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J & S _FARMS
E/S DaytonRd, 2 mi S Hegan Ln,Chi
Permit#2498-81E (elp ser ch &%new
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COUNTY OF BUTTE,- DEF1ARTMEJIT OF PUBLIC WORKS
7 County Center Drive - Oroville, Califcli'a 959,5 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSO PARCEL /! MBE �` ZO ING
113WLDING PERMIT
OWNER 'rELI:EPiqONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
3 f'le z
CONTRACTOR'S NAME TELEPHONE
CONTRACTO 'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING A2D.UL.
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR EtyGltj RSG MAILING ADDRESS
Permit fee
$
BUIL NG ADDRESS
,
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each gas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instal lation ❑ Other 0'
Describe work: 054il5GT,Yi4/ =3E.L/Mf !'-/TfF"6i'/
Permit Fee
$
'contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100V OR LESS
100 AMP OR LESS
5.00 j, n
Main service EA. ADD'L 100 AMP
2.50
DWELLING OCCUP.)
NEW CONST. ( y
OR ADDNS. t ACC. BLDGS.
p� 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 Business
and Professions Code and my license is in full force and effect.
License No. Classification
[V] 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 I. UTL T 2,50 ea
NON-RES'..BRANCH CIRC ITS
NEW CONSTR POWER APPARATUS 6
NON-RESID,SINGLE OUTLET CIR.
REST
OUTLETS OR FIXTURES 0250
Ex. S I
ITLEXED LN OR
EX. Occup.�OUTLETS (RESID,) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee
$ .2z
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
-WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
Q/I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
S
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 �,w[/1 Date VI A/
Signature of Applicant — Owner [' Contractor ❑ Agent ❑ I
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee
$
TOTAL PERMIT FEE $
OCCUP, GROUP
I TYPE OF CONST.
I IPARCEL17HD
I
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIR C)TOR OF PUBLIC
/
By ��
i
PV MIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date I b rh�
7
/ Ea' .-
� ,� t�
Receipt No..�
WHITE-D.P.W., YELLOW-ASSEeSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE.- DEPARTMENT OF PUBLIC WORKSPE MIT NO.
7 County Center Drive - Orovi; le, Cakfornia 95965 - Telephone 916/534-4541 —
APPLICATION AND PERMIT _, 11 b,
ASSESSO PARCEN MBE ZO ING
46 I "
BUIL ING PERMITIVI
OWNER LE PVTONE
ss -
SQ. FT. OCC. BUILDING VALUATION
OWNER S MAILING -ADDRESS
CONTRAC OR•S NAME TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER�f
UNKNOWN.
Total Valuation $
Filing Fee
$ 10,00
LENDER'S MAILING ADDRFgq
~—
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
,$
Penalty
$
ARCHITECT OR EKGINFFR'g MAILING ADDRESS
Permit fee
$
BUIL ING ADDR S
Z �VZ2VPLUMBING
PERMIT
Filing Fee 10.00
4/0 �/
Each Trap
2.00
Repair drainage or vent piping
5.00
�0
Water piping
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New Add ition❑ Remodel❑ utilities Installation❑ Other
Describe work: hT.�%C e. AU1 . Z&41
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
5.00
f
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. ( DWELLING OCCUP.N)
OR ADDNS. \ ACC. SLOGS. _
24; 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 Business50
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)
.fl 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 TI.OUTLET 2.50 ea
NON-RESID BRANCH CIRC ITS
NEW CONSTR. (POWER APPARATUS 61
NON-RESID. (SINGLE OUTLET CIR. Jr
@ 25C
Ex. OCCUp OUTLETS OR FIXTURES BAL@10t
FIXED APPLNS, OR
Ex. Occup.(OUTLETS (RESID.) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50 1 51-0
Permit Fee $ , 22
Contractor -
MECHANICAL PERMIT
FiIirig Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
�l shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00 -
Ventilation
_++
permit Fee
$
Contractor
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 authorize representatives of the County of
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 in consequence of the granting of this permit.
X ��' '�7 ���
Date
Signature of Applicant — Owner � Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
structures over 3 stories in height.5y
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OF CONST.
[FZR-7CELPD
HD
I6suE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
- DIR TOR OF PUBLIC
BY
P IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date% bipt
jj-D.P.W.,
b Q
Lion,coff
No._;
YELLOW -AS 6!630 R, PINK-IN6P EC TOR, GOLDENROD -APPLICANT