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HomeMy WebLinkAbout039-460-0480 A.P. 39-46-48 .RNon U1elson••Rd:;850,1.-S,.-•of- I - am Hwy., Durham Chacker, Durham P73 (new single family) A.P. 39-46-48 ROBERT DOD q�.�Q� W/S' Durhae/j'son Rd. , $50' -S,.- -N ' of D am -Dayton Hwy.,Durham CON Lou Thacker, Durham P mit 847-74B(conv. garage to , 039-460-048 • 00-0025•v'i n�7 area) LOVELACE, CATHY AIA AG 111 9287 HOLLAND, DURHAM CONTR: EMERALD CONST. A RE ROOF AND VINYL SIDING 1 1 I n � j� h t PERMIT NUMBER _ B 3317-73B P E ' ± PERMIT EXPIRES ` OWNER' Robert Dodd < "CONTR: Lou Thacker }LOCATION (A.P. 'j�(p 7`41 W/S Durham-Nelson Rd.,850' S. Durham-Dayton Hwy,., Durham -7y r G 1 d COURTY 0-F BUTTE Department of Public Works BUILDING INSPECTION RECORD Zoning a " • ti Setback - 2-j -73 Forms Foundation �•��r % Piers & Girders 2.8-23 Fireplace - Rgh. Plumbing'- -%3 Bond Beam Lath & Plaster Rein. Steel Gas Piping & Test / '%0 Found. Vents 1 Framing Plmg. Topoutt Z 57-- % Rough Elec. �/ - 7- Wtr: Htr. 4 Furnace _G/ ;1 %4• Kitchen Vent _ ?i Zd •='74- Firewall Garage Vent Sanitation & Water ELECTRIC GAS BUILDING Temporary 3 2-(3-24 Temporary L"Z. i % % 3 Cert. of Occup. _ 2— ? Final od — 2- — Final 4 Final 4- --2-- -?� DATE REMARKS OR CORRECTIONS 74 P GI G T U �' � 8 !/ c .0 ue r' D If ' '�' e, COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS J 7 County Center Drive — OroviIle, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT By Date 7—f —i Receipt No. / _ - White-D.P.W. = Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permi+ expires Date !...: � , BUIL IMG Owner SO. FT. OCC. BUILDIN4 VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation `•` Mai I ing Address �— Permit Fee Plan Checking Fee &/or Penalty Telephone Na. Permit Fee Building Address PLUMBING No. @ I FEE PERMIT FILING FEE J$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 �. 1 / A. P. No. 7�(� 7'— Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 FeesJ W.C. Sa6t on Fire Dept. Fire Zone Use Permit Building sewer 5.00 EOA I Parking Plans arcel Declaration Parcel Ma p 60' R/W ImprovementsLawn sprinkler system 2.00 Bldg. Plops Recd r Parcel LApproval 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 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel 02 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space_Heater 1.00 Light fixturesbaldio Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of Califon 'a Bus' & rofessi ns 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 Classification Misc. wiring ❑ 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 Wo men's Compensation. 1. have placed on file with the County of Butte a certificate of orkmen'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 authorize representatives of the County,of Butte to enter upon theThis above-mentioned property for i spection purposes. — '' X ate (D TOTAL PERMIT FEE $ 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 Date 7—f —i Receipt No. / _ - White-D.P.W. = Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permi+ expires Date !...: � , COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 j 1. APPLICATION AND PERMIT authorize representatives or the County of t3utte to enter upon the above-mentioned property for inspection purposes. Data-✓ Signature of Permitee or Agent Receipt No. % tq 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. DIRECTO�OF UBLIC WORKS euildin:gpermit!expires Date Y'— Z — �{-7, ��` Date....................... ................. BUILDIN OwnerPo z el orld SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor G Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Z Building AddressPLUMBING Sa No. @ FEE PERMIT FILING FEE $2.00 Le a N, 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. —4 G AL 8 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 FeW. Sanit ion Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Par ' PP ns Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 ry/1�� ��..,,yypp /r�ldg. ane Rec'd al ,o-ral Permit Fee $ $ NEW ❑ ADDITION UTILITIES ❑ OTHER' ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 0 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 fixturesbola io Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of Califoroia Busin2pfi & Professions Code under the name style of: r 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 �.Vq �J �z License No. C assification - 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 Work en's Compensation. ©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 or the County of t3utte to enter upon the above-mentioned property for inspection purposes. Data-✓ Signature of Permitee or Agent Receipt No. % tq 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. DIRECTO�OF UBLIC WORKS euildin:gpermit!expires Date Y'— Z — �{-7, ��` Date....................... ................. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 -County Center Drive — Oroville, California 95965 . Telephone: 534-4541 APPLICATION AND PERMIT auutunce representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Perm o. Ag Receipt No. , White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte Cc a and/or re olutions to do work indicated above for ich fee ha be aid. DI PUBLIC WORKS By rmit expires Date _R�-'_� BUILDING Owner ant SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor ° Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Tel home f�o. Permit Fee Building AddressPLUMBING No. @ FEE ERMIT FILING FEE $2.00 12 PAI) 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 Saaitaiiefr- 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. Plansc'd Parcel Approval Plans Approval Permit Fee $ $ N AD ION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, P ach 1.00 Singe Family Duplex ❑ Mobil Home ❑ Others ❑ Sub- I (1 _es S) ethan 12) k -t o e SO _75—ter er or Space Heater __1.00A 1.00 Li ht f' tures balfaio s hes & fix o tlets 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:� IX5 . Fan r F.A. Furn. Motor aap.coole 1.00 0 gar. isp. 1.00 ,0- Air conditioner or eat pump T ,CrV Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No.,.286.2 86.2 9% Classification ���y Misc. wiring ❑ 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ r a 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. II I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. certify that in the performance of the work for which this ermit is issued I shall not.employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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 MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE $ auutunce representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Perm o. Ag Receipt No. , White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte Cc a and/or re olutions to do work indicated above for ich fee ha be aid. DI PUBLIC WORKS By rmit expires Date _R�-'_� COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS��� 7 County Center Drive — Orovi Ile, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT - .. �+....,cn..0uic vuunLy vi ou uc iu cnwi UF/Vll UIC above-mentioned property for inspection purposes. X Date $ignatur��rmi ee� gg�� Receipt No. g�J White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the ButteCounty Co a and/or resolutions to do work indicated above for wh. c`h fe have n paid. DI C OF PUBLIC WORKS BY Date `BQrfdmg rmit expires Date .... ;(,.' j r 7 . .w111 BUILDING OwnerEMZtl� SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace f Contractor Mailing Address Q I Total Valuation Permit Fee Plan Checking Fee &/or Penalty Telephone No. 6 Permit Fee $ Building Address Q_//S PLUMBING No. @ FEE PERMIT FILING FEE $2.00 s i Each Trap -1.50 S� Repair drainage or vent piping 1.50 Water piping 1.50 Eac gas water heater3r vent 1.50 A. P. No. Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. herr 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 Rec'd Parcel Approval Plans Approval Permit Fee $ $ Q l EW A DITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT -FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater j 1.00 Light fixturess ba z 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: �e E — 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. 24t ?,2 6 Classification �� � Misc. wiring ❑ 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. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. lecertify 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 1 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 $ oe - .. �+....,cn..0uic vuunLy vi ou uc iu cnwi UF/Vll UIC above-mentioned property for inspection purposes. X Date $ignatur��rmi ee� gg�� Receipt No. g�J White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the ButteCounty Co a and/or resolutions to do work indicated above for wh. c`h fe have n paid. DI C OF PUBLIC WORKS BY Date `BQrfdmg rmit expires Date .... ;(,.' j r 7 . .w111 039-460-048 00-0025 LOVELACE, CATHY 9287 HOLLAND, DURHAM CONTR: EMERALD CONST. ARE ROOF AND VqN)SIDING COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER Q9 -4u -Uwe ZONING BUILDING PERMIT OAWNyEER}'()' r!'���1 A�.t TELEPHONE SO. FT. OCC. BUILDING VALUATION zl SO • + .JLU • X OWNER'S MAILING ADDRESS 87 `i NI) DURWAM,4-',9M 13 9 UW. 00 CONTRACTOR'SNAME 11-tv" =4afRUCT10N TELEPHONE 345-2WO' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ 14 93Z .' ARCHITECT OR ENGINEER LICENSE NO. Filin Fee $ 20.00 Permit Fee $ 162.00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS 9287 I-iQLJ_k4D Energy Plan Checking Fee $ $ PERMIT FEE $ 182.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: RI ROOF AND M"iL SiDLNG Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS G1 W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 a00OR LE Main Service zo.VA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license i's ' full forceand effect. License Class Lic. No. �!~1 OWNER -BUILDER d'ECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. I3, 1 am exempt under Sec. Business and Professions Code for this Y.ti a.- .._Yt t �"� WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation picvi ons of section 3700 of the Labor Code, I shall forthwith comply with these o ' ions. _ `` X / _ � b Date ,ZZl /. �r'3� Signatiire_of_Aoplicant - ❑ Owner ontractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height.//. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( & ACC. BMS. 3.52 FT. pNjOH g6ID. MULTI.OUTLET @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. 20 .00 TL Ex. Occup. OUTLET OR FIXTURES SAL ®1.50 FIXED APPLNS. OR Ex. Occup. ourLErs RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirino 1 23.00 PERMIT FEE S 1,32.(X)reason MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ Dcc CONST. TYPE TOTAL FEES 182.W HAZ. D FEES IMP I FLOOD I CDF PARCEL PD I 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. t� % Date PERMIT EXPIRES ON i',- — eta Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT - . F t� fi w COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ODv ASSESSOR PARCEL NUMBER 039-4b-048 ZONING BUILDING PERMIT OWNER CATHY LOVE -LACE TELEPHONE SO, FT, OCC. BUILDING VALUATION 22 SQ. 1,320.00 . OWNER'S MAILING ADDRESS 928 .�, 13 000.00 CONTRACTOR'S NAME Z�ie-''�ALD CONSTRUCTION r TELEPHONE 45-2088 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation s141320.00 ARCHITECT OR ENGINEER LICENSE NO. Film Fee $ 20.00 Permit Fee $ 162.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 9287 HOLLAi1D Energy Plan Checking Fee $ $ PERMIT FEE $ 182.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: REROOF AND VTiQYL SIDTNG Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 20.VA ORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is " full force and effect. ^ License Class LIC. NO. (� U OWNER -BUILDER ECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. I am exempt under Sec. Business and Professions Code for this reason 15ri6 WORKS' `COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation ions of section 3700 of the Labor Code, I shall forthwith comply with ose r "sions. X Date Q _ Si cant - ❑ Owner ontractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service zooA TO tOooA 46.00 NEW CONST. DW IJNO OCCUP. SO OR ADDNS. ( a aCC. BLDS. 3.50FT. NON -RC SINEW D muLTI.OUTLET @7.50 a R A OWELEPIlILETPARATUCIR.S PSINGO Ex, OCCV . OUTLET OR FIXTURES BAL @'.55 0 Ex. Occup. O.Aa D OR 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ 182.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 1-82.00 HAZ. I D. FEES IMP I FLOOD I CDF PARCEL PD I HD SUE 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. Date PERMIT EXPIRES ON 1-6-01 Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT (Rev.1 2%6) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ' 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO. APPLICATION AND PERMIT b9es60RPARCELNUAlBI _/.� � C/ mNNo BUILDING PERMIT OWN" '�°"ONQ SO. FT. OCC. BUILDING VALUATION owFETL'S MAUNo Q CONTRAf,-TOR'S Cj" TF18110NE COMMACTOR9 MALINO ADDAM 00NOTFA)MON UMER - LENDER'S MARM ADOWN Fireplace Total Valuation $ ARCNrrECTOR EMNM MENGE NO. Filing Fee S 20.00 ARCMrECT OR ENOLNLfRS MAUJNO ADDREStt Permit Fee b Z6 a cli Plan Checking Fee S allLMQAWROS Energy Plan Checking Fee S S PERMIT FEE _ Lor No. sueav�s°"sNAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF Duplex O Mobilehome O Other �. 9PWFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New O Addition O Remodel '� UtiWes O Installation �fter O Describe Work: Gas tin stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Serviceeoov oR LEss sow oR LEss 23.00 _ .......... _ ...... . • - -- Main Service tow TO IOWA 46.00 NEW GUMT. DWELLNO OCCUP. 3.5dso OR ADONS. a ACC. BIDS. wraaEs�O. ' MuL.no' @7.50 POWER APPAMTUB a sNOLF oLmtT as OUTLET OR FOMPES 20 0 1'00 EX. OGGU Bw 0 .50 EX. OCCU 70 APPIM OR ouTLETs Esso. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEL: S Mobile Home Installation Fee S Energy Inspection Fee S_ occ CONST. TYPE TOTAL FEE $ NAZ. 0. FEES IMP FL000 1 COF PARCEL PO NO 65UE ; This permit is hereby Issued under the applicable provisions of the Butte County Code and/or' Resolutions to do work indicated above for which fees have been paid. By PERMIT EXPIRES ON Date