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COITO 42-07-166
R-.
SW cor Henshaw & Alamo, Chico
Permit#2310-83B (seroof,/SF)_ I
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COUNTY OF BUT - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICI&TION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
Z0mi N -)G
BUILDING PERMIT _
OWNER (('
TELE/PHONE
L)
SO. FT. OCA... BUILDING VALUATION
Qe' 1r%ti
OWNER'S MAILING ADDRESS,
C k
CONTRACTOR'S NAME .-
pwiN/thII- _ ......
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER .*
)n&Vlk
UNKNOWN
Total Valuation $ —7-) I
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
-
, '
Permit Fee
—
$ /I—
ARCHITrE, CT OR ENGINEER
ARCHITECT
i \vv , 1v�' "
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS - r
PLUMBING PERMITg
Filin Fee 10.00
c
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO. SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5,00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SFLI Duplex❑ Mobilehome❑ Other SPECIFY
Building sewer
5.00
Mobile Home S I G I W J
10.00 e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑% Utilities ❑ Installation❑ OtherX
Describe work: —
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 0Dv OR LESS
1
100 <MP OR LESS
10.00
Main service EA. AOD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ACDNS. ( ACG. BLDGS.
Zth2sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury 4(Check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and m license is in full force and effect.
y
License No.Classification
u 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 CONSTR.( ULT' -OUTLET 2,50 ea
NON-RESID BRCNCH CIRCUITS)
NEW CONSTR. IPOWER APPARATUS &'�
NON-RESID, SINGE OUTLET CIR.
o OR FIXTURES eAl@30
Ex. Occup(BAL030
FIXED APP LNS. OR
FIXED A
Ex. OCCUp- OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Faci ities
15.00
Misc.'Wiring 15.00 ,
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
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 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
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, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
,p X
X rlllr^ a X_.�-•� e f �f-C- f ., Date f' Z
Signature of Applicant - Owner.0 Contractor ❑ Agent Q
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
$
TOTAL PERMIT FEE $ '-
OCCUP. GROUP
I TYPLOF CONST.
PARCEL
`PD
HD
SSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
�
By_�(��
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date-24/r�,
1 j" ./ �'A
Receipt No. (')c) () 6 1
WHITE-D.P.W•, YELLOW-ASSFSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTT=E - DEPARTMENT OF PUBLIC WORKS
--� 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION4NOPERMIT • 4
PERMIT NO.
ASSESSOR ^ARCEL NUMBER ,4
aL to ^ ' o ko-
ZONING
BUILDING PERMIT
Ow
TEL HONE 91,
SQ. FT. OCC, BUILDING VAVUATION
OW R'S MAILING ADDRE A� a
CONTRACTOR'S �/NAME
•0 )rtl ��l �/v
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation i $
Filing Fee
$ 10.00
L NDER'S MAILING ADDRESS
Permit Fee
$
ARCkiI ETRE,NGINEER
f/\V,
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
4�j
�h S W T
Each Trap
2.00
Solar Water Heater
20.00
�
Water piping
5.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF)6 Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S G W
10.00 e
TYPE OF WORKPermit
New ❑ Addition ❑ Remodel ElUti lities ❑ Installation ❑ Otherx"
Describe work: —
Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service eDDV OR -LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST.(DWELLING OCCUP.&`
OR ACDNS. ACC. BLDGS. /
I
2/20sq ft
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
21 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 CONSTR. ULT. -OUTLET
NO N.RESID BRANCH CIRC ITS
2,50 ea
NEW CONSTPOWER APPARATUS &'
NON.R RESID. (SINGLE OUTLET CIR.
Ex. Occ Up(OUTLETS OR FIXTURES
20050a
13AL030
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.1
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):
❑ 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.
2001 shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 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 Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this per it.
%�a.C.�+� l� Date 7
Signature of Applicant — Owner Contractor ❑ Agent El
An OSHA permit is required for excavations over 5'0" deep and demolition or construct -R
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ a S-
OCCUP. GROUP
I TYPE OF CONST.
PARCEL
PO
I HD
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
TOR OF PUBLIC
BY
PER EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
at
Receipt No.� 6 P.
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT