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040 21-3-015
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\ CONTR: AGRI ELECTRIC.
9405 MIDWAY, DURHAM
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OFFICE COPY
Address iJ'►
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS pg I
1k 7 County Center Drive - Orovllle, California 95985 - Telephone: 916.'538.7541
q . APPLICATION -AND PERMIT 1 dill --
ASSESSOR PARCEL NUMBER
40-213-015
ZONING
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BUILDING PERMIT
OWNERTELEPHONE
Gore/Mclau Peri 'a Texaco
363-6518
$Q, FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
9405 midway, Durham
r
CONTRACTOR'SNAME TELEPHONE
" ElLsetrIc 2-420
CON -1 H A C ivR"S~MAI LING Arl
_ 9 g 8
Fireplace
L
CONSfRUCTION ENDER UNKNOWN
C
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
Each Trap 1 5.00
Solar or heat pump water heater 1 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping 1 7.00
Each qas water heater or vent 1 7.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other rarlif1t-reia►l. GAA gtAt{An
SPECIFY
Gas piping system 1 - 5 outlets 1 5.00
Building sewer 15.00
Mobile Home S I G I W @ 15.00
TYPE OF WORK
eNew„: Addition Remodel❑ Utilities InstallationC Other ❑
Describe work: D.U.M.
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service. 600v OR LESS 18.50 1 8.50
200A OR LESS
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
EX 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. a�3` 55 Classification CiIO
iJ 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 200A TO IOOOA, 37.50
NEW CONST.(DWELLING OCCUP.h 3.64 sq.ft.
OR ADONIS. ACC. BLDGS.
NEWC ON5TR ULTI.OUTLET @ 5-00
N O N•RE SID• BRANCH CIRC ITS
POWER APPARATUSs
(SINGLE OUTLET CIR.
Ex, Occup(OUTLETS OR FIXTURES 20 @ 76
FIXED APLNS.
Ex. Occup. OUTLETS (PRESID )REA.7 I 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. bvirin g 1 15.00115.00
Permit Fee $ 48.
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
The permit is for $100.00 (valuation) or less.
Iq I have placed on file with the County of Butte Building Department
4� 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 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 s'ai/d.'CoLfity in con§'equence of the granting of this permit.
X �-�r Date %y%�- �l
Signature pp
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 $ 48.50
HAz
I DFEES I
IMP
I FLOOD
I CDF
I PARCEL
I PD
HD
ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated abor for which fees have been paid.
��/IRE R OF PUBLIC WORKS
By/j�i.. s., Date
PERMIT EXPIRES Date /O /l v
Receipt No. 10092,4
WHITE-D.P.W., YELLOW-ASSFSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
10
/ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PE I
7 County Center Drive - Orovllle, Cellfornla 95985 - Telephone: 918.'538.7549
APPLIC;TIOi AND PERMIT
A33E93R NUMBER
40-213-015
ZONING
BUILDING PERMIT
OWNER
Gore McLau (Perry's Texaco
TELEPHONE
343-6518
SQ. FT. OCC. BUILDING VA T
OWNER'S MAILING ADDRESS
9405 Durharn
qA
CONTRACTPRAWN TELEPHONE
Rlprtrir 1'149-4203
CONTRACtOR'S MAILING ADDRE ,
11011 MTdwnv - C:hi c -j
Fireplace
CONSTRUCTION LENDER I
-- KNOWN
Total Valuation $
$
LENDER'S MAILING ADDRESS
Filing Fee $ 15,00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS
Permit fee $
PLUMBING PERMIT Filing Fee 15.00
9405 Midway, 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 Commarei a1 f ac Ctati on
SPE r
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.00
Mobile Home S G W @ 15.00
TYPE OF WORK
New Addition LJ Remodel❑ Utilities® InstallationC Other E]
Describe work: D.U.UD.
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 200A OR LESS 1 18.50 18.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check One):
IX I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Profess i gnsCode and my license is in full force and effect.
'
License No. -443455 Classification CIO
❑ 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 20GATo 1000AI 37.50
OCCUP.&) 3.6asq.ft.
NEW CONST. ( DWELLING OR ADDNS. ACC. BLDGS. /
l
NEW CONSTR. MULTI -OUTLET
NO N.R ESI D• BRANCH CIRCU ITS @ 5.00
POWER APPARATUS &
(SINGLE OUTLET CIR. )
Ex. Occup(OUTLETS OR FIXTURES 20 764
FIXED APLNS.
Ex. Occup. OUTLETS PIRESID. IREA.) I 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. byirin g 1 15.00 15.00
Permit Fee $ 48
—
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 liabili judgments, costs, and expenses which may in any way accrue
against i Co my in c equence of the granting of this permit.
X�D,��r 9�
Date
Signature of Applicant — Owner❑ Contractor ❑ Agent IXsions
An OSHAwork
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 $
C
CONST TYPE
TOTAL FEE $ 48.50
E
HAz
I DFEES I
IMP
I FLOOD
COF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under the applicable provi-
of the Butte County Code and/or resolutions to do
indicated ab a for which fees have been paid.
OR OF PUBLIC WORKS
By �- Date /O-16-9/
PER IT EXPIRES Date 16-146 —F -Z_
Receipt No. 100914
WHITE•D.P,W•, YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT j
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLt; CALIFORNIA 95965 - TELEPHONF: 916/538-7541
PERMIT APPLICATION DATA SHEET
OWNER
Propose
At time of rmit application, I was advised .the following data must be submitted prior to permit processing and/or issuance:
l
1 All items have been b ;tt d
su me .
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. Improvements may be required. Contact Land Development Section of DPW.
_ 19. Driveway permit (construction approval required prior to occupancy).
_ 20. Pre -Inspection for required.
- 21. Contractor's license information (No., Name Style, Classification).
-22. Certificate of Workmans Compensation Insurance.
23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑).
- 24. Recorded copy of Agricultural Acknowledgment Statement.
- 25. Letter of signature authorization.
-26.
-27.
When you issue the permit, process as follows: Mail to owner. -Mail to contractor.
Telephone and hold for pickup at office. Deliver w/inspector.
Other
GENERAL INFORMATION
BUILDING DEPARTMENT OFFICES HEALTH DEFARTMENT OFFICES
Chico. . . . 196 Memorial Way Chico. . . . 196 Memorial Way
Phone: 891-2751 Phone: 891-2727
Hours: 8:00 a.m. - 12:00 a.m. Hours: 8:00 a.m. - 9:00 a.m.
Orovi I le . . . 7 County Center Drive
Phone: 538-7541
Hours: 8:00 a.m. - 5:00 p.m.
Paradise. . . 747 Elliott Road
Phone: 872-6307
Hours: 8:00 a.m. - 12:00 a.m.
Orovi I le 7 County Center Drive
Phone: 538-7281
Hoijrs: 8:00 a.m. - 10:00 a.m.
Paradise. . . 747 Elliott Road
Phone: 872-6308
Hours: 8:00 a.m. - 9:00 a.m.
PLANNING DEPARTMENT - 7 County Center Drive, Oroville - Phone: 538-7601
- Hours: 10:00 a.m. - 3:00 p.m.
Original — Applicant
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 _61 /<
ZONING
BUILDING PERMIT
OWNER
i
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OMIA 71(LING 00RE55
W V a14-
14-CONT
AC OR'S NAME
CONTRACTOR'S
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 $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS
Permit fee '
$
PLUMBING PERMIT Filing Fee 15.00
Each Trap 1 5.00
Solar or heat pump water heater 1 20.00
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Water piping 1 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
New ❑ Addition L:j Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work:
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):
❑ 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
❑ 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 IOOOA) 17 37.501
NEW CONST. DWELLING OCCUP.&)
OR AODNS. ACC. BLOGS. 3.6C sq.ft.
NEW CONSTR. ULTI.OUTLET
NO N.RESID• BRANCH CIRC ITS I @ 5.00
/POWER APPARATUS e
SINGLE OUTLET CIR. )
\OUTLETS
Ex. Occup( OR FIXTURES 20 76d
Ex. Occup. OUTLETS IIRESID )REA.) I 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee s
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 $
I 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 ❑i 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
1 DFEES IMP
I FLOOD
I CDF
RCEL
I PD
I ND
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 Date
DCDAAIT CYDIDCC r,%--
Receipt No. 0_Q
_