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Home My WebLink About035-222-00435-222-04 I-VILKNIE HIGGINS 4742 Virginia, Oroville WHITEI', Addie 5478B 4re Permit #912-77ele ser ch & rec.- 5275E c f6k'dryer) _SF -A 035-22-2-004 92-4446-P HIGGINS, Minnie 1742 Virginia Ave., Oroville- 4742 Aluminum B.�drs. 4742 Virginia Ave, Oroville Oalum� siding)k 709B Sutter.St., Y contr: J & M repair gas line, vent wtr btr/sf 035-222-004 03-2454 PHILLIP FAMILY, 4742 VIRGINIA AVE, ORO C/O ELECTRIC PANEL ED 03 035-222-004 PHILLIP 4742 VIRGINIA AVE, REPAIR CARPORT & m 0 f ++�t•:7va.r�.�µ'�"�-":'"°'riT.*.�,�r?.1:,"s.'r,"�:...�. ^ki/'.;}", �Y..y�+^`•*y s'r,-y;.*¢( }'.ra^► .. 035-222-M4 03-2526 PHILLIP, , 4742 VIRGINIA,AVE, OROVILLE REPAIR'CARPORT &ELECTRIC f COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUIL ING DIVISION 7 County'Cehter Drive - Oroville, California 95.965 - Telephone(53 538-754:1 • PERMIT NO, (Rev. 12/96) APPLICATION ANDPERMIT3�^;^ ; ASSESSOR PARCEL NUMBER 035-222-004 ZONING BUILDING PERMIT OWNER PHILLIP FNMIL'Y REV TRUST TELEPHONE 533-8462 SO. FT. OCC. BUILDING VALUATION 10 SO 600.0() . OWNER'S MAILING ADDRESS 3713 PINE HILI, WAY ANTELOPE. CA 95843 CONTRACTOR'S NAME OiJNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 16 ,00 ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ 37.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 4742 VIRGINIA AVE. OROVILLE Ener Plan Checking Fee $ Energy g $ 1 . - PERMIT FEE $ 57.00 LOT NO. SUBONISIOWS NAME f- � ,;, .-�J� ; / - PARCEL MAP PLUMBING PERMIT--' Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF El Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 t Each es water heater or vent 15.00 1 �- TYPE OF WORK I 'New ❑ Addition ❑ Remodel O Utilities ❑ Installation ❑ Other ❑ Describe Work: RFPARR r:ARPORT_ PA7ARr"TS -Ft W(''T' IQT Y RF'P3.Af T+ WA,Tftg 1.7F'ATP'R (mq). RE.RATR AftlTiyaq Gas piping system 1 - 5 outlets 15.00 } GGw D00 A.,�J O Building sewer 15.00 Mobile Home IS I GI W @20.00 PERMIT FEE $ 65.00 ELECTRICAL PERMIT Filing Fee 20.00 Main Service icon oa mos 23.00 2 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,Na°Es,oT. and my license is in full force and effect.POWER License Class LIC. NO. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Lawf'for the following reason: �O I, as owner of the property, or my employees with wages as their sole compensation, r 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. ❑ _ I am exempt under Sec.. Business and Professions Code for this Main Service 200A To 46. NEW CONST. OEWNG OCU WEL CC P. OR ADDNS. ( a ACC. BLDs. so SO 3.5¢FT; MULTI-OUTC.LET 97,50 APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. ounETOR FDRU" SAL p':eo PPLNS Ex. Occup. ountrs R D.ORE 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 3.00 _ PERMIT FEE t . 43.00.reason 1 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: r ❑ 1 have and will maintain a certificate of consent ;to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ • 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers';compensation insurance carrier and policy number are: Carrier - Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. f , X �%-10 Date sf (/t �_ Signature"of Applicant"-' O Owner❑ Con trac or ❑Agent— An OSHA permit is required for excavations over 60" deep and demoliti or construction of structures over 3 stories in height. MECHANICAL PERMIT, Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation - ' PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 165.00 HAZ. I D. FEES IMP I FLOOD I COF PARCEL I PD I HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated ab ve for which fees have been paid. �( By Date{�r1 V 13ERMIT�uPIRES ON � I c,�V' Date ReceiptNo. 385309/465.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION ANDPERMIT 93-i;26 ASSESSOR PARCEL NUMBER 035-222-004 ZONING BUILDING PERMIT OWNER PHILLIP FAMILY REV TRUST - TELEPHONE 533-8462 SO, FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 3713 PINE HILL LAY ANTELOPE. CA 95843 10 so 600.00 CONT 1000.00 CONTRACTORS T�7NAME OYVL M TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ 16 0.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ 37.00 Plan Checking Fee $ BUILDING ADDRESS 4742 VIRGINIA AVE OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ 57. QQ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF IX Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 5.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel 9 Utilities ❑ Installation ❑ Other ❑ �7��7� 7�(� / /� Describe Work: RFP�1_R_ CA PORTY-i3il�diY�k�1H��-ELECMIby RE-21-rCa (GAS), RtQl 1_R_ AWNINGS Gas piping stem 1 - 5 outlets 15.00 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S 65.00 ELECTRICAL PERMIT Filing Fee 20.00 Main Service p vA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencingwith Section 7000 of Division 3 of the Business Professions Code, ) ness anons and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law/or 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. ❑ Iram exempt under Sec. Business and Professions Code for this WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to theXX workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X A Dateindicated Signature f Appli an - O &)8 Contractor ❑ A ent An OSHA permit is required for excavations over 60" deep and demolitio r construction of structures over 3 stories in height. Main Service 200A To 1000A 46.00NEW CONST. owEWNG OC CUP. SO OR ADDNS. ( a ACC. stn S. 3.5¢x: NEW CONST. NON•RESID. MULTI.OUTLET 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup OUTLET OR FaTURES �� 0':� Ex. Occup. ..FIXED aESI °Ea 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23. QQ PERMIT FEE t 43.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 165.00 HAZ. J.D.FEES IMP FLOOD CD PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or a e for which fees have - By PERMIT P ES ON the applicable provisions Resolutions to do work been paid. / Date U - U3 g� 0 Date Receipt No. 385309/$165.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT O.B.- OWNER-BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit" will be issued until this verification is received. personally plan to provide the major labor and materials for construction of the proposed property im rovement : YES NO ❑ 2 I HAVE HAVE NOT signed an application for a building permit for the proposed work, . I have contracted with the following person (firm) to provide the proposed construction: AME: Au b: CITY: PHO CONTRACTOR'S LICENSE NO. 4. I plan to rovide portions of this work, but I have hired the following person to coordinate, e, and provide the major work: NAME: ADDRESS: CITY. ONE: CONTRACTOR'S LICENSE NO. 5. I provide some of the work but I have contracted (hired) the following persons to provide the k indicated: N ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER• VF DATE: NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Coda This verification. must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION Dear Property Owner. An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. , For your protection, you should be aware that as "owner builder" you are tine 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 foi 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 '$300 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 Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ . 'Dere may be financial risks for you if you do not carry out these obligations, and these risks are especially serious . with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their - . work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "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. i. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your commimity or at 1020 N Street,'Sacramento; CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm drat you . are aware of these matters. The building permit will not be issued until the verification is returned. " rely, - Mic 1 Cr, ira, C.B.O. "er; Building Inspection NOTE: This Owner-BuUder Information is required by Section 19830 of the California Health mid Safety Code. OVER m 035-222-004, �3-24S4 PHILLIP FAMILY, 4742 VIRGINIA AVE, OROVILLE C/O ELECTRIC PANEL k ' t OFFICE COPY Address - G ELECTRI Meter By i- Date,�� y • x COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ., 7 County Center Drive Oroville, California 95965 • Telephone (536) 538-7541PER' ° I sNU (Rev. 12/96) APPLICATION ANDPERMIT 4/ ASSESSORPARCEL NUMBER /�/� ^^ i t 9-229—M4 ZONING BUILDING PERMIT OWNER +.' R4TTJ.TP FAMT3.Y M1 TRIiCT TELEPHONE SO. FT, OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS 171 ? PTN-MTT J. LiAY. ANT"Ff nPF t`.A W;RA I CONTRACTOR'S NAME T TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER f LENDER'S MAILING ADDRESS I Fireplace Total Valuation $ ARCHITECT OR ENGINEER •� I LICENSE N0. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS j Plan Checking Fee $ BUILDINGADDRESS A 1 "I i7`r-�r_114i A %IF nPMrTt T 1: Energy Plan Checking Fee $ _._..__.__ .._ _ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE I f SF ❑ Duplex ❑ Mobilehome ❑ .Other j.i L SPECIFY Each Trap' 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 i TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Unifies ❑ Installation ❑ Other ❑ Describe Work: C/O ELECI RIC SERVICE PANEL ! Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ f, ELECTRICAL PERMIT Fling Fee 20.00 I. Main Service 200, OR LESS 23.00 Z (vN j LICENSED CONTRACTOR'S DECLARATION 11 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. r` ��. License Class Lic. No. ! 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. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and ProfessionsCode for this reason Main Service 200A TO 1000A 46.00 �r J NEW CONST. DWELLING OCCUP. sO OR ADDNS. ( a UN BLOCS. 3.5¢FT: N p0� pT MULTI OUTLUI 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. OCCU . OUTLET OR FD(TURES BqL @',50 Ex.: Occu ounErs AES D.OEA 5.00 Temporary Service s; 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 nro—' rf•t on 91. M PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation ( r of one hundred dollars ($100) or less.) `❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subjectfto workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those. provisions. X Date` S Signat—UM of Applicant - MOwher ❑ Contractor ❑ Agent (/ An OSHA permit is required for excavations over 60" deep and demolition or construction_ of structures over 3 stories in,height. MECHANICAL PERMIT Filing- ee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Gcc CONST. TYPE TOTAL FEE $ HAL. I D. FEES IMP FLOOD CDF PARCEL pD HDI ISpEr r. 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 �. 2 Dat PE MIT EXPIRES ON ° �J L' I.`': Dale A Receipt No. s "1 r� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR , GOLDENROD -APPLICANT . t ' ' k COUNTY OF BUTTE § BUILDING DII|ON z3 DEPARTMENT OF DEVELOPMENT SERVICES _ -i < `411d»n Street. -Chico, CA -(53)891-2751 7County CenterDrive •0o m$ CA•(53)538-7541 CORRECTION NOTICEV/ . 2-�� c/ � PERMIT NO \ . Amamisp«RnmAa@-mm the following violations U &G aunty Ordinances exist g me \ above address and Amdbecmmcm¢ mem mwe6soAewhen e,mkn¥w ¥6 completed. It muhave any questions pertaining @ this vett « mw additional explanation,) please contact msoma immediately./ COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 1, 7 County Center Drive • Oroville; California 95965 • Telephone (530) 538-7541 (Rev.12/96) ' APPLICATION ANDPERMIT� ASSESSOR PARCEL NUMBER 019-222-004 ZONING BUILDING PERMIT OWNER P14TTI.TP TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS q71_3 PIDERILL WAY, ADZELOPE, CA 95843 CONTRACTORS NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS 470 VIRGINIA A�q.. GROVILLE Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: C/O ELECTRIC SERVICE PANEL Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service E00A OR LESS 23.00 00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 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 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 Main Service 200A TO 1000A 46.00 - NEW CONST. DWELLING OCCUR OR ADDNS. ( a ACC. BLDS. S° 3.5¢FT: (commencing NON-REESID MULTI.OUTLET @7,50 OWER APPARATUS i SINGLE OUTLET CIR. Ex. OCCU OUTLET OR FIXTURES �0 @ 1.00 Ex. Occup. ouT>Frs Ro ,°EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 _ Prt-Jr)n -93-00 PERMIT FEE $ MECHANICAL PERMIT (ling ee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date 0 3 Signatu of Ap licant - w er Contractor ❑Agent An OS permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ corer. TYPE TOTAL FEE $ HAz. D. FEES IMP FLOOD CDF PARCEL PD HD ISS This permit is hereby issued under of the Butte County Code and/or i teZabv for which fees have By PE MIT X IRES ON I the applicable provisions Resolutions to do work been paid. Dat` Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �'�'"V'�-,.._r�r.vfi-• ='-,i i ��.,,� } . r o ��,�,(titi` �4"%'F`''"��i'`��d` .-..rr""`+`IN'iv�.� � `h ;,�.,f Tc, •5r1��`"`�".y�i:,tM {r�.:.�i`-�;+iv'�rv+.��=.'a'r: -'�.ti ,.. i CPUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Orovilie, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: 1 ASSESSOR PARCEL NUMBER.41 ,Proposed Building Use: `') Counter Technician: a- : G 3 Items required in order to apply for a per . All boxes MUST be checked OR marked NA in order to appl . ❑ 1. Site plans, 3 or 4 sets, signed by the pr parer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signe,0 by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Site plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Fire Sprinklers............................................................................................ ❑ 14. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 15. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 16. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ 17. Statement of Intent for Non -heated and A/C Buildings ............................................. ❑ 18. Sanitation and site plan approval from the Environmental Health Department in ❑ 19. City of Chico Plumbing permit........................................................................ ❑ 20. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 21. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ 22. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 23. NPDES Form............................................................................................. ❑ 4 Encroachment Permit for drive way from the Public Works Dept ................................. 1Q 25. Pre -Inspection for DA required ................ ❑ 26. Contractor's license information. (Numbed Name Style,Classification) ...................... ❑ 27. Worker's Compensation Carrier and Policy Number ............................................. ❑ 28. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner)..................... ❑ 29. Letter of Signature authorization.................................................................... ❑ 30; Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 31. Manufactured home utility clearance............................................................... „ ❑ 32. Existing violations and/or expired permits......................................................... ❑ 33. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 34. Other: i When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division O.B.-1 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit' will be issued until this verification is received. I personally plan to provide the major labor and materials for construction of theero osed property im rovment : YES NO E3P P I HAVE HAVE NOT ❑ signed an application for a building permit for thero osed work. P P I have contracted with the. following person (firm) to provide the proposed construction: ME• ' CONTRACTOR'S LICENSE NO. I plan to provide portions of this work, but I have hired the following person to coordinate, kupervise, and provide the major work: CONTRACTOR'S LICENSE NO. 5. I provide some of the work but I have contracted (hired) the following persons to provide the ork indicated: ADDRESS PHONE TYPE OF. WORK NOTE. This Owner Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Coda This verification must, be completed and returned to our office before we are permitted to issue the permit OVER OWNER BUILDER IlVFORMATION Dear Property Owner. 0.,Bi- I An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner builder" you are the responsible party of record on such a peimit 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 $300 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 Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ . There may be financial risks for you if you do not cavy out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, ifyou wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the saucture is intended for sale, property owners who are not licensed contractors are allowed to perform .their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "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 contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned Mic 1'C. Vl ira, C.B.O. —►. er, Bwlding Inspection NOTE: Ms Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER 4 OWNER LOCATION:, CONTRACT PRE-INSPETION DATE TO INSPE PRE -INSPECTION REPORT Banding DacAption: c4mrowcaaWsage: Resideati" of Units: - Curtly Oetupied AbandonedN=wt Electric: Gu: -Y-)4 4--, BUELDING INSPBCrMS REPORT Yes 4 No Electric cur=Uly On Off Condition of Ele tiic Natumal Propane Noae Obvious Problems: Sanitetton: DATE: � ' I . ZONING: Currently On Off Plumbing Worldng WcU Working Potable Water Obvious SewageProblems ACTION RECOMMENDED: Inspector: — Date Sketch buildings on reverse and indicate location on proper 035-22-2-004 92-4446 P HIGGINS, Minnie . 4742 Virginia Ave, Oroville contr: J &'M repair gas line, vent wtr htr/sf FOFFICE COPY Add7iress-4gal GAS Meter By Date' -' 21` ELECTRIC Meter y Date { s 035-22-2-004 92-4446 P HIGGINS, Minnie . 4742 Virginia Ave, Oroville contr: J &'M repair gas line, vent wtr htr/sf FOFFICE COPY Add7iress-4gal GAS Meter By Date' -' 21` ELECTRIC Meter y Date { w+•'rfbY'irF7'`'�'T)�t. y�y�.,s.-, y-nr:..�� .�,µ�;�.�.,W�,T Rr+i%'t1'f'i��i.�'t'�'{r�.y..��ar•,,''�'.lZ9lflI�YfTlrrwarKw4y�>*'.'^,��'"^>%-!,�'r.:":I'`1 COUNTY..OF BUTTE - DEPARTMENT OF PUBLIC -WORKS PERMIT NO. 7 County Center Drive - Orovil le, Ca"iiforn'ray96965 - Telephone: 916/538-7541 4 Z ,- u�C�� APPLICATION AND PERMIT / ?' �- _. ASSESSOR PARCEL NUMBERZONING 035-222-004 V /. BUILDING PERMIT OWNER Minnie Hi ins TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 4742 Virginia Ave. Oroville 99566 CONTRACTOR'S NAME J & M Contractin TELEPHONE 345-1878 CONTRACTOR'S MAILING ADDRESS ' 2260 A Park Ave., Chico 95928 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is 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 $ 471r V v Ave.,01OviI1e PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 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 1 7.00 7.00 USE OF STRUCTURE SFFV Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 1 5.00 5.00 Building sewer 15.00 Mobile Home ISJGJWJ 61500 TYPE OF WORK New ❑ Addition []--Remodel ❑ Utilities! Installation❑ Other ❑ Describe work: Repair Gas Lines and Vent Water Heater Permit Fee $ • Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 J CONTRACTORS LICENSE LAW i 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 y license is in full _force and effect. License No. er,21 7 Classification ElFIXED 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) A El am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1oo0A) .37.50 NEW CONST.(DWELLING OCCUP.ad\ 3.64 sq.ft. ACC. BLOGS. II NEW CONSTR.ULTI:OUTLET @ 5.00 NON-RESID BRANCH CIRC ITS POWER APPARATUS 8. (SINGLE OUTLET CIR. 20 @ 76 Ex. Occup(OUTLETS OR FIXTURESF AL 0 46 APLNS. Ex. OCCup. OUTLETS P(RESID )REA.) 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 g L Hood 6.50 Ventilation Permlt Fee $ L.2ontractor 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 l ial j.h44es, judgments, costs, and expenses which may in any way accrue against"sai,d ty in onseg %permit. y �aence of the granting of this 'O ! %~ "Date Signature of Applicant — Owner ❑ Contractor Q Agent ❑ An OSHA permit i5 required for excavations over S'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 FEES 27,00 HAz D FEES IM_ P FLOOD, C111PARCEL PD HO ISSUE j This permit is hereby issued under the applicable provi sions of the Butte County Code and/or resolutions to do work 1 dicated above for which fees have been paid. _DI EC OAR OF PUBLIC WORKS By _47 7 PERMIT EXPIRES ~Date /Z.- 1:31.1163 Receipt No. WNITC•D. P. W., TELLOW-ASSE930R, PINK -INSPECTOR, GOLDENROD -APPLICANT ' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, Galiforl`MY95965 - Telephone: 916/538-7541 APPLIGATION AND PERMIT ASSESSOR PARCEL NUMBER 035-222-004 ZONING RN BUILDING PERMIT OWNER Minnien Hi is TELEPHONE S0. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING A RESS 4742 Vir inia Ave. Oroville 99566 CONTRACTOR' IN a tractin TELEPHONE 345-1878 CONTRACTOR'S MAILING ADDRESS 2260 A Park Ave. Chico 95928 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 $ 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 1 7-001 7 , 00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 1 1 5.001 9.00 Building sewer15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities[3 Installation❑ Other ❑ Describe work:_ Repair Gas Lines and Vent Water Heater Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under Snail of perjury penalty p 1 y (Check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profess' s Code y license is in full rce and effect. License No. 7 ad Classification .Z(/ 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) ElI, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7,044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1000AI. NEW CONST. ( DWELLING OCCUPM OR ADONS. ACC. BLDGS. I 3.64 sq.ft. NEW CONSTR U TI.OUTLET NO N.RESIC. BRANCH CIRCUITS @ 5.00 /POWER APPARATUS 6) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 76 FIXED APLINISFl EX. Occup. OUTLETS PRESID )REA.) .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. erI 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 liab' s, judgments, costs, and expenses which may in any way accrue agai in onse pence of the granting of this a mit. t2 o Sigriature of Applicant — Owner ❑ Contractor gent ❑ An OSHA ion of structures toverr39storaesoie excavations over 5'0" deep and demolition or construct- g Mobile Home Installation Fee S Energy Inspection Fee $ cc CONST TYPE TOTAL FEE $ 27.00 E HAz DFEES IMP FLOOo CDF PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work ' dicated above for which fees D EC OF PUBLIC By PE IT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS � Datd Z -3---9 /Z-- Receipt No. 130183 WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT �.fM`�v`.�.•"..�v�/v'�1,J"r`�,r��+"�.t:..++�:..,i: .tir..«-..,v ,�r.�--� ,;,�,R _. .,�,, r `2 OP -01, LL5F- C77 0 Aj Qawv( oe Tr F- 5`r� p oe o Z,--3 o � \ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive' - Oroville, California 95965 Telephone: 534541 APPLICATION AND PERMIT Owner A/1 I AJ A) IF �. Mailing Address 4714-2- V 1120-1 N I A- _ BUILDING SQ. FT. I OCC. I BUILDING VALUATION 1'2 t' Telephone No. 41 Fireplace Contractor {� 1i� ; ` Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address -- •-1- PLUMBING No. @ FEE PERMIT FILING FEE $3.00 —7 1i' F/ 1 ll r" I i,JI a Each Trap 1.50 Ir if {/ 1 11 Repair drainage or vent piping 1.50 Water piping 1.50 110 Each gas water heater or vent 1,50 A. P. No. — Z Z 2 -- O Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W. Cy Sanitation Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Improvements= Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER IN ELECTRICAL' No. @ FEE PERMIT FILING FEE $3.00 q,17 (J i^ Y IL47LV11 V (C ( t hJ41Vfi E 1NGIvdt Main service 10000V OR00 AMP ORSLESS 5.00 �r,D 0 lipepW t F012 19f7 `I Cir Main service EA. ADD'L 100 AMP 2.50 Main service .100 AMP OR LESS 100 AO 25.00 Single Family] Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELING OR ADONS. ( ACCLBLDGS.OCCUP. &) 20sgft NEW CONSTR. MULTI.OUTLET NON•R ESID. (BRANCH CIRCUITS) 2.50ea NEW CON ST R. (POWER APPARATUS .&) NON-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: License No. Classificati Ex. Occup(OUTLETS OR FIXTURES) I BAL@1a Ex. Occup.(OUTLETS ((RESID )REA) 2.00 ,r�[ n 0 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee MECHANICAL WORKMEN'S COMPENSATION INSURANCE PERMIT FILING FEE I am aware of the provisions of Section3700 of the California Labor Heatino Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑y 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 _ c .i2 �, pate T t � f _ • � Signature of Perm�iitee or Agent Receipt No. / � U a a White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Coolin Ventilation Hood Permit Fee $3.00 2.00 $ I,'IK'$ FEE TOTAL PERMIT FEE $ 1D .12< This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF) PUBLIC WORKS By Date 7 Building permit expires Date`�'� �- 7 ►� COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — UroviIle, California 95965 Tel ep&e: 534-4541 APPLICATION AND PERMIT authorize representatives of the.County of Butte to enter upon the above-mentioned property for inspection purposes. is Datej�ej1 Signature of Permitee or Ag Receipt No. / & O 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. DIRECTORAM PUBLIC WORKS By Date y— 7-3 ' euilding permit expires Date 2 2.� , 7 BUILDING Owner A4 If Al /v IC SQ. FT. OCC. BUILDING VALUATION Mailing Address V1aC- 1,V /q Ile, Tele hone No. s Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 UtZG—/ q Each Trap 1.50 &U v t l I Repair drainage or vent piping 1.50 Water piping 1.50 P w ! 'v 6 7, Rio Each gas water heater or vent 1.50 A. P. No. — Z 2 — O Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 FIN/sl Vk S="aUon FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Improvements p Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval I Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER [2[ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 0 1 1(G SgA V Chy..Yl�/G-E P&/vell AA Nain service 16V OR LES SLESS ' 5.00 0 00 AMP ORS 99 lLed9jot {O 2 DayC-&, Main service EA. ADD'L 10o AMP 2.50 Main service OVER 25.00 100 AMPP O OR LESS (�7� - Single Family I0 Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD•L 100 AMP 1.00 - NEW CONST. DWELING O OR ADONS. ( ACCLBL GSCCUP. &) 22sgft NEW CONSTR. MULTI -OUTLET NON.( BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS &) NON.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: Ex. Occup(OUTLETS OR FIXTURES) % 5025c FIXED APPLNS. OR Ex. Occup.(ouTLETS IRESID.) EA) 2.00 ( Q Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring - 6.25 v 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ J 0 MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance ofo the work for which this + t' 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. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ , authorize representatives of the.County of Butte to enter upon the above-mentioned property for inspection purposes. is Datej�ej1 Signature of Permitee or Ag Receipt No. / & O 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. DIRECTORAM PUBLIC WORKS By Date y— 7-3 ' euilding permit expires Date 2 2.� , 7