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Home My WebLink About040-212-006� � E ,040-21-2-00~6 91-3767. '" HAM I ,LTON', .'FERELL y" r CONTR :,-,�;JENN I NGS ,ELEC 2414 DURHAM DAYTON HWY, D M UNDRGRND ELEC•/SF. 03-2826 040-212-006 gAIvIILTON, FARRELL 2414 DUR-DAYTON HWY, DURNA�'I REROOF �. ,,; ,�. 0 N -- -- N i � F BtJ"rTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION COUNTY 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 R 1 (Rev.12/96) APPLICATION AND PERMIT � �� `2b ASSESSOR PARCEL NUMBER ®14 O _7..,1 Z• Ot) ZONING BUILDING PERMIT OWNER I ,n��/ HV M r� I X1ONE j li SQ. FT. OCC. BUILDING VALUAT ON S _ I�pIUNG A�)ChEBa�� / �v (l /Y/• � CONTRACTORS NAME/, TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace _ Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ • ci� ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS ',[>i (h& m_ U -,.q Too Roy nergy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL AP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each BS water heater Or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: rn y�, a Q— r� y e;I ' � r 1 r�) t-L�• /� Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 000R LESS Main Service A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Codes and my license is in full force and effect.P License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors license Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. 91/ 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 Main Service 200A To I000A 46.00 NEW CONST. DWELLING OCCUP. s° OR ADONS. ( a ACC. BLDS. 3.5¢FT; p°�IpT MULTI -OUTLET 97.50 OWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occu ounET OR FIXTURES BAL 4 I; 0 Ex. Occup. oFuTIErs ASID.°FRA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ . WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall with comply w' h thoserovisions, 1� _� Date ��/! _ Si6inature of Applican - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 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 IMP I FLOOD I COF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicate abo a for whic e s hav been paid. r fy� / By LIT to •i PERMIT EXPIRES ON 7—/ Date Recei tNo. p WHITE-D.D.S.-B. . CANARY --ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Dec 17 02 11:39a p.2 I OWNER -BUILDER VEA2IFICATION Attention Property Owner: An "owner•builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. PI personally plan to provide the major labor and materials for construction of the proposed property improvement: YES E3 NO 2. I HAVE [tr HAVE NOT ❑ signed an application for a building pennit for the proposed work I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE O1F WORK SIGNED: / PROPERTYOWNER: , NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER Dec 17 02 11:37a p.1 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as `owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself; you may protect yourself from possible liability -if that person applies for the proper permit in his or her name: ' - Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials 'and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability incnrance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law. contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for We, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "'ownerbuilder" building permit', erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community. or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Smia:reI , Mfchadl C. Vieira, C.B.O. Manager, Building Inspection' NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER l`�Y--' " .r' .. 9 e -„r,,. 1,,,-. ,— , -�. ,.. n: ., ..... . -: P • j; : f.n -.q.- �-.3,.z--• ,u _. w} y . _ ; t"'^ � :r.^s f'i,.*xr•..:,,._ r 40-21-2-006 91-3767 0. HAMILTON, FERELL 71 CONTR: JENNINGS ELEC 2414'DURHAM DAYTON HWY, DURHAM UNDRGRND ELEC/SF r ' r OFFICE COPY q 1d Address — 7 GAS r ' Meter By Date' ELECTRIC y' Meter BY Date ” r COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, Callfornla 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT —ASSESSOR PARCEL NUMBER 40-212-006 ZONING BUILDING PERMIT OWNER Ferell Haatilton TELEPHONE 342-5754 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2414 Durham - Dayton fty, Durham 95938 CONTRACTOR'S NAME Jennim Electric TELEPHONE 898-1421 CONTRACTOR'S MAILING ADDRESS 2321 Honey Run Rd. #33 Chico 95928 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15.00 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 Permit fee $ PLUMBING PERMIT Filing Fee 15.00 a 1A14 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 Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 SF ® Duplex❑ Mobilehome❑ Other Mobile Home S I G I W @ 15.00 SPECIFY j TYPE OF WORK 4 New Addition;' Remodel❑ Utilities Installation❑ Other ❑ Permit Fee $ Describe work: D.U.U.D. { Contractor r ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AA 00OR LESS 2OR LESS 18.50 Main service 20CATO 1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. c -+'-f 0 License;Jo. '� Tr%R� Classification NEW CONST. DWELLING OCCUP.e OR ADONS. ( AGC, BLDGS. NEW CONSTR. ULT'.OUTLET NON-RESIC BRANCH CIRC ITS (POWER APPARATUS e1 %SINGLE OUTLET CIR. / Ex. Occup(ouTLETS OR FIXTURES 3.6asq.ft. @ 5 00 20 2 76d ❑ 1, as the owner, or my employees with wages as their solelcompen- 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 Pontract- ors. (Sec. 7044) FIXED APP LNS. OR EX. OCCUp. OUTLETS IRESID.) EA.� Temporary service Mobile Home Facilities Misc. �yirin 9 I 3.00 15.00 15.00 15 -CO 15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $Jo.00 — WORKMEN'S COMPENSATION INSURANCE Contractor I declare under penalty of perjury (check one): MECHANICAL PERMIT FiIingFee 15.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ 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. Cooling g Ex I shall not employ any person in any manner so as to become subject Hood 6.50 to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subjectPermit to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Ventilation 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 agains0ssaid County in consequence of the granting of this permit. X Date /a - ;2'3 9f Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 30.00 HA2 DFEES IMP I FLOOD I CDF PARCEL I PD HD ISSUE This permit is hereby issued under the applicable provi- Si nature of Applicant - Owner g pp ❑ 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. 100$65 Receipt No. WHITE-D.P.W.. 7ELLOW-AS9[950R, PINK -INSPECTOR. GOLDENROD -APPLICANT sions of the Butte County Code and/or resolutions to do work indicated above for;-Lvhich fees have been paid. DIRECTOR OF PUBLIC WORKS By :'� - Date,/ PERMIT EXPIRES Date 'n• -' - - i COUNTY OF BUTTE r DEPARTMENT OF PUBLIC WORKS 196 Memorial Way,•Chico—`Phone.4891-2751 s 7 County Center Drive, Orovi I le — Phone: 538-7541' 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE a 'N %'V\ i LTO Al, OWNER PERMIT N30 --j A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office F when correction of work is completed. If you have any question pertaining to this r matter, or need additional explanation, please contact this, office immediately.'; Kx< t >?_ c -T- i2 1 c S Pt (z y\ C) LA T- .1 A -I A n i % S9 2>3n.,,�Q�,�,; Date 11/1 -PS-CI l Inspector COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 916,'538.7541 APPLICATION AND PERMIT P RMIT NO. ASSESSOR PARCEL NUMBER 40-212-006 ZONING % BUILDING PERMIT ` OWNER Ferell Hamilton TELEPHONE 342-5754 SO. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS 2414 Durham - Dayton Hwy, Durham 95938 CONTRACTOR'S NAME i TELEPHONE 898-1421 CONTRACTOR S MAILING ADDRESS 2321 Honey Run Rd. 33 Chico 95928 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 94 14. Durham—DaYton l4wy Durham Each Trap 1 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 SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W= @ 15.00 TYPE OF WORK NewU Addition❑ Remodel❑ Utilities® Installation[" Other❑ Describe work: D.U.U.D. Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 20CATo 1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): r'a 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Codeand my license is in full force and effect. L License No. 'iffA 32 �J Classification Cif O ❑ 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 OCCUPM 3.60 sq.ft. NEW CONST. / DWELLING OR ADONIS. ACC. BLDGS. // 1 NEW CONSTR ULLOUT LE NON•RESI D• BRANT CH CIRCT ITS @ 5.00 (POWER APPARATUS y\ SINGLE OUTLET CIR. 20 761j Ex. Occup(OUTLETS OR FIXTURES 20 EX. OCCUp. OU LETS PIRESID,)REA./ I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 1 15.00 15. Permit Fee $30.00 — 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 Cooling g 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 Iia ilitiies, jud�nts, Costs, and expenses which may in any way accrue against said County consequence of the granting of this permit. %� Date �d a 3- 9l Signature of Applicant — Owner E] Contractor X Agent ❑ An OSHA permit is required For excavations over 5'd" 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 DFEES IMP ] FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work Indic above d which fees have been paid. I T�F PUBLIC WORKS By � Date/0-Z3 P � EXPIRES Date/41- Z', -9 Receipt No. 100965 WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATIOWDATA SHEET Permit No. OWNER��% [� t✓/✓ .� (M i L%�-(/ g. P o. V9 — z 61 Proposed Building Use/ % i� U Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid ............. . 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking-.- 18. arking:18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. MaiI tt contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other 11 p 1 AppI icant� Date Z l0 3 -`/ Copy of Hdz-Mat form sent Health Dept. _Fire Dept. Air Pollution Date Copy of plans sent Health Dept. l=ire 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 —ma il—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in - File cabinet AP folder Copy—DPW o� 2 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 L) ZONING . IBUILDING PERMIT OWNER �/ / 4/LC �� /f /Y11 0 A TELEPHO 3 Z_� fs� SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME J-GNNiN G7/464A T LEPHONE CONTRACTOR'S MAILING ADDRESS .23 3 zl 4. nrG AVN IV - -$.73 CA ieb Sfr— Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is 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 AD RESS C/fI4 _ Permit fee $ �v PLUMBING PERMIT Filing Fee 15.00 Each Trap 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 SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW I @ 15.00 TYPE OF WORK New ❑ Additioni_I Remodel❑ Utilities Installation❑ Other ❑ Describe work: ri% (,t Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LES00V OR S 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): IN I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Codpe, and my license is in full orce and effect. License No.913%e %. Classification C JD jJ 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 200A TO 1000A) 37.50 OCCUP. �\ 3.6Q sq.ft. NEW CONST. DWELLING OR ADONS. ACC. BLOGS. I NEI cL1N5TR ULT' -OUTLET la 5.00 NON-RESID• BRANCH CIRC ITS (POWER APPARATUS e\ l SINGLE OUTLET CIR. I Ex. Occup(OUTLETS OR FIXTURES A20 75d Ex. Occup. OUTS TS P(RESID )REA.) j 3.00 Temporary service 1 15.00 Mobile Home Facilities 1 15.00 Misc. Wiring g 15.001 IT00 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. 'fI I shall not employ any person in any manner so as to become subject r--' 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 Cooling g 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, j dgments, costs, and expenses which may in any way accrue agai t said Cou ty in consequence of the granting of this permit. X Date fv— 2 3-9/ Signature of Applicant — Owner t Contractor CJ 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 $ OCC CONST TYPE TOTAL FEE $ HAZ 0FEES IMP FLOOD COF PAR L 1-76- 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. DIRECTOR OF PUBLIC WORKS By DatePERMIT EXPIRES Date Receipt No. N'NITE'D.P,W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT