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f 3G-5(o-Z� =4-2-x-24 ARLINE BORGES f 345 Rose Avenue, Chico Contr: Pioneer Ele Permit#2593-86E(repair meter SF I, E f 77,. f } i s f I , ' i Ow, OF I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ,- Of. , /', ,-?, . � * I ZONING BUILDING PERMIT OWNER _ ,ADDRESS TELEPHONE ,SQ, FT. OCC, BUILDING VALUATION OWNER'S MAILING CONTRACTOR'SNAME I �/ TELEPHONE CONTRACTOR'S MAILING ADDR E SS ` } r / Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER a LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Y Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Lro vt 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 ❑r Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW I 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remo)del ❑ Utilities ❑ Installation El Other ❑ Describe work: - _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR1 OR LESS10.00 Main service EA. ADD -L too AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. moi, License No. Classification t i t ❑ 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 ( DWELLING OCCUP.Sd\/Z�sgft NEW OR ADDNS. CONST. ACC. BLDGS. / NEW CONSTF MULTI -OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS (POWER APPARATUS R. bl SINGLE OUTLET CII Ex. Occup(OUTLETS OR FIXTURES 209501 eAL930 FIXED Ex. OCCUp- OUTLETS P(RESID )REA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 ^N . N Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 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 County in consequence of the granting of this permit. X �^ Date '� �, %� - Signature of Applicant Owner ❑ 'Contractor Agent ' ❑ — © An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP, CONST.TYPC I JFL .o PARCEL Pa ND ISSUE 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. gIRECTOR,OF PUBLIC WORKS �� s' / ' 0 By Date PERMIT EXPIRES Date ;./-' ��/V % Receipt No. I- 'a �+ ��' WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICKTION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER p� �2 _ r ZONING BUILDING PERMIT OWNER TELEPHONE 8, -/N SQ. FT. OCC. BUILDING VALUATION OWNER`S MAILIpNyG� ADDRE,y,S7,� / �Q•Q/'r �f'd-may CON ACTOR'S NAME /� le /� TELEPHONE V Y,3 — a CONTRACTOR'S MAILING ADDRESS , Fireplace CONSTRUCTION LENDEUNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS ARCHITEC OFFICE COPY LICENSE NO. ARCHITEC Address BUILDING GAS / GUS Meter By Date e-4 L 0 %JA/' ELECTRIC II Meter By Date LOT NO. PARCEL MAP Permit Fee $ Plan Checking Fee $ Energy Plan Checking Fee $ Penalty $ Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF2' Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 10.00ea TYPE OF WORK New AdditionRemodel FJ UtilitiesInstallation❑ Other ❑ Describe work:J?P u1,e>le,- i /7aU, _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1000V OR 0 AMP ORLESS10.00 (�, U() Main service EA. AOD'L 100 AMP 2.50 O T ' TORS LICENSE LAW I declare unOf a jury (check one): / I under provisions Of Chapt. 9, Div. 3 of the BUSIneSS anns Code and my license is In full force and effect. ,_ / /'1 tna LiCletion /T! V ❑ I, r, r my T�g�yZwisth wages as their sole compen-E%. satb work,ucture is not intended or offered for70I ❑ I, as the owner, am .lusntracting with licensed contract ors. (Sec. 7044) am exempt under Sec.Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.y , OR ADDNS. ( ACC. BLDGS. /20sgft NEw CONSTR MULTI -OUTLET 2.50 ea NON•RESID BRANCH CIRC ITS POWER APPARATUS .&) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES zAL@30 eALeso QCCUp. OU LETS (FIXED PRESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. 6Virin 15.00 g.I rM 1 •�? �'-� _ Syc.v 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. ❑ 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 g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 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 a granting of this permit. X Date _�A� Signature of Applicant - Ownerontractor Agent ❑ An nCHA pail It It ryuired for excavations over 5'0" deep and demolition or construct- io: srories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ ;2- Occup. CONST.TYPEJ FLOoo PARCEL I P11 No ssuE 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. IRE�TO� PUBLIC WORKS �,//"i� By �' /� D e PERMIT EXPIRES Date R'1ceipt No. i� �'� •.Irc-c. �. w., ruLow•A,ec,,o n. P1t` N2PCCT. ,. '..LOEHRao-APPL ^•- V COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION -AND-PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER p _ 2 _ _ ZONING BUILDING PERMIT OWNER c ' s �. TELEPHONE N g -/i S0. FT. OCC. BUILDING VALUA ION ,t,,, OWNER'S MA LI AgZas�e /! ��,�,' /7�—d- CON ACTOR'S NAME /ec TELEPHONE CONTRACTOR'S MAILING ADDRESS p /7/9' 'Co Fireplace CONSTRUCTION LENDEW UNKNOWN Total Valuation Is - Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 3y — Permit fee $ PLUMBING PERMIT Filing Fee 10.00 ,o 8/" v (��%C O J9� Each Trap 2.00 Rdl Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF2 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: I& Oaii' t.".ele. - gy, - Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP 0OV OR LESS 10.00 /4!5, 0() Main service EA. ADD'L too AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): I am licensed under provisions Of Chapt. 9, Div. 3 of the BUSlnes$ and Professions Code and my license is in full force and effect. License No. y�i%6/V Classification �' /i) ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.n OR ADDNS. ACC. BLDGS. �Z¢$q ft NEW CONSTR U TI -OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS /POWER APPARATUS e) \SINGLE OUTLET CIR. EX. Occup(OUTLETS OR FIXTURES 200500 DAL@3o Ex. Occup. OUTLETS FIXED P(RESID )LNS REA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring, 15.00 `K,I ou XG<3 Permit Fee $ .57 C.10 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of a granting of this permit. X Date Signature of Applicant — Owner ❑ aontroctor W 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 $ i2 5� ra OCCuP. CONST.TYPEJ I I FLOOD PARCEL PID ND ssuE 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. IRE;TO PUBLIC WORKS By D e �/ trrfi PERMIT EXPIRES Date L 7 Receipt No. Ir.,3 �% WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT