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Home My WebLink About040-213-0080 COUNTY OF BUTTE - DEPARTMENT OF11 PUBLIC WORKS .1 PERMIT NO. b8 7 County Center Drive - Oroville4Califor 6l'-965 -Telephone: 916/538+7541 APPLICATION ANS PERMIT ,! ASSESSOR PARCEL NUMBER Al 0_ _ ()crL ZONING BUILDING PERMIT OWNER ^ 4;0( Ir rYt 0 TELEPHONE S- ) SQ. FT. OCC. BUILDING VALUATION OWNER'S !MAILING ADDREbS 4! D CONTRACTOR'S NAME ,?v J rl TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 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 10.00 � /� /{t Each Trap 2.00 r , Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF �- Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other Q Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 00V OR LES Main service 100 AMP ORS SLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check.one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the,BuslnesS and Professions Code and my license is in full force and effect. License No. Classification ❑k 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 license&contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.yd , OR ADONS. ( ACC. SLOGS. h¢sgft NEW CONSTR. ULTI.OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS (POWER APPARATUS e) SINGLE OUTLET CIR. 120 0 Ex. Occup(OUTLETS OR FIXTURES eA 0330 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): W 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 m2king this statement, should you become subject to the W. C. provisions of the Labpp�r-Code, you must forthwith comply with such provisions or this permit shall be t!'eemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all C 'unty 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. 1 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�lr''�• iii rn / Signature of Applicant - Owner M 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 $ $ TOTAL PERMIT FEE $ `7 �u OCCUP. CONST.TYPE FLOOD PARCEL PD ND seu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS I Date J I d 7 Receipt No.`I WHITE-O.P.W., YELLOW-A3eF330R, PINK -INSPECTOR, GOLDENROD -APPLICANT 1 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS r . y 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE NNE*R� PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this mplter, or need additional explanation, please contact this office immediately. 4-a G,7 �� C-) c,* a 191, e �G AA -0- LA, .Jl 'v,,1,'tloN Inspector C/ ti lS �ia -S Owner: Permit No. ENERGY CERT IF ICAT ION 9412 Midway, Durham LOCATION A.P. No. DESCRIPTION OF -INSULATION ROOF Material Thickness(inches) EXTERIOR WALL Material Fiberglass Batts Thickness(inches) 3 5/8" CEILING Batt or Blanket Type Fiberglass Batts Thickness(inches) 64" Loose Fill Type.. .iinimum iilic nGs (iTtcn 8) Area covered(ft: ) FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB Material Thickness(inches) W idth(inches) Brand Name Thermal Resistance (R Value) Brand Name Manville Thermal Resistance(R Value) R13 Brand Name Manville Thermal Resistance(R Value)'R19 Brand Name Number of Bags Wt.. per* bag lb-. Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) BMand Name Thermal Resistance(R Value) FOUNDATION WALL Material Brand Name Thickness(inches) Thermal Resistance(.R'Value) I hereby certify thatth.e above.insula tion was installed/4-n the above building in conformance with the State of California Energy Requ.ireitents. Loerke Insulation Co. 499150-' FIRM NAME/OWNER STATE CONTRACTORS LICENSE NO. July 3, 1987 SIGNATURE OF INSTALLATION APPLICATOR DATE I hereby certify the above insulation and all required items -as shown on the Building Department approved plans and attachments have been installed as required by the State of California'.En6r'gy" Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. /7 != 6' A? mte' OWNER (Please print) STATE CONTRACTORS LICENSE NO. OF CENERAL CONTRACTOR OWNER DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1984 .. .. SSSS. .. • .� r _ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7.County Center Drive - Oroville�Califorgia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR ARCE _N MBER i ..w NING BUILDING PERMIT OWNER (�Er►r l LTELEPHONE SO. FT. OCC. BUILDING VALUATION S OWNER'S AILING A DRESS CONj/T RAC T OS' S NAME - .)t4) h TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ AR CHITEC' OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 �✓� Q ►1� Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W10 .00ea TYPE OF WORK NewAddition❑ ❑ Re de ❑ olUtilities[] ins,tallat4gnOther Describe work: T r S - »�,1��1Ff� rn . P F ��rF IIA 4E%1 �i7 � Permit Fee $ Contractor LECTRICAL PERMIT Filing Fee 10.00 71 e Ile`I Main service 600V OR LESS 100 AMP OR LE,�S,i.S' 10.00 Main service EA, ADD'L 1�qa AMP 2.50 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/ Co/de and my license is in full force and effect. License No. �y R Y! Classification 42 1Z_ ''. 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 oc , OR ADDNS. l ACC. BLDGS. /Z 0sq ft 29 NEW CONSTR. MULTI -OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS /POWER APPARATUS e l SINGLE OUTLET CIS. EX. OCCup�OUTLETS OR FIXTURES 12 .00090 FIXED APPLNS. Ex. Occup. OUTLETS (RESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 g Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. rte( 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. MECHANICAL PERMIT FiIingFee 10.00 Heating C lin Cooling . U Hood 3.00 Ventilation p ermit Fee $ a Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said,County in consequence of the granting of this peermite X /�• ✓� l"`�l•1-,Date ( �� 5� .7 ' j Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- of structures over 3 stories in height.Receipt Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occuP. CONST.T7 I I FLOOD PARCEL PD ND IssuE This permit is hereby issued under sions of the Butte County -Code and/or work indicated above for which By . �IRECSPUB PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been aid. p I WORKSion Da e n�- h� �1 No.Kw�z WHITE-D.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 APPLICATION AND PERMIT PERMIT NO/ ASSESSORP RCEL NUMB D—�13 — O ZONING BUILDING PERMIT ONE - R POLM 10 TELEPHONE ,SQ. FT. OCC. BUILDING VALUATION OD OWNER'S MAILING AIPORMS 00 1 c CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 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 $ . ei PLUMBING PERMIT Filing Fee 10.00 mi&294Z Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF & Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 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 1, 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.SI OR ADDNS. C ACC. BLDGS. , /20sgit NNEW ON•RESID R. BRANCH CIRCTITS 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occu 20e50s p OUTLETS OR FIXTURES SALO 30 FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring15.00 f_ Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): _ The permit is for $100.00 (valuation) or less. n I have placed on file with the County of Butte Building Department X� 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. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 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 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 liabil"uties, judgments, costs, and expenses which may in any way accrue against sa'd County in copse ence of the granting of this permit. X 0 Date Zi ignature 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. (7o TOTAL PERMIT FEE $ 609 �� OCCOP. CONST.TYPE I I FLOOD PARCEL PD I ND 1 1: This permit is hereby issued under sions of the Butte County.Code and/or work indicated above for which DIRECTOR OF PUBLIC BY P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date J -f Ll -1? 2 Receipt No. WNITE-D.P.W., YELLOW-A3e C330R. PINK -INSPECTOR. GOLDENROD -APPLICANT ^1, Y COUNTY OF BUTTE - DEPARTMENT_ OF. PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, GNLJFOR3 IA 95965 - TELEPHONE: 916/534-4541 PERMIT PERMIT APPLICATION DATA SHEET ....------- ,(�� Permit No. _ OWNER �1� A . No. '�0 Proposed Building Use-Q/'p Building Inspectors 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. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD ''Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ , . . , . . , 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ), _15. Improvements may be required. . . . . . . . .. . . . X16. Mobilehome Installation Data. . . . . . . . . . . . Pre -Ins ec. re uest to 17. Pre -Inspection for Required. Building Inspector (Data) 18. Recorded copy of Agricultural Acknowledgment Statement. S//�- 19. Driveway Permit. 20. Plot plan approval from city of �W7 21. 22. When you issue the permit, process as follows: Mail to owner, Mail to contractor. Telephone and hold for pickup at—off ice, Deliver w/inspector. Other !1 Applicant "Date Z 42 Copy of plans sent Health Dept., Fire Dept., Other Date 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_—naiI—counter by date Contractor, designer, owner, was advised of above required data by—phone —ma iI—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder — Flours: 10:00 a.m. = 3:00 p.m. Copy—DPW COUNTY OF BUTTE - Department of Public Works 7 County -Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-538=7541 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. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors 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 Contractors 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 of Work Signed: Property Owner Social Security Nu ber Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and . 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are pe:� mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. r 7 County Center Drive - Oroville, Cal.iforni Telephone: 916/538-7541 APPLICATION ANC' PERMIT ASSESSOR PA/CEL NUM9E Oma[] U ZONING BUILDING PERMIT O AER TELEPHONE SO. FT. DCC. BUILDING VALUATION DDO OWNER'S MAILING A DRE S OO I r CONTRACTOR'SNAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fir ace CONSTRUCTION LENDER UNKNOWN Tot nation $ Filing Fee 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fe Energy Plan Checking Fe $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty A A $ BUILDING ADDRESS Permit fee $ PLUMB I NGLfPAOPfIT Filing Fee 10.00 Each Trap �r Solar or heat pump water ter 0 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping Each qas water heater or ven .00 USE OF STRUCTURE SF & Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - outl is 5.00 Building sewer 5.00 Mobile Home S I G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: p��„� �� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10ov OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD•L 100 AMP 2.50 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 U 1, 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.g , htsgft (A C New CONSTR.U TBI OUTLET NON-RESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. eA0L9930SOS Ex. Occup(OUTLETS OR FIXTURES 2 FIXED APP LNS. OR \ Ex. Occup. OUTLETS (RESID.) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 +1 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): %_ The permit is for $100.00 (valuation) or less. n I have placed on file with the County of Butte Building Department 1� 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. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby 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 againstCsa'd County in consegyence of the granting of this permit. X ✓ i' lti) Date isnot.,. 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 $ ,LQ $ S, c7 C TOTAL PERMIT FEE $ J occuP. coRST.TrPc I I vL000 PARCEL I Po I NO I ,esus This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By P`RIM EXPORES Date V � the applicable provi- resolutions to do fees have been paid. WORKS oats t Rect'irt fdo. _-- t,L-.._._. wn,rz•u.r.w.. vt,..r,.�_Aaa+,s;,.,. s•nr:c-,�:;c¢r...,R, cn•.n�•,Rnn•6R✓Lc•.•r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Californik95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO/ ASSESSOR PAR CE b N 'ER .. - ZONING BUILDING PERMIT . D ER Ca TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S AILING A DRESS /0O E u a C TRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 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 $ 5 - PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 '6, Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF(� Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home is 110.00 ea TYPE OF WORK New ❑ Addition ❑ e odel ❑ Utilities ❑ I allat•gn❑ Other Describe work: CS rl h iOil r �� t^ E ,rE i i , Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1000 AMP ORSLESS 10.00 Main service EA. ADD'L 1 AMP 2.50 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 and my license is in ful fore and effect. License No. Classification ElI, as the owner, or my employees with wages as sole compen- their 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 Oc 'h¢sgft OR AODNS. 1 ACC. BLDGS. NEW CON5TR ULTI-OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. Ex. OUTLETS OR FIXTURES 20050Q eAL030 Ex. Occup. OUTLETS FIXED P(RESID )REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. rQ5 1 have placed on file with the County of Butte Building Department Y� 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. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 -^ 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. 1 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 againsta County inYse ence of the granting of this p/e�rmi X Date (o Z� 7 ignature of Applicant — Owner Contractor ElAgentwork 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 $ TOTAL PERMIT FEE $ O OCCUP, CONST.TYPEJ I IFLOODIPARCELI PD ND ISSUE This permit is hereby issued under sions of the Butte County. Code and/or indicated above for which IRECT PU BY PERMIT XPIRES Date the applicable provi- resolutions to do fees have been paid. I WORK�61jsh� Dae /_WHITE-D.P.W.. Receipt No. YELLOW-ASDE330R. PINK -INSPECTOR, GOLDENROD -APPLICANT