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LIME SADDLE P " RT ERSHIP
SIERRA DEL' SOL, PARADISE
CONT: JEFFORDS ELECTRIC
ELECTRIC FOR SEWAGE PUMP
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., OFFICE COPY
Address
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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT'SERVICES,- BUILDING -DIVISION
7 County Center Drive i �OYoJille, California 95965 •v Telephone -(530)'"538-7541 f 7PERMl,
(Rev. 12/96) APRUCATION AND PERMIT ,('
ASSESSOR PARCEL NUMBER
1 -tib Fin
ZONING
,BUILDINGPERMIT
\
OWNER L "
TJMF SADM F P
TELEPHONE
SQ. FT. OCC. '. BUILDING VALUATION
f 1
_
.OWNER'S MAKING ADDRESS ✓ym
_
19240 TM R Lt acnan
CONTRACTOR'S NAME - L -
HEEMs Fir FMICti '
TELEPHONE
K1
CONTRACTORS MAILING DESS , �• ...
4 R �o r
-
CONSTRUCTION LENDER j ^• -- - v N-7
Fireplace
LENDER'S MAILING ADDR'hdkl
dTotal' Valuation
ARCHITECT OR ENGINEER^
(`V
LICENSE NO.
Filing Fee U 21.00
Permit Fee .. A $
ARCHITECT OR ENGINEERS MAILING ADORE
` G
> Plan eckih Feed �''�
BUILDING ADDRESSSTE R6 DM MLISE
* r • y
J � v
-a. -��• -�
is--),&PLRM1f , E <
LAT NO.
SUBDIVISIONS NAME •�
PARCEL7MAP
pLUMBIN� PERMIT
Each Trap � t 1 7.00
USEOFSTRUCTURE
SF ❑ Duplex ❑I Mobilehome ❑ Other `
SPECT , - ._--
ola f ® ym, . ate(heater9R�Yi �.
Water piping 15.0
t Fh a0 W ter h atei Or Verlt 0 '
WN OF WOII .
New ❑ Add" ❑,R�r�odgl .'litie ❑ Other ❑
`1l��J/ TT���
Describe o k/� E t
L 7 V `"
'
A. _
`Gas in Ste 1 } 5 ou e, 1 0
Buildin sewerx 5.00
Mobile Home S G W @20:00
PERMIT FEE $
+]
l -""`•' '�'•�
ELECTRICAL PERMIT Filing Fee 20.00
500V OR LESS
Main Service 200A OR LESS 23.00 ..
L
J LICENSED CONTRACTOR'S DECLARATION
,J.heleby.affirm underfQrJaltr of perjury that I am•licensed under provisions of Chapter
(commencing with ec orf700(}) of Division 3 of the Business and Professions Code,
''99 X33 ttf}
and rry license is in full forceiand effect..*'
-� / =
License�Class G&..No. I ___20
OWNER -BUILDER 'DECLARATION
-FILED
-1 hereby affirm under penalty 'of perjury that I am exempt from the Contractors License
Law for the following reason: ' j_ - :
1, 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 sane.
O� 1, as owner of the property, am exclusively contracting with licensed contractors
roect. -, t `
to construct thej
P
I am exempt under Sec. Business and Professions'Gode for this
reason
Main Service TO'1000A 46.00
NEW CONST. DWELLING OCCUP. SO
WEL
OR ADDNS. ( & ACC. BLDS. 3.5¢FT;
NEW CONST. MULTLOUTLET
NoµpESID. p @7.50
POWER APPARATUS
8 SINGLE OUTLET CTR. '
®,.00
Ex. Occup. OUTLET OR FDCTURES BAL @ .50
APPLNS. OR C ff\/\
Ex. Occui , ourLErs RESID. E0. S•00 J VV
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
Pre -Inspection 21:00
PERMIT FEE $ TW
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'forworkers'
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 ,:_s-
(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 persoin 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. - ''�.
ateindicated
IGSiin'atureof Applicant Owner [3Contractor Agent
-An OSHA permit is required r excavations over.5'0" deep nd demolition or construction
ht. L
of structures over 3 stories In helg ', , � , t
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
-
PERMIT FEE $
',Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
FEE $ 71. 00 ,
HAz.
LTAL
D. FEES
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
abbVe for which fees have beenpaid.
` ^
B&/ki�v {/ Date/ -,flu
y „
PERMIT EXPIRES ON
Dale
Receipt No. 36-1755 -7-1--
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
I
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 10, PRM
(Rev.12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
o4i-Agn-ong (portion)
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
. OWNERS MAILING ADDRESS
lS9Z,n CHINA RAPIDS DR. RED BLUFF GA 99ORP
CONTRACTORS NAME Y 9TELEPMNE
CONTRACTORS MAILING ADDRESS
5456 BIACK OLIVE9 PARADISEGA 95969
CONSTRUCTION LENDER Y
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 -
7PARADISE
Energy Plan Checking Fee $
$
PERMIT FEE $
LAT NO.
SUBDNIS IONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome O 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 Work: ELECTRIC FOR SEWAGE PUMP
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 zoOA OR LESS
23.009,1
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 in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for 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.
I 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
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
���02__
lure of Applicant Owner ❑Contracgent
X _ Adee
An OSHA permit is required r excavations over 5'nd demolition or construction
of structures over 3 stories in height.
Main Service 200A TO lOooA
46.00
NEW CONST. DW EWNG OCCUR s0
OR ADDNS. ( 6 ACC. S.3.5¢FT.
MULTI -OUTLET @7,50
NO ES
POWER APPARATUS
8 SINGLE CIS.
R FIXTURES
Ex. Occup. OUTLET OR FDLTUREs aAL 20 p I. 0
Ex. Occup. oIxEDa= OR, 5.00 5.00
Temporary Service
23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
Pre-ins23.00
DPERMIT
FEE $ 71.00
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $
:.AZ. p. FEES IMP FLOOD CDF PARCEL po HD
•IS�S E
IS
This permit is hereby issued under the applicable
of th Butte County Code and/or Resolutions
indic t d ab e f r wh h fees have been
By Dat
PERMIT EXPIRES ON*1
provisions
to do work
paid.
`�
_J
69
ReceiptNo.361795 .71 nn
WHITE-D.D.S.-B.D. Ca A - ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
r,
PRE -INSPECTION REPORT r a ab v
OWNER:
LOCATION: '
CONTRACTOR:
PRE-24SPETION
DATE TO
Building Daerlpdan:
Electric:
Gas:
PERMIT HISTOR
DATE: % " 5 - - �
A.P. #• / G�.1
ZONING:
( ) AS FOLLOWS:
BUILDING INSPECTOR'S REPORT
Commercial/Usage: .
Residential/# of Units:
Currently Occupied
Abandoned/Vacant
Yes No Electric currently On Off
Condition of Electric
Natural Propane None Currently On Off
Obvious Problems:
Sanitation:
;Plumbing Working
Wcll Working Potable Water
Obvious SewageProblems
Comments:
ACTION RECOMMENDED: ISSUE: HOLD FOR
Inspector.
Date
Sketch buildings on reverse and indicate location on p'ropert
t