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Home My WebLink About042-160-050.42"16 -50 - ROD EL ,1912 W Sa- mento, Chico Contr: Sierra Roofin (5-50 Permit#2016-84B( of/SF) m 914 W Sa Avenue,, Chico ^)� � - �� ` ' — -^ a \QNCEEP OUNTY OF BUTT- DEPARTMENT OF'PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER- �� i' V ,1�, � %..�r � >{ �I A \A ZONING /; _c 2 - , BUILDING PERMIT OWNER TELEPHONE S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS r CONTRACTOR'S NAME ,�•�/j G.c./itl%ti . .'W'i7 / it/H•'(/ FELEPHONE�2 -i'� � � %, Ger - I " CONTRACTOR'S MAILING ADDRESS t7 n. /�ih, , J ) C� 'y �1 �.�p Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Cel Filing Fee $ 10.00 LENDER'S MAILING ADDRESS t `y Permit Fee $ IN ARCHITECT OR ENGINEER /JA.-fi'Kt, LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 'i. q, Ya BUILDING ADDRESS-- "" PLUMBING PERMIT Filing Fee 10.00 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 1 USE OF STRUCTURE SF F_/1 Duplex ❑- Mobi lehome ❑ Other ' SPECIFY Building sewer 5.00 Mobile Home S I GJWJ 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: �s - fr.�sn! /� �-L^^� P� - — i J y Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service aoov OR LESS 100 OROR LESS 10.00 • Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 2/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): Q 1 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 /_?. _24r 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) 1 ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. MULTI -OUTLET 2,50 ea NON•RESID BRANCH CIRCUITS) NEW CONSTR/ POWER APPARATUS IN) (SINGLE SINGLE OUTLET CIR. / OR FIXTURES ALO 300 Ex. Occu zALO30 p(o A FIXED APP LNS. OR FIXED EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. O .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:ilaws 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`pe76itJihall beldeemed•revoked." 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 4 and keep harmless the County of Butte against all liabilities, judgments costs, and expensesdwhich may in any way accrue against said ,County in consequence•of the granting of this permit. I/ X fw-� �'�,� � k'k Date ��'� /BL ' Signature of Applicant - Owner ❑ Contractor`tar'❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3�sttories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP TYPE OF CONST. PARCEL PD HD 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. DIRECTOR OF PUBLIC WORKS I By 0�!%�� Date/ � - Q l rel - PERMIT EXPIRES Date ✓ % 0 rl. Q A— / Receipt No. ) � % S/'1 �: ' WHITE-D.P.W., YELOW-ASSCSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT L 5� �',� t .,, r �, �a� •. �'' —.. K . \';1`+51.. .. K: 4M: h j kr/ s COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 • • -r APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER 1 V TELEPHONE I S0. FT. OCC. BUILDING VALUATION I / OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ,• ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS ' - PLUMBING PERMIT Filin Fee 10.00 9 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 ',r Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Q Describe work: - ' ` 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 NEW CONST. / DWELLING OCCUP.& OR ADDNS. C ACC. BLDGS. 21/20sgit CONTRACTORS LICENSE LAW 1 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 fu l force and effect. License No. ,' " 2 1 Classification r' / ❑ 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 CONSTF MULTI -OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS a.) NON -RES ID,I SINGLE OUTLET CIR, EX. Occup(OUTLETS OR FIXTURES SA 030 FIXED APPLN5. OR Ex. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 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. 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. 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 permit. X Date 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 $ TOTAL PERMIT FEE $ �" ) OcCUP. GROUP I TYPE OF CONST. PARCEL PD HU 55UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which r DIRECTOR OF PUBLIC r By I 1 1./,� I PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 1 f _ I — / Receipt No. I 1 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT I , w � �•+ . / � +fi � � z � ..,Y :ter,,.,.. F..w,�... ,. .. :' i."(`2-. 7� • COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 `, ` 1 1/14Y • �•'� 1 APPLICATION AND PERMIT - ASSESSORPARCEL NUMBER a .Z _ I& _ D ZONING (1 j Q BUILDING PERMIT OWNER%% /r VJ_d TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME J01t0_•,1 _ 'k,-fjox"t —1 TELEPHONE S U. { / CONTRAC,TOR'S MAILING ADDRESS iu () C IM 1 (�1,,,u, Fireplace _ CONSTRUCTION LENDER "M,e - UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 14 %J1 ARCHITECT OR ENGINEER /1^$t' X_1 LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESSQ �./-•- PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 r. AutA-� /L-6*,4X"l" Solar Water Heater 20.00 l%d 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.[E Duplex ❑ Mobi lehome ❑ Other •i SPECIFY Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other l Describe work: - ' /LA-t-�o h tvkl .7 rt,�iil.xl�J4 — 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 NEW CONST. DWELLING OC cu'.") OR ADDNS. ACC. BLDGS. / ZthP,SQft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): �Q 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. y C License No. � `��p Classification r' %� 7 ❑ 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 (MULTI -OUTLET NON.RESID BRANCH CIRCUITS) 2.50 ea NEW CONSTFL ( POWER APPARATUS ) NON-RESID. SINGLE OUTLET CIR. OR FIXTURES 9AL®30Q Ex. Occu (BAL@30 P. FIXED A Ex. Occup. our OUTLETS P(RESID )KEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIi.ngFee 10.00 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. 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. / }/ c�1 t:a �, / /„ �.,� J X Date 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 $ TOTAL PERMIT FEE $ ��j_ t'v occUP, GROUP I TYPE OF CONST. PARCEL PD I ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By �_ �� A A f % `' " -' 1,0 PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date' 1A -7-5l 5 Receipt No. , WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Cal,ifornia 55965 - Telephone 916/534-4541 APPLICATION AND PERMIT ERMIT NO. 61 ASSESS PARC'Lru�Bo �� 2 (p zO o/"j' BUILDING PERMIT OWNER LEPHQN_F SQ. FT. OCC. BUILDING VALUATION OWNER.'S AILING AD RESS z uaA&t%Z_ CONTRAC OR'S NAMET 44 L, FTPH2M� CONTRAC O 'S MAILING AD S �� 2 2 Fireplace ENDER CONSTRUCTION�/J�j'L" AW&K-G ADDRESS UNKNOWN Total Valuation $ 550,06 Filing Fee $ 10.00 LENDER'S Permit Fee $ is, 00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR'ENGINEER'S MAILING ADDRESS Permit fee $ , 6-0 BUILDING ADDRESS 12 V- PLUMBING PERMIT FilingFee 10.00 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, SFO Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S I G W- 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑nstallation❑ Other [/ Describe work: — — Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00. Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 2/20sgft CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): 0_1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Cod my license is in full force and effect. License No.d. Classification —_12 9 ❑ 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 NON -RESIT FL BRANCH CIRCTITS. 2.50 ea NEw NON -CONSTR R ESID. ( SINGLE OUTLET CIR. POWER APPARATUS &) 12O@50C Ex. Occup(OUTLETS OR FIXTURES BAL®30 FIXED APPLNS. OR \ Ex. Occup. OUTLETS (RESID.) EA./ 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. &Z � 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' FilingFee 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 against said County i consequence of the granting of this permit. X-- - Date 6Z2 4 Signature of Applicant — Owner Contractor ❑ AgentEl An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories 0 height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ occuP. GROUP I TYPE OF CONST. PARCEL PD HD 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 R OF PUBLIC WORKS By. Datel -a 2,-K/4/ ' PERMIT EXPIRES D e b — �L .— �y Receipt No. / �-�. WNITE-D.P.W., YELLOW-ASSe9 OR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, Cal;fornia 9.5965 - Telephone 916/534-4541 D/ APPLICATION AND PERMIT ASSESSOR PARCEL N MBER 2 O ZON/�,i�j`�C�\ vv G� BUILDING PERMIT OWNER Mo TELEPHONE 3�fs,^�� J S0. FT. OCC. BUILDING VALUATION 605, 0 OWNER'SAILING ADDR SS r l2- CONTRACT R'S NAME TELEPHONE 34{2 -/863 CONTRA T 'S MAILING ADORES `L tud Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ , ID Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ S,Q BUILDING ADDRESS /epn w PLUMBING PERMIT Filing Fee 10.00 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 J Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home I S1 G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel Utilities ❑ Ins allation Other [� Describe work: — 10 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service i$o AMP ORV OR LESS10.00 Main service EA. ADD'L too AMP 2.50 NEW CONST. DWELLING OCCUP.& OR AODNS. ( ACC. BLDGS. 2/20sgft 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 a d. my license is in full force an 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 CONSTR ULTI-OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS. NEW NON -CONSTR RESID. ( SINGLE OUTLET CIR.POWER APPARATUS &' zo@soe Ex. Occup(ourLETs OR FIXTURES BAL@30 FIXED APPLNS, OR \ Ex. Occup. OUTLETS (RESID.) EA.J 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 FiIingFee 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 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 -o sequence of the granting of this permit. X Date Signature Applicant — Own r❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct-(7fCT ion of structures over 3 in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 2 S11Butte OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD I 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. R OF PUBLIC WORKS 7-- � BY Date —2 // PERMIT EXPIRES Dae t'+ �sttories Receipt No. 7 / a�, WHITE-D.P.W., YELLOW -ASSES R, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT r�NO. (� 0� /— d ASSESSOR PARCEL UMBER 2 -- — d ZONING .QP_ o BUILDING PERMIT OWNERS11fE 34E SQ. FT. OCC. BUILDING VALUATION e' OWNER'S MAILING ADD /A'�w'� 2 V"r-W CONTRA T9R'S NAME - TEL PHON 32-63 CONTRACTOR'S M LING ADRE D . Fireplace CONSTRUCTION S� LENDER UNKNOWN Total Valuation $ ��( sso. 06 Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ , t1j1 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 � �,.�� Com"A— "" 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 Duplex ❑ Mobi lehome ❑ Other ' SPECIFY Building sewer 5.00 Mobile Home S G IN 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑1 Installation ❑ Other ❑. Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS10010.00 1AMP OR LESS Main service EA. ADD'L 100 AMP 2050 NEW CONST.(DWELLING OCCUP.&` OR ADDNS. ACC. BLOGS. I / 2/20sgft 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 m license is in full force and effect. n �j License No. 7 Classification C v� ❑ 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. ULTI.OUTLET NO N•RESID BRANCH CIRC ITS. 2,50 ea NEW CONSTR POWER APPARATUS &') NON.RESID. (SINGLE OUTLET CIR, Ex. Occup(o OR FIXTURES 9AL®ao 5AL@30 IXLETs FIXED APP LNS. OR EX. Occup. OUTLETS (RESID.) EA,) 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. �7( I have placed on file with the County of Butte Building Department (J� 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 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 ' consequence of the granting of this permit. %� Date rP 7 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 i height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ �. , G OCCUP. GROUP I TYPE OF CONST. I PARCEL PD 1 11 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. DIC PUBLIC WORKS By ^nate PERMIT EXPIRES Date /Z 6 p 7 �. D 6 Recei t No. WHITE-D.P.W., YELLOW-ASSe3 OR, PINK -INSPECTOR, GOLDENROD -APPLICANT tO, 4 J .i J