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HomeMy WebLinkAbout040-280-022040-280-022!,. PERMIT#96-2322 BEERS, Evelyn, 9109 Stanford Ln., Durham Cont: Elvie D. Cobb Reroof/SF / 040-280-022 05-1132 DELFINO, KURT 9109 STANFORD LN; DURHAM. Cont: WOLFE ELC UPGRD ELEC SRV-125AMP Ac4 ;au r n 'Gown .e BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION M (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 : PERMIT NO. BPO51132 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS 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 Issued Date: 04/29/2005 APN: 040-280-022-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: 10 f (j Site Address: 9109 STANFORD LN DUR Date: Contractor: Map Index: Description: UP GRADE ELECTRICAL SERVICE TO 125 p i OWNER -BUILDER DE ARA I hereby affirm under penalty of perjury that I aam m exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 AMP Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a Owner: DELFINO KURT A signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 9109 STANFORD LN 7000) of Division 3 of the Business and Professions Code) or that he or DURHAM, CA she is exempt therefrom and the basis for the alleged exemption. Any 95938 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 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 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: WOLFE ELECTRIC such work himself or herself or through his or her own employees, VIRGIL WOLFE provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 1300 PARK AVE year of completion, the owner -builder will have the burden of CHICO, CA 9928 proving that he or she did not build or improve for the purpose of (530) 345-2800 sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: WOLFE ELECTRIC pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code 1300 PARK AVE CHICO, CA 9928 Date: owner: (530) 345-2800 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 844427 C3 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 Architect: required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: �_S Total Square Ft: 0 S. F. Policy #: �_) �� �J �Z r!�� �� ❑ I certify that in the performance of the work for which this permit is Valuation: $0.00 issued, I shall not employ any person in any manner so as to Census Code: become subject to the 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. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CJ CONSTRUCTION LENDING AGENCY is permit is hereby issued under th pp able provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions to work indicated a ve for hi h fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) 4. Name: By: Date: Address: _/ PERMIT EXPIRES ON: 7 J 6O Dale ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑' Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substanceof-any official form or document of Butte County. I hereby authorize represe atives of Butte County to enter upo the above mentioned property for inspection purpose rrC� V ( ` V b " 1 �� Print Name: Signature: L Date: 0 Owner ldt Contractor }$ Agent for Owner ❑ Agent for Contractor Wolfe Fslec&ic 4 061E. �L�r/oA.? . 1300 Park Avenue - Chico, CA 95928 Phone (530) 345-2800 - FAX (530) 345-0993 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER Last Name ) ��,D First Name p u ien Address D,�Q City 1)C, V—A Sta;e Phone 3(-f 5 _ Phone g�i3 7 Fax E-mail CONTRACTOR Name -8 Address CitySt al_' r� p Z,ip �� `fqr Phone 3(-f 5 _ Fax _5-3 p 3q o f0 E mail Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE ,� For office use only: Zoning Property Address Flood Zone Cross Street SRA Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT BIN # LOCATION AP# Property Address City Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Page 1 of 2 Description or Scope of Work: i to ro Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount:, -SS L Bldg / �/ SRA Receipt #: 2 (� iO� q Sheriff C�`# � 4 � ` / SMIP Datef/c� �J�S Other A � o, ` Total REV 2-24-05 w SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 October 25, 2001 Diana Sanford i 1363 East Lassen Ave. i Chico, CA 95973 1;utte ca L A N D O F NATURAL WEALTH A N D B E A U T Y PLANNING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7601 ( FAX: (530) 538-7785 Re: Burn down letter for Kurt Delfmo, 9109 Stanford Lane, Durham, CA, ' APN 040-280-022. f Dear Mrs. Sanford: The above: referenced parcel is currently zoned A-10 (Agricultural, 10 acre minimum). This zone allows for a single family dwelling. The existing residence is a pre-existing non -conforming use. Should the dwelling be catastrophically destroyed it may be reconstructed, provided it will not be placed within the required building setback areas and meets sanitation codes in effect at the time of reconstruction. i The setback requirements for the A-10 zoning are 50' from the center of the road and 10' side and rear yard property lines. Should you have any further questions, please contact this office between the hours of 8:00 a.m. and 4:00 p.m., Monday through Friday, at 530-538-7977. Sincerely, Larry Painter Planning Technician II CC: Building Division (Butte County /Department of Development Services /Planning Division AF 2 040-280-022 PERMIT#96-2322 BEERS, Evelyn 9109 Stanford'Ln.,:Durham Cont: ,Elvie D. Cobb ` Reroof/SF %QI'71q�7j A, A COUNTY OF BUTTE- DEPARTMENTOF DEVELOPMENT SERVICES- BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538,! 541 PERMIT NO. APPLICATL,ON AND PERMIT �= ASSESSOR PARCELNUMBER 040-280-022 ZONING I > ILDING PERMIT —r- OWNER BEERS T 342 E224g SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 9109 STANFORD 11DURHAM 95938 16 SQ COMP 960 VAL SHEET ;550 CONTRACTOR'S NAME ELVIE D. COBB TELEPHONE 876-0153 CONTRACTORS MAILING ADDRESS PO BOX 1292 MAGALIA 95954 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is 1510 LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 37.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 9109 STANFORD LN DURHAM PERMITFEE $ 57.00 PLUMBING PERMIT Fling -Fee 20.00 Each Trap ; 7.00 LOT NO. SUBDNIS IONS NAME PARCEL MAP Solar or heat pump water heater •':'23.00 USE OF STRUCTURE 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: 16 SQ COMP VAL—SHEET 550 Mobile Home IS I GI W @20.00 PERMITFEE i Contractor ELECTRICAL PERMIT Filinq Fee 2 0:0 0 oORR LEsLEsss Main Service%-,,OR, ( zooA ) 23.00 Main Service ( 200A TO I000A ) 46.00 LICENSED 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. l J �� License Class C-291 Lic. No. —1 OWNER -BUILDER DECLARATION 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. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. s0. OR ADDNS. ( 8 ACC. BLDS. ) 3.50 FT. NEW CONST. / MULTI -OUTLET NON-RESID. \ BRANCH CIRCUITS) @7.50 ( POWER APPARATUS b SINGLE OUTLET CIR. / Ex. Occup. ( OUTLET OR FIXTURES) 20 @ 1.00 BAS 'o FIXED APPLNS. EX. OCCUp, OUTLETS (RESID.) ( ) 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' co pensation i surance carrier and policy number are: Carrier Carrier VtM S 'S MECHANICAL Filing g Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number ua— 600no-3 (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' compention ovisions of section 3700 of the Labor Code, I shall feFthw *nha pfy wa a provisions. Date Signature of Applicant - ❑Owner Contractor C1 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 is Energy Inspection Fee Is Occ R3 CONST. PE �N TOTAL FEE $ 57,00 HAZ. I D. FEES I IMP I FLOOD CDF PARCEL PD I HD I 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. rl/ %% BY L ,6GuY+r. Date /0' 7� Ito PERMITEXPIRESON /0- 7 9?- (Date) Receipt No. 1z"f j 2'30 WHITE-D.D.S.-B.D.—. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING ISION 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 53 - 541 PERMIT NO. APPLICATION AND PERMIT 94= ASSESSOR PARCEL NUMBER 040-280-022 ZONING B ILDING PERMIT OWNER EVELYN BEERS TELEPHONE 342-2248 SO. Fr, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 9109 STANFORD LN DURHAM 95938 16 S OMP 960 VAL SHEET 550 CONTRACTOR'S NAME ELVIE D. COBB TELEPHONE 876-0153 CONTRACTORS MAILING ADDRESS PO BOX 1292, MAGALIA 95954 Fireplace CONSTRUCTION LENDER UNIwOWN Total Valuation Is 1510 LENDER'S MAILING ADDRESS Fling Fee $ 20.00 Permit Fee .$ 37.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 9109 STANEQ D LN, DURHAM PERMITFEE $ 57.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT No. SUBDNIS ION'S NAME PARCEL MAP Solar or heat pump water heater 23,00 USE OF STRUCTURE 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: 16 SQ COMP VAL—SHEET 550 Mobile Home S G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20.00 Main Service000voRLEss ( 200A 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. ^ essons License Class C-33 Lic. No. K OWNER -BUILDER DECLARATION 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. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCURSO, OR ADDNS. ( 8 ACC. BLDS. ) 3.5¢ FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS (a SINGLE OUTLET CIS. ) Ex. OCCup. (OUTLET OR FIXTURES) BAL @ 1.00 EX. Occup. OUTLETS PP WS. OR ( (REBID.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 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. 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'compensattionn ipsurance carrier and policy number are: Carrier N% , MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number aWX_ Q00p 10 (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, 1 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' compen do ovisions of section 3700 of the Labor Code, I shall w0to provisions. y� __ Date V Signature of Applicant - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of.structures over 3 stories in height. Mobile Home Installation Fee Is . Energy Inspection Fee $ OCC R3 CONST. TYPE VN TOTAL FEE $ 57.00 HAZ. D. 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 indicate ova for which fees have been paid. By Date 77l� PERMITEXPIRESON (Date) Receipt No. _crj 230 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ,,.—....�.,1,„qr,,+r••.'.i�-FS%'1''7\i`Y ,SAO,rZ'�”m.+4'r4�!t�:r�.��lO�ZS�`x`�i�,.�"t�►.�'yi'•i§•r-•'.jY ~''a t•� -.. ,. .:..,.- ,�. v .�_ ..-as�.�.�..�*:. --...y—...�µ-.:... �. 40-28-22 3332-89B r BEERS, Dale 9109 Stanford Rd, Durham Contr: AMRE (vinyl siding) SF t +.a 7. s COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS P R IT NO. 7 County Center Drive - OrovillValifosuia 95965 - Telephone: 916/538-754 .�-j� �� APPLICATION AND PERMIT ASSESSOR P C NU`. ' zo BUILDING PERMIT OWNER TELEPHO 3�? ' SO. FT. OCC. BUILDING VALUATION r OWNER' AILING ADD ESS L, CONTRA ��ME �c- TEL PHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ r74 s 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 Duplex❑ Mobilehome❑ Other SFpe SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ UUttti-lei-tires % Installation❑ Othe)] Describe work: /—n,/1/L..- ��1..E / i (a _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare der penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profess10 s Code and my license is in full orce and effect. License No. � � Z 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 OR ADONS. ACC. BLDGS. CCCUP.IN , h2sq ft NEW CONSTR. ULTI-OUTLET NON-RESID BRANCH CIRC ITS Z.SOea /POWER APPARATUS tri/ \SINGLE OUTLET CIR. EX. Occup(OUTLETS OR FIXTURES .20@50t FIXED APPLNS.AL030 EX. OCCUp. OUTLETS ((RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. LJ I have placed on file with the County .of of 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 Ca4ifornia, Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Cooe, 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 agre to save, indemnify and keep harmless the County of Butte against all liabilit es, j gmeR..ts, costs, and expenses which may in any way accrue against s d C y' in consequence of the granting of this pe mit. X f% Date Signature A licant — Owner Contractor ❑ Agent An O$HA per it is required for excavations over 5'0" deep and demolition or construct- ion off structures over 3 storie eight. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST TYPE TOTAL FEE $ s� YJ ta, HAz CUA PARK SCHL FLD PAR PD HD ISSUE This permit is he@eby issued under sions or the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By L7 i /(r--� r PERLVT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date c V Receipt No. WHITE-D.P.W., YELLOW-ASSE330R, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Caj�i,fornia95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PNNU s zD IN BUILDING PERMIT OWNER TELEPHO SQ. FT. OCC. BUILDING VALUAT ON i - OWNER' AILINGADD ESS a 5 CONTRA AME TEL PHONE CONTRACTOR'S MAILING ADDRESS -- S4(,-, Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 1 $ Filing Fee y $ 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 4?) A41 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 SFk Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW I 10-00ea TYPE OF WORK New Addition/❑ Rejmodel❑�J Utilities installation[] Othe)V Describe work: �,L', ah"'G (��C7 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare er penalty of perjury (Check one): I am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professio s Code and my license is in full orce and effect. Z 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.91 OR ACDNS. \ ACC. BLDGS. Z,/4sgft NEW CONSTR. MULTI -OUTLET NON•RESID BRANCH CRC., TS 2.50 ea POWER APPARATUS tr (SINGLE OUTLET CIR. Ex. Occup(ouTLETs OR FIXTURES 20®50C BAL030 FIXED \ Ex. Occup. OUTLETS P(RESID.)LNS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �yirin 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. v 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 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.S0 I also agr to save, indemnify and keep harmless the County of Butte against all liab' It es, j dg s, costs, and expenses which may in any way accrue agai s Id C y in c n uence of the granting of this permit. X !/) �' Date SignV,,r,- A licant — Owner❑ Contractor❑ Agent An A permit is required for excavations over 5'0" deep and demolition or construct- ionructures over 3 s orie eight. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 0 1 a HAz CUA PARK I SCHL FLD I PAR I PD I HD I ISSUE Th;s permit is hereby issued under of the Butte County. Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY PERkkf EXPIRES Date the applicable provi- sions resolutions to do have been paid. WORKS Date ��fl Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT