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HomeMy WebLinkAbout040-380-012-AP 40-38-12 HENRY DROBENY`? 204 Estates Dr. , iso`` contr: Arthur Dave Chi CHIK, E. X097-698 Permit# .74045B(.encl e.-e porch,.. 1064 J69P _ 110-70E 2 -70E contr`: "Arthur L �. 'a 204 Estates Dr., Chico Permit #1763-76E,M(el ct. & mechCONTR: Clark Imhoff, t. 2, Box 466-D, Ch r for 740-75) SF I (new single family 040-380-012 99-1133 RIX, David & Marilyn HENRY DROBeNY--NEW`;OWNER 204 Estates Drive, Chico 1 ' Contr: Owner Re roof 7-� MISCELLANEOUS HVAC Change Out A/C CHANGE OUT w, V 204 ESTATES DR RIX, DAVID L. & MARILY ON - 1645 u r I I K ri f BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 204 ESTATES DR Owner: Permit N0: B08-1545 APN: 040-380-012 RIX, DAVID L. & MARILY Issued Date: 08/06/2008 By KCG Permit type: MISCELLANEOUS 204 ESTATES DR Subtype: HVAC Change Out CHICO, CA 95928 Expiration Date: 08/06/2009 Description: A/C CHANGE OUT (530) 891-3408 Occupancy: Zoning: RI Contractor Applicant: Square Footage: ALVIS HEATING & AIR CONDITIONI ALVIS HEATING & AIR CON., Building Garage Remdl/Addn P0BOX 5127 P0BOX 5127 OROVILLE, CA 95966 OROVILLE, CA 95966 Other Porch/Patio Total (530)534-8491 (530)534-8491 FEE INFORMATION DBM Heat Pump (Package Unit) $59.00 Total Charged: $59.00 Fees Paid: $59.00 Balance Due: S0.00 Receipt No: B8180 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License ALVIS HEATING & AIR CONDIT 779257 / C20 / 12/31/2009 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed 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 pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the X r • 'tom 08/06/2008 1 basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500]; Please check one of the following: Contractor's Signature Date -11, 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 WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the . year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). r SHAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: [- Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the LINCOLN GENERAL CWC00095500 11/0112008 Cartier: Poliq Number: Exp. Date: Contractor's License Law.). (This section need not be completed if the permit is or ons undf red dollars ($100) or less.) ❑ I AM EXEMPT under Section B. & P.C. for this reason: ❑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 Workers' Compensation Laws of California, and agree that if I should become subject to the workers' X 08/06/2008 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owners Signature Date provisions. X 08/06/2008 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused by, arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorized to act on the property owner's behalf. CONSTRUCTION LENDING AGENCY 08/06/2008 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) ' 1 Owner 71C'ontractor OR; ElAgentfor Owner ❑Ageht for Contractor FILE.COPY Lenders Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION* OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 o = -=�� o A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.netldds OOO N' PLEASE PRINT CLEARLY "When filed, this application and all supporting material becomes subject to the California Public Records Act. All related to this application is subject to public inspection and will be posted on the County's website for electronic access. OWNER INFORMATION Last Name LMW ir a 1, G Mailing Address 7 d city/ State Phone � ��e4 Fax E-mail CONTRACTOR /� Name tq( lil S—lFi-1-1 r0 ?F Address Q 1 1?,vK -0 City t4l, Stag Zip q 3q(66 Phoneg� t Fax_g v l�cr �" E-mail Lic. # -7 )01 S% Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X PERMIT NO. 1W BIN # PROJECT LOCATION AP# NO, !� Property Address city C Of Lo C 1�- WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK. Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA I Yes I No Occ. Type Const. 040-380-012 99-1133 RIX, David", c Marilyn 204 Estates Drive, Chico 'Contr:Owner Re roof , 0.41 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 iv -35-1 2 ZONING BUILDING PERMIT t i OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAIUNG ADDRESS 7_<>q z:,Cit 4?552 GSf i t 0 0 CONTRACTOR'S NAME ow 09k TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ Z 100 - ARCHITECT OR ENGINEER UCENSE NO. Fee $ 20.00 —Filing Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan CheckingFee $ }}++..�� BUILDINGADDRESS O 1' '7/ rrf YAC Energy Plan Checking Fee $ C Hf c a PERMIT FEE le 3 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SFX Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ }}e -Remodel ❑ Utilities ❑/� Installation ❑ Other ❑ Describe Work: Re -,40a- R� j�t�!?d/^'✓ R Gas piping stem 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home IS I GI W -"` @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 400A 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 in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law or 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 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.) 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 copen�ation provisions of section 3700 of the Labor Code, I shall workers- m forth ith comp) With those provisions. X � Date f-�67 _ Sign atdre'- ofxAp5plicanf - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. _ ., Main Service 200A TO 1000A 46,00 NEW CONST. ( DWELLING OCCUCCUP. SO OR ADDNS. a ACC. BLDS. 3.50FT. NEW R61D. BRANCH CIRCUITS MULTI -OUTLET @7,50 POWER APPARATUS , 8 SINGLE OUTLET CIR. 20@ 1.00 Ex. Occu OUTLET OR FDTTURES BAL @ .so FlXED APPINS. OR 5.00 Ex. Occup. OLITLL�s RESIO. EA Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ -- HAZ. --�-•* I D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated aboye`fBr which fees have been paid. Q ` By /I Date �6 • ��h '� ` PERMIT EXPIRES ON Z. C mtgl -, ©�t7 Patey Receipt No. Z.� �+D%'Q WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT BOUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541E/RMT, N0. T / (Rev. 12/96) APPLICATION AND pERMIT' � ,---- ASSESSOR PARCEL NUMBER w „- s OIL ZONING BUILDING PERMIT OWNER ®� V /j��� �{',U(� �; Y TELEPHONE SO. FT. OCC. BUILDING VALUATION •� `Z n o .OWNERS 0LING ADDRESS 2 f`cc `o CA 11S_Ze rs r 1 1 00 CONTRACTOR'S NAME 0 v 0& - TELEPHONE CONTRACTORS "UNG ADDRESS CONSTRUCTION LENDER [,Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 6.3 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDINGADDRESS L 16'�4 r f ,V %`A Energy Plan Checking Fee $ $ l C N1 e n PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 - USEOFSTRUCTURE SF,ef"Duplex ❑ Mobilehome ❑ Other SPECIFY 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 WorkRex.. f7n �'C n e-6{'/w7a✓ IT Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2o.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 IS In full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License LXwor the following reason: 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.) 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 f I should become subject to the worker ' co Id7ation provisions of section 3700 of the Labor Code, I shall forth 'th c I ith those provisions. X Date L _q Signat reo pl-oca - ❑ Owner ❑ Contractor ❑ AgentAn OSHA permit is required for excavations over 5'0" deep and demolition or construction�( structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING UP. sG OR ADDNS. ( a ACC. BLDS. NEW ULTI-O@7,50 R°�IpT='_O, POWER APPARATUS a SINGLE OUTLET CIR. EX. OCCLI OUTLET OR FIXTURES BAL Q':So FUCOR Ex. Occup.ouTLETsED APPREBIDLNS. . EA. 5.00 Tem orar Service 23.00I, Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 1 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 19 - HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD 1.IS U This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicatePabo. hich fees have been paid. �/of By Date U`Mol 7/ReceiptNo. PER N M�"�. 10010 ate Z%So/ WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT A OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your Please complete and return this information at your earliest opportunity to avoid unnecessary ddr in processing and issuing your building permit. No building permit will be issued until Ibis verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property ' rovement : YES NO 2. I HA HAVE NOT O signed an application for a building permit for the proposed Mik 3. I have contracted with the following person (firm) to provide the proposed oor�nict3orC' .'; : ; •' NAME:y ... .. •r.. . ,PHONE i CON'TRACTOR'S LICENSE NO. .r; : 4. I plan tq provide portions of this work, but I have hired the following -person to coos e6 supervise, and pr6 "vide the major woik: t NAIVE: . ADDRESS:* CITY: a PHONE: CONTRACTOR'S LICENSE NO. + S. I will provide some of the work but I have contracted (hired) the following persons to prgvide the work indicated: NAME ADDRESS PHONE TYPE OF WOitK -- SIGNED: PROPERTYOWNER SOCIAL SECURITY NUMBER: '.!' DATE: 6 N TE: This Owner -Builder Verylcatlon is required by Section 19831 and 19832 of A4 �._ Cal&rnla Health and Safety Code. This verification must be -completed and returned to our office before we are permitted to issue the permit OVER OWNER BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified For your protection. you should be aware that as "ownehbuildW you aro the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally perforrning their' own work. If your work is being performed by someone other than yourself. you may protect yourself Brom possible liability if that person applies for the proper permit in his or her name. Contactors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work with the exception of various trades that you plan to subcontr 4 you should'. be aware of die following Information for your benefit and proteedow • ♦ If you employ or otherwise engage any person: other than your iamaediaoe Emily. and the work (inehndb* maawbb and odor costs) is 5300 or more for the entire project. srld such persons are not licensed as oMM-i oei or subcontractors. then you may be an employer. ♦' If you are an employer, you must register with the State and Federal Governments as an employer said you we subject to several obligations including state and federal income tax withholding Waal social securby twat . workers compensation' insurance, disability insurance costs, and uniemployment compea:stioa oont;ibutions. ♦ There may be financial risks for you ifyou do not carry out these obUgadom% and these rislts areppetdal�r; •serious with respect to worker's compensation. insurance. ' ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Savice (and, ifyou wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.• If die strucwre is intended for sale, property owners who are not licensed contractors are allowed to perform their wiir ohonsily or through their own employees, without a licensed contractor or subcofitractor, only wider limbed conditions. �A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builds" building P . erroneously implying that die property owner is providing his or her own labor and material personally. Building petmitsare not required to be signed by property owners winless they are performing their own work personally. y f �In6hn tion about licensed contractors may be obtained by contracting the Contractor: State License Board in your community or at 1020 N Street, Sacramento, CA. 93814. Please ccmplewthe-"Owner Builder Verification" on the reverse side of this form so tint we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned NOTE: Trois Owner-Bullder.Informadon is required by Section 19830 ojthe Californla Xeaffi andSafety Coda OVER ��� ------------- :iox»dsai moi sm u=OD twon. w. ,v :svogeao[ 3utp(?nq ne g3pa tmid;oid a A&UP lsnia sogaadsul :muou=oo saql s2gtunH oUOL :ssaJpp :Itt8nteidwc is iNgwaozaCn3a AIM103 Mljng COUNTY OF BUTTE BUILDING DIVISION - DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE V. 457404e5 .n CZ , OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. L40 67de5 Jul g Jl I< J F t F _ I Date 6 - --2 Inspector REV 10/92 a ,PERMIT NO. 740-75B P { E I 7 M �MH UTIL. PERMIT NO. PERMIT EXPIRES Q WNER Henry Drobiny CONTR. Arthur Dave Ch" LOCATION (A.P. 0-38-12 ) 204 Estates Dr., Chico r t f h Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E ` Temp. Gas Serv. Called PG&E i JOB FINALED (Date) /5--7 (Si n lure e ;. r I r COUNTY OF BUTTE - DEPARTMENT ,OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) Setback Firewall Forms Parapets Main Bldg. Restroom Finish Footings - Windows 13 7 1A Stemwal I Siding Slab Roof Sheathing Piers Roofing Garage Fdn. Vents Footings Garage Vents StemwalI Slab Prov. for physically handicapped Carport Footings Conformance of ex. structure Slab Final Patio FIREPLACE Footings Footing Masonry Walls Throat Reinf. Steel Final Bond Beam FIRE SPRINKLERS Framing Test Stucco Final Mesh MECAIANICAL Scratch Heating Brown Cooling Finish Ducts – / " b Interior Lath Ventilation Door Closer Final L./ PLUMBING Soil Piping 1st Floor 2nd Floor 3rd Floor Topout Water Piping Sewer Fixtures Water Htr. Heaters Appliances Gas Piping & Test Temp. Gas Sanitation Final ELECTRICAL Fixtures C -f / S — Subpanels Grd. Fault Prot. Service Temp. Pole Underground Permanent 4 Final — DATE REMARKS OR CORRECTIONS / 6G�ty' o h a -r Ne;z;F-b) y-/3`7& _ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC 7 County Center Drive — Orovi Ile, California 95965 Telephone: 53,4-4541 APPLICATION AND PERMIT WORKS .41 " /763 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X �I& Date 1 3' G Signature of P-ermitee or Agen 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 been paid. DI CTOR 0 UBLIC WORKS By �� Date -;Z-13-76 Building permit eqnioe Date BUILDING Owner &6VzIll SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace .,,,.,W� Contractor /�jea%k1 Total Valuation Mailing Address// 4-1/6 Permit Fee Plan Checking Fee&/or Penalty O Telephone No. Permit Fee $ Building Address � PLUMBING No. @ FEE PERMIT FILING FEE $3.00 / Each Trap 1,50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. / `G7 O Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 es ftMtion Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration parcel Ma P 60' R/W Im provements Lawn sprinkler system 2.00 BI ns ec Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER .g ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Q / G �G� $G �C3 'Main service j00 AMP OR01V OR SLESS 5.00 Main service EA. ADD•L too AMP 2.56 Single Family S Duplex EJMobil Home ❑ Others ❑ Main service OVER 600V too AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 - NEW LING O OR ADDNST ( ACCLBL GS.CCUP. &) 2¢sgft NEW CONSTR. MULTI -OUTLET NON.RESID. BRANCH CIRCUITS) 2.5Oea NEW CONSTR. (POWER APPARATUS &) NON.RESID. SINGLE OUTLET CIR. 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: a,og> Ex. Occup(OUTLETS OR FIXTURES)02SQ b BAL@/ , Ex. Occu FIXED APPLNS. OR P•(OUTLETS IRESID.IEA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License o.��� �� Classification ,�1-- 2 Misc. Wiring 6.25 am exempt from the Contractors License Laws of the State of California. Hr - Permit Fee $ Q 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 for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen'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 p O Heating E'_ uL7' © D Cooling Ventilation H2.00 Hood Permit Fee $ 4,90 $ 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 TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X �I& Date 1 3' G Signature of P-ermitee or Agen 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 been paid. DI CTOR 0 UBLIC WORKS By �� Date -;Z-13-76 Building permit eqnioe Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC W 7 County Center Drive — Oroville, California 95965 �111 ® �-� Tel ephi.onfa: 53d-4541 APPLICATION AND PERMIT QUII IUIILC ICFIIVZ)UIIIQIIVVJ UI II IC I�UUIIIY UI DUMC IIICIIICI UP1111 LIM above-mentioned property for inspection purposes. A A X Date Signatu/re of PQeCm�itee or Agent Receipt No. l.o 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 been paid. By Date o)--/ / B(ding permit expires Date ����� ................... ................. a 7 BUILDING Owner DIROBiEN SQ. FT. OCC. BUILDING VALUATION �d Mailing Address Telephone No. Fireplace Contractor L, 7-),Ai1Ev1 Total Valuation Z Y6 -d Mailing Address �� d r Permit Fee s- Plan Checking Fee&/or Penalty 0- 4( C-0 elephone No. . Permit Fee $ Q Building Address a 0 7 ES7XT� PLUMBING No. FEE PERMIT FILING FEE $2.. 00 14 ( Cb Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. VOZoni ng 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F Seri-4atFan I Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans ParcelParcel Declaration a P 60' R/W Improvements P Lawn sprinkler system 2.00 BI Ions Recd Parce Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER X 1 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ^ill 1_Q 5C XIS7_/A&- p U)j7's4 Main service incl. 1 meter 44 5,S Additional meters, each 1.00 Sub -panel (12 or less) (morethan 12) Single Family Duplex E]Mobil Home E]Others 1:1Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures b20 alp?o Receps., switches & fix outlets b. 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: i 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. � /( 3 /� Classification r 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 for Workmen's Compensation. ®1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issuec 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 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 $ T T QUII IUIILC ICFIIVZ)UIIIQIIVVJ UI II IC I�UUIIIY UI DUMC IIICIIICI UP1111 LIM above-mentioned property for inspection purposes. A A X Date Signatu/re of PQeCm�itee or Agent Receipt No. l.o 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 been paid. By Date o)--/ / B(ding permit expires Date ����� ................... ................. a 7