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HomeMy WebLinkAbout035-174-00135-174-1 hevron Bulk Plant 1 Idora St., Oroville cont • William Pearsall, Yuba City Permit 47-80B,E(inst.partition to provide m e office space/Chevron warehouse & fices) I =174-1 Contr: Bill Pearsal Yuba City r Permit##977-80M(insta heater/ l 4.7-80) bulk plan loll �7 35-174-1 C'ontr : Sa - ers- Petroleum Const Permit 15-83E(ele ser/fuel bulk pla 035-17-4-001` 92-3868E.. ¢ EHMANN OLIVE COMPANY- 1801 Idora, Oroville contr: Wright Brothers,Const elec meter & outdoor lightin 1307-1638 035-174-001 MISCELLANEOUS Demolition"" DEMO WAREHOUSE BLDG (4500) 1801 IDORA ST . TOMS SIERRA COMPANY v l I BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 2.4 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds ' PROJECT INFORMATION Site Address: 1801 IDORA ST Owner: permit No: B07-1638 APN: 035-174-001 - ' TOMS SIERRA COMPANY Issued Date: 07/30/2007 By KCG Permit type: MISCELLANEOUS 1020 WINDING CREEK RD, STE Subtype: . Demolition ROSEVILLE, CA 95678 Expiration Date: 07/29/2008 Description: DEMO WAREHOUSE BLDG (4500) (530) 533-5235 Occupancy: Zoning: M1 Contractor Applicant: Square Footage: TED BIGELOW CONSTRUCTION CO TED BIGELOW CONSTRUCT Building Garage Remdl/Addn P0BOX 519 P0BOX 519 BANGOR, CA 95914 BANGOR, CA 95914 (530)679-1117 - (530)679-1117 Other Porch/Patio Total FEE INFORMATION DBMSC Demolition $58.00 Total Charged: $58.00 Fees Paid: $58.00 Balance Due: $0.00 Receipt No: B4057 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License TED BIGELOW CONSTRUCTIO 624063 / A / 07/31/2009 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 th nsed under provisions of Chapter 9 (commencing wit of Division 3 of lhe,Busine and Pr essions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effec �'—`=--- of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the X0/2007 basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil of not more than five hundred dollars penalty [$500]; Please check one of the following: Contractors Signature Date ❑ 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 (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR the work himself or herself or through his or her own employees, provided that such improvements are notintended 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 Section 3700 ❑ 1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Cartier: Policy Number. Exp. Date: (This section need not be competed if the permit is or one hundreddollars ($100) or less.) ❑ IAM EXEMPT under Section B. & P.C. for this reason: I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS SSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agretjb4if I should become subject to the workers'X 07/30/2007 compensati rovisions o of tK Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. X 07/30/2007 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 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 CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused arising out of, or in any way connected with DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND the issuance of this permit. I hereby acknowledge thatt is issuance of this permit does not authorize the use or occupancy of any sidewalk, street; or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. Cou e e ad property for inspection purposes. I hereby certify that I am the Propert or e' on the property o fsbehalf. CONSTRUCTION LENDING AGENCY w07/30/2007 Name of Permitte N] Print Date I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) ) ❑ Owner Psontractor OR. ElAgent for Owner DAgent for Contractor FILE COPY Lender's Address City State zip BUTTE COUNTY PERMIT DEPARTMENT OF DEVELOPMENT SERVICES NO. BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TI1111E OF APPLICATION Website: www.buttecounty.net/dds *-PLEASE PRINT CLEARLY*' OWNER INFORMATION Last Name � / � Name Mailing Address City ® OI/ lolwk State CA4 Zip Phone_ �2 la?,,,/ E-mail Class ,l 1 CONTRACTOR Name /.c® ' I oo:�-LGerJ Address 9, e , 73o oe."I/ p City q±, d� �� Zip Phone ���' EFa E-mail ��Gl �� 7 V- Lic. # Z y0 z 3 Class ,l 1 APPLICANT SIGNATURE PROJECT LOCATION Property Address city . �%D /v✓L 6,f � — WORKER'S OMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDINCVAGENCY Name 11112 Address,V V V/ DESCRIPTION OR SCOPE OF WORK: f2;6- Wova OGn� Gr�t,��o o�% i Scl FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: ARCHITECTIENGINEER Name a Address Address!'7"/Cy7 City �J State Zip Phone Fax E mail State License Number APPLICANT SIGNATURE PROJECT LOCATION Property Address city . �%D /v✓L 6,f � — WORKER'S OMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDINCVAGENCY Name 11112 Address,V V V/ DESCRIPTION OR SCOPE OF WORK: f2;6- Wova OGn� Gr�t,��o o�% i Scl FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: APPLICANT INFORMATION Name Flood Zone Address!'7"/Cy7 114 r �J City Type Const. State Zip Phone Fax E-mail APPLICANT SIGNATURE PROJECT LOCATION Property Address city . �%D /v✓L 6,f � — WORKER'S OMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDINCVAGENCY Name 11112 Address,V V V/ DESCRIPTION OR SCOPE OF WORK: f2;6- Wova OGn� Gr�t,��o o�% i 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 II Yes No Occ. Type Const. I a DEMOLITTO'1 PERMIT ASBESTOS NOTIFICATION STATEMENT Pursuant to section 19827.5 of the California Health and Safety Code. all detnolition permit applicants are required to fill out this form. "19827.5 A demolition permit shall not be issued by any city, county, city and county, or state or local agency which is authorized to issue demolition permits as to any building or other structure except upon the receipt from the permit applicant of a copy of each wTittcn asbestos notification regarding the building that has been required to be submitted to the United States Environmental Protection Agency or to a designated state agency, or both, pursuant to Part 61 of Title 40 of the Code of Federal Regulations, or the successor to that part. The permit may be issued without the applicant submitting a copy of the written notification if the applicant declares that the notification is not applicable to the scheduled demolition project. The permitting agency may require the applicant to make the declaration in wriling, or it may incorporate the applicant*!i response on the demolition permit application. Compliance with this section shall not he deemed to supersede any requirement of federal law" Attached is a copy of the Asbestos NESHAP Notification of Demolition and Renovation form for the project located at (Address) (City) (Zip Code) Assessor's Parcel Number Date Signature of Applicant I hereby declare that a written asbestos notification to the United States Environmental Agency is not applicable to this demolition project located at (Address) (City) (Zip Code) Date FO ^ 2ea Signature of Applican ._l = H 1' I L r H,." r r U 1.1 :{ FROM Toms Sierra Company,Inc. PHONE NO. Jun. 19 1998 11:34AM P1 aila IN 1 U-1.4-0 i X11 W 6- . wqWa '% a MWW' w awe 4. t oy. y wua M w !w ww w. vw •.. a • .. t . .� .. OPLACE ONE 44 -WO PHONE: (203) 341-6 .00; FAX#- (203) 341-6501 Attentllol3., Loan Prooeasing Department i' Certificate Of Occuparicy And Zoning Verification Reuest �V Current Date: Currant pro eriy Own Lege Property Atldress• Ap ximate Yeai Built: 1• 1. The property is zoned - 1 - which is �las8iflad as is is the correct zonin for ita , use. E,3a Our records lndloated that a rffficate of Occupancy for the abovO r�renced Property was Issued. on; I: To the best of our knowledge hIs structure was bulit according to pa building codes at the time of construction, however, a Certificate of Occupancy was not Issued. This certifies that the above 66forenckl property conforms to th* approved plans and specifications filed with this ofRoe pursuant to Buildin Permtt No. 'upon This jurisdiction does not I4su®a Certificate ;F—O=--- the cornoietion of construction. OTHER: i. Sisnawrrst Phon_s Numbor• r V 53^tko0 l ii i• COUNTY OF BUTTE : DEP.ART,MENT 00UBLIC WORKS;'-`% TT PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541. . ... APPLICATION AND PFRMIT G ASSESSOR PARCEL NUMBER , 035-174-•001 F+ ZONIN,G M--1 BUILDING PERMIT OWNER - Ehmann Olive Co. - t TELEPHONE? 533-3303 S0. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS 1800 More St., Oroville CONTRACTOR'S NAMETEL.EP.HONE - Wri _ht -Brothers Construction - - CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation Is LENDER'S MAILING ADDRESS FIIIng Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT,OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ fD dere St. Oroville 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 ❑ Duplex❑ Mobilehome❑ Other Outside Ughting SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W • TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other © Describe work: Meter + Lighting Circuit Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 0ADRLESS 20 O 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under p ❑ provisions of Cha t. 9, Div. 3 of the Business and Professions Code and my license IS In full force and effect. License No. Classification FlFIXED 1, as the owner, Of 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 200ATO1000AI. 37.50 NEW CONST. ( DWELLING OCCUP.61) OR AODNS. ACC, BLDGS. 3.64sq.ft. NEW CONSTR. MULTLOUT LET NON.RESID BRANCH CIRC ITS $ @ S.00 Q.i�Q (POWER APPARATUS R) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES20 @ 76 APPLNS. OR - EX. Occup. -OUTLETS (REST D.) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Pre-Insnection 1 20.0 20.00 Permit Fee $ 82.50 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. w ❑ 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. 5KI shall not employ any person in any manner so as to become subject to the W. C. laws -of Californias } 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 -• t Cooling Hood' a ^. 6.50 Ventilation Permit Fee $ Contractor ' . 1 I certify that I ha.ve,read this application and state that th'e above information -.is correct. I -agree to -comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above=mentioned property -for inspection purposes. also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X ""�' �'` Date AwC� 2 Signature of A vl cant - Owner 9 PPV ❑ Contractor ❑ Agant�'` 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.,lnspection Fee + . $ occ, CONST TYPE' TOTAL FEE $82.50 HAz DFEES IMP I PLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provi-. sions of the Butte County Code and/or resolutions to do work indicated aboveor which fees have been paid. / / F�E By �,CT;OR OF PUBLIC w0 ? Date PERMIT EXPIRES Date Receipt No. 1 i95G2 WHITE -D. P.W„ YELLOW -ASSESSOR, PINx-INSPECTOR, GOLDEN ROD -APPLICANT r 035-17-4-001 92-3868E EHNIANN OLIVE o OMP NY lle 1801 Idora, - contra Wright Brothers Const -� •. outdoor lighting elec meter & OFFICE COPY Addresses ' GAS , Meter BY ELECTRIC t Meter,BY 4 � 1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATIC24 AND PERMIT �yPERMIT NO. ASSESSOR PARCEL NUMBER 035-174-001 ON I _NG M-1 BUILDING PERMIT OWNER Ehmann Olive Co. TELEPHONE 533-3303 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1800 Idora St., Oroville CONTRACTOR'S NAME Wri ht Brothers Construction TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 1801 Tdora St., Oroville 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 ❑ Duplex❑ Mobilehome❑ Other Outside Lighting SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 1 15.00 Mobile Home JSFG FW I @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ® Describe work:_ Meter + Lighting Circuit Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 1. 18.50 CONTRACTORS LICENSE LAW I declare under penalty of P y perjury ur y (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 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 Main service 200A TO IOOOAI 1 37.50 37.5 NEW CONST. DWELLING OCCUP.61\ OR ADDNS. ACC. BLDGS. / 3.64 sq.ft. NEW CONSTR U TI -OUTLET NON.RESID BRANCH CIRC ITS 2 5.00 10.00 POWER APPARATUS 01 SINGLE OUTLET CIR. / EX. OCcU OUTLETS OR FIXTURES P 20 76 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESI D.) EA.) .3.00 Temporary service 15.00 Mobile Home Facilities 5.00 Misc. Wiring 5.00 t120.0111 _ 20.00 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 f Consent to Self -Insure. 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 againsl,%sai,dCounty in ceq ce the granting of this permit. X 1 Date /— �'�2 Signature of Ap rant — owner ❑ controctor ❑ 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 I I TOTAL FEE $ 82.50 HAz DFEES IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte Cou ty Code and/or work IndIC e o or which fees R OF PUBLIC PE EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date���-9 Receipt No.By } 2$12 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDEN ROD -APPLICANT IMPORTANT MESSAGE) FOR DATE -TIM E�;ZS P.M. -M- OF. OF' PHONE AREA CODE NUMBER EXTENSION TELEPHONED CAME MSEE YOU 3 WANTS TO SEE YOU WPECICA 1 RETURNED YOUR CALLON MES GE ••', ' :� �• Ili • ■�lil.`► rl►.� I SIGNED LITHO IN U.: TOPS W FORM 3002S COUNTY OF BUTTE.}#; PARTMENT..OF-PUBLIC WO : b""BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROV,�L_LE-I, ALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER F 1 A. P. No. 35- oV/ Proposed Building Use C{ / �p DUf"f��o2 �c;A7t1/VBuilding Inspector A` Q Dated At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted......................................... 2. Plot plans, 3/4 sets, signed by preparer of plans . ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............ . 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of$ .......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............. 15. City of Chico plumbing permit. ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. . .......... 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. ... ... . 20. Pre -Inspection request Pre -inspection for required Buil ing Inspector (Date). Style, Classification). %Q Buil Contractor's license information. No E1�T ds 21. ame Gf 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ). ........... JO 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization ....................................._ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... ' 29. Documentation of legal access . ........................................ 30. Documentation of,50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . .............. . 31. Existing violations/expired permits . ...................................... ` 32. Plan checklist ist. .......v . . - ,� 2. n,e�-�-�- and Wheyyou issue theppermit,� process as follows: ' Mail to wner. Mail to cont ar ctor. ✓ Telephone.l-33-J3 3 and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant '� Date 3 �--- 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 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 AP folder Copy - Department of Public Works 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 NUM ER { o —7% — &V OWNER YONINGA� /v/ BUILDING PERMIT /Yl -3_3HONE03 303 S3 3 S0. FT. OCC. BUILDING VALUATION OWNER-S MAILING ADDRESS 5*'0 57T O CON RACTO R'SNAME �,. U 'ef5 CoNs� TELEPHONE CUNT ACTOR'S AILING ADDRESS FireplaceUNKNOWN CONSTRUCTION LENDER C Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 155.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUIL DI G ADDR s Permit fee $ 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 pas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other i SPECIE Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ R_i�--eemmoo/ddeI ❑ Utilities ❑ Installation Other ❑ Describe work: Ni / f/-/Zz&(/p Permit Fee $ Contractor ELECTRICAL PERMIT I Filing Fee 15.00 Main service 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under p prOVISIOnS Of Cha t. 9, Div. 3 of the BUSIne$$ and Professions Code and my license is in full force and effect. License No. 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 contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1000A1 3 7.50 ' NEW CONST. ( DWELLING OCCUP.&) 3.5psq.ft. OR ACDNS. ACC. SLOGS. // NEW CONSTR ULTI.OUTLET Q O NO N•RESID BRANCH CIRC ITS @ 5.00 ( POWER APPARATUS 6) SINGLE OUTLET CIR. Ex. OCCup(OUTLETS OR FIXTURES 2076d FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) j 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Q, 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. Notl a 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 against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEES p�, HAz DFEES IMP Fi000 coF PARCEL Po Ho 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. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. / R 15L/2 WNITE•D.P.W., FELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT - IVA,PRE-INSPECTION OWNER: hMQ�ll�i 1 V6 r _ LOCATION: 18� Z(�p j',q �� ` K-UC)1 !!✓ CONTRACTOR: (N l" � C' PRE -INSPECTION FOR: Wl PERMIT HISTORY: D NONE a AS FOLLOWS: TYPE OF OCCUPANCY 0r�� BUILDING USAGE: TENNANT: �] OCCUPIED �EATED-COOLED OTHER COMMENTS: DATE &- A . P. # 7/- DDI ZONING DATE TO INSPECTOR / / - L(' % Z--' FIELD - INFORMATION HAS ELECTRICS GASj SANITATION FACILITIES, PERSON CONTACTED ACTION OMMENDED : ISSUE ET -HOLD FOR OTHER: BY DATE ,. Permit#3115-83 Chevrol Bulk'Plant r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Calilornia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER __. / / -t ZONING BUILDING PERMIT OWNER TELEPHONE S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS t CONTRACTOR'S NAME J� TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION+ LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT 1 Filin Fee 0.00 9 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF[:] Duplex❑ Mobilehome❑ Other'�� SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work:' A7 �: r _ _ ! i/.. c �� / ' I % L..- �- i/i r ! Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. / DWELLING OCCUP.& OR ADDNS. C ACC. BLOGS. 2t/20sq ft 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. `f i n 7 , .7 Classification / • r r ❑ 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 CONSTR MULTI -OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTFL POWER APPARATUS &'1 NON-RESID, SINGLE OUTLET CIR. / T FIXTURES BAL030 Ex. Occu zAL@30 p( FIXED PPL NSXOR EX. Occup. OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring ; _ , 15.00 Permit Fee $ r Contractor MECHANICAL PERMIT Filing Fee 10.00 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. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. �� X -� - - Date ! 'work Signature of Applicant — Owner ❑ Contractor 2_� 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 $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or indicated above for which DIRECTOR OF PUBLIC t By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date ' ) - Receipt No. •' '' �'� �! WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDEN ROD -APPLICANT `. 'a s e. S� �-- S`��-�ll_S D �e�b�us ea�rlS COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT N ASSESSOR PARCEL NUMBER - ZONING BUILDING PERMIT ow R Ap-9,80age dodoiiae TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS C NTR `C,TTOR'S NAME TELEPHONE CONTRACTOR'S MATLING ADDRESS /, Q Ir /a Z_e4D __fUNKNOWN Fireplace CONSTRUCTION LENDER Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE ��� l Q SF ❑ Duplex❑ Mobilehome❑ Other_ SPEC1PY- Building sewer 5.00 Mobile Home SGW 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: ;.C��Tip% P /y��� --e/)ee()Z D26ON f�E/ vL/� j0 ` Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10ov OR LESS 100 AMP OR LESS 10.00 f Main service EA. ADD'L 100 AMP 2'.50 NEW CONST. DWELLING OCCUP.&% OR ADDNS. ( ACC. BLDGS. / 2/20sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 0I 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. `�O O 7 � Z Classification C— G � ❑ 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) El 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 CONSTR. MULTI -OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS, NEW CONSTR POWER APPARATUS & NON.RESID. SINGLE OUTLET CIR. Ex. Occu 20®300 P�o OR FIXTURES 9AL030 FIXED A PK Ex. Occup. OUTLETS (RESID IEA. P ) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring —LD/ 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate f Consent to Self -Insure. Ea 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 shal I be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes.TOTAL 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 Co ty in consequence of the granting of this permit. X �_� S_ /J.-� �� - Date Signature of Applicant — Owner ❑ Contractor Q/gent ❑ 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 $ PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD IssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for hich DIR OR O UBLIC O BY A PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS ate Receipt No. oCPgg7 WHITE-D.P.W.. YELLOW-ASSFSSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT ERMIT ;. l• PERMIT EXPIRES %.,,OWNER Chevron Bulk Plant :CONTR. William Pearsall,— Oroville 35-174-1 ;w ILOCATION (A.P. ' ) Al 1801 Idora St., Oroville i 'iA _'e f i; Temp. Pov Called Temp. Ele Called Temp. Gas r Called # JOB FINALED t i. P 6 3 T � � �� _. i �' ' P i �� 6 3 Y , COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Sol[ 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 Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for phsically handica ed Conformance of ex. structure Appliances Gas PipingTest Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing LECTRICAL Masonry Walls Throat Rough Z! Relnf. Steel Final Fixtures Bond Beam,Q FIRE SPRINKLERS Motors Mesh MECHANICAL Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation 2 2 f 0) Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping MOB16EHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping. Drainage Gas Piping DATE REMARKS OR CORRECTIONS .Z.���_ r (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE - "DEPARTMtNT 0r PUBLIC WORKS 4 4 7 County Center Drive - Ornville, California 95965 /7�k Telephone: 534-4541 APPLICATION AND PERMIT BUILDING Owner SQ. FT. OCC. BUILDING VA UATION Mailing Address Telephone No.a2l, , J Contractor //J./%�� _ �i.r.r.,�% Mailing Address Telephone No. BuildAg Address A. P. No. — —.. 4tZ' ing & Planning &K Saaaa4n Fire Dept. Fire Zone Use Permit EQAI Parking I Parcel parcel I 60' R/W I Improvements Plans Declaration P p ovements Bldg. Pians Rec'd I Parcef-Approval I NEW ❑ ADDITION ❑ UTILITIES ❑ c � �C1L Single Family ❑ D Alex ❑ Mobil Home ❑ Plans Approval OTHER �1 Others CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Coge under the name style of: r � License No. ! 2 ��� (a Classification I am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for /Workmen's Compensation. fes' I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Per %tee or Agent Receipt No. '954VS White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service 600V OR LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP Main service OVER eoov 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONSTR. MULTI.OUTLt1 NON. RESIO_ BRANCH CIRCUIT $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 $3.00 5.00 2.50 25.00 1.00 NON.RESID. %SINGLE OUTLET CIR. / Ex.000Up{OUTLETS OR FIXTURES 50@2a¢ BAL@1 EX. Occup ( FIXED APPLNS. OR 2 00 • OUTLETS (RESID.) EA) Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wirina 6.25 FEE FEE Permit Fee $ -7- MECHANICAL No @ F PERMIT FILING FEE $3.00 Heating Cooling Venti Iation Hood 1 1 2.00 Permit Fee $ $ Land Development Fee $ TOTAL PERMIT FEE $ 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. DIR TORO UBLIC WORKS By Date Building permit expires Date'—mss/ COUNTY OF BUTTE-,- DEPARTMENT OF PUBLI'IC WORKS -BUILDING DIVISION 7 County Center Drive — 0roville,Za.liJo.rPia 95965 — Telephone 534.4541 s 11 OWNER Proposed Building Use _ Permit fee based upon: PERMIT APPLICATION DATA SHEET I Complete Contract Price Other (explain) Permit No. (� A. P. No. Building Inspector Date 'Z_- 14-, -L) PW Valuation At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: f DATE RECEIVED APPROVED �j' 1. All items have been submitted................................................................... 2. Plot plans in duplicate/triplicate............................................................... 3. Complete plans in duplicate/triplicate................................................... 4. Complete engineered plans and calcs..................................................... 5. Plans with Energy Design Compliance Statement ............................ 6. State Energy Forms No. .................... 7. Statement of Intent for Non -Heated & AC Buildings ................... 8. Fees of $ 9. Letter of signature authorization............................................................. 10. Sanitation approval from Health Dept.... 11. Planning approval for ............. 12. Certificate of Workmen's Compensation Insurance ........................ 13. Contractors License Information (no., name style, classification) ............................... 14. Improvements may be required. Contact Land Development Section of Dept. Public Works (see addressbelow)................................................................................................. 15. Pre -inspection for required. Pre-inspec. request to bldg. inspector (date) 16. Other When you issue the permit, process as follows:: Mail to owner all to contractor. Telephone A A and hold forpicl�u af- office. Deliver w/inspection. /Other • Applicant,4 Date Copy of plans sent Health Dept., Fire Dept., Other Date— During ateDuring the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by &-7624 e4 Date -'e- WD OTHER: Cnnv/DPW COUNTY OF BUTTE — DEPARTMENT O� PUBLIC WORKS 7 County Center Drive. — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT auinunce representatives or the County of Butte to enter upon the above-mentioned property for inspection purposes. X� to y/4 Z&�� Signature ofPe�� Agent I Receipt No. 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 abovW o� which fees have been paid. 3ECXO,FJi, OF PUBLIC WORKS Building permi> expires Date BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Mailing Address 1-5 Fireplace Total Valuation ' Telephone No. Permit Fee Buildi Address Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. 13S-- / % / 1 Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F SaMmft4Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EDA Parking Plans I Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 ans ec Parcel A royal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ S !� ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others JZ Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Main service R 600V OOEAMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. OR ADDNS. ACCLBLOGS.LING CCUP 4) 22sgft 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: _ .%�.^e�2/ NEW RESID. BRANCH CIRCUITS) NON.CONST BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS 8 NON.RESID. SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTI-RES) 5 L 250 ,2CO Ex. OCCU FIXED APPLNS. OR P•(OUTLETS (RESI D.) EA) 2.00 Temporary service 10.00 ell Mobile Home Facilities 15.00 License No.140 6 p /4/ Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. y l 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 Land Development Fee $ TOTAL PERMIT FEE $ auinunce representatives or the County of Butte to enter upon the above-mentioned property for inspection purposes. X� to y/4 Z&�� Signature ofPe�� Agent I Receipt No. 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 abovW o� which fees have been paid. 3ECXO,FJi, OF PUBLIC WORKS Building permi> expires Date