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HomeMy WebLinkAbout040-360-026� «' �---=n�.+-.-...--,.......-.e...,._,;,.��ai.�.'"'�'G. a,.�;.+=��..y.a sT _ - � .'"'.'.'.""-S,t s--''�"�::. i„�', _..,�T _ -. :i',�•!;��•�-e�'c :sem•:-z}:.._- _..>•ir-z i.,., ��".�'+.s�'i'§`.° ,�„�.' a.. r�;""f"' J—' .,.*� �" ._ ... °'.` .,..... r.+ �^ '• - . G' n ^ - _�„ ,� ' .,,sem ' �r �"`"' � .fir..-„ _ _ •.— ---u�-�� `� � i�++.��"'�_��x.� _ _ ,.,O �yr-_.�.--'a-7':..7t .4.1 ti� "y �.. 3_ - . 1 � '�/ 4 AP 40-36-26 Carl Dietz 87 Fairway Dr..,_ -Chico__ /��7� '� ����: ,•'' i., x CONTR: Oleo Gdx'clner, Chico Perm�.t 4727-75P �.a \ (lawn sprinkler system i% 'fir . � .+.� i • •1 K 1040=36`0,`026 93-1339 B IE .' 87 FAIRWAY CHICO I �' � CONTR : 'FOUR COU ES � � /tot �--+- •- 1 REROOF/SI .040-36=0-02 s 93-1889 P,' u TERHUNE,•. D D ' 9 87 FAIR DR, CHICO CONTR: VANDYKE•. PLUMBING" r� •` k GAS-LINE/SF- ' a , I i 1 " P-. ., � '„ �- - f � `• , � ,..rte .ate f TERHUNE 6-0-026 . - - 87 FAIR DAVID e; '93 -1889 coNTR: AY DR;' C VANDyKEHICO Pr ' GAS p 4 LINE/SF LUMBING ' • } ` kit' - Y..� ' Ile - ` .. t r' ik t l _y , COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916.'538-7541 APPLICATIN AMD PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace Total Valuation is _ CONSTRUCTION LENDER UNKNOWN Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 1 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 1 7.00 USE OF STRUCTURE SF L] Duplexi7i Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New .� Addition ` Remodel L Utilities U Installation[ Other E] Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 18.50 200A OR LESS Main service 200A TO 1000A; 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): -} aJ 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.tr 3.64 sq.ft. OR ADDS. ACC. BLDG S. NEW CONSTR. ULTI.OUTLET @ 5 00 NON-RESID BRANCH CIRC ITS POWER APPARATUS tr (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 9 76d FIXED APLNS.A Ex. OCCup. OUTLETS PIRESI D.IREA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ - WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): i 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 FiIirig Fee 15.00 Heating Cooling Hood 6.50 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 consequence of the granting of this permit. X ,Date ' �° Si natuA — (: r Contractor Applicant re of Agent g pp Owner C' L An OSHA permit is required for excavatior4-ioa Ff deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCc IF CON ST TYPE TOTAL FEE $ HAz I DFEES IMP FLOOD I CDF PARCEL PD HD ISS4E This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date 4 Receipt No. 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 frr• i ASSESSOR PARCEL NUMBER 040-360-026 ZONING *1-1 BUILDING PERMIT OWNER TELEPHONE David Terhune 899-9588 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 87 Fairway Dr., Chico 95926 CONTRACTOR'S NAME AM Van D ke Plumbing TELEPHONE 342-3458 CONTRACTOR'S MAILING ADDRESS 1260 E. 9th St.r, Chico 95926 Fireplace CONSTRUCTION LENDER UNKNOWN e Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 87 Fairway Dr., Chico Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SFV Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 1 5.00 5,00 Building sewer 15.00 Mobile Home I S I G JW @ 15.00 TYPE OF WORK Newt Addition Remodel ❑ Utilities ❑ Installation❑ Other © Describe work: Extend Ga.-, Line for Dryer Permit Fee $ 20,00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO 1o0OA1 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 my license Is In full force effect. License No.a Classification (- 45�� ❑ 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 AODNS. ( ACC. BLDGS. _37.50 3.64 sq.ft. NEW CONSTRMULTI-OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS H (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76d FIXED Ex. Occup. OUTLETS IPRESIO IREA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 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,;r-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 FiIingFee 15.00 Heating Cooling g Hood 6.50 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 County ' ce o nting of this per ' at( Signature of Applicant — Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- on of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 20.00 HAz 1 11 FEES I IMP I FLOOD CDF I PARCEL PO HD Iss This permit is hereby issued under the Sion s of t utte County Code and/or work i ica ed ab�orhich DIREKS ByDate PER I • S Date applicable provi re olutions to do h e been paid. LAZO Receipt No. r3l� , WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE = DEPARTMENT OF PUBLIC 'WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916 '538-7541 APPLICATIDN 1l PERMIT ((� ASSESSOR PgRCEL NUMBER ZONINj� -%a— BUILDING PERMIT OW111-E P ONE v% w b} SO. FT. OCC. BUILDING VALUATION OWNS S MAIL G DRESS AME COINT RPOR•S If TELEPHONE ONTRA TOR'S MAIL DRES Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15.00 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 FAI ' e / ! _ftW C Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00i. Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SFJ Duplex ❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 ,DO Building sewer 15.00 Mobile Home S G W @ 15.00 -TYPE OF WORK New : Addition _ rrRemodel' ' Utilities Installation[_Otherl Describe work: EX 1E Al GA S Al �i _ 602 n9 -16-,X/ Permit Fee $ a©,(, Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 2OOA00ORLESS OR LESS 18.50 Main service 200A TO 1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business an and Professions Code my license is in full and effect. License No.a��3y� Classification y `J 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. ) 3.6S sq.ft. NEW CONSTR ' ULTI.OUTLET NO N•R ESID BRANCH CIRC ITS @ 5.00 / POWER APPARATUS a I SINGLE OUTLET CIR. ) EX. OCCUp(OUTLETS OR FIXTURES IAL 760 FIXEDP Ex. Occup. TS IRESI0.IREA.) 1 3.00 Temporary service 1 15.00 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. �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. l� 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 15.00 Heating Cooling Hood 6.50 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, judgm s, and expenses which may in any way accrue against �Co c e nceainst c e nce of e - ranting of of this perm't. n- - ate 7 i nature of Applicant - owner g pp ❑ Contractor ❑ Age An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in heiiggh_t. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAz 1 0FEEs I IMP I FLOU COF PARCEL I PO Ho ss�E This permit is hereby issued under the sions of the Butte County Code and/or Work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 4-3 3 & WHITE-D.P.W., YELLOW-A3SC35OR, PINK -INSPECTOR. GOLDENROD -APPLICANT �� � � S •';•' w . �"5:�+�.a� `'4 f n: 'y:�"'.jW�yry+'a,.'r�'id .r•7-4•t vrrets.✓ a1's'✓,1:�` r Y•!!Y,r�1�y.�*� '�.Ja • +•c%� ,�(i�fY '` • . '[ , ... .si.`: - 'ear i +• • ."1 • � r 93-1339 B . 040-36-0-026 DIETZ,'J.ULIE 87 FAIRWAY .DR, ' CHICO • r CONTR: FOUR COUNTIES REROOF/SF i Z s ` aar + COUNTY"OF BUT 1 E - DEPAW MENT OF PUBLIC WORKS l ' 7 County Center Drive - Orovllle, California 95965 - Telephone: 916,538-7541 APPLICATION ANS' PERMIT RMIT NjO. IPE- t ASSESSOR PARCIEL NUM Q d`J60•d.2� ZONIN - BUILDING PERMIT owH Julie Dietz 4i Y- 32' SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 87 Fairway Dr. Chic o, Ca. 95928 5u CONTRACTOR'S NAME Four Camities Roofixx& Ca.Wny T IrEPH gN 9 u-343-�L41 re -roof exist comp. CONTRACTOR'S MAILING ADDRESS # t - Chico,Z6 rot Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit'Fee $ 45. 00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHI.T-ECT OR ENGINEER'S MAILING ADDRESS t Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS #87 Fairway Dr. CLACO, Ca. 95926 -- Permit tee $ a . PLUMBING PERMIT lgFilingFee 15.00 Each Trap 5.00 Y Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition J Remodel ❑ Uti lities ❑ Installation C Other ❑ Describe work: rte -roof t--xistinS comp. roof Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 18.50 200A OR LESS 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. 48924 Classification C-39 ❑ 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 Main service 20CATO1000AI _37.50 NEW OR CONST. ADDNS. 1 / ACC. LING DWELLNG 5.\ OCCUP,&3.60sq.ft. // NEW CONSTR. MULTI.0 ,T ET NON -RE SI D. RAN -H CIRCITS @ 5.00 0w5A APPARATUS e �- (NWL 06UTLET/'CIR..� Ex."000up(eUTL'Ef, O,1$rWXIORES 2)IXED �6 EX. Occup. OUTLETS PIRES ' 0)RE A.� I 3.00 P Temporary service j 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 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 15.00 Heating Cooling Hood 6.50 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 conse;q ce of the granting of this permit. L X C�.Ct ,L t' Rc �� Date 5-�4-93 Signa re of Applicant — Owner Contractor ❑ Agent 0 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 S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEES HAz OFEES I IMP I FLOOD I CDF PARCLfL PD HD ISSUE This permit is hereby issued under the applicable rovi- P Y PP P sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIR CT T -QF�QF PUBLIC WORKS BY �.: x (L� r< Date PERMIT EXPIRES Date Receipt No. Ji�-� WHITE-D.P.W., YELLOW-A33E33011, PINK-I.."ECTO.. GOLDENROD -APPLICANT I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WOR PERMIT 7 County Center Drive - Orovllle, Callfornla 95965 - Telephone: 916•'538 75 1 APPLICAYIOWAND PERMIT ASSESSOR PARCEL NUMB R Q d f.3(p� -(��� ZONING - BUILDING PERMIT OWNER Julie Dietz TELEPHONE 916-343-432 IQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 87 Fairway Dr. Chico, Ca. 95928 50 sq. X = $3,000.00 CONTRACTOR'S NAME Four Counties Roofing Company TELEPHONE 916-343-141 re -roof existing com . CONTRACTOR'S MAILING ADDRESS #1 Cniqadpr Chico, Ca. 6 roof Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS #87 FairwayDr. Chico Ca. 95926 / Permit tee $X0.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water9 PIPIn 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G 1W I @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ❑ Describe work: Re -roof existing comp. roof Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 200A TO IOOOA) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑X 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 .jo. 489246 Classification C-39 ❑ 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.&\ 3.64 sq.ft. OR ADDNS. ACC. BLDGS. II NEW CON 5T R. ULT' -OUTLET @ 5.00 NON -REST D• BRANCH CIRC ITS POWER APPARATUS & (SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 20 751 Ex. Occup. ou LETS (RESIO.)REA.) I 3.00 Temporary service 15.00 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. r 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 15.00 Heating Cooling g Hood 6.50 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 consequ nce of the granting of this permit. X `� Date 5-4–A3 Signe re of Applicant — owner Contractor ❑ ®work An ion oofSHA st ucturestis overr3guired storiesoineheighnt.'cons over S'l)" deep and demolition or construct- Mobile Home Installation Fee S Ener Inspection Fee $ Energy p Ecc CONST TYPE TOTAL FEES HAz 1 OFEES I IMP I FLOOD CDF PARCEL PD ND ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do j work indicated above for which fees have been aid. DIR T OF PU LIC WORKS p By Date �'G.L/91? PERMIT EXPIRES Da /(f/�C� Receipt No. _ / WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT t: PERMIT NO. 4727-75P P E 1[ I M MH UTIL. PERMIT NO. . t PERMIT EXPIRES / 76 OWNER Carl Dietz �Cleo Gardner Dhico fCONTR. LOCATION (A.P. 40-;36-26 87 Fairway Dr., Chico i °6 Temp. Power Pole Called PG&E _ Temp. Elea Serv.. Called PG&E _ Temp. Gas Serv. _ Called PG&E _ JOB I/ FINALED_� i COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor • • Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor " . Stemwal I Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures • Footings Garage Vents Water Htr. StemwalI Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Patio FIREPLACE Footings Footing Masonry Walls Throat Reinf. Steel Final Bond Beam FIRE SPRINKLERS Framing Test Stucco Final Mesh MECHANICAL Scratch Heating Brown Cooling Finish Ducts Interior Lath Ventilation Door Closer Final DATE REMARKS OR CORRECTIONS_ ki Sanitation Final ELECTRICAL Motors Water Htr. Subpanels Grd. Fault Prot. Service Temp. Pole Underground Permanent Final COUNTY OF BUTTE — CSEPAWMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT of 72.'7 -�J' k/ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X .� - LQ Signature of Permitee or Aggent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have b�en paid. " AVRECAR-OF PUBLIC WORKS i s /���/Iii!_ %/��/�✓ � . // BUILDING Owner (CIL*% b tie —r -z_ SQ. FT. OCC. BUILDING VALl1ATI0N Mailing Address ��►d(�l,JaY3. (�. Telephone No. Fireplace Contractor �,1..® N�(�, Total Valuation Mailing Address ® �� .� _Permit Fee Plan Checking Fee &/or Penalty �AAC Telephone No. — ®i m Permit Fee Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 . Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 S O Each gas water heater or vent 1.50 / 31,g-6,Gas A. P. No. '410 Zoning & Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fed. Sawitativn Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W improvements p Lawn sprinkler system 2.00 Parcel Approval I Plans Approval Permit Fee $ Q $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 L 1\JRI A) It LER_ Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixturesb (d2 Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Coe under the name style of: ' O.Z" 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 Mobil Home Facilities 5.00 Temp. Power Pole 5.00, License No.� Z% ����'�Classification Misc. wiring, < ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability rkmen's Compensation. have placed on file with the County of Butte a certificate of wiorkmen'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. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X .� - LQ Signature of Permitee or Aggent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have b�en paid. " AVRECAR-OF PUBLIC WORKS i s /���/Iii!_ %/��/�✓ � . //