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
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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