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HomeMy WebLinkAbout039-090-033r' I 33, 39=09-33C)RO Dick Decker + �•/ 1: DECKER ' R. B B. 1125 Berrington, Chico ' 44-69B,-- contr: leisure Time Pools, Paradise s 767-71TO. <` Permit #3 0-79B,P(new pri.swimming pool)7r7 a /> 4001 E, of Chico -Butte Cit H 9-09-33 Stanley Ave., Chico so. c.L 39-9-33 ( convert garage to bedrooms) Permit ##353 79E (ele ch & poo wiring) 3� g) i , (*convert to nat. gas) 3 -1 039-09-0-033 00-089 x"_ - -- —'� DECKER, RICHARD 1125 BERRINGTO CO' CONT: FO ASONS ROOFINGGG RERO { 039-09-0-033 00-1250 DECKER, RICHARD & BARBARA 1125 BERRYINGTON ROAD, CHICO CONTR: MCCLEL LAND AIR COND. M1 REPLACE FURNANCE a a; C"l "'sa'' Ik'�'FY�{,�'�i!'*T"': '..Sl:i,..ay.a �'.+. <<4b'"r..a�:n :..T^v'1,'• .r7. � 039-09-0-033 00-0897 DECKER; RICHARD 1125 BERRINGTON, CHICO CONT:, FOUR SEASONS ROOFING REROOF _ 1. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 •Telephone (530) 53Bt 5q�n 01rrr NO. (Rev. 12/96) APPLICATION AND PERMIT ��� � � 'f ASSESSOR PARCEL NUMBER�( u ZONING BUILDING PERMIT OWNER RIdHARD DECKER TEE -1460 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 1125 BERRINGTON CHICOx CA 95928 CONTRACTOR'S NAME FOUR SEASONS ROOFING TELEPHONE 895-0418 CONTRACTORS 0 NG ADDRESS 4950 COHASSET RD STE. 10y CHICOr CA 9597' CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1 125 BERRINGTON CHICO Energy Plan Checking Fee $ $ PERMIT FEE $ • LOT NO. SUBDNISIONSNAME t ,, r , Y .6 ; PARCEL,MAP «; ? PLUMBINb"PERMIT ° " Filing Fed" 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 gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ 1 Describe Work: REROOF WICOMP 26.5 SO* ( 9 Gas piping system 1- 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 1@20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 1a Main Service zoOA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professpions Code, and my license is in full force and effect. ,+ License Class C-39 Lic. No. 659073 �I1 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 co pensation, 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 de ❑ . 1 am exempt under Sec. Business and Professions CC �for this reason Main Service TOGA TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. S. SO 3.5¢FT. NEW CONS . MULTI.OUTLET NDp}RES,D. I S @7.50 PSO APPARAT a sINGLE OUTLET CIR. Ex. Occup.OUTLET OR FDMRES 20 @ 1.00 p FU(ELNS. OR Ex. Occu D��7gD APPREs,D, � i 5.00 Temporary Service 023.00 Mobile Home Facilities 20.00µ Misc. Wiring 23.00 s PERMIT FEE S ' * ' WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I 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. y Section ❑ I have and will maintain workers' compensation insurance, as requir4rTm 3700 of the Labor Code, for the performance of work for which this peis issued.My workers' compensation insurance carrier and policy number are Carrier VILLA NOVA MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number WC3 0983676 (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 i ed, I shall not employ any person in any manner so as to become subject b 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 f rthwith comply with those rovi ions. �, X Date </�� Signature of Applicant - r Owner [3 -Contractor 'Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE 7 . U U TOTAL FEE $ Haz. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date q-91-60 Date Receipt No. WHITE-D.D.S.-B.D. I C ARY• ESS R P -I S CTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING 4MSION 07 7 7 County Center Drive • Oroville, California 95965 s Telephone (530) 53 5 D (, NO. (Rev. 12/96) APPLICATION AND PERMIT"�jj ASSESSOR PARCEL NUMBER '— Q l10 ZONING BUILDING PERMIT OWNER RICHARD DECKER TELPjIQ{lE 1 460 3 �} L SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1125 BERRINGTON CHICO CA 95928 REROOF 1,590.00 CONTRACTOR'S NAME FOUR SEASONS ROOFING TELEPHONE 895-0418 CONTRACTOR'S MAILING ADDRESS 4950 COHASSET RD, STE. 10, CHICO, CA9597 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1125 BERRINGTON CHICO Energy Plan Checking Fee $ $ PERMIT FEE $ 37.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF N 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: REROOF W/COMP 26.5 SOS Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service EO.A OR LESS 2o0A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class C-39 Lic. No. 659073 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I em 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 I 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 VILLA NOVA Main Service tow To ,000A 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( & ACC. BLnS. s0 3.5¢FT. NOµR6,pT. MULTI-OUTLET11 @7,50 APPARATUS 8 SINGLE OUTLET CIR. EX. Occup. OUTLET OR FIXTURES 204 .00 BAL @ I.w Ex. Occup. OFUT EDSRa DE 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number W- 3 n 9 R 3 F 7 F (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 it I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with t7hose ions. y X O— Date / / Sigr rOwner ❑ Contractor gent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 57.00 �.A. D. FEES IMP 1. FLOOD CDF pgRDEI pp HO ISSUE— This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date y -P 60 Date Receipt No. - WHITE-D.D.S.-B.D. CANARY -ASSESSOR NK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMI NO. (Rev. 12/96) APPLICATION AND PERMIT M`-/ ASSESSOR PARCEL NUMBER 3 — O -1 — D33 ZONING BUILDING PERMIT OWNER Ri ara, e TELEPHONE '!2'1N60 SO. FT. OCC. BUILDING VALUATION .,e . OWNER'S MAILING ADDRESS cis .'•v D,) &d ,6;e -o CONTRACTOR'S NA E TELEPHONE CONTRACTORS MAIUNCJ ADDRESS .e!e— f- 54' CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE No. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ / $ PERMIT FEE $ LOT NO. SUBDIVISIONS 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 gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ nRemodel ❑ Utilities ❑ Installation Other ❑ Describe Work: e- :C (A .v l Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service eoov oR LEss 2o0A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class C - Lic. No. %2� 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 astheir 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 Main Service Zoog To ,000A 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( a ACC. BLOCS. SO 3.50' NNjpµp IpT M NCHOUTLET 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. EX. OCCU OUTLET OR FIXTURES BA� @';w Ex. Occup. pin. RRE=.oEl 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ ,B WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I ave and will maintain a certificate of consent to self -insure for workers' ompensation, as provided for by section 3700 of the Labor Code, for the erformance of the work for which this permit is issued. /Iphaveand 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' compe sation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating 4�, 10 O C9 o Cooling Hood 6.50 Ventilation PERMIT FEE $ &_0 Policy Number (The above sections rfeeid not beolcompleted 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 f California, and agree that if I should become subject to the wo ers' compe 'on provisions of section 3700 of the Labor Code, I shall fc with com Ith ose provisions. (� — _ Ign lure of Ap _ t - ❑ Owner ❑ContractorAgent X ___Xe, An OSHA permit is required for excavations over 5'0" dand demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ <7- , tx-a HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON i the applicable provisions Resolutions to do work been paid. Date s -� U l Date Receipt No. Z9 413 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I k PEf{MIT NO. 3530-79A,P PERMIT EXPIRES •� / /�� OWNER Dick Decker sure Time Pools, Paradise CONTR. 11 39-09-33 LOCATION (A.P. ) 1125 Berrington Dr., Chico a ,f `9 Yi �I a J \ Temp. Power Pol'e Called PG&E Temp. Elec. Serv. Called PG&E T mp. Gas Serv. Called PG&E JOB Fl NA LED COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING' BUILDING (Cont'd) 1 ,PLUMBING Setback Firewall Soil Piping Forms / Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwaII 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 handicar pehysically Conformance of ex. structure Appliances Gas Piping & Test Temp- Gas Slab Final Sanitation Patio I EPLACE Final r Footings Footing V EL CTRL(CAL Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subaanels meso I MECHANICAL Grd. Fault Prot. Scratch Heating Service r Brown Cooling Ten*aPM Finish / Ducts A Underground Interior Lath Ventilation Permanent , Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping M 1 EHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage in Gas Piping 9 DATE REMARKS OR CORRECTIONS a-vex)��. (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, - Oroville, California 95965 Telephone: 534-4541 j6a& / APPLICATION AND PERMIT nA authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X� ` Date SignO1Ufe o Per 'tee or Agent Receipt No. a White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY kcsfif Date to -1 er- / moi' Bu' ding permit expires Date BUILDING Owner -b4le --2)eC SQ. FT. OCC. BUILDING VALUATION 7 Mailing Addressa.5- e hone No. Contractor L Mailing Address Q o O Fireplace Total Valuation SL> Telephone No.� ®® Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee '- a ,04ON A) PLUMBING No. @ I FEE ` PERMIT FILING FEE $3.00 ,6-0 Each Trap 1.50 Repair drainage or vent piping 1.50 /� /, A. P. No. �7 / �j�J Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F s S ( io FireDept. I Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Parcel s Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plans Recd Parcel A royal Plans provol Lawn sprinkler system 2.00 NEW" UTILITIES ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ® Main service EA. ADD'L 100 AMP 2.50 a Main service OVER s 25.00 100 AMP O OR LESS Main service EA- ADD'L 100 AMP 1.00 NEW CONST. ( DWELING OR ADDNS. ACCLBLDGS.CCUP. 4\ •20sq ft / CONTRACTORS LICENSE LAW 1 am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le of: Y �p/SI/"- %/fJfP NEW RESID, BRANCH CI T NEW CO ID J BRANCH CIRCUITS) 2.50ea NEW CONSTR POWER APPARATUS B NON -RES ID. SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTIIRES 5 L 10 Ex. Occu FIXED APPLNS, OR p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. S Z977� Classification --53 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. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 0 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 the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE 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. 1 agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X� ` Date SignO1Ufe o Per 'tee or Agent Receipt No. a White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY kcsfif Date to -1 er- / moi' Bu' ding permit expires Date 4 t COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive.. — Orpville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X ��� -+r, Date Signature of Permitee or Agent Receipt No. k 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. DIRECTO F PUBLIC WORKS By DateJ� Building permit expires Date BUILDING Owner G SO. FT. OCC. BUILDING VALUATION Mailing Address i Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address —� " �j� Plan Checking Fee &/or Penalty Permit Fee PLUMBING No.1 @ I FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fbe<lV1 ' Sew"a4w I Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 g. ans ec d Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Q:5 Main service 800V OR LESS 100 AMP OR LESS 5.00 iC Single Family ® Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 b� / ti�G `� ��N OVER 800V Main service 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 OR ADDNSNEW T ( ACCLBLDGS.LING CCUP. Y\ 20sgft 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: NEW CONSTR BRANCH CIRCUITS) NON -REBID (MULTI-.U1 BRANCH CIRCUITS 2.50ea NEW CONSTR POWER APPARATUS 8 NON.RESID. (SINGLE OUTLET CIR. Ex. OCCUP(OUTLETS OR FIXTURES 5 i� FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring �"" " y 6.25 J V., I am exempt from the Contractors License Laws of the State of California. Permit Fee $ Q $ 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 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. 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 MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ Land Development Fee $ $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X ��� -+r, Date Signature of Permitee or Agent Receipt No. k 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. DIRECTO F PUBLIC WORKS By DateJ� Building permit expires Date �1a5R��1JG i Q ��- G� 3q 2_-) q e o • The Bldg. Setback shall be 5 ft. from the side property line and 50 ft. from the centerline of the road, permitting a maxi- mum of a 2 ft. eave overhang but entirely cf all easements. Deep END aeR , NOTE:—AII Materials & Workmanship Shall Be in Recognized Good Practices and Accti�dance -with �il5e • ��� .�!'� , ; �. a quality prescribed for the Specified use in the Su"L5 f'�N�i. Uniform Building, Plumbing &Mechanical Codes an: 5' f the Nntianal Electrical Code. 1-aoc�- chi � . • SK�mm�� � ee Master ,plan on file for StLldG Septic system and • location of buil – ural details. ing drain stub-out to be as per 2 !S v r •f p 1 art .i Butte County Health Dept. Re- Dseprxt - ------------------ .quirements --- l LCG-k4 Ll U Q.S D)wi This' of plans and specifications MUST be set, kept on the .job at all tunes and it is unlawful to make any changes or alterations on some without written. permission from 'the Department of Public Works. ,Cnl+ ,-+u of Butte. BUTTE COUNTY 0 39 - C%.,v 3'03 s BUILDING DEPARTMENT m 4b<,Xl ve ' av-iiy- n F APPROVED IZT -rb -FPAplFr -TJ 0