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HomeMy WebLinkAbout042-040-007r 42-04-7 CLIFFOR INDSEY MILLER, Chas. 760 Henshaw, co Contr: McClellan Permit#1733-86E,M(inst htg & AC)' 1 �` Contr; NV 42-p4-0� n�s Henshaw 360 ., of, -Alamo Ave.rr, ;0;4��c7> o Pe 754-86E (enclose por6 i) 42-04- Permit#2837-87B,E(remodel/S/ 0 _ 042 040 007 - - 99-2260 CLIFFORD, LINDSEY 760 HENSHAW AVENUE, CHICO CONTR: UNIVERSAL ROOFING SYSTEMS - S/D RE ROOF ` .d 042-040-007 99-2260 CLIFFORD, LINDSEY ICO 760 RENSHAW AVENUE CHG CONTR: UNIVERSAL ROOFING SYSTEMS RE ROOF I J ), COUNTY OF BUTTE - DEPARTMENT 0 DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, alifiorfiia ,95965 • Telephone 530) 538-7541 PER ITN . (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL MQI _oc _ .� 10 CY-)OWNER ZONING / BUILDINGPERMIT � °. C( T�LEPHONE k I LI U SQ. FT. OCC. BUILDING VALUATION � 5 /v OWNERS MAID DR SS ' CONTRA CyDR'S AMEE CONTRACTORS MAILING ADDRESS 0 �qa 1 4 lr , CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation S , 1)0 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ _33-6J ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS n �..ri � 1 •, � �� Energy Plan Checking Fee $ $ PERMIT FEE LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF V Duplex ❑ Mobilehome ❑ Other sPE01FY 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: %`-c - -ruq S91 ��'Si � n I J 1, mlkp e CG 1-q4) ( Ire. CC Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service . ' 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 TfJ Lic. No. / S U ^--� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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 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 200ATO lOooA 46.00 NEW CONST. DWELL OCCUP. EL OR ADDNS. a ACC. BLDS. SO 3.5QFr. =R61pT MULTI.OUTLET 97,50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FOTTURES 20 sA@ ,50 Ex. Occup. DuntrAPP A ID.DEE 5.00 " Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 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 MECHANICAL PERMIT Fling Fee 20.00 Heating -Cooling Hood 6.50 Ventilation PERMIT FEE $ 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.) HCl 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. ' 7 -Zi X / -'. --^� Date / Z�) rf _ Signature of Applicant - ❑ Owner M Contractor ❑ Agent An' OSHA permit is required for excavations over 60" deep and demolition or construction�" of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ c g QN21, TYPE TOTAL FEE $ 3.6) HAZ. D. E 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 above for which fees have been paid. y, By "211 a L;��t U/� Date 140 �P9 PERMIT EXPIRES ON 1 -3!1-.-,7000 Def® ReceiptNo.53.6o WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT WN VA COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Californias- 9594 - Telephone530) 538-7541 R IT (Rev.12/96) APPLICATION AND PERMIT 2 (f� 4-1 — % r ASSESSORPARC0.y�M ZONING BUILDINGPERMIT OWNER °L LOCI t o SO. FT. OCC. BUILDING VALUATION . OWNERS MA DR SS d CONTRA C NAME , TELEPHONE 3qo -I CONTRACT RS MAULING ADD S /m CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ 33.60 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESSEnergy Plan Checking Fee $ $ PERMIT FEE : 3-vo LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF X 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: A-0- — (�a S� JL0JyV_M 0 C6 ��� 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 000v OR LESS 2o0A 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 L,� Lic. No. /S ��al 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 ADDNS. & ACC.BLDS. SO 3.5QFT; 1.,DµR SIOT MULTI.OUTLET @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. OccuOUTLET OR FIXTURES 20 @ 1.00 BAL o .50 Ex. Occu o xuTE,E' RLNs oRgL 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ 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 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 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.) X 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 provisio section 3700 of the Labor Code, I shall forthwith comply wi those r Isio X Date__ / Sig lure plican --tp6wner .W Contractor ❑ Agent A,dOSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ,p Kcc c TYPETOTALFEE $ 53.OQ HAz D E P 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 ove for which fees have been paid. G� By Date /-3d'F9 PERMIT EXPIRES ON ate ReceiptN,.5_0 i �� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance caner Location AP# Plan Approved for: Sewaqe Disposal / Water Supply ?old final for: Final clearance O.R. for: Clearance for bedroom mobile home. Other NOTE *** Sanitarian Water Supply Water Supply D alt e i - • s '^ COUNTY .OF. BUTTE - DEPARTMENT OF PUBLIC WORKS. .i PERMIT NO. 7°County Center Drive - droville,,California 95965 -Telephone 916/534-4541,�f►►7� / 1 APPLIC*10NAND PERMIT /I lot ASSESSOR PARCEL NUMBER *") -. n 4 -' ,>. ZONING wJ , BUILDING' PERMIT OWNERlPr 1 ,( �K A t 11 I -A6- .� , ., / - TELEPHONE y s o z �t S0. FT. OCC. BUILDING VALUATION - - OWNER'S JMA'I'LL�INGJ�ADDRESS / I `,/ P 6[., Etter .A.' X/ - O NTRACTjO.R' N MFILA TELEPHONE I . rID CONTRACTOR'S MAILING ADDRESS/iU Q i.9 'S_ Fireplace CONSTRUCTION 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 76 Permit fee ,$ PLUMBING PERMIT Filing Fee 10.00 ` 1 ' Each Trap 2.00 A Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME },y j /' •' f 1 PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE 40 SF.© Duplex ❑ Mobi lehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 U () Building sewer 5.00 Mobile Home S I G I W 10.00ea �- TYPE OF WORK New ❑ Addition ❑ Remodel❑ Uti lities ElInstallation-7❑ Other,0� Describe work: ""14 . r d isf) it n ► 1 ! .rte c t , r _ le Permit Fee $ / !; () Contractor t ELECTRICAL PERMIT Filing Fee 10.00 Main service ao0v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD•L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare Ander penalty of perjury (Check One): -• ❑s 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions, `Code :and my license is in full force and effect. �Y ��t � 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.a , h2sgft OR AODNS. ( ACC. BLDGS. NEW CONSTR. MULTI -OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS POWER APPARATUS e SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20930t DAL@30 Ex. Occup. OUTLETS FIXED P(RESID )LNS REA.) 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): ❑ she permit is for $100.00 (valuation) or less. -I have placed on file with the County of Butte Building Department e a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. r ❑ I shall not employLany 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 L`abor,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 < -� t Contractor $ --;2�, I certify that I have read 4s 61pl'ication and state that the above information is correct. I agree to comply tolall County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the abo� Men`>ioned property for inspection purposes. I also agree to save,,indemnify�nd�keep harmless the County of Butte against all liabilities, judgments costs, anttll"-Qxpenses which may in any way accrue against'said County in consequenceof the granting of this permit. X.1' /��i2� �✓his Date CO`� �3-�� Signa ure of Applicant Owner❑ 'Contractor ElAgent,91" An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories _ / Mobile Home Installation Fee $ Energy Inspection Feb $. TOTAL PERMIT'FEE $ � •OfC� "CUP. CONST.TYPE IFL.ODIPARCELI PD ND ISSUE 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. D1REC,TOR,OF PUBLIC WORKS •/ PEBy 1i�r/l RES Date 1/' RMI T•EXPIDate •/' -441 �i'nJheight. Receipt No. WHITE-D.P.W.• YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California%5965 - Telephone 916/534-4541 APPLICAT106N*ERMIT 1 PERMIT NO. ASSESSO P CEL© )7ER ZONING BUILDING PERMIT 211 ow E TELEPHONE - s9J yroz SQ, FT. OCC. BUILDING VALUATION OWNER' , 7 0 DRESS_ Ca— qS_ Z,(6 CONTRACT R'S ME t TELEPHONE �?1-�Z�Z C NTRACT R'S MAIL NG, DDR SS � d/�" Q, S Fireplace CONSTRUCTION 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 PERMIT 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 SFY 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❑ Utilities[] Installation[] Other Describe work: / Permit Fee $ XC0O Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2,50 CONTRACTORS LICENSE LAW I declare nder penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professio s ode and my license is in full force and effect. /1 Classification License No. � Fl 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 CONST. DWELLING OCCUP.S , OR ACDNS. (ACC. BLDGS. h¢sgft NEWCONSTR ULT' -OUTLET NON .RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(ourLETs OR FIXTURES a20050t AL030 FIXED APLNS. Ex. Occup. OUTLETS P(RESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F-1 T}ye 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 10.00 Heating 6110-0 Cooling Hood 3,00 Ventilation Permit Fee $ 60 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 en r upon the mentioned property for inspection purposes. I also ag to save 'nde ify and keep harmless the County of Butte against all liab' les, judg ents costs, and expenses which may in any way accrue again id County in sequen of the granting of this permit. .13& X Date Sign ura of Applican — Owner ❑ Contractor ❑ Age An $HA permit is yuired For excavations over 5'0" de and demolition or construct- ion of structures ave 3 s r'es in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ (O(� OCCUP, CONST.TYPE FLOOD PARCEL PD No ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIR OF P BY PERMI XPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT r...r'. �ar�-�.•1w++•"�..•v..6�,yryN`�_. '�\w - �. j'" -+.+'rte. -. v.�.••�,..,•r'��.i<'11'atti�'.�./r�' � a y ti. 1-7 -- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ( PERMIT NO. 7 County Center Drive - troville,, California 95965 - Telephone 916/534-4541 APPLILIOTIOUND PERMIT ? ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER - ' :1 i— • r TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR' NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Q n 2 9' a 7 Fireplace CONSTRUCTION LENDE A v, A' UNKNOWN Total Valuation Is FilingFee $ 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 1 Permit fee $ PLUMBING PERMIT 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 gas water heater or vent 5.00 USE OF STRUCTURE SF Q- Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer ; 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: �' eA 42. r.� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00V OR LESS 100 AMP OR LESS 10.00 Main service EA, ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penaltyof perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions JCode and my license is in full force and effect. License No. �T T /'" S Classification L ❑ 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 CONST. DWELLING OCCUP.Q OR ADONS. ( ACC. BLDGS. 2/,2Osgft CONSTR MULTI -OUTLET NEWNON.RESID BRANCH CIRCITS 2.50 ea POWER APPARATUS &) — (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURESZA 30 e0L9 30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.I EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 ! a Permit Fee $ Vu 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 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 County of Butte to enter upon the above-mentioned property for inspection purposes. 1 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. Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ 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 $ Energy Inspection Fee $ TOTAL PERMIT FEE $ ;L occuP. CONST.TYPEJ IFLOOOIPARCILI P11 1 HD 1 ISSUE 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. �D.IRECT R F'p BLIC WORKS By j r Date Ile', v PERMIT EXPIRES Date-- Receipt No.. ';-n Al r �i WHITE-D.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 9"25 - Telephone 916/534-4541 APPLICATION.A.ND UNIT PERMIT 10. J ,—X ASSESSOR PARCEL NUMo!qBER A \ BUILDING PERMIT OWN //•`, I SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'SNAME TELEPHONE ,yI , CONTRACTOR.'S, MAIL I NG ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN OM Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER ;t' LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT ORO E� NEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ni Permit fee $ PLUMBING PERMIT 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� 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 ❑ Utilities ❑ Installation❑ Other ❑ Describe work: G5CJ.ex_— es, Permit Fee $ Contractor 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 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 C—/� ❑ 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) ❑ 1, 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 OCC UPM, �z0Sgft New CONSTR.(A BLDGS. k, UL•TII-OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS Q " (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES AL@B30ALe FIXED APLNS. Ex. Occup- OUTLETS P(RESID )REJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 s ' Permit Fee $ , 0b 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. ❑ 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 10.00 Heating Cooling g Hood 3.00 Ventilation pernit 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 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 Signature of A icant – OWner ❑ Contractor ElAgentEr An OSHA permit is required For excavations over 5'0" deep and demolition or construct- ion of structures over stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occu P. CONST.TYPE FLOOD PARCEL PD ND 59UE 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. BLIC WORKS RECT R '112-4110 By Date PERMIT EXPIRES Date �3 Receipt No.ssd 7 6 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT i .. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, C ifornia 95965 - Telephone: 916/538-7541 PLICATI�.,rJ► APA'NDI PERMIT / ASSESSO1R� PARCEL NUMBER R/ ZONING BUILDING PERMIT OWNER 0/ 1 4 ('rd A 4 TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME 1 TELEPHONE CONTRACTOR'S MAILING MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ I;, J ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ .5. PLUMBING PERMIT Filing Fee 10.00 A ` �� -� Each Trap 2.00 +r r 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[K Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W 0.00ea TYPE OF WORK New❑ Addition❑ Remodel( Utilities [:1 Installation❑ Other ❑ Describe work: 1 • yam' r 1 ny . I t ) r . ,fir : > > r, :: _ [ (t- �:.I I'i ;�,.-r. Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 C i Main service 8001 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 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 Q 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.&) '�z¢sgft OR ADDNS. ACC• BLDGS. NEW CONSTR. MULTI -OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. ) -Ex. Occup(OUTLETS OR FIXTURES 200Sot BALD 30 Ex. Occup. OUTLETS FIXED PR (RESID )EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 y �` Permit Fee $ 5 -- Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): — ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Setf-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 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 of the granting of this permit. X (- ' ~ �/ / f,i Date +� 5 ! Signature of Applicant — Owner ❑ Cor6ractor ❑ Agent ❑ 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 $ Energy Inspection Fee $ S /` TOTAL PERMIT FEE $ , !/ OCCUP. CONST.TYPC FLOOD PARCEL PD I ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DJAE fOF1 OF PUBLIC PERMIT EXPIRES ate the applicable provi- resolutions to do fees have been paid. WORKS �1 atZ pie 9Z4 Receipt No. WNITC-D.P.W., YELLOW-ASSISSa R, PINK -INSPECTOR.. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - OrovillejCalifo�Qia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PE MIT NO. �3%-S1% ASSESSOR PARCEL NUMBER - (�•S/a-0 • 6- _Ci ZONING BUILDING PERMIT ow RTELEPHONE v e - d SQ. FT. OCC. BUILDING VAL A ION -Waa OWN R•S MAILING ADDRESS v CONTRACT- NAME Dwner- TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOW Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 3 V,9 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ ,52/ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 r 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 SFX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New Addition Remodelg Utilities[]Installation❑ Other ❑ ' Describe work: >f'� e. ica 'e nld tAflInCd0ttJ,% fLI,k tV SC_Jr>1h�PrJ c e-S.W% d oyr LU Ik SIId IhG Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 OR LESS 600 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 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 OR ADONS, l CONST. // ACDWC. BLDGS. ELLING OCCUP.& , h2sgft NEW CONSTR ULT' -OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS IN SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES 209e0t eALeso Ex. Occup. OUED P TLETS (RESIO.)REAJ 2.00 Temporary service 10.00 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. ❑ 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 10.00 Heating Coolin 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, cos , and expenses which may in any way accrue agains id Gounty in co se nce of the granting of this permit. ff— 'l6_ e7 X Date o` Signo a of Applicant — Owner ❑ Co actor ❑ Agent ❑ 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 $ Energy Inspection Fee $i �, ��} TOTAL PERMIT FEE $ l/ OCCu P. CONST.TYPFJ I FLOOD PARCEL Pu ND 1590E This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which gD E ORO PUBLIC B42 PERMIT EXPIRES ate the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WNIT!-D.P.W.. YELLOW-ASSE390R. PINK -INSPECTOR. GOLDENROD -APPLICANT