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HomeMy WebLinkAbout040-290-03640-29=36. 1710-90B' ` . SCHLECHT;"Virgil 9210 Stanford Ln, Durham Contr: Custom Exteriors, n � (vinyl siding/sf) "t 40-29-36 2516-91B ' • b; r SCHLECHT, Virgil p) 9210 Stanford Ln; Durham (reroof/sf) . Q %a I "KEE T COUNTY OF BUTTE - DEPARTMENT OF PUBLICWORKS 7 County Center Drive - drovlller California 95965 - Telephone: 916/536-7541 V, • t::1 APPLICATION AND PERMIT PERMIT NO. /�- 9 ASSESSOR PARCEL NUMBER 40-29-36 ZONIN kiir BUILDING PERMIT OWNER Virgil Schlecht TELEPHONE 343-3145 SO. FT. OCC. BUILDING VALUATION >' • OWNER'S MAILING ADDRESS 9210 Stanford Lane Durham 95938 CONTRACT-OR'S NAME Owner ' TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 1.620.00 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 28.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 28.00 PLUMBING PERMIT Filing Fee 10.00 9210 Stanford Lane, Nrham 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[X Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.O0ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other] Describe work: Reroof Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 0V OR L Main service 100 AMP ORSLESS 10.00 Main service EA. AOD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business T1d Professions Code and my license is in full force and effect. License No. Classification. I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively corNracting with licensed contract- ors.(Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.e!` OR ACDNS.ACC. BlpGS. / , /z2sgft NEW CONSTR. MULT '-OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS 6 SINGLE OUTLET C'R. I / Ex. OCcu p\OUTLETS OR FIXTURES 20 0501 BALI 30C FIXED Ex. Occup. OUTLETS IPRESID IREA.J 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. ❑ 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 shall not employ any person in any manner so as to become sulSject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed.revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 ' Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, cost,s�, and expenses which may in any way accrue against said County in conse 6 oe f the r ting of this permit. X '..� / -13 I/ Date 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 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE — TOTAL FEE $38. II HAz. I CUA I PARK I SCHL I FLo CDF I PAR PD ) Ho. Iss This permit is hereby issued unser the sions of the Butte County. Code and/or work indi,ated above for which fees f DIRE -16R OF PUI§LI4 BY, t/ % � m , PERMIT EXPIRES Date applicable provi- resolutions to do have been aid. p WORKS Dto f (J ! p v Receipt No. 96648 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT N0. - 6 =9(—/ ASSESSOR PARCEL NUMBER 40-29-36 ZONIN BUILDING PERMIT OWNER Virgil Schlecht TEL PHONE 343 -3145 - SO. FT. OCC. BUILDING VALUATION t 20.00 OWNER'S MAILING ADDRESS 9210 Stanford Lane Durham 95938 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 1.620.00 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 28.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $28.00 .00 PLUMBING PERMIT Filing Fee 10.00 Qgin qtnnfnrd Lane, Durham 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 SFEJ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other n Describe work: Reroof Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1000 1 01 AMPOR 10,00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): Iam licensed under provisions of Chapt. 9, Div. 3 of the Business ❑YndProfessions -Code and my license is in full force and effect. No. Classification. 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- ontract- ors.(Sec. 7044) ors. ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.tE OR ACDNS. ACC. BLDGS. / ,/zQsgft NEW CONST R.U OUTLET NON•R ESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS .&) %SINGLE OUTLET CIR.Ex. OCCup(OUTLETS OR FIXTURES eALeao 2AL030cense FIXED PR EX. Occup. OUTLETS (RESID IEAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Oyirin 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. ❑ 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. E/ 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. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, coos, and expenses which may in any way accrue against said County i cons en e f the r nting of this permit. > %� Date / �� ignature of A Dant – Owner5;oeo Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct -DI ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $38.00 HALcuA PARK SCHL I FLD coF PAR PD ) HD. ISS This permit is hereby issued unaer the applicable provi- sions of the Butte County. Code and/or resolutions to do work ated above for which fees have been paid. OF P L WORKS A B X D to /�) PERMIT EXPIRES Date I Receipt No. 96648 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT �.- ..•-••••----�,,.-...•,•..-,1•;•:••�- .-i+ ...rr . 7'�.i."'i""+��'+ �."v'„`,�-j'r°r"',�<+s'`�'l,t'"'"''7"''�rra•`•.+�-� ,s:.e �; COUNTY OF BUTTE - DEPARTMEAT'yGF•PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROS[ L•E CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER V /L- r S C N L, CG J—f J A. P. No _ % 0�3 Proposed Building Useti2���%T Building Inspector Date 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. Hazardous Material Form ......................................... . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10�. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13• 1 School District fees paid .............. 14. Sanitationi'approval from Health Department r 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see`City for other requirements) 17. Planning approval for (A) Use: (B) Parking: 18. Improvements may be required. Contact Land Development Section DPW V 19. Driveway, permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-lnspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications .. 22. Certificate of. Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24�__ Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ....... ........................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other w :y a of A7 t. Applica ate_ � Copy of !.az-Mat form sent }Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health'Deps . Fire Dept. Other Date By The following data..•mus_t-be_s.ubm•i_tt.edkprior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. ` 2. Additional items required: .k � F r fi 1 ti Contractor, designer, owner, was advised of above required data by_phone___rnai1_co1�nter by ..date Contractor, designer, owner, was advised of above required data by_ph6ne_maI1_counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW ; COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUM E — ,^� ZONING BUILDING PERMIT OWNER/ SG TEL PHg�, S0. FT. OCC. BUILDING VALUATION OWN ;S AILING A DDFj,K55 CO ( AC Q 'S NAME TELEPHONE— ELEPHONECONTRACCCTTOORR'S CONTRACTOR'SMAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ z ,O ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUIL G ADD ESS Permit tee $ —38�.0 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 G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ PemodelM Utilities ❑ Installation[] Other Describe work: 1 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100v OR LESS10010.00 10AMP OR LESS 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/POWER and Professions Code and my license Is in full force and effect. License No. Classification. El I, 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.ai OR AODNS. C ACC. SLOGS. , /2Csgft NEW CONSTR U '.OUTLET NO N.RESIO BRANCH CIRC ITS 2.50 ea APPARATUS e (SINGLE OUTLET CIR. / Ex. OCCUp\OUTLETS OR FIXTURES AL0830 e AL0 30 Occup. OUTLETS ((RESIFIXED APPLNS REA.� D ) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 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. ❑ 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. 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. %� Date 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 stories in h fight. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAZ. I CUA PARK SCHL I FLD I COP I PAR PD I HD. ISSUE This permit is hereby issued unoer the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date C1WReceipt No. WHITE-O.P.W.. YELLOW-ASeESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. /1. I personally plan to provide the major labor and materials for construction of / the proposed property improvement (yes or no) �2, I (have/have not)signed an application for a building permit for the proposed work. 3.: I have contracted with the following person (firm) to provide the proposed j construction: Name Address City Phone Contractors License No. 4. I plan 4to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work S igned : Property Owner Social Security Date 7- iia - NOTE: -This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the, California Health and Safety Code. r This verification must be completed and returned to our office before we are per- mitted to issue the permit. 4 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 —�� r - APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 40--29-36 - ZONI'�G BUILDING PERMIT OWNER Virstil Schlecht TELE?HONE SQ. FT. OCC. BUILDING VALUATION contr: 10,000 OWNER'S MAILING ADDRESS 9210 Stanford Ln. Durham M CONTRACTOR'S NAME Custom TELE -HONE CONTRACTOR'S MAILING ADDRESS 3900 Winters St Fireplace CONSTRUCTION LENDER UNKNOWN none Total Valuation is Filing Fee $ 10_00 LENDER'S MAILING ADDRESS 1 Permit Fee $ 80.50 ARCHITECT OR ENGINEER none LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 9210 Stanford Permit fee $ 5 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Durham 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 9K Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other Describe work: vinyl siding Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6101 OR LESS 100 AMP OR LESS 10.00 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 �Cjode and my license Is In full fofC and effect. License No. 2- 974—) 6� Classification 6 ❑ 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.& OR ADDNS. ( ACC. BLDGS. ZI/2(tSq ft NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS Q (SINGLE OUTLET CIR. Ex. OCCIJp(OUTLETS OR FIXTURES 2/15011 eAL@30 Ex. Occup. OUTLETS FIXED P(RESID ILNS.REA,) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin 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. L� ' have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 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. 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 agalns said C unt onsequence of the granting of this permit. %X �Me�" �'�`'✓ Date S -.2X- 91& 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 stories in height./^ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 90.50 HAz CUA PARK SCHL FLD PAR PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work ipdicted above f r which fes DIRE F PUB 1 B PERMIT EXPIRES Date the applicable resolutions to to do do have been paid. WORKS Dates C(J Receipt No. 3 WHITE-O.P.W.. YELLOW-AssrssO . PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION 9ND PERMIT i PERMIT NO. --i ( ()-W ASSESSOR PARCEL NUMBER 40-29-36 ZONING - BUILDING PERMIT OWNER Vir it Schlecht TELEPHONE SQ. FT. OCC. BUILDING VALUATION conte 1Q1000' OWNER'S MAILING ADDRESS 9210 Stanford Ln. Durham 95938 CONTRACTOR'S NAME Custom t TELEPHONE CONTRACTOR'S MAILING ADDRESS 3900 Winters St. Sacramento 95,9319 Fireplace CONSTRUCTION LENDER UNKNOWN nonp Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEERnonp 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 SF [NX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other Describe work: vinyl siding Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1000 AMP ORV OR LESS10.00 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 forc and effect. License No. a 7 %� �� Classification � L� ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for. sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) 1 ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.II2 OR ADDNS. ( ACC. BLDGS. ) Y22sq ft NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES BA 0y30 Ex. Occup. OUTLETS FIXED PRESI0.) R E A.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 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. LJ 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 9 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. 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 agalnnss saidC unt onsequence of the granting of this permit. %�Date �'?.5-- C? Z" Signature of Applicant — Owner ❑ Contractor ❑ Agent ®o An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 90.5 0 5 HAZ cuA PARK SCHL FED PAR HD IssuE Th;s permit is hereby issued under sions of the Butte County Code and/or work i c ed above f which fe /DIRE F PUB I B PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Da �O *,/ Receipt No. 3 WHITE-D.P.W.. YELLOW-ASSESSO , PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville,;California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMB 'J�% ZONING BUILDING PERMIT O N R (� i % G C� TELEPHONE S0. FT. OCC. BUILDING VALUATION O NER'S AIL- ADDR S n Q. 0 ✓" 0 k ►� 4 7 �T C O'q) RACTOR'S NAME • -TRACTOR'S TELEPHONE C N/ MAIL NG ADDRS to I S Fireplace RUCTION CON TRUCTION LENOER UNKNOWN Valuation 5 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ao AR H TCT OR ENGINEER eq LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 9 o r �+ . Permit fee $ D PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 ur W) 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 �{ SFM Duplex❑ Mobilehome❑ Other C, SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W1 10.00e TYPE OF WORK New[] Addition[] Rem del❑ l.ltilitie` nstallation❑ Other Describe work: K 1l 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 under penalty of perjury p y p I y (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 ❑ 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.&. OR ACDNS. ACC. BLDGS. I Y2¢Sgft NON CONSTR RANCH CIRCUITS) NO N•R ESID BRANCH CIRC ITS 2,50 ea (POWER APPARATUS e) SINGLE OUTLET CIR. Ex. Occup(o OR FIXTURES 20@S0C BALI 30 IXEDTs Ex. Occup. OUTLETS (RESID )LINS 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. ❑ 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 shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ 1 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct ion of structures over 3 stories in height. Receipt No. WH IT E -O. P. W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT Mobile liome installation tee 3 Energy Inspection Fee $ OCC I CONST TYPE TOTAL FEE $ gC su HAZ I CUA I PARK I SCHL I FLO I PAR I PO I HD I ISSUE This permit is nereby 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 PERMIT EXPIRES Date Date