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Home My WebLink About042-350-0060 R - A.P . 42-35-6 - RICHARD GAVRANICH 1930 Oak Way, Chico STRE CONTR: Novak Const., Chico _WN =;L;Z= Permit 644-73B,P2EM � N f4L (new single family o / 42-35-06 Cont:,. Sierra Roofing Co. .� LOT BLOCK SUBDIV. - 7Permit +. #2713=88B(reroof/SF'�" L _ TYPE OF PERMIT NO. PLAN NO. DATE ISSUED PERMIT - REMARKS -., . -`, 95-1993 B'.., 042=35-0-006, ,; s GAVRANICH, _Kathryn 1930. Oak Way, Chico & deck)_Ely Roofi'h*t '(reroof /,shop 9 U -USE PERMIT TV - RADIO -TV ANTENNA V - VARIANCE S/W-SIDEWALK NOTICE S_ SIGN PERMIT i 1. A ul� d I " PERMIT DESIGNATION: B -BUILDING DEPARTMENT OF r P -PLUMBING T -TRAILER BUILDING AND SAFETY E -ELECTRICAL U -USE PERMIT TV - RADIO -TV ANTENNA V - VARIANCE S/W-SIDEWALK NOTICE S_ SIGN PERMIT 1 HM -HOUSE MOVING EP -ENCROACHMENT D - DEMOLITION 600.1 N INSPECTION RECORD BUILDING APPROVALS f w III a Z Z O OU11= Ffa UU 0 Z J 0 Z UJ rcW Z y _ W C D Z < LL O rcF W a z O 0:a III I -f J Ow �� W y �a Ow I �� W N ~X� W a W mU U O 0M U tWQ7< K �� W g d Ij, Z u SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DANE SIG. DATE SIG. DATE SIG. DATE SIG. DATE PLUMBING APPROVALS PERMIT NUMBERt SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG_. DATE ROUGH -IN GAS PRESSURE TEST WATER PIPING SEWER LINE APPLIANCES It VENTS FINAL ELECTRICAL APPROVALS PERMIT NUMBERS SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE ROUGH -IN FIXTURES & APPLIANCES METERS FINAL MISCELLANEOUS APPROVALS PERMIT NUMBER: DESIGNATION SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE 11 PERMIT,NUMBE�R — B 6/1,.-73B,F E,M �. P 1\j PERMIT EXPIRES C ` OWNER Richard Gavranich k' Novak Con9t.,..Chico CONTR•:. . LOCATION (A.P. 42-35-6, ) 1930 Oak`• Way, Chico b i r ,t t v • a' PERMIT,NUMBE�R — B 6/1,.-73B,F E,M �. P 1\j PERMIT EXPIRES C ` OWNER Richard Gavranich k' Novak Con9t.,..Chico CONTR•:. . LOCATION (A.P. 42-35-6, ) 1930 Oak`• Way, Chico b i r ,t t COUNTY OF BUTTE' Department of Public Works ' r BUILDING FNSPECTION RECORD Zoning Setback - 2 �I`' 73 Forms Z g ? Foundation �� ' % �% - �-7� Piers & Girders 40f 7 ' Fireplace �fV, f�l Z Rgh. Plumbing Bond Beam -' Lath & Plaster Rein. Steel Gas Piping & Test Found. Vents Framing Plmg. Topout _ Rough Elec. 7 3 Wtr. Htr. Furnace �� Kitchen Vent^ Firewall Garage Vents Sanitation & Water ELECTRIC GAS BUILDING Temporary 4 Temporary Gert. of Occup. Final -,t7, "- 7i Final -_ � -� 0',�% �- � � Final � COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORD �3 7 County Center Drive Oroville, California 95965 Telephone: _ 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date -7-7-7-3 rw Signature ooffPermi eefoorr Agent �> Receipt No.10 7 .C2 Q — White-D.P.W. — Pink -Inspector — Gold nrod-Assessor — Yellow -Applicant 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. DIRECTOR OF PUBLIC WORKS By Date Building Permit Expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION ® L �Z_ an cro Mailing Address Z� Fireplace 6—,10 ' ContractorTotal Valuation (r 'Z/. U Mailing Address _ !C Permit Fee P I an Check i ng Fee &/or Penalty .•. S� Permit Fee $ $ Building Address, ` , (� PLUMBING No. @ FEE PERMIT FILING FEE $2.00 -),: •C_J Each Trap 13 1.50 6-0 Repair drainage or vent piping 1.50 Water piping... 1.50 Eaclfgas water eater or vent 1.50 / A. P. No. Z., ^' — to Zoning Gas piping system 1 - 5 outlets l 1.50 57415 Each additional outlet .50 Fire Zone Fire Dept. ` Sanitation Planning Building sewer 5.00 Plans � Fee4� W. � R/W Encroachment Lawn sprinkler system 2.00 NEW V ADDITION ❑ OTHER ❑ Permit Fee $ $ 4,37 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 S TG Main service incl. 1 meter p0 Additional meters, each 1.00 Sub -panel (12 or les (moretha USE OF STRUCTURE Single Family Duplex ❑ Others ❑ Range, dryer or water heater 1 1.00 ve oo top or space heater 1.00 O Light fixtures i.9 ps., swAt0es & fix o CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: %/<�^� &,,iexA T 6;f -W C0911724 Hot, E . Fan or F.A. Furn. Motor 1.00 co Evap. cooler, gar. ditp—or D. 1.00 2,00 Air conditioner or heat pum 4,®C7 Water pump Misc. wiring G License No. /V 9 9X77 Classification .1r7 — ❑ i am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ 6—v WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. IGt I have placed on file with the County of Butte a certificate of i� Workmen's Compensation Insurance. ❑ 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 the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 '�QB Heating _ dC� j;oa Cooling 4 n -7r4 Ventilation Z O Fee $ $ 11,715-0 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 jjPermit Ins rumentatti �'` a om1On $0.07/$1000 Evaluation $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date -7-7-7-3 rw Signature ooffPermi eefoorr Agent �> Receipt No.10 7 .C2 Q — White-D.P.W. — Pink -Inspector — Gold nrod-Assessor — Yellow -Applicant 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. DIRECTOR OF PUBLIC WORKS By Date Building Permit Expires Date .� •• T..r�•r-V.ti.r. a-, w,.r er .. �•,NT cS..... � y... f • .... .�P 7�'....m fYi EJ�•tN= !4w .T,sRav'�51.f � � i ' 1!'i:i c•`T•.!� � x^. �.ri.:6. � .., .�'�.:{S •v N'�ti �'k 4,w G w�y..M> -. .... %0.. .,M �-. �.. I _ 042= COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Califc'rhia 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT - ASSESSOR PARCEL NUMBER U42 -35U -U06 ZONING BUILDING PERMIT OWNER ..atnr n Gavranicn TELEPHONE 343-1'270 SO. FT. OCC. BUILDING VALUATION /�() 200 2 15 " OWNERS MAILING ADDRESS 1930 Uak wa Cilico CA 95926 200 7U CONTRACTOR'S NAME 11:1y 400iir►Y Inc TELEPHONE 343-76b3 CONTRACTORS MAILING ADDRESS 13291 Contractors Jr Cilico CA 95913 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 15 . UU ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 1930 Uak rid — Cill O PERMITFEE $ LOT NO. SUBDN ION'S NAME ' PLUMBINGPERMIT Filing Fee 20.00 Each Trap Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF d Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ ., Describe Work: remove rGD1acr roofirtd OVe'r shop 6t aec1C only HUT — 2 sqs Mobile Home IS I GI W @20.00 PERMITFEE S Contractor ELECTRICAL PERMIT Filing Fee 20:00 9U# -2 s q s Main Service a OV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 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 ip in full forcg and effect. i-14 t, -J9 6073d6 License Class r 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. ❑ 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. _. NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. ) So. 3.50 FT. UTLE NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 �'� �° EX. Occup. (ouTlFrs (REs,o.°FR.a) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE s Contractor 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. A'b► I 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 State t' wid MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number 36-146 (The above sections need not be 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. X A A/1 J.QJ D Lttj_ Date _o -lo -95 -_ Signatu a of Applicant'- ❑ Owner E] Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee $ ocC CONST. TYPE TOTAL FEE $ 35.00 HAZ. I D. FEES I IMP I FLOOD CDF PARCEL PD HO 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. B / ry Date/ //7 PERMITEXPIRESON �O (Date) Receipt No. 19 Qq -7 WHITE-D.D.S.-B0.. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - OrovillZ, California 95965 - Telephone (916) 538-7541 PER IT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 042-350-006 ZONING BUILDING PERMIT WNEthr n Gavranich 34HONE1270 SQ. FT. OCC. BUILDING VALUATION 200 260 OWNERS MAILING ADDRESS 1930 Oak Way Chico CA 95926 200 70 CONTRACTOR'S NAME Ely Roofing Inc TELEPHONE 343-7663 CONTRACTORS MAILING ADDRESS 13291 Contractors Dr Chico CA 95973 Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ 15.00 ARCHITECT OR ENGINEER UCENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1 30 Oak Way — Chien PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISIONS NAME PARCEL MAP Solar Or heat pump water heater 23.00 USEOFSTRUCTURE SF Nl Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other K, Describe Work: remove i< ren] are roof i nv over Shop & decd; only - HOT - 2 SqS Mobile Home I S I GI W 1 @20.00 PERMITFEE S Contractor ELECTRICAL PERMIT Filinq Fee 20:00 90# - 2 s S Main Servicea OR LESS ( 2o0A OR LESS. ) 23.00 Main Service ( 200A TO I000A ) 46.00 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 C —14 , C— 3 9 Lic. No. 607386 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. I 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 State Fund NEW CONST. DWELLING OCCUR so. OR ( 8 ACC. BIDE. ) 3.5{t FT. CNS. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER SINGLE APPARATOUTLET sUS ) 8 Ex. Occup. (OUTLET OR FIXTURES ) BAL Q �.5000 Ex. Occup. (oFIXED PR S D.) R 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor MECHANICAL PERMIT Filing g Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number 918-148 (The above sections need not be 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. X /I A _ Date _ 8=16-95-- Signatuke of Applicant - ❑OwnerContractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ 35.00 HAZ. I D. FEES I IMP I 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. Date fA PERMITEXPIRESON 9.0 1-7 (Date) Receipt No. 120 �% WHITE-D.D.S.-8.0. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT >•.,f.:,n `- ;,.s: �. v :tu"?. , ✓!w,�\^. F:y ,. -�✓ sus-y�,.�".,..;dw�.�ri.r'v�e"`t--"^�Ls-�y`..>;'�\^y.,v?'k ;N ,r„i �'�-. :ytiJ:.-�,:r"i`�,��v��•..:� .�y-� ��^-; "�,y::�. r. • ., �.�J jj r r u ✓ s �„ /Z/ • _ � V � -� �• 1 ' e L.V.. COUNTY OF BUTTE —DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 !•► , - 'f� APPLICATION AND PERMIT i (\ ASSESSOR PARCEL NUM R 4-0 -,4.(l ZONINGBUILDING PERMIT OWNER- - Cuvrani h TELEPHON zap_ a SQ. FT. OCC. BUILDING VALUATION rye „/y S 4 re O01C OF rearporch 450.00 OWNER'S MAILING ADDRESS S 9 QPIk la h C O N TRACTOR' S NAME Sirs rP nn TELEPHONE _1 f C O N T R A C T DR'S M At INP ADDRESS Pn Bnx % Fireplace CONSTRUCTIOf LENDER. UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 06 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ItJ-'v Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1 aan n t, t- Permit fee 7 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❑ MobilehomeQ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I GW 0.00 ea TYPE OF WORK New Q Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Q Describe work: Built-upf-t-n h ,(2,)hC h 1,C Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 10.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 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. 299844 License No. Classification C �-+ F1 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. OR ADDNS. 1 ( DWELLING OCCUP.a) ACC. BLDGS. ,h�sgft NEW CONSTR MULTI -OUTLET 2,50 ea NON.RESID BRANCH CIRCUITS) POWER APPARATUS e SINGLE OUTLET CIR. zoesoe EX. Occup OUTLETS OR FIXTURES SAL030 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 $ Contractors WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): 'Q The permit is for $100.00 (valuation) or less. )E]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. Q 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 Fili;Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ - Contractor - I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 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 t,�1,�u, Date R -17 -RR r Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 2o nn OCCUP. CONST*TYPIJ ISCIIOOLIILOODIPARCEII PD ND 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. f DIRECTOR'OF PUBLIC'WORKS i /� / i g Z. A ri7 , i /�!r/Date / M ly PE PERMIT EXPIRES Date ''. / Receipt No. � .: R WNITE-D.P.W.. YELLOW-ASOC38 . PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ��1��- ASSESSOR PARCEL NUhd.5jR I 042 ZONIN BUILDING PERMIT OWNBR— Gavranich TELEPH N 141-1.270 SO. FT. OCC.1 BUILDING VALUATION T72 sq reroof rear porch OWNER'S MAILING ADDRESS 1930 Oak CONTRACTOR'S ME TELEPHONE CONTRACTOR'S MAPLI NG ADDRESS PO Box Fireplace CONSTRUC TIO LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING -ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS - 1910 nak Way, Chico, Cal- 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[0 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[- Other ❑ Describe work: BUi It -Up {-meq), gbto-h �� rc Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service g00v 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 I am licensed under provisions of Chapt. 9, Div. 3 of the Business' 111��p and Professions Code and my license is in full force and effect. 299844 License No. Classification C 39 ❑ 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 OR ADDNST DWELLIN GOCCUP ell Y2¢sgft / NEW CONSTR T MULTI-OUTLE2,50 ea RA C CIRC S NON.RESID BRANCH POWER APPARATUS eI SINGLE OUTLET CIR. EX. Occup(OUTLETS OR FIXTURES SAL990 FIXED APP LHS. 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 Countyor� 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 conseque ce of the granting of this permit. , X �' Date 8-17-88 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 $ 1: TOTAL PERMIT FEE $ 2n ffl) occu P. CONST.T77 J.CHOOLJ.1I.O..J1ARC.LJ PD ND 1 ISSUE This permit is hereby issued under sions of the Butte County Code and/or work ind abovef6r ich#feehave IRECTUBLKS B PkAIIIIT EXPIRES Date the applicable provi- resolutions to do been paid. ~� Receipt No. WHIT[-D.P.W.. YELLOW-ASSCS3 PINK -INSPECTOR. GOLDENROD -APPLICANT r I and + 1 i