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039-440-054
A.P. 39-/-54 D3C�''� TT 0.1-01;f G GE BAHAM - �-8 775 ssna Ave., Chico39-44-54 Permit 51-72BPE,M q1'�I �4 Permit. 39-44-54 renewal/225 ) (new sing family) ) 039-44-0-054 9,3-2154 B- A.P. 39-44-54 BAHAM, GEORGE & TRUDY�j GEORGE BAHAM 775 CESSNA, CHICO 775 6essna Ave., C 'co �Iu COMPLETE/72-2251 //019Y Permit 373143B (1st enewal of 2251-72) 039-44-0-054 X93-2702 B AP 39- 4-54 ' BAHAM, TRUDY GEORGE BAHAM 775 CESSNA, CHICO .h 775 Cessna Ave., Chico I SIDING/GARAGE 14 Permit# 3701_-74B (2nd R�STNEWAL of --------- AP 5E,39-44-54 -ll Pe 710-7,(3rd,.RENEW AL -/2251-721)91 39-44-54 ,,,//`� Peerrmi 0-76B(4th renewal for-ll(o I permit #225.- 39-44-54 Permit#479-5- (5th ewal/BP#2251-72) 7' - 39-44-54 Pe it #5860-78B(6th renewal for permit #225-2) ✓ �- ���q`� 39-44-54• Permit#436-80 7th renewal/2251- _ 72) SF _-.lb.�9 39 4-54 °251 -& 9th enewa • erm3t4f4459 -81B (8 t� \q ) �(l 39=44-5YermIr-0278-8rcnow /? 51`-721 -- 39 4-54 y�/G %9 Permit#4107-83B(11 renewal/2251-72) - •9-44-54 Permit#3524- B(12th renewal/2251-72) -----__<_:. 39-44-54 c /417q Per 3350-85B(13th renewal/2251-72) r s � � LRUDY -0-054' 93-2702 B i NA, CHICOARAGE I 17� t 1 1 �0000,v �V UNTY OF BUTTE_ DEPARTMENT OF DEVELOPMENTISERVICES :BUILDING DIVISION 7 County C& ter Drive - Oroville;, Califomia 95965 -'Telephone (916) 538-7541 PE APPLICATION AND PERMIT Olt., �,;p ASSES ryi/L_R4 N 054 4 z 11 BUILDING PERMIT OWN 'a' $�il� I T,'wV4339 SQ. FT. OCC. BUILDING VALUATION 2000 OWNER'S MAILING ADDRESS ^ 775 Si l Ehicn CONTRACTOR'S NAME �'�'" owner TELEPHONE 4' CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 45.W ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS r' Cesepne Avenvie-ChIcePLUMBING PERMIT FEE $ 65.001 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 shop SF ❑ 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 C3Other ❑ X DescribeWork:, c Reside ag*w. ...*e 'age' PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service , 10V OR LESS I 200A OR LESS 23.00 Main Service ( 200A TO IODOA ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( SACC. BLDS. ) S 3.50 FTD., CONTRACTORS LICENSE LAW - I declare under penalty of perjury (check one) El 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. Classification 3 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 CONST. MULTI -OUTLET .NON-RESIO. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BAL. @ I.00 Ex. Occup.FIXED APPLNS. OR ( 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): ❑ This permit is for $100.00 (valuation) or less. ❑ I 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. j 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 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certifythat I have read this application and state thatthe above informationis 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 County in consequence of the granting of this permit. I X 0;wD A C�,_I a , l,. JG_ Date � - l �. -� � Signature of Applicant -.Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories inlheight. Mobile Home Installation Fee $ Energy Inspection Fee $ 0, C CONST. TYPE TOTAL FEE $ 65.00 HAz- I D. FEES I IMP I FLOOD I CDF PARCEL I 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 ? IoCO)/ %1 Date j�k� � 7 1, BY .I `/ ✓ PERMIT EXPIRES ON 'S(3/ / y (De rel Receipt No. / WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVIES UIDING DIVISION kr 7 County Center Drive - Oroville, Califofnia 95965 - Teleph n (9 6)L538-75419, Py�o� APPLICATIONAND PERMIT ASSEMT-E'0MI172054 T71 i BUILDING PERMIT OWNTRUDY BAHAM T sy" E4339 S0. FT. OCC. BUILDING VALUATIOW OWNER'S MAILING ADDRESS 2000 CONTRACTOR'S NAME owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 20,00 LENDER'S MAILING ADDRESS Permit Fee $ 45.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 7715 Cessna A.venueXhir-o PERMIT FEE $ 65.00 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 shop SF ❑ 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 O Utilities ❑ Installation ❑ Other ❑ X Describe Work: Reside detached garage PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 211111" LESS 2OOA OR LESS 23.00 Main Service ( 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. 1 So. 3.50 FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O 1 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. Classification 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 CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS @7.50 ( POWERAPPARATUS & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B20 @ 1.00 Ex. Occup.FIXED APPLNS. OR (OUTLETS IRESID.I 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): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 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 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. 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 Countyinconsequence of the granting of this permit. X 2 j) L�.cu• , �}.,� �.� Date (9 - (3-�j 3 Signature of Ap-pli ant -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. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 65.00 HAZ. 1 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. DIRECTOR OF PUBLIC WORKS A By /� Date / 2 PERMIT EXPIRES ON J gl ete) 3 Receipt .D. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTYOF BUTTE - DEPARTMENT OF DEVEE ENTSEO�C�S - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541-' PERMIT APPLICATION DATA SHEET OWNER 164 W/;,m A. P. o. 3 - 4/4/ -Sy Proposed Building Use eSld G/<;Building Inspector Date S /3 3 At timeyperl.'(application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED BV All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed bypreparer of plans . .......................... 3_ Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form. ................................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ ................ ...................... . 11. Impact fees as -shown on attached schedule . ............................... 12. California Department of Forestry plan approval/fees. ..................:.... . 13. Flood elevation letter (100 year flood) by California Engineer ............. 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ........ . 17. Planning approval for (A) Use: (B) Parking: ..... 18. Contact Land Development about (A) Improvements (B) Drainage. ' 19. Driveway permit (construction approval required prior to occupancy). ..... ;spe-c on n:q.� , 20. Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance. ...:..` .................. . 23. Owner -Builder Verification (Given to owner , Mail to owner . .......... . 24. Recorded copy of Agricultural Acknowledgement Statement. ................. . 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . ..................:... . .................. 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. ..:............. 31. Existing violations/expired permits . ...................................... 32. Plan check list . ......................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant,y o� Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit'for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _phone _ mail'ef Counter by _Date Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works c'OU"r"' OF L'_C i C.JunC7 Cencar Or -'-,re, Orovi.11d, CA 9!96j Phone Qw-,r��-3UI?r1E.� VF'3I:iC.yTIOC1 encion ?_^oercJ Cwner: An "otrner-builder" building per=ia has be_a apoLied for in your name and beari: g r sig:tac�ra. . Please complete and recurn chis ia4CZ=acioa at pour earLiasc 0000r_snicy t: avoid eeessar r de? ay is process ing and issuing pout building permit. No buildiag per=i. L be -issued until chis ve=ificacioa is received. Il. I personally plan ca provide the major labor and materials for cense=;sc=ion of a tate proposed grope=_I imarovemenc (Yes or ao) 2. I (;rave/have acc) hive signed an applicat_ca for a building per=i_ • For the proposed wcr:c. 3. I have ccac_ac ed v:c : tie foLloving person (fir=) to provide tie proposed ccasc=::coon: Name Address Ciel ?hone Ccat=ac:crs. License No . I plan cc provide portions of chis work, but I have :ti=ed the following person cc coardinaca, supervise, and provide the =ajar worst: Name Address C; =7 ?hone Cz at. act:. rs L:canse Ya . arcvide some of the vcr_c but have cont=ac_ad (hired) c.:e !ZL:caing persons c.: provide t e wcr:c 4 ^dic3te*a : Name Address Phoae T7Pe of Wart S igned : P_ccer_7 Owner ��g Social Sec:tritl Uuaber 55 4 -6,cl -tet 8115 Dace (S oil ::tis Owner -Builder Ve_ i�!ica_icn is sent cc you as required by Sec:iaas 19411 mad 19S_"Icf cae Cali=arnia F-ealc and Sarac7 Czde. This verification mus: be ccmolecad and recur=ed to our office be' -pare we are per- mic:ed cc issue the per=ic. FLOOD PLAIN DECLARATION I declare the actual value of the proposed construction work under build- ing permit application at -7i C 3 5 CS0Q AU2•, A. P. # 3' - Ll- SN for TG S`l d ( n a dQ, does not equal or exceed the definition of "Substantial Improvement."* I am aware the building site is in a flood -plain area, even though I am not required to comply with the flood plain management criteria. PROPERTY OWNER ADDRESS 5 C SSShq Aj2 PHONE NO. 3 (4:3- 4 339 DATE t -t -C G LA S+Ij *Substantial improvement is defined as follows: Any repair, reconstruc= tion, or improvement of a structure, the cost of which"equals or exceeds 50% of the market value of the -structure either, (a) before the improvement or repair is started, or (b) if the structure has been damaged, and is being restored, before the damage occurred. NOTE: Documentation may be required to substantiate costs. „,i�L.- , n E 93-2isY I PERMIT EXPIRES _ / — 7- /3 OWNER George Baham jl��- �-(&i! CONTR: ownerrLOCATION (A. P. 39-44-54 _^ 775 Cessna Ave., Chico (jV 15_:uJ 6 le d 4 /9 il/ tp ` —1V i ,i T f a :COUNTY `6'F—B_UTTE.".—— I` Department mf Public Works 1IBUILDING INSPECTION RECORDa j t Zoning - Setback+ :,Forms. 2L Z ] Foundation },Piers & Girders Fireplace fi ` Rgh. Plumbing � ��� Bond''Beam -, Lath & Pla ter ' Rein. Steel Gas Piping & TFound. Vents , FramingPlmg. Topout Rough Elec..' Wtr. Htr. d 4 Furnace Kitchen Vent Firewall Garage Vents Sanitation & Water ELECTRIC GAS BUILDING Temporary Temporary %Q - -2., 2— — `7 4 Cert. of Qccup. Final Final Final DATE '%/0/, i REMARKS OR CORRECTIONS 7'u "'f-0 4' A-7 /0 -,04 Lw 4We kt-o � 1AZ rs �y- �FQ,e. r George Baham 775 Cessna Avenue Chico, CA. 95928 Dear Mr. Baham: 111 .1 i 0 1 __a. L A N D O F NATURAL WEALTH AND B E A U T Y DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEF F, D,ia,lor 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965 Telephone:(916) 534-4541 JulyJul 30 1986 RONALD D. McELROY • Deputy Director RE: Building Permit No.2251-72 & thirtee1� Expiration Date 9-7-86 renewal (A.P. No. -39-44-54 ) With reference to the above subjer1r, our)records indicate that your Building Permit expires on ,the above date. Building; permits ar.e valid for one year and should construction be started but not completed,by:the expiration date of the permit, the permit shall be renewed for 1/2 the orig1nal'Building Permit Fee (plus a $10.00 "Filing Fee"). The renewal permit will—extend the Building Permit for an additional year from the original expiration date. Should you not renew your permit in a timely manner, it cannot be renewed and all work must cease until a new building permit,,is issued. If your construction is completed or shoul& you have any questions concerning this matter, please contact the Chico office. For your convenience, we are enclosing a:renewal application form and an owner - builder form to be completed and signed by -you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. Thank you for your prompt attention concerning this matter. Yours very truly, William Cheff Director of Public Works ,•J.F, Glander JFG:aj Chief Building Inspector Attachments: Permit Application Owner -Builder Information Owner -Builder Verification cc: Building Inspector - Chico Chico - 196 Memorial Way/891-2751 Paradise - 747 Elliott Rd./872-2961, Ext. 57 COUNTY OF BUTTE - DEPARTMENT OF PUL C RKS 7 County Center Drive - OroviIIe, Ca,lifornla 95965 - TeIep on : 91 ,`538-7541 APPLICATION AND PERMIT PERMIT 0. ASSESSOR PARCEL NUMBER 039-440-054 ZONING SR -1 BUILDING PERMIT OWNER, - Geor e & Trudy Baham TELEPHONE 343-4339 S0. FT. OCC. BUILDING VALUATION Uontr. r1sr. 3, 100.00 OWNER'S MAI IN� ADDRESS 775 Cessna Ave. Chico 59928 CONTRACTOR'S NAME Unknown TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 1$3,100.00 LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $52.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy,Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $67.50 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF [I Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW @ 15.00 TYPE OF WORK New ❑ Addition[] Remodel ❑ Utilities ❑ Installation❑ Other ® Describe work: Permit to Complete B.P. ##2251-72 _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600v OR LESS 200A OR LESS 18.50 Main service 200ATO1000A) 37.50 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 Professions Code and my license is in full force and effect. License No. Classification F1I, 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 OCCUPM OR ACDNS. ACC, BLDGS. 3.54sq.ft. NEW NO CONSTR. BRANCH CTRCTITS N.ES @ 5.00 POWER APPARATUS 8, (SINGLE OUTLET CR. Ex. Occup(OUTLETS OR FIXTURES 2O 7604 FIXED APPLNS. Ex. OCCUp. OUTLETS IRESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g '15.00 Permit Fee $ - 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. :,.[A 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. Contractor MECHANICAL PERMIT FiIirig Fee 15.00 Heating Cooling g 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 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 Count in consequence of the granting of this permit. `� , .[,f��IOp� . �C,�lH^ Date --�"' 9,3 ,�I� Signature of Applicant — Owner tL� Contractor ❑ Agent ❑ An OSHAwork 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 S Energy Inspection Fee $ OCC E CONST TYPE I TOTAL FEE $ 67.50 HAz DFEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the sions sions of the Butte County Code and/or indicated above for which fees E CJBtIC By PERMIT EXPIRES D e applicable provi- resolutions to do have been paid. WORKS to i 7 Receipt No. 14110 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT �'. vr{{'�t/�maa.y► °►�7ytw4+ _. f �!►^^'^- COUNTYOF BUTTE - DEPARTMENTOFEtOPMENTS IC S- BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 _ TELEPHONE (916) 538-7541 PERMIT APPLICATION DATASHEET OWNER / 4 %J Of Proposed Building Use 16,4A1%a� - r 0-% C, Building Inspector 1\ A. P. No. 3 1Y y' �LI �- Date7. 9..3 At time o 4ermit application, I was advised the following data must beAsubmitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted. ..................................... . 2. Plot plans, sets, signed by preparer of plans . ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... . .4. Engineered plans and calcs, 3/4 sets_�with wet signature on plans . ............. 5. Hazardous Material Form. .......r' .. .................................. . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... t 11. Impact fees as shown on attached schedule. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer.. ................ . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. ......... . 19. Driveway permit (construction approval required prior to occupancy). .. ... . 20. Pre -inspection for required. .. o sn,d 9Iospedo (Date) - 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _ )............ - 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ....................................... . - 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. . . - 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance ........................................... ....................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 34. When you issue the permit, process as follows: Telephone and hold for Other Parcel Creation -Acreage Xail to owner.. at o� Applicant Mail to contractor. _ office. Deliver with inspector. O Date -7 - ( - 9S Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE d DEPARTMENT OF PUBLIC WOR f�_ '% 7 County Center Drive — Oroville, California 95965 / !, Telephone: 533-1230, Ext. 259 ✓ , APPLICATION AND PERMIT BUILDING Owner �, SQ. FT. OCC. BUILDING VALUATION Z 2 13 C4 Mailing Address1x 3 Fireplace 1000 Contractor _ 3 Total Valuation 4. Mailing Address Permit Fee Plan Checking Fee&/or Penalty r( Building Address „ Permit Fee $ $ ag— PLUMBING No. @ FEE PERMIT FILING FEE $2.00 'L Each Trap 1.50 ', Repair drainage or vent piping 1.50 Water piping 1.50 ,jam EaclQgas water heate or vent 1.50 A. P. No. — Zoning Gas piping system 1 - 5 outlets 1.50 S0 Each additional outlet .50 Fire Zone Fire Dept. r 0 Planning Building sewer 5.00 Plans VLawn Fees dow W. C. R/W Encroachment sprinkler system 2.00 NEW ADDITION ❑ OTHER ❑ Permit Fee $ $ i 5 ELECTRICAL No.1 @ FEE PERMIT FILING FEE 1 $3.00 4'— Main service incl. 1 meter Additional meters each 1.00 USE OF STRUCTURE Single Family Duplex ❑ Others ❑ Sub -pane 12 or les m )`d Range, dryer or water r 1.00 Ov , Co -top or space heater 7 1.00 1,00 Light fixtures ,70 R , swi"AP6 & fix o s 22 &a I3',2d 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: Ho d, E an or F. A. Furn. Motor 3 1.00 Ov Evap. cooler, gar. disp. or DqN. Z 1.00 2,.0c Air conditioner or heat pump4 9—' Water pump Misc. wiring License No. Classification 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ q 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. 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 California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 3— Heating c(icr ICV,00b , O Cooling 0 v e - r— -;7,S Ventilation /1, 000 2pd Permit Fee $ $ ,S 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 $tate Fee for Strpng Motion Instrumentation Yrogrom $0.07/$1000 Evaluation $ �� TOTAL PERMIT FEE $ �� authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. n +x Date) 0172 Signatur of Permitee or Agent Receipt No. White-D.P.W. — Pink- nspector — Goldenrod -Assessor — Yellow -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 91_:� 4 Date —2-7 Building Permit Expires ate 7''?'" 7 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroyille, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT N R TELEPHONE SQ. FT. OCC. BUILDING VALUATION- NER'S AI N ADDRESS ONTRAC TORSNAME - TELEPHO E - ONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee eo2 $ r--' 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 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation[] Othe Describe work: _ 7:z r 214 Penult Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 101 OR L Main service 100 AMP ORSLESS 10.00 Main service EA. ADD -L too AMP 2.50 ONTRACTORS LICENSE LAW I declare under pe ty 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 _ /JlEX. 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 :148 :EIELC S6LE�U6LO159,r_FW�le - e NEW CONST. DWELLING OCCUP.t/z¢sgft OR ACDNS. (ACC. BLDGS. NEW CONSTR. ULT' -OUTLET NON-RESID BRANCH CIRCITS 2.50 ea POWER APPARATUS tr (SINGLE OUTLET CIR. I Ex. Occu z00s0e p(OUTLETS OR FIXTURES eAL030 Occup. OUTLETS FIXED PRINSR) 2.00 (ESD ) EA. Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 Permit Fee $ "OVORKMEN'S COMPENSATION INSURANCE I declare unde enalty 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. KA I shall not employ any person in any manner so as to become subject LENto 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. Contractor 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.,, 13 �� 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 aga' st said Co intyy in consequence of the granting of this pL�z p - ( t -lam Date O �, If 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 $ e Oc CUP. CONST.TYPC I IFLOODIPARCEL17ilD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work Indic ed above for w ich IRECTO UB By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. ORKS _ Date �S ✓ �/lJ Receipt No. — WHITE-D.P.W., YELLOW -ASSESSOR, PIN INSPECTOR, GOLDENROD -APPLICANT 986[ - 9 d3S SNaOM onsnd d0 'ld3a :211 _O uranoo COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-534-4541 An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name /v�L Address City Phone Contractors License No. 4. I plan to provide portions of.this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social •Secur ty Number Sz(� s5!— 2-56 Date 9 al NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. A COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroviller California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ,PF.RMIT NO. ASSESSOR PARCEL NUMBER i 1 ZONING124 BUILDING PERMIT WN R TELEPHONE S0. FT. OCC, BUILDING VAL ION OWNER'S 1 ING A RESS z O TR TO N ME ELEPH NE CON RACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee 2 2, $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS v Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 ChIW 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)K 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❑ Remodel[:] Utilities[] Installation[] Other Describe work: 3*4 ley/ Ilia�S'�•-72 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 600 AMP OR LESS 10.00 Main service EA. ADD -1- 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under pen Itty of perjury (check one): ElI am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. �t1 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 AM 14fe SOIF AJLtL2Eje NEW CONST. DWELLING OCCUP.& New CONSTR.(ACC , /z¢sgft ULTBI ODUTLET NON.RESID R BRANCH CIC ITS 2.50 ea /POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex.00cup(OUTLETSOR FIXTURES 5AL03t ewL030 Ex. Occup. OUTLETS (RESID )REA. ) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 99VORKMEN'S COMPENSATION INSURANCE I declare underlpenalty 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. Contractor 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 County of Butte to enter upiyn 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 again said County in consequence of the granting of this permit. 9 ,cJTrcc� X Date 7d sr 5� Signature of Applicant — OwnerXL Contractor ❑ Agent ❑ n OSHA permit is required for excavations over 5'0" deep and demolition or construct- n of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occuP.CONST.T rPc t star vLOOD r t PARCEL �•. PD ND ISSUE This permit is heretiy-.°issued under sions of the Butte •County'Code and/or work indicated above for which f DIR OF PU L BY PERMIT EXPIRES Date the applicable provi- resolutions to do s have been paid. WORKS Dat/e'�HITE-D.P.W.. Y �'��� eceipt No. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT L 5861 T O COUNTY OF BUTTE- Departmentof of Publ is Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no)� 5 2. I (have/have not) h aue, signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Y\ nnP Address. City. Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name r\ (1) rte; Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Y\ OrNe S igned : Property Owner ^ Social Security number"'5 X15-5=2509 .�t� Date 71 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. S ��16' JoJ�� l odd �p� �0. �oJa�o r' _ — - 9 - - . J -acv_ - - - - _ _ �-�'_1,-�Iv_.�..���`'� � ., . � e � � %"'.r V L'i . _ � _ �� ���A .. .' 5. .� � • • � - • i ... � Y �. G - r ` LU C) 00 OOH ? 0_,® o LUp r JCOUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orov'ille, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 39-44-54 ZONING 1 BUILDING PERMIT OWNER George Baham TELEPHONE SQ. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS Rt- 43 Box 1 Chico CONTRACTOR'S NAME Owner TELEPHONE y, 12th Renewal CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER One UNKNOWN Total Valuation $ FilingFee $ 10.0 LENDER'S MAILING ADDRESS Permit Fee @ 32 FEE $ 44.50 ARCHITECT OR ENGINEER none LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 54.50 BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 775 Cessna Ave- Each Trap 2.00 Solar Water Heater 20.00 Chico Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF r?tl � Duplex ❑ Mobi lehome ❑ Other. SPECIFY Building sewer 5.00 Mobile Home IS I GJWJ 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ❑ Describe work: 12th Renewal Permit #2251-72 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600 AMP OR OR LESSLESS 10.00 (11th Renewal #4107-83) Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. SLOGS. 2h0sq ft CONTRACTORS LICENSE LAW I declare under pens y 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 ❑ 1, 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) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) 1 am exempt under Sec. Business and Professions Code for thit reason X •AA SOLS 2)d 1L06-2./49cUA4ER NEW CONSTR (MULTI -OUTLET NON-RESID BRANCH CIRC ITS 2,50 ea NEW CONSTR POWER APPARATUS &\ NON.R ESID. (SINGLE OUTLET CIR. / 20@5Ot Ex. Occup(o OR FIXTURES BAL930 FIXED A FIXED APPLNS, OR Ex. Occup. OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare un a 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. '171 I shall not employ any person in any manner so as to become subject yN 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 shal I 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 Countyot 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 liabilities, judgments, costs, and expenses which may in any way accrue t said County in consequence of the granting of this permit. a Date-!/ QG�B `I Applicant — OwnerJCContractor❑ Agent ❑ Pign�atureof nOSHA 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 $ TOTAL PERMIT FEE $ 54.50 OCCUP. GROUP I TYPE OF CONST, I PARCEL PD I HD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which T O PUBLIC BY PERMIT EXPI ES Da the applicable provi- resolutions to do fees have been paid. WORKS Date 9/7/85 Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT n INU k4 P X01& 1. COUNTY OF BUTTE Department of Public Works / 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and°bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no). 2. I (have/have not) signed an application for a building . permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Alo7w Address. City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, s pervise, and provide the major work: Namec1.2 Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security number S -f— 2_5-09 Date 31 a07-84 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to,issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 !, APPLICATION AND PERMIT ASS,nOR PARq N MBER (7/, S ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS !-7" 3 60 7/ cw/ G O CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee If $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ , ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 7.75- ' e—z Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF Duplex❑ MobilehomeOther ❑ SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK,Permit New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other Describe rk: Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. t 2hQsgft ONTRACTORS LICENSE LAW I declare under penal of perjury (check one): ❑ 1 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 ❑ 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) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ® I am exempt under Sec. , Business and Professions Code for Viyreason RM SOL -E- iNUt•LP" `Owiye)e NNEW ON.RESIDTP- BRANCH-CIRCUITS2.50 ea NEW CONSTR. (POWER APPARATUS &'1 NON-RESID. I,SINGLE OUTLET CIR. / 20050C Ex. OCCUp(OUTLOR FIXTURES BAL0300 Ex. OCCUp. FIXEDD APPLNS. OR OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or Fess. ❑ 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� 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. 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 a said County in consegf the granting of this permit. //nn�� 1 p S3 Date Signature of Applicant — Owner 01 Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over3 storiesin height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 0-5— sd occuP. GROUP I TYPE OF CONST. PARCEL PD I ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which TOR OF PUBLIC BY PERMIT EXPIRES D e the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. T(n 7.:) WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County,Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. -I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) SES 2. I (have/have not) h 4lJ2 signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name�� Address. City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name MQA-F Address City Phone Contractors License No. 5. I will -provide some of the,work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work IV0 /tom Signed: Property Owner Socia_ 1 Security number z3-09 Date Q 0CG � 3 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSES R AR iN UMBER ZONING BUILDING PERMIT OWN TELEPHONE SQ. FT. OCC, BUILDING VA ATION OWNE MAI LIN A11 S 25 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS _ Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation _ $ Filing Fee 14 $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty U $_ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ r BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 —/ USE OF STRUCTURE SF CT Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 110.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: — / D A2,5 17 7-- Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 10.00 100 AMP OR LESS Main service EA. AOD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 2I/2Osq ft CONTRACTORS LICENSE LAW I declare under pens ty 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 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 CONSTR MULTI -OUTLET 2,50 ea NON -RES,., CIRC ITS NEW CONSTR POWER APPARATUS & NON.RESID. SINGLE OUTLET CIR. EX. OCcup�OUTLETS OR FIXTURES BA ®g 0Q FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under i5enalty 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. r 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 iabilities, judgments, costs, and expenses which may in any way accrue n said County in consequence of the granting of this permit. r[i Date2l CC O Z P,.nictureof Appllcant — Owner 5d 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 $ TOTAL PERMIT FEE $ y OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD SSDE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees -have been paid. CTO OF PUBLIC WORKS By Date QQ PERMIT EXPIRES ate 9�—L1� Receipt No.��_ WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT R> A 1 � 1 ' 1 l - A 1 � 1 - f - A 1 � 1 M ��8 yo yO . =_ COUNTY OF BUTTE - Department of'Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name "and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) yES 2. I (have/ham-rye.) 14 -VE signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name A10 Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: N AM NE -Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address I Phone Type of Work Signed: � /1e Property OwnerA Social Security number "S- StiF — 2 6q Date OUT fy2 NOTE:. This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue .the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive-- Oroville, California 95965 - Telephone 916/534- 41 APPLICATION AND PERMIT ASSES OR ARCEL NUMBER ZONING BUILDING PERMIT OWN TELEPHONE SQ. FT. OCC. BUILDING VALUATION aW N MAI LI AD 5'71 ' CONTRACTOR' NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOW Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee f Z $ p ARCHITECT OR ENG( ER LICENSE No. Plan Checking Fe $ Penalty $ ARCHITECT OR EN IN MAILING ADDRESS Permit fee $ UU BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap - 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe work: S LA o�. Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service j00 AMP OR.01 OR SLESS 5.00 436 —90 Main service EA. ADD'L too AMP 2.50 NEW CONST. ( DWELLING OCC UP.y) OR ADDNS. ACC. BLDGS. 20 sq it CONTRACTORS LICENSE LAW I declare under penal y of perjury (check one): F] 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 ❑ 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) 1 am exempt under Sec. , Business and Professions Code for this reason CAM SInte bl.Ak 1��r�d�Y1eX- NNEW ON -RESIT R BRANCH CIRCTITS 2.50 ea NEw -CONTSTR (POWER APPARATUS.&) e NON RESD. SINGLE OUTLET CIR / EX. OCCUp OUTLETS OR FIXTURES gAL�j IXED APPLNS. OR Ex. Occup.(ou TLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 ORKMEN'S COMPENSATION INSURANCE I declare undefAnalty 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 rof Woyrkmen's Compensation Insurance or a Certificate of Consent to tSlfnysule!�; tI,r�f �7f I shall not employ any person I'n any rranner so as to become subject to the W. C. laws of California.t Notice to Applicant: if after'm_ aking? thisistatement,'should you become subject to the W. C. provisions of the Labor Code;lyou must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Venti lation Permit Fee S Contractor 1 certify that I have read this application and state that the above information is correct. I agree to cornpl,yfto..all,Coi nty,Ordinances and State Laws relating `uthorize, represent atives of the Countyot to building construction, and, fid rebya 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 a abilities, judgments, costs, and expenses which may in any way accrue ;iA id County in consequence of the granting of this permit. XDate �2�1�g� Signature of Applican — OwnerK 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 $ OO TOTAL PERMIT FEE $ _ OCCUP. GROUP I TYPE OF CONST, PARCEL PD NO ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which D) C OR OF PUBLIC BY P T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date12- Receipt NO. _d�� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT to8��1 Lid 9 ON Sx,,Una dox1NnO0l 3G " t e• COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-534-4541 An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit.for the proposed work. 3. I have contracted with the following person.(firm) to provide the proposed construction: Name Address City Phone Contractors License No. A. I plan to provide portions of this work,abut I have hired the following person to coordinate, supervise, and provide the major work: Name non P-1 Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to.provide the work indicated: Name Address Phone Type of Work n OKSC-, Signed: Property Owner _ Social S purity number 5L15 -_S4,- 250q Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit.* COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT �/S& -600 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. XJC11 i 1 .P'� 1 1 �JJPi � QV 29 tY► Date t 1 v Signatureeerrmitee or Agent Receipt No. 0l"7 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This per ' hereby issued under the applicable provisions of the Butte Co ty Code and/or resolutions to do work indicated above for whi h fees have been paid. 7IRCTOR OF PUBLIC WORKS/ By u� Date �U Building permit expires Date Cl 7 Q1 BUILDING Owner GeORGa i3 1g" SQ. FT. OCC. BUILDING VALUATION Mailing Address 7" 3 13 pY 5 -2 041(0 C,4uleph°-"33� Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee 50 Building Address 775 COSS .4 /4,06- Plan Checking Fee&/or Penalty Permit Fee $ (4 4. 5d y4 SG PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each TraD 1.50 CNCB Repair drainage or vent piping 1.50 A. P. o. J ki L4 — 5y Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 es C. S. " Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 ans Recd Parcel A royal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ 14 Eff[JUSWAL 0 gP-W X251-7'2 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V ORLESS 100 AMP OR LESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADO'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST.( DWELING OR ADDNS. ACCLBLOGSCCUP. �!') 22 sq ft 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: NEW RESID.( BRANHCIIMULTI-OUTLET NEW I CONSTR. -(BRANCH CIRCUITS) 12.50ea NEW CONSTR (POWER APPARATUS.6, NON.RESID, SINGLE OUTLET CIR. Ex. Occur){OUTLETS OR FIXTIIRES) 5 L25 FIXED APPLNS. OR Ex. Occup. 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 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. 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 California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 Land Development Fee $ TOTAL PERMIT FEE $ L!� 5� authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. XJC11 i 1 .P'� 1 1 �JJPi � QV 29 tY► Date t 1 v Signatureeerrmitee or Agent Receipt No. 0l"7 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This per ' hereby issued under the applicable provisions of the Butte Co ty Code and/or resolutions to do work indicated above for whi h fees have been paid. 7IRCTOR OF PUBLIC WORKS/ By u� Date �U Building permit expires Date Cl 7 Q1 Ia COUNTY OF BUTTE — EPABTMENT OF PUBLIC WORKS 7 County Center Drtve — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT ODU IVI—V 1VP1VJOIIIaIIVVJ UI LI1C VUUllly UI OUIIC lU V111VI UPUII LIIL: above-mentioned property for inspection purposes. r X Date ick -3' 18 Signot, of Permitee or Agent C Receipt No. J F-alJ 4Z- 7 White-D.P.W. - Ye�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. DIRECTO F :�U�CORKS BY Date 41 4 7 Building permit expires Date 7� BUILDING Owner z.. ` SQ. FT. OCC. BUILDING VALUATION Mailing Address S 7 Telephone No. Contractor �r Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address — �� E Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.l. FEE PERMIT FILING FEE J$3.00 Each Trao 1.50 LGQ Repair drainage or vent piping 1,50 A�.P�.No. —. L� — Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fk s.r Sawita#en Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration I Parcel Map 1 60' R/W I Improvements Each additional outlet .30 Building sewer 5.00 B gI 'PTans�ec'-d I Parcel Approval I Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ER permit Fee $ $ Za ELECTRICAL No. '@ FEE PERMIT FILING'FEE $3.00 Main service eoov OR LESS 100 AMP LESS 5.00 Single Family Duplex Mobil Home Others ❑ ❑ ❑ -L Main service EA. ADD100 AMP 2.50 Main service OVER 00 AMP OR LESS 25.00 . Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( DWELING OR ADDNS. ACCLBLDGS,CCUP. 41 20sgft 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: T ` NEW CONSTR BRANCH CIRCUITS NON-RESID � BRANCH CIRCUI , 2.50ea NEW CONST R. /POWER APPARATUS 8 NON-RESID. SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTIIRES 0@252 BAL@1 FIXED APLNS. Ex. Occup. OUT ETS P(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities E62 License No. Classification Misc. Wiring QI am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ 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. . 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 the Workmen's Compensation Laws of California. MECHANICAL NO -1 @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1.2.001 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, anis hereby Land Development Fee $ TOTAL PERMIT FEE $ ODU IVI—V 1VP1VJOIIIaIIVVJ UI LI1C VUUllly UI OUIIC lU V111VI UPUII LIIL: above-mentioned property for inspection purposes. r X Date ick -3' 18 Signot, of Permitee or Agent C Receipt No. J F-alJ 4Z- 7 White-D.P.W. - Ye�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. DIRECTO F :�U�CORKS BY Date 41 4 7 Building permit expires Date 7� `— COUNTY *BUTT -E - DEPARTMENT OF PUBLIC WORKS _ 7 County Center Drive — UroviIle, California 95965 Telephone: 534-45417 �9oJ 7 APPLICATION AND PERMIT QUU WI IGC ICjI1CJCI IIQIIVUb UI kilt:%,VUIIIY UI Dulltl LU tnit) UPUn Int above-mentioned property for inspection purposes. X X -( Date Q' 15`T? Signature o ermitee or Agent Receipt No. �� 9 2164 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. DIRE R QE P LIC WORKS BY I Date ���jj'' —7 Building permit expires Date qn%_ �a BUILDING Owner SO. FT. OCC. BUILDING VALUATION i _ Mailing Address C. �o Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Z v Plan Checking Fee &/or Penalty - Telephone No. Permit Fee Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P.X.�� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 es Serrrt"fen Fire Dept. Fire Zone Use Permit Building sewer 5.00 EOA Parking Plans Parcel Declaration Parcel Ma p 60' R/W provements Improvements Lawn sprinkler system 2.00 Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ✓moiol�.�� ,� ' Main service 100 AMP OR ORS�Ess. 5.00 _ / !fl Main service EA. ADD'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service 00 AMP OR LESS 25.00 100 AO Main service// EA. ADD•L 100 AMP 1.00 NEW CODWELBLDGOCCUP. &) 2¢sgft OR ADDNST ( ACC _ NEW CONSTR. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS (1 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 st le of: Y Ex. Occup(OUTLETS OR FIXTURES)P@2SC BAL�1 Ex. Occu FIXED APPLNS. 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 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. 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 California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating. Cooling Ventilation Hood 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 $ G QUU WI IGC ICjI1CJCI IIQIIVUb UI kilt:%,VUIIIY UI Dulltl LU tnit) UPUn Int above-mentioned property for inspection purposes. X X -( Date Q' 15`T? Signature o ermitee or Agent Receipt No. �� 9 2164 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. DIRE R QE P LIC WORKS BY I Date ���jj'' —7 Building permit expires Date qn%_ �a P•ERMIT.APPLICATION WORK SHEET Permit No. OWNER ' G A.P. No. -?p - Zoning U e Proposed Approved Not approved Permit fee based upon:. 1. Complete contract price. Partial contract price (explain). . DPW Valuation (show): At time of permit application, the applicant was advised the following data or information must be submitted prior to'permit processing and/or issuance: Date Received 1. All items have been submitted. ------------------------------ 2. Plot plans in duplicate/triplicate._________________________ 3. Complete plans in duplicate/triplicate. --------------------- 4. Complete engineered plans and calls. ------------------------ 5. Fees of $ ------------------------ 6. Letter of signature authorization. -------------------------- 7. Sanitation approval. ---------------------------------------- 8. Planning approval for -- 9. Workmen's Compensation Insurance Certificate. --------------- 10. Contractors license information. ---------------------------- 11. Parcel declaration, recorded copy. -------------------------- 12. Access declaration. ----------------------------------------- 13. Aunt Minnie information. ------------------------------------ 14. Deed of access, recorded copy. ------------------------------ 15. Deed of parcel creation, recorded copy. --------- 16. Parcel map, recording data. --------------------------------- 17. Pre -inspection request for 18. Improvements - plans required & DPW approval. --------------- 19. Ot er By Bldg. Inspector During plan checking process, the following data or information must be submitted prior to permit issuance: 1. Index permit for items above and in addition the following: 2. Applicant advised by Telephone Mail Other 3. Plans checked by Date 4. Plans approved by Date When perm' is issued, process as follows: 1. Mail to owner. 2. Mail to contractor. 3. Deliver with inspection. 4. Telephone and hold for pickup. 5. Other Before permit issuance, all of the following items must be signed or marked NA: 1. Zoning use 2. Legal parcel 3. Envir. Health Plans Selit A. Sanitation B. Restaurant C. Other 4. Public Works Plans Sent A. Street Imp. B. Drainage C. Permits & Fees D. Other 5. Planning A. Use Permit B. Variance C. Other 6. Other Agencies Plans Sent A. Fire Dept. B. Other Y h ' COUNTY OF BUTTE — D''EPARTMENT OF PUBLIC WORKS ' 7 County Center Drive — Uroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT .. c 11—- VI UIc VVUllly VI pUllG lV CIIICI u�JUII LIV above-mentioned propertyUfor inspection purposes. X , -e t�;`.,a.,A Date 7 Signa re of Permitee or Agent I Receipt No. 1.5 / 7 9 41 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/07F PUBLIC WORKS tow —11, � uilding permit expires Date BUILDINGOF r Owner© 6 �� SQ. FT. OCC. BUILDING VALUATION tJ L Li Mailing Address 2 Rok S-71 ` (�/� lGo T?le h 7 one No. Jq23 Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty ' Telephone No. , Permit Fee $ Building Address '� iil/� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 �c_0 Each Trap 1.50 Repair drainage or vent piping 1.50 - Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. rt �9- �%y-� Zoning& Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet ' .30 F W. Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Im Improvements Lawn sprinkler system 2.00 Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER (�/] ELECTRICAL No. -@ FEE PERMIT FILING FEE $3.00 /✓A L d B40(9. t? . T 2251-7 Main service io00V OR o AMP ORSLESS 5.00 Main service EA. ADO'L too AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service 1100EAMP oR LESS 25.00 Main service EA. ADD•L too AMP 1.00 NEW CONST. DWELING OR ADDNS. ( ACCLBLDGS.CCUP. &) 20sgft NEW CONSTRMULTI-OUTLET - . NON-RESID. BRANCH CIRCUITS) 2.50ea - NEW CONSTR. (POWER APPARATUS &) NON -RES,D, (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 le of: , 50 Ex. Occup(OUTLETS OR FIXTURES) @� BAL@1 Ex. Occup.(FIXED APPLNS. OR P•\OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification ot Misc. Wiring 6.25' 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. 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 California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 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 $ !� .. c 11—- VI UIc VVUllly VI pUllG lV CIIICI u�JUII LIV above-mentioned propertyUfor inspection purposes. X , -e t�;`.,a.,A Date 7 Signa re of Permitee or Agent I Receipt No. 1.5 / 7 9 41 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/07F PUBLIC WORKS tow —11, � uilding permit expires Date a;FIL -MEMO OWNER ef9 �V/ AP NO. /V At time of permit application, the applicant was advised the following data or information must be submitted prior to permit processing and/or issuance: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. x/17 . 18. All items have been submitted. Plot plans in duplicate/triplicate. Complete plans in duplicate/triplicate.. Complete engineered plans and calcs. Fees of $ Letter of signature authorization. Sanitation approval. Planning approval Workmen's Compensation Insurance Certificate. Contractors license information. Parcel -declaration. Access declaration. Aunt Minnie information. Deed of access. a, f.. Deed of parcel creation. -- c—'`' Parcel map. e%0 p° Pre -inspection request for��.�r.w� C�T Other By (ate' Date Bldg. Inspector saaaaaaoaaamammmaamaoamaaaaaamaammm000maamamammaammamaaammaaaoaaaaaaaaaammanammammammmmamoaaamaas When permit is issued,. process as follows: !/ 1. Mail to owner. 2. 3. 4. 5. Mail to contractor. Deliver with inspection. Telephone Other and hold for pickup. e=gunman=ama mum manaaaaaaannnanaanaena====a=asaaanonannnenaaa=aaaaaannaaaaaaaaca==a=naaamaannnannn During plan checking process, the fallowing data or information must be submitted prior to permit issuance: 1. Index permit for items numbered above. 2. Applicant advised by telephone we need z. 3. Send letter to applicant. We need 4. Pre -inspection for NOT verified. (Index) 5. Other 6. Plans checked and/or approved by Date a.==aaDo�o�e�ooao:-------�=acacaa=oa.CCaaaaCaaQaaaaaaamamaaoaaaaaaammmaamaaammmaaamaamomaaaoaamml Additional Processing or Notes: COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT r/ autnonze representatives or the t;ounty or butte to enter upon the above-mentioned property for inspection purposes. (� f <.X �}C17�i1 �J,G4 /h.Q iris Date Signature of Permitee or Agent Receipt No/Z1 , 15 62 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 UBLIC WORKS euildin ate?l77Jg permit expires Date ` 7 — / �a U 01 BUILDING / Owner SQ. FT. OCC. BUILDI VALUATION Mailing AddresseZ— 25 © '-7 t C O Tele hone N ' Fireplace Contractor Total Valuation Mailing Address - Permit Fee Plan Checking Fee &/or Penalty . Telephone No. Permit Fee Building Addressc� 4� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 C 0 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 .� A. P. No. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet 30 F s Saa"aUGA Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Improvements p Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family 0 Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 A/0 / �/_ O / Water Heater or Space Heater 1.00 2 Light fixturesbal 010 Receps„ switches & fix outlets 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap.cool er, gar. di sp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE 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. i( ®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 California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 1 2.00 Permit Fee $ $ 1 certify that 1 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 $ S autnonze representatives or the t;ounty or butte to enter upon the above-mentioned property for inspection purposes. (� f <.X �}C17�i1 �J,G4 /h.Q iris Date Signature of Permitee or Agent Receipt No/Z1 , 15 62 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 UBLIC WORKS euildin ate?l77Jg permit expires Date ` 7 — / �a U 01 M COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WOR 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the county of Butte to enter upon the above-mentioned property for inspection purposes. X AP2 t •Q E /6 "JkA ^ Date 941Zit. i Signaturefof Permitee or Agent j Receipt No. _! 7— 2 `3 A? 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 Data:'?/,. -- ? OF B10$(/ding permit expires Date.............1 . 7..774.. BUILDING OwnerSQ. FT. OCC. BUILDING VALUATIO L G Mailing Address Z. — -7 eta Tele hone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ 44 S� Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. —, _Gas Zoning & Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 W. Sari e+HNIP Fire Dept. Fire Zone Use Perrnit Building sewer 5.00 EQA I Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 =T] Bldg. Plans Rec'd Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER '[Z� ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 2 S— Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bal bio Receps., switches & fix outlets 2 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap, cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring 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. 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. California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE $ authorize representatives of the county of Butte to enter upon the above-mentioned property for inspection purposes. X AP2 t •Q E /6 "JkA ^ Date 941Zit. i Signaturefof Permitee or Agent j Receipt No. _! 7— 2 `3 A? 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 Data:'?/,. -- ? OF B10$(/ding permit expires Date.............1 . 7..774.. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WO 7 County Center Drive — OroviI16, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 17 BUILDING ,3 •- a .- vuunay ui U1.1— au ciiaci uj/ull UIC above-mentioned property for ilnspection purposes. X -. --�� !_)y1 Date' J 19'_ Signatureof Permitee or Agent Receipt No. v White-D.P.W. — Yellow-Assesso — 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 B?inga Date Bermit expires Date �,%�7`�_ .. BUILDING Owner -v -SQ. FT. OCC. B ILDING VALUATION Mailing Address 13,a 4 r Telephone No. Fireplace Contractor t.� C Total Valuation Mailing Address �� Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ is LR Building Address C S PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. +:� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 s v - S Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im provements Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee $ $ NEW ® ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE 1 $3.00 _ Main service incl. 1 meter Additional meters, each 1.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 or less) (morethanl2) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1 1.00 Light fixtures balld l5 Receps., switches & fix outlets .0 Td 25 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap, cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water.pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of Cali fomia. Permit Fee $ $ 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. 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 California. MECHANICAL No. @ FEE _ PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE $ •- a .- vuunay ui U1.1— au ciiaci uj/ull UIC above-mentioned property for ilnspection purposes. X -. --�� !_)y1 Date' J 19'_ Signatureof Permitee or Agent Receipt No. v White-D.P.W. — Yellow-Assesso — 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 B?inga Date Bermit expires Date �,%�7`�_ .. it t 0 "1 . 1 11 1 11,11 1 1 �� R pT W M M11 M, I life �f 11�1111 7,; r 7�_ _vw. A T FIF I i "I - I le 1�'; T , t 4k f AU"f-O"i ell v M�WIYA,1517 I MP"'7"T IM"'I"'7'! Trig 7`77 17, 7,77 T 7f 7, "'IMP ;,�"T:T iTT1117MR1161 I ZIMITIM, I Mil,lit'i '171 5, to M 175 T,I�J�t mq 7177,7 'T'',"'M 7 wm "M 1'�,, l", he V'� `I� ji,j� it' -1 1, '1 tell let. 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