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HomeMy WebLinkAbout035-225-011O e 91E JONES' ,Albert L "' 4755 Baggett,.Rd; Orovlle (elec upgrade/sf)- s w ;yam 3 .." F035-22-5=011.. 93=2396 JONES,' ALBERT. �,CONTR: GEROGE ROOFING 47,55BAGGET MARYSVIL_LE RD,'(`OROVI-L REROOF �Il i . 1 1 1. i 1' 91E JONES' ,Albert L "' 4755 Baggett,.Rd; Orovlle (elec upgrade/sf)- s w ;yam 3 .." F035-22-5=011.. 93=2396 JONES,' ALBERT. �,CONTR: GEROGE ROOFING 47,55BAGGET MARYSVIL_LE RD,'(`OROVI-L REROOF �Il • � ,, ... :. Y+,..r .• .- - ,..:.- , w.. ._i} � ;^''�+x�-s�S^r.::-,.ras-��ac�:��.. ,�-�...:�c.,. f •_ r' _ �� �� l ". !� �, ii .. .. i - � - - ` Yl j-�i 1 � F � � ..• Jr ;� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541PERMIT NO. N AND PERMITg -�IFT"�Z ASSESSOR PARCEL NUMBER y ' ZONING BUILDING PERMIT OWNER S TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ORESS 5 / CON 'rTOR'S NAME TELEPHONE ^ Y CONTRTR(. MAIQ AD�ESS 1 l Fireplace CONSTRUCTION LENDER J UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty 1 $ BUILDING ADDRESS , 1 `—� PERMIT FEE $ , PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. � SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 ' USE OF STRUCTURE SF)� Duplex O Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel 1:1Utilities O Installation ❑ Otherx Describe Work: PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 2"' OR LESS OR LESS ) 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. ) 3.50 S0. FT. CONTRACTORS LICENSE LAW I q fare under penalty of perjury (check one) ' I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and,m license is in full force and effect. /i — � � License No. � Classification l.. O I, as the owner, 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) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS @7.50 - ( POWER APPARATUS ' & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B20 @ 1.00 Ex. Occup.FIXED APPLNS. OR ( OUTLETS (RESID.) EA. ) 5•�� Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare,under,penalty of perjury (check ,one): ❑This permit is for $100.00 (valuation) or�less. I have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor , MECHANICAL PERMIT Filing Fee 20.00 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 Butte County Ordinances and California 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. 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,6f the granting of this permit. // Q? X: /%/1. ///i // / Date,y Signature of Applicant O Owner ❑ Contractor A' Agent An OSHA 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 CONST. TYPE TOTAL FEE $ ' HAZ. I D. FEES IMP FLOOD cDF PARCEL PD Ho ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By /tJ T i 7' = 'I' Date !7 4Z �. �y PERMIT EXPIRES ON 7A I/`17 (Date) /Li ' �� Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Califoriiia 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICAT �N AND PERMIT 93 ASSESSOR PARCEL NUMBER 5 — O 1 ZONING �J BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VAL A I N OWNER'S MAILI G DRE 1 5 CONTR TOR'S NAME TELEPHONE ,�MAILIO ADDRESS I CONTrff Fireplace CONSTRUCTION LENDER J UNKNOWN Total Valuation $ 02 Filing Fee $ 20,00 LENDER'S MAILING ADDRESS Permit Fee $ f, ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $ , Om q PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF/< Duplex O Mobilehome O Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New O Addition O Remodel El Utilities O Installation Other Describe Work: • PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 S OVL Main Service ( BOOV OR LESS ) 23.00 200A OR LESS Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( & ACC. BLDS. ) 3.50 FSTO.. CONTRACTORS LICENSE LAW I re under penalty of perjury (check one) I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions C de and m license is in full force a d effct. License No. Classification O I, as the owner, 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) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI.OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B20 @ 1.0000 Ex. Occu FIXED APPLNS. OR p' ( OUTLETS IRESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. XT have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 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 Butte County Ordinances and California 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. 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 f t grantin of this p County in consZcant Date Signature of ApOwner ❑ Contractor XAgent An OSHA 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 $� DCC CONST. TYPE TOTAL FEE $ HAZ. I D. FEES IMP I FLOOD I JCOF PARCEL PD HD ISS E This 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 PERMIT EXPIRES ON �+ 1 �.S.-B.D. (Dote/ EReceo. 3 CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ro, 0 p�I � t I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORK8 1110tRMIT N0. .,, 7 County Center Drive - Orovillo, Califofnia ®aegis - ToWphone. 010/530.75414, S— W Z APPLICATION AND PERMIT 35'-225&11 R4 BUILDING PERMIT A90. N 35j§ A a t, ;roville FT. OCC. BUILDING VALUATION Florins#612564, 257743 N N 7421 CONTRACTOR,. ON C OR'D M NG DOR6S111 Marysville Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS None Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS None Penalty $ BUILDING ADDRESS ( 1 Permit fee $ PLUMBING PERMIT Fl ling Fee 10.00 4755 Baggett, Oroville Each Trap 2.00 i Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP (; Water piping, 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE ; SFXX Duplex❑ Mobilehome❑ Other Il SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel❑ Utilities F-1Installation❑ Other [ Describe work: elec upgrade/aervice { t Permit Fee $ contractor ELECTRICAL PERMIT Filing Fee 10.00 F Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 Z.JU CONTRACTORS LICENSE LAW { I declare under penalty of perjury (check one): I F -1I am licensed under provisions Of Chapt. 9, Div. 3 of the Bushes$ 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) ❑ I am exempt under Sec. , Business and Professions Code for this reason oa ADDNST DWELLING CCUP'8d) '/x2sgft NEW CONSTRMULTI-OUTLET NON-RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS e SINGLE OUTLET CIR. ) Ex. Occu p OUTLETS OR FIXTURES 20e50e SALO 30 Ex. Occup. OUTLETS FIXED P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 • Pre— nepect o - 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 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 becomesubject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 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. 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 at County in cons Gp nce of the g ting of this permit. X �� P Date Signature of Applicant — Owner ❑ ontractor ❑ 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 — .5 TOTAL FEE E $ 520 2. HALcuA PARK SCHL FLD PAR PD ; ISSUE0 This permit is hereby issued unser the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated aboove for which fees have been paid. DIR CTOR OF PUBLIC WORKS By. "iX a,Z7 Date PERMIT EXPIRES/Date •'-�-ri7 Receipt No. 88887 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT :�Y.��.�� �A_�'��:w-�.,�,,-S"4i�X7v �{ jyw -.��.r. F-.� - -' �" r_-•' �'C'4"•�;'''�'^-'-•�� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541' 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Date / Inspector 1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/638-7641 APPLICATION AND PERMIT PERMIT NO. ASSESSOR 35-225-011 NINO BUILDING PERMIT OWNER Albert -Jones _ _ _ HON .533-0635 SO. FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS 3548 Aronaut Oroville CONTRACTOR IN Florins License TELEPHONE 488-7421 CONTRACTOR'S MAILING ADDRESS Marysville Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS None Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS None Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping , 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFU Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe work: elec upgrade/service _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 10.00 Main service EA. ADO'L 100 AMP 2.50 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. 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) El am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.e OR ACDNS. ACC. BLDGS. , �z2sgft NEW CONST R. MULTI -OUTLET NO N.R ESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS a SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 20150, SAL030 FIXED ALNS. Ex. OCCUp. OUTLETS P(RESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 15.00 pre—inspection 5.00 Permit Fee $ 52.50 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 of Consent to Self -Insure. f4I 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. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation penult 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 County in cons nce of the anting of this permit. X� Date Signature of Applicant — Owner ❑ ontractor ❑ 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 FEE $ 52.50 HAL I CUA PARK SCHL FLD CDF I PAR PD j HD• ISSUE. This permit is hereby issued unser the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. IR. OR OF PUBLIC WORKS ^ 9 By Date PEAIT;XPIRE Date 1� Receipt NO. 88887 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT --� COUNTY OF BUTTE - DEPARTMENT OF. PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 ti PERMIT, APPI ICATI.ON,DATA SHEET Permit No. OWNER i ! li12 �7- / �Q 't/ .� A. P. o. Proposed Building Use ��� Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED hKiAll items have been submitted . ................................ 2. Plot plans in duplicate/triplicate, signed by preparer of plans. . . 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions .............. .................................... :...... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid.0.................................................. 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 4 16. Plot plan and business license approval from City.of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (conAjrLctio�/Lapproval required prior to occupancy) �– �_� Pre-Inspec. request to G / Pre -Inspection for �% required ... Building Inspector - // ate) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner 0, Mail to owner 0) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w. /inspect Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent _Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone--jnalI—counter by ..date ` Contractor, designer, owner, was advised of above required data by —phone _maII—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW J PRE -INSPECTION .i OWNER: 04551 J �'�/ � DATE LOCATION: �' S s- '16 7 � (� �A . P . # .� - �? 2 �� CONTRACTOR: (if/ 4�- /�/C- ZONING ---------------------------- PRE-INSPECTION FOR: DATE TO INSPECTOR PERMIT HISTORY: NONE AS FOLLOWS: c TYPE OF OCCUPANCY FIELD - INFORMATION BUILDING USAGE: TENNANT: OCCUPIED D HAS ELECTRIC HAS GAS [::] HAS SANITATION FACILITIES - E::] HEATED -COOLED, PERSON CONTACTED OTHER COMMENTS: L TION COMMENDED: ISSUE E::] HOLD FOR OTHER: BY DATE 7r!'� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO, 7. County Cant®r Drivo - Orovillo, California 96905 - T@Wphon®; 016/630-7641 APPLICATION AND PERMIT 114P 11V BUILDING PERMIT IIWNr,M I J l� (�lo� S0, FT. OCC. BUILDING VALUATION W N D DIR zoo U N Q TELEPHONE CONTRACTOR'S MAILING XDDRF33' Fireplace CONSTRUCTION LENDER j ` UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING DDRESS�' 't 7C/I/_ Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping - 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF)< Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK' New ❑ Addition Remode[M Utilities:� Installation[] Other Describe work: L�(� �� L2 P-62 EVI ej 19 V LEE Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 V OR L Main service 10000 AMP ORSLESS 10.00 16,aer Main service EA. ADD'L 100 AMP 2.50 yrs CONTRACTORS LICENSE LAW I declare under penalty of (check one p y perjury (ec)• ❑ 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) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.8d OR ADDNS. ACC. BLDGS. ,/z¢sgft NEW CONSTR. MULT(.OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS tr SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 20®50t eAL990 FIXED ALNS. OR Ex. Occup. OUTLETS P(RESID ) EA.Y 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 l ,D0 Permit Fee $ S 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 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. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation Pennit 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 County of 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 s aries in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ S� r S� E HAz. CUA PARK scHL FLo PAR PD I HD. ISSUE This permit is hereby issued unaer 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. YELLOW-ASSE330R, PINK INSPECTOR, GOLDENROD -APPLICANT