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Home My WebLink About039-380-03139-38-31 KEN DOSS /76q • a�� 1707 & f Dayton Rd, Chico lO111j ; y t Contr; Jonco Electrical Cont "1 Permi02691-85E(ele .ser ch & install add'l meter for well)duplex B06-2367 039`380-031 }' :MISCELLANEOUS .'HVAC Change Out CHANGE -OUT CONDENSER ONLY 1707 DAYTON RD s- MAXWELL, TRUST B07-1932 039-380-031 MISCELLANEOUS HVAC Change Out HVAC CHANGEOUT 1709 DAYTON RD MAXWELL TRUST, �e 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: 1709 DAYTON RD Owner: Permit No: B07-1932 APN: 039-380-031 MAXWELL TRUST, Issued Date: 09/12/2007 By MAK Permit type: MISCELLANEOUS 276 EAST 6TH AVENUE Subtype: HVAC Change Out CHICO, CA 95926 Expiration Date: 09/11/2008 Description: HVAC CHANGEOUT Occupancy: Zoning: SRI 0 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 LOS MOLINOS, CA 96055 Other Porch/Patio Total (530) 384-2444 (530) 384-2444 FEE INFORMATION DBM Heat Pump (Package Unit) $58.00 Total Charged: $58.00 Fees Paid: $58.00 Balance Due: $0.00 Receipt No: B4589 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License GALLAGHER'S HEATING & AIF 777334 / C20 C38 / 04/30/2008 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 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commenc4withect1 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is i 11 foffect. 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 09/12/2007 the applicant to a civil penalty of not more than five hundred dollars [$500); Please check one of the following: Co tr Ctlure Date ❑ 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 WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one 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 pI .HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: IJ 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; The Contractor's 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 State Fund 713-0013855 05/01/2008 Carrier: Policy Number: Exp. Date: Contractor's License Law.). (This sedron need not be completed if the permit is for one is dollars ($100) or less. EJI AM EXEMPT under Section B. & 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 r 09/12/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. 09/12/2007 - 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 Sig re Date WA NTNG: FAILU E TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnity, and hold harmless Butte County, its off agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death,, and property damage caused by, arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to a ter a above mentioned property for inspection purposes. I hereby certify that I am the r pertyLo er aut rizedtoact theprope wner' ehalf. CONSTRUCTION LENDING AGENCY In 9/12/2007 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for ae o P r ee [SIGN] mdbhr,'Print Date the performance o` the work for which this permit is issued. (3097 civ. code) ❑ Owner ❑ Contractor OR. ElAgent for Owner. Agent for Contractor FILE COPY Lender's Address City State Zip 4 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: 1707 DAYTON RD Owner: Permit No: B06-2367 APN: 039-380-031 MAXWELL, TRUST Issued Date: 10/04/2006 By TMP Permit type: MISCELLANEOUS 276 EAST 6TH AVENUE Subtype: HVAC Change Out CHICO, CA 95926 Expiration Date: 10/04/2007 Description: CHANGE -OUT CONDENSER ONL) (530) 343-4567 Occupancy: Zoning: SRI 0 Contractor Applicant: Square Footage: GALLAGHER'S HEATING & AIR GALLAGHER'S HEATING &, Building Garage RemdUAddn PO BOX 35 PO BOX 35 LOS MOLINOS, CA 96055 LOS MOLINOS, CA 96055 Other Porch/Patio Total (800) 892-3556 (800) 892-3556 FEE INFORMATION Heat Pump (Package Unit) $55.00 Total Charged: $55.00 Fees Paid: $55.00 Balance Due: $0.00 Receipt No: B390 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License GALLAGHER'S HEATING & AIF 777334 / C20 / 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 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's 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 5�5� basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects 10/04/2006 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: ntractor's Si to 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 Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does , I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one 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, ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED �/t as required by CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: LJ Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insu ance carrier and policy number are; The Contractor's License Law down 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 13 /►�r��Is Contractor's License Law.). Carrs Policy Number: IJCJI Exp. Date: (This section need not be competed if the permitis oris or on�llars ($100) or less. ❑ I AM EXEMPT under Section B. & 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 10/04/2006 compensation prcvisions of S ion 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date /roll!ions. W"N 10/04/2006 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 nature Date WARNING: FAILU E TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, 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 AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused by, arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this permit. 1 hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEYS FEES. County toe ter he above mentioned prop rty for inspection pure es. I here y certify that I am the pr Ayo err r uthori edtoa on pro erty errs half. CONSTRUCTION LENDING AGENCY r/2006 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name o ' ee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) ❑ Owner El Contractor OR; DAgent for Owner gent for Contractor FILE COPY Lender's Address City State Zip j BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR rNSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" APPLICANT SIGNATURE r office use only: OWNER INFORMATION Last Name/I I v t First a e Address 6Cp*h kA tK City CA IrState rn, Zip �4 U Phone E-mail Fax J APPLICANT SIGNATURE r office use only: CONTRACTOR Name heis H vn c Addres / City r hs rnn It, Stat Zip PhonZS t ( `j ?40 i -t 1 ' Fax E-mail) Planner Lic. # �-P APPLICANT SIGNATURE r office use only: ARCHITECT/ENGINEER Name heis H vn c Address SRA City ' mosState, State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT SIGNATURE r office use only: APPLICANT INFORMATION Name ca heis H vn c Address SRA City ' mosState, Occ. Zi Phone qatN Map Book Fax E-mail Planner APPLICANT SIGNATURE r office use only: Zoning AP# �� Flood Zone Pr7�ert dress SRA T Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT �P BIN # Description or Scope of Work: Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the,date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. PROJJE-CT LO/C�ATION AP# �� 3 DU CJ Pr7�ert dress , v ! Ly Receipt #: Cross Street SMIP Other WORKER'S COMPENSATION Policy Number ,r J _ 00 I SS Carrier �-P If hiring anyone other than license 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: Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the,date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. K:\FORMS',BUILDINaFORMS\BldgApplSubRgmts.doc Page 1 of REV 8-12-05 Received by: Amount: Bldg SRA Receipt #: Sheriff SMIP Other Date: Total K:\FORMS',BUILDINaFORMS\BldgApplSubRgmts.doc Page 1 of REV 8-12-05 'OFFICE COPY h o 1 Address Ufa o 1 r r 1 GAS Meter ByDate a t ELECTRIC Meter ByDatC OFFICE COPY Address �{ o7 )7® GAS !. Meter By Date ELECTRIC ' I Meter -By Date �' �` •• COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville,Catiforr;ia,�5965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER f ZONING BUILDING PERMIT OWNER J TELEPHONE S0. FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS I (NAME CONTRACTOR'S TELEPHONE Il , CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 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 Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition [I Remodel ❑ Utilities �] Installation❑ Other ❑ Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 ; Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Busines$ and Professions Code and my license is in full fgrce 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) ❑ 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 CONST. ( DWELLING OCCUP.8d) t/xQsgft OR ADDNS. ACC. BLDGS. NEW CONSTR. ULTI.OUTLET 2,50 ea NON•RESID BRANCH CIRC ITS (POWER APPARATUS e) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20950t BALe30 FIXED \\ Ex. Occup. OUTLETS P(RESID.)LINIS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring t ,r +; 15.00 r Permit Fee $ , Contractor 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. ❑ 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 10.00 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 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 Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ 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 $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPEJ I IFLOODIPARCELI PD HD 139UE. This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. 11 f WHIT!-O.P.W., YELLOW-ASStSSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT ASSESSO PARCEL NUMBER OWNE OWNER'S NAILING ADD NA E 55 Z CONT A 'S CONT R 5 MA ING �A IQ 191 y -i CONS RUCTION LENDER LEN R 5 Al L'INis�G ADDRE ARCHITECT OR ENGINEER /P ARCHITECT OR E�NEER' BUILDING ADDRESS 7 County Center Drive - Oroville, Cali urn1`a 95965 - Telephone 916/534-4541 -r-KMI t NO. APPLICATION AND PERMIT RESS (E/LEPHO,N'E �FT. Y-2 ✓ / f � c 1- -111 UNKNOWN LI C`EN 5 MAILING ADDRESS ?- 'LOT Nr`.7SUBC7 L'ISION NeI.IE 6 PARCEL MAP .SPECIFY I — i t{ stallationL? Ot BUILDING PERMIT OCC. BUILDING VALUATION Fireplace Total Valuation $ Filing Fee $ Permit Fee S 10.00 _Plan Checking Fee $ Energy Plan Checking Fee $ Penalty -- - ------ -- S Permit fee 5 — __- PLUMBING PERMIT Filing Fee 10.00 Each Trap _-_-_-- 2.00 Solar or heat pump water heater 20.00 Water piping 5 .00 Each oas water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.0_0 Building sewer 5.00 Mobi le Hunte =S G W 10.00 ea Permit Fee - - $ _-- Contractor 1 4 --`` fZ— ._Cc &LWKRICAL PERMIT Filing Fee 10.00 M- service IQO''AMP ORSL ESS 10.00 CONTRACTORS LICENS W f`aln service E.A. ADO L too AMP _ 2.50 I n1.W c'nNST. / DWLI.LIrIC, OCCU;'.h I declale under penalty of perjury (Check one): ® AIII : 1 A(c. n1,1C, O _) 2v;¢st{ft i 'Z I am licensed under provisions of Chapt 9, Div. 3 )f tfi iness - ,r .r SID 9R'=jjctr cIPc ITs - - 2.50 ea and Professio❑s /y�1de and m license is in fol POWER AflVARATUS Is) I - I i////]+�� Y Ve, IC' _. _..___ ._��NGI_F OU'rLE T.CIR. l_iCenSeNO._.5. Clas:,I(iCalinr tC.0{t l,n�Ilrl'Is :I:I•Ix),Inta i _ III A. GJ `I I, as the owner, or my employees with wa as t r sol p _._ I G_U1'E`ETS -RESIDUtREA.) ——I 2.cl X. G_cu 1 t— I. cation, will do the work,and the struc o mended f d Temporary - - for sale. (Sec. 7044) y service 10.00 ' I, as the owner, ant exchrsively Ctln a will) livens I t tr;tCt Mobile flume Facilities 15.00 ors. (Sec. 7044) P:11 c JirtnnJ ` - ._._---_--- ___-- f (_J I am exempt under Sec. /l �`- �/ -fel L 1''Ou 'CIO I -- Business and Professions Code L for this f -------.__—_-- Permit Fee S WORKMEN'S COMPENSATION INSU'AANCE_._-- I declare under penalty of perjury (check one): MECHANICAL PERMIT FilinoFee 10.00 The permit is for $100.00 (valuation) or less. fl -' —f iP.allil (] U I have placed file will' the Cnunly of Billie Building Depaltnu)tIl a Certificate of Workmen's Compensation Insurance or a Certificate - ---- of Consent to Self -Insure. Cooling— I shall not employ any person in any manner so as to become subject Hood ------- -- --f 3.00 to the W. C. laws of California. ------.._____..__... -------- ---- otice to Applicant: If alter making this statement, should you become Subject Vertfilation EL o the 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 $ is correct. I agree to comply to all County Ordinances and State Laws relating Ene:ri;y Inspection Fee to building construction, and hereby authorize representatives of the,Countyol - $ Butte to enter upon the above-mentioned property for inspection purposes. TOTAL PERMIT FEE 1 also agree to save, indemnify and keep harmless the County of Butte against aEDan DONST.,YPE % all ilities, judgments, cos and expenses which may in a y way accrue FLOOD FARDEL PD ND 3919E ag nst aid C ty in co nce of the granting of this perm X Date This permit is hereby issued under the applicable provi- ( � cions of the Butte County Code and/or resolutions to do S,gno Applicant Owner ❑ Controctor j i Agent l__J Work indicated above for which fees have been paid. so OSHA permit is required for excovorions over 5't3" rdeep and demolition or Construct- DIRECTOR OF PUBLIC WORKS ion or structures over 3 stories in height. Receipt No. 4BY ---__- Date__ WNITE-D.P.W.. YELLOW -ASSESSOR. PINX-INSPECTO^ ",DENROD-APPLICANT PERMIT EXPIRES Date____. COUNTY OF BUTTE - DEP.ARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovil le, Gififornia 05965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO ASSESSOR PARCEL NUMBER %% ZONING BUILDING PERMIT OWNER S TELEPHONE r— SO. FT. OCC. BUILDING VAL TION OWNER'S MAILING ADD SS ' Z /j CON 'S NAME T L PHONE CONT R S MA ING RESS �3 G Fireplace CONS RUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 1Q.00 LEN R S ING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR E �INEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS j / Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00ea TYPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑ Installation[] Other Describe work: ��G� G _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 - 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 Profess io s de and my license is in fullce and effect. .'License No. Classification UU ❑ • 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 CONST. DWELLING OCCUP.IL , OR ADDNS. ACC. BLDGS. 2h0sq ft NEW CONSTR. ULTI.OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS /POWER APPARATUS 6) (SINGLE OUTLET CIR. ( Ex. OCCUp(OUTLETS OR FIXTURES BAL SOC °"`090 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Mi c. �yirin Up f' 15.00 5,616 %.I Permit Fee $ Q Contractor 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. 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 10.00 Heating Cooling Hood 3.00 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 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. I also agree to save, indemnify and keep harmless the County of Butte against all ' ilities,,judgments, cos and expenses which may in a y way accrue ag 'nst aid C ty in co nee of the granting of this perm' . X Date Agent Signa Applicant Owner❑ Contracto?deep An OSHA permit is required for excavations over 5' and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee - $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPFJ 17LOODIPARCELI PD HD, ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF UBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Da r Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD-APPLI CANT ERMIT NO. 7 County Center Drive - Oroville, Cali orrita 5965 - Telephone 916/534-4541 APPLICATION, AND PERMIT ASSESSO PARCEL NUMBER r ZZ ZONING BUILDING PERMIT OWNER TELEPHONE _ SQ, FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADD SS / ZL CONT A 'S NAME T I_ PHONE J CONT R S MATLING RESS ,2F�f �� G Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LEN R 5 LING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER i6 LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR E INEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESSA C 7 170 Q ✓ Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 • Solar or heat pump water heater Water piping 20.00 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ MobilehomeOther SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New J AdditionF--] UtilitiesL] Installation[] Ot Describe work: ��fC,tU�� '�fG 7L X,? �' Permit Fee $ Contractor RICAL PERMIT Filing Fee 10.00 ' service soov OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENS W I declare under penalty of perjury (check one): / I am licensed under provisions of Chapt 9, Div. 3 1 th in eS$ and Professio s de and my license is in ful ce fe License No. Classificatio ❑ I, as the owner, or my employees with wa as r sol p - sation, will do the work,and the struc o ntended for sale. (Sec. 7044) O�I, as the owner, am exclusively con i with licens tract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR Aqo % ACC. BLDGS. 2�20sgft EW ST ULTI.OUTLET 2.50 ea ESID BRANCH CIRC ITS POWER APPARATUS .&) SINGLE OUTLET CIR, zo®soa X, Occup( OUTLETS OR FIXTURES eALN 30 -- \ X. OCCUp. OUTLETSFIXED ( R RESID,IEA) 2.00 FTemporary service 10.00 Mobile Home Facilities 15.00 Mic. 1Virino rJJtl _�/ l� 15.00 Permit Fee $ p Contractor 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 cf 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 Filing Fee 10.00 Heating Cooling Hood 3.00 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 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 ilities,judgments, cos and expenses which may in a y way accrue ag nst aid C ty in co nce of the granting of this perm . X Date Sign -IC -13A Applicant Ownerwork Agent pp Contractor?,deep An OSHA permit is required for excavations over 5' and demolition or construct- ructures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occu P, CORST.TYP! I �FLOODIPARCELI PO RoI ISSUE This permit is hereby issued under sions of the Butte County Code and/or indicated above for which DIRECTOR OF PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been aid. p WORKS Date No. Lec P.W.. YELLOW-ASBC9SO R, PINK -INSPECTOR. ".O EN ROD -APPLICANT