HomeMy WebLinkAbout042-340-153.;, 42-34/53 --
WALLIN CARLSON
3338 Bay Avenue, Chico
Conti;--Sierr-P .Rfg
Permit#1086-86B(reroof/SF)
042-340-153 9_9^-2 93'
CARLSON, ALICE ��f-L�
3338 BAY AVENUE; CHICo.: '
CONTR: CRANE ROOFING '
� 7
RE ROOF WITH COMP k.a
042'-340=153}:' -PF-2863-2863
STALLER Richard l- ' .) s '
` • 3338 •Bay ,"Ave . , Chico j'�6Q 1�1Di'�
Cont °McMichael Electric( �>
~Relocate & •,Upgrade Ele Ser/SF,
042-340-153 _00-0069
STALLER, ,RICHARD FILE
3338 BAY AVENUE, CHICO
CONTR: OWNER
ADD DOOR ON GARAGE
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042-340 153{, `�^ �3 '1'-100-0069 ,
STALLER, RICHARD
3338 BAY,,AVENUE; CHICO
<�e f CONTR: OWNER i
ADD DOOR ON GARAGE
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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT 0, ;!!Vr -
ASSESSOR PARCEL NUMB l_ 4 - I r )
ZONING
BUILDING PERMIT
OWNER r-
to{
``
TELEPHONE
,�
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING R S
, tl . T ( '
�• L
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ ( -'
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS �f
`i �A i.
Energy Plan Checking Fee
$
PERMIT FEE
$ Ld r/ . ( 71
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
f �-' , -f
SF ❑ Duplex ❑ Mobilehome Q Other ri Ci7 c ! OC} �r `14-f—
SPECIFY
Each Trap
7.00
Solar or heat um water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel Utilities ❑ Installation ❑ Other ❑
Describe Work: � \. `. + { ��[ r �� It' l .
' ( 1 d (
i. ,_� 1 r \ 1 F'' , ,[ i (l}(l.k
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE
S
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service "oA 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 Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law f r the following reason:
V1, 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 +000A•
46.00
NEW CONST. DWELLMKi OCCUP.
OR ADDNS. ( a ACC. BLDS.
SO
3.5¢FT.
r,Dµp�,p ' MULTI.OUTLET
Qa 7,50
POWER APPARATUS
a SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES
s20 I:So
Ex. Occup. o�xTLE�oSA R OE
D.A.
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirina
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 permitis issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
/ of one hundred dollars ($100) or less.)
Er 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 f I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Ga
X_ter /'/ •�'� Date �� i" n�
Signat e o Applica - fYOwner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
fr ;
CONST. TYPE
"L TOTAL FEE $
HA2.
_
D. FE IMP
t�c-
FLOOD
COF
PARCEL
Po
HD
SSUE.
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By % rJ
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date ! 1
08
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE .
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541; .
CORRECTION NOTICE
-54i:;, I l e, - yo - OOL7
OWNER PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
3) 1--m ei� ' ev a 4 t P7" rZ /,.,v -e
I
4:0 e-> L 4-
x
7
'ACOUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
V+
7 County Center Drive • Orov.ille, California 95965 • Telephone (530) 538-7541 PERMIT O.
(Rev. 12/96) APPLICATION AND PERMIT C,d0 --Ol
ASSESSOR PARCEL NUMB _ 53
ZONING
BUILDING PERMIT
OWNER
T ELEPH ONE
5� 5
SO. FT. OCC. BUILDING VALUATION
p.00
. R T • i7
OWNERSCcn
4-dkt
(!��
CONTRACTOR' NAME _ E ' �+ `+
TELEPHONECONTRACTORSS7\MAILING
ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee s a
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
n
BUILDING ADDRESS 3 3 ^✓(lSa4/l.nVnlik
Energy Plan Checking Fee $
$
PERMIT FEE $ L44,
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehomex OtherWater
sPEDIFv
Each Trap 7.00
-
Solar or heat um water heater 23.00
piping 15.00
Each gas water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel V Utilities ❑ Installation ❑ Other ❑
Describe Work: U`/ 1.
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home ISI GI W @20.00
PERMIT FEE $
ELECTRICAL PERMIT Fling Fee 20.00
Main Service 200A OR IESS 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 Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Lar 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 OCCUR 3.SQ So.
( Fr.
ORw
CONST.
MULTcou�rLSEr
N ZRESIp, C 97.50
POWER APPARATUS
a SINGLE ourLET cIR.
.00
Ex. OCCu OUTLET OR FDRURES SAL @ I. 0
Ex. Occup. GF"uT,' AE�sIp °FRn 5.00
Tem 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
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
eof one hundred dollars ($100) or less.)
l 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
fort th omp with th a pr visions.
X _ Date 1-13-00
Signat re o Applica t - Owner ❑Contractor 13 Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEIE $
Mobile Home Installation Fee $
Energy Inspection Fee $
p� cCONST. TYPE
/� 3 F,LQJ TOTAL FEE $
HAz.o
_
FE IMP
_
FLOOD
COF
PARCEL
PD
HD
LSSU
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.
By Date
PERMIT EXPIRES ON113 -o*001
ate
Receipt No. Qgn q3,9L
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
z
v
OWNER -BUILDER +VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary delay
in processing and issuing your building permit. No building permit will be issued until ' this
verification is received.
1. I personally plan to provide the jor labor and materials for construction of the proposed
property imp pave :YES NO O
'2. I HAVE HAVE NOT ❑ signed an application for a building permit for the proposed work.
3. I have contracted with the following person. (firm) to.proyicje.the..proposed constluctjon.
NAME: u.
ADDRESS: CITY;. .
PHONE:
CONTRACTOR'S LICENSE NO.
4. I plan to provide portions of this work, but I have hired.the following person to coordinate,
supervise, and provide the major work:
NAME:
ADDRESS.-
PHONE:
DDRESS:
PHONE:
CITY:.
CONTRACTOR'S LICENSE NO.
5. I will provide some of the work but I have contracted (hired) the following persons to provide
the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
j� PROPERTYOWNER:
_ -lid
i SOCIAL SECURITY NUMB
,>�ATE: / -- 13 - v o
NOTE: This Owner -Builder Verification is required by Section 198.31 and 19832 of the
California Health and Safety Code. This verification must be completed and
returned to our office before we are permitted to issue the permit.
OVER
OWNER BUILDER INFORMATION
Dear Property Owner:
0 3 —Bz-- l
An application for a building permit has been submitted in your name listing yourself as the builder of propeity
improvements specified.
For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such
a permit. Building permits are not required to be signed by property owners unless they are personally performing their
own work. If your work is being performed by someone other than yourself, you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have*a business
license from the city or county. They are also required by law to put their license number -on all permits for which they
apply. -, _.
If yot pled to doyour own worlr, with die exception of various trades that you plan to subcohtracE you should
be aware of the following information for your benefit and protection: '
♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including -materials
and other costs) is 5300 or mon for the entir�e.project, and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security. taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to worker's compensation insurance.
♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and,
if you wish, the U.S. Small Business Administration). For more specific information about your obligations under
State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License Board in your
community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you
are aware of these matters. The building permit will not be issued until the verification is returned.
rely,
Mic el C. Vi ira, C.B.O.
Ma ger, Building Inspection
NOTE. This Owner -Builder Information is required by Section 19830 of the CaWornia Health and Safety Code
OVER
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042-340=153-. PERMIT#9942863
`. STALLER; Richard M. r i;
3338 Bay Ave . , Chico''
t Cont: McMichael Electric
Relocate `& Upgrade,Ele,Ser/SF`s
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OFFICE COPY.,
Address +-
GAS
Meter By Date
ELECTRICS
Meter By Date
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OFFICE COPY.,
Address +-
GAS
Meter By Date
ELECTRICS
Meter By Date
.. - 5',i
OFFICE COPY.,
Address +-
GAS
Meter By Date
ELECTRICS
Meter By Date
.. - 5',i
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND -PERMIT
ASSESSOR PARCEL NUMUM 3
ZONING
BUILIDNG PERMIT
OWNER , ,
TELEPHONE q R 4
��-/ `�(
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING �C7DRESS, �A /; /'�
1! 6.
CONTRACTOR' NAME
TELEPHONE
COWRACTOhs MAW DRE 5
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDINGADDRESS
6AA
Energy Plan Checking Fee
$
_3338
$
PERMIT FEE
$
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SFA Duplex ❑ Mobilehome ❑ Other
SPEC
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Udli6es ❑ Installation ❑ Other ❑
Describe Work: III-- % ��� �Q,
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
920.00
PERMIT FEE
$
zott � (A) 6110
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service zo.A OR LESS
1 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 Lic. No.
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 zooA TO 1000A
46.00
NEW CONST. DW EWNG OCCUP.
OR ADDNS. ( a ACC. BLDS.
s0
3.5¢FT.
NOR°E.RIO MULTI -OUTLET
97.50
PSOWELER APUTLETPARATUS
a
INGOCIR.Ex,
Occup. OUTLET OR FDRUREs
BAL°':50
Ex. Occup. DUXn.EDs Aes o.°�
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirino
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 permitis issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
/of one hundred dollars ($100) or less.)
f/ I certify that in tie performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those rovisions.
% I
X i .r i Date 12 -2?_ "�%�
Sign$tdr f A pli ant - ❑ Owner ❑ Contractor ❑ Agent
An O&A permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height. /
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
j� ,
CONSTTYP
TOTAL FEE $ 43,�
T��!Ed
IMP
I FLOOD
I CDF
PARCEL
I 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.
By 0l,1 Date /7-11
PERMIT EXPIRES ON / Z ' 7 7 �IXX-•�
Date
ReceiptNo.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OFDEVELOPMENT SERVICES - BUILDING 91VISION
w * 7 County Center Drive • Orovi'IIe.Califca'nia 95965 • Telephone (530) 538-7541 P
I P RMIT No.
(Rev. 12/96) APPLICATION AND PERMIT (",,/y%
PE
ASSESSOR PARCEL NUM,�Rc ^ _ r'.D _ 3
V `id
ZONING
BUI NG PERMIT
OWNE
-M
,,`
T�"oma.,=
SQ. FT. OCC. BUILDING VALUATION
SQ.
.OWN 5 gITNRES8 WA
COMRACTOR'
Me-
E
PCI
TELEPHONE
CONTRACTORS MAIUPX ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Flin Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS -3338
Energy Plan Checking Fee
$
PERMIT FEE
$
LAT NO.
SUBDNISIONSNAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SFA 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: `
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Filing Fee 20.00
LES
Main Service 2o0A0V OROR LESSS
( 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 LIC. No.
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.
WI, 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
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
he above sections need not be completed if the permit is for work of a valuation
one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that f I should become subject to the
workers' compensatio provisions of section 3700 of the Labor Code, I shall
fo i coroply with rovisions.
X Date 0 Z2 '71
Sign f Appli ant - ❑ Owner ❑ Contractor ❑ Agent
01 An OtHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( a ACC. BLAS.
SO
3.5¢FT.
NON-RESID. MULTI.OUTLET 97,50
POWER APPARATUS
a SINGLE OUTLET CIR.
EX. OCCU OUTLET OR FIXTURES BAL 0 1.50
Ex. Occup. DUTLEEDTS RD °EA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wirin 23.00
PERMIT FEE $ .01)
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
noc
I`
Co T. TYPE TOTAL FEE $ 143,00
HAZ.
D. FEES IMP
FLOOD
COF
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.
By Date
PERMIT EXPIRES ON
I Dela
ReceiptNo. kE46,AD
WHITE.D.D.S.-B.D. CANARY -ASSESS INK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
A. 7 County Center Drive • Oroil%ills;. 6ali o.rnia 95965 • Telephone (530) 538-754h,, PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT �/fa&�_s
ASSESSOR PARCEL t6q
,OI�, M0453
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
5 FS
SO, FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS ^ ^
CONTRALTO R'3 FC
TELEPHONE
CONTRACTOR11 MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation Is
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
SUILDINGAODRESS 133 ��JCL^
�J� Ik•.J�
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SFX Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Tre
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:
D
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I GI W 1
920.00
PERMIT FEE $
t,t I�GVC
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service p OR LESS
23.00 2-5 6p
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
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 OOCUP.
OR ADONS. a ACC. S.
SO
3.5¢FT;
NON-R°ESID MULTI-OURANCH TLITS ET
@7.50
POWER APPARATUS
& SINGLE OUTLET LIR.
EX. Occup. OUTLET OR FD(TUREs
BAL
Ex. Occu . D � C13 APESID,°�
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirina
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
Policy Number
(The above sections need not be completed 0 the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X Date
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0° deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEI: $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $
HAZ.
I D. FEES IMP
I FLOOD
COF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
By Date
PERMIT EXPIRES ON
provisions
to do work
paid.
ro
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT
;:F �?rz"�r�iK.r'�.^rsy4 .dc».c'.�.*q .,-.;7i'"Tt"`"..., '!"A '" Z'io '.�.�,;.y'S".,, -�„� n rw.;.�.r�a �l"s.'"�'+��nYr�rq�.. ..�+s,::+v"; i. k:sy. �:.i�YwY,w•�;t�
}}vi 042-340-153 99-2593
CARLSON, ALICE
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT yy"
ASSESSOR PARCEL NUMB ' 39
0- S 3
ZONING
BUILDING PERMIT
OWNER / f
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAIUNG ADDRESS
r li
CONTRACTORS NAME L_
r t, k o 1til L ^'1
TELEPHONE
r
CONTRACTORS MAILING ADDRESS
5( 11 ii,,Q
CONSTRUCTION LENDER
Fireplace
LENDERS MAIUNG ADDRESS
Total Valuation $ 1 �j.a )
. 0
ARCHITECT OR ENGINEER
LICENSE NO.
—Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS HARING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS 3*
.J( ILD
Energy Plan Checking Fee
$
$
1
PERMIT FEE
$
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
r
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE I
SF d Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: ,' `_�i ,
rl
'0I f2
—�
Gas piping system 1 - 5 outlets
15.00
Buildingsewer
15.00
Mobile Home I S I G I W
920.00
PERMIT FEE
S
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service '.."A 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 th Bu i ss and r fessions Code,
and my license is in full force and effect. L14-11"POWER
License Class r of Lic. No. G/� «i" (/' r `�
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
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.
�3 I have and will maintain workers' compensation insurance, as required by Section
�1 3700 of the Labor Code, for the performance of work for which this permit is issued.
1 My workers' compensation insurance carrier and policy number are:
Carrier , , I / ' - - w s✓
Main Service TO
46.00so
CCU000A
NEW CONST. DWELLING OCCUP.
DWE200ALLING
OR ADONS. ( a ACC. BLDS.
SO
3.50FT.
NEW CO MULTI -OUTLET
NON RESID. '
97.50
APPARATUS
a SINGLE o aR.
OR REs
Ex. Occup. OFIXEDA
20 ® 1 .00
BAL .50
PLNS.UTLET
Ex. Occup. OunFrs REBID.) E
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
$
MECHANICAL PERMIT
Filing Fee 20.00
Heating
—Cooling
Hood
6.50
Ventilation
PERMIT FEE
S
Policy Number 6,4 )C15 —7 ")
(The above sections need notbe completed if the permit Is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 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 // / Q�
X %i ( (.I4i_ �. Date � � 7
Sig6ature of Applicant - ❑ Owner ❑ Contractor IP Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee + .t
$
Energy Inspection Fee $
occ
CONST. TYPE
Uhl TOTAL FEE $ r 3 .D()
HAZ.
D. FEF�S IMP
t/
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.
r 9 /
By P G i �I i Date //• 99
PERMIT EXPIRES ON �� /e_1,
I Date
Receipt No. %){l-,1 -) -4
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
i
0,
I
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, CaiifornM_ 95965 . Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT C%q
ASSESSOR PARCEL NUMBF$U ^ /) (' 0^
J �1I
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
a
OWqW,44 M(ULING ADDRE
CONTRACTORS NrTELEPHONE
CONTRACTORS MAI N DRES V ^
Y
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
Q
ARCHITECT OR ENGINEER
LICENSE NO.
—Fling Fee
$ 20.00
Permit Fee
$ 33-00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
SIILDINGADDRESS 333<3 baq Cie.. I up
Energy Plan Checking Fee
$
$
PERMIT FEE
$ S - 0()
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Feel 20.00
USEOFSTRUCTURE
SF )( Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel 0 Utilities ❑ Installation ❑ Other ❑
Describe Work: C7y`� ��QLiy pL��(.
Gas piping system 1 - 5 outlets
15.00
Building sewer
Mobile Home S G W
PERMIT FE
ELECTRICAL PERMIT
20.00
EMI
Main Service 2001 OR LEOR SSLICENSED
CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
(commencing with Section 7000) of Division 3 of th Bu n rofessions Code,
and my license 's In full force and effect. (/
License Class Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ 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.
❑ 1, 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 TO
WEE200A
CCU000ANEW CONST. DWELLING LDS.I
Norrs
Muicrco�LtT9
NON REs10CU
POWER APPARATUS
6 SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FD(TURES
20 Q 1.00
BAL o .50
Ex. Occup. GPu R'Ip,OEA
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:
0 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' gogensation insurance carrier and policy number are:
Carrier 1/ J G/c.�r-�.v-re✓
Policy Number _Id C' -" e76 -7
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith, comply with those provisions.
X (9 _ Date _/J
Signature of Applicant - ❑ Owner ❑ Contractor agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
2-3
CONST. TYPE
1W TOTAL FEE $ 53 -b0
HAZ. D. FE 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
indicate bove for which fees have been paid.
By Date /d- �9
PERMIT EXPIRES ON
Date
Receipt No. C2,9777 77
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-45411
APPLICA'ION AND PERMIT \
ASSESSOR PARCEL NUMBER..
ZONING
BUILDING PERMIT
OWNER -"
Wallin I'
TELEPHONE
_
:� " J
SO. FT. OCC. BUILDING VALUATION
C {Sq.JrSix-1XI4I ,OfP.DO
M.50
ADDRESS
OWNER'S MAI=LIINNG ADD
33JU bay AvPnue, Chico, Pa.
s sq but "t -up
CONTRACTOR'S NAME
Si prrH Rnnf i n rn nA y
TELEPHONE
,
CONTRACTOR'S MAILING ADDRESS
V f;_ Rn 1i? (' ra
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
�' ,•� / 1 ,
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 33.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
1-11A RAv Ahpnt rp rhirn. rA,PLUMBING
Permit fee
$
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
A SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G W
10.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work: ��+ rn �n�ei�, anr{ ?^. ►},i +
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 am licensed under provisions of Chapt. 9, Div. 3 of the Bushes$
and Professions Code and my license is in full force and effect.
License No.paQ ..�..�npo�r!' L•
$'`"��"'-0--^'��'�Classification -��-
EJ 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 OCCU1.5d
OR ADDNS. ACC. BLDGS. , /20Sgft
NEW CONSTR. MULTI -OUTLET 2,50 ea
NON.RESID BRANCH CIRC ITS
/POWER APPARATUS tri
(SINGLE OUTLET CIR. /
zoesoe
Ex. OCCU OUTLETS OR FIXTURES IsAL@30
p
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.
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
against said County in consequence of the granting of this permit.
n
X Date ,_�5-86
Signat;rre 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 $
OCCUP.
CONST.TT P!
I
IFLOODIPARCELI
PD
HD'
`I39UE
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
//,,
By /� ;�s ff-r Date ` 1 �-✓�/
PERMIT EXPIRES Date � f "le 7
r %/ If
Receipt No. I
WHIT!-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, Califo.uniq, 95965 - Telephone 916/534-4541
APPLICATI N-AN5 PERMIT
P R IT NO.
ASSESS R A=C MBER,
(
ZONING
BUILDING PERMIT
OWNER
Wallin Carl-gon
TELEPHONE
-
SQ.FT. OCC. BUILDING VALUATION
sq. —R-11, 1. x m p -ompo
OWNER'S M{�J,L.fp{G IayDR�venue, Chico, Ca. -
3330
s ui u
q - P
CONTRACTOR'S NAME
TELEPHONE
'
CONTRACTOR'S MA ING A DR SS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$ 33.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
,E.'
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
SF ❑ Duplex❑ Mobilehome❑ Other
xx SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home JSFG W
O.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑
Describe work: 23 sq COMPOSitigA aAd 3 Sq. built P _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 1000 AMP ORSLESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I[X. 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. 4Qf2>4�vvv7Q�OS2A /Classifications
`szcr�c-sc7cic�cr= 7v�-
❑ 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.N) +/zQsgft
OR ADDNS. l ACC. BLDGS.
NEW CONSTR. MULTI -OUTLET 2,50 ea
NON.RESID BRANCH CIRC UITS)
POWER APPARATUS S
SINGLE OUTLET CIR.
Ex. Occup( OR FIXTURES 20050t
eAL030
FIXED A P P L N S. O R \
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.
dj I have placed on file with the County of Butte Building Department
�1 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
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 accguq,
against said County in consequence of the granting of this permit. ('(
X Date 4-25-86
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 $
,,11
iTcJTA PtRMIT FEE $ AQ rr)
OCCu P.
.CONST.TYPE
�{„f;,3
F.
PARCEL
PO
HD
ISSUE
„
ThiS permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRE F PUB
B
PERM EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
ORKS
Date
Receipt No.
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR; GOLDENROD -APPLICANT
L_
98616 9 HdV
m mom :4o •moo
_-Iolu
4L
98616 9 HdV
m mom :4o •moo
_-Iolu