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HomeMy WebLinkAbout039-560-045s WILLIAM DUTRA NIS Chico River Rd.,app 900' West I�I of Lone Pine Ave., Chico I , Permit #5875-75B,E(remodel & elec ++` service cha g w/comp. rewiring of I t ouse/SF i x039 --5CoO -e2tt - 422-22- 1 19— PERMIT _ - PERMIT #6046-7-P M(,.HE TIN & A/C _S /F �_-- j 039-0- _���� f PERMIT #6135-75P( PLBG.FOR 5875-' �Y 5) IS ONT BIGG.ERS PLUMB.I'N`G — L 4176William Dutra0 NIS Chico River ' Lone PinelRd., Chic �� E ` Permit #1140-76 (ad deck SF) 045 039-560- B06-2261 — MISCELLANEOUS Re -Roof ' REROOF W/COMP 27 SQ , 2672 CHICO RIVER RD LOT DUTRA, MICHAEL STEVEN + t - t Q �y-�-:� �- �.- - - . , National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACRE1 Project Title: By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs 1 acre or more of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP), and a check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit if my project disturbs I acre or more of land. I, further, certify that this project will not disturb 1 acre or more of land. I am aware that submitting false and/or inaccurate information may result in revocation of grading and/or other permits or other sanctions provided by law. 1 Signed:- Title: Date: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 2672 CHICO RIVER RD LOT Owner: Permit No: B06-2261 APN: 039-560-045 DUTRA, MICHAEL STEVEN Issued Date: 09/21/2006 By KEJ Permit type: MISCELLANEOUS 3056 CHICO RIVER RD Subtype: Re -Roof CHICO, CA 95928 Expiration Date: 09/16/2007 Description: REROOF W/COMP 27 SQ Occupancy: Zoning: Contractor Applicant: Square Footage: SCHUKEI GLENN EDWARD CONSTRUCT SCHUKEI GLENN EDWARD t Building Garage Remdl/Addn 25 AMBER WAY 25 AMBER WAY CHICO, CA 95926 CHICO, CA 95926 Other Porch/Patio Total (530)343-6020 FEE INFORMATION Re -Roofing $110.00 Total Charged: $110.00 Fees Paid: $110.00 Balance Due: $0.00 Receipt No: B206 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License SCHUKEI GLENN EDWARD CC CSLB-606543 / B / Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 09/21/2006 the applicant to a civil penalty of not more than five hundred dollars ($500); Please check one of the following: Contractor's Signature Date —11, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). ,,, ��� ,��,!!! HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, by I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED 1 5I as required CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: LdLJ Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; /G thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Carrier: STATE COMP policy Number: 7341 Exp. Date: 0� Contractors License Law.). (This section need not be completed if the permit is or one hundred dollars ($100) or ess.) ❑ I AM EXEMPT under Section B. & P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS 09/21/2006 X ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. 0 X 09/21/2006 I hereby certify that I have read this application and state that the above information iscored. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnity, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused by, arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter theAbove mentioned property for inspection purposes. I hereby certify that I am the property own or m ut rued to act on the property owner; behalf. S P(Z-r 09/21/2006 CONSTRUCTION LENDING AGENCY Name of Permittee [SIGN] Print Date 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Owner Contractor OR Agent for Owner ❑Agent for Contractor FILE Lender's Address City State Zip a. A BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buftecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last N first Name Mailing Address 72—oc0 _j✓ce_ City t, CO State 0,A—Zip Phone ?Pq __6 oz -6 J Phone , T[-2 Fax E-mail CONTRACTOR Name Address ��/✓ City ek�cd State 0,4- j Zip Phone ?Pq __6 oz -6 J Fax E-mail Lic. # d Class APPLICAN S NATURE r X d `d - For office use only: ARCHITECT/ENGINEER , Name ��/✓ Address Cross Street City CO State Zip Phone Type Const. Fax E-mail Map Book State License Number APPLICAN S NATURE r X d `d - For office use only: APPLICANT INF RMATION Name �P�"- C C) Address Cross Street City c CO State c4 - Z p 9st� Phone Type Const. Fax E-mail Map Book APPLICAN S NATURE r X d `d - For office use only: AP# 0 /l Zoning City Flood Zone Cross Street SRA Yes No Occ. If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. Type Const. Subdivision Name Address Map Book Page Lot # Planner Date Approved: PERMIT NO. � .�a�> BIN # PROJECT LOCATION AP# 0 /l Property AddressC� z �� City Cross Street WORKER'S COMPENSATION Policy Number 730 Carrier S + A - If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: 0 F Sq FT- Living 27 W Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: 0 Bldg SRA Receipt D#: Sheriff Dat 1 1Q( Total I I !* 11A/0 ? ,• PE RMIT NO. 1140-76B ' 4k i PERMIT EXPIRES !owNER Mr. William Dutra �CONTR. owner LOCATION (A.P. 42-22-19 ) NIS Chico River Rd., 400' W. of Lone Fine Rd., 1 Chico W{ Flit •f� , t Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB / FINALED (Date � s r (Signature) (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD : BU.ILDING BUILDING (Cont'd) PLUMBING. Setback — Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final —/ y" Sanitation Patio FIREPLACE Final Footings 7 —"7 Footing ( LECTRICAL Masonry Walls Throat Rough Reinf. Steel- Final Fixtures Bond Beam FIRE,§PRINK6ER1 Motors Framin Test Water Htr. Stucco Final Subpanels Mesh ECHA AL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts i Underground Interior Lath J Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) 4 . COUNTY OF BUTTE — DEF ARTMENT OF PUBLIC WORKS 7 Cqunty Center Drive — Oroville, California 95965 Telephone: 534-4541 �ll 76 APPLICATION AND PERMIT 4.., 1/// 09 0 BUILDING Owner ` _ SQ. FT. OCC. gPfdILDING VALUATION 534 49FC/ , d Mailing Addresse7_ �� C Telephone qZ—N Fireplace Contractor Total Valuation 1160 0 O Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address iC f%'24,3PERMIT 00 PLUMBING No. @ FEE FILING FEE $3.00 Each Trap 1.50 2 ` C Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No.Gas 9 Zoning & Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees C. rfjf ire Dept. Fire Zone Use Permit Building sewer 5.00 EQA PParking Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval I Pla proval Permit Fee $ $ NEW ❑ ADDITION UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 L=' G,100 Main service 600v OR LESS AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ VER 600V Main service 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST OR ADDNS. ( DACCLBLDGS.LING CCUP- ,&) 2¢sgft NEW CONSTR. MULTI -OUTLET NON-RESID. BRANCH CIRCUITS) '2.50ea NEW CONSTR. (POWER APPARATUS & 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 style of: Ex. Occup(OUTLETS OR FIXTURES)50 @25a BAL@1 Ex. Occu FIXED APP LNS. OR p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 FT 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. �``'' /� -•� � � Date 3����7� Signatur of Permitee or Agent TOTAL PERMIT FEE $ 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 P IC WORKS Receipt No.'—,�G C_ �,3 oy - White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant B ' ding permit expires Date f - ,PERMIT NO. 5875-75B,E P E M 4 .'MH UTIL. PERMIT NO. PERMIT EXPIRES OWNER William Dutra `CONTR. owner .'LOCATION (A.P. 42-22-19 N.S Chico River Rd.,app 900' Wc. of Lone 'Pine..Ave., Chico Ad •� 1 f 4. • ( Sd i FCaj Temp. Power Pole d � � Wi?, % j;. Called PG&E Temp. Elec /Serv. `( Calle PG&E Temp. as Serv. ailed PG&E OB FINALED 171b Ur COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD . BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1 s Floor --% Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out "a Slab Roof Sheathing Water Piping'.. , Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & est =� Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing 7 Rd (e ELECT AL Masonry Walls Throat v `7 i XT Rou h Reinf. Steel Final 4Fixtures 3 CO Bond Beam FIRE SPRINKLERS Motors FramingIt Test Water Htr. Stucco P Final Subpanels Mesh MECHANICAL Grd. Fault Prot. (� Scratch Heatin Service Brown Cooling 7 6 Temp. Pole Finish Ducts Underground Interior Lath Ventilatio5 I Permanent , Door Closer Final it /D — 6 O I Final 311 f) 1 DATE REMARKS OR CORRECTIONS �J gd rZ— � � �N�- 5CP- Aej� ®" IV45417` ® pLt;/GS Md -57- 4AVE, 6: P'/ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Orovi Ile, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT X Date Signatur of Permi ee or,,AAg�g++ent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. jDIRE TOR OF P IC WORKS BY Date/ 2— Building permit exp#vs 587S'-7, BUILDING Owner �,� �AL SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Fireplace Contractor C _ /A f 0 Total Valuation Mailing Address _ Vt7 Permit Fee Plan Checking Fee&/or Penalty Tele hone No. Cr/ G O --- _j G Permit Fee $ < Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 '3, C9 Ok r Q (� S%� ® � Each Trap 1.50 J"Q Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. oZ �. —� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F W " itarinn 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 BI ns Rec'd Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ®. ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 LI Q �(' ^ /) " U 47 �// �% 2 / �� ! Main service e00v OR LESS 100 AMP OR LESS 5.00 r z Main service EA. ADD'L 100 AMP 2.50 Single Family J Duplex ❑ Mobil Home ❑ Others ❑ OVw Main service 1100EAMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 OR ADDNST ( ACCLBLDGOCCUP. &) 20sgft NEW CONSTR MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS) 2.50ea ' NEW CONSTR. POWER APPARATUS & 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 style of: ^ M x! �5� � �rN9 Ex. Occup(OUTLETS OR FIXTURES)so @Z50 109 E x. OCCU FIXED APPLNS. OR P• OUTLETS (RESID.) EA) 0.00 Temporary service 10.00 / Mobile Home Facilities 15.00 License Classification O6 ` — 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. \� 1" 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 authorize representatives of the County of Butte to enter upon the TOTAL PERMIT FEE $ Z This permit is herebv issued under the applicable provisions of X Date Signatur of Permi ee or,,AAg�g++ent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. jDIRE TOR OF P IC WORKS BY Date/ 2— Building permit exp#vs 587S'-7, 'COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 40z-71(10--75- BUILDING -71(10--75 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. Date ' — 5—� S nature of Permit or Agent ReceipT No. 0z White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant TOTAL PERMIT FEE $ /S 0 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. DI ECTOR PUBLIC WORKS_ /� ,�! By f Date/ J Building permit ee�xpp Date SW7S_ 7S BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address �^ Telephone No. Fireplace 3�a - �a� Contractor , C 2 Total Valuation Mailing Address S2 C Permit Fee P I an Checking Fee &/or Penalty C�elep one No. Permit Fee Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 _ Each Trap 1.50 �E� 061 Repair drainage or vent piping 1.50 Water piping 1.50 QA%F� 4C lC Each gas water heater or vent 1.50 A. P. No. —.2 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 ,S Each additional outlet .30 F&,�'W4rfe Senitzrtfvrr J Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans ParcelParcel Declaration Ma p 60' R/W Improvements p Lawn sprinkler system 2.00 13ldg'.—P al ns Recd Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter e Additional meters, each 1.00 Sub -panel (12 or less) (marathon 12) — Single Family to Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 dn -57 Water Heater or Space Heater 1.00 Light fixtures b0 2 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:1�12 ed -/e, f�� u'�/r f ,l/ el 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 S 7 Ave, Temp. Power Pole 5.00 J/ i ��oZU License No. l7 7S 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 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 J� 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. PERMIT FILING FEE $3.00 3.0. Heating , Q CoolingyJ ,© 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date ' — 5—� S nature of Permit or Agent ReceipT No. 0z White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant TOTAL PERMIT FEE $ /S 0 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. DI ECTOR PUBLIC WORKS_ /� ,�! By f Date/ J Building permit ee�xpp Date SW7S_ 7S COONTY OF BUTTE — DEPARTMENT OF.PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 7� Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X / " Date V_ Signature ermitee or Agent Receipt No. -Z �3 R O/cg� 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 P BLIC WORKS By �� Date//—.��_. � ilding permit expires Date BUILDING Owner / 1'�l v S,9. FT. OCC. DING VALUATION acs.C?o Mailing Address �'G Telephone o Z— �Z Fireplace ) S__0 Q 0 Contractor Total Valuation S (9 Q Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee OD 0 Bu'Iding Address s rC ! (J� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 0)c ®C' �S % ®/=' Each Trap 1.50 ` E l ��— �J� Repair drainage or vent piping 1.50 Water piping 1.50 � Each gas water heater or vent 1.50 A. P. No. — — 9 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F W. . Sarri'tat n I FireDept. FireZone 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 Pa Approval Pla pproval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 (�Q C/N00 t ! C 1 —^ �/�/ e Main service incl. 1 meter OQ w 'Additional meters, each 1.00 'Sub -pane (12 or less) (more 12) i Single Family Duplex ❑ Mobil Home ,❑ Others C1 Ra Cook -top or Oven 1.00 X 40 O ., cis G Water&safer or Space Heater 1 1.00 00 Light fixtures/ b 2 Zr '7 Rice ., sw' es & fix outI p CONTRACTORS LICENSE LAW 1 am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ho9b, Ex. Fin or F.A. Furn. Motor 1.00 �, Q O Evap.cooler, gar. disp.orD. . 1.00 Q C) Air i oner or heat pump _ 5_0 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 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 J$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 3 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X / " Date V_ Signature ermitee or Agent Receipt No. -Z �3 R O/cg� 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 P BLIC WORKS By �� Date//—.��_. � ilding permit expires Date