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Home My WebLink About042-100-04242 r ].0=42^' R x-,2382 `90B • ... �. , t� w KNISS `""Charles 1425,Muri Ave, Chi s�,+Coritr Fourt'Cotnties?,Roofing 042-100-042 06-0836 DOBBS, JENNIFER -1425 MUIR AVE, CHICO Cont: CHICO ELECTRIC ELEC PANEL C/O r � �y IN Butte County Department of Development Services. ev rE• FaEA I �! O T E S 7 County Center Drive, Oroville, CA 95965 ' (530) 518-7601 v w-vv.but!gpou.nty netidds ,I t RESIDENTIAL APN: Permit No. Owner. 042-100-042 06-0836 DOBBS, JENNIFER Site Address: 1425 MUIR AVE, CHICO _ Cont: CHICO ELECTRIC Contractor. ELEC PANEL C _ Type of Permit: - - OFFICE COPY i Address r GAS Meter By Date ELECTRI Meter By sAmrvs Date -- - - -j SPECIAL CONDITIONS CHECKED BY I lSRA ❑ FLOOD CERTIFICATE EQUIRED ❑ FIRE SPRINKLERS REQUIRED ❑ SPECIAL INSPECTION fTEMS ❑ VERIFY ❑ USE PERMrr CONDITIONS ❑ SUBSTANDARD HOUSING LETTER ❑ ENCROACHMENT PERMfT ❑ REINSPECTION FEE PAID ❑ ENV HLTH CLEARANCE II ❑ r'(c- PC (. 14 Emird a n y �vE % _'D DATE .JOB FINAI-El � v o SIGNATURE: \IJvw1M = OK Y = M.Lv MANUFACTURED HOMES M I S C E L L A N. E 0 U S DATE Lj PERMANENT FOUNDATION Lj SOFT -SET DATE ID E C K S'C O V E R S'C A R P O R T S `G A R A G E S I Zoning -Setbacks -Easements 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 2 Ftgs; Soils-Sz-0pthSpacing-CnnctrsSteel 3 Sewer; Loctn-Test; FalUC/O-Concrete 3 Decks, Girders/Joists-Dcking-Brcing 4 Wtr; Loctn-Test-Easement Needed -Regulator Stairs-Guard/Handrails 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg 6 Yard Gas; Loctn-Test-Wrap . Nat ❑ or LPO Frmg-Brcng Inch Sz Ft Lngth 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 7 Blckng; Sz-Spacing-Marriage Line 6 Carports; Wndws-Doors 8 Gas; MH Test-Demand-Valve-Cnnctr 7 Electric 9 Elec MH Cntnty Test-Crossovers; -Breakers -CIrncs 8 Frmg; Sills-Anchrs -Stu ds-Rftrs-Truss es 10 Drain; MH Test -Fall -Flex Cnnctr 9 Siding; Nailing -Veneer -Stucco -Lath ' 11 Wtr & Sewer Connected -C/O to Grade 10 Roof; Shthg-Roofing 12 Gas and Electricity Tagged 11 Ext; Steps -Doors -landings 13 Tie Downs ❑. Foundation ❑ 12 Braced Wall pnls 14 Exits 15 Cert of Occupancy 16 HUD Labebinsignia Numbers Serial Numbers DATE TFOOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts -GF] 6 Elec Encisrs; Conduit Entries Terminals-1-isted 7 Elec Bonding; Metal w/5'-Crcltng Egp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Bokes-EndsrsTrilboards-Insultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test . 11 Lt Niche 12 Enclsr, Fencing Alarms 13 Bonding, Diving board or Slide o'er e` Pool Drawing OK = Not OK RESIDENTIAL (Sing(a & Duplex) UATE JUNDERFLOOR DATE IPLUMBING I Zoning -Setbacks -Easements -Flood -Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Opth 54 Wtr Pipe-, Test & Anchr-Nai( Prtctn 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth. 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 56 Shwr Pan; Test First Hr -Tub Acc 5 Stemwalls Main; Steel-B(ockouts-Wrapped 57 Test Tub & Shwr, 2nd flr - Tub•Acc 6 Stemwalls Garage; Steel-B(ockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 6a Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test \C 10 UF, Gas Pipe; Sz Anchrs-Sz Test \C 1•l Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd DATE MECHANICAL 13 Plenums & Ducts; Clrnc-MaterialSupport4risultn 61 AC Ducts Insults & Support 14 Girders-Sills-Anchr Bolts-Joists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insultn 1S Acc & Vntltn 63 Condensate Drain & Ovrflw, Sz & Grade 16, Insulation 64 Furnace -Vent Acc-Comb Air RtrnfVent 11 S Outlet 65 Attic Acc & Pltfrrn if Furnace in attic \� \c DATE IFRAMING 17 Sills Proper Materials & Anchrs DATE FINAL 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 66 Ext Steps -Door & SideLt Prtctn-Landings 19 Bearing Walls over Girders & fir Nailing 67 Smoke Detector 20 Draft Stop in Walls (rat proof) 68 Furnace Vnts-CImc-Comb, Air-Cnnctr 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs In Garage; abv-flr-Ducts-Mech Prtctn 22 Headers & Beams-Sz & Bearing 69 Bedroom Exiting 23 Hangers -Post Caps-Anchrs-Cnnctns 70 GFl & Bath Fxtrs & Tub Acc-Spa 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac TrussShthg 71 GFI Arc Fault 25 Frplc Ties or Type A Flue-Frpic Throat Clmc 72 Elec Trim & Subpnl, Breaker Sts & Labels 26 Attic Acc; Sz & Rmx Prtctn-Draft Stopans Baffles 73 Stairs, Guard/Handrails 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 74 Frplc or Stove, Cimc-Hearth 28 Garage Fire Prtctn Framing -RC Channel 75 Elec Outlets at Wood Pnl, Int & Ext 29 Prprty Line Firewall & Opngs 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clmc. 30 Ext Doors -One T -Check Garage 3rd Story, 2 Exits 77 Elec Outlets & Rcptcls at Ktchn Counter 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 78 Garage Fire Door, Swing -Landing -Closure 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 79 AC Duct in Garage -Damper 33 Siding -Nailing Veneer 80 Wtr Htr; Vnts-CImc-Com Air Cnnctr-PRV; abv fir 34 Stucco Lath -Weep Screed-Fndtri Vnts-Undrflr Acc Mech Prtctn; LPG Appince Undr House 3" drain 35 Glazing Area -Glass P rtctn-SkyLts -Plastic 81 Plmb; Elec & Mech Eqp Listed for Lottn 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 37 Brace Int/Ext Wall pnls 83 Insultn-Foam-Looked in Attic 38 Insultn-Walls-Ceilings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration-Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Dmge Planters QYes DNo 87 Stucco Brown -Finish o'er m o'er °` 8B AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frplc-CIrnc to Opngs DATE JELECTRICAL 90 Wtr Well, Dscnnct, Elec, Plmb 40 Fxtr & Tmsfrmr Clmc4ns Prtctn 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 41 Elec Rcptcls Spacing-Lts & Switches at Doors 92 Vntltn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs 8 94 Corrections from previous Inspctns _44'Grnd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 145 Grndng Electrode Bond Gas 96 Wtr. & Sewer Cnnctd-C/O to grade -HD Apprvl. 46 2 Appinc Cires in Ktchn & Cn ctr Sz GFI 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz ga OCU or [—I AL 98 Address Posted AC Wire Sz ga ❑ CU or DAL 99. Fire Sprinkler 48 Range Circ ga ❑ CU or ❑AL 'Oven Circ ga ❑ CU or ❑ AL In , ated Neutral ElYes QNo a` 411 ervice-Riser Cndctrs & Grnd Main Dscnnct qp Clmrs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector L( 0(0 (mss, '1-21-0(0 �A S, BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP060836 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 04/13/2006 APN: 042-100-042-000 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.Site License Class: License Number: �� 3��s Address: 1425 MUIR AVE CHI Map Index: Date: Y balm Contractor: C lIMLO f len A-cy- I ,� Description: L�I/ 5ra 4c'— �` RC1 r C_ OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: DOBBS, JENNIFER to its issuance, also requires the applicant for such permit to file a 1425 MUIR AVE signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section CHICO, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95973 she is exempt therefrom and the basis for the alleged exemption. Any - violation of Section 7031.5 by any applicant fpr a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 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 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: CHICO ELECTRIC owner of property who builds or improves thereon, and who does 36 W EATON RD such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for CHICO CA sale. If however, the building or improvements are sold within one 95973 year of completion, the owner -builder will have the burden off 530-891-1933 proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: CHICO ELECTRIC and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 36 WEST EATON ROAD ❑ 1 am Exempt under Article 3 of the Business and Professions Code CHICO, CA 95973 Date: Owner: (530) 891-1933 License #: 454345 WORKERS' COMPENSATION DECLARATION I 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 Architect: Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: "ZeW^AIA J%AS .51 Total Square Ft: 0 S. F. Policy #: 7,464-22-7-910-1 Valuation: $0.00 ❑ I certify that in the performance of the work for which this permit is Census Code: 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' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: OE Applicant: WARNING: Failure to se orkers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. v CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the This permit is ereb issued er the applicable provisions of the Butte County Code and/or Resolutions ork indicald above for which fees have been paidle, (J performance of the work for which this permit is issued (Sec 3097 Civ.) l/ By: Date: Name: PERMIT EXPIRE S(N� Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes Print Name: �w%%%�t>/ t3-, 5,C -ye -r- Signature: Date: /❑ Owner ❑ Contractor ❑Agent for Owner WAgent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) S38-7636 • CHICO: (530) 891-2834 OFFICE 4: (530) 538-7541 A FEE WILL BE REQUIRED AT T1* OF APPLICATION Website: www.buttecount .net/dds "PLEASE PRINT CLEARLY; I , CONTRACTOR Name CityC�..cv State tae LIP�t59 Phone $� H 9 33 Fax IE-mail I LiS { 3 y T I Glass I ARCHITECT/ENGINEER Name Address City State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name Cd bvc.C}�JZ Address City State Zp Phone Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Flood Zone SRA Yes INo Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT N0.^ BIN ff - - WORKER'S COMPENSAT40W Polis Number 7-06}-4- 2,2)_+01 Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time ofpermit 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): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renewlaction on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Recei d by: Amount: / J Bldg SRA Receipt # . Sheriff () O SMIP Date: Other I J Total 4. Z SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK, ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A). Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal Bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form . ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioners office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractors license information. (Number, Name Style, Classification). ❑ 7. Workers Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Sig nature.authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. O 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the.person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSWILDING F0RMS161dgApp1SubRgmts.doc Page 2 of 2 REV B-12-05 _ >.v • , a r, r.�.= P3s..,'.Pc :)L� �'S " 5''" 'I'S'.�f :v.'h - �4 w. -�'.x, -fin •'L• �"°l. ri . - s.. k ;�.11: a,.a {' . •-*-r•r,�' r ��-t r'•t ✓n:K�:r �`,-i�C�.•,.''�r*I'+a�' r�tir...:R•'¢ . wx•-..:;#, i�. 7 2382-90B 42-10=42 ;. { KNISS, Charles 1425 `Ave, Chico Contr: Four Countie's,Roofing (reroof/SF) { 1 J�r/i 4 /3y—\•,Owh..� 1xa qX.j+sss.�s ..t44, 7 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC'WORKS PERMIT NO. 7. County Center Drive - Oroville, Cali!.6rnia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT R rJ ASSS OR PARCEL NUMB9R ZON G BUILDING 'PERMIT OWN Et R Cnarje-, Koii .,4: TELEPHONE t 5 34J_?605 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1425 Ph d r Aveme (liccl CA 5` 2G 7yt 50=3 I X1 ebmkp rp- wf. CONTRACTOR'SNAME Fol i r. Crlt.tn f: ' P�: 1lf10 i i tu, rumi+ nv TELEPHONE 3141-1416 CONTRACTOR'S MAILING ADDRESS #3 Crt"tsade; Ccrtlrt Chico GA 95926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 1$36W Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 44.5{; ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee ,, $)4. �U 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 fV9 Duplex❑ Mobilehome❑ Other SPECIFYMobile Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Home S G W _T10 -00e TYPE OF WORK rrrccc�� New ❑ Addition ❑ Remodel ❑ Uti Iities ❑ Installation ❑ Other Describe work: :Jilt im Le—r(ii , f _ 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): 0 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. 4 9?.46 Classification C0,2A ❑ 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.&\ OR ADDNS. ACC. BLDGS. / +h ¢sq ft NEW CONSTR.MULTI-OUTLET NON-RESID BRANCH CIRC ITS 2,50 ea /POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES eALeso SALO 30 Ex. Occup. out OUTLETS 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): ❑ 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 Countyot 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 againstsaid County in consequ/en/ceioof the g anting of this permit. X L'Ok%e.v, E l 1/V�l -J/�- Date -6-91 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 $ occ CONST TYPE TOTAL FEE $ t- �R 5 HAz CUA PARK SCHL FLD PAR PD I PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees OIREC JR OF PUB 11 By iA,1 �1 � PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. ORKS Date y � �� i Receipt No. l�/�. '1 WNITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, tCa4'ifornia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSES O PARCEL=LIMB R ZON G BUILDING PERMIT OWNER Chari345-2605 TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1425 Muir Avenue Chico CA 26- -racif CONTRACTOR'SNAME Four Coun TELEPHONE — CONTRACTOR'S MAILING ADD SS X63 Crusader Court Chico A 95926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $36 00 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 44.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS r Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PAR EL MAP Water piping 5.00 Each gas 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 I S I G JW 1 10.00e TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities❑ Installation❑ Other Describe work: shake re—roof _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA, AOD'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. 489246 Classification CC—'19Ex. 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.d+ NeDADNS. AMULTI-OUTLETBS.2/,2Qsgft NEW ONS NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS 6 (SINGLE OUTLET CIR. OCCup�OUTLETS OR FIXTURES 20®SOQ�9 BAL030 FIXED APPLNS. OR % Ex. DCCUp. OUTLETS ((RESIDJEAJ 2.00 Temporary service 10.00 me Facilities Mobile Home 15.00 Misc. H 9 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 Filing Fee 10.00 Heating Cooling 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 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 consequenc of the g anting of this permit. X1��(,(/V(_(.Q�7-6-90 Date Signature of Applicant — Owner ❑ Contractor ❑ Agent 13 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 $ occ CONST TYPE AL TOTAL FEE $ 54.50 HAZ cuA PARK EE PAR PD HD ISSUE Th;s permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which fees DIR OF ZPUB I 1 -4 /7 2 B PERMIT EXPIRES Date---- the applicable provi- resolutions to do have been paid. ORKS Date 41 X/!7 Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT