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HomeMy WebLinkAbout042-370-044/,-7//7,6A.P. 42-37-44 ST. CLAIR CONSTRUCTION CO. 18 Quista Drive, Chico, Lot 44 Permit 1261-74B,P,E,M (New single fam. 042-37-6-044,. 99=2125 B MADRIGAL Orlando , IWIY94.19.-07-60 18-Quista Dr, Chico .ContR: RRR . Roofing (reroof-/S-F) 1306-2674'''-"" 042-370-044 'MiISCELEANEO'US-Fi,re'pl�ce'/Wood Stove --WOOD STOYEWERJ INTO EXISTIT 18 QUISTA DRI;l� . 1; X1-0[ AGUILAR, SHIELA & BENNY Y 11' '2eeoa� 'R�' /I u 3-70 a "' N � M � .� �� V -I G-2 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CARD 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website:www.buttecounty.net/dds Permit No: B06-2674 Issued: 11/16/2006 Address: 18 QUISTA DR CHICO APN: 042-370-044 Permit Subtype: Fireplace/Wood St( Owner: AGUILAR, SHIELA & BENNY Y H Applicant: AGUILAR, SHIELA & BENNY Y H Description: WOOD STOVE INSERT INTO EXISTING FIA MUST BE ON JOB SITE JOB SHALL BE READY PRIOR TO CALLING FOR INSPECTION. THE INSPECTION CARD AND APPROVED PLANS MUST BE AVAILABLE FOR EACH INSPECTION OR THE INSPECTION WILL NOT BE MADE AND A RE -INSPECTION FEE MAY BE ASSESSED. ALL PLAN REVISIONS MUST BE APPROVED Y THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Roof Nail 129 Shower Pan/Tub Test 408 Fire Sprinkler 702 Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Gas Test 404 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Project Final 801 2-2 PERMITS BECOME NULL AND VOID 1 YEAR FRO HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION --6rF46?,_4,4^ v FF 6 f. c /afr� Inspector Copy BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 18UISTA DR Q Owner: Permit No: B06-2674 APN: 042-370-044 AGUILAR, SHIELA & BENNY Y Issued Date: 11/16/2006 By TMP Permit type: MISCELLANEOUS 18 QUISTA DR Subtype: Fireplace/Wood Stove CHICO, CA 95926 Expiration Date: 11/16/2007 Description: WOOD STOVE INSERT INTO EXIS (530) 566-9829 Occupancy: Zoning: AR Contractor Applicant: Square Footage: RELIANCE PROPANE SERVICE INC AGUILAR, SHIELA & BENNY Building Garage Remdl/Addn P O BOX 917 18 QUISTA DR PARADISE, CA 95969 CHICO, CA 95926 Other Porch/Patio Total (530) 877-0799 (530) 566-9829 FEE INFORMATION Fireplace - prefab/metal $110.00 Total Charged: $110.00 Fees Paid: $110.00 Balance Due: $0.00 Receipt No: B900 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License RELIANCE PROPANE SERVICE 734318 / / Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed 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 pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 11/16/2006 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's Signature Date ❑ 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 WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by 1751f1 I. AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED ONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Cartier: Policy Number: Exp. Date: (This section nee is not a completed if the permit or one a hundred dollars ($100) or ess. ❑ 1 AM EXEMPT under Section B. & P.C. for this reason: 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 Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 11/16/2006 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. 1 X ^^ 11/16/2006 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature U Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused by, arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or authorized o act on the property owners behalf. CONSTRUCTION LENDING AGENCY 11/16/2006 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] 45rmtSKpkq SV y' Date the performance of the work for which this permit is issued. (3097 civ. code) MOwner EJContractorOR. Agent for Owner Agent for Contractor FILE COPY Lender's Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND' SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name v`G i irst &ilie Y): Mailing Address City c �r'� ; 0 State ex -4 Zip Ci 59,� (D Phones (OU �l $ a q Fax E-mail SLOP—e—k SLve ko, 0 S C Gl 1. PkA APPLICANT INFORMATION CONTRACTOR Name w a G Address C'� c� Cit% ;S e_ Fax State C4X Zip Pho Date Approved: Fax E-mail SMIP L' # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City CA� cz Address Zip iiCa b City Fax State Zip Phone Date Approved: Fax E-mail SMIP State License Number APPLICANT INFORMATION Name v�\ r Address `4, QQIISKG �)'f City CA� cz Stat Zip iiCa b Phone5�,U ,, a Fax E-mail Su.}Q,e—k @ 5$C \ck 4 v APPLICANT SIGNATURE X On For office use only: Zoning Flood Zone SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BIN # PROJECT LOCATION tyl 2_6 s ProprSj�Addres ?� ` l Gti C' Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit 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 renew action 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. c Received by: I v Amount: �� Bldg SRA Receipt #: Sheriff SMIP Date:,��� �� Other `� Total __ _ +, w � �- ..,....n. •�. .�r�an-> iT�.'.�Ti/'�rTia`_+.^'moi .. -=f..- . _ .. r .- .-�.. , f 042-37-0-044 99-2125 B Y MADRIGAL, Orlando 18 Quista Dr, Chico ContR: RRR Roofing (reroof/SF) ,o. 4 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ' t 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541. PERMIT NO. (Rev. 12/96) APPLICATION AND PERMITS ASSESSOR PARCEL NUMBER�� ��V '` O 7 1 ZONING �`+ ' BUILDINGPERMIT OWNER ^ TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAULING ADD SS CONTRACTORleA,7 t C C/ TELEPHONE 4 CONTRACTORS MAILING AD DRVS .� S, y�.• CONSTRUCTION LENDER NDER'S MAILING ADDRESS Fireplace Total Valuation $06 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ (� ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS '��-�.� Energy Plan Checking Fee $ $ PERMIT FEE $ eo V LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF IV Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water h ter 23.00 Water piping 15.00 Each as water heater or ent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ` �tll r11 -P 4 ', �_�r 1. /E.� i<%► I .� ` Gas piping system 1 - 5 Xutlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 OR LESS Main Service zoOA"OOV 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 m license is in full force and effect. �j ../ License Class Lic. No. -7 1 T ✓!� r OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, 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 46.00 NEW CONST. DWELWEE-LNJG OccuCCU p.sG OR ADDNS. ( & ACC. BLDS. 3.5dFT. N CONS MULTI.OUTLET =RESID,H CIRCUITS 7.50 POWER ApUTLETus a SINGLE ourLEr c Ex, Occu OUTLET OR FDCTU x'.00 �L so Ex. Occup. ODUT�iSRal . EA 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: ❑ 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' 9ompfnsatio ^i0surance arrier and policy number are: Carrier 'i Policy Number (The above sections eed nbt be completed ifthe permit is or 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 workeis' compensation provisions of section 700 of the Labor Code, I shall forthwith com with th provisions. / ' X4 Date �� Sign ture of Appli[w Owner Q Contractor ❑ A' nt An OSHA permitis re Ired for excavations over 60" deep and demolition or construction of structure over ories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCcNST. 2 . TYPE / ! �� TOTAL FEE $ (D J . �Q HA D. FE IMP . _ FLOOD CDF w PARCEL _ Po HD ISSUE Y 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. p , By T) i/%LX.(1' -..�L Date ��' PERMIT EXPIRES ON �5 -,ODUU I Date f .3q X 4— ReceiptNo. Q 7 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES i 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE 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. a 1-0 u -,ol fir' h ea 4i r- Date InspectorfC,T�A REV 10/12 r T COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541, PEM N (Rev. 12/96) APPLICATION AND PERMIT y' � YM/ ASSESSOR PARCEL NUMB ZONIN BUILDING PERMIT OWNER TELEPHONE -3� SO. FT. OCC. BUILDING VALUATION v NG AD SS 'a • OWNERS MAILI� W 1• CONTRACTOR'jtr� R TELEPH S E CONTRACTORS MAILING ADDR S CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 00 ARCHITECT OR ENGINEER LICENSE NO. Flinn Fee $ 20.00 Permit Fee $ q6 . 00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS . Energy Plan Checking Fee $ $ PERMIT FEE LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 1 20.00 USEOFSTRUCTURE SF j� Duplex ❑ Mobilehome ❑ Other • ` SPECIFY Each Trap 7.00 Solar or heat pump water hq1ter 23.00 Water piping 15.00 Each as water heater or ent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ublities ❑ Installation ❑ Other ❑ Describe Work: !ALP-1,0-M 3(a JsQ Gas piping system 1 - 5 utlets 15.00 Building sewer 15.00 Mobile Home I S 1 9 1 W1 @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 a00VOR LESS 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 the Business and Professions Code, and my license is in full force and effect.�j �j ?.�'� License Class Lic. No. 7 I 7 t1✓ I 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. ►1 have and will maintain workers' compensation insurance, as required by Section Y 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' omp nsatio surance arrier and policy number are: Carrier Policy Number (The above section eed of be completed if the permit is or work of a valuation of one hundred dollars ($100) or less.) 131 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' Compo sation laws of California, and agree that if I should become subject to the wo e ' compensation provisions of section 700 of the Labor Code, I shall f h Ith com ith provisi X Date ' ` Owner Contractor ❑ A ent Sign a of Appl'rtories An OSHA per is rr excavations over 5'0" deep and demolition or construction of structure Ove height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELUNG OCCUP. SO OR ADDNS. ( a ACC. SLDS. 3.50FT; NEW CONST. MULTI -OUTLET NON-RESID. CIRCUITS 97.50 POWER APPARATUS a SINGLE OUTLET C EX. OCCU OUTLET OR.00 FDRU BAL @ 1. 0 Ex. Occup.OUELETsR� EA- 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEP- $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ12mT 2_ TYPE / TOTAL FEE $ (D 5 n� D. FE IMP FLOOD CDF _ PARCEL pp HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicate above for which fees have been paid. n /�. eyDate i PERMIT EXPIRES ON 1 —c9OOO (Da te Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT � I , HERMIT N0. 1261-74B,P,E;- ` P E M I UTIL. _RMIT NO. PERMIT EXPIRES )WNER St. Clair Construction Co. 'ONTR. Owner _OCATION (A.P. 42-37-44 18 Quista Dr., Lot 44, Chico { u - • i Temp. P�ower Pdle Ca,l, ed PG&E TeW EIec. Serv. Called PG&E emp. Gas Serv. �' 2- /F 74 Called PG&E z -V _ JOB FINALED ([Da P (Signature) r QOUNTY OF BUTTE — DEPARTMENT SOF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback v/ Firewall Soil Piping - 7 Forms T Parapets list Floor Main Bldg. Restroom Finish 10— 2nd Floor Footings - G - %Q Windows -:74 3rd Floor StemwaIl _ - Siding 7-2 4-V To out - Slab Roof Sheathing - %�� Water Piping— - Piers Roofing Sewer Garage Fdn. Vents Fixtures t oZ �% Footings -- - Garage Vents Water Htr. - Z - Stemwall Slab 4.'_ ¢ Z Prov. for physically handicapped �� Heaters Appliances Carport Footings Conformance of ex. _ structure Gas Piping & Test - 2 1; Temp. Gas Slab Final / -'o Sanitation Patio FIREPLACE Final Footings Footing - /)- - ELECTRICAL Masonry Walls Throat — L - Rough 4Z- �- ` Reinf. Steel Final Z - Fixtures - Bond Beam FIRE SPRI. KLERS Motors �— Framing iQ --7 Test Water Htr. Stucco Final Subpanels �--�- Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish--------- Ducts lam- rr - Underground Interior Lath Ventilation Permanent Door Closer - Z % Final _ (- Final ®��J DATE }} REMARKS �OR CORRECTIONS / f (fir /-0 Cit � 4 A43o� IA7 OK To r 4- Y CO,UNTYjOF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT BUILDING Ownerr it;.- SQ. FT. OCC. BUILDING VALUATION . Q Mailing Address � elep one Fireplace Contractor f9 WeTotal Valuation Mailing Address Permit Fee Tlephone No. Plan Checking Fee &/or Penalty e $ C Permit Fee $ Building Address hs PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 i () ZX p 11- 6.41e 4f Each gas water heater or vent 1.50 A. P. No. ��- Gas piping system 1 - 5 outlets 1.50 Zoning & Planning Each additional outlet .30 F Sa ' op Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Parcel Parcel Ma 60' R/W Im rovemis Lawn sprinkler system 2.00 /Plans Declaration P P e g. Plans Recd Parcel Approval Plans pproval Permit Fee $ $leis NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Q Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (mo than 12) Single Family Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bai 10 R ., swi s & fix u lets b_olalo 40, CONTRACTORS LICENSE LAW Hood, Ex. Fan or F. -O/ Furn. for 1.00 I am licensed under the provisions of Chapter 9, Div. 3, of the Evap, coo er, gar. disp. or .W. 1.00 State of California Business & Prof sions Code unde a name Air c9i6itioner or heat pump style of Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 1 am aware of the provisions of Section3700 of the California Labor Heating Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Cooling �-- 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 Ventilation so as to become subject to the Workmen's Compensation Laws of Hood 2.00 California. $ $ �l Permit Fee 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 i'ding construction, and hereby authorize representatives of th Mte e to enter upon the above enti/o�n'ed proper y for i p s.17 ,/ X�/J r� 1 —1 Signature o er tee or Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant TOTAL PERMIT FEE $ (J 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 Date4e- 7-e - 7 uilding permit expires Date .....................0-7J