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039-380-017
- .r-}.. «, +Mh p W' } ii ,e'��?�a1,4�y{S+F4st• y•,t"yL7z �iF} �"3" Or39 38=0 ` 017 r x ' 93 3102ffB , ;�� w�«:� a e .�i ,.�, Y + : CLARK ',DON �� r t� ,�* Of, ARIANs / . �. `y - �'' "; 7 /_ v s ��k CONTR. BUTTE` RFG'' "► .r, REROOF r ►i v r � 1 i o P I i 1 J' , mmar, L mlfj AW IRA db9 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION - 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 � PERMIT No. APPLICATION AND PERMIT�- ASSESSOR PARCEL NUMBER J I� D� ` D/ ZONING 5A • BUILDING PERMIT OWNEfl ONE TEL " SQ. FT. OCC. BUILDING VALUATION ,rry OWNER' LING ADDRESS S AI/� I` 1 1 CONTRACTO 'S NAME "Ic. TELEPHONE - CONTRALTO 'S MAILING<, DRESS Fireplace CONSTRUCTION LENDER r UNKNOWN Total Valuation $ az Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ do ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS / ` e PERMIT FEE S(j' b, PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 • - �i""'�-`" �'� Y' °`� '+Solas or hea"t"pump'wliate`r'heat'er 23.00' � Water piping 15.00 LOT NO. . SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF;.STRUCTURE SFN;� Duplex O *Mobileh6me ❑ Other ' SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W TYPE OF WORK New O Addition ❑ Remodel ❑ Utilities O Installation O Other` Describe Work: ^ (���+ s:p�t1& �, _ d:no! PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 ,�'�'Laze Main Service ( OOOVORLESS ) 2ODA OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. OLDS. ) 3.5C FTSD.. NEW CONST. MULTI.OUTLET .NON-RESID. ( BRANCH CIRCUITS ) @7.50 CONTRACTORS LICENSE LAW I declare -under penalty of perjury (check one) I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. �e'y�iGli`7 Classification ��'� O I, as the owner, 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) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason a ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.000 BAL.5 Ex. Occu FIXED APPLNS. OR p' ( OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O This permit,i§ for $100.00 (vdivation)-or-less..f : 4•• ,WI 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. O 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 or this permit will be revoked. PERMIT FEE $ Contractor :- MECHALAICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 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 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, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X�ii� lil 4 n_r__ ; Date �• p. YJ Signature of Applicant - EIOwner O Contractor D. AgentYp 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 ' $ ocC CONST. TYPE TOTAL FEE $ HAZ. D. FEES I IMP I FLOOD I CDF PARCEL PO 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. ^ DIRECTOR OF PUBLIC WORKS By _��' �, fl w + Date PERMIT EXPIRES ON (Da tel Receipt No. b / 0 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARfMENT OF DEVELOPMENT SERVICES - B DING DIVISION ,7 County Center Drive - Oroville, California 95965 - Telephon ► 38-7541 P RMIT N0. APPLICATION AND PERMIT - �®2 MBER ZONING y ASSESSOR PARCEL NU 71 r ©/ S,9_1 J V "IK) BUILDING OWNER TELE ONE SQ. FT. OCC. BUILDING VALUATION OWNER'S TILING ADDRESS CONTfl S NAM TELEPHONE QL. CONTRACT S MAILI DRESS 4a g.Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1 PERMIT FEE $ PLUMBING PERMIT Filing Fee 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 SFV Duplex ❑ Mobilehome ❑ Other SPECIFY 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 ❑ Other n Describe Work: � al_x& _p�jp� �[1� J �� PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS I 23.00 2GOA OR LESS Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCC P. SO. OR ADDNS. ( & ACC. BLOS. ) 3.50 FT. CONTRACTORS LICENSE LAW declare under penalty of perjury (check one) IY�iP�. I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effgpt. License No. .�-7t_,0p Classification ���� O I, as the owner, 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) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW ST. MULTI -OUTLET NON -R SLID. ( BRANCH C RCU ITS I @7.50 ( POWER APPARATUS I & SINGLE OUTLET CIR. Ex. OCCU OUTLET OR FIXTURES 20 @ 1.00 P• ( I BAL. .50 Ex. Occup.FIXED APPWS. OR (OUTLETS (REBID.) EA. I 5.0� Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. XI 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 6.50 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 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, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. �1 X-----��� Date Signature of Applicant ❑Owner O 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 $ occ coNsr. TYPE TOTAL FEE $ (fD 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. DIRECTOR OF PUBLIC WORKS By /l�►' Date q PERMIT EXPIRES ON (Dati) Receipt No. `' / 1 701 A18 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT PERMIT