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Home My WebLink About039-380-0070/39 - -M0-- CSD'% r 039-380-007 PERMITN95-0784 GARTWRIGHT, CARTWRIGHT, Wayne � q 1164 Marian Ave., Chico"" Mrs. & Mr. W.A. 3802B .. �. 9S f^ 3056r"' Cont; Johnson Roofing 379' Reroof/SF 39-3 11164 Marion St., Chico 1164 039-38-0-007 98-0278 E,M ICONTR: Robert Novak, Rt. 2, Box 425A, 03 CARTWRIGHT, Wayne (addition & Ladd 1164 Marion Avenue, Chico =model) (upgrade elc & hvac) Gallaghers 0/39 - -M0-- CSD'% r .. ... ^•�"'�t",.� _ •.�,. w*rv....w..ry. ,.. �...,,.y �al?s` 9-'4�w'i�3�:[!TC}RSbitfY ,�3$fi�,�i�-�'�r.�*� L i {l 1 , r -7-6 S t i OFFICE COPY Address GAS Date Meter Byf ELECTRIC r Date;V Meter By l x Y � t �` �. �. ". .. _ .. -}, .. :,w,:r... .4.c• �- . ..•. -Y-4Ain'v.v. •• .YYt i# . N;.._- k .�IJ:.c a t, +. COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, Cakfornia-95965 - Telephone (916) 538-7541 PERMI?,No• (Rev. 12/96) APPLICATION AND PERMIT 7 Q 21 ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE ag 3ya-cr SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS n 1164 A� F - CONTRACTOR'S NAME r,A1J,Ar.HRRS RVAIC384-24-44 TELEPHONE CONTRACTORS MAILING ADDRESS _ CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS ' Total Valuation Is ARCHITECT OR ENGINEER UCENSE NO. i Flln Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 1_164 HART AVE- Energy Plan Checking Fee $ $ -ON PERMIT FEE _ LOT NO. SUBDIVISION'S NAME F PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF @ Duplex ❑ Mobilehome ❑ Other I SPECIFY 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 O Describe Work: UPGRADE ELECT SERVICE AND CHANGE OUT HVAC 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 Filing Fee 20.00 Main Service zoonoa�ss 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. �- r License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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 offered for sale. ❑ 1, 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 I Main Service ( 200A TO 10DOA 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. So 3.50FT.NEW ' S. NON-RESrIDT ANL. I -OUTLET CIRCUITS @7,50 OWER APPARATUS 8 PSINGLE OUTLET CIR. Ex. Occup. OUTLET OR FDRURES BAL @ 1.550 Ex. Occup. ouT�rs PPR M.) F 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirinci 23.00 PERMIT FEE $ 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 t performance of the work for which this permit is issued. 7, 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 workers' compensa 'on insurance carrier and policy number are: Carrier k ) V\ 1 L�C, r e. MECHANICAL PERMIT Filing Fee 20.00 Heating 125.00 • Cooling • - Hood 6.50 Ventilation —4 PERMIT FEE • 00 Policy Number yG �1 `� C�" C �t (a lr - (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 if I should become subject to theWOO workers' compensation r�ovlsions of section 3700 of the Labor Code, I shall ----forthwith co ply with those 'fovisions. �� r �/ r Date ! _Signature of Applicant - ❑ Owner,, 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 n� TOTAL FEE $113.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This per 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, /} By �%1X.YP -.1tonn Date'� r 7 � PERMIT EXPIRES ON 4p (Da te Receipt No. o ��o WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT J X �COUNTYOF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION 7 County Center Drive - Oroville, - alifor%ia 95965 - Telephone (916) 538-75 PERMIT K. (Rev. 12/96) APPLICATION AND PERMIT 7? ASSESSOR PARCEL NUMBER ZONING BUILDINGPERMIT OWNER TELEPHONE �1�a,�� SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 1164 MARTON AVE CHICO CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION 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 ADDRESS 1166 MARTON AU Energy Plan Checking Fee $ CUM PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF R] 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 New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IX Describe Work: UPGRADE ELECT SERVICE AND CHANGE OUT HVAC Gas piping system 1 - 5 outlets 15.00 Building sewer . 15.00 Mobile Home S I GI W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service '..A 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.\ C License Class Lic. No. 'S � J 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 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 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 workers' c mpensaflgn insurance carrier and policy number are: Carrier % l 'gA y- �_ Main Service To 46.00 CCU000A W:L200A NEW CONST. DWELLING OCCUP. OR ADDNS. ( DW: ACC. S. SO 3.50FT. NON•RESNDTMu�LTI.OU CU @7.50 POWER APPARATUS 8 SINGLE OUTLET CIS. Ex. OCCU . OUTLET OR FIXTURESBAL O I' 0 Ex. Occup. oUTitTs REESSID.DE0. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina LE M PERMIT FEE $ 43.00 MECHANICAL PERMIT Fling Fee 20.00 Heating 125.00 25.00 Cooling 25.00 25.00 Hood 6.50 Ventilation PERMIT FEE S .0.00 Policy Number _&A 1 O— X Q9 U ID D s7 (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 if I should become subject to the workers' co Ensation revisions of section 3700 of the Labor Code, I shall ith co ply with t se ovisions. 1�'lDate �_ —� LEnatur plicant - ❑ OwnerCO Contractor ❑ Agent An OSHA permit 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 $ DCC rL_ 3 CONST. TYPE Ung TOTAL FEE $213.00 HAZ. I D. FEES I IMP I FLOOD I CDF I PARCEL I ;7D ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have - ^,, By /�� l'-�o PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. O Date Dela Receipt No. 3 WHITE-D.D.S.-B.D. CANARY•A SESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (9 16) 538-7541 PERMI Rev I2i9di APPLI frON AND PERMIT y,E,�ORF„11C4iIUMM �M"o BUILDING PERMIT owNSR a Ts�P"ONs SO. FT. OCC. BUILDING VALUATION owNE117 wuuNo AD IV 071ate, CONTRACTO�NAM[ '� W ' n V�,YI VAC TELIM"ONE 3 , CONTRACTOR! MUNO AD CONSTRUCTIONUM111 Fireplace LENOU" MAUA ADDRESS Total Valuation = ARCHITECT OR MOM MOM N0' Filing Fee S 2C Permit Fee $ ARCHrrW OR DOWEas MANNA ADDRESS Plan CheckingFee $ OUILOMADORES$ ' I Energy Plan Checking Fee $ PERMIT FEE $ LOTNO. sueDNexIN ume PARCEL MAP PLUMBING PERMIT Filing Fee 20 Each Trap 7.00 USEOFSTRUCTURE SF � Duplex ❑ Mobilehome O Other Solar or heat pump water heater 23.00 Waterpiping_15.00 Each gas water heater or vent 15.00 ---SPECIFY TYPE OF WORK New O Addition O Remodel O UtlGties O Instillation O Other Describe Work: -d Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I WT @20.00 PERMIT FEE $ ELECTRICAL PERMIT JFIIIngFee1 20• aoov OR LESS Main Service xow oR LEss 23.00 am LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of ChapterNEW 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 Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: O 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. O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project O 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION hereby affirm under penalty of perjury one of the following declarations: O 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. D 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. W workers' compensation Insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit Is for work of a valuation of one hundred dollars ($100) or less.) O I cartify that in the performance of the work for which thin permit is issued, I shell not employ any person In any manner so as to become subject to workers' compensation laws of California. and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X___ Date _ __ Signature of Applicant - O Owner CI Contractor O Agent An OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. Main Service 200A To 1000A 48.00 NEW CONST. OwEtla+o OCCUP. sa OR ADONS. a ACC. erns. 3.5rZFT• CONST. MULTFOUTLET @7.50 NO*RE$ID. cuffs POWER APPAAATW 6 SNOLE OUTLET CIR. ounET OR Fixrm S 20 ® 1.00 Ex. Occup. S.L. .w FaEo A tn., oR 5.00 Ex. Occup. ovnErs EsID. EA Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ () MECHANICAL PERMIT Fling Fee 20. 500 S.Ap Heating I Cooling 5'f%U 5,00 Hood 8.50 Ventilation PERMIT FEt $ G () Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST rrvt TOTAL FEES Z. 1 O. FEES I IMP I FLOOD I Cor vARCELPD — s This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable p rovisic Resolutions to do we been paid. Date ta/f�1 ReceiplNo. wHIrE o 0 3.-8.0. CANARY -ASSESSOR PINK INSPECtOR OOLOENROO•APPLICANt 0.— 39-380-007W_ PERMIT#95-0.784,.., CARTWRIGHT, Wayne 1164 Marian Ave., Chico Cont; Johnson Roofing Reroof tt 0.— 39-380-007W_ PERMIT#95-0.784,.., CARTWRIGHT, Wayne 1164 Marian Ave., Chico Cont; Johnson Roofing Reroof ,.. ..- ..- -- 1sP�'�'"iKR�l�u �,.. 6.�i'71'-�`M1F "�7Y,t9lj"�`. ifwY''��f;;�i��v•r�q'i,�!il-i^.. i r �.„ f r ' COUNTY OF BUTTE -DEPARTMENTOFDEVELOPMENT SERV ICES -BUILDING D/_S ION 7 County Center Drive - Oroville, :California 95965 - Telephone (916) 538- 41 APPLICATION AND PERMIT /J ASSESSOR PARCEL NUMBER I] ZONING SRI BUILD NG PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION 1 �� 320 OWNERS MAILING ADDRESS 1164 ' 4UE, CHICK) 95928 CONTRACTOR'S NAME 0ON ROOFINGRWFING TELEPHONE 9111894-5507 , CONTRACTORS MAILING ADDRESS , Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 33.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS•1 MRIAN C141CO PERMITFEE $ 53.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF M Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 11 ROOF CAMP Describe Work: R8. Mobile Home I S I G W 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20.'00 Main Service OOOV OR LESS ( :810000A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 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 i fu�ll +force and effect. // ) 2 License Class ��"f Lic. No. 6 1/G 6"3 OWNER -BUILDER DECLARATION 1 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 NEW CONST. DWELLING OCCUP. s0. OR ADDNS. ( a ACC. BLDS. ) 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ( & SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES) 20 @ 1.00 BAL � FIXED APPLNS. OR Ex. Occup. ( OUTLETS (RESID.) FA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor 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. ❑ 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' c , pe sati4insur ce car le a d policy numpe� are: Carrier Cjy Policy Number0- (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 if I should become subject to the wor"ers' compe�r.sation provisions of section 3700 of the Labor Code, I shall fort (,vith comply with t - se provisions. XD - _Date'-�-- — Signature of Ap licant Owner_ Contractor-- ❑Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee Is Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 53,00 HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL PO HD I ISSUE 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. f%�y o, �fJ� 'rf/ y By Date ��/C/ PER Y EXPIRES ON �'3jA (Date) ReceiptNo. /7 f'73 %�� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIV ION 7 County Center Drive - Oroville, Califorr�ik 95965 - Telephone (916) 538-7 1 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 039-380-007 ZONING SR1 BUILD, G PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION 22 1 320 OWNERS MAILING ADDRESS 1164 MARIAN AVENUE, CHICO 95928 CONTRACTOR'S NAME JOHNSON ROOFTNG TELEPHONE NX9894-5507 CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Fling Fee $ 20,00 LENDER'S MAILING ADDRESS Permit Fee $ 33.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESS MARIAN 1164 NXXXXX AVENUE, CHICO PERMITFEE $ 53.00 PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar Or heat pump water heater 23.00 USEOFSTRUCTURE SF RJ Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IR Describe Work: REROOF COMP Mobile Home I S I GI W @20.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filina Fee 20.'00 Main Service COeV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 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 iRR full force and effect. , to �Q� License Class 1,3�' Lic. No. 71 /LNS. OWNER -BUILDER DECLARATION 1 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. ❑ 1, 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 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' c pe sati insur ce ca e a olicy num are: Carrier (% Policy Number &6e (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' sation laws of California, and agree that if I should become subject to the ' cc a ation provisions of section 3700 of the Labor Code, I shall co I w t se provisions. Date�� A,nature7;fp Ilcant Owner Contractor ❑Agent An OSHA permit is requi d for excavations over 60" deep and demolition or construction of structures over 3 stories in height. NEW CONST. DWELLING OCCUR OR ADDNS. ( & ACC. BUDS. ) 3.50 FTSD.. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES 20 @ 1.50 eAL 50 Ex. Occup. ( OUTLETS(RESD.)EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE S Contractor Mobile Home Installation Fee $ Energy Inspection Fee is Occ CONST. TYPE TOTAL FEE $ 53.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE 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. BY Date PER PIRESON (Date) Receipt No. 107S- 73Q I WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT