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Home My WebLink About039-120-03639-12-36 HOPE LOGAN NIS Chico Ave, 6/10 mi W of Lone Pine, hi Permit$ 352cF-80ESele ser c/l & clean up) SF+� 39-12-36 2456-89B LOGAN'Dan w 3026 Chico Ave, Chico ContR: Butte Roofing (reroof SF J B06-2689 039-120-036 MISCELLANEOUS - Electric Panel REPLACE ELECTRICAL PANEL 3026 CHICO AVE VANEL,LA, BOB & SUSAN'D TRUST 0 � S� ��. :,.,, BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 3026 CHICO AVE Owner: permit No: B06-2689 APN: 039-120-036 VANELLA, BOB & SUSAN D TR Issued Date: 11/20/2006 By KCG Permit type: MISCELLANEOUS 3068 CHICO AVE Subtype: Electric Panel CHICO, CA 95928 Expiration Date: 11/20/2007 Description: REPLACE ELECTRICAL PANEL Occupancy: Zoning: A10 Contractor Applicant: Square Footage: VANELLA, BOB & SUSAN D I Building Garage RemdUAddn 3068 CHICO AVE CHICO, CA 95928 Other Porch/Patio Total FEE INFORMATION Single Phase Service - Res $55.00 Total Charged: $55.00 Fees Paid: $55.00 Balance Due: $0.00 Receipt No: B930 LICENSED CONTRACTOR'S DECLARATION OWNER/ BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 11/20/2006 the applicant to a civil penalty of not more than five hundred dollars ($500]; Please check one of the following: Contractor's Signature Date 1Z1, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE AND the work himself or herself or through his or her own employees, provided that such improvements ❑I WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ section ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). Carrier: Policy Number: Exp. Date: (This section need not be completed if the permitis or once hundredddollars ($100) or less. ❑ I AM EXEMPT under Section B. & P.C. for this reason: 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 Workers' Compensation laws of California, and agree that if I should become subject to the workers' 11/20/2006 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Hers Signature Date pisions. 11/20/2006 1 hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and Slate laws relating to building S' lure Date ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused arising out of, in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this permit. I hereby acknowledge thatt is issuance of this pea rmit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. 1 hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the owne or am a oriz to act on the property owner's behalf. ' 't 11/20/2006 44 CONSTRUCTION LENDING AGENCY(-Pro)arty 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SI N] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner ❑ Contractor OR. rVIAgent for Owner ❑Agent for Contractor FILE COPY Lender's Address City State Zip yl�56 � d 9 ce 9 Mow 20 o6 05:2ap Butte bounty Department of Develop Ifle�t Services TTM SNELLIN(13, DIRECTOR i PETE CALARCO, ASSISTANT DIRECTOR p.2 7 County Center Drive ! • Orovilie, CA 55965 • • (530) 538-5601 Telephonc (530)538-7783 Fax www.buttecounty.net/ddg j OWNER-MLDER (INFORMATION Pon application for o bumding ptamit hes bean submitted in your name lifting yourseltes the builder of the property improvements specified. For your protection you should be aware that as 'owncr•builda' yeas are the teaponslble party of record on such a penslit. Building permits ale not required to be signed by property owners unieu they arc personally performing their own wmk. If your work (s being performed by samtedne ether thmi yourself, you May protect yourself from possible litfbility If that person applies for the proper permit in his or her name. Contractors rue required bylaw to be licensed and bonded by the State of California ind to have a business license Item the city or county. They asst also required. by law to put their license number On all permitD fox which they apply. i If yoit plan to dal your own work, with the taeeeptio" drviu'inus Trades that you plan td subcontract, you should be awrae Oftlx following tnfoltnatlon for year tenonI and ptoloctitm: ° if you employ or ntherwim engage any persons other than your immediate fitmily, dnd the work (including materials and other costs) is $500 or more for the onsite project and such persons arc not licensed as contractors or subcontractors, then yogi may be an employer. o IfyAn aro an employer. you must regWer with du state and federal government as Ear employer and you are smbjeet to several obligations Including stets and fx4CrM ° income tau withholding, federal social Drearily taxes, workers/ cothpeneution insurinee, disability insurance casts, and unemployment nnmpensation contributions. There may be financial risks to you if you do not carry out these obligations, and lie3c risks sue especially Serious with respect to workers' compensation insurance. ° For those specific inibrmation about your obligations undo federal law, contact thti Iutemill Reveaue ServiLe (and, if you wish, the U.S. Small buvirim Adminlstntiml). Form= specific information about your rbligations under iaak law, contact the Department of Benerit Payments and dic Division of Indusinst residents. If the sinichne is intended for sale, property owners who arc not Ilecn:6d nentraetarslare allowed to perform Thier work personally or thmugh osier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons pretesting to be contractor is to seems an'!,ownet builder" building permit. ertOnaousty implying tires the property owner is providing kis res her own labor and material personally. Hnilding ptamiet are not requir3eb to be signod by properly owners unless they ate performing their own work pe rsonally- Infi,rmation abort ticenacd contactors may be obtained by contacting the Contractofs' State License board's automated telephone Information system at 1.800.321 PLEASE COMPLETE AND RETURN TH6 ENCLOSED OWNER -BUILDER VbRIVICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF TTIESE MATW..RS, THE BUILDING PARM1T WILL NdT BE ISSUED UNTIL. TAF. VERIFICATION IS RETURNED. wANER 6UILbrIt vkair-1ICATION PLEASE COMPLETE T¢Ig FORM A8 RFQUIRED BY THE STATE OF CALII'ORi11A (SENATE BILL NO. 831 EFFECTIVE JULY 1. 1980). NO BUDDING PERMTr W IU., BE ISSUeD UNTIL THIS VCRIFICATION IS RECEIVED. I. i PERSONALLY PLAN TO PROVIUK THF, MAI OR LABOR AND MATERIALS FOR CONSTRUCTION OF THL PROPOSED PROPERTY IMPROVEMENT, (YES OR NO) 2. 1(HAVFIRAVE NOT) SIGNED AN APPLK:ATtON FOR A BUILDING 112itiArr FOR THE PROPOSED WORK, 3.1 HAVE, CONTRACTED WITH THE FOLLOWING PERSON (FIRM) 1-0 PR.OVLbE THE PROPOSED CONSTRUCTION: NAME ADDArN,9_V`__ _ CIEY I PHONE ~CONTRACTORS LICFNSF NO I a, t PLAN'r0 PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THF, FbLLOWING PERSON -1.0 COORDINATE... SUPER VISE, AND PROV(DF_ TME MMOR WORRf NAMfi_ — — - - ADDKESS Cin'"_ PHONE CONTRACTORS I,ICFNSF NO.,__ S. l WILL PROVIDE SOME OF THF WORK BUT I HAVE CONTRACTED (HIREd) THE FOLLOWMO PERSONS TO PROVIDE YHF. WORK NMCA'ret N-, ADDRCSS PI10 LYP�.OF WORK Descriptioil: REPLACE (ELECTRICAL PANEL Reference Number: B06-2689 Applicant Narne: VANELLA, BOB & SUSAN V TRUST Signature of Property (honer: Date:.14�-0 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name ; / V irst Name G Mailing Address City Cccd- State CSC Zip 95� Phone 3� g 3 /3 Fax E-mail --- APPLICANT INFORMATION CONTRACTOR Name Our ,b r ' f Address Zip s fg City Fax State Zip Phone Lot # Fax E-mail Date Appfoved: Lic. # Class --- APPLICANT INFORMATION ARCHITECT/ENGINEER Name City2 U Address Zip s fg City Fax State Zip ` Phone Lot # Fax E-mail Date Appfoved: State License Number --- APPLICANT INFORMATION Name % � v d -+, /1;17cK Address D Z City2 U State . Zip s fg Phone 3L.F6_0 G '-7 Fax E-mail APPLICANT SIGNATURE For office use only: AP# Q 3 q_ l o- 0 36 Zoning Flood Zone SRA I Yes No Occ. WORKER'S COMPENSATION Type Const. Subdivision Name If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. Map Book Page Lot # Planner Date Appfoved: PERMIT NO. BIN # PROJECT LOCATION AP# Q 3 q_ l o- 0 36 Property Address 3 o;z c c ACity «6 /q- ✓e c h 1r-6 Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Laf— �.I�tral tawl Sq FT- Living Garage Open Cov ❑ Structure Built without Permits. ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by; , 6, Amount: oo Bldg SRA Receipt #: Sheriff &0- �m SMIP Date:' — �-06d 91:'- � Total �;"V��s(�L.^ v?vn._L''�".'�'R\"•`se, 9^jG+f�'�4Tu,,i"�•,jc�wy.#:�'�.iA'e'�'`7+e':y,�":.'�'�?•Ijr}'KAh"��^i+r�S(''►S%:.-+,'^��--..:i'�^'lt�6R'�iax•tJP'„YK:.%'1'�io;,,i','>,.--.*'. �rk!';:"•1cr.t�:.r 39-12-36 2456-89B LOGAN, Dan 3026 Chico Ave, Chico ContR:'�Butte Roofing t (reroof/SF) • j> _ z / _ �' 9 �,,.o .oma- !�a,�-- � , �► *� COUNTY OF BUTTE - DEPAjTMENT OF PUBLIC WORKS �� t• 7 County Center Drive - Oroville,.Calr ornia 53965 - Telephone: 916/538-7541 -� APPLICATION AND PERMIT PERMIT NO. a ASSESSOR PARCEL NUMBER ..._.. 1-2 --�� ZONING BUILDING PERMIT OWNER �.'il , VV `^ O' TELEPHONE -" O SQ. FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS' Ov CONTRACTOR'S NAME M r A- r.;46-� --f TELEPHONE CONTR TOR 5 MAILING ADgRESS � Y r fj' , YJ Fireplace y CONSTRUCTION L NDER UNKNOWN Total Valuation $ L, Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINE7 LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 r.,.. ., Eech Trap: ._. .,r... � '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 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Z Describe work: /T >G,t �-�' _ f'�,., , ��. Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 1 J Main service 10Dv OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penaltyOR 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. �"� n L License No. Tom_ Classification 7FIXED ❑ 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 foe this reason NEW CONST. ( DWELLING OCCUP.a) ,�:¢sgft ACDNS. 1 ACC. BLDGS. NEW CONSTR. U '.OUTLET NON.RESID BRANCH IR ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. zoesoe EX. Occup OUTLETS OR FIXTURES eAL930 APPLNS. OR Ex. Occup. OUTU.ETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00. Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 1 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 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 said,County in consequence of the'granting of this permit. X f I v l� �.��.c--- t 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 in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 30 occu P. I CONST.-T777[SCHOOL FLOODJ PARCEL I PD I ND I ISSUE This permit is hereby issued under the applicable provi- sions of the But County Code and/or resolutions to do work indicated above for which fees have been paid. / �DIRECTOg+OF PUBLIC WORKS / /r yydt^^ ,// i ,j / Bye-:ii<.'.11,`"/I!,�� Datey'�/.'' PERMIT EXPIRES Date % ! �3fstories Receipt No. �"# ~�gh WHITE'D.P.W.. TlL LO W-ASe (35011, PINK -INSPECTOR. GOLDEN110D-APPLICANT COUNTY OF BUTTE - D PA TMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT N ASSESSOP PARCEL NUMBER r. —�. ZONING BUILDING PERMIT OWNER f O (J� G TELEPHONE SQ. FT. OCC. BUILDING V UATION OWNER'S M I 17 ADDRESS. p (� C RACTOR'S NAME _ / TELEPHONE ' CO R To S MAILING AD ESS Fireplace CONSTRUE ION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 K LENDER'S MAILING AD ESS Permit Fee $ ARCHITECT OR ENGINE R LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ e S� PLUMBING PERMIT Filing Fee 1 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 is G W 0.00 ea. TYPE OF WORK ,►,r .i New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ OtherV1 1 Describe work: — I Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 i Main service 0ov OR LESS 1 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under Snail of check one): penalty perjury ( on ) 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. ��l Classification Gx. 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.a` ,/:¢sgft OR ADDNS. ACC. BLDGS. / NEW CONSTR. M ULT'_OUTLET NON.RESID BRANCH CIRCU, TS2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. ) ( OUTLETS OR FIXTURES EO20050t CCUp\eALO 30 FIXED APLNS.❑ Ex. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Yirin 15.00 g 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 10.00 Heating Cooling g 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. 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 ounty in consequen f e -granting of this permit. X ?_�J-(��% Date u F— Signature of Applicant — Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep andIR demolition or construct- ion of structures over height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 30 occup* CONST.TYPE SCHOOL I FLOOD PARCEL PD HD 39UE This permit is hereby issued under sions of the Butte County Code and/or work in ted above for which DIR OF PU B PE IT EXPIRES Date the applicable to do resolutions to do f s have been paid. 1 WORKS at �3fstoriesiin Receipt No. 9`#,q<A 6 WHITE-D.P.W.. YELLOW-ASGESGOR. PINK -INSPECTOR. GOLDENROD -APPLICANT i /i /ems/ ♦ / y COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.. —� :• 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 ` <"�� APPLICATION AN PERMIT ' ASSESS O PARC tCUMBER ZOA ING BUILDING PERMIT ow R E EPHONE SQ. FT. OCC. BUILDING VALUATION OLin R'S AIL G A DID RE r CONTRACTOR'S NAME I TELEPHONE CONTRACTOR'S MAILING ADDRESS-,, CONSTRUCTION LENDER win UNKNOWN Fireplace Total Valuation LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUIL I ADDR PLUMBING PERMIT Filing Fee 3.00 J Each Trap 2.00 Repair drainage or vent piping 2.00 �+ Water piping ,LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ ti lilies ❑ InstallationU— Other Describe work: 1r,I _ _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service i00o AMP V OR LESS 5.00 i Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP,& OR ADDNS. ACC. BLDGS. 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I d licensed under provisions of Chapt. 9, Div. 3 of the BUeffe t. 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 CONSTR LTI-OUTLET NON.RESID. BRANCH CIRC ITS 2.SOea NEW CONSTR ( POWER APPARATUS IN NON-RESID• SINGLE OUTLET CIR. Ex. Occ Up(OUTLETS OR FIXTURES BAL@,pa FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 , Permit Fee $ f 41 Contractor MECHANICAL PERMIT FiIingFee 3.00 WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ® I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 2.00 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. 1 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 i' 1,bnsequence�-the granting of this permit./ 1 /(` �% / X Date /0 "' i� Signature,of Applicant — Owner Ontractor ❑ Agent ❑ An OSHA permit is required for excova Ions over 5'0•' deep and demolition or construct- ion of structures over in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ ��, OCCuP. GROUP I TYPE OF CONST. PARCEL PD HD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF ELIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS /(/_ - Date '"7 'Tri /3/stories Receipt NO. -/ l/ [iJ WHITE-D.P.W., YELLOW-A55ESSOR, PINK -INSPECTOR, ,GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - OroviIIe,aIifornia 95965 - Telephone 916/534-4541 APPLICA110N AD PERMIT PERMITNOD ' .)l AIX ll ASSLSSOR P-'pl( ARCF NUMBER .� ZO ING BUILDING PERMI OW R ELEPHONE SO. FT. OCC. BUILDING VALUATION OR'S AIL G A DRE JS CONTRACTOR'S NAME aw Yl TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDERL UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUIL I ADDR 0 PLUMBING PERMIT Filing Fee 3.00 _V7 to Each Trap 2.00 Repair drainage or vent piping 2.00 -01 Water piping LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF k Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New Addition❑ Remodel❑ iltilities Instal.lation❑ Other Describe work: �- v _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100 AMP OR00V OR LESS5.00 Q� Main service EA. ADD'L 100 AMP 2.50 NEW CONST DWELING OR ADDNS. ( ACCLBLDGS.CCUP,&1 22 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BUSlness and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NON.RESID R BRANCH MULTI-OUTLETITS 2.50 ea NEw CONSTR ( POWER APPARATUS a) NON-RESID. SINGLE OUTLET CIR, Ex. Occup(OUTLETS OR FIXTURES 50@25Q BALLm 10¢ FIXED APP LNS. OR Ex. Occup. OUTLETS (RESID.) EA,) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring Gi VaNgi 6,25 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 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 3.00 Heating Cooling Hood 2.00 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 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 again said County i,9 rise ce granting of this permit X •I L`� Date Q Signature of Applicant — Owner[ ontractor ❑ Agent An OSHA permit is required for excava Ions over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE OCCUP. GROUP I TYPE OF CONST, PARCEL PD I HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF BLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 7' �� Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD-APPLI CANT