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HomeMy WebLinkAbout040-214-0050 p'piQ ® 40-214-5 MAURICE LINDAHL 233 Dayton Durham Hwy Permit ##5303-76E (ele ser ch) SF 40.�214=05 1973.-91E`,,. • - �: ,? LINDAHL, Maurice �,q�,. 9399 Goodspeed St, Durham (I ,� (elec serv.&,rewire/sf) • - J 71 1 (n� 1 U I M, EM.CN.:o 5, COUNTY OF BUTTE DEPARTMENT. OF PUBLIC WORKS P MIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND -PERMIT ASSESSOR PARCEL NUMBEROV 040-21-4-005 ZONING - R1 BUILDING PERMIT OWNER MAURICE LINDAML TELEPHONE 895-0948 .SQ. FT. DCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 9399St.,Durham CA 95938 CONTRACTOR'S AME Owner I TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NNe UNKNOWN 11�� Total Valuation $ Filing Fee $ 1Q,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 9399 Goodspeed St. Durham Permit fee $ PLUMBING PERMIT Filing Fee 10.00 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 SFX Duplex❑ Mobilehome❑ Others{ SPECIFY i - Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea. TYPE OF WORK_.- New _.Addition Remodel ; ❑ _,❑ ❑ Utilities ® Installation❑ Other Describe work: '_�OVe Main Service and Rewire _ j Permit Fee $ GQntractor ELECTRICAL PERMIT Filing Fee 10.00 I Main service 600V OR LESS 100 AMP OR LESS 10.00 10.00 Main service EA. ADD -L 100 AMP 2.50 2.60 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): i ❑ 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. ❑ 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.ad\ OR ADDNS. ACC. BLDGS. 1/z�sgft 21.25 NEW CONSTRULTI.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. / Ex. Occup( OUTLETS OR FIXTURES SAL9wL030 FIXED APLNS. Ex. OCCUp. OUTLETSP(RESID.)REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 D,. P e-In8 15.00 Permit Fee $ 58.75 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of Perjury (check one): o ❑ The permit is r';$100.00 (valuation) or less. e p don file witrthe County of Butte Building Department ❑ I hinsent a Icate of Workmen's,Compensation Insurance or a Certificate of to Self-Insure.S F -1I shall not employ any person in any manner so as to become subject to the .W. C.,,laws•of California.I 1 ' Notice to Applicant:' if -after making jtFiis statement! shoUld'you become -subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. � e' / 1 MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling 9 r Hood 3.00 I r PermitFee$ Contractor I certify that I have read this application and state that the above info5rmation' 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 purpose�4. 1 also agree to save, indemnify and keep harmless the County of Butte again,t all liabilities, judgments, costs, and expenses which may in any way ac6rue1 i again aid County in consequence of the granting of this permit. o X � Date el, ./7- ! / Si gn t re of Applicant - 1 Owner F-1 Contractor El Agent ❑ An 'X SHA 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 $ 58.75 HAZ CUA I PARK I SCHL I FLD I CDF I PAR I PD I HD. ISSUE This permit is hereby issued unaer the applicable provi- sions of the Butte County.Code and/or resolutions to do work indicated abot�le for which fees have been paid. DI E TOR OF PUBLIC WORKS %/����_/ r By a't-1 � Date PERMIT EXPIRES Date ll!�' / -/— G / Receipt No. 94022 WHITE-D.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT `f COUNTY'OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 ElliottfRoad, Paradise — Phone: 872-6307 CORRECTION NOTICE U N> AHU 1513-91 OWNER 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 matter, or need additional explanation, please contact this office immediately. 9,0NN:�k h,IP'L C S�2lfIC4' (?2ai ni� �IRMP Date �D - e6 -or l Inspector 1I-uA...r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS s 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT P MIT NO. ASSESSOR PARCEL NUMBER 040-21-4-005 ZONING R1 BUILDING PERMIT OWNER MAURICE LINDAHL TELEPHONE 895-0948 SQ. FT. DCC. BUILDING VALUATION OWNER'S MAILING ADDRESS ' 3 oods Sed St. Durham CA 5938 CONTRACTOR'S AME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER Nnnp UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER Nonp LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ()199 Goodspeed St.. Durham Permit fee $ PLUMBING PERMIT Filing Fee 10.00 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 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities® Installation❑ Other ❑ Describe work: Move Main Service and Rewire Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V DR LESS 100 AMP OR LESS 10.00 10.00 Main service EA. ADD'L 100 AMP 2.50 2.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business/POWER 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.&) OR ACDNS. ACC. BLDGS. yzQsgft 21.25 NEW CONSTR U NON.RESID BRANCNCHH CIRCUITS) 2.50 ea APPARATUS 6 (SINGLE OUTLET CIR. ) Ex. Occu po UTLETS OR FIXTURES 20050t eAL@30 FIXED APLNS.El Ex. DCCUp. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Pre—Ins 15.00 Permit Fee $ 58.75 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. ❑ Ishall 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 10.00 Heating Cooling g 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 liabilities, judgments, costs, and expenses which may in any way accrue aga' aid County in co eggence of the gra ting of this permit. p X Date Z, —17 — / / Sign re of Applicant — Owner ❑ Contractor ❑ Agent ❑ An SHA 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 5 5 TOTAL FEE $ 58.75 E HAz. cuA PARK SCHL FLD PAR ) ISSUE; This permit is hereby issued under the appiicabie provi- sions of the Butte County.Code and/or resolutions to do work indicated abo for which fees have been paid. D1 E OA PUBLIC WORKS By Date -6 —z/ PERMIT EXPIRES f5ate Receipt No. 94022 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT Copy of ! Idz-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_counter by ..date Contractor, designer, owner, was advised of above required data by_phone_mall_coun\er by date Plans checked by Sets of plans on hold in Copy -DPW Date Plans approved by File cabinet AP folder Date -'.1 ".0, 7tia• COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS BUILDING - DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 r`4. r, s' , PERMIT OPLICATION DATA SHEET - OWNER nn Permit No. ��� �! !-C/ti A. P. No. Proposed Building Use ���"C�/; l/fi t ': Building inspector fify Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 1. DATE RECEIVED APPROVED 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 pians and caics, withwet 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.........I............................ 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 . P,re-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classification) ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Le er of signature authorization ................................... L/26. -! j5 ZNS,to e.,4,j i✓ I 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 Apl icant L".10Date -(/., 9 �d 6ox3FfZ nt►cinnuAp I n �CZG-.5 Se Copy of ! Idz-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_counter by ..date Contractor, designer, owner, was advised of above required data by_phone_mall_coun\er by date Plans checked by Sets of plans on hold in Copy -DPW Date Plans approved by File cabinet AP folder Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZotIG OWNER K�-HONE 6 y® OWNER'S MAILING ADDRESS CONTRACTOR'S NAM 4(7 OEl), � TELEPHONE. BUILDING PERMIT ` SO. FT. OCC. BUILDING VALUATION CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LEND R 1�jr / /1%e UNKNOWN Total Valuation S LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEjc5t'n e LICENSE No. ���(Y 1I:V� Filing Fee $ 10.00 Permit Fee Plan Checking Fee $ c ARCHITECT OR ENGINEER'S MAILING ADDRESS BUILDING ADDRESS 9399 �oo S P� Uf/�R� Energy Plan Checking Fee $ Penalty Permit fee $ $ Cla- PLUMBING PERMIT Filing Fee 10.00 LOT NO. SUBOI VISION NAME PARCEL MAP Each Trap 2.00 Solar or heat pump water heater Water piping • 20.00 5:00 Each gas water heater or vent 5,00 / USE OF STRUCTURE SFK-I Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W O,OOea TYPE OF WORK New ❑ Addition ❑ Remode,I E] Utilities ❑ Installation ❑ Other Describe work: MOW /�i/�/vs e /c f �aQe �e %Tel 'fro Lf Permit Fee g Contractor ELECTRICAL PERMIT Filing Fee AD,,ge- Main service 000V OR 000 AMP ORLESS10.00 Q 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) El 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 EA. ADD'L 100 AMP '2,50 NEW CONST. DWELLING occuP.a OR AOONS. ( ACG. BLDG.. h¢sgft l NEW CONSTR ULTI.OUTLET NORr.REslo BRANCH CIRCU ITS 2.50 ea POR APPARATUS b (SINWEGLE OUTLET CIR. Ex. OCCup(OUTLETS OR FIXTURES eAL080, FIXED APPLNS, OR Ex. Occup. OUTLETS (RESIO.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 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 10.00 Heating Cooling Hood 3.00 Ventilation Penult Fee $ N 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 DateThis Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structuress ooveerJ3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee 5 occcotvsTnPE TOTAL FEE $ 7 HAL. CUA I PARK SCHL FLO COF PAR I PO I HO. 'ISSUE permit is hereby issued unser 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 EXPIRFS IlatP i Receipt No. %`/�/2�/ ` 5-9 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLOENPOO-APv,_ICANT COUNTY OF BUTTE - Dep-artment of Public Works 7 County Center'Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION 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. 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 igned an application for a building permit for the proposedw rk. 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 OwneraW_."-J Social Securitf Number Date r.- /7- 2z 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 per- mitted to issue the permit. PRE -INSPECTION OWNER : 'Indainl I f+DA TE LOCATION • �J9R C7f'Y� f�P� {`� ` e� . P. � "� - Q OS CONTRACTOR_=--=___-_�- - - ZONING - I PRE -INSPECTION FOR: DATE TO INSPECTOR (p I J C( 1 PE.lMIT HISTORY: NONE C( AS FOLLOWS: T"ENNANT OCCUPIED HAS ELECTRIC Q iAS GAS ® HAS SANITATION- FACILITIES �) HEATED -COOLED M PERSON CONTACTim�.D IOTHER COI SME�Ii TS ACTION CO`R�IF�V ISSUE HOLD FOR e,'LLL6 L I �/� 9ii 4U Q _'7 / D�.,.2t¢,& OTHER: r d' BY COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ' 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLIONT.101'.AND PERMIT UUMU11LW ICFIICJCI1tauVCJ UI llle UUUnIy UI IDUlle tU enter Upon lne above-mentioned property for inspection purposes. a Y'' Date Signature of Permitee or Agent Receipt No. - White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Basi>�-permit expires Date BUILDING Owner. SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address r Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address ' PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. NI1 - _ zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F ds1 W,,tj Sanitation I Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. Plans Rec'`d I Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHERE] ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service io000 AMP ORs�Ess 5.00 Main service EA. ADD'L too AMP 2.50 Single Family 0 Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V 00 AMP OR LESS 25.00 Main service EA. ADD•L too AMP 1.00 NEW OR ADDNST ( ACCLBLDGLING OCCUP. &) 20sgft NEW CONSTR. MULTI -OUTLET NON-RESID. BRANCH CIRCUITS) 2.50ea NEW CONST R. (POWER APPARATUS & NON RES,D. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)- @251 BAL@1 Ex. Occu FIXED APPLNS, OR P• ( OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 Ell am exempt from the Contractors License Laws of the State of California. Permit Fee $ A $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 0 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 the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ UUMU11LW ICFIICJCI1tauVCJ UI llle UUUnIy UI IDUlle tU enter Upon lne above-mentioned property for inspection purposes. a Y'' Date Signature of Permitee or Agent Receipt No. - White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Basi>�-permit expires Date COUNTY OF BUTTE. — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — OroviIle, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 5`30 3 --e7G I, _Q u, k e %a0Ui1Ly VI Du,te w cnler upon me This permit is hereby issued under the applicable provisions of above-mentioned property for inspection purposes. the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. X Date v2. 1 DIRECTOR OF PUBLIC WORKS gignature of Permitee or Agent r , JL ��r-- BY Date Receipt No. I White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant +nT-permit expires Date BUILDING Owner d ,o SQ. FT. OCC. BUILDING VALUATION Mailing Address O � e k 3 � -�, U"~ 1 A A -A Telephone N. 72' $ Fireplace Contractor Total Valuation Mailing Address �� AJ a, Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building AddressPLUMBING 3 DA YT-,, Y�A N� No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or ventj 1.50 A. P. N 410 — I l{ Zoning 8 Planning Gas piping system 1 - 5 outlets 1:50 Each additional outlet .30 F s d< Saftk- tren I Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Plans Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 13 ec'd Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 3. o /1 Le �. Q1l Ci� 4 ./LV G 600V OR LESS 0� Main service 100 AMP OR LESS 5.00 Main service EA. ADD•L 100 AMP 2.50 Single Family ® Duplex ❑ Mobil Home ❑ Others ❑ Main service 10 0 AMP VER oR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. 8,) DWELLING OCCUP. OR ADDNS. ACC. BLDGS. 2�sgft NEW CONSTR. MULTI -OUTLET NON-RESID. BRANCH CIRCUITS) 12.50ea NEW CONSTR. POWER APPARATUS &) NON.RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETs OR FIXTURES); BAL2a j� FIXED APLNS.�•Z Ex. Occup. ( OUTLETS P(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.Misc. Classification Wiring Fpi L'LoA.J 6.25 (•ZS LA P I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. 1:1 I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. MR 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 the Workmen's Compensation Laws of California. MECHANICAL No. @ I FEE PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOT AL PERMIT FEE $ &IjC I, _Q u, k e %a0Ui1Ly VI Du,te w cnler upon me This permit is hereby issued under the applicable provisions of above-mentioned property for inspection purposes. the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. X Date v2. 1 DIRECTOR OF PUBLIC WORKS gignature of Permitee or Agent r , JL ��r-- BY Date Receipt No. I White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant +nT-permit expires Date