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HomeMy WebLinkAbout040-214-015r 4 AP 40-214-15 ---- - - - - - /-' Donal' Smith .12016 rham-Nei .on Rd, Pe it 5882-y7}3� Durham remodel/sf) = 40 JPP.' -15`4 Pe it nit # 775-7 ex, ) te r wiire 40-214-15 2549-89E' t CARLTON, Gregory t, f 2414 Durham St, Durham (elec upgrade)SF 040-214-015 +I CARLTON PERMIT#95-1527 �I Greg & Lorenda 2414 Durham St., Durham 4 Woodstove/SF 040-214-015 615 55 p CARLTON, Gregg PERMIT#9 2414 Durham St., Durham Cont; ARK Enterprises Replace Windows/SF .040-214-015 CARLTONGreg & PERMIT#.98-0045 .... 4 2414''orenda -Durham LSt St., Durham Woodstove/SF(Replaces BP �/�L, #95-1527) �/a-98 040-21-4-015 CARLTON, LAURI & GREG 00-1785 2414 DURHAM ST., DURHAM CONT: BAIRD ROOFING REROOF Y-�� r`� 5 14 I p 040-214-015 ry .00.-1785 CARLTON, LAURI & GREG 2414 DURHAM ST., DURHAM CONT: BAiRD ROOFING ! REROOF r COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDIN (VISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 53 754J,�, RMI (Rev. 12/96) APPLICATION AND PERMIT C [/ �---.� ASSESSOR PARCEL NUMB -- ZONING BUILDING PERMIT • -, OWNER �� � /` .,: �• �fl I. TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS - CONTRACTOR'S NAME '' �n�=//� TELEPHONE - �7, l CONTRACTORS MAILING ADDRESS - ' CONSTRUCTION LENDER 1 Fireplace LENDER'S MAILING ADDRESS Total Valuatlon $ ) ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ -00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS ^, tl/4� Energy Plan Checking Fee $ $ PERMIT FEE $ )O LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other BPECFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 1 (fr �( ;(� i ;1 % / Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2o.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in Nll„f rce and effect. // .. s �// License Class Lic. No. ! A 'f/ Y// (/ NER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. El, I have and will maintain workers' compensation insurance, as required by Section ' 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier e' % r• .t !. J l Ai Policy Number `) - r . ' (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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 workers' compensation laws of California, and agree that f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. ! ' X &411/14bi d >f%��?r Date�-a( - Sighature of Applicant - ❑ OWfierContractor 13 Agent An OSHA permit is required for excava ions over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Aro 1000A 46.00 NST. NEW CONST. DW NG OCCUP. SO OR ADDNS. ( 8 ACC. BLOS. 3.5¢x_ Nz=.. MULT1,0mCET @7.50 a soiNaiE ourLErT IC R. Ex. Occu OUTLET OR FIXTURES zo p Lao BAL .so PPLNS Ex. Occup. ours RESID.OEA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ C c1' • 3 CONST. TYPE TOTAL FEE $ 57)- 0 0 Al. D. FEES IMP V FLOOD OF PARCEL Ic PD HD 55UE 1./ 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. n / �/ By( l )(.�tia Date 0&_ PERMIT EXPIRES ON Date Receipt No. 777577777— WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDIN DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 53 -754yti (Rev. 12/96) APPLICATION AND PERMIT C� (�� ASSESSOR PARCEL 19UM8 ZONING BUILDING PERMIT OWNER ,QL TELEPHONE SO. FT. OCC. BUILDING VALUATION .OWNERS MAIUNG ADDRESS y/� /J H `/`_ CONTRACTOR'S NAME �• NE CONTRACTORS MAltl_ ADORE7411CA CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 1-00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS y.. Energy Plan Checking Fee $ $ PERMIT FEE $ Y LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Feel 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ublities ❑ Installation ❑ Other ❑ Describe Work: 19?1 44 IPJ J6 ���� Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ITT7&W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 600V OR UE Main Service 2o...R LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in II a and effect. /1 //p 0/� License Class LIC. No. Y/ i3!/r /�'\ / WNER-BUILDER D C ARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service sooA To ,000A 46.00 NEW CONST. DW EWNG OCCUR OR ADONS. ( a ACC. S. So 3.50FT: pp"EW ..ESIDT MULTI.OUTLET @7.50 8,POWERNGLAPPARATUS PPARATUUTLET R. Ex. Occup.OUTLET OR FaTUREs 20 Q 1.00 BAL @ .50 Ex. Occup. o,,,D. Ra D,oER., 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' com ensation� * surgnc carrier and policy number are: Carrier �/�/l� a �, � �, Policy Number t .' (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of ction 3700 of the Labor Code, I shall fo hwith comply with those pro ISI s. X Date `� Si ur f Applicant - ❑ O er ontractor ❑ Agent An OSH rmit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ cc t�- -3 coNST. TYPE TOTAL FEE $ 51. O fj HAZ. o. FEES IMP FLOOD CDF PARCEL PD _ HD ISSUE 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. By Date 79fAX-1 PERMIT EXPIRES ON % J8-ad61 Date ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 040-2 ' 14-015 PERMIT#98-0045,.� CARLTON, Greg&.Lorenda- 2414 Durham St., Durham Woodstove/SF(Replaces P#95-1527) ��Ll I? - IS- I SJ7 J COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 98- PER NO. (Rev. 12/96) APPLICATION AND PERMIT O ASSESSOR PARCEL NUMBER 040-214-015 zONI 1 BUILDING PERMIT OWNER GREG-,10RENDA CARLTON, ;3=N}006 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILItJCy.71TET � Zy TRAIL, CHICO 95926 CONTRACTOR'S NAME TELEPHONE TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS M M Fireplace 1500.00 Total Valuation $ ARckrrECT OR ENGINEER - . , ., , o LICENSi NO. Filing Fee $ 20.00 Permit Fee $ 35.00 ARCHITECT OR ENGINEERS MAILING ADDRESS ' Plan Checking Fee $ BUILDING ADDRESS 2414 DURHAM ST. Energy Plan Checking Fee $ DURkA, $ PERMIT FEE S • 00 LOT NO.SUBDNIS IONS NAME PARCEL MAP I PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE v SF ❑ Duplex ❑ Mobilehome ❑ Other - { SPECIFY +L-- Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK r - New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other D Describe Work: "DMVE REPLACES BF 95-1527 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 600 Main Service 2=V1 OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions' of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class Lic. No. { OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ! ❑ 1 as owner of the property, or my employees with wages as their sole compensation, +ll will do the work, and the structure is not intended or offered for sale I, as owner of the property, am exclusively contracting with license contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO /DDDA 46.00NEW CONST. OWELLING OCCUp. OR ADDNS. ( a ACC. S. SO 3.50F7_ =RESIo T. MULTI-OUTLETCIRCUITS 97.50 APPARATUS a SINGLE OUTLET CIR. Ex. OCCU OUTLET OR FDCTURES .00 B20 @ I. 0 FI%ED APPINS. OR Ex. Occup. ouTLE7s RESID. EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this perm itis issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number e above sections need not be completed if the permit is for work of a valuation of one hur dred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any ma ner so as to become subject to workers' compensation laws of California, and ggree that if I should become subject to the workers' compensation provisions ot'sgction 3700 of the Labor Code, I shall forthwith comply with those prove ns. " I i X fi-i I I� �. 0 rl_;UXt)-Date_ Signature of Applicant - ❑ Owner ❑' Contractoh, ❑ Agent An OSHA permit is required for excavatio s over 5'0" deep and demolition or construction of structures over 3 stories in height. �'`I _y Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 55.00 HAZ. S IMP FLOOD CDF PARCEL PD HD 1¢S�/E This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have ( By �"'' PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. / L/, Date —_ / /!L 1 Date Receipt No. Z.Z 7 �% J WHITE•D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ,:r ,�;d:R. r '*3�sr :..:.c. : r'rr.'+,a�}i.�`'�-i1' '�'`.' :�};`.f�t'?e•ss�ac+a.tr b � a �+r •040-214-015 '_ PERMIT#95-1560 CARLTON, Gregg 2414Durham St., Durham Cont; ARK Enterprises � Replace Windows/SF F ovj�J a r f. 1 4 ' u •� :- `"� ' .t.. "+."". f-.: '4°t.l.tfs-,YNtir7�. �Ny.. ; Ii� f . '..x� #L'-.�''`--1 i'r"w �, "'wt �iS. r+r R P4 'rY-.-Nr.r. >.-.s.. \ !. .. COUNTY OF BUTTE- DEPARTMENT( ,ENVELOPMENT SEAVi'CES BUILDING ION`: 7 County Center Drive - Oroville,. California 95965 -,Telephone '(916), 53. 7 1 PERMIT NO. APPLICATLON AND PERMIT. S rY,\ ASSESSOR PARCEL NUMBER - 040-214-015 ZONING '� -BUI #NQ JPERMIM OWNER R ..'89.1-4W6 TELEPHONE - SO. FT: •OCC-.'#"L...`�.=BUDING VALUATION ' MAIUGAR' ; Fr1 1528 A7 ^.. a��• EST. L400 "s r CONTRACTOR'S NAME y ARK F. R t. .fit t�.'". TELEPHONE 4,5{-30 3 2 - - i... ` 7iW ,• # d� CONTRACTOR'S MAILING ADDRESS- 'r `W ,� ,,, .._95973 _ Fireplace CONSTRUCTIONLENDER �„ - UNIWOW-N Total Valuation - $. Filing Fee $ 20.00 LENDER'S MAILING ADDRESS �, �� c� Permit Fee r $ 37 . �. A� C. fFEGT _R4ENGINEER - �Awi�� a LICENSE IN Plan Checking Fee ; , $ r Energy Plan.Checking`Fee $ - MAILING. ADDRESS _ ARCHITECT OR ENGINEERSAI + :P' Penalty BUILDINGADDRESS ° -;., 2414. DURHAM ST, i t e.*� "`"' ;„,t _ PERMITFEE $ 57.00 PLUMBING PERMIT sr Filing Fee 20.00 Each Trap ry ° 7..00 LOT NO SUBDNIS ION'S NAME PARCEL MAP Solar Or heat pump water heater 23,00 ;'."USEOFSTRUCTURE t 'SF Duplex ❑ Mobilehome'O Other 41 SPECIFY. , i Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15,.Q0': r•,.^. . TYPE OF WORK + ;`: New ❑ Addition ❑ .Remodel Q Utilities ❑. Installation ❑ Other ❑ Descr`ib lv� ork; - REPLAd , EXISTING WINDOWS ' s Mobile Home I S I G W I @20°00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 • ""� - - - - Main Service / 800v OR LESS \ 200A OR LESS . / 23.00 Main Service ( zooA To ,000A 46.00 1, 4 �.:I J t (ti y.:, } .LFf: .. S, R F 1• Y' 1 �+ _ .. ` LICENSED CO"NTRACTOR'S '�ECt LARATtO'N ,thereby.,,affiHn under penalty, bf perju y<thattl arn" licensed under provisions'of Chapter 9 (commencing L4ith Sectib'n X7000) of Division P,`of,th�usin• ess and Professions Code, and°vny:,li6ense is i f6.l orce and effect. 1 `�.i} �— 1 License: Clbss ' ; Lic. No � � Z OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the -following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation: will do`,dthe work, and the structure is not intended or offered for sale. J ❑ I, ta§ ©wner of the property, am exclusively contracting with licensed; contractors to construct the project. 1 Y ,4 I arm xempt�under Sec. Business and Professions Clide for this reason NEW CONST. DWELLING OCCUP. \ OR ADDNS. ( a ACc. BUDS. / SO. 3.5Q' FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 - ( POWER APPARATUS \: 8 SINGLE OUTLET CIA. Ex. Occup." ( OUTLET OR FIXTURES) 20 Q 1.00 SAL 50 Fes, OCCU FIXED APPWS. OR p (ourLErs RESID.) EA 5.00 , Temporary Service 23.00 Mobile Home Facilities 20.00 ' Misc. Wiring 23.00 PERMITFEE $ Contractor >" r,a WORKERS' •COMPENSATION DECLARATION j - I hereby affirm under penalty of perjury one of the following declarations- .. ❑ 1 have and will maintain -a, -certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I,have and will maintain Xworkers`compensttion insurance, as required, by Section 3700.ofthe Labor Code, for th-perftorma�Nofworkfor which this permit'isissued. i My`workers' compensation in;Vance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor r Policy Number ' (The abovefsections need not be c ted if the ermit is for work of -a valuation of one hundred dollars ($100) or less v` ❑ 1 certify that in the performance of the wo4jrNhich this permit is issued, I shall not employ any person in any m�r�n r sc rel o become subject'to workers' compensation laws of California, and"a tree that �f I should become subject to the workers' compensation provisions. -of Mtj'o 11700 of the Labor Code, I shall forthwith compl with those Provigri(�. -- - X + Date ��4`�_-- Signature of A p ic`ant�Ov" `ftr ❑ oKf`ractorL�"❑ Agent'.. An OSHA permit is required for excavatio Get 5'0" deep and demolition or construction of structures over 3 stories in height. r v . Mobile Home In to lation Fee $ Energy Insp "ati Fee $ occ NST. TYPE TOTAL FEE $ 57•� tiHAZ. `D,,VES y IMP FLOOD CDF PARCEL PD Ho ISSUE This permit is hereby issued under tale applicable provisions of the Butte County Code and/or Resolutions to do work indicated abov`e for -which fees have been paid. ,) B ' l.-�" Date ?/1 By PERMITEXPIRESON o (Date) Receipt No. ?� , WHITE-D.D.S.-B.D. CANARY -ASSESSOR, ;.. PINK -INSPECTOR GOLDENROD -APPLICANT .r: t' 040-214-015 PERMIT#95-1527 CARLTON, Greg & L'orenda 2414 'burham St., Durham t Woodstove/SF i, � t 1 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT s ->l �? ASSESSOR PARCEL NUMBER © / / O/ ZONI BUILDING PERMIT ;��1$ A 0,4XLtd� TELEPHON-x "& SQ. FT. OCC. BUILDING VALUATION OWy MAIUlDDRE y G ADDRESS 7,f4a_ CAM04061 CONI CTO 'S E ,o klltl TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace %A, CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 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 ADDRESSa u Q� A � 1=2�/ b /C" /7 �� � PERMITFEE $ , y PLUMBING PERMIT Filing Fee 0.00 Each Trap 7.00 LOT NO. SUBDNISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 y� USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other Cil SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other, 1 Describe Work: V l D D D SM U—�y� VE:Contractor Mobile Home I S I GI W 1 920.00 PERMITFEE S ELECTRICAL PERMIT Filina Fee 20:00 Main Service a00V OR LESS ( 2OOA OR LESS ) 23:00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, /will do the work, and the structure is not intended or offered for sale. l7r I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADONS. ( a ACC. ) SD. 3.52 FT. NEW CONST. MULTI-OUTLEUTLE T NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) 20 @ I.00 BAL .00 Ex. Occup. ( OFIXEDDs RESD.OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation /of' one hundred dollars ($100) or less.) ©. 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. x Date _'/_(O-�%j Signature of Applicant - [R'Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ `r © O HAZ. 1 D. FEES IMP FLOOD COF PARCEL PD HD ISSUE 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. / By Date PERMITEXPIRESON 7�// I (Dare) Receipt No. WHITE-D.D.S.-E.D. CANARY -ASS SSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 CORRECTION NOTICE CSA ACL i O OWNER PERMI-T NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. �1.) QCC-4 ss `,Q 9 Date — 2 Inspector REV 10/92 •` COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please Fontact this office immedWely. , ^ '.- rZIC(43s' A `� fG— v'2- �fOv S W -0r21 vk c w4 L GGIf'/ , l4 -(-'Rum ��vK /A `'-z�Qv'ct k1ao, Date X49 Inspector REV 10192 r COUNTY OF BUTTE - BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. i NOS J a T 1, i♦, Date 0-7-7 -qInspector REV 10/92 },�._„. ��Ser�i-^4..;..,.�,li;2-.,�-�,?a ..�.-'�.ci+�,,,ir ...�s+iit.,, ''�r,:K'�,'�:..�-a •.��%.-'-�rC' COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES �111 Main Street, Chico, CA - (916) 891-275 7 County Center Drive, Oroville, CA - (916) 538- 541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation,` please contact this office immediately. Date CJ= j 7 / Inspector REV 10/92 U D"R Til 5 (1 891 5 G 5 1 5 7 n S 8 10 'J' 8 AM FROM LAM'.r,'T'Ql NiMASONR LI`I4,DWhAAA t5+' DLA-vh&eA ATM 4914Y �-'U ;L Lambert's Masonry Supply Hiway 99E North & Wilson Landing Road Phone 343-0821 5/l/98 This letter Is in regards to Lori Carltons stove pipe. The pipe is installed to code, 24" above the, highest point, within 10 a COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISI 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 PER IT NO. (Rev. 12/96) APPLICATION AND PERMIT �g-C)1S ASSESSOR PARCEL NUMBER 040-214-015 ZONING BUIL G PERMIT OWNER GREG AND LORENDA CARLTON TELEPHONE9006 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1528 LAZY TRAIL, CHICO 95926 CONTRACTOR'S NAME TELEPHONE ' CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace 1500.00 Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ 35-00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 2414 DURHAM ST. Energy Plan Checking Fee $ DURHAM $ PERMIT FEE S LOT NO. SUBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF IN Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: WOODSTOVE REPLACES BE 95-1527 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoos OR LEss 23.00 CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1 as owner of the property, or my employees with wages as their sole compensation, ,/will do the work, and the structure is not intended or offered for sale. ,Was owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200ALICENSED ToNG 46.00 NEW CONST. DWWELLIEE OCCUP. CU OR ADDNS. ( 6 ACC. BUDS. SO 3.5¢FT. NEW CONST. MULTI.OUTLET NON-RESID. BRANCH CIRCUITS 97.50 I POWER APPARATUS d SINGLE OUTLET CIR. EX. OCCU OUTLET OR FIXTURES BA.00 L@':p Ex. Occup. oinEiFrs AEs o OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE _ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number e above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X te, ate _ _ 111D !2 __ Signature of App (cant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ L FEE $ occ CONST. �IM 55.0 HAZ. D.LOOD CDF PARCEL PD HD 4SSSlE V 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. - /L 4r9 By Date [ PERMIT EXPIRES ON I"1 5 Date Receipt No. 12 O WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTYOFBUTTE- DEPARTMENTO:FDEVELOPMENT SERVICES -BUILDINXDIV61:N7 County Center Drive - Oroville, California 95965 - Telephone (916) 53PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBERa ®/ -,n WNI LDING PERMIT o`" R 6 Z D 4=1V ���L���/ T "E O/ �O SO. FT. x6cc. BUILDING VALUATION owyER�MA1u�nooQEss�� ���/� C J L'` A � CONT CTO 'S E TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS R PERMITFEE $ 0 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUED-1ON'SNAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ltD.ple. ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other is I,�y-� r /c Describe Work: Ull l� V Zt [./ Ij C Mobile Home IS I GI W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service EooV OR LESS ( 2ooA oR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: f0 I, as owner of the property, or my employees with wages as their sole compensation, y/will do the work, and the structure is not intended or offered for sale. lg I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADDNS. ( a ACC. BLDS. ) SO. 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER SINGLE APPARATUS ) 8 OUTLET CIS. Ex. Occup. (OUTLET OR FIXTURES) 2e BAL +:5o Ex. Occup. OUTLETS (RFS16 PPLINIS ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation /Of one hundred dollars ($100) or less.) 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X d/l?,(` n ___ Date _%-(p-QS Signature of Applicant -R Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ . Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ 5�� Q o HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL I PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have BY PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date X'm (Date) eceipt No. F HITE-D.D.S.-B. D. CANARY -ASS SSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF'DEk --LOP-MENT`SERVICES - BUILDI 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (91 bWNER Proposed Building U PERMIT APPLICATION DATA Building F VG -DIVISION 775541 Date 7 /,f:, q(�- At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted. 2. Plot plans, 3/4 sets, signed by preparer of plans . ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ ................................. *......... 11. Impact fees as shown on attached schedule . ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). ...PR��eo� reqs ,. 20. Pre -inspection for required. . to Building Inspector (Date) 21. 69ntractor'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 Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. `Letter of intent on building use . ........................................ . 28. Mobilehome utility clearance . ......................................... . 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. P1kp$egk list. ....... ... ... to 33. 34. When you issue the permit, process as follows: ✓ Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation n „n C� Acreage Applicant Ti.Cy (. Date �" "9S Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDINGXlt?a 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 04n-914-015 ZONING R1 BUI ING PERMIT OWNER GREGG CART -TON TELEPHONE 893-4006 SO, FT. OCC. BUILDING VALUATION EST. 1 500 OWNER'S MAILING ADDRESS CONTRACTOR'S NAME ARK ENTERPRTSER TELEPHONE 1345-1032 CONTRACTOR'S MAILING ADDRESS D, GMT 95973 Fireplace -G-0 LENDER UNW40WN Total Valuation is LENDER'S MAILING ADDRESS Fling Fee $ 20.00 Permit Fee $ 37.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 2414 DURHAM ST, DURHAM PERMITFEE $ 57.00 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF &( Duplex ❑ Mobilehome ❑ Other ' SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: REPLACE EXISTING WINDOWS Mobile Home S G W 920.00 PERMITFEE ; Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service 8 OV OR LESS ) ( 2ooA OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in fu orce and effect. License Class Lic. No. _ �� y �� OWNER -BUILDER �CLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. I am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADDNS. ( 8 ACC. ) so 3.5¢ FT. NEW CONST. / MULTI -OUTLET UTLE NON-RESID. \ BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CHR. Ex. Occup. ( OUTLET OR FIXTURES) 20H.00 s<L 5° EX. Occup. ( OUTLETSFIXED (RESD.)EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE s Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE S Contractor Policy Number (The above sections need not be completed if the Permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith compI with those provisions. X____ Date Q � Signature of A r ❑ Contractor ❑ Agent" An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ 57.00 HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL PO HD ISSUE 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. By. Date PERMITEXPIRESON fie) Receipt No. 8 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .;,7,�.:.v� ' v.9sr '^C•'`M�i''4' -w r V �i , £ Q 40-214-15 2549-89E � CARLTON, Gregory 2414 Durham St, Durham (elec upgrade)SF COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS . PERMIT N0. 7 County Center Drive - O,ro�ile; Ca!ifornia�59651- Telephone: 916/538-7541. /� — APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER \;ZO 4 --2 11— i� ING i� BUILDING PERMIT OWNER' TELEPHONE SQ. FT. ` OCC.1 BUILDING VALUATION OWNE`�R+'S MAI ING AD D RE55 CONTRACTOR'S NAME ELEPHONE CONTRACTOR'S MAILING ADDR SS "v 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 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 SFW Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W J0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Lo% Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service jp0 AMP ORV OR SLESS dt 10.00 Main service EA. ADD'L 100 AMP 2.50 K CONTRACTORS LICENSE LAW I t I declare under penalty of perjury (check one): F -1I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is in full force arjd effect. No. Classification El 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 licensedicontract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason ' NEW CONST. DWELLING OCCUP.SI OR ADONS. ACC. BLDGS. , �2 Osq ft NEW CONSTR. MULTI -OUTLET NON.RESID .BRA CCIRC ITS 2.50 ea ATUH POWER APPARS e (SINGLE OUTLET CIR. EX. OCcup(OUTLETS OR FIXTURES 2ALO 30 eLv FIXED ALNS.License Ex. OCCUp. OUTLETS P(RESID )REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 . fit/CG`t % �.• Permit Fee $ am Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ',, N ❑ 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 I shall not employ any person in any manner, to as to become subject to the W. C. laws of California. '''' Notice to Applicant: If after making this statement,.shoul'd 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 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 said County in consequence of the granting of this permit. X )F/' p_ n_� _Mc ?Ir e'"l 6 &-t.j "LF,Y, Date 1 Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required For excavations over 5'0" deep and demolition or construct- ion of structures over 3/stogies in height. Mobile Home Installation Fee $ Energy Inspection Fee $ K TOTAL PERMIT FEE $ v Occup. I CONST,TYPZJ SCHOOL I FLOOOJ PARCEL I P11 139UE 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 r Vim' +P7 PERMI,T4XPIRES Date Receipt No. ��f�-s� WNIT!-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT . ..-►�-,-•�'�..,yR�..7-r�-'��„s.+1s"`'tir—vti'�'^'y,-,�.,.'^^e—�-.-.—w-�.r:.+�-- �++rsc�'ry+'a[+�C'"r COUNTY OF BUTTE 5 DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE PER 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 corre n of work Is completed. If you have any question pertaining to this matter, need additional explanation, please contact this office immediately. r6 Inspector Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Cali-%rnia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ``PERMIT NO. V' .�r ASSESSOR PARCEL NUMBER ,qo0`3 j --4s ZO ING I BUILDING PERMIT Nomie OWNER O A 7 TEL PHONE S0. FT. OCC. BUILDING VAL N OWNER'S MAIL21NG ADERESS CONT AT R'S NAME ELEPHONE CONTRACTOR'S MAILING ADDR SS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS —; Penalty $ BUILDING ADDRESS— �"'S7 L 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 1 G 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other [ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee . 10.00 Main service OOOV OR LESS t00 AMP OR LESS >� 1 10.00 !C/ 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.y , New DDNS. RV A LDGS Osq ft U TBI OUTLET NON-RESID BRA CH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. OCCU 20 00t P OUTLETS OR FIXTURES SAL 200990 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 7 e Misc. Wiring g 15.00 0E 6& 9 1 /_&� Permit Fee Sv $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 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 shal I be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. %� `���� �� ����" Date -3' Signature of Applicant - Owner k Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3/storirieess in height. Mobile Home Installation Fee $ Energy Inspection Fee $ _^ TOTAL PERMIT FEE $ 6:2 occ"P, CONST.TYPE SCHOOL FLOOD PARCEI PD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY PE EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date f Receipt No. � 162 , WHIT[-D.P.W.. YELLOW-ASeC330M. PINK -INSPECTOR, GOLDENROD -APPLICANT i COUNTY OF BUTTE - DEPARTMENT QF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVlffE', G�ALItORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET f Permit No. OWNER �Ato. Proposed Building Use rT� l2,gn�r�- ,g p % Building Inspec Date r 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. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ..................................................... 12. School District fees paid ................. 13. Sanitation approval from Health Department ... 14. City of Chico plumbing. permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) . 19. Pre -Inspection for `�� A 'required Prerequest-to %? �'—y y • Builldingding Ic. nspector o (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner o, Mail to owner ❑) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... 25. 26. When you issue the permit, process as follows: Mail to w er.- Mail to contractor. r.` Telephone —4(Y24 and hold for pickup at office. Deliver w/inspector. Other Applicant_h<0 iYiH(7�. �� pcf abate g -R -917 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--mai [—counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW V_ PERMIT NO. 5882-77B PERMIT EXPIRES' OWNER Donald Smith CONTR. owner LOCATION (A.P. 40-214-19 �y¢r)gg 2016 Durham -Nelson Rd., Durham able - 4 Q Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E !✓ — Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) COUNTY OF BUTTE = DEPARTMENT OF PUBLICVORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback /---3 D'7 Firewall Soil Piping Forms — '3.0 — 7 Parapets 1st Floor Scratch Restroom Finish 2nd Floor Foot in gs _ Windows 3rd Floor Stemwal I --A- SidingTo out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport p Footings Prov. for phsically handica ed Conformance of ex. structure Appliances Gas PI In &Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Reinf. Steel I Final I Fixtures Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation I Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping M9BILEH2ME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE �RE�MARKS OR CORRECTIONS o � /27 (NOTE: An entry must be made on this form each time you visit the job site.) �J, Iff_fad- i '� COUNTY A • OF SUZZP& — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965/�� Telephone: 534-4541 APPLICATION AND PERMIT _ BUILDING Owner— /-/ �• ��� SO. FT. OCc. BUILDING VALUATION E Mailing Address �� C, le one No. _ Fireplace Contractor Total Valuation � Mailing Address - Permit Penni t Fee- -- G1 PI an Checking Fee &/or Penalty Telephone No. Permit Fee _. $ /s 0UI J Building Address `ii ` PLUMBING No. @ FEE PERMIT FILING FEE $3.00 ./ Each Trap 1.50 ------- Repair drainago or vent piping 1.50 Water piping _ 1.50 Each gas wafer heater or vent- 1.50 _ T-- " Zoning & PI g Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 /�— eSaTTII t<en FireDept.I#I ireZon Use P t wilding sewer 5.00 Parking F_.OA I Puns Parcel OecIaratlon Parcel Map FO' R/W p nts Lawn sprinkler system 2.00 4 Parcel Approval la A ravel Permit Fee $ _ ELECTRICAL No. @ FEE NEW ❑ ADDITION ❑ Ii TILiT 0 ER �..- PERMIT FILING FEE $3.00 �� JY�" J ! �� •/� •� �; 600V OR LESS �- Main service 100 AMP OR LE55 5.00 Single Family Tjj Duplex ❑ Mobil Home ® Others ❑ Main service EA. ADD'L 100 AMP 2.50 i OVER 600 V Main service 100 AMP OR LESS 25.00 Main service EA. ADD -L 100 AMP, 1.00 • NEW CONST. OW-cLLING OCCUP. @� 2�S ftl OR ADONS. ACC. BL^GS. q NEW CONSTR. /MULTI-OUTL-'EF- NON•RESID. 1 BRANCH CIRCUITS 2.50ea NEW CONSTR. POWER APPARATUS 6 ON.RES,SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am !icensed under. the provisions of Chapter 9, Div. 3, of the a f Sate of California Business & Professions Code under the name style of: -----* Ex. OCcU OUTLETS OR FIXTURES 50 60 25c p� BALOI !I FIXED Ex. Occu FIXED APPLN S. OR \ IRESIO.1 EA 2•�Q. Temporary service 10.00 I Mobile Home Facilities 15.00 Misc. Wiring 6.25 - License No. Classification T _ _ EL I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL N0.1 @ FEE VIORKMEN'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. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. yr 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. PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 relatina to building construction. and herebv _._ TOTAL PERti11T FEE $ authorize representatives of the County of Butte to enter upon the above -me 'oned property for inspection purposes. 9 J� ie '� � 4 Date Signature of P i or gent 1601 Receipt N'-6.�r' ' 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 l Building permit expires Date J COUNTY OF $UTT-t= — DEPARTMENT OF PUBLIC WORKS _. 7 County Center Drive •— OrctviIle, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT •- a.Yia:.ac��aoa­Q vl Me l OUFILY UI Dutie to erll6r upon the above -m o led grope y for 'n fiction purposes. % XX Date ` v-2ef/ ignoture oof�P ii a or Agent l/�,/ Receipt No. eg7 6 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. IRECTOR OF PUBLIC WORKS By Datel-1",,;?,f'7_7 Bvi+" permit exire Date 77 BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mailing Address r Tel hone No. Fireplace Contractor Total Valuation Mai ling Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building AddressPLUMBING r No.1 @ FEE PERMIT FILING FEE $3.00 ::KQ!C C 21q 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. o. Q r. �� ®f Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fes Sari-le4ierl Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA ParkinDeclaration Plans IParcel Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 ,pa O o�%j Q Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ OVER 600V Main service 100 AMP OR LESS 25.00 Main service EA. AOD'L 100 AMP 1.00NEW CONST pq OR AODNS. (A -C LDG &) 20 sq ft 33 V NEW CONSTSL (MULTI -OUTLET NON.RESID. BRANCH CIRCUITS) 2.50ea NEWCON5TR. !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) BAL@1 Ex. OccuP•(FIXED APPLNS. OR OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ' I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 3 $ 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. 1:1 I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I TO I certify that in the performance of the work for which this rpermit 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.1 @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances a and State Laws relating to building construction, and hereby fl, TOTAL PERMIT FEE $ 6 •- a.Yia:.ac��aoa­Q vl Me l OUFILY UI Dutie to erll6r upon the above -m o led grope y for 'n fiction purposes. % XX Date ` v-2ef/ ignoture oof�P ii a or Agent l/�,/ Receipt No. eg7 6 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. IRECTOR OF PUBLIC WORKS By Datel-1",,;?,f'7_7 Bvi+" permit exire Date 77 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive +- - Uraville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT s9 T-2-77 BUILDING W__._ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive +- - Uraville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT s9 T-2-77 icNlaaeiltatives of the County of Butte to enter upon the above -m ned property for inspection purposes. XDate 12—J.6-27 Signanaf er itee or Agent Receipt No./_V/,3 White-D.P.W. — Y�larec'>rsses r — k3pgrta& 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—(,�l�l�L��� Date Building permit expires Date BUILDING Owner i Q. FT. OCC. BUILDING VALUATION Mailing Address .a. / S q40 o Telephone No. 3-0910 • Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address © PLUMBING No. @ FEE PERMIT FILING FEE J$3.00 8.to 0 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. No. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe s W. SattttatiVtt- FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking D Parcel ation Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 ec'd Parcel Approval Ions Approval Permit Fee $ 5 $ �5 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE 1 $3.00 A,00 Main service 100 AMP OS RLESS 5.00 S-.00 • �+,, /� (�� /•� Main service EA. ADD'L too AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ service OVER eoov 100 AMP OR LESS 25.00 service EA. ADD'L 100 AMP 1.00 ',/ • Wil{+-!ti6/w �✓ CONSTDNS.. DWELLING OCCUP. & AC ) 2¢sgft rNE (MULTI-OUTLAtt2leET CDONSTR -RESID. (BRANCH CIRCUITS) '2.50ea CONSTR (POWER APPARATUS-RESID. (POWER 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) BAL-1a Ex. Occup.FIXED APP LNS. OR (OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring am exempt from the Contractors License Laws of the State of California. Permit Fee $ 00 Go $ 'Z 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 liability94 for Workmen's Compensation. ❑ WI have placed on file with the County of Butte a certificate of orkmen's Compensation Insurance. fW 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 3•L -V Heating JOY? Cooling Ventilation Hood __+2.00 Permit Fee $ c $ 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 is icNlaaeiltatives of the County of Butte to enter upon the above -m ned property for inspection purposes. XDate 12—J.6-27 Signanaf er itee or Agent Receipt No./_V/,3 White-D.P.W. — Y�larec'>rsses r — k3pgrta& 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—(,�l�l�L��� Date Building permit expires Date