as a i I •ria Sincerely, CONFIDENTIALITY NOTE: The information contained in this facsimile is confidential and may also contain privileged information. The information is intended only for the use of the individual of entity to whom it is addressed. If you are not the intended recipient, you are hereby notified that any use, dissemination, distribution, of copying of this communications is strictly prohibited. If you have received this facsimile, in error, please notify me immediately by telephone, and return the original to me. Thank you. K.-OuildingIBUILDING FORMSIBlank Fax Cover Sheet.doc Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the 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: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government 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. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact 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 lndustrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" 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 contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. +1. I PERSONALLY PLAN TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY 1 IMPROVEMENT. (YES OR NO) _*2. I (HAVE/HAVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO, 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: NAME ADDRESS CITY PHONE CONTRACTORS 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 Description: REPLACE MAIN ELECT BOX Reference Number: B08-1800 Applicant Name: VANDEVENTER, CHRISTOPHER Owner's Name: VANDEVENTER, CHRISTOPHER AP # : 033-023-004 Signature of Property Owner: Date: . r ! 14 PERMIT No. 2332-77P,F, w. PERMIT EXPIRES w� OWNER Oscar B. Jetton CONTR. owner LOCATION (A.P. 33=023-4 300 Fig St, lot #10, Oroville X Temp. Power Pole Called PG&E Temp. Elec. Serv. '°` Called PG&E 6' Temp. Gas Serv. Called PG&E J O B FINALED 4 ✓ / • - (Daley 6� (Signature) ((2 7 _L17,9C C? 11 .A t"XU14 ��O; �W-ax- � 7� rtelnt. steel COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS • BUILDING INSPECTION RECORD �d Fixtures BUILDING BUILDING (Cont'd) PLUMBING Se ack F ewall Ski Piping Fork PAVets 1 t Floor Mailk Bldg. Rest om Finish 2n Floor Fo tins Windo 3rd oor Stem all Siding To out Slab Roof Shea in Water Pi I Piers Roofing Sewer Garage Fdn. Vents Fixtures Footin s Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for ph sical handicapedy Conformance of ex. V V structure Appliances Gas Piping & Test Temp. Gas Slab A Final A Sanitation Patio REP ACE Final Footings Footin 4 E ECTRIC L Masonry Walls I Thrnnt o.....� rtelnt. steel Final X Fixtures Bond Bea FIRE SPRINKLE Motors Framing Test Water Htr. Stucco Final Subpanel nel Mesh MECHANICAL Grd. It Prot. Scra h eatl Servl n CoongB TAO. Pole nish D is nder round I erior Lath 2S entilatian Permanent oor Closer (nal Inal MOBILEHOME UTILITIES Elec" Serviceloo Elec. Pedestal Water Piping , Sewer Gas Piping(91� E ME INST LAT( N ti - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping i DATE 4; o2 ` %�7 REMARKS OR CORRECTIONS i4 ® K , L. dC ��z � > o�C �&AfT X7-0 oZO <oo A 6ig-S iVC7. futf9 "0 5v..PPO&7-- ca osw►. S/�,� 7n�¢v c TSR- 0--/s) T,- TARS .� � Ff x 3�^ i C�//�iov%`/ (NOTE: An entry must be made on this form each time you visit the job site.) K E " COUNTY OF 8'UTTE' — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — 6 ovi Ile, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT OU' lUJ &V IcNIUaVIIiauvca UI UIC UUUIIIY UI 6u(ttt W edict upon [ne above-mentioned property for inspection purposes. X X 6 Date y Signature of Permiiteeel/or Agent Receipt No. X 7 / White-D.P.W. _ Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OFUBLIC WORKS By Date r 2-0 Bu' ing permit expires Date S� ` 7? BUILDING Owner zg SQ. FT. OCC. BUILDING VALUATION Mailing Address y5 Telephone No. '' .Z Fireplace Contractor Total Valuation Mailing Address Permit Fee PI an Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address �Q ` PLUMBING No. @ FEE PERMIT FILING FEE $3.00 -7,60 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping �'d� Gd onina Verificafion On Each gas water heater or vent 1.50 A. P. No. �� s L /� Gas piping system 1 - 5 outlets 1­5ei"g Each additional outlet .30 F W e. San ' n FireDept. Fire Zone Use Permit Building sewer .5. Q 0 EQA I Parking Plans - arcel Declaration Pa el Ma P 60' R/W Improvements p ovements Lawn sprinkler system 2.00 f dg.`�P ns Recd arcel Approval PI Approval Permit Fee $ 6 $ NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 V OR Main service io°o AMP ORSLESS 5.00 Main service EA. ADD•L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service 100 AMP OR LESS 25.00 Main service EA. ADD'L too AMP 1.00 NEW CONST. OR ADDNS. ( DWELLING "OCCUP& ACC'BL G. ) 2Tsgft . NEW CONSTR. MULTI.OUTLET NON.RESID. ( BRANCH CIRCUITS) 12.50ea NEW CONSTPOWER APPARATUS & NON- R. RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: y Ex. Occup(OUTLETS OR FIXTURES)50 @25C BAL01 Ex. Occu FIXED APP LNS. OR P'(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ' ® I am exempt from the Contractors License Laws of the State of California. Permit Fee $ ,7, () $ .13 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. EJI have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating - Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PER IT FEE is OU' lUJ &V IcNIUaVIIiauvca UI UIC UUUIIIY UI 6u(ttt W edict upon [ne above-mentioned property for inspection purposes. X X 6 Date y Signature of Permiiteeel/or Agent Receipt No. X 7 / White-D.P.W. _ Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OFUBLIC WORKS By Date r 2-0 Bu' ing permit expires Date S� ` 7? This set of plans and-s{raific lii MUST be NOTE:—All Materials & Workmanshi -Shai1 Be in ker.+ �n the iob at all times and it is unlawful to p ri-r•'-^ nnt� chr�npes or altsi•ations on same without �_.. - .��`ccordance with Recognized Good Practices and vu � ten erMission from tWDe artment;of Public of a quality prescribed for the Specified use in ,the It p P _ "'UniformY$uilding,- PIum6�ng `St MechanicaC Codest'anc! +Works;• <',.yr^tv of Butte. ,the Wtional Electrical Code. Cj_ ' ... `+ 3 T E 1 -4,0� Q m m cn No �o Q N N (SD Q 3 o -s � O G C S N o < Ck—O O, (n0 S Ck 3 C� Cr + a 0 0 X333 • (D W I A lo,, • , �r .; 1, .t'SS•t - .. r Ft t .4 x. y. '.,rt }� y i>�'•, ,, `; • ,, .1 ��. t C � . r�r 1 � a ;�. v; � � t :� � >, � �, ;+' t � t ` •fir j.-•^• � � v �•. . ` ,i3 ar wl {,.. r t ��t !.'� iv�� y hr ,� I't T ! t 1 3 �ti t'��• fa � .. t � I,4;i`;t fi���rli/ `.. 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