The URL can be used to link to this page

Home My WebLink About040-110-054D 40-11-54 Don Heithecker SS/S Qarrddeen Rd., app.700'E.of Lott Rd., Permit #1710-80B,E,M(�a�dd/froom & raise exis.floor/SF) �- 040-11-0-054 p� 93-3488 B HEITHEKER, DONALD 1737 GARDEN RD, DURHAM CONTR: BUTTE ROOFING �l (� Iq REROOF/SF � � �; --- ---i _ �� PERMIT NO. 1710-8Ok E,M ' PERMIT EXPIRES OWNER Don Heithecker, � owner CONTR. 40-11-54 LOCATION (A.P. ) SIS Garden Rd., app.700'E.of Lott Rd.,Chic Temp. Power P Called P &E _ Temp. Ele . Serv.. Calle PG&E _ Temp. as Serv. _ C Iled B VNALED Reinf. Steel , / I Final I Fixtures . /i _l no /— nal SPRINKLERS MQsI MECHANICAL I Grd. Fault Prot. ✓ Scratch I Heating I Sertlee F-InIsh I Ducts In1e4or1a1lL__ Ventl latlon P 0 Final Final MOBILEHOME UTILITIES ---------------- Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REM KS OR CORRECTIONS (NOTE: An entry must be made on this form each time you vislt the job site.) COL1NTY OF BUTTE — DEPART$AENT OF PUBLIC WORKS BUILDING INSPECTION RECORD UIL ING BUILDING (Cont'd) PLUMBING Setback E_1rewa}I___" Soil Piping Forms 1st Floor Main Bldg. AM 2nd Floor Footings Windows 3rd Floor Stemwall Sldin r To out Slab Roof Sheath[—w9 Water Piping Piers Roofing Sewer Garage Fixtures Footings StemwaII _ Water Htr. Heaters Slab Carport p°o Footings Prev_foc.ph slcally handicapped ex. structure Appliances Gas Piping &Test Temp. Gas Slab Final 6�� tf% Sanitation Patio IREPLACE Final Footings Footing E4ECTFIICAL Reinf. Steel , / I Final I Fixtures . /i _l no /— nal SPRINKLERS MQsI MECHANICAL I Grd. Fault Prot. ✓ Scratch I Heating I Sertlee F-InIsh I Ducts In1e4or1a1lL__ Ventl latlon P 0 Final Final MOBILEHOME UTILITIES ---------------- Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REM KS OR CORRECTIONS (NOTE: An entry must be made on this form each time you vislt the job site.) Jaa 161 /G Gr�7/0 8`0 r. ~ GQUNTY OF BUTTE — DLPARTMENT OF PUBLIC WORKS • _ 7 County Center Dride Oroville, California 95965 r Telephone: 534-4541 � APPLICATION AND PERMIT ' ` BUILDING Owner A -� r�{ f... C��, SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address 1 - , N 1/lA1 Telephone No. _r Contractors ']},�7 "Y�j. fr ,i �� '�`�• Mailing Address ' Fireplace Total Valuationo. ! , Telephone N %f{SS! `(Z Permit Fee r Building Address q) p Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE ' PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 !` /� �` A. P. No. 7 -' ( 1fi Zoning -& PTanning Water piping 1.50 Each gas water heater or vent 1.50 Fees W.C" -Sanitation Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans ParcelEach Declaration Parcel Map 1 60' R/W Improvements additional outlet .30 Building sewer 5.00 Bldg. Plans Recd Parcel Approval I Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® Permit Fee $ $ 4. Cr C: -I— ELECTRICAL NO -1 @ FEE 1 \ t `.. \ �. PERMIT FILING FEE $3.00 Z, QQ Main service 100 AMP LESS 5.00 J:�, 4Q e_) Single Family 0 Duplex ❑ Mobil Home'n-' Others ❑ Main service EA. ADD'L 100 AMP 2.50 , ♦• Main service OVER e O 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ( ACCLBLDGS.LING CCUP. 4\ 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 t le of: style /^ NEW CONSTP_ -OUTLET ID. BRANCH CIRCUITS 2.50ea NEW NEW CONSTR (POWER APPARATUS 6 CO NON-RESID. SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTIIRES BALK Ex. Occu FIXED APPLNS. OR p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 '/ License No.��Y ,S �.� Classification " �� Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ de. e, O $ G 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 Workmen's Compensation Insurance. 001 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 l Heating Cooling Ventilation L2.00 Hood 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 1Land Development Fee $ TOTAL PERMIT FEE authorize representatives of the county of Butte to enter upon the above-mentioned property for inspection purposes. � �r kt��1�S � �• I; X I � �.C/U�� /'✓ ��` �A-/.G�,.n ate /„ Signature of Permitee or' -Agent ,_?(, f'N4, —Receipt No. 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 WOR/KS y Y� Date 7-8d Building permit expires Date � �- Vj F/Z,,-,- tl) %7/0 k-0 1 COONTY OF BUTTE — 1 WRARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 aV APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. 7 5 �� Z-- 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 r � By �. �.r.. %L Date", Building permit expires Date BUILDING ;�on,iil'L f7 /7 Al ee ,9.44 . Owner t/ SQ. FT. OCC. BUILDING VALUATION Mailing Address l/T��c�" ' Telephone No. I/ Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee 4-o rr K n PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 f) 1)44 E44jt.�,.._ Repair drainage or vent piping 1.50 1U_/�� A. P. No. '7 A P Zoning& lanning Water piping 1.50 Each gas water heater or vent 1.50 Fees W. C., Sanitation FireDept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 f,{D EQA Parking Plans I Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plans Recd Parcel A royal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER LTJ, permit Fee $ Y SV is q 32 '444" „ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service, 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 + Main service OVER 600 25.00 100 AMP OR LESS Main service EA. ADD•L 100 AMP 1.00 NEW OR ADDNST % ACCLBLDGS.LING Ccup- 22sgft 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: MULTI NEW CONSDT.OUTL T NON - I / BRANCH CIRCUITS) 12.50ea NEW CONSTR. POWER APPARATUS e NON.RESID. SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTtIRES 5 L25 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EAJI 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 D I am exempt from the Contractors License Laws of the State of California. Permit Fee $ MECHANICAL N01 @ 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. E 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 $ $ 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 $ S� authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. 7 5 �� Z-- 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 r � By �. �.r.. %L Date", Building permit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Centei'Drive =' Orovitle, California 95965 O J Telephone: 534-4541 APPLICATION AND PERMIT / M .0 ll Iul ILC ICFIICbCIItatIVCb UI llle k.,UUnly UI outte to enter upon ine above-mentioned property for inspection purposes. X if 1 Date Signature of PPermitee or Agent Receipt No. _36-75( 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 Date do Building permit expires Date BUILDING Owner Re ITP ed -,8k SQ. FT. OCC. BUILDING VALUA ION I+ U r � Mailing Address T 60 5 T rtan 24000 IC��// 7/ /1 CA LJ honeeN Contractor 0 co k Mailing Address Fireplace Total Valuation Telephone No. Permi Building Address S �� QfoK Ian Checking Fee ✓or Penalty Permit Fee -00 O 700' L_ Eto TT R19 PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trao 1.50 (C Repair drainage or vent piping 1.50 A P -- L(- 5 yWater oning & Planning piping 1.50 Each gas water heater or vent 1.50 F s C. Sri ion 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 e. Building sewer 5.00 Bldg. Plans Recd ✓ Parc a A proval Pr Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION R1 UTILITIES ❑ OTHER M Permit Fee $ $ AU 5S X15 QQDM k MISS =16 T/A)G rtMR- ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 7 0-0 600V OR L Main service ESS 100 AMP OR LESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L loo AMP 2.50 Main service OVER 100 AMP sooORv LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST (ACCL SCCUP. S) 22 sq ft C) CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business 8 Professions Code under the name style of: T NEW RESID, BRANCH CIRCUITS NON.RESID. ( BRANCH CIRCUITS) 2.50ea ` ' NEW CONSTR. (POWER APPARATUS 6 NON-RESID. SINGLE OUTLET CIR. Ex. Occup (OUTLETS OR FIXTIIPES) 'g L 1� 0¢ FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Mise. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California.Permit Fee $ e/ $ C 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 3.00 Heating Mrs?40 .00 Cooling Ventilation Hood 1 2.00 Permit Fee ,v0 $ G UC 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 Land Development Fee $ TOTAL PERMIT FEE $ �1 C .0 ll Iul ILC ICFIICbCIItatIVCb UI llle k.,UUnly UI outte to enter upon ine above-mentioned property for inspection purposes. X if 1 Date Signature of PPermitee or Agent Receipt No. _36-75( 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 Date do Building permit expires Date A & Q ENGINEERING Civil Engineers 1280 E. 9th Street Chico, CA. 95928 893-0631 February 22, 1994 Buildinq Official County of Butte 7 County Center Drive HAND DELIVERED Oroville, CA 95965 Reference: Lot 4, Bree Court Subdivision FEMA Flood Plain Elevation Gentlemen, 0410-/'J!�)-05y The base flood elevation established for Lot 4 is 172.54 as estab- lished by a survey ,performed by this office in 1991 using Butte County Datum. A bench mark (spike in top of curb in front of lot 4) is at eleva- tion 170.38. Finished floor for lot 4 must be 2.16 feet above the bench mark to comply with FEMA regulations. Please feel free to call me if you have any questions. Sincerel Mark E. Risso RCE 24016 Exp 12/31/97 cc: Cole :ON 0JV!L coumop FF6 2 2 1994 g r.'{, •— a i i+ Y'... r{A »sy r �F Ery+?d' �:?+l1 . i4'3'tr.•r, .• ,, y..•:'. @' s:.. i• _ 7- +„ _ -4r' r '"t •f; .-� Y lk.. h ;3-; ..��, r n *.yMtf'.: t ..-y.,dy:G."'a.7i .Ekclrk'rial..'.'r�'.rs �F w:_ v � [REROOF/SF -11-0-054 93-3488 B EKER, DONALDGARDEN RD, DURHAM : BUTTE ROOFING k + } �� . ':L E'6., if+i: t'a ...c.. .: �1ati:n ., r,f•x.,'. r � ...�. _ � '�_+-� ` � . • /� 7 C` r v COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION -� 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. f APPLICATION AND PERMIT - Q 3 3 ASSESSOR PARCEL NUMBER " I '1 ` U U ZONING BUILDING PERMIT OWNER, !� TELEPHONE O SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS % f' `/(`!•i"�►.� 1737 CONTRAC OR'S NAME E NE 6 CON TR TO R'S Ma G ADDRESS / . r '[^ Fireplace CONSTRUCTION LENDER _UNKNOWN I Total Valuation S LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee S ARCHITECT OR ENGINEER'S MAILING kDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $ N dV in PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 «r. .. .,.y . �a►�., - ...�wr, u.,...•,. ... y.*-,r.-.e,..WAA r,• -y 4+. t SOIar-orheat.pump water,heater- r-23.001 `- Water piping 15.00 LOT NO. * SUBDIVISION'S NAME ° PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE t 1 SF Duplex EIMobilehome 0 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 ❑ Other] Describe Work: �/ 414141=1+- PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOvORLESS 2o0A 0R LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.0(] NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) SO, 3.5C FT. NEW CONST. MULTI -OUTLET .NON•RESID. ( BRANCH CIRCUITS ) @7.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) i I 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. 3 License No.,("/n "7 /o 0 y Classification O I, as the owner, or my employees with wages as their sole comp nsation, 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) O 1 am exempt under Sec. 'Business and Professions Code forthis reason ( POWER APPARATUS ) B SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BAL @ 1 0 Ex. Occu FIXED (REST .OR p (OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE' I declare under penalty of perjury (check one): ' 1 ❑ This permit is for $100.00 (valuation} or less.- = 1 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. ❑ 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 PERMIT20.00 Filing Fee 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. 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 Coun y in. consequence of the granting of this permit. / X ( i P11 -LA 1- N Date (' / Signature of Applicant - ❑'Owner ❑ Contractor El Agent An OSHA permit is required for excavations oeer 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 $ HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL PD HD ISSUE 1� 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. j, DIRECTOR OF PUB�LIIC� WORKS By /V (� .G' Date �r1/Z S/ `•5 I PERMIT EXPIRES ON //I- (Dete) Receipt NO. S 3 170(/ WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERI - UILDING DIVISION 7 County Center Drive - Oroville, California 95365 - Telep 19 6) 538-7541 PERMIT No. APPLICATION -AND PERMI ASSESSOR PARCEL NUMBER J�/, /A r /� ` ZONING BUILDING PERMIT r OWNER TELEPHONEo Q. FT. OCC. BUILDING VALUATION OWNER'S M)NG ADDRESS CONTRA R'S NAME � E NE - CONT TOR'S M251 ADDRESS � Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING kDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $ if D 113ijdA rd int, 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 SF Duplex ElMobilehome El 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 C] Other I I Describe ork: C r PERMIT FEE g Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ' 800V OR LESS ) 2ODA OR LESS 23.00 Main Service , 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP.SO. OR ADDNS. 1 8 ACC. BLDS. ) 3.50 FT. CONTRACTORS LICENSE LAW I d fare under penalty of perjury (check one) I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my Ii ense is in full force and effect. License No. �S"%n' [B Classification 3 9 ❑ I, as the owner, or my employees with wages as their sole comp nsation, 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) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI-OUTLET -NON-RESID. , BRANCH CIRCUITS ) @7.50 ( POW ER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BAS @ 1.50 Ex. Occu FIXED APPWS. OR p ( OUTLETS (RESID.1 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. l 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. ❑ 1 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. 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 Coun y in onsequence o the granting of this permit. X Date <� Signature of Applicant - O Owner O ContractorAgent vations An OSHA permit is required for excao e 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 S HAZ- I D: FEES IMP F1000' I CDF I PARCEL PO HD ISSUE This permit is hereby P y 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 PU LIC WORKS BY Date Zs 3 PERMIT EXPIRES ON / [Date) Receipt No. 153/70 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT