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Home My WebLink About040-170-099A-P. 40-171.-99.;..1-...1 ...- -41 KEITH A. PERKINS wls of Cummings Rd. 900' no. of Durham ' Oroville Hwy., Durham Permit 3315-72B,E " 73 ' (addition) �— 040-17-0x09=Zsos;r 9 92 f' ,PERKINS,.._ Keith '94671Cummings,Rd;Dur.ham,, contr Toms ACS / 4 F �6, .jw 1. elec,yserv. &t repair~��hvac/sf*, -... b��V �.rM { . �� +yr. y A.y� l �vr*W J " �j✓.'`y 040-1.70.,09 PERMIT#97-1'558 ,.'. , .PE-RKINS ` Ke 9467 Cummin s Rd., Durh_ am -! Cc nt4 ,Ely-R offing 'Inc'. Reroo fSF L, I ' 1 1 1 • 1/ 1 I' 1 DATE BUTTE COUNTY INTER-DEPARTMINTAL CORRESPONDENCE DELIVER TO LAST PERSON NAMED NAME I DEPT. II DATE Y NAME DEPT. -41 COUNTY OF BUTTE- DEPARTMENT OF DEVrLOPMENT SERVICESy BUILDING.DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541PERMIT NO. APPLICATION AND PERMIT f ASSESSOR PARCEL NUMBER 04U-1/0-099/ ZONING /BUILDING PERMIT OWNER Keith Perkins TELEPHONE 343-6962 SO. FT. OCC. BUILDING VALUATION ,Uv 1300 OWNERS MAILING ADDRESS 94V1 Curaiaings .Kd ournam CA 95t�3b CONTRACTOR'S NAME illy Roo firig 1110 TELEPHONE 343-7663 CONTRACTOR'S MAILING ADDRESS 13291 Contractors Ur Chico CA 95973 Fireplace CONSTRUCTION LENDER A UNMOWN Total Valuation $ Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ U ARCHITECT OR ENGINEER IF LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS vdr Penalty $ B:ILDff APDRE1.1 titll]inpt3 &(I Durhaia PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 LOT NO.SUBDrVtSION`SNAME+PARCEL Each r Yj .7.00 ~ S01ar or heat pump water heater- 23.00 Water piping 15.00 I USEOFSTRUCTURE _SF Z Duplex ❑ Mobiilehome ❑ Othi K ,N a ! SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other •❑ l:/i: roofiit W/3U r arch — 25 S Describe Work: �' s y � Mobile Home S G W 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service 800V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 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 in full force and effect. License Class �' L `F 1 V— J i Lic. No. 6 U 7 3 b b OWNER -BUILDER DECLARATION 1 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. ❑ 1 am exempt under Sec.j y Business and Professions Code for this , , . - ..._ � reason - . . NEW CONST. DWELLING OCCUR GR ADDNS. ( a ACC. BLDS. ) SO. 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES ) 20 Q I.- B FIXED APPLNS. OR EX. Occup. ( OUTLETS (RESID.) EA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ ,his Contractor _. ...... . . - 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. J'o 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' compenQWnviu2atl►1 crrLleCnd policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor _ _ 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 provisions of section 3700 of the Labor Code, I shall forthwith comply with those/ provisions. • X / _ -U.vfi.�� _ Date _7-21-9 7 Signature of Applicant ❑ Owner N Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 5 5 . U U HAZ. I D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under t!)e applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. I f ;By f1 l Y . -ll - /" / Date �`�>l J '! Ki PERMITEXPIRESON (Date) ReceiptNo.�� -WHITE-D.D.S48.D. CANARY -ASSESSOR ; PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT -.OF DF VELOPMENT SERVICES - BUILDINIVISION 7 County Center Drive - OrovJi�e, California 95965 - Telephone (916) 52 -7 L PERMIT NO. APPLICATION AND PERMIT / � �- "" a ASSE SORPARCELNUMBER 0�+0-170-099 ZONING UILDING PERMIT OWNER Keith Perkins TELEPHONE 343-8982 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 9467 Cummings Rd Durham CA 95938 CONTRACTOR'S NAMETELEPHONE Fly R Oof ing Inc 343-7663 CONTRACTORS MAILING ADDRESS 13291 Contractors Dr Chico CA 95973 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 ADDRESS Penalty $ 119'V6`9DREVummings Rd - Durham PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ]] Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other X0 Describe Work: R/R roofing W/30 yr arch - 25 sqS — Mobile Home I S I GI W I @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.'00 Main Service 5 OV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 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 n f 11force ancl effect. License Class –14 , C – Lic. No. 607386 OWNER -BUILDER DECLARATION 1 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. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCURSO. OR ( 8 ACC. ) 3.5Q FT. CNS. NEW CONST. MULTI-OUTLETLE T U NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BALM .50 FIXED APPLNS. OR EX. Occup. ( OUTLETS RES D.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE _ Contractor 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. N7 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' compgnsat'Tn surance carrier and policy number are: Carrier 1VatUnion Fire MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number 8241332 (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 provisions of section 3700 of the Labor Code, I shall forthwith comply with th a provisions. X autzwd) Date 7-21-97 Signature o Applicant - O Owner X Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $ 5 5. 00 HAZ. I D. FEES I IMP I FLOOD CDF PARCEL PO 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. r. Y Date PERMITEXPIRESON L (D.4) Receipt No. aQa� WHITE-D.D.S.- .D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT GY9:X-,2 --7 ;c PERMIT NUMBER - B 331-72RiF. P i • E PERMIT EXPIRES I/- 3®� 73 OWNER Keith A. Perkins { CONTR: • owner. LOCATION (A.P. 40-17-99 wls of Cuurmti.ngs Rd. 900' no. of Durham-Oroville Hwy., Durham f P . ,l 1 r ` COUNTY OF BUTTE ' Department of Public Works BUILDING. INSPE-CTIOM RECORD Zoning, Setback % Z ! 7 Forms, J'Z' FoundationPiers & Girders. Fireplace Rgh. Plumbing Bond Beam Lath & Plaster `7G/ t Rein.' Steel Gas Piping & Test Found.. Vents Framing Plmg. Topout Rough Elec. Wtr. Htr. Furnace -- �-�-_ Kitchen Vent Firewall Garage Vents Sanitation & Water ELECTRIC. GAS BUILDING Temporary Temporary Cert. of Occup. Final Final 5�.� �' Final DATE REMARKS OR CORRECTIONS r COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOR 7,;?,7 County Center Drive — Oroville, California 95965 / Telephone: 533-120, Ext. 259 APPLICATION AND PERMIT au u urze represenrauves UI me l,Uuniy ui uuC[e io enter upon the above mentioned property for inspection purposes. X Date / 2 ignature of Permitee or Agent Receipt No.��? White-D.P.W. — Pink -Inspector — 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 OE PUBLIC WORKS BY :�:�/�_- Ld&e� Date /1—_)J-77— Building 1-7J-77— Building Permit Expires Date BUILDING N OwnerSO. FT. OCC. BUILDING VALUATION �- Mai I i ng Address Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Permit Fee $ $ Building Address 9 PLUMBING No.1 @ 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 A. P. No. / r Zoning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .50 Fire Zone Fire Dept. Sanitation Planning Building sewer 5.00 PlansLawn &/ Fees '� W. G. / R/W Encroachment sprinkler system 2.00 NEW ❑ ADDITIONM OTHER ❑ Permit Fee $ $ o ELECTRICAL No.. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 USE OF STRUCTURE Single Family Duplex ❑ Others ❑ Sub -panel (12 or less) (more than 12) Range, dryer or water heater 1.00 Oven, Cook -top or space heater 1.00 Light fixtures IS Re s., swit es & fix ojerets 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 Misc. wiring License No. Classification i am exempt from the Contractors License Laws of the State of California. Permit Fee $ $f 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. Elhave placed on file with the County of Butte a certificate of 'workmen's Compensation Insurance. ISI certify that in the performance of the work for which this !a 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 @ FEEPERMIT -No.1 FILING FEE J$3.00 Heating Cooling Ventilation 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 tate Fee.for Str ng Motion nsi rumentation f-rogrom $0.07/$1000 Evaluation $ TOTAL PERMIT FEE $ au u urze represenrauves UI me l,Uuniy ui uuC[e io enter upon the above mentioned property for inspection purposes. X Date / 2 ignature of Permitee or Agent Receipt No.��? White-D.P.W. — Pink -Inspector — 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 OE PUBLIC WORKS BY :�:�/�_- Ld&e� Date /1—_)J-77— Building 1-7J-77— Building Permit Expires Date r, _.- r. r,7r' �o Lr�+'e�. . `�6k'Y af. it � -,r. � � 1 � �.�^ 1' t 4y � •fie • 4r ,. t �1�S .. 4 �, .. ,..�'r�`�t.'�µ' �,�y. ".., ., t .; ..n �: q:. ✓5:u.i. Yt.7E'•1-_ Y 'f`4 nki u.x-rr. .sya? +i r�i l✓>y1'.-5"' �3 y:�hyt`iy. �. '•°S,.a_- n'1e�1v+'�'l�z�' _' 040-17-0-099 92-2803 P,El PERKINS; Keith. _ 9467 Cummings Rd,Durham- , �coritr : Toms .;AC t elec sery &'.repair�.hvac/sf;-, 11 3 _ 3 OFFICE.COPY'' r +' Address \ } GAS ,Y Meter By "Date ELECTRIC , Meter By . Dat COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California -95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 17 ZA-10� t BUILDING PERMIT OWNER Reith Perkins TELEPHONEV 343--8982 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 9467 Cummins Rd., Durham 95938 ' CONTRACTOR'S NAME - Tom's Air Conditioning TELEPHONE 343-2082, CONTRACTOR'S MAILING ADDRESS P.O. Box 6262 Chico 95927 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS If Filing Fee $ 15.00 Permit Fee $ 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 FiIingFee 15.00 9467 Cummins Rd. Durham f Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE v� SF 9 Duplex❑ Mobilehome❑ Other ) SPECIFY t Gas piping system 1 - 5 outlets 1 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities[] InstallationEolOther® Describe work: Uo rade Service Repair HVAC 71 Permit Fee $ 20.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 t Main service ?OOA OR LESS 1 18.50 18.50 Main service 200ATO1000Al 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): t—Jf 5. 1 am licensed under provisions of Chapt. 9, Div. 3 of tpe, Bus iness and Professions Coddle and my license is in full force{and effect. License .JO. Sir, 7S 3 t� Classification r : , ❑ I, as the owner, or my employees with wages as theiru ole 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.6 OR AODNS. ( ACC. BLDGS. 3.6Q sq. NEW CONSTR ULTI-OUTLET NO N. ESID BRANCH CIRC ITS @ 5 00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES AO T6 EX. Occup. OUTLETS IRESID )REA.) /� 2 I 3.00 6.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ 39.50 — 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. 1 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 FiIingFee 15.00 Heating 119.100 9.00 solit Cooling 16.50 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 Cou ty i conseque a of the granting of this per it. X� �/ Date S%`/ y' Signature pp ❑ ContractorAgent ❑ si nature of Applicant – Owner An OSHA permit is required for excavations over 5'l)" deep and demolition or construct - ion of structures over 3 stories in height. Mobile Home Installation^Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 100.00 HAz OFEES I IMP I FLOOD A I CDF PARCEL I PO HO ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do i work indicat ae.r which fees have been paid. pr , R OF PUBLIC WORKS lRE6T'--'-- Date By l PERMIT EXPIRES Date Receipt No. 122603 WHITE-D.P.W.. TELLOW-ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT r r .--.sn �..r„^ .. r«.—�.�.a �"'•.'•'s"x., y .-y ti = .`yi.F`h .- .,.J '. -:»:7€S: «-: a"�. .-L.lt .`.... ✓ a - COUNTY OF BUTTE DEPARTMENT OF PUBLIG WORKS -� 1469 Humboldt Road, Chico, CA - (916) 891-2751 t 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE-. 'p-12tUnIS OWNER PERM,IT'NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at f the above address and should be corrected. Please notify this office when correction of work = h' is completed. If you have any questions pertaining to this matter, or need additional_explanation, . please contact this office immediately. +` \S 12 f2 6=AS+1�/nl�,--^ A. .T COUNTY OF BUTTE - DEPA2TMENT OF PUBLIC WORKS 7 County Center Drive - Orovil*California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 040-170-099 ZONIN$ A-10 BUILDING PERMIT OWNER Keith Perkins TELEPHONE 343-8982 SO. FT. OCC.1 BUILDING VALTTIOPr OWNER'S MAILING ADDRESS 9467 Cummins Rd., Durham 95938 CONTRACTOR'SNAME Tom's Air Conditioning TELEPHONE 343-2082 CONTRACTOR'S MAILING ADDRESS P.O. Box 6262 Chico 95927 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 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 15.00 9467 Cummins Rd., Durham Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SFE] Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 1 5.00 5.00 Building sewer 15.00 Mobile HomeI S G W @ 15.00 TYPE OF WORK New❑ Addition Remodel[]Utilities[-Installation[:] Other ® Describe work: Upgrade Service _ Repair HVAC Permit Fee $ 20.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service R LESS 200A OR LESS 1 18.50 18.50 Main service 200A TO tOOOAI CONTRACTORS LICENSE LAW I de la a under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Co a and my license is in full force and effect. License No. Classification �G ❑ 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 _37.50 NEW CONST. / DWELLING OCCUPM 3.64 sq.ft. OR ADDNS, l ACC. BLDGS. I/ NEW CON5TR U TI -OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e1 (SINGLE OUTLET :'R. / 20 76 Ex. Occup(OUTLETS OR FIXTURESFIXED APLNS Ex. OCCUp. OUTLETS (PRESID )REA.) 9 I 3.00 6.00 Temporary service 15.00 Mobile Home Facilities 15.00Misc. IlVirin 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. 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 FiIingFee 15.00 Heating 11Q.00 9.00 Split Cooling g 16.50 Hood 6.50 Ventilation it Fee ee $40.50 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. 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 againrt said Cou ty ' conseque a of the granting of this per it. XJI��l�'k " Date �S t / Si nature of Applicant — Owner 9 PP ❑ Contractors 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 S Ener Inspection Fee $ Energy P OCC CONST TYPE TOTAL FEE $ HAz I DFEES I IMP I FLOOD A I CDF I PARCEL 7D ISSUE This permit is hereby issued under the applicable provi- sions of the Butte Count Code and/or resolutions to do work Indic which fees have been paid. I C OF PUBLIC WORKS By L� Date PERMIT EXPIRES Date -/ - fly Receipt No. 122603 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT '�}c+h�i+Ai°.'.�^ �r'wr4-'. %y ..,,r s'r -J' �..��L.:r�r,:-.Yr.' A�`"'P'�y�-'f�r�� t�.�fii;,�svi"�'tirr'�--.t;c'*�y..rr�� _ ��'•.:..�. COUNTY OF BUTTE - DEPARTM . PUBLIC WORKS -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, °CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLfdA' TION DATA SHEET OWNER (/ /'�-f`--/�J �" P. oQ'9"� Proposed Building Use Building Inspector Date At time of pe it application, I was advised the following data must be'submitted prior to permit processing and/or i. suance: DATE RECEIVED BY 1. All items have been submitted . ....................................... . 2. Plot plans, 3/4 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 . ............................................ 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). . . 20. Pre -inspection for / Pre -Inspection reque�s- 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: M grpw er. Mail to contractor. Telephon-'21 %and hold for pickup a 17' % office. Deliver with inspVtor. Other ` Parcel Creation Acreage Applicant G2YW�XqDate.- 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 - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovil)�d California 95965 - Telephone 916.538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARC L NUM c,�oy Q �� '� ZONI BUILDING PERMIT owN -� L5 H N Z SQ. FT. OCC. BUILDING VALUATION OWNER'S AILING ADORES C ilii 11Y S G CONTRACTOR'S NAME TELEPHONE 'S Gr7�r/o / vTi/ 6 3201 CO RgrQUTOR S MAILI �D IE G Z Fireplace CONSTRUCTION LENDER UNK OWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $' ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING A DR 55 C J„ ^n / / / �!t �n Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping7.00 Each oas water heater -or vent 7.00 USE OF STRUCTURE S Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G JW I @ 15.00 TYPE OF WORK New;.7 Addition, Remodel L Utilities ❑ installa ion[, OtheAr Describe work: G '� ��/ ��\ 6,e Permit Fee $ 0 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service soovoRLESS 200A OR LESS 1 8.50 CONTRACTORS LICENSE LAW I 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 LfFIXED 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 Main service 200ATOI000AI 37.50111 NEW CONST. ( DWELLING OCCUP� OR ADDNS. ACC. BLDGS. 3.605q.rc.declare NEW CONSTFI-MULTI-OUTLET NON•RESI D• BRANCH CIRC 'ITS @ 5.00 POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76d R APL NS EX. Occup. OUTLETS PIRESID IREA.� I 3.00 O Ll Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 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. (J 1 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 FiIingFee 1 15.00 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 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 perm t. –7 X Date !/ Signature of Applicant — Owner❑ Contractor Agent ❑ ❑ An OSHAwork permit Is required for excavations over 5'0” deep and demolition or construct - on of structures over 3 stories In height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE I TOTAL FEE $�On 1IA2 I OFEES IMP I F D I CDF PARCEL PO Ho Is uE This permit is hereby issue under the sions of the Butte County Code and/or indicated above for which fees DIRECTOR OF PUBLIC By _ EXPIRES Date applicable provi- resolutions to do have been paid. WORKS DatePERMIT Receipt No. �Z Z a� WMITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD-APPL I CANT