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HomeMy WebLinkAbout039-270-05639=27=� Mer a s/s Ord Fern} 60'.W. o Brown St. Dayton of 60 -7- Permit Permit 6445-75 B,P, ,M (new S 39-27 Jim Lact -SIS -TOrd-Ferry-�Rd-. ; +60' :of=Brown-S-t-._, Dayton, of 6),�/ 1,0-1.2%6 Permit #2283-76B,E( dd garage/SF) ' W fit' ` D 5 8� BILLANE EZ. � l �� / SIS Ord Ferry Rd, a p 125'W of Hensley, Dayton Pontr: Valley Electric; -'Chico Permit#2211-80E(ele ser ch)SF I i 39=27=� Mer a s/s Ord Fern} 60'.W. o Brown St. Dayton of 60 -7- Permit Permit 6445-75 B,P, ,M (new S 39-27 Jim Lact -SIS -TOrd-Ferry-�Rd-. ; +60' :of=Brown-S-t-._, Dayton, of 6),�/ 1,0-1.2%6 Permit #2283-76B,E( dd garage/SF) ' W fit' ` D 5 8� BILLANE EZ. � l �� / SIS Ord Ferry Rd, a p 125'W of Hensley, Dayton Pontr: Valley Electric; -'Chico Permit#2211-80E(ele ser ch)SF M C"l N i�l PERMIT N0. 6445-75 B,P,E,M • t�' P ,t �1 E 4 ( M MH UTIL. PERMIT NO. A. /y/y PERMIT EXPIRES- //1a OWNERJames Miller OWNER �. CO NTR. OWner i�.. I;OCATION (A.P. 39-27-20 �. s/s Ord Ferry Rd., 60' W. of Brown St., Dayton, (Lot 60) 1 •� • F r xF • t� • ttt Temp. Power Pole Called PG&E S Temp. Elec. S v. '�« Called P &E — (n Temp. G Serv. Cal d PG&E JO7-2 F ALED - -r� } (Dat �. (Signature) '1 r; ! I u A. #,.. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall .�< Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish ~ 2nd Floor Footings — Windows 3rd Floor Stemwall Siding - To out Slab "' Roof Sheathing`eP- P' in --/6- Piers Garage _ Roofing ­ Fdn. Vents ewer Fixtures _ a Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances 41 7 Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final 7 — % 6, Sanitation Patio FIREPLACE Final — _ Footings--/ Footing ri ELECTRICAL Masonry Walls r Throat Rou h .2. Reinf. Steel Final —. 2 4, Fixtures Bond Beam FIRE SPRINKLERS Motors •=—�— Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating —2— Service Brown Cooling -1'7— % Temp. Pole Finish Ducts j Underground Oc"Qr Lath - _-2- 74p Ventilation Permanent Door Closer r -.. — (p inal % Final — v DATE —REMARKS OR CORRECTIONS QA47' � U � ��� , �/� ®� �� C' �� �� ERS` VCOM`PANY ll H LICENSED CONTRACTOR Insulotion —Weatherstripping — Accoustical Tile P. 0. Box 3506 Chico, California Phone 342-4764 Date To Q1/m J%..Ie— (Purchaser) (� Lo �� (No' . and Street) (City and State) THIS IS TO CERTIFY THAT INSULATION HAS BEEN ,INSTALLED IN CONFORMANCE WITH THE CURRENT ENERGY REGULATIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: � ti'".c3 Street Lot Number Tract No. EXTERIOR WALLS Manufacturer} /�_ Thickness/Typei,,& �R Value CEILINGS Batts: Manufacturer Thickness R Value Blown: Manufacturer Thickness !tip No/. Bags C>Q/ Wt./Bag Sq. Ft. Covered (/110 R Value FLOORS Manufacturer Thickness/Type R Value SLAB ON GRADE Manufacturer Thickness/Type R Value Width of Insulation Inches FOUNDATION WALLS Manufacturer Thickness/Type R Value r GE AL CONT ACT K CENSE NUMBER Z9�3Z� B TI LE dt�14J�R DATE :7 —2 --7 ULI�%fI CONTR CTOR V-"` LICENSE NUMBER tS&S-Q32— B J/'/ TITLE �� DATE •� SAVE ENERGY - INSULATE! ( DATE) ACCEPTED � --b % HERSETH COMPANY (Authorized Representative) r FA d w : • . _ e _ . . Vie. . 7• • . e • COUNTY OF BUTTE — : DEPAAT'MENT OF PUBLIC WORKS 7 County Center Drive --Uroville, California 95965 • ' Tel ethone: 534-4541 //�' / APPLICATION AND PERMIT Of BUILDING Owner -S ! E SQ. -FT. OCC. BUILDING VALUATION Mailing Address I.Lel ! C 0Z- No Fireplace Contractor ��- Total Valuation 15-4v• Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee O `FEE �C Building Address 5 _ PLUMBING No. @ PERMIT FILING FEE . $3.00 3 (3CZ - 66 6 Q '49"o CO 7ach Trap 1.50,r,:2.CC Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No.3 - 77 W Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F W. . Sa on Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA I Parkin arkin I Declaration Parcel Map 60' R/W I Improve is Lawn sprinkler system 2.00 Bldg. ane Recd Porcel 4rovol Plans Approval Permit Fee $ o ) S NEW JK ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 Main service 600V OR LESS 5.00 100 AMP OR LESS Main service EA. ADD•L 100 AMP 2,50 Single Family IN Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V 100 AMP OR LESS 25,00 Main service EA. ADD'L 100 AMP 1,00 NEW CONST. OR ADDNS. % ACCLLING BL GO CUP. &) 20sgft 3(�, 6 NEW CONSTR MULTI -OUTLET NON-RESID, 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: C 8 'z- 00 Ex. Occup(OUTLETS OR FIXTURES)@Lz5a BALN'1 Ex. Occup. FIXED APP LNS. OR P•�OUTLETS (RESID.) EA) 2:00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.Classification 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 kWokmen's Compensation. Xave placed on file with the County of Butte a certificate of 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 Cal i forni a. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 -3. OG Heating (rj _ O O Coolingorkmen's Ventilation Hood (' 2.00 2� C9 0 Permit Fee $ 3._ oo $ F_ (9v 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. -� Date ��-�23_i� Signature of Permitee or Agent TOTAL PERMIT FEE $ 3 40 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 0 UBLIC WORKS c J^�' �, / /—/ 7---:;,L —.7L Receipt No. ,� .3(t'5 A5 e, V- ! -! Z White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant wilding permit expires Date -77 -IT 23 PERMIT NO. 2283-76B,E PERMIT EXPIRES J 1 717 J OWNER Jim Black ° 'CONTR. owner LOCATION (A.P. 39-27-20 S/S Ord Ferry Rd., 60' W. of Brown St., Dayton . ,• Clot � v� j' 13 • Y 4 1 1 Temp. Power ole Called P &E Temp. EI . Serv. Call d PG&E Temp. as Serv. ' F ` [led PG&E B INALED . (Dat e s (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTfON RECORD BUILDING BUILDING (Cont'd) PLU ING Setback (,�2•1 Firewall Soil Piping Forms Parapets L 1st Floor Main Bldg. Restroom Finish r 2nd Floor Footings Windows 3rd Floor Stemwal I Siding off- ' To out Slab Roof Sbeathinp ater Piping Piers Roofing 0 "� ` Sewer Garage Fdn. Vents 40 Fixtures Footings - j Stemwal) to ~ 1� arage Vents Insulation Water Htr. Heaters Slab - Carport Footings Prov. for ph sically handicapped Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Slab Final �- C '' Sanitation Patio FIREPLACE I Final Footings Masonry Walls Relnf. Steel Bond Beam Framinc -• Z Stucco Mesh Scratch Brown Final FIRE SF Test Final E2� MEC ELECTRICAL Rough 10 - Fixtures 110 Motors Water Htr. -�- Subpanels ��•—/� �7%� Grd. Fault Prot. Service Temp. Pole Finish Ducts 04Underground Interior Lath Ventilation Permanent Door Closer Final IF Final DATE, / 740 REMARKS OR �RRECTIONS 3, t/�5,4 ,O �� emP1,a i �1. G7' i ii e®vsz'/Zti�G6, iU.4L4- 2EgfAZ #oezgF kL. k L f=or,.- W &L- (JF-,< - r , r 1 (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS :v 7 County Center Drive `"_ otbville, California 95965 Telephone: 534,4541 APPLICATION AND PERMIT wA 9 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. ✓� X r Date `� S Signature of Permitee or Agent Receipt No. (p White-D.P.W. — Yellow- ss r ink -Inspector — G I enro -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—ally- - Date Building permit expires Date BUILDING Owner ( PA. SQ. FT. OCC. I BUILDING V , UATION Mailing Address PC>, an 4 A, A� M`- T ephone No. Fireplace • Contractor Total Valuation Mai ling Address Permit Fee ,Qp Plan Checking Fee &/or Penalt • Telephone No. — Permit Fee ep Building Address S s IQ PLUMBING No. @ FEE PERMIT FILING FEE $3.00 If o Each Trap 1.50 Repair drainage or vent piping 1.50 (e�j0 Water piping 1.50 Each gas water heater or vent 1.50 �/� r , 2.� r ZO A. P. No. _l Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 W (g)on Fire Dept. Fire Zone I Use Permit Building sewer 5.00 EQA Parkin I0 Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.0Plans \/Bldg. Plans Recd I Parcel dppr al Plans Approval Permit Fee $ $ NEWADDITION, UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 O 'n❑ Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family Eg- Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. I DWELLING OR ADONS. ACC. BLDG UrP &) 20sgft NEW CONSTR. MULTI.OUTLET NON•R ESI D. BRANCH CIRCUITS)2.50ea ' NEWCONSTR POWER APPARATUS&J1 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)50 @25C 101 Ex. OCCU FIXED APP LNS. OR P•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring '6.25 7( �am exempt from the Contractors License Laws of the State of Cal Ifomia. Permit Fee $ 1-7,401 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. 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 1 1 2.00 Permit,Fee $ $ 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 TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. ✓� X r Date `� S Signature of Permitee or Agent Receipt No. (p White-D.P.W. — Yellow- ss r ink -Inspector — G I enro -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—ally- - Date Building permit expires Date '-Z, �: -4--?o 1-1 t h, PERMIT NO. 6444-75 B,P,E,M . P { f E ( M ','MH UTIL. 1 PERMIT NO. PERMIT EXPIRES -1-OWNER James Miller '-Z, �: -4--?o 1-1 'q�t� PERMIT NO. 6444-75 B,P,E,M . P f E ( M ','MH UTIL. 1 PERMIT NO. PERMIT EXPIRES -1-OWNER James Miller t,coNTR. owner LOCATION (A.P. 39-27-20 ) F nw corner Brown St. & Ord Ferry Rd.,Dayton AV (Lot 59) 1 - t.. 'q�t� ,c 't f . ( r T/Gas le CallE Terv. E 7L Te. E JOB FINALED (Date) (Signa ure) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING PLUMBING BUILDING (Cont'd) Setback Firewall 5.L.16 -7 Soil Piping Forms Parapets 1st Floor 0 Main Bldg. Restroom Finish 2nd Floor Footings --.;z0: 6 Windows 3rd Floor Stemwall c>� Sidin ,� -� . To out "7 Slab -- ,�O �i Roof Sheathing Water Pipin Piers Roofing Sewer - 6 Garage Fdn. Vents Fixtures Footings -- oZ Z> -76- Garage Vents Water Htr. Stemwall O -;!—(p Prov. for physically ' Heaters Slab ` - 6 handicapped Appliances Carport Conformance of ex. Gas Piping & Test -� Footings - structure Temp. Gas Slab Final - Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam 1 FIRE SPRINKLERS Motors Frami ng o2 Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. -Scratch Heating Service Brown Coolin — Temp. Pole Finish Ducts Underground Ventilation Permanent r Door Closer -�^ �7� Final Final DA .E/ REMARKS REMARKS OR CORRECTIONS Com LrL{"i 77'h/&-'/ 0'/ �i€7—X� S0,C457 ' Cp,C)l e06,6 Me�l 7 07 /J0' AE�Vbs n A 5/- e- -7 L IG7-" /A/,'k/4J4-ToA/ 1 C:P y �� .� G% , /��z�r� D ��� .. ��� ERSET ". COMPANY4.. LICHNRED CONTRACTOR Insulation — Weatherstripping — Accoustical Tile P. 0. Box 3506 Chico, California Phone 342-4764 Date To Wi m /L/L/6 �z (Purchaser) LZT S ( �0 swj) (No. and Street) (Cify and State) ` THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT ENERGY REGULATIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: I'VE C04/v,9-4 WAMPA/ -W n04i P,-Odci Street EXTERIOR WALLS Lot Number Manufacturer (9. 60C, Thickness/Type Tract NO. Al R Value / / CEILINGS Batts: Manufacturer Thickness R Value Blown: Manufacturer SL_L_r Thickn/e,ss No. Bags �/ Wt./Bag Sq. Ft. Covered R Value l FLOORS Manufacturer Thickness/Type R Value SLAB ON GRADE Manufacturer Thickness/Type R Value Width of Insulation Inches FOUNDATION WALLS Manufacturer Thickness/Tye R Value 2 Q GENERAL CONTRACT R �' LICENSE NUMBEER B TIT Owb'lFD- DATE C� INSULA ION NTRACT R Qi -/''� LICENSE NUMBERT� �/ BY TITLE DATE %5' SAVE ENERGY - INSULATE! I DATE) ACCEPTED HERSETH COMPANY (Authorized Representative) ` COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Dave I Oroville, California95965 Tel ephorie: 534-4541 APPLICATION AND PERMIT �....i�...., v...a �„c Vvuil ly ul OUlla lU OIIICI UPUII Lilt!above-mentioned property for inspection purposes. Date Signature of Permitee or Agent Receipt No. 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 ate_1-!L uilding permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address o 0 C, C Telephone No. — Fireplace -7 S-0 Q Contractor A/ c Total Valuation O b Mailing Address Permit Fee Plan Checking Fee &/or Penalty oe Telephone No. Permit Fee `0Q C Building Address /� Q� Lf PLUMBING No. @ FEE PERMIT FILING FEE $3.00 c f_ O CCS ® Each Trap 1.50 ,C Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No 02.%—� d ��' Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W . Sa ion FireDept. FI re Zone Use Permit Building sewer 5.00 EQA Parking Pla s arcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. Tnons Rec'd Parcel Aproyal Plans Approval Permit Fee $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service 6001 OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD -L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ OVER V Main service 00 AMPO OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( DWELLING OCCUP. & OR ADONS. ( ACC. BLDGS- ) 20sgft •�� ' NEW CONSTR. MULTI -OUTLET NON-RESID. 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: A- Ku_L E C��`a �dZ� '�ldN 00 2 A- 1p_.100 Ex. Occup(OUTLETS OR FIXTURES) BALD; Ex. OCCU FIXED APPLNS. OR P• ( OUTLETS (RESID.) EA) 2:00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. �-�i.S3Z� Classification Q�� 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. iecertify 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 MECHANICAL No.1 @ I FEEPERMIT FILING FEE $3.00 3-C OO Heating d e O O Cooling Ventilation Hood 2.00 L', CDO Permit Fee $ DU $l 3'Q d TOTAL PERMIT FEE 2 $ c> �....i�...., v...a �„c Vvuil ly ul OUlla lU OIIICI UPUII Lilt!above-mentioned property for inspection purposes. Date Signature of Permitee or Agent Receipt No. 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 ate_1-!L uilding permit expires Date --- - -- -- - - Gtr c C -J. ___- -- - �� ,, c 1c c_ Al/ r GILL A-tJ .2 9 Cola A/2> dl4loid 'k17 le 6V4 COUNTY OF BUTTE - DEPAITMENT OF PUBIIC WORKS 7 County Center Drive - Oroville, Califol-iia 95965 - Teleph(ne 916/534-4541 APPLICATION A. W PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace �_ LENDER'S MAILING ADDRESS Total Valuation $ Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ Permit fee $ BUILDING ADDRESS _ PLUMBING PERMIT Filing Fee 3.00 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 Building sewer Lawn sprinkler system 2.00 SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY TYPE OF WORK Permit Fee $ New El Addition El Remodel❑ Utilities❑ Installation[, Other EJ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Describe work: Main service 100 AMP OR00V OR LESS5.00 Main service EA. ADD'L too AMP 2.50 NEW CONSOR ADDNST ( ACCLBLDGS.CCUP.&) 20sgft 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 NEW CONSTR ULTI-OUTLET 2,50 ea NON-RESID, BRANCH CIRC ITS NEW CONSTR. (POWER APPARATUS &) NON-RESID. SINGLE OUTLET CIR, Ex. Occup(OUTLETS OR FIXTURES BAL@a BAL@tOQ FIXED APP LNS, OR Ex. Occup.(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 ❑ I, as the ol,Iner, or my employees with wages as their sole compen- Mobile Home Facilities 15.00 sation, will do the work,and the structure is not intended or offered for sale. (Sec. ) 7040 ( ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) Misc. Wiring 6.25 Permit Fee $ ❑ I am exempt under Sec. , Business and Professions Code Contractor for this reason MECHANICAL PERMIT Filing Fee 3.00 WORKMEN'S COMPENSATION INSURANCE Heating 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. Cooling Hood 2.00 ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Ventilation _ 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 permit Fee $ provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ Land Development Fee $ 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. TOTAL PERMIT FEE 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[_� OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD ISSUE against said County in consequence of the granting of this permit. This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do X Date Signature of Applicant — Owner F-1 Contractor ❑ Agent ❑ work indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition Or construct- ion of structures over 3 stories in height. DIRECTOR OF PUBLIC By PERMIT EXPIRES Date WORKS Date Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534 APPLICATIQN AND PERMIT S i ASSE y PARC L NUMBER / — °- — q6 6Q ZONING BUILDING P RMIT OWNER CC�ir TELEPHONE SO. FT. OCC. BUILDING VALUATION � OWNER'S 1I ILING �DD4 3(4 C,t�� O CD `7/C CONT TOR•S NAME � � L, UaT2t C o (= N or o TELEPHONE 5--33Q11 ' CONTRAO R'S MAIL NG ADDRESS f o • 0-A '?7a' CONSTRUCTION LENDER UNK N Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT oR EN�NEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 3.00 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 WORKPermit New ❑ Addition ElRemodel ❑ Utilities ❑ InstallationEl Other Describe work: �L�`cT S2UcC� CGl�9Nfo� _ Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service &OOV OR LESS 100 AMP OR LESS 5.00 oO Main service EA. ADD'L 100 AMP 2,50 :Z-56 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 120sgft 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. �DS�O g 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 CONSTNON-RESID R BRANCH CTRCTITS 2.50 ea NEW CONSTR. ( POWER APPARATUS &) NON-RESID, SINGLE OUTLET CIR. Ex. Occu / 50@5 p\o OR FIXTURES BAL@10¢ FIXED A Ex. OCcu FIXED ASPENS. OR P•(OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring J;0 Z. �(L-X 1-k0 6.25 .25 O Permit Fee $ Contractor 4iot,Z 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. MECHANICAL PERMIT FiIingFee 3.00 Heating Cooling Hood 2.00 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 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 2ll�LI� �t--�' Date Signature of Applicant — Owner ContractorK Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in hei ht. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE �.� OCCUP. GROUP I TYPE of CONST. PARCEL PD HD ssu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PE EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date _ f Z- J �� I �'v / Receipt No. 2_73 39,61Z WHITE-D.P.W., YELL S�S)Z�R. NK-I:OP T -6LDENROD-APPLICANT