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Home My WebLink About041-100-031i •... any. +- \� 7s:-_ LIP 41-10-31 0z4 • Richard 'Anderson h W/S Williams Rd, @North End (Near Butte College), Oroville ' contr* Rudy Hill, Oroville Permit +- ��3530-�80B(reroof &add' ca ort/ 041 J 100-031 r. �01-1941 ' t Tei t, ,'ANDERSON •TRUSTS ' ,201,WILLIAMS'RD.r0 ,CONT".SIERRA ROOF G RE ROOF c:F_ a 4,e ZY041 100 031 1 02`- _ , ,�•, - .,,s,r3 ,� y ANDERSON, Di& & L`E r`"` M % 2871,Williams'Rd.-C vH16 r t Cont 1VIXMIand AC. Install'HVAC%SF ° �u ' I M •... any. +- \� 7s:-_ LIP 41-10-31 0z4 • Richard 'Anderson h W/S Williams Rd, @North End (Near Butte College), Oroville ' contr* Rudy Hill, Oroville Permit +- ��3530-�80B(reroof &add' ca ort/ 041 J 100-031 r. �01-1941 ' t Tei t, ,'ANDERSON •TRUSTS ' ,201,WILLIAMS'RD.r0 ,CONT".SIERRA ROOF G RE ROOF c:F_ a 4,e ZY041 100 031 1 02`- _ , ,�•, - .,,s,r3 ,� y ANDERSON, Di& & L`E r`"` M % 2871,Williams'Rd.-C vH16 r t Cont 1VIXMIand AC. Install'HVAC%SF ° �u ' I 0 P M a I 0 P a a aw4� i a ..,..-.ct,swx--yr••v.-t'Y.FpRWT.w-•ws--77R""'. ., c,,..!�`F''.�..� -., ,,gr R.'�i7^6T ::.w!�Fnl'�:tt" ..�. wrig''>.y •"xXK�7`.., ...,� y041=,100-0314 .01-1941 t ANDERSON TRUST:. 4 .. ;: 287i WILLIAIVIS RD'OROVILLE - r CONT, SIE_ RR�1 ROOFING r , ARE ROOF ' . t . 4 e ONA N t • i o COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION r� 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-75 (Rev. MIT NO. (Rev.12/96) APPLICATION AND PERMIT 0 , / r X ASSESSOR PARCEL NUMB! f 100 r ZONING BUILDING PERMIT OWNER �_1 at TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERSSS i CONTRA . R'S NAME I TELEPHONE 8103 COM ORS MAIUNC��'%IDORESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ W ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 96—+1 /rtJ, Energy Plan Checking Fee $ PERMIT FEE S Qf) 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 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: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W (x320.00 PERMIT FEE S CIL t-0 ELECTRICAL PERMIT Fling Fee 20.00 R LE Main Service 20oA 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 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 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADONIS.( !ACC. BLDS. SO 3.50 FT. T. NOH�gESID MULTI -OUTLET 97.50 POWER APPARATUS a SINGLE OUTLET CR. Ex. Occup. CUTLET OR FIXTURES 20®''50 BAL @ .SO Ex. Occup.. OuTLEEDTSRaID°E. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE t 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 fol which this permit is issued. My workers' ensation in rance ier and policy number are: Carrier .i 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.) ❑ 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, d agr a that if I should become subject to the workers' co nith on rov' ns ection 3700 of the Labor Code, I shall forthwith pl ro ' s. X Date Sign re of pp Icant - ❑ O ner Contractor ❑ A t An OSHA permit is required for excavations over 60" deep a d demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI: $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ - 3 CONS?s-TYPE TOTAL FEE $ r 6t> HAZ. I D. F P I FLOOD I CDF PARCEL PO HD.r ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicate above for which fees have been paid. By Date / PERMIT EXPIRES ON cT- e ate ReceiptNo. WHITE-D.D.S.- .D. C NA -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT V A' irY ' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75 PEgIyIT NO. (Rev. 12/96) APPLICATION AND PERMIT 0— U l /9 `t I X F ASSESSOR PARCEL NUMB ZONING - BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION .OWNERS SS /� �/�'�-"v,• =/ CJ ;I rd fid. CONTRA ,fi5 NAME ` TELEPHONE CONT OR MAIUNC�IJD� /;--7�9 f �..'JJCC 95! CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ , ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 445) 00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDINGADDRESS 9e, V,[\ Energy Plan Checking Fee $ $ PERMIT FEE $0 5, Da LAT 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 as water heater or vent 15.00 TYPE OF WORK New ❑ Addifion ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: gg= Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W g20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 500v OR LESS Main Service 2ooA 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 fo�,[Ce and effect. ? License Class L' �-FS 4 Lic. No. ��J 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: ❑ I 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 37000f the Lab r Code, for the performance of work for which this permit is issued. My workers' ensotion in rance " (Ind policy number are: Carrier /' Policy Number (The above sections need not be completed if the prermit 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, d agr a that if I should become subject to the workers' co ens 'on rov' ' ns section 3700 of the Labor Code, I shall forthwith pl ith pro ' ' ns. X Date /"W Sign re of p Icant - 0 O ner Contractor ❑ Ag t An OSHA permit is re, iced f excav tions over 5'0" deep a d demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a ACC. BLDS. 3.5¢FT. Np q�-glpT. MULTI OUTLET 97,50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 4 1'00 SAL @ .50 MED Ex. Occup.ourrs A D °EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEP_ $ Mobile Home Installation Fee $ Energy Inspection Fee $ -3 TOTAL FEE $ �= D MP FLOOD COF PARCEL Pp Hd ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicate above for which fees have been By at(4 Date PERMIT EXPIRES ON e9- _09 provisions to do work paid. 9 Te Receipt No. 33 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT :• -` 041�;100031�"Y,:'"02 2732 `.'ANDERSON, Dick & Sylvia'' 2871, Willia ns'Rd:A, Oro'viIle s . Cont: lVlcClelland`AC, ` 'Install ,HVAC/SF ,.* 1 1 r r 1 - . r r 1�1 L v 1 � COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION � 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PES IT NO (Rev. 12/96) APPLICATION AND PERMIT (nJ r27-745,21— ASS£SS N ELNUM ER` �?� ( ZONING BUILDING PERMIT OY,"TEL,EPH -e� ) 0�i c k t I V, Ct.- NE - c SQ. FT. OCC. BUILDING VALUATION _. _ OWNE"DRESS� -. V,J L � I C� I I,., � CONE S i `U _T !t t 1<,� �� 'o��d , ! tit,,. TE E ,_ Zo,. COM TOR5 MAIUNO AD RESS CONSTRUCTION LENDER Fireplace LENDERS 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 L S 7 W 1 I I I 'y� D a `V, y tl k,/ ' Energy Plan Checking Fee $ $ c i lib PERMIT FEE $ 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 as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel Utilities r❑ Installation ❑ Other ❑ Describe Work: % y/ 'erc Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE S J ELECTRICAL PERMIT Fling Fee 20.00 Main Service . oA mss 23.00 LICENSED CONTRACTOR'Sf DECLARATION 1 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. G •ZU .. '" Z , -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 Main Service 200A TO ,000A 46.00 NEW CONST. DWEUJNG OCCUP. OR ADONIS. • ( a ACC. eLnS. SO 3.5Q�; INjpF}q�1p,T. MULTI -OUTLET BRANCH CIRCUITS @7,50 POWER APPARATUS a SINGLE OUTLET CIR. OUTLET OR FCTUREs Ex. Occup. @ "00 ens :OWNER Ex. Occup. ours A�Io.GeA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ tJ 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 ofthe Labor Code, for the performance of work for which this permit is issued. workers' c' pensation insurance carrier and policy number are: Policy Num er -�7;- (The above sections need not be,completed if the mit is for work of a valuation of one hundrei; dollars ($100) or less j )� ❑ 1 certify tfZat �•ln the performance of the work for which his permit is issued, I shall not employ�'fll�y�perso(1 in any `m@nner so as to become subject to workers' compensation ws of ilifdrnia. and,,pgree that if I should become subject to the workers' com erg alio rovisioris of section 3700 of the Labor Code, I shall P forthwith comply with those provisions. �j X ^ Date 6 / G (� Signatur of ppli - 0 Owner ❑ contractorAgent An OSHA permit is required for excavations over 5'0" d p and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating A z k, .011 Cooling�. Hood 6.50 Ventilation PERMIT FEE $ %0. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ -0 HAZ. D. FEES IMP FLOOD COF PARCEL Po HO ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated �o� for which fees have been paid. ` By Date tJ PERMIT EXPIRES ON - U Date Receipt No. "iDO 3-70/ 00 1 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 2 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION COO 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 IT NO. (Rev. 12/96) APPLICATION AND PERMIT P Z" !22_ ASSES P4NLI+BERtoo ZONING BUILDINGPERMIT ow ,V- ®V� I ck _n V I v [6- N51 SO. FT. OCC. BUILDING VALUATION . OWN W ' `I 'I 10 • v /c `( �T EfQRESSa COM .S L E ' , `"t/� V Co lb 6l -6 COM 7O '$_MAIU RE` ./ �0 (1 i _ J ^ v`. I'✓4 lT-' w CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee S ARCHITECT OR ENGINEERS MAILING ADDRESS IN Plan Checking Fee $ BUILDING ADDRESS ' a , ) ` I I I (,^^`wvlc J , /I 1 Y � Energy Plan Checking Fee $ PERMIT FEE $ LAT NO. SUSDNISION'S 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 as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities /❑� Installation ❑ Other ❑ Describe Work: �y ( () I 1 l�"�//�/ Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service noon oA 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 �: dZO Lic. No. ��5— 12 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 Main Service zooA To 46.00so CCU000A NEW CONST. owELiaNG occuP. ( S. 3.5Qso. FT. NEW CONST. MULACC �t NON-RESID. 97.50 POWER APPARATUS 6 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FORURES ) 20 @ 1.50 BAL @ .so Ex. Occup. OUXTLE. RESIp,OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 ' i7 PERMIT FEE 75. 00 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' compensation ins�nce carrier and policy number are: Carrier 5 ra—I :G /—„avz> mer Policy Nub—1/— 23V (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 worker ' compensatiprovisions of section 3700 of the Labor Code, I shall forth comply o provisions. Z_ 7X Date �% C� Sign ur of Appli aD Owner ❑ Contractor Agent An OSHA permit is required for excavations over 60' d p and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating CoolingZ . Hood 6.50 Ventilation PERMIT FEE $ % Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAZ, I D. FEES IMP I FLOOD CDF PARCEL I PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated a for which s have been paid. (� By Date U PERMIT EXPIRES ON Date Receipt No. bG0 3-31 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT _. ~PERMIT NO. 3530-80B. • Y NJ { PERMIT EXPIRES.; .OWNER RichardAnderson Rudy -H ll, Oroville CONTR. -.1LOCATION (A.P. 41-10-31- A W/S Williams Rd., @ North End, (Near Butte' Colledg(%@Oroville . 4 a h , fi 4. •s b it • Y' t' tj h B t Temp. Power Pole Called PG&E ° Temp. Elec. Serv. Z " Called PG&E Z Temp. Gas Serv: Called PG&E0 JOB FINALED (Date) (Signat re) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ' BUILDING INSPECTION RECORD ' BUILDING BUILDING (Cont'd) - ;PLUMBING Setback • Firewall Soil PI Ing Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor I Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Z Sewer Garage Fdn. Vents Fixtures Footings Stemwall Garage Vents Insulation Water Htr. Heaters Slab Carport Footin s —�� Prov. for ph sically handica ed Conformance of ex. structure Appliances Gas Piping & Tes Temp. Gas Slab Final _Z ?� itation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIR'R SPRINKLERS Motors ' Framing Test Water Htr. Stucco Final Subpanels Mesh MECIHANICAL Grd. Fault Prot. Scratch Heatina Service • Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final f Final MOBILEHOME UTILITIES ------------------ Elec- Service '� Elec. Pedestal Water Piping Sewer ; Gas Piping E INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Qr lifgrno 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. _a- ASS7S4U PARCEL NUMBEZ — ING �� BUILDING PERMI R I TELEPHONE SQ. FT. OCC. BUILDIN UATION O NER' MAILING ADDRESS ' Z) UOU C N RA O'S N E I TELEP ONE CONT ACT R'S AILING ADDRESS Iq -s-1 cLrvit. ro . CO STRUCTION L NDER UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ �- Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ --� BUI OIN,p ADD ESS 1'R ru PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 I Water piping LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New❑ Addit iok Remodel Utilities Installation❑ Other,❑ D�e(scriib`e worker o sl I ri Ila, z Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service OR LESS 100 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. OWELING OR ADDNS. ( ACCLBLDGS.CCUP,&� 20 sq ft _ CONTRACTORS LICENSE LAW I declare und`e 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 ce and effect. License No. � 51 r47 Classification El 1, 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 CONSTR ULTI-OUTLET TS NON•RESID. BRANCH CIRC I 2.50 ea NEW CONSTR. /POWER APPARATUS & 1 NON -R ESI D. SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 50@25` BAL@1o¢ FIXED APP LNS. OR Ex. Occup.(OUTLETS (RESID.I EA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 3.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ Th ermit 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. ❑ 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. Heating Cooling Hood 2.00 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 liabili 'es, judgments, costs, and expenses which may in any way accrue agains said o Inty in consequence of the granting of this permit. X Coate O Signal a of Applic t Owner Contractor �j' Agent An OSHA permit is re uired for excavations over 5'0" deep and demolition or construct- ovfe..r 3 stories height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ occ P. GROUP TYPE aF CONST. rv/ PARCEL v PD v ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO OF PUBLIC By P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 7i�TD.P.W., [,,on,,of.s1ructures eiptNo. Y r YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD-APPL I CANT