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040-340-024
- _ ' A.P. 40-34 Pete aim sIs Pase Companeros at east end,Chico�,.. 1 Permit 12 -71B (new single family) .P. ..•....... i. - 4_ . .r.. -.T •_. _ �: Pete Swaim s/s Pase omp -eros at east `end; Chico , CONTR• oris Root, Chico k. '�- Pe 't -50-72B (roof over open. court) '040-3407024• V 031627 LUNDBERG, CAROLYN� 622 PASEO COMPANEROS,r'`.� r; INALED r,Cont ,GREENE & SON • " 1 L 4 4 _ I . 1 1 t - _ ' A.P. 40-34 Pete aim sIs Pase Companeros at east end,Chico�,.. 1 Permit 12 -71B (new single family) .P. ..•....... i. - 4_ . .r.. -.T •_. _ �: Pete Swaim s/s Pase omp -eros at east `end; Chico , CONTR• oris Root, Chico k. '�- Pe 't -50-72B (roof over open. court) '040-3407024• V 031627 LUNDBERG, CAROLYN� 622 PASEO COMPANEROS,r'`.� r; INALED r,Cont ,GREENE & SON • " 1 L 4 4 _ I . 1 1 _� Wit- � o c+� � �' . , ._r„ -.e- +w-:�...:.7„'r ..-�y><:e•.”f$•.��i:2T�-fi'js�i:i`-,R`�.y=�k': {'w"`b'.,�.S�r`.i";. -'.:z3s'c'�+°.'y.ac ca.;: ;wrr�'�� -'i' 'i�'2g.F� �:�✓�Tff�,nH%'"_:ii�d{;i���-�.µT asy;+;-r •,.a �;;.:� � I - x040=340-024, 03-1627 �/ LLTNDBERG, CAROLYIV 622 PASEO COIvMPANEROS, CHICO Cont: .GREENESON REFOOF- 3& qt - i • Cy t l - 1 i 3 7 , • i � 1 fjjtttt — � � • � a 11 i { � t 1 � t •i �� - - • � r ��i� � � f 3-x/3 �� r.-:- � •' • i, COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILD G DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 38-7541J _ PERMIT -M (Rev. 12/96) APPLICATION AND PERMIT l 1 r� ASSESSOR PARCEL NUMBER 040-340-024 ZONING BU I LDI NG P ERM IT OWNER UROBERG CAROLYN TELEPHONE 343-5255 SO. FT. OCC. BUILDING VALUATION �ny 52 13 /�0 • 0 OWNERS MAILING ADDRESS 622 YASED GC PANEROS Q -UCO 2 800.00 CONTRACTOR'S NAME GRIMNE & SON ROOFING TELEPHONE 873-3940 CONTRACTORS MAILING ADDRESS PO BOX 2467 PARADISE CA. 959G7 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 13.200. W ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 153.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS n Lr2 62PASED CO PANEROS Energy Plan Checking Fee $ $ PERMIT FEE $ 17-1.0n LOT NO. SUBDNISIOWS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 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 gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: RE-R00F CLASS B TREATED .5144 ¢ (ROOF) Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 R LESS Main Service z00A VOR 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.POWEPPARATUs 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: ❑ 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: ❑ 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' ensation insyca�nc�e c¢rrier and policy number are: Carrier .5-7 F a/ Policy Number �7 . (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 comply with those provisions. � ' / ,` O X —f J�. r u��►�-�L.. Date '- 7'-a 3 _ Signature of Applicant - ❑ Owner - -Contractor ❑ Agent An OSHA per 't i r ui ed r e vations over 'O" eep and demolition or construction of structur v r it i s h t. ! Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADONS. ( a Al BLDs. 3.5¢x' NON -REBID. MULTRANCI.OUTLET 97.50 8 SINGLERAOUTLET CIR. .00 Ex. Occup. OUTLET OR FIXTURES BAL®':50 Ex. Occup. oFIXurLEtDrs RF�sID.DEl 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 FEES Mobile Home Installation Fee $ Energy Inspection Fee $ COO CONST. TYPE TOTAL FEE $ 1173.00 HAZ. D. FEES IMP FLOOD COF PARCEL PD HD 5 This permit is hereby issued under the of the Butte County Code and/or i Gated ve or wh'ch fees have By PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. l/�" I Date fe Receipt No V WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 n3—ptWITO" (Rev. 12/96) APPLICATION AND PERMIT - ASSESSOR PARCEL NUMBER 040-340-024 ZONING BUILDING PERMIT OWNER LUNDBERG CAROLYN TELEPHONE 343-5255 SO. FT, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 622 PASEO COMPANEROS CHICO 92 0.00 10$400.00 PLYWOOD 2,800.00 CONTRACTOR'S NAME GREENE & SON ROOFING TELEPHONE 873-394.'J CONTRACTORS MAILING ADDRESS 0 BOX 2467 PARADISE CA. 95967 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace - Total Valuation $ 13 200.00 ARCHITECT OR ENGINEER LICENSE NO. —FilingFee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ 153.00 Plan Checkin Fee $ BUILDING ADDRESS n 622 PASEO COMPANEROS Energy Plan Checking Fee $ $ PERMIT FEE $ 17-3.0 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 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 gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Udlifies ❑ Installation ❑ Other ❑ Describe Work: RE -ROOF CLASS B TREATED SHAKE (ROOF) Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G w @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service O2o000A OR oR LES:ss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 ( commencin with Secti7000 of Division 3 of the Busid ProfessiCode, g on ) ness anons and my license is in full force and effect.P 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: ❑ 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: ❑ 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 ins? ce c rrier and policy number are: Carrier %Y.P 3 � `/� � Policy Number /J p (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' compe ation provisions of section 3700 of the Labor Code, I shall forthwith com ith those provisions. ,` X ' — 7' Date 0 _ Signature of Applicant - ❑ Owner ontractor 11 Agent An OSHA permi is re uir df r e ations over ep and demolition or construction of structur r ' h Receipt No Main Service 200A TO 1000A 46.00 NEW CONST. DWElLNG OCCUP. OR ADDNS. ( 8 . gLOS. SO 3.5QFT: NEW CONST. ='-OUTLET Nt:W GOLD. @7.50 OWER APPARATUS 6 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES aAL @'; 0 Ex. Occup. oFirrltrs R610.oEl 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FES $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 0 HAZ D FEES IMP FLOOD CDF PARCEL po HD ISS This permit is hereby issued under the of the Butte County Code and/or i - atedve r whi h fees have By PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. Date (/ D to WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT t J 6 -?2 - PERMIT NUMBER - B 1226-71 P E PERMIT EXPIRES * OWNER Pete Swaim CONTR: owner r' '_LOCATION (A. P. 40-34-13 �. s/s Paseo Companeros at east end, Chico N x.12 1 COUNTY OF BUTTE _ Department of Pyblic Works BUILDING INSPECTION RECORD Zoning Setback -Forms Foundation Piers & Girders L "7 -7-- Fireplace3-,V'7�Lr�/+ a C Rgh. Plumbing Z /f Bond Beam Lath & Plaster c Rein. Steel Gas Piping & Test Found. Vents Framing '3 ' 1-' Z- ' Plmg. Topout 3� /('a'�Z %� Rough Elec. 3 — Wtr. Htr. Furnace Kitchen Vent Firewall Garage Vents Sanitation & Water ELECTRIC - B GAS BUILDING Temporary / (,� 2Qi Temporary Cert. of Occup. Finaly Final Final DATE REMARKS OR CORRECTIONS 14a v sw cc-/' Ae� 4> p Lc / S/nc.,.,e/ c°o;.,. e. Uu�i"rv� 4, -2 % , � 7a t L ►-v r.cl > •-� �y G c art © A< j.. ,Pf-UI/rC/ truhc�gt�✓r vc,K.fs /.'n rp 'mac,.— y�rCf �lf� v -cit¢ Cz) ` 0, j// geyli. 90.5 �i�Y� / ✓1 • / tr/!/CGS 0,�� jar o vi c1` 9 �aGetsr c�a� 3 -/0 7 L >� ` '00/c/� � f-G� o -e 141 ,70/ elf, l 2 1 3 `-7 3 Cu //ccs fFr�t� Ate O H G l2a�i, ' '•- -• t• . F a•. f�t `i.• -ky{:. � R17 r•` rsY,�„G,,:1,r- a .k°,�PF ,r_ *. a_ t_ a__,... a,f '� -k �,r r .' tom.` .1.• t P.?� °' 1 , COUNTY OF BUTTE - DEPARTMENT • OF 'PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Phone: 533-1230, Ext. 259 A P P LICATION AND BUIL D I N 0 P E R M I T NEW [I ADDITION E jREPAIRS El OTHER 0 Others y%!f /1. C' .,,! -t-,6MATERIAL Single Multi USE OF STRUCTURE Family E] Duplex 0 Dwelling 0 Others - '� ` �' F O U N D A T I O N Q��� EXTERIOR QiPIETtS Permittee Owner %-. I . lam) !'} 1 / 1 Depth in Ground i Qj A. P. No. 4 (.o �� �• .. Mailing Address BUILDING VALUATION R.W. PLATE (Sill) Fire Zone A Zoning Contractor GS �"' / � to /� O Sanitation w.. Planning Mailing Address ' GS 14`/! 11 ^..i,� / J •C; /-� tJ i %e C) Plans Fees' 1/ I W.C. r BLDG. Address �� Y --' �� c-rl I yt joists - 1st Floor R/W Encroachment NEW [I ADDITION E jREPAIRS El OTHER 0 Others y%!f /1. C' .,,! -t-,6MATERIAL Single Multi USE OF STRUCTURE Family E] Duplex 0 Dwelling 0 Others - '� ` �' F O U N D A T I O N Q��� EXTERIOR QiPIETtS Width at Top ��� •�` Width at Bottom Depth in Ground i Qj SQ. FT. OCC. ' BUILDING VALUATION R.W. PLATE (Sill) SIZE\ A G •ISPAN w.. Girders joists - 1st Floor clj Joists- 2nd Floor ?ate CO k� Qj' Fireplacef Joists - Ceiling Total Valuation Exterior Stdds Permit Fee Interior Studs Qj Plan Checking Fee &/or Penalty Roof Rafters Al^I Ias \� Total Permit Fee j a Bearing Walls ' (� `� O CONTRACTORS LICENSE LAW o �1 A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: J` 0 r I am licensed under the provisions of Chapter. 9, Div. 3, of the State of California Business &professions Code under the name style of......... License No. „fr.,,...„...U,7,, Classification...... -f, and certify that the aforesaid license is in -full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one): 0 I am the owner of the above property and I will contract to have all .of the above work performed by licensed contractors, (Sec. 7044). Q I am the owner of the above property and do not intend to offer it for sale for one year'from'the date of completion of the improvements. (Sec. 7044). Basis,, if any, for other statutory exemption...........................................................: ..................................................................................................... .................................................................................................:............................................:...:................................................................................................................ WORKMEN'S COMPENSATION INSURANCE ! I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. 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. %- y �w.t f n•_ `? 7 /.. X......:..:....��.............................. ............... Date/ SIGNATURE OF PERMITTEE OR AGENT 1 l Receipt No . ..... ...................... ................................................. ...........:........ This BUILDING PERMIT is hereby issued udder the appli- cable provisions of County resolutions and/or ordinances. DIRECTOR OF PUBLIC WORKS By.............r3 +'r`If, tis+ - 1.. —.:.......... Date ................................ ( . ... « Permit Expires Date..r.,,�ff ........ -� COUNTY OF BUTTE DEPARTMENT OFA PUBLIC WORKS / 7 County Center Drive-.Oroville, California 95965 Phonet 533-1230, Ext. 259 APPLICATION AND BUILDING PERMIT Permittee Owner A. P. No. Mailing Address t i /t ++ .► I _. Fire Zoney;i r. Zoning Contractor Sanitation,; = :P.lanrun Mailing Address . Plans 4,. Fees BLDG. Address r •• {"� '- >� - *� �` - .+ + -- rte" R W Encroachriient NEW Q ADDITION REPAIRS O OTHER 0 Others Single Multi USE OF STRUCTURE Family Duplex 0 Dwelling 0 Others F O U N D A T I O N MATERIAL EXTERIOR PIERS Width at Top Width at Bottom Depth in Ground SQ. FT. OCC. BUILDING VALUATION R.W. PLATE (Sill) SIZE SPACING SPAN Girders Jf% oists - 1st Floor Joists - 2nd Floorf' ' Fireplace Joists - Ceiling Total Valuation Exterior Stdds Permit Fee_. -- r Interior Studs Plan Checking Fee &/or Penalty Roof Rafters Total Permit Fee } G Bearing Walls UUM I KAGTURJ LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provisions of Chapter, % Div. 3, of the State of California Business & Professions Code under the name styleof..............................................................................................................................................................................................:................................................. . License No . ........................... Classification .............................................. . and certify that the aforesaid license is in -full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one): FQ I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors. �! (Sec. 7044). 0 I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). 0 Basis,, if any, for other statutory exemption,, ................................................................................................................................... WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. 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.- r X...........................................................: ................ Date ................................ SIGNATURE OF PERMITTEE OR AGENT Receipt No.........................:............................................../......................... This BUILDING PERMIT is hereby issued under the appli- cable provisions of County resolutions and/or ordinances. DIRECTOR OF PUBLIC WORKS BY................................... f........................ ..............Date ................................ Permit Expires Date,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,;11 { r 2-r. /0 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS( - 7 County Cenear-Drive - Oroville, California 95965 PHONE: 533-1230, Ext. 259 y APPLICATION AND ELECTRICAL PERMIT Permittee Owner , -r i t A. P. No. 41) ' Mailinit Address Contractor f► / , ( j t- �- / tv Mailing Address /�C- / ? n ,€' a BLDG. Address ` �t l�/),re•' � �... r R [ fr �� !r f— DESCRIPTION OF WORK NEW 7] ADDITION F__j METER SERVICE 0 OTHERS: Remarks: USE OF STRUCTURE Single Multi Family ® Duplex Dwelling Q OTHERS: R ern ark s: PERMIT FILING FEE No. Fee $2.00 -. Supplementary Filing Fee 1.00 Main Service T Sub -panel (12 or (more than P less) ( Each 1 ' R nge, Dryer or Water Heater Each L00 r Oven, Cook -Top or Space Heater Each :.50 Light Fixtures p �- r First 20 , 20 Each Additional .10 4 . R ceptacles., Swit h � & Fixture'0utlets /07 First 20 20 Each Additional 10 ! L i l/ ` ' -Hood, Exhaust Fan or F.A. Furn. Motor Each .50 Evap. Cooler, Gar. Disp. or Dishwasher Each .50 ,•/ ) 1 Air Conditioner or Heat Pump 5' TOTAL FEE CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name styleof...�' ..��.��.p....'..........t....P..`..�/t....................................................................................._.-...............................................__ . License No.1��� i~ ` , Classification ......•.......•. , and certify that the aforesaid license is in full force and effect. ................... ( .......�.....�......... B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: 1 am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one} Q I am the owner of the above property and I will contract to have all of the above„work performed by licensed contractors. (Sec. 7044). l I am the owner of the above property and do not intend to offer it' for sale for one year from the date of completion of the improvements. (Sec. 7044). QBasis, if any, fo4other statutory exemption....................................................................................................._........_......_.... .WORKMEN'S .COMPENSATION INSURANCE t.I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Woikmen'.s Compeit•sation..I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. I certify that;I have read this application rand state that the above in- y formation- is correct. .I agree to comply with all County ordinances and State Laws relating to building construction, and hereby authorize repre- This ELECTRICAL PERMIT is hereby issued under the appli- sentatives of the County of Butte to enter upon the above mentioned cableprovisions of County resolutions and/or ordinances. property for inspection purposes. , DIRECTOR OF PUBLIC WORKS X.................'S•.�. i l.�...... .............. Date .........................................y SIGNATURE OF PERMITTEE 6R AGENT By........................r..:.........:................................... Date ReceiptNo . .......... :......................................................... �, k%��h��� `• 0 �� �� �� � ��� 2 b- 71 ;.3 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive' ° Oroville, California 95965 Telephone: 533-1230, Ext. 259 APPLICATION AND PERMIT ve mentipned 1)rog9r for i Signature e e or Agent Ly oU<« on p poses. ate Receipt DK. �'/ /� ) 7 (,/ White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yell "' ="`C' "N"" "'C 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 Dj�i�ate-2-2-72- BY Date ow -Applicant Building P/- it Expires Date BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mailing Address 30X r C C O ✓1 C O S Fireplace Contractor O w Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Permit Fee $ $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 O' en Ge 5 Each Trap 1.50 16,50 Repair drainage or vent piping 1.50 Water piping 1.50 13 Each gas wa er heater or vent 1.50 Q A. P. No. 40— 34 1 3 Zoning Gas piping system 1 - 5 outlets 1.50 ,� Each additional outlet .50 Fire Zone Fire De t. Sanitation Planning Building sewer 5.00 Plans FeesvI, W. C. - R/W Encroachment Lawn sprinkler system 2.00 NEW ADDITION ❑ OTHER ❑ Permit Fee ,,5 0 $ .Sv ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 USE OF STRUCTURE Single Family Duplex ❑ Others ❑ Sub -panel (12 or less) (more than 12) Range, dryer or water heater 1.00 Oven, Cook -top or space heater 1.00 Light fixtures 13791 VT 0 Receps., switches & fix outlets bal 010 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Misc. wiring Lic se No. Classification Eli am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Wo en's Compensation Insurance. 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. @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Permit Fee $ $ I certify that I have read this application and state that the above I agree ly to all County Ordinances information is correct. �l n andate--ijaws relati� to buig construction, and hereby �nstrumentationtrt' gtamion $0.07/$1000 Evaluation $ TOTAL PERMIT FEE ve mentipned 1)rog9r for i Signature e e or Agent Ly oU<« on p poses. ate Receipt DK. �'/ /� ) 7 (,/ White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yell "' ="`C' "N"" "'C 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 Dj�i�ate-2-2-72- BY Date ow -Applicant Building P/- it Expires Date