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Home My WebLink About043-252-002X43- 2- JAY STOTT ✓ J / 717 Bidwell Ave, Chico Contr: Const Concrete Forms Permit#451-84P(solar wtr htr/SF) 043-252-002 - 99-1199 BROOKSHIRE TRUST CIIZIE717 Bidwell Drive, Chico Contr: Dan Heal Plumbing tO Rr7l lace Nvater heats OfkS 52-002 99-1302 T, Jane & Jay idwell Drive, Chico : Ely Roofing of j�,W Ig—WI Qo _ ioa STOTT, J. B. - 231-69B 246-69P,- 351:.. r 369-69E 717 Bidwell r., Chico (addition) I 0433=252-002 09-1.199 BR.00KS.Hl. ..,Co 717 Bidwell Dri I Contr-. Dail Heal'PI'MO Replace water heats d COUNTY OF BUTTE - DEPARTMENT OF�DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, Californias 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT %Z14;1e7 0 ASSESSOR PARCEL NUMBER +^ ZONING p BUILDING PERMIT OWNER or 17 ,s a- TELEPHONE SO, FT, OCC. BUILDING VALUATION .OWNER'S MAILING AD DRi 1 ♦1 C '7 !► / o f�+� �.. ^ CONTERS NAME TELEPHONE CONTRACTORS MAILING ADDRESS r= CONSTRUCTION LENDER � )) f Fireplaces LENDER'S MAIUNG ADDRESS Total Valuation $ 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 $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE � SF ®''Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap % COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 PERMIT o. (Rev. 12/96) APP LICATIO-NAND PERMIT ASSESSOR PARCEL NUMBER 3 b�_ 52-ooz- ZONING BUILDING PERMIT �q OWNER L T TELEPHONE Z 13 0-7 SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADORES y �+ f! I Vel C 7 Z / CONTRnRS NAME 1 TELEPHONE CONTRACTORS MAULING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Flin Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ C k i c O PERMIT FEE LOT NO. SUBDNIS IONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF MO Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 5. TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ �A a _ le02 W &-te- T Q(y te.r $ Describe Work: RIP t t Q OL Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE 12, 15 , o-0 ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200, 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 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. r Al 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 Zoon TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( a ACC. ISMS. SO 3.54FT. T. NON,gESID. MULTI -OUTLET @7.50 POWER APPARATUS 8 SINGLE OtlrLET CIR. Ex. Occup. OUTLET OR FD=RES 20 O 1.00 eAl @ .50 ll Ex. Occup. DUTLEEDTS q p.OE. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 D� PERMIT FEE $Ll WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) + I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall f ith comply with those provisions. X- Date CA Signa e A lican - Owner ❑ Contractor ❑ Agent An rmit is required for excavations over 60" deep and demolition or construction of ructures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FE15 $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ g . 0-10 HA2. I D. FEES IMP I FLOOD CDF PARCEL PO HD I ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES N % — the applicable provisions Resolutions to do work been paid. Date -3 — O C7 3— ate Receipt No. C2 G S D �/ 3 WHITE-O.D.S.-B.D. CANARY-AMSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT r �, y..:..-...�.. 1. ., ., ...-1'."`�• �. .,. ,.,. ,,�,;"4..° " _.. �. rr+-5.v %Ri6.i c..,aC`Plq-..rF.�n.y}'�"'?'tf'a,.1'Y��%Ri'.ty.(�{•-'►i.��: L,T.a,�,�,7,M.%''T��.F: +'r^. l.i .. y. ..�.�,:..rriY"'fl b ♦ 4 � F r • M 4 1 iyjj' • I r'x s i . i `- (U43-252-002--- . a' yy= STOTT, Jane & Jay 717 Bidwell,Dri4 Chico Contr: Ely Roofing Re Roof r 1 (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT.OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 043-252-002 ZONING BUILDING PERMIT V OWNER - Jane/Jay. Stott TELEPHONE 342.1307 So, Fr, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 717 -�idwall Dr Chico CA 95926 �4U,� t�4 CONTRACTOR'S- NAME Ely roofing; Inc TELEPHONE 343-7663 CONTRACTOR'S MAILING ADDRESS - Y3ly'i Contractors Dr Chaco CA 95973-8837 CONSTRUCTION LENDER ' LENDER'S MAILING ADDRESS -11 Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE N0: * FilingFee $ 20.00 Permit Fee s 5 .:U ARCHITECT OR ENGINEER5 MAILING ADDRESS �� Plan Checkin Fee $ BUILDINGADDRESS i,- .,+R 717 Bidwell lir — Chico., Energy Plan Checking Fee $ -PERMITFEE. $ >.,. -o 20:00 �'/LOT.NO. �• �'""SU�DNIS101'�`t�11 Ei%!�'S' " ::{ S"A"• Mnsi TPA CELMAP,441„t4� : USE06TRUCTURE " +w.. l4 _ SF Ij..()uplex ❑ • Mobilehome ❑ Oiher Is " W%01 SPECIFY Each Trap 7.00 Solar or heat um 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 O; Describe Work: _ R/R roofing w/30 yr arch — 34 sas Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home. S G W 920.00 PERMIT FEE S ELECTRICAL PERMIT- Filing Feel 20.00 Main Service. Too OR LEss ,23.00 LICENSED .CONTRACTOR'S + DECLARATION r 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 yin full force and effect. License Class (:-14, C -39 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. 0 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 <_ reasonk ` ..: ;_. ,. - I..;__ . _ _fitY : ;.: ° - r► Main Service 260A TO 1000A 46.00 NEW CONST. DWELLINGOCCUP. SO OR ADDNS. ( a A.C. BLDs. 3.52FT. NE NON•RES OT B ANCI CIRCUTS @7.50 OWER E WER APPARATUS 8 SLOUTLET CIR. OUTLET OR FIXTURES 20 @''� Ex. Occup. BAL @ .50 Ex. Occup. ouTELETS REES,6.) EA. 5.00 Temporary Service 23.00 Mobile Home. Facilities 20.00 Misc. Wiring 23.00 _� l _ •! .PERMIT. FEE. t ;.. _ 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. O 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' compensationinsuran e�rrcaarr'Ier and policy number are: Carrier MECHANICAL 'PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT TEE $ Policy Number WL;zWzb1zJ (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: � ' �,,��,1�� 6-10-99 X ate Signature of App°Iicant - 0. Owner 'O 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 Is OCC CONST. TYPE TOTAL FEE $ 74.00 HAZ. D. FEES IMP FLOOD CDF _ C0. PO HD Issu This permit is hereby issued under of the Butte County Code'and/or indicated above for which fees have 1 By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. r, / Date '7 f"7 r Dale rr Receipt No: �h% ``s WHITE-D.D.S.-B.D. CANARY -ASSESSOR;,- PINK -INSPECTOR GOLDENROD -APPLICANT rt I" YCOUNTYOFBUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIVISION `IL 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PE MIT NO. (Rev.12/96)' APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 043-252-002 ZONING BUILDING PERMIT OWNER - Jane/Jay Stott TELEPHONE 342-1307 SO. FT. OCC. - BUILDING VALUATION 3400 2040 OWNERS MAILING ADDRESS 717 Bidwell Dr Chico CA 95926 CONTRACTOR'S NAME Ely Roofing Inc TELEPHONE ' 343-7663 CONTRACTOR'S MAILING ADDRESS 13291 Contractors Dr Chico CA 95973-8837 CONSTRUCTION LENDER - Fireplace - LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 54.00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS 717 Bidwell Dr - Chico Energy Plan Checking Fee $ $ PERMIT FEE $ 0 LOT NO. • SUBDNIS ION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF IX Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat,pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other i, Describe Work: _ R/R roofing w/30 yr arch - 34 Sgs Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE 3 ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoonoRLEss 23.00 t'21, —1 �+ 1"I' 4`rs s : LICENSED VCONf ACTORjS';,DbCLA:RATION r x I hereby;afflrm 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-39 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 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING occuP. So. OR ADDNS. ( a ACC. sLDs. 3.50 -FT. NEW NON-RESNDT COS.MULTI-OUTLU g7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20@''50 BAL @ .SO Ex. Occup. OFIxUT s A o oEA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ 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. 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 Villanova Ins Policy Number WC20526123 (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 provisi ns. ' X___ �________ ate 6-10_99 Signature of App -cant - ❑ Owner M Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 74. 00 HA2. D. FEES IMP I FLOOD - -' COF PARCEL PD HD 1 , This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. r l+ By 1W D fey 7 _ PERMIT EXPIRES ON w Defe Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ..vr�,.+-��p-�•�"-w4.�-a.n.-��r..rT�'�^-.-wr'-...*,�v-_„�.r,,.....-.-.v-----.-.—,.-._.... r-.-..-. ......-.......e..�....w-...,-,-�'-�......-.,•-•�-. r..-�.-.w---.- - �.,�ri F �Y Kr Y � / � • 'rf�17 / � } J a t f, A 3 a COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 • . _0, APPLICATIDU AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 4 � — 'L S'L _ 'o'Zi ZONING BUILDING.PERN'lIT OWNER Ja TELEPHONE 3 1:23T S0. FT. OCC, BUILDING VALUATION OWNER'S R'S MAILING ADDRESS Vl 7 61 J,,o�� CONTRACTOR'S NAME C 9A5 "r M, L..,r00, st' ' rn i a: s TELEPHONE 3 NS-'-fb'iia CONTRACTOR'S MAILING ADDRESS t-- /1- 6 0 A- //,S- 7 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS - Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS -' PLUMBING PERMIT. Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 'Z04Y-) Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF R Duplex ❑ Mobi lehorre ❑ Other SPECIFY Building sewer 5.00 Mobile Home S I G I W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Q Installation❑ Other ❑ Describe work: %GT �+� �� /fo�1•., �'� i^ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 600V OR LESS Main service 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 2t/20sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): �I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. y n License No. -2- 7� ,.+1 r.. Classification AS F-1 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 CONSTR ULTI.OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR. I POWER APPARATUS &'1 NON-RESID. SINGLE OUTLET CIR. / Ex. Occu P�ourLETs OR FIXTURES SAL@9AL®30aor FIXED APPLNS. OR Ex. OCCUp- OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIIng Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ® I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. �`�.L X .i,- 7> - r /l r�../s-r! Date Z r - `�' `I Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑� r An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 11�. OCCUP. GROUP I TYPE OF CONST, PARCEL PD ND ISSDE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS / 1 _�fPi,!✓I�ifJLJDate 2� PERMIT EXPIRES Date ✓7. "•�""� Receipt No. ✓ �� -)By f WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT County of Butte :,_.---icEPARTMENT OF PUBLIC WORKS 695 Oleander Ave., Chico — 343-4211, Ext. 70 7 County Center Dr., Oroville — 534-4541 Skyway and Elliott Rd., Paradise — 877-3435 /CORRECTION NOTICE Building or Property Address A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. ......................................... . ..... ... ..... ......................................................... ........................................................................................................................ ................................................... ..... ., ......................................... ........................................................... . ... a....................................... ................................................ l,{....................................... r .......................................... ..................i..r-.................................... Date:3.�f...4. f 7r Inspector .tel r� . Do Not Remove This Tag COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT r` PERMIT N ASSE SOR PARCEL NUMBER *3 — ZSS-Z,— OZ ZONING BUILDING PERMIT Ow Nr S �-a.f+ TELEPHOE N 3 y2 - �3 SQ. FT. OCC. BUILDING VALUATION OWNF 'S M ILING AD RESS CO TRACT. 'S NAM TELEPHONE CO RACTOR'S MAILINGADDRESS . 40 6 X / Z Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking 'Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS •P� �4' PLUMBING PERMIT Fee Filin Fee 10.00 Filing Each Trap 2.00 Solar Water Heater 20.00 f Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas waterheater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SFX Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK . New ❑ Addition ❑ Remodel ❑ Utilities 5� Installation El Other ❑ Describe work: 0 lar Permit Fee $ , Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.&1 OR ADDNS. ACC. BLOGS. / t 2/20sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. 2. 70 S1 Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR u TI•oUTLET NON•RESID BRANCH CIRCUIT 2.50 ea NEW CONSTR. ( POWER APPARATUS &'I NON-RESID. SINGLE OUTLET CIR. 20®50e Ex. Occup(o FIXTURES SAL®30 IXEDTs POR R Ex. OCCUp. OUTLETS (RESID,)EA./ .2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue[ against 'd Co ty in cons ence of the granting of this permit. X Date t. /$•-- Z2 y Signature of Applicant — Owner ❑ Ontractor ❑ Agent N__ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ �D OCcUP. GROUP I TYPE OF CONST. -I PARCEL PD I ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY f PERMIT IRES Date `�� the applicable provi- resolutions to do. fees have been paid. WORKS Date{{i� — Receipt No. l a 6 %z) WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT