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Home My WebLink About039-380-002039-380-002 PERMITN94-2883 CAMBRA, HANK & GLORIA 1112 MARIAN AVE., CHICO I CONT: HARWARD REPLACE WINDOWS & PATIO DOOR/SF S i 039-380-002 02-0060 CAMBRA, HAND 112 MARIAN AVE, CHICO 3�1 CONT: MD PLUMB G ,. U WATERHEATER Ito B08-0326SCA/4-e 039-380-002 MISCELLANEOUS Plumbing EXTEND GAS LINE FOR GAS INSERT 1112 MARIAN AVE CAMBRA, FAMILY TRUST B08-0414 039-380-002 MISCELLANEOUS Gas Reconnect GAS FIREPLACE INSERT 1112 MARIAN AVE CAMBRA, FAMILY TRUST, B08-0874 039-380-002 MISCELLANEOUS HVAC Change Out CHANGE OUT HVAC 1112 MARIAN AVE CAMBRA, FAMILY TRUST I 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: 1112 MARIAN AVE APN: 039-380-002 Owner: CAMBRA, FAMILY TRUST permit No: B08-0874 Issued Date: 05/13/2008 By TMP Expiration Date: 05/13/2009 Permit type: MISCELLANEOUS Subtype: HVAC Change Out 1112 MARIAN AVE CHICO, CA 95928 Description: CHANGE OUT HVAC Occupancy: Zoning: SRI Contractor Applicant: Square Footage: GALLAGHER'S HEATING & AIR GALLAGHER'S HEATING &, Building Garage Remdl/Addn PO BOX 35 PO BOX 35 LOS MOLINOS, CA 96055 (530) 384-2444 LOS MOLINOS, CA 96055 (530) 384-2444 Other Porch/Patio Total FEE INFORMATION DBM Heat Pump (Package Unit) $59.00 Total Charged: $59.00 Fees Paid: $59.00 Balance Due: $0.00 Receipt No: B7327 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires GALLAGHER'S HEATING 8r AIF 777334 / C20 C38 / 04/30/2008 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 pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000) 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 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Sectio 000) of Division 3 of the Business and Professions Code, and my license is ' force and' ed. If 05/13/2008 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: ntractor's S' n ure Date ❑ 1, 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 WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one I 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 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.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by � Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; E]1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: The Contractors License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a.contractor(s) licensed pursuant to the Carrier: State Fund Policy Number: 713-0013855 Exp. Date:05/01/2008 (This section need not be completed if the permit is oror one dollars ($100) or less. Contractors License Law.). ❑ I AM EXEMPT under Section B. 8 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' X 05/13/2008 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pr visions. Owner's Signature Date X 05/13/2008 V I 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 State laws relating to building 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 injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to ant r the above mentioned property for inspection Pur oses. I ereby certify that I am the arty am au orized to act n the prop owner/behalf. �� j1 r 5/13/2008 SigbZure Date WARNING: FAIL RE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for/Name the performance of ;he work for which this permit is issued. (3097 civ. code) rmittee [SI ] Print Date Agent for Owner Agent for Contractor Owner 11 Contractor OR; El FILE COPY Lender's Address City State Zip BUTTE COUNTY o�vTrF0 DEPARTMENT OF DEVELOPMENT SERVICES 0 0 BUILDING PERMIT APPLICATION* o _ o OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 o=. -_tea o A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds cOUNPLEASE PRINT CLEARLY PERMIT NO. BIN # "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. OWNER INFORMATION Last Name First k12e Mailing Address; - (� �I ., City State Zip - a Phor." _� G Fax E-mail) APPLICANT INFORMATION1P CONTRACTOR Nam I 0�n ' V Address Z City Fax StateCA Zip Phone Fax E-mail Lic. # —, —� 3 -3 Class C D_0, C APPLICANT INFORMATION1P ARCHITECT/ENGINEER Name City �Mn 1 IJ Ma Address Z City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION1P Name / La 'S H V Address ?C) City �Mn 1 IJ Ma State ^ Z Phone ` ,, �g Fax E-mail PROJECT LOCATION Property. A�ddroce� ��v^- M01- r. Au . a city 0.,k t'tc - WORKER'S COMPENSATION Policy Numm-fiber Carrier If hiring anyone other than licensed 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. V G Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA vesNo Occ. Type Const. �s9. y 039-38e-002 02-0060, CAMBRA, HAND 112 MARIAN AVE, CHICO CONT: MD PLUMBING WATER HEATER t COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION T' 7 County.Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT -OC,66 ASSESSORECf�/ r� 2, ZONING BUILDING PERMIT ma1/y OWNER V" Y 11\ jam' %lit TELEP ONE SQ. FT. OCC. BUILDING VALUATION OWNERS MA NG JURF55 !',,I I �w F /moi Y l , 6 % COM O 'S E LA M+ 1✓1 ACNE CN � CO ORS rLING nDRESS (d _ r v CnNSFrRICTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESSI f R T V Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK I New ❑ Addition ❑ Remodel ❑ Utilities ❑ In Ilation ❑ Other Describe Work: (,� _�" d.. CV `G, �-"- i l�Oil, Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home S I G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling ree 20.00 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 Professions Code, and my license is in full force and effect. /� License Class lr.,�,j.7 Lic. No. -aa / "'"J iii OWNER -BUILDER DECLARATION 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 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 200A TO 1000A 46.00 NEW CONST. DWELLING occuP. so OR AODNS. a ACc. BLAS. 3.50 FT. ONS NEW R.IDT. MULTI -OUTLET @7,50 POWER APPARATLIS a sINGLE OUTLET cIR. 20 Q 1.010 EX. Occup. OUTLET OR FIXTURES BAL @ .50 FIXI Ex. Occup. OUTLETS RESID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 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. I 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 worke s' co pensation Insux.ance c rrier and policy number are: Carrier [ Y':rr t P.L S . Policy Number I (The above sections need not be completed . 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 if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. J l p X Date _ Sigfiature SHA a Applicant - El Owner Contractor ❑ Agent An OSHA permit is required for excavatlons`over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ c asT. dE j TOTAL FEE $ HAZ. D. FEES IMP I FLOOD I CDF PARCEL PD HD I WIJF- 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. D OZ0640 ByDate . PERMIT EXPIRES ON / r l o . v Date l Receipt No. WHITE-D.D.S.-B.D. 9ANAR A SSF�SSOR' FINK-INSF"ECrOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMITya -°<56 G ASSESSOR PARC �j O Sr ZONING BUILDING PERMIT OWNER A I/l/\ bcr, T ONE SO. FT. OCC. BUILDING VALUATION � .OWNER'S NG DRESS • 4ve, 64 CONT O 'S E • ' / CO OR -3 IURESS NG n V CON RUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan CheckingFee $ BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY 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 ❑ Rem el ❑ Utilities ❑ In Ration ❑ Other Describe W rk: �V L7 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 S Main Service zoOACOOvA OR OR LELESSS 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 La full force and effect.POWEPPARATU License Class Lic. No. � OWNER-BUILDER.00 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 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. ❑ I am exempt under Sec. Business and Professions Code for this reason Main Service TO lOooA 46.00 NEW CONST. DWELLING occ. OR ADDNS. ( a ACC. BLDS SsO 3.50FT NOµRESID.. RANCHO CIRCUITS @7,50 & SINGLER AOUTLET CIR. OR EX. Occup. OUTLET OR FURES 20 SAL @ I. 0 Ex. Occup. ounFrsRE�SI6.) EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 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 worke ' co ensation inskwAnce c rrier and p '' Y -number are: Carrier �r� 1° Y -V t_—w-�f�iy[�.S-.J�/l$. Policy Number b()J<J% /I1 _e /_ 1917i (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 131 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 if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwit comply wit ose pr visions. • Z__ X Dateindicated of Applicant - ❑ Owner Contractor ❑ Agent ermit is required for excav Ions over 60" deep and demolition or construction s over 3 stories in height. EeN MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ D T. TOTAL FEE $ HAI, I D. FEES IMP I FLOOD I CDF PARCEL PD I HO U This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work above for which fees have been paid. By Date )t V PERMIT EXPIRES ON �1 / ' `� Date .-B. D. A R S ESSOR INK -INS OR GOLDENROD -APPLICANT rr\ f .,,039-380MIR -002 PERMIT#94-2883s ., CAMMA, HANK'&' GLORIA 1112 MARIAN AVE., CHICO 3 iCONT: HARWARD &'CO., t REPLACE WINDOWS & PATIO DOOR/SF of V LC�G COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION kND PERMIT �� - 4 2? Z3 ASSESSOR PARCEL NUMBER 039-'380'-002 Jl� Jl` G BUILDING PERMIT OWNER HANK $ GLORIA C MRT TELEPHON 895- 415 SQ. FT. OCC. BUILDING VALUATION I 4.620 OWNER'S MAILING ADDRESS 1112 MARIAN AVE.-CHICO 95928 CONTRACTOR'S NAME HARWARD & CO TELEPHONE CONTRACTOR'S MAILING ADDRESS 3851 MORROW LN #7 CHICO 95928 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 72,00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1112 MARIAN AVE CHICO PERMIT FEE $ 92.00 PLUMBING PERMIT Filing Fee 1 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 SPECIFY SF10 Duplex ❑ Mobilehome ❑ Other 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 ❑ Utilities ❑ Installation El Other O Describe Work: REPLACE WINDOWS & PATIO DOOR PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS ) 23.00 200A OR LESS Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. Sp OR ADDNS. ( & ACC. BLDS. ) 3.50 FT: NEW CONST. MULTI -OUTLET •NON.RESID. ( BRANCH CIRCUITS ) @7.50 CONTRACTORS LICENSE LAW( I dgclare under penalty of perjury (check one) Cf am a licensed under provisions of Chapter 9, Division 3 of the Business and ``.Professions Code and my license is in full force and effgct. License No. Classification ❑ I, as the own r, -r'I y emp oyees with wages as theirsle 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) CII am exempt under Sec. Business and Professions Code forthis reason POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BAL. @ 1.50 Ex. Occup. ( OUTLEDTs RES D.OEA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. %P11 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. ❑ 1 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 tff50 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 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. 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 Count In consequence of t; y' q graniing of this permit. X 1--- )1 '`J A.4 Date 0 9 Signature of Applicant - O Owfl ❑ Contractor ❑ Agent An OSHAipermit 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 $ 92. HAZ. 1 0. FEES - 1, IMP FLOOD I CDF PARCEL PO HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Codnd/or Resolutions to do work indicated bove for w ich fees have been paid. BYLI L Date PERMIT EXPIRES ON 50`7-' 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, Califgrnia.95965 - Telephone (916) 538-7541 ER T No. APPLICATION PERMIT " o `✓ �--� ASSESSO UMB PARCEL 039- 380.002 SR1 NG ING PERMIT OWNER HANK & GLORIA CAMBRA TELEPHONE 895-3415 SQ, FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1112 MARIAN AVE CHICO 95928 CONT20 CONTRACTOR'S NAME HARWARD & CO TELEPHONE CONTRACTOR'S MAILING ADDRESS 3851 MORROW LN V. CHICO 95928 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 2 00 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 1112 MARIAN AVE CHICO PERMIT FEE $ 92.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF}p Duplex O Mobilehome 13Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New ❑ Addition ElRemodel CI Utilities ❑ Installation ❑ Other Describework REPLACE WINDOWS & PATIO DOOR PERMIT FEE I$ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 600VORLESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. ORADONS. ( & ACC. BLOS. so 3.50 FT. NEW CONST. MULTI -OUTLET •NON-RESIO. ( BRANCH CIRCUITS ) @7.50 CONTRACTORS LICENSE LAW I qclare under penalty of perjury (check one) am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force anAect. LicenseNo. ClassificationTemporary ❑ I, as the ow r, y amp oyees with wages as'rcompensation, 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) C3 am exempt under Sec. Business and Professions Code forthis reason ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. 0 .50 Ex. Occu FIED APPLNS.ORp'OUTLETSIRESID.1EA.5.00 Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ T Ns permit is for $100.00 (valuation) or less. 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 orlthis permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Contractor 1 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, cost , a d gnses which may in any way acciue against said County in consequence of g a ing of this permit. X Date_,Q Signat a Applicant - Ow Contr for ❑ Agent An 0 HA permit is required for excavati ns over 5"0" deep and demolition or const c ' n of structures over 3 stories in eight. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 92.0 HAZ. D. FEES IMP FLOOD " CDF PARCEL PO HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Cod d/or Resolutions to do work Indic ed bove for w is a have been paid. BY Date PERMITEXPIRESON (Date/ Receipt No. WHITE-D.D.S.-B-.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT