Loading...
HomeMy WebLinkAbout040-213-005REROOFING APARTMENTS W/0 PERMITS 5/21/92 ReMov& Vol 040-21-3-005 ''' `"'="a.91-3787 't STEARNS,JEFF 'CONTR i8A E'R;' HARRY.'-'' f! 9412''GOODSPEED, DURHAM ' UNDRGRND ELEC/4PL'.EX ; - • '040-21-3-005 W 92-0010 LEMOS, AL `n CONTR: ELY ROOFING ,0 1jJ 9412' G_OODSPEED, DURHAM r RE0OOF78F !/ 40-213-05' 92-1926B LEMOS, Albert 9412 Good speed;'~'Durham - - contr: A Jacks Roofing reroof/4plex` i GORE; Gus & Sons 53$-6$B- _ 476-6$P ----4 g = $E - 0-213- e/s Goodspeed St. 150' no. of Da on- am Hwy., Durham (new 4 mni t apt.)j"_ i ' Ab COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 Cunty Center Drive - Orovllle, California 95965 - Telephone: 916,'538-7541 APPLICATION AND PERMIT PERMIT NO. 12!-- r Si ASSESSOR PARCEL NUMBER., 40--213-05 ZONING R 3BUILDING PERMIT OWNER ALBERT LEWS TELEPHONE• 345--6618 SO. FT. OCC. BUILDING VALUATION 21 S COMP 1 260 OWNER'S MAILING ADDRESS 987 DOWLING BLVD SAN LFANDRO 94577 CONTRACTOR'S NAME A' JACK'S ROOFING TELEPHONE 895-1217 -2 ,J CONTRACTOR'S MAILING ADDRESS P.O. BOR 4050 CHiCO 95927 Fireplace CONSTRUCTION LENDER UNKNOWN — Total Valuation _ $ 1,260 LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 27.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS _ Penalty $ BUILDING ADDRESS 9412 GOODSPEED DURHAM Permit }ee $ X12.00 PLUMBING PERMIT FilingFee 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 I SF ❑ Duplex❑ Mobilehome❑ Other 4 --EM 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 New ❑ AdditionRReemlodeI F—'Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 15.00 Main service 200A OR LESS 18.50 Main service 200A TO 1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 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 ,JO.- /�//• Classification- ^ ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract— ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.E\ OR ADONS. l ACC. BLDGS. // 3.6Qsq.ft. NEWCONSTR MULTI -OUTLET NON .R ESI D' BRANCH CIRC ITS @ 5 00 /POWER APPARATUS &) (POWOUTLET CIR. Ex. Occu p�OUTLETS OR FIXTURES 20 75d FIXED ETS PIRESID IREA.1 Ex. Occup. I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 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. 4trI 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. ZI 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. I Contractor MECHANICAL PERMIT FilingFee 15.00 Heating Coolin g Hood #6.50 Ventilation Permit Fee $ LContractor 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 judgements, sts, and expenses which may in any way accrue against sai oun y In c gLience of the granting of this permit. X Date D ' T 2 Signat4 �f Applicant — Owner ❑ Contractor Er 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 Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 42.00 HAz OFEES IMP FLOOD CDF PARCEL PD HD IssuE This permit is hereby issued under sio of he B tte Count C and/or w rk In, Ica d above f w ch fees el I E,,TO P LIC BY PERMIT EXPIRES Date I the applicable provi- resolutions to do have been aid. p WORKS Receipt No. 116,n R WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT µ 40-213-05 U1JTS147S92-1926B LEMOS, Albert 9412 Goodspeed, Durham contr: A Jacks Roofing reroof/4plex ------------- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Delve - Orovllle,flfornle 05965 - Telephone: 915.'555=7641 APPUCATIN AND PERMIT PERMIT NO. ASSESSOR 40-213-05 N `R 3 BUILDING PERMIT OWNER ALBERT TELEPHONE 345-6618 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ESS 987 DOWLING BLVD SAN LEANDRO 94577 21 SQ COMP 1,260 CONTRACTOR'S NAME A' JACK'S ROOFING TELEPHONE 896-1217 CONTRACTOR'S MAILING ADDRESS P.O. BOX 4050 CHICO 95927 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is 1,260 LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 27.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 9412 GOODSPEED DURHAM Permit fee $ 42.00 PLUMBING PERMIT Filing Fee 15.00 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 4—PLEX SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W 515.001 TYPE OF WORK New"F Addition ❑j Remodel ❑ Utilities ❑ Installation El Other ❑ Describe work: REROOF Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200V OR LESS 00A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): Er", am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full jgrce and effect. License No. %y��r Classification (-. � % ❑ 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 IOOOAI 37.50 DWELLING OCCUP.&\ NEW CONST. (OR ADONS. ACC. BLDGS. I 3.6Q sq.ft. NEW CONSTIRMULTI-OUTLET NON•RESID. BRANCH CIRCUITS) @ 5.00 PO ER APPARATUS 6 -SINGLE OUTLET CIR. X. CcU EOOUTLETS OR FIXTURES p( 20 76FIXED APLNS.d Ex. Occup. OUTLETS P(RESID. IREA.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): he permit is for $100.00 (valuation) or less. ds k;.vhave 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 Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ L 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 jud ents, c Sts, and expenses which may in any way accrue against sai oun in c quence of the granting of this permit. j X D to B " %_ f Z Signa r of Applicant — Owner ❑ Contractor [Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 42.00 HAz DFEES IMP FLOOD CDF PARCEL PD HD SSUE This permit is hereby issued under the Sion of he B tte Count C and/or d w k in is abo e f w ch fees BLIC By PE IT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS �y D e T 9 Receipt No.1 6889 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle,.California 95965 - Telephone 016 '5'38-7541 APPL.!"ATION. AND PERMIT PERMIT NO. ASSES50 P RCEL��yyM : - ZONIN 2 ✓ BUILDING PERMIT OWNS L P Pim SCJ SO. FT. OCC. BUILDING VALUATION OMW LI�� o C OTRAC X'S AM 7 i/^� T7AC T EPHONE C ACTO 'S MAILING DR O� ^ v) Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation S LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE No. Filing Fee $ 15,00 Permit Fee Plan Checking Fee $ ro $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS ^ Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each cias water heater or vent 7.00 USE OF STRUCT RE SF ❑ Duplex[( Mobilehome❑ Other �f�1� PECI FY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New _ Addition _ Remodel ❑ U lilies ❑ Installation[ Other yC I Describe work: %L �� (((_ Permit Fee $ Contractor ELECTRICAL PERMIT I Filing Fee 15.00 Main service 200V OR LESS 00A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): '—I I I! 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. License No. Classification 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 10o0Ar 1 37.50 DWELLING OCCUP. �\ NEW CONST.( CC. BLDGS. / A 3.66 sq.ft. NEWCONSTFL ULTI.OUTLET NON•RESID BRANCH CIRC ITS @ 5.00 (POWER APPARATUS a� (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76d IXFI, Ex. Occup. OUTLETS PIRESID IAPLNS.KEA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I dec;are under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If atter making this statement, should you become subject the W. C. provisions of the Labor Code, you must forthwith comply with such$ provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation EPenmlt Feeto tractor 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 against said County in consequence of the granting of this permit. Xa�y,ccrue DateThis signature of Applicant — Owner ❑ Contractor ❑ Agent An OSHA ion of structuresover3gstorriesoineheigfattions over S'0" deep and demolition or construct- Mobile Home Installation Fee S Energy Inspection Fee $ OCC I CONST TYPE (TOTAL FEE $ , Hnz OFEES IMP FLOOD CDF iX PARC L PD HD ISSUE permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC EXPIRES Date applicable provi- resolutions to do have been paid. WORKS DatePERMIT Receipt No. 1>5By wNITC-O.P.W., TEL OW-ASSC590R, PINK -INSPECTOR. GOLDENROD -APPLICANT File No. BUTTE COUNTY (For Action 1, 2, 3, Public Works Dept. P (For Informaiion �/ ) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldg. Insp. Admin. Design Engr. Bridge Engr. Conetr. Engr. Surveys I I 1 IMapp ng Tronsp. Land Dev. Drng. /S.I. Sub.B PCI. Maps Permits Addr. Albert G. & Antonietta Lemos 937 Dowling Blvd. San Leandro, CA 94577 RE: Building Code Violation 9412 Goodspeed, Durham Dear Mr. & Mrs. I.emos: July 30, 1.992 A.P. #040-21-3-005 We sent you a warning letter dated May 22, 1992 notifying you that you are in violation of the Butte County Code at the above referenced location. As of this date, the following violations still exist. Failure to obtain the required permits, inspections and approvals from this office for reroof/apartments in violation of the 1988 Uniform Building Code as adopted by Section 26-1 of the Butte County Code as follows: (a) Section 301(a) Permits Required (b) Section 305(a) Inspections Required (c) Section 305(d) Inspection Approval Required before Use or Occupancy The above violation(s) shall be corrected or abated by you by submitting three (3) complete sets of plans, applying for the required permits, and paying the appropriate fees, including penalties, uri,thin thirty (30) days of the date of this letter. After permit issuance and field authorization to proceed, the work must be completed and approved by this office within the permit specified time. Unless the violation(s) is (are) so corrected or abated, a citation shall be issued to you to appear in court for said violation(s) and for failing to comply with this notice. Upon conviction of said violation(s) or for failing to comply with this notice, penalties shall be imposed and a Notice of Violation recorded in accordance with Section 41-7 of the Butte County Code. Should you have any questions concerning this matter, please contact Rod Taylor or David Purvis of this office at (916)538-7541. V/ RT:dms cc: Building Inspector, Yours very truly, e Apigr'. ;. '"; � A jF. �: �"- iuiittf'e:'' J.F. Glander Manager, Building Inspection � 2 z L -, S4 V4 eo ur 1 2 3 4 5 8 8 9 10 11 12 13 14 15 18 1? 18 19 20 21i V.1 23 24 2I 28 PROOF OF SERVICE BY t4.4II. I am over the age of 12 and not a party to this causi-. I am a resident of and employed in the county where the mailing occurred. My business address is Building Division De artment f Development Services J7p County enter rive California. Oroville, CA 95965 I served the foregoing 30 -Day Violation Letter by enclosing a true copy in a sealed envelope and depositing said envelope in the United Scatas mail with postage fully prepaid'on 30th. of July 71.3 92 , and addressed as follows: Albert G. & Antonietta Lemos 937 Dowling Blvd. San Leandro, Ca 94577 I declare under penalty of perjury under the laws of the State of California that the .foregoing is true a-nd correct and that this declaration was executed on 7/30/92 at Ornville California. BUTTE COUNTY (For Action 1, 2, 3, Public Works Dept. (For Information o/ ) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldg. Insp. Admin. Design Engr. Bridge Engr. Constr. Engr. Surveys Mapping Tran sp. Land Dev. Drng. /S.I. S.6.& Pcl. Maps Permits Addr. Albert G. & Antonietta Lemos 937 Dowling Blvd. San Leandro, CA 94577 RE: Building Code Violation •9412 Goodspeed, Durham / Dear Mr. & Mrs. Lemos: May 22, 1992 A.P. #,: 40-213-05 This is a warning letter to notify you that you are in violation of the Butte County Code at the above referenced location as follows: Failure to obtain the required permits, inspections and approvals from this office for reroof/apartments. Since permits and inspections are required for the above work, please contact this office within ten (10) days of the date of this letter, apply for the required permits and pay the appropriate fees. ti , All work must stop until these permits are issued and you are authorized \ by our field inspector to proceed. This field authorization cannot be made until the existing work is inspected and approved. Please be aware that Butte County has entered into a Code Enforcement Program that seeks voluntary compliance with the Butte County Code' but provides an effective means of enforcement if such compliance is not obtained. If voluntary compliance is not obtained,. enforcement will be pursued through the issuance of citations, fines, and the recording of a Notice of Violation. Your cooperation in resolving this matter would be appreciated. -Should you have any questions concerning this matter, please contact Rod Taylor or Jim Glander of this office at (916)538-7541. Yours very truly, William Cheff rL C Director of Public Works Orig:nal siq.— v4 t�. RT : dms J. F G1isn&,= 1J.F. Glander Manager, Building Inspection cc: .Assessor ti Building Inspector 30a , L�ri-7 — 0, L �� ate. �ONN6L Ccri 4YAk `+s re-ra4'. ,41bert G s ��fDYli eAJ (� 3 7 b ati✓� �q �!"°� IS/i z/I Z 15�a In ea na�ra' 45-77 May 12'1 1992 ��� CJ \ ✓ L-�a - A�, County of Butte- Dept- of Public Works _ 7 County -Center Drive Oroville, California 95965 RE: Permit #92-0010B Attached is claim for return of permit fees. Mr. Gary -Flock was authorized to file for this permit. However, the residence covered by the permit has had the work completed by..others. Ely Roofing did not do the reroof. Please refund the fees to Ely Roofing. Thank you. sincerely, _ ELY ROOFING, INC. I \�1111.�� Barbara J. Rea , Office Manager encl RT.3'1Yv\ Sv e9 L'4 Kot' a CO-VA04 L1)/ Lt UALtO . TAO MAhCL j A. on ,o� . 7i�1 rw�t Aka -L a- L' &VUend"`�- vpx_a� n.o.4-. r"ue s4woks 441-t►W, �- r /1¢ .t i't &"..' , wcr, tZ5 &9+ vwcrvQuA,/- 44� New . Cl ) 6 w m e_r- 1 t v e s ck_h J -Z ov►-cI w Aeed *-0 s er.d ►ester {-ktm. Jr COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - GTovildej%�Calitorn ia 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. 9z -zDaie) ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT 1 OWN R TELEPHONE 315k&l SQ. FT. OCC. BUILDING VALUATION OW ER'S MAILIN ADDRESS /J t6,C)G L CONTRACTOR'S NAME T LEPHONE ONT2TOR S MAILING ADD SS 0 f ,> ^, C— .c. L c, 1:7 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 15.00 Permit Fee Plan Checking Fee $ $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS - Permit fee $7,271 9y/z/ _ �' PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 arh a—,L� 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 TURE SF Duplex❑ Mobilehome Other sP cIFv Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home 'S I G JW 1 15.00 TYPE F WORK New ❑ Addition ❑ RR model ❑ U`ti Iities ❑ Installation Other ❑ Describe work: KC'� -c) d / �� /062 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service ESS 200A OR 00V OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profess s Code $nd my license is in full iorc and effect. License ,Jo. v :' Classification (` � ❑ 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason Main service 20CATO 1000A) 37.50 OCCUPM NEW CONST. / DWELLING OR AODNS. ACC. SLOGS. // l 3.64sq.ft. NEW CONSTR ULT' -OUTLET NO N.R ESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS b (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 7611 FIXED APLNS. Ex. Occup. OUTLETS P(RESID )REA.1 I 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. Wiring 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 Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ L 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, d County in costs quence of the granting of this permit. .S ' 1kI%- — Date Signature of Appli' ant — OwnerElContractor EJ Agent An OSHAwork permit is required for excavations over 5'0" deep and demolition or eonstruet- lon of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE I TOTAL FEE $ . • CI HAz 0FEES IMP FLOOD COF PARCELPO HD ISSUE This permit is hereby issued under the applicable provi- Bions of the Butte County Code and/or resolutions to do indicated above for which fees have been paid. �.Q17CT/,-Q�R OF PUBLIC WORKS By S'Gi -/ t,N,LA. ✓!T L- Date I PERMIT EXPIRES t2te ! [7j' j' p / C, 3 { Receipt No. r WMITC•a. r. W.. YCi, nW_�n----..- n....-..---�-....--.--..___ ._-. _.___ IMPORTANT MESSAGE FOR— DATE TIME P.M. M OF / PHONE AREA CODE NUMBER EXTENSION TELEPHONED PLEASE CALL CAME TO SEE YOU WILLCALLAGAIN WANTS TO SEE YOU RUSH RETURNED YOUR CALL SPECIAL ATTENTION MESSAGE e-12 �i o SIGNED LITHO IN U.BA. TOPS W FORM 3002S NOTES OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Ely Roofing ADDRESS: P_n. Box 7n4 CITY & STATE: Chi rn-, CA 95927 IMPORTANT: SEE INSTRUCTIONS DATE OF CLAIM: _-May 5. 1992 ON REVERSE. SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT - Ownerhas decided not to do work. Permit #92-001OB -. AP#40-213-05, Receipt #103194, dated 1/3/92. I Total Permit Fees Paid ----------------------------- $46.50 ------ i _ Total Permit Fees Retained-----=------------------- .15.00 TOTAL REFUND DUE----------------------------------- $31.50 I i i TOTAL $31 50 I, the undersigned, 3eclare under penalty of perjury that the services or articles cl im dAhavnperf ordelivered nd theR this c im is true end correct as stated.(���j.�p��tted this ............12............ day of ...�./.1... 19l g. at —4 .0.'T. sc.F..rR:....... a if.ure of Clal E) -I, the undersigned, hereby certify that, to the beat of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation ❑ or Specific Board Approval IE] (Check one or th�_� Dated this 5th May 92 Oro ville day of ............................. 19....... et .............................. . Calif. .. ..... ................. u,,,.. ......... _... y ............... apartment Head or Authonze eputy Dept. e 440-002 Exp. 4210500Const. Permits FUND ............................................ Code ................................................PAYABLE FROM .................................................................... DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 APPLICATION'AND PERMIT PERMIT NO. 2 —Ory in ASSESSOR PARCEL NUMBER _ O ZONING BUILDING PERMIT OWN R ds TELEPHONE 3 $6&� F S0. FT.y� OCC. BUILDING VALUATION (e.0 V610 1 F7"e.M OW ER'S MAILIN ADDRESS aW A, .6/1. CONTR_(/ACTOR'S NAM 11 00F, � /�- TELEPHONE 3 y ONT TOR S MAILING ADD SS rb 7 t`1 L L 9593--7 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ , 5' 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 9ell ZD a Each Trap 5.00 U h dM. 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 SPECT FY 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 ❑ Addition [JR model ❑ Ui lities [:]Installation Other ❑ Describe work: 2 t'0 C7 � � 5G ti C e .- Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 200ATO1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Prof essio s Coe nd my license is in full orc and effect. License .Jo. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUPM OR ADDNS. ACC. BLDGS. / 3.64 sq.ft. NEW CONSTR ULTI.OUT LET NON•RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20 76 Ex. Occup. OUTLETS P(RESID )FIXED APLNS REA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 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 Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation Penult 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 againstCD all liabil'ties, judgments, costs, and expenses which may in any way accrue against 'd County in co s quen of the granting of this permi . %� Date Signature of Appli ant - owner [IContractor E]Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height.PUBLIC Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEES 5 HAz I DFEES I IMP FLOOD I CDF I PARCE PD [HDT ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees By T OF PERMIT EXPIRES ate applicable provi- resolutions to do have been paid. WORKS Date Receipt No. (13 % WNITC-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT FLY ROOFING, INC. < ''-P.O., Box 704 Chico; CA 95927 (916) 343 -ROOF Co. Lic. No. 607386 May 12, 1992 County of Butte Dept of Public Works 7 County Center Drive Oro'ville, California 95965 RE: Permit #92-0010B Attached is claim for return of permit fees. Mr. Gary Flock was authorized to file for.this permit. However, the residence covered by the permit has had the work completed by,others. Ely Roofing did not do the reroof. Please refund the fees to Ely Roofing. Thank you. Sincerely, ELY ROOFING, INC. Barbara J. Rea Office Manager encl ...•-'.:c::.e7;::�.ti.:t,'a�i8tan,S�id:*'f nq?'iT iS`'ir'. t•�,. � �c wa ^;.-i. �..-iw"rl.l_^`aTv:-.1.+'K'+�. a.y,....•.a.:,c' iv. .. y'"e. ` r+v�'s; A 1 � � ' �.: h7..ai. .KYR' EST'/ 7. .., •• ``.,�" .��Y,�.: • �. { �`•'91-3787 - •040-21-3-005 STEARNS, JEFF. `. CONTR: BAKER, HARRY 9412 GOODSPEED, DURHAM UNDRGRND ELEC/4PLEX . J• J C c' •' t'i• N 1� �aob 51��`7 R, t L OFFICE COPY AddressGAS Meter\By �— DateT� ELECTRIC Meter Bye Date �(�� W. -WA ` COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, California 95965 - Telephone: 916,'538-7541 APPLICATION AND PERMIT ' ASSESS R PARCEL NUMBER 40-2 Z NIN BUILDING PERMIT OWNER Jeff Stearns TELEPHONE 895-3540 SO. FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. Box 939 Durham 95938 CONTRACTOR'SNAME H&rrLy Baker TELEPHONE CONTRACTOR'S MAILING ADDRESS 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 9412 GoodsGoodspoed. Durham Each Trap 5.00 Solar, or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other 4-Plex 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 New U Addition ❑ Remodel ❑ Utilities ® Installation❑ Other ❑ Describe work: D.M.D. for 4 -Plea Permit Fee $ Contractor ELECTRICAL,PERMIT Filing Fee 15.00 Main service 600V OR LESS 18.50 200A OR LESS Main service 200A TO t000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.(DWELLING OCCUP.h 3.64 sq.ft. OR ACDNS. ACC. BLDGS. NEW-CONSTR. ULTI-OUTLET @ 5.00 NON -RESIDE BRANCH CIRC ITS POWER APPARATUS Q (SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 20 9 764 FIXED APPLNS.❑ EX. OCCUp. OUT ETS (RE SID)RE A.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 9 1 15.00 15.00 Permit Fee s30.00 — 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. 9II 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 J Ventilation permit Fee $ LContractor 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. also agree to save, indemnify and keep harmless the County of Butte against all liabi ities, judgments, cpsts, and expenses which may in any way accrue against said C06nty in consequence of the granting of this permit. "' -"'^'" - Date %©� �`� �� -' 5ignafure of Applicant — Owner ElContractor Agent 1:1work A� OSHA permit is required for excavations over 5'0" deep and demolition or construct-�IRCTOR ;ion of structures over 3 stories in height. Mobile Home Installation Fee S Ener Inspection Fee $ Energy P OCC CONST TYPE TOTAL FEE $30 -WI HAz DFEES IMP FLOOD COF PARCEL PO HD ISSUE This permit is hereby issued under the applicable provi- Bions of the Butte County Code and/or resolutions to do indicat€d-above for which fees have been paid. OF PUBLIC WORKS By �'f— Date PERMIT EXPIRES Date /v - zy-4Z- Receipt No. 100971 WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT / COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ` 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATIOWAND PERMIT 9P NO. ASSESSOR PARCEL NUMBER 40-213-005 ZONING BUILDING PERMIT OWNER Jeff Stearns TELEPHONE 895-3540 S0. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. Box 939 Durham 95938 CONTRACTOR'S NAME Harry Baker TELEPHONE CONTRACTOR'S MAILING ADDRESS 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 $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 9412 GnndqpPPd, Durham 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 SF [I Duplex❑ Mobilehome❑ Other 4—PIPx SPECIFY Gas piping system 1 - 5 outlets 1 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New II Addition ❑ Remodel ❑ Utilities © Installation['! Other ❑ Describe work: D.U.U.D. for 4—Plex Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ 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) 1, 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 IOOOAI 37.50 NEW CONST. ( DWELLING OCCUP.�\ 3.6Q sq.ft. OR AODNS. ACC. BLDG S. // NEW CONSTR. ULT I -OUTLET NON-RESID• BRANCH CIRC ITS @ 5.00 POWER APPARATUS a (SINGLE OUTLET cIR. Ex. Occup(OUTLETS OR FIXTURES 20 760 64 FIXED APLNS . Ex. Occup. OUTLETS (PRESID IRE A.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 1 15.00 15.00 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 Filing Fee 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 Countyof 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 liabi ities, judgments, c sts, and expenses which may in any way accrue against aid my 'n equence of the granting of this permit. Jr_Date ���— CJ f Signatu Applicant — Owner Contractor ❑ Agent ❑ A 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 $30.00 HAz DFEES IMP FLOOD CDF PAflCEL PD HO ISSUE This permit is hereby issued under the applicable provi sions of the Butte County Code and/or resolutions to do work Indic d abov or which fees have been paid. OF PUBLIC WORKS By • Date ,Z PERMIT E PI ES Date t o— Z y -4L Receipt No. 100971 WNITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT r ���- . +t f�}"1'•t i 4�7 •wyry ,+-c-r..,.....-.i :. if1'jt.. T' ,,,`��. ,- , : i.T1'�.. ` COUNTY OF BUTTE - DEPARTME 'T OF PUBLIC WORKS - BUILDING DMS N` 7 COUNTY CENTER DRIVE - OR0,41�L., ;CAT IFO NIA 9%5965 - TELEPHONE: 916/538-7541 f ✓ �7�� PERMIT APPLII AAWDATA SHEET C.- ��` Permit No. OWNER �J A. P Proposed Building Use 2 �Uy ding Inspector Date At time of p rmit application, I was advised the following data must be submitted prior to permit processing and/or issuance: .i DATE RECEIVED APPROVED 1. All items have been submitted . ............ } 2. Plot plans in.dtiplicate/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. 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, ail to contractor. Telephone and hold for pickup at office. eliver w/inspector. Other Applica Date / �2Z� �j 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---nail_count\r by .date Contractor, designer, owner, was advised of above required data by_phone_mall_counte'�y date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916 '538-7541 APPLICATION AND -PtRMIT ASSES R PARCEL NUMBER 442!9 4 Zj J- ZONING BUILDING PERMIT OWNER S R S TELEPHONE 045— — 3W SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 0>,L 3, e!�"q 9S�i� CONTRACTOR'SNAME ELE TPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER VNKNOWN Total Valuation Is 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 OGRESS �C Permit fee $ PLUMBING PERMIT Filing Fee 1 15.00 Each Trap I 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 STRUCTURES SF ❑ Duplex❑ Mobilehome❑ Other��1/ /� SPECT FV Gas piping system 1 - 5 outlets 5.00 Building sewer 1 15.00 Mobile Home S I G I W 615.00 TYPE OF WORK New ❑ Addition U Re o i ^ Util tie Installation❑I Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 200A TO 1000A, 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License .Jo. Classification ❑ I. as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract— ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST./ DWELLING oCCUP.✓f) 3.64sQ.ft. OR ADONS, ( ACC. SLOGS. NEW CONSTR ULTI.OUTLET @ S.00 NON.RESIP BRANCH CIRCUITS) POWER APPARATUS tr (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20 @ 764 Ex. Occup. OUTLETS PIRESID IREA.) j 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 9 15.00 Permit Fee $ 1-917 — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 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 permit. X Date Signature of Applicant — Owner❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ HAz 1 0FEES IMP I FLOOD COFPARCEL I _I PO HO SSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. WHITE-O.P.W., YELLOW-ASS[530R. PINK -INSPECTOR, GOLDENROD -APPLICANT ` '---"Movc,?to LIP �`+ Date To �, 11, P I`ve tUM.l.a.�.l ......Approval ......Necessary action ......Prepare reply ......Comment ......Note and return ......Note and file ......Investigate ......Signature ......Confer ......As requested ......For information ......Per telephone conversation BUTTE COUNTY ? IQz. Se 1R ev i ew 0.(D < _ so Q --o -POIW . s IP � 'R � oma' . tZ • o s 0.(D < _ so Q --o -POIW . s IP � 'R � oma' . tZ • o V Q 11 ��ig QX�GW.c P� LLCCpfiiJ tf� Q'1 6,�C?DI�7 X V a CA 50.`" Gt UA& (t oa �Q T a,41t MI5 % , ✓�a �P� -4 i � r 0-7c Q