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042-600-006
042-600-006 00:0577 PAWEK, David cs-vv+A/ 2471 Guynn Ave, Chico �/ Reroof a a7• 042-60-0-006 00-0808 PAWEK, DAVID 3"lq- 0 2,471 GUYNN AVE., CHICO (2) SKYLIGHTS &'/2 BATH/WTRHTR 42-50-06 01-0436 PAWEK, DAVID 2471 GUYNN AVE. CHICO DI CONT: OWNER ENCLOSE BREEZE WY 042.600-006 02.3207 CAVANAUGH, CONNIE 1N ALE 2471 GUYNN AVE., CHICO 2-30 CONT: MCCLELLAND AIR NEW HVAC �� a,��_-4 --.- . - _,. --r. .�,'c•��•.i, ^�R�'WT-'v' ,T - �.Jt':r' �' 7�jf' '_"�I�y(r!�P7�/'/nT►r^ , ,� y IA/ 042-600-006 02-3207 CAVANAUGH, CONNIE 2471 GUYNN AVE., CHICO :1 CONT: MCCLELLAND AIR NEW HVAC k f i I , t t a 7 r COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P IT No. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 2 �� J ��/� / S4/• ZONING BUILDINGPERMIT OWNER CnmNils JA IA N TELEPHONE 7- fT gq, FT. OCC. BUILDING VALUATION OWNERS MAll11ADORESS� � . ` `//O M s CONTRACTOR'S NAME - A' TELEPHONE INE COM TORS MAILI�!Q f1DDRESS UAII:-:;Jl CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDINGADDRES$ (4 71 6 r I �/V vl �irr r Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNISION'SNAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF � Duplex ❑ Mobilehome ❑ Other SPECIFY I 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 0 tt❑ Utilities ❑ Installation ❑ Other% 1 11 Remodel Describe Work: �I>�(%/ FBF ! t 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 SS Main Service A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I 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. �� Lic. No. , , License Class 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. ❑ 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, DW ,"NO OCCUP. SO OR ADONS. ( a ACC. erns. 3.5QFT: =iC.0,DT' MULT,',ocu ET @7,50 POWER APPARATUS a SINGLE OUTLET C'R. Ex. Occup. aA0 @ 1.00 OUTIEr OR FIXTURES Ex. Occup. ouTLEEDTSA E=.) E 5.00 R Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 �3 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 erformance of the work for which this permit is issued. 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' compensatio�nsurance carrier and policy number are: Carrier � ,' )—V $,!PPERMIT MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling '3 Hood 6.50 Ventilation FEE $ Policy Number ''Y/ — (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 rovisions of section 3700 of the Labor Code, I shall forthwith compl with th=se provisions. Date f ! LIZ.. Signature @ Ap c nt - O Owner ❑Contractor gent An OSHA permit is required for excavations over 5'0" d, ep and demolition or construction of structures over 3 stories in height.`, Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP I FLOOD I CDF PARCEL 1 11, 1 HD 5 UE This permit is hereby issued under the applicable provisions of the Butt�County Code and/or esolutions to do work indicated'a -Ove for which fees h'3e been paid. r / Date/ r/0"" By r % /1 PERMIT EXPIRES ON //' / / Date Receipt No. r2 �i. WHITE-D.D.S.-B.D. CANARY -AS ESSO PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 (Rev. 12/96) APPLICATION AND PERMIT (J / ASSESSOR PARCEL NUMBER O ? `oO / 10(9P V^ ZONING BUILDING PERMIT OWNER,TELEPHONE{V� u f r (AL)" )PUL 14 SO. FT. OCC. BUILDING VALUATION OWNERS M,AIYWAODRES t. L1 e CONTRACTOR'S NAME OLa tip TELEPHONE f -6zo CONT T RS MAUbQ.ADDRESS 1� fj t I,l�b� i�LT r C NSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Film Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADo s / �A/,/ i G�/CO Y/V Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBONISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.0023.00 USEOFSTRUCTURE SFX Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat um water heater Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Othery Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 LE S Main Service 2001 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 i full force and effect. / License Class Lic. No. 124 < - IZ 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 I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the rformance 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 worker q' compensatii-insurance carrier and policy number are: Carrier I- V X'iD Policy Number -f — z2v (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' comp sation laws of California, and agree that if I should become subject to the wor s' compen -on rovisions of section 3700 of the Labor Code, I shall fo ith compl th th se provisions. X Date / Ui_ S' n ure of A n - 8 Owner ❑ Contractorgen An OSHA permit is required for excavations over 60" rep nd demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. O OR ADDNS. ( a ACC. BLDS. 3.54 T. XH RESIp. MULTI.OUTLUI @7,50 0 POWER APPARATUs a SINQLE OUTLET CSI R. OUTLET OR FIXTURES 20 Q 1.00 Ex. Occup.BAL @ .w FlXED APPLNS. OR 5,00 Ex. Occup. ETs oLmRESIo. Ea Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 9 23.00 0�3 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating 4 Cooling Hood 6.50 Ventilation PERMIT FEL S Mobile Home Installation Fee 1 $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HOZ. D. FEES I IMP I FLOOD I CDF PARCEL PO HD it> This permit is hereby issued under Of the B e County Code and/or indicate a ove for which fees By PERMIT EXPIRES ON the applicable provisions esolutions to do work a been paid. Date - Date Receipt No. WHITE-D.D.S.-B. D. NARY -AS S PINK -INSPECTOR GOLDENROD -APPLICANT jas01001NQ.- Main Assessor ! ! Name ICAVANALIGH CONS TAN CE 'S Asmt # 042-600-006-000 Fee # 1042-600-006-000 Status ACTIVE Status Date Addr1 12471 G UYN N AVE . Tax FOOO—INORMAL OWNERSHIP TRA1062-006 Addr2 CH I CO CA 95926 Situs 12471 G UYN N AVE CH I CO Addr3j Base D k 3/13/2001 IRA gill I G Addr4 - .Land 56f100 � T imber Preserve Structure 93,279 � AgPres Comments 14260000600 CONVERTED 09/08/88Fixtures 0 � E ka) Creaking D oc# 1984R 2961654 D ate G rowing 0 N ekes Current D oc# 2001 R 0009571 D ake 3}13/2001 � Bonds Total LSI 149r3�9 0 Killing Doc# Dat e multi Situs Fix. R � FIa�1 MH PP 0 Asmt D esc RCL 1 Pfd 45-92/93 S uplCnk I `' � FIag2 PP 0 Zoning JAR D well 1 910 MH E xemptl 7,000 Acres/S q Ft 0.34 � N /C 042 Asmt PP Pen Net 142,379 Tax PP Pen R �C# Appeal Pending T /R D t Split Pending R /C S kat PHY OWN EXP TAX H 0 N ATT SIT I APR PCL r ' Find ' - ' NATES i i I RE,5IDENTIAL 12-600-06 01-0436 iPAWEK, DAVID 2471 GUYNN AVE. CHICO CONT: OWNER k ENCLOSE BREEZE WY I 00 $0� SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) oe Signature CHECKED ,,rBY t` r f I RE,5IDENTIAL 12-600-06 01-0436 iPAWEK, DAVID 2471 GUYNN AVE. CHICO CONT: OWNER k ENCLOSE BREEZE WY I 00 $0� SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) oe Signature CHECKED ,,rBY J = OK 0 = Not OK - = Not Applicable * = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except Ws Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 3. 2. Soils; Special MH Support Sketch Electricity; MH Test -Crossovers -Breakers -Clearances 3. Sewer; Location -Test -Fall -C/O -Concrete 6. 4. Water; Location -Test -Easement Needed (Sketch) Water and Sewer Connected -C/O to Grade -HD Approval 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 9. 6. Gas; Location -Test -Wrap;-/ /" L'ft. / /'Nat. or/ /"L"ft./ /'LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except ti's 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cen. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal E 7. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except ft's 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rttrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except fi's 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 ' Date Card B-1 Date Card B-1 Date Card B-1 ./ = OK 0 = Not OK - = Not Applicable = Not Ready FRAMING (Continued) RESIDENTIAL (S Date 47. Underfloor (Plans) OK except #'s 48. 1. Zoning -Setbacks -Easements -Flood -Slope Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 51. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth Property Line Firewall & Openings 4. Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth 54. 5. Stemwalls, Main; Steel-Blockouts-Wrapped Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 57. 6a. Hold Downs and Special Anchors Glazing Area -Glass Protection -Skylights -Plastic 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation 80. Guard Rails & Deck Construction -Post Caps Date 81. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 82. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19 D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 89. Glass Protection Date 90. Card B-1 Date Card B-1 Date 91. Card B-1 Date Card B-1 Date 92. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled Date 26. Romex Installed Close to Edge of Studs & C.J. Date 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Date 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI Comments at Final: 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral ❑ Yes Q No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sills Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing single & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card 6-1 Date Card B-1 Date Card B- Date Card B-1 Date INAL (Plans) OK except #'s 63. xt. Steps -Door & Sidelight Protection -Landings n V 65. Smoke Detector Furnace Vents -clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Instid./Drive J Yes J No/Walks J Yes J No/Planters J Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: .t..-...v..r..-^-`-..�+-^..-w.-r..v��✓w-'w•-^.-••--•-�'r----.rJ-.-'.-•---�--..--.-.-...-.-�...-"�,�-.,T._,,,.y..-.""'"_""""•-"►1-.Y..+ „-v.'N--+r.�...,w+--�- --. �.r.. COUdTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 / MIT NO. (Rev.12196) APPLICATION AND PERMIT AS$E$SOR 600"UW� i ZONING R BUILDING PERMIT WNER� I TELEPHONE SQ. FT. OCC. BUILDING VALUATION N s MAILING ADDRESS W 10 COS NAME ROSEVILLE 95661 TELEPHONE 272 11 152.00 81 567.00 CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER ' Fireplace .LENDER'S MAIUNG ADDRESS Total Valuation 01IM& 11 719.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ AMW 135 . ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $87,75 BUILDINGADDR SS Vo � v Energy Plan Checking Fee $ PERMIT FEE $ Ag&ffi 242.7 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF IR Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.0023.00 Solar or heat um water heater Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel 9 Utilities ❑ Installation ❑ Other ❑ Describe Work: ENCLOSE BREEZE WAY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2IIA 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 w r 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. ❑ 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 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 Main Service PIA To 1000A 46.00 NEW CONST. DWEwNG OCCUP. 3.50 OR T. NEWcad Muicrcou�TL3 NON-RESID. @7.50 POWER APPARATUS a swGLE oLm� aR. .00 EX. Occup. OUTLET OR FIXTURES 1 200 8AA_ O I.50 Ex. Occup. ovriErs Ro .°FEE. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 29.52 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ 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.) 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 ofaction 3700 of the Labor Code, I shall forthwith Com ly wit se provisio L Date f� gnature of Appli ❑ Owner ❑ Jinfactor ❑ Agent An OSHA permit is required for excavation over '0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE R3 VN TOTAL FEE $W&W 272.27 o Es IMP } X FLOOD X CDF CEL x PO E 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. G By MIT,736 PERMIT EXPIRES ON D� to ReceiptNo. r /$257.20 WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ;. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive a Oroville, California 95965 • Telephone (530) 538-7541 RW No. APPLICATION AND PERMIT -�' aaesoanMeara+�,r� _, ._ 701, anwa BUILDING PERMIT owmJ1 �}'� i/1 g ' 7 7' / 1 19 Q Sa. FT. OCC. BUILDING VALUATION Cr SUIf_LF— la/ OftTWzrorrs awn C� �. Downrcro" U om #DORM. 0 oorsnarottorr usoa Fireplace mon arasa ADDRESS Total Valuation = 00t VdWCM 9 NO" Slip Fw 20.00 Permit Fee S O _ Mas+=oR 0004=11 wta+n.00nes. Plan Checkina Fee' i Ae10^00"�e C (� Energy Plan Checking Fee i PERMIT FEE i �rao tusowrcns►w�t ►Mees r.r PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF0upbx O Mobilehome O Other Solar or heat pump water heater 23.00 Water piping _j,5-00 Each cas water heater or vent 15.00 TYPF WORK O AddWn O, RemodO Inablistion O Other O i, �/� Describe Work: ,� � C L © 5,9,CJ �� �� Lti� n Gas piping tem 1 .5 15.00 Building sewer 15.00New Moble Home r S G W @20.00 PERMIT FEE S _ ELECTRICAL PERMIT FjMg Fee 20.00 Main Service 23.00 l ` (� ` t Lk *PERMIT FEE PAID � SRA $ SHERIFF S OTHER �— AMOUNT RECEIVED $ *RECEIPT NUMBER d-7 " TO SE PVT INTO COM Main Service 2o" To s~ 4a.00 NEW aLm a.DONS. " ° i.cc. 1=1. 3.Stssor. few Gom wo roe " =urt1T 67.50 rowoi .r►au►na a Ex. Occup. Duna oa "cTumn ew i Ex. Occup. WrXM e390 u 5.00 : Temporary Service 23.00 Mobile Home Facilities 20.00 Msc. Wiring 23.00 PERMIT FEE _ Heating PERMIT Filing Fee 20.00 in Cooling Hood a.so Ventilation PERMIT FEE S Moble Home Installation Fee = Energy Inspection Fee i T. L FEE $ r ""z ° " "' "°°° `°` '"' '° MO `t This permit is hereby owed under the applicable provisions Of the Butte County Code and/or Rewfutkxu to do work Indicated above for which lees have been paid. By Date PERMIT EXPIRES ON A F - i 1 s ♦{ K7 '�:. ` •., e ti ` uv Y. 'n. e±t+�1..@���M - - _ �� _J•- t l� ��'�` ♦ �t� ..21:7 �.+'�`q � 'M }�`f`:•A .r` �'„/MN� R, `. � �-`e tj _ �i __ _ COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET (a OWNER: �� ASSESSOR PARCEL ER: d� oo oa 6 Proposed Building Use: A Building Inspector: CDate: At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ . All items have been submitted. ------------------------------------------- Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ El 6. Energy Design Compliance and supporting documentation. -;----------------------------=--------------------- ❑ 7.. Statement of Intent for Non -Heated and A/C Buildings. -----=--------------------------------------------------- s, ❑ 8. Hazar ous Material Form. ------------------------------------1------------------- r ❑ ufactured Home data and installation instructions including Tie Down . sof $ 157. � 7------------------------------------------- I -------------------------=--------------- -----` Impac ees as shown on the attached schedule.- -- r- ,r----------- 12. C ornia Department of Forestry plan approvaUfees. ---------------------- ❑ Mood elevation certificate. --------------` -------------------------------------- "'Sanitation and plot plan approva I G dlealth Department. --------- ❑ 15' City of Chico plumbing permit. --------------------------- : --------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ----------- ❑ 17. Planning approval for -(A) Use: (B) Parking: ❑ 18,. C6ntact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ---------------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). -------------------------- 1120. Pre -inspection for required. Request to Building Inspector on _ 021. Contractor's license information. (Number, Name Style, Classification). --------------------------------- 022. Workers' Compensation carrier and policy number. ----------------------------------------- ---------------- ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner El) - ------------------------------------ 024. Letter of signature authorization E125. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑ 26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑ 28. Existing violations and/or expired permits. -------= "`----------------------------------------------------------- 029. 433 A ❑Grant Deed, ❑ M.H. 0. Otherpw i Ate \ ,em ✓ ❑ Check to H.C.D $ VJh you ie/tlie pt,,p�oFxs�o�lows ❑ Mail�to owner elephone rr 66 // //dd ((QQ rr �r ll.•�tand hold for pickup at Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Copy of plans sent ❑ Health Department, ❑ Fire Department, n Qfher:, /, 11 l (Date) 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by o phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ B "1 ing ivision counter, by Date: Plans reviewed by: Date: Plans approved by: Date: ` j 3—UT__ Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. 4 • 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 wfil .;-. be issued until this verification is received. 1. I personally plan to provide the labor and materials for construction of the ,proposed property improveme NO[ J. ' Z. I HAVE HAVE NOT[ J si Red an application for a budding permit for the proposed " ork.. ,:.....:,..! 3. I have contracted with the following person. (firm) to provide.. the `proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of this work, -but I have hired the following peisoii� to coordinate, supervise, and provide the major work: NAM: ADDRESS: CITY: -., PHONE: 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-:W6kK W: SIGNED: c PROPERTY OWNER: SOCLAL SECURITY.. NUMBER: DATE: NOTE: This owner -Builder Verification is required by Section 19831 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. Dear Property Owner. An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified For your protection, you should be aware that as "owner -builder" you are the responsible patty 'of record on such a permit Building permits are not required to be signed by property owners unless they arepe6nally performing their own work. If your work is being performed by someone other than yourseK you tray. 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 you plan to do your own work, with the exception of various trades that you plan to'subcontract, you should be aware of the following information for your benefit and protection:. 0 If you employ or otherwise engage any persons other than your immediate family, and the work (mcbxling materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 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 sec unty taxes, workers compensation insurance, disability insurance costs, and unemployment compensation COa 0 There may be financial risks for'you if you do not cavy out these obligations,"and these risks are especially serious with respect to worker's compensation insurance. ` 0 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 yotir obligations under State Law, contact the Department of Benefit Payments and the Division `off Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors Tare 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 "ownerbuilder" 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 ow'n' 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. lyqVif Mic el _CB. 0. ger, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. K: jiGe't�,*X+�`; � ,:,r'�•• �-t�+',.rii�F"lY"-:w �..,rt.�.�xrr=ii +;.�tF.r �": a r.�+, .;"sx-fi^+�ww... , t �. .... ,., . ^3:a�`^i S, BUTTE COUNTY SCHOOLS -IMPACT FEE CERTIFICATION FORM (One form per Building) 'School District C- Building Department No. A.P. Numbed 4'_"' o "co CO Jurisdiction: City E�%1County PropertyOwner / f{ Property Location/Address ` i, Subdivision Residential Development Commercial/Industrial Building epartment Repress District Identification No. '/ (Street Address) (City) Mobile Home Installation (Floor Plans reviewed by School District Jj� School District certifies4 at 30"A `T.) t � Roofed Areas) Date 7 v v ( Iii 4---Lvy (Phone Number) (State) ` '-�\ (Zip Code) ff - has complied with the requirements'of Resolution No. �' 1 by payment of $ ?' representing rt ; ,� square feet. AB 2926 $ Y� FULL MITIGATION $ School District F Paid by Check ,r r .n -4 c " Date Remarks: -f7 0'—A vV(/sjG1-r-r[Yt } Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with r' Government Code Section 660201a), within 90 days.from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging.the imposition of the fees in any court action. If, subsequent to the School District Representative. signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) I . feeform.x(s (10/98)dmm Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Non -Residential Buildings Energy Conservation Standards Statement of Intent for Non -Heated and/or Non -Air Conditioned Buildings Please print clear and legible! Owner's Name V i '� f A cy /� Date: 3////--3 le Assessor Parcel Number: Occupancy of Building: Building Permit Number: &� / 0 -3 I hereby certify that I do not intend to heat or cool this ,Jb�g in such a manner as to be subject to other than the mandatory sections of the State Energy Requirements. /.-" e J l I understand that if I do heat or.cool this��g in the future, that I will be subject to the energy requirements in effect at that time. I understand that if I change the use or occupancy of this b- 'ng in the future, that I will be subject to the energy requirements in effect at that time for that specific occupancy. I also understand that if I become subject to the energy requirements in the future, it may be necessary to redesign and/or alter any of the following: 1. The building envelope. 2. The insulation requirements of the heating, ventilation, and air conditioning systems. 3. The heating, ventilating, and air conditioning equipment. 4. The water heating system. 5. The lighting of the building to comply with the regulations. I understand that any of the above changes will require me to obtain the necessary permits, inspections, and approvals from the Butte County Building Division. Signature of the BI uilding Owner - Mailing Address: G/ Telephone Number: %%,�� f% APPLICANT: OWNER: PERMPI' #: A. P. WORK DESCRIPTION: PRC -ECT PROCESSING RFrORD ,{4 �On '.�_.�4�W/�F'�YR!"7i1C/6✓1MR7�WJv^�MS4'ih..ni..i+wYfiiV�: �5j,:.I�1Ei�-�va�V.daC,hir�NX�L�lj�it.X,�.��fitw�,s,iw.clsfh�7,+:7'.�;aA'dR<Aat9;?L+t'aye;Tn[�-�rdPaie���ti:�ft:�i►��na�Y If µa. ' .� • .�. ��Y. � .i ' .� � � S i r �� � � �� t .t..-..-„r^-•-'--:.•�r---:-n..-...-4-'---'w:-w,.,r:.-.�;_:_..+�: ..-.�.�-,r:�'R-*.-..';;.-`'/w'�+....'�...�2i'..•.yt-�r^+:,-W"°..::f--�".�.+-....ya...,..:7v.t ,.rti.-w,..•.....:r .......+w. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES BUILDIN:G'DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (53 .1 81 MIT NP. (Rev. 12/96) APPLICATION AND PERMIT � /���� ASSESSOR PARCEL NUMBER / SL 1 A —_C�..., R A / ZONING ZONING. P BUILDINGPERMIT OWNER •( r' InATITT) AAIJRV !' .f A TELEPHONE 1)-._A1 n / SO. FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS . --+�^"”- .� "•" A0A T• TN'Pr)M eF1 T r t -A n1 r, 1 _ T7 T �(� r - _ -' CONTpp T,�S�NAME -�- - - '- J \-� -' VIVr�C TELEPHONE i CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS - Fireplace Total Valuation $ ARCHITECT OR ENGINEER UCENSENO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS ')Z-11 C.ITY1.T>,1- k TI ,1Tr ntT ('fl Energy Plan Checking Fee $ _ _ $ PERMIT FEE $ 35.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT 'Filing Fee 20.00 USEOFSTRUCTURE { V SF ❑ Duplex ❑ Mobilehome ❑ Other L SPECIFY r Each Trap 1 21 7.00 14.00 Solar or heat pump water heater 23.00 Water piping - - 15.00 Each as water heater or vent 15.00 �. TYPE OF WORK j New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑i Describe Work: 2 SKYLIGH9 A" �r RA't`f/['R Ta'['j Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 1 .00 Mobile Home S G v`/ @20.00 PERMIT FEE $ gtL.QQ ELECTRICAL PERMIT Filing Fee 20.00 800VMain Service zoOA 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. I 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: 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. Bf; 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 200A To 1000A 46.00 NEW CONST. DWELLING ffUP. OR ADDNS. ( 6 ACC. BIOS. SO 3.5¢FT. NEW CONSMULTI.OL NON -REBID. m.ET @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occu OUTLET 20Q'•0° BAL @ .5o Ex. Occup. GimFrs R p,OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 23.00 PERMIT FEE $ 43.00 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for -workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued.. ❑ 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 a (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 f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those p visions. XCDate G ryn Signa'tuTe� of Applicant - Oliner ❑ Contractdr Agent «t An OSHA permit is required for excavations over 601 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 CONST. TYPE 172 TOTAL FEE $ =.AFEES 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 indicated above for which fees have been paid. Fate r -61 PERMIT EXPIRES ON ate Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT go— COUNTY OF BUTTE - DEPARTMENT OF; -DEVELOPMENT SERVICES - BUIL9944 DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (5 538-7Ij n D MIT NO. (Rev.12/96) APPLICATION AND PERMIT L�-�1 ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TE1015FRONE SQ. FT. OCC. BUILDING VALUATION son . OWNERS MAILING ADDRESS -EST 606 WIDGRON 12T, ROSEVILLE CA 9-56-6-1- CONTj,ft 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 $ Mou ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 2471 Q11YNN AVENUE, Q41roo Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. • SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF l] Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 MDU 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: 2 SKYLTGHTS AND z BAT WTR HTR Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 15.00 Mobile Home S G W @20.00 PERMIT FEE S 94.00 ELECTRICAL PERMIT Fling Feel 20.00 OOOVOR LESS Main Service 2o0A 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 rthe following reason: , 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. J� 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 t000A 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. ( 8 ACC. BLOB. SO 3.5¢FT. KION RES DT 1=0NT @7.50, POWER APPARATUS 8 SINGLE OUTLET CIR. aun.Er OR FocTUREs Ex. Occup.BAL 20 Q 1.00 @ .50 OR Ex. Occup. OUTFIXLETS 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 23.00 PERMIT FEE S 43.00 00 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 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEIE $ 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.) 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 9 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those sions. Date �7 Signature of Applicant - wn CC]Contrac r Agent An OSHA permit is required for excavations over 5' " deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TYPE 172.0 TOTAL FEE $ 10CCECONST. HAz_ D FEES IMP FLOOD CDF PARCEL pD I HD SSUE This permit is hereby issued under of the Butte County Code and/or indicated above for w ' h.fees have PERMIT EXPIRES ON �� the applicable provisions Resolutions to do work been paid. ---0 T Defe Receipt No. WHITE-D.O.S.-B.D. CANAR - R PINK -INSPECTOR GOLDENROD -APPLICANT L I ZOUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. 12/96) APPLICATION AND PERMIT ♦SScsSoaFMtCELNLNE6EAj/')q 0� p;Q-('{ ZO"Ne BUILDINGPERMIT C[/rY95/ �y / TcSO. FT. C. BUILDING VALUATION �,RMcroe's NAAi corn WTORI MWN0 DRESS �NSTRu au:►cER LENDERS —.0 ADORE-, ARCHfrECT OR ENWNEER ARCM"CT OR QIONES'S NANO ADORE OULDNOADDRESS IDT No. I SUeDWGIONS NAA E USEOFSTRUCTURE SF ❑ Duplex O Mobilehome O Other spEcsv TYPE OF WORK New ❑ Addition ❑ Remodel ❑ UtiW03 D❑ �InS%BabM ❑ Other O Describe Work: Fireplace I I PERMIT FEE _ Total Valuation Is Filing Fee 20.00 Main Service Flin Fee $ 20.00 Permit Fee $ i Plan Checking Fee b OR ADDN$. Energy Plan Checking Fee $ ..nte O _n!U VT3: S PERMIT FEE _ PLUMBING PERMIT Filing Fee 2' 00 Each Trap 7.00 a — Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 EX. OCCU . OUTLET OR naMES BAL 4 ..gyp Ex. Occup. O%0T --- ra 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 I PERMIT FEE t`w�� MECHANICAL PERMIT Fling Fed 20.00 8.50 Ventilation PERMIT FEE S Mobile Home Installation Fee = Energy Inspection Fee $ occ COMET' TYPE TOTAL FEE _ NAz 1 D. FEES Nr I FLDoO COP I PARCEL I pa I ND I SSLE 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 PERMIT FEE _ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 23.00 Main Service 200A TO IOOOA 48.00 NEW CONST. DwIEWMI OCCUP. 3.5¢so OR ADDN$. A ACC. MDs. ..nte O _n!U VT3: 07.50 EX. OCCU . OUTLET OR naMES BAL 4 ..gyp Ex. Occup. O%0T --- ra 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 I PERMIT FEE t`w�� MECHANICAL PERMIT Fling Fed 20.00 8.50 Ventilation PERMIT FEE S Mobile Home Installation Fee = Energy Inspection Fee $ occ COMET' TYPE TOTAL FEE _ NAz 1 D. FEES Nr I FLDoO COP I PARCEL I pa I ND I SSLE 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 0 d 4 Attention Property Owner: An "owner -builder" building permit has" been applied form 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 JA be issued until this verification is received. 1. I personally plan to provide thFineed labor and materials for construction -of=the �. ro im rovement NO:: -•:a. proposed. P rty .. P.. _ .......: _ 2. I HAVHAVE NOT[ ari:_applicatidh'forabudding permit for.proposed or- .. ..�'� T5 3. I have contracted with the -following person (fine) to provide the _ proposed construction: NAME• ADDRESS•. _ - CUM PHONE:._._.,_-..:._.-------- _.:_:...:_ .. `-CONTRACTOR'S. LICENSE NO. - 4.- I plan�to-.-provide..poitions 'of this woik;;°but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the followin&-p.eisons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK =° SIGNED: PROPER SOCIAL SECURITY NUMBER: DATE: NOTE: This owner -Builder Verification is required by Section 19831 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. Mav 1995 2.26 Dear Property Owner. An application for a building permit has been submitted in your name listing yourself as the builder of property 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 yourseK 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 you plan to do .your own work, with_ the exception of various trades that you plan to subcontract, you - should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is' 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 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 iaxes, workers compensation insurance; disability insurance costs, and unemployment compensation contributions. 0 There may be financial diks'for you if you do not carry out these obligations,"and these risks are.especially serious with respect to worker's compensation insurance. 0 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 "ownerbuilder" 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. Sincerely, Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. May 1995 2.27 00 -0577 1, ^ 042-600=006" PAWEK, David 2471 Guynn Ave, Chico a� fig c ' i r r 100 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ' 00' 7 County Center Drive • Oroville California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER t2— ZONING.. BUILDING PERMIT A i OWNER DAVID A TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 606 WIDGEON CT., SACRAWWM. CONTRACTOR'S NAME "'" Gu" TELEPHONE , CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 23,00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS' 7471 GUM AVE- CHICO, CA 95926 Energy Plan Checking Fee $ $ 7 PERMIT FEE $ 43.W LOT NO. SUBDIVISIONS NAME , PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF .I:i Duplex ❑ Mobilehome ❑ Other SPECIFYEach Each Trap 7.00 Solar or heat pump water heater 23,00 Water jiiping 15.00 as water heater or vent 15.00 _ TYPE OF WORK New ❑ Adi ition ❑ Remodel ❑ Ulilities ❑ Installation ❑ Other Describe Work: REROOF 15 SQ COMP f Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S i ELECTRICAL PERMIT Fling Fee 20.00' 800V OR L Main Service zoAORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION � - I I hereby affirm under penalty of pWjuryfthat I am licensed under provisions,of Chapter :♦ f Z 9 (commen6ing,with Section 7000)'�Af,Dlvision 3 of the Business and Professions Code, and,Rly license is in full force and effect. !y -License Class _ Lic. No. "' .. OWNER -BUILDER DECLARATION .r-- I hereby affirm undenpenalty of'perjury that I am exempt from the Contractors License Law for the following reason: "'MI as owner of the property, or my employees with wages as their sole compensation, ill 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 declarationsr, ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by secti n 3700 of the Labor Code, for the performste Q�thw�or for hick thi i e ❑ I have anddkill rNaintain wdtlie' compeils�tl nein cam, as required by Section 3700 of the Labor Code, for the performance o work fo which this permit is issued. My workers' compensation insurance carrier and policy number are:_ Carrier Policy N m e (The above ns a Com a the permit is for work of a valuation of one hundred liars ($100) or less.) 111el 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 sectio 3700 of the Labor Code, I shall forthwith comply wkh th e Prov' ' ns. .-�� �. �.� X Date )i3 Si IT`afure of Applicant - er ❑ Contra ❑ Agent An OSHA permit is require for excavations over 5'0" eep and demolition or construction,, structures over 3 stories in height. Main Service TO 46.00so CCUOOOA NEW CONST. ( DWELLING OCCUP. SO - DWE200ALLING OR ADONS. a ACC. BUDS. 3.50FT; N CONST. MU NON-RESID. T.50 POWER APPARATUS 8 SINGLE OUTLET CIR. 20 @ 1.00 Ex. Occup. OUTLET OR FIXTURES BAL @ .s0 FIXED APPLNS. OR Ex. Occup. ouTLErs REBID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling d / 6.50 - 'K/eritilafion PERMIT FEt S Mobile Home Installatign'F,96 , $ Energy Inspection Feed .z ft occ CONST. TYPE TOTAL FEE $ 43,00 HAZ. I p FEES IMP I FLOOD I CDF PARCEL PO 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 l CA -S ..Pt _ Date PERMIT EXPIRES ON provisions to do work paid. C46*of Ta ReceiptNo. D k %'LS j^ /4.( -- WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT M COUNTY OF BUTTE - DEPARTMENT�OF DEVELOPMENT SERVICES - BUILDING DIVISION �S 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 ERMIT NO. (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 42-600-006 ZONING BUILDING PERMIT DAVID RAWRY (916) TELEPHONE 7794094 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 606 WILIGRON CT, SACRAMENTO, CA 95661 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 23.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 9471 GUYNN AVE CHICO CA 95926 Energy Plan Checking Fee $ $ PERMIT FEE $ 43.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF Jq( Duplex ❑ Mobilehome ❑ Other SPECIFY 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: REROOF 15 SQ COMP Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 LESS Main Service 200A 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.POWERA License Class Lic. No. OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License w for the following reason: 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 46.00NEW CONST. DWELLING OCCUR OR ADONS. a ACC. Bins. s0 3.50FT. ND.I°a,DT MULTI-OUTI Er @7,50 PPARATUS 8 SINGLE OUTLET CIR. Ex. Occup.20 OUTLET OR FIXTURES 1.00 BAL @ @ .so MEDI Ex. Occup. Our APP �oOE 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 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ 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.) 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 sectio 3700 of the Labor Code, I shall forthwith corn�winthh tha pro ' ' ns. X Date � 6� Signa ure of Applicant - er ❑ Contra ❑ Agent An OSHA permit is require for excavations over 5'0" eep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 43.00 HAz. D. FEES IMP FLooD COF PARCEL PO HD I 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. By1�&� Date ��� PERMIT EXPIRES ON ate Receipt No. ''—S"if " WHITE-D.D.S.-B.D. CANARY -AS ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Attention Property Owner: P rty.. ... _. An "owner-builder" building permit has been applied for'iri'your name and bearing your. signature. �n .,��, Y .L Please .complete -and.. return this .information at- your earliest opportu iity`to -avoid unnecessary delay in processing and issuing your building permit. lV ...building permrt,wtll be issued until this verification is received. 1. I personally plan to'provide'th�-'J�Jablor, 'and"materials for construction;of=.the 4proposed property improveme NO[J. Z. I HAVE HAVE NOT[ sign 1_an application for a bufidmg pernutrfor the;� • .proposed .:ork.-;;,: +_ ... -- .. `Y :. rs- r _. �_ .-__ -�,r4 7:. G '.: "z,•• d" JLE r �'} n!6•^k 2; tx ...�„-' 3. I have contracted -with the. -following :person- (firm) ,; to provide theA proposed _. construction: _ -. • -- _ . _74 NAME: _• _.. ADDRESS-^ ' . ,.,:ij t t:i.' , :. •�.11 1 : .. _ _ PHONE:_.._,---.. :__..:::-CONTRACTOR'S. LICENSENO.`'- 4. I plan' to - provide portions 'of thisork; w, but I have hired the followuig person -to coordinate, supervise, and provide the major work r NAME: - ADDRESS: PHONE: CONTRACTOR'S LICENSE NO. _. 5. .I will provide some of the work'but I have contracted (hired) the following•Iiersons to - - provide the work indicated: _.. NANIE ADDRESS PHONE _ _ _ TYPE OFtWORK SIGNED: PRO SOCIAL SECURITY NUMBER: DATE: 15 NOTE: This owner -Builder Verification is required by Section 19831 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. Mav 1995 2.26 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property 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 you plan to do your own work, witiLthe exception of various trade§ that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the iv (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 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. 0 There may be financial riskifor you if you do not.carry out these obligations, "and these risks are especially serious with respect to worker's compensation ins rancc. 0 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 y obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial C 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 "ownerbuilder" 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. Sincerely, Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Ower -Builder Information is required by Section 19830 of the California Health and Safety Code. Ntav 1995 2.27 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • OroviRe, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ,� � ZONING BUILDING PERMIT OWNER . - TELEPHONE h Sp, FT, OCC. BUILDING VALUATION OWNERS MAIJNG ADDRESS 5 1 G OONrRACTOR'S NAME 6) TELEPHONE CONTRACTOR'S WILING ADDRESS CONSTRUCTION LENDER LENDER'S "UNG ADDRESS Fireplace Total Valuation L ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAOJNI ADDRESS Plan Checking Fee $ SULMO ADDRESS 9�9,1 Energy Plan Checking Fee $ l.-! 100 S _ PERMIT FEE LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other sPEcFY Each Tra 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 13 Installation ❑ Describe Work: / Other 8' Gas piping system t - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Servicep°o.A on LLss 23.00 Main Service 200A TO IOOOA 46.00 NEW CONST. DWF11Rq OCCUP. 3.5{2so OR ADONIS. 8 ACC. OO HdON•RES 0. MULTINEW CONST .OUTLET 97.50 POWER APPARATUS 6 SWGLE 0 C10. OUTLET OR FwTUREs EX. t7CCU aAL •50 Ex. Occup. oMD, 6 0 °FL 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 —Heating —Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE _ -- IIAZ D. FEES IMP I ROOD I COF PARCEL I PO NO I 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 to I IM o29 29 o N m rn ' v