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HomeMy WebLinkAbout040-350-0061 , • O f 1 1 1 1 • 1 , 1 1 1 ' 40-35-06 ` VERNON VAN NUYS rVANNUS• 'Dr. '&'Mrs. V -P.. 82-67B r r 109'Estates Dr, -Chico / ; /) 191-67P;� - Contra: Butte Roofing.. 65-67Er PErmit#2306-87B(reroof/S ) 0 -35 - sates Dr., Chico r [KE - CONTR: Iliff.Watkins`r" 349.Oak StChico.x 282 ', Ly,,�JOE����''" (new single Tamil tiYaS"TATESDR �CHICOvT: ROBERT�CARPERaROT 2 z RBPAIR/GHN6NINDO X..^�F.._ R3{�y.w� w—.✓..rte �... _ .--.---.—.-- n '11 NG. .�4•s '�M�i.�yY. 15 M1i��wi-LYIY` 'C a Vis. J • i R J r ,I- ,I ♦ H e • n f R.,•a--"�.�es-'.•�,'.r:...- -. � ._ .. ;.-�,..«.A, y-..$ �," „�L.. .,,,.�.+'; '�.h ;"r. F„ ,.,.. rte. a„ ,e �.,,,:,".r ...•-., w-'r�r. v�a,.-v-% ..,o;�,w-i.::.�n -t :@:�"s�`s'� -7- 040-350-006 02'0659 KELLY�:JOE''& BARBARA 109 ESTATES DR, CHICO' I CONT: POPE ROOFING 16/4 • 1 • f ...�� .;fir. • . : , � , ,� ,. f,4 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center. Drive • Oroville, California •95965 9 Telephone (530)'538=7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBERrJJVVV ZONING' BUILDINGPERMIT OWNERZ. TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING DRESS CONTRACTOR' NA E y ti TELEPHONE 0J CONTRACTORS NO ADDRE fftyI }CONSTRUCT LEN+EA 4f e4 UJJA Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENS E NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS ;' Plan Checking Fee $ BUILDING ADDRESS r Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT .� •. Filing Fee 420.00 USEOFSTRUCTURE SFR Duplex ❑ Mobilehome ❑ Other a SPECIFY Each Trap7:00 ' Solar or heat pump water heater ''. 6 23.00 Water piping 15.00 Each gas water heater or vent 15.00 4 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other E I Describe Work: % I, Gas piping system 1 - 5outlets 15.00 Buildingsewer 't 15.00 Mobile Home TS -1 G I tWj @20.00 PERMIT FEE; "S ELECTRICAL PERMIT Fling Fee 20.00 "OOVOR LE Main Service zo.A OR LESS - 23.00 ` 1 + 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 n. full%.fo' ✓ce and effectPoNwGEER 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 co4npensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed1contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason ,i 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. \l 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 �''�`} �41.z (`x :.;.,.'Policy Number t_^ r. (The above sections nee ''no`t"'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 subjectJto workers' compensation laws of California; -and agree that if I should become subject to the workers'. comPensgtion provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. XVt� Date L44*ofthe Signature of Applicant 2,,Owner ©1 onttractor ❑ Agent f f An OSHA permit is require for excavations over 60" deep and demolition or construction of structures over 3�sttories in height. Main Service 200A TO 110MA 46.00 NEW CONST. DWELLING occuP. so OR ADDNS. ( a ACC. BLDS. 3.50FT. ,,OµR.IpT MULTI-OurLET @7.50 AoPuRFATrus CIR. 20 @ ,.00 Ex. Occup. OUTLET OR FIXTURES BAL p .50 Ex. Occup. OFIxuTEiFrs AF.soOen 5.00 Temporary Service AIIIIIIIIIIIIIII 23.00 Mobile Home Facilities �' 20.00 Misc. Wiring 23.00 PERMIT -FEE $ MECHANICAL PERMIT& Fling Fee 20.00 Heating �4EL "r Cooling Hood 6.50 Ventilation ' , PERMIT FEE $ Mobile Home Installation Fee $ , Energy Inspection Fee $ f7oc PE TOTAL FEE $ +QpZ, D. FEES IMP FLOOD CDF PARCEL Po HD ISSUE This permit is hereby issued under the applicable provisions Butte County Code and/or Resolutions to do work :indicated above for which fees have been paid. -3,22,02 By +� Date , PERMIT EXPIRES ON �. (� r V Date Receipt No. • a j� WHITE-D.D.S.-B.D' CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT JIP 0 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER,9g0 -?sa ®o ZONINGZ BUILDING PERMIT OWNER♦ -I /� e1� C.. v p- r r 4 TE " "� / o ` l SO. FT. OCC. BUILDING VALUATION . OWNERS TA(\O DRESS � CONTRACT '' NA E O TELEPHONE CONTRACTOR NG ADDR e CONSTRUCT N EA Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 L9 d Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checkin Fee $ BUILDING ADDRESSne) �^ I Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 - Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Instal tion ❑ Other &V Describe Work: Izf r Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 600VMain Service 200A 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 n full -f ca and effect. % ? License Class — Lic. No. 1 J 1 3 OWNER -BUILDER DECLARATION 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. \[J I have and will maintain workers' compensation insurance, as required by Section 17� 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compenbatioln insu a ce carrier and policy number are: Carrier Policy Number (The above sections nee nob 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 Cal'rf nl Ind agree that f I should become subject to the wor com ens tion I Sion of section 3700 of the Labor Code, I shall fo wi h com wi thos provi ons. p� X Date V Signature of Applicant -Owner Contractor 13Agent An OSHA permit is require o xcavation over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO IOooA 46.00 NEW CONST. DW %ING OCCUP. SO OR ADDNS. ( a ACC. S.3.5¢FT_ NEW CONS . MULTI.OUTLET NpµgESlp, C @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. 20(9 1.00 Ex. Occup. OUTLET OR FIXTURES BAL o .so FIXEI Ex. Occup. OUTLETS A�Ip°� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FOE $ Mobile Home Installation Fee $ Energy Inspection Fee $ I)OAPE — O 43 TOTAL FEE $ Az. D. FEES IMP FLOOD 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 '3,2210 PERMIT EXPIRES ON �, ZZ r 03 I -' (Da te ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .. . .t � ._ _e�-+••.. � .. .r. ...a. ,. ...T �*.p-•. .,. Y �`• _...x .7,. .�. ._• ^;x_ri --r..r. � .m-.•N�..+ a�.. v�:�--qj',= `7r�ti.,;� r ti 04 5050-0U� 01=2824 ; ? �• K *.�,JOE j:109 ESTATES:DR; CHICOONT;ROBERT �Ic CARPER l , , DRYROT REPAl AI/WINDO. � i 4 • t`� � � . } },�.U'y��Yv it r,'�+1 . I fA !t}� f a afi9 } .Y.f � i ., , ' �•yi 4•f f l� y r ]r ! t A Z v COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING -DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT e" / '), 7"J ASSESSOR PARCEL NUMBER S .. 3 `�_ v 06 ZONING BUILDING PERMIT OWNERTELEPHONE ,/ � � ,� r � JG• SO. FT. OCC. BUILDING VALUATION t • s r f ' ++ `� OWNERS MAILING ADDRESS ✓ / ' CONTRACTOR'S NAME ' 1 r1 6,." -.7 I )_ C •1 c'a TELEPHONE `�� •;ir;�s�t`s CONTRACTORS MAILING ADDRESS fl F + ♦ o Ire rt r1 rf li "L CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS f/ Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome O Other SPECWY 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 O'"Ufilitles ❑ Installation Cl Other ❑ Describe Work: V10 1— / i) is . i1" Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service ".A..' 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. / License Class f) ff /�+ Lic. No. `. 0 G' n OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: O 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 insurance carrier and policy number are: Carrier 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.) f7' 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. / X _�' fl f - "y- Date ii1D z 1 r"I Signature of Applicant - O.Owner O Contractor O Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DwELLMq OCCUP. 3.5Qso OR ADDNS. ( 8 ACC. BLOC. CONS Lm ET 97,50 NONRESID. BRANICH PowER APPALIS a SINGLE 0 TT.TCIR. 20 ®100 Ex. Occup. OUTLET ORFDLTURES eAl @ .50 Ex. Occup. OuTltrs AEsIo°e,L 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 FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ ��- HAZ. DJEES. IMP FLOOD CDF _PARCEL Po HD ISSUE V This permit is hereby Issued under the of the Butte County Code and/or indicated above for which fees have ,1 ) �` �.� By f --'' i PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. Date /hj U / /� ��!✓ to ReceiptNo. � 36 �/ 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 PERM I NO. _ . (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER%%' r Z ✓ o V J ZONING BUILDING PERMIT OWNER j _d1 TELEPHONE SO. FT. OCC. BUILDING VALUATION • OWNERS MAILI ADDRESS Z 0 rf-h�a xI2� I Cid i e o a - ✓ v ,W R' NAME e 2 TELEPHONE 53a -fs�lK -tsy CONI TO IUNCi �gDORES6 eq -H CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ O J ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ Z ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADD ESS �� .9 Energy Plan Checking Fee $ $ PERMIT FEE $ Z LOT NO. SUBDIVISIONS 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 CB✓Utilibes ❑ Installation ❑ Other ❑ ���L 4 I !! / Describe Work: ��—v � '� I In�O w � l�,Q 6 i' Q g�a 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 ".."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: In f II force and effect. 7 / License Class /0— Lic. No. 3 0 ✓ 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 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 insurance carrier and policy number are: Carrier Main Service TO 46.00so CCS.U000A NEW CONST. DWEWNG OCCUP. W: OR �o ( 3.SQFT. MUL"cTco NoN RESID. 97.50 POWER APPARATUS a SINGLE OUTLET CIR. EX. Occup. OUTLET OR FSRUREs B2* (P '-00 Ex. Occup. OFfX�. Aa 1 E 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 FEi= $ Policy Number (The above sections need not be completed if the permit is for work of a valuation �f one hundred dollars ($100) or less.) Q' 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 fo with comply wit ose provisions. X Date / o L l Signature of Applicant - ❑ Owner VContractor ❑ Agen 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 $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ CEL I PO HD SUE This permit is hereby Issued under the of the Butte County Code and/or Resolutions indicated above for which fees have 7� By "L.— PERMIT EXPIRES ON applicable provisions to do work been paid. Date �� O e (6)"1 Receipt NO. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT M ... r ,Y .. r, -._r,• �, .,,�..� •.�;y. _...,,�..a+N�.i r^r"T�-•. p.'y�,�_. eh,• ` .r..�,�p^!i^�rt�S"�'� `5..+�`".t�.r ,i.-.. '�',y :��L ,-- . � . �� ���� -,� 7 .� � � -• i � � � �... � ; ...._. _.. _.�. .. .. .. _ i t � k j �!} . - �- - -- • _ y COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovil le, California 95965 - Telephone: 916/538-7541 APPLICAT+IOWAND PERMIT ASSESSO PARCEL NUMB ZONING BUILDING PERMIT OWNER TELEPHONt Y712 37_17:� SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS i / I In CONTRAC OR'5NAME 1'7Z -t TELEPHONE 1' ? CONTRACTOR'S MAILING ADDRESS L% .r .c. u 9� 1 7 Fireplace CONSTRUCTIO LENDER UNKNOWN Total Valuation $ 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 P RMIT 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 FV1 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uftilities /❑ Installation[] Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 OR LESS 10.00 100 AMP OR LESS Main service EA. ADO'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.iT_ 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 OCCUPM '/zQsgft OR ADDNS. l ACC. BLDGS. / NEW CONSTR ULTI.OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES eA 50 300 Ex. QCCUp. R OUTLETS IIRESID )EA.) 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. 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. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 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 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_Lthe granting of this permit. X ! l -r-- +_. '^ '�- Date 7' • rw 7 Signature of Applicant - Owner El Contractor ElAgentwork An OSHA permit is required For excavations over 5'0" deep an demolition or construct- ion of structures over 3 st//orri1ies in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 0, J -D occup. CONST.TYPc I FLOOD PARCEL I PO ND ssuE This permit is hereby issued under the applicable provi- sions of the Butte County. Code and/or resolutions to do indicated above for which fees have been paid. DIRECTORIOF PUBLLIC6NORKS / By?�,r�6 i 'lJ"b'%"Date/ PERMIT EXPIRES Date r _./� r' Receipt No. 7' WHITE-D.P.W.. �r ELLOW-ASSESSOR, PINK-INSp ECTOR, GOLDENROD -APPLICANT ' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIO T 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 �D� APPLICATION` AND PERMIT ASSESSO P RCEL NUMBE — ZONING BUILDING PERMIT OWNER TELEPHO114ft a - SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CON'TRACTOR'S NAME TELEPHONE'`' J CONTRACTOR'S MAILING ADDR S 0 6 S � ( -1 Fireplace CONSTRUCTION'LENDER UNKNOWN 2 Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADD ESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ AR CHITECT.OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ . PLUMBING PERMIT Filing Fee 10.00 �� C-- — �rC��� 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 SFV Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti li ies Installation[] Other ❑ Describe work: AeContractor Permit Fee $ 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 (check -one): (� I �I I am licensed under provisions of Chapt. 9, Div. 3 of the BUsIneSS ,T and Professions Code and my license is In full force and effect. Q Q License No. ��� Classification _�S / T Fl 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.d CC. BLDGS. , AM New CONSTR.( U TI OUTLET 2.50 ea NO N.R ESID BRANCH CIRC ITS .50 ea POWER APPARATUS e ' SINGLE OUTLET CIR. EX. Occup(OUTLETS OR FIXTURES ezo®ao¢ALO 30 FIXED EX. Occup. OUTLETS PREA,� 2.00 (RESID,) Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Yirin 15.00 g Permit Fee $ Contractor 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. 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. 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 onse ue ce she granting of this permit. X /� c �1--. 2r. Date Signature of Applicant — Owner g pp ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep an d molition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ O occuP. CONST.TYPE FLOOD PARCEL PD Ho 39UE This permit is hereby issued under sions of the Butte County. Code and/or work indi d above for which DIR F PUB B PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been aid. p WORKS - ^ Date . _ Receipt No. WHITE-O.P.W.. YELLOW-A99E990R, PINK -INSPECTOR. GOLDENROD-APP�L,I.CANT