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HomeMy WebLinkAbout043-252-003WILLIAM MARTIN ! 711 Bidwell Dr Ch o /D a ico / fErmit#3484-88B(fireplace insert)SF 043-25-2-003 92-3445 BPE, MARTIN.& DOHERTY -- r, 711 Bidwell DR, Chico elec serv, gas line, repair heetrock/sf 9z' i k b r. F • fC h l: _ I M1 1 L '' "> .:r+ . r ,. :., t • :. „ ..� {. n r:•+ 3+` .. (i t"A'vr -Ss jr . ro cu �.• .. S "9...---i-..+ks s ^ .. , ' "e '� ...'Nr- { �.. S.t,} •v+t....�'y+. . �V.v•;:.. �{ �,..n ! f'.'i� V";4 k �" Y s =; r C.: .': - + f•..,.,�•s.�^,."t'_-`. i ffFARTIN 5-2-003 923445 BPE & DOHERTY 711 Bidwell DR, Chico �! . elec ser.v, gas line, repair stR eetrock/sf t ' • 1 - 1 • as , ' 3 F . t � OFFICE COPY' ` • _ r _ ' Address GAS. Date Meter By I ELECTRIC p �' i( Date - Meter By :" . ' 4ZY S i • V f Z 064 f T COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive-,Oroyille, California 95965. - Telephone: 916/538-7541 APPLICATION AND- PERMIT PERMIT NO. 92-3445 ASSESSOR PARCEL NUMBER_ 43--25--2--003 / ZONING Rl t=- `` BUILDING PERMIT OWNER ) William �%rtin & /f ancy Doherty TELEPHONE 345.3249 ' SO. FT. dcCi. BUILDING VALUATION OWNER'S MAILING ADDRESSf 711 Bidwell Dr, Chico 95926 cont F ofln 4CONTRACTOR'S NAME - - -owner ' t TELEPHONE �'. 't I, , CONTRACTOR'S MAILING ADDRESS I �. F i replace CONSTRUCTION LENDER , �� UNKNOWN Total Valuation $ ' LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ 15.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 711 Bidwell Dr, Chico Permit fee $ 30.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ® Duplex[] Mobilehome❑ Other I SPECIFY Gas piping system 1 - 5 outlets 5.00 4 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel [:1 Utilities [:1 Instal Iation J] Other.] Describe work: neW 20OAmn e1P.(_ spry, nxtpnd omct Line _ repair Rhentrock Permit Fee $ 1 ri n Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AOR0V OR LESS 18.50 18.M Main service 200ATO1000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ! ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business/POWER and Professions Code and my license Is In full force and effect. License No. Classification 'EX. I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.�\ 3.6Qsq.ft. OR ACDNS. 1 ACC. BLDGS. NEW CONSTR ULTI.OUTLET NON•RESID BRANCH CIRC ITS @ 5.00 APPARATUS 61 (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 76 OCCUp. OUTLETS FIXID PIRESID IREA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. �Virin g 15.00 15.00 Permit Fee $ 48.50 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. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Coolin g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this applicat i�andlstate 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'prbperty for inspection purposes. I also agree to save, indemnify and keep harmless the Countyg3 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. } J r1 I C X / �� 1 h , ,� . ! t f f Date - CJ l �� Signature of Applicant — OWn e� Contractor E]gent[:]y 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 S Energy Inspection Fee $ OCC CONST TYPE 3 - TOTAL FEES HAz I DFEES IMP , I FLOOD I CDF PARCEL PD HE ISSU This permit is hereby Issued under the applicable provi- p y " pP sions of the Butte Co Countyjyde and/or resolutions to do work indicafed.abo've'for which fees have been paid. f DIRECTOR OF PUBLIC WORKS Byi'�J/ !`— Date/D- PERMIT EXPIRES Date ./h -' 123162 Receipt No. WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT IM J J COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. 92-3445 ASSESSOR PARCEL NUMBER '' 'LION ING 43-25-2-003 RQ1. BUILDING PERMIT / OWNER William Martin & Nancy Doherty TELEPHONE 345-3249 SO. FT. OCC. BUILDING VALUATION Cont200 OWNER'S MAILING ADDRESS 711 Bidwell Dr, Chico 95926 AA CONTRACTOR'S NAME TELEPHONE owner CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS - Filing Fee $ 15.00 Permit Fee $ 15.00 ARCHITECT OR ENGINEER - LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 30.00 11 Bidwell Dr. Chico PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5:00 Building sewer 15.00 SFU0 Duplex❑ Mobilehome❑ Other Mobile Home S I G I W @ 15.00 SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation a.1 Other E Permit Fee $ Describe work: Contractor repair sheetreck ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 18.50 Main service 200A TO IOOOA, 37.50 CONTRACTORS LICENSE LAW NEW CONST. (DWELLING OCCUPM 3.6psq.ft. I declare under penalty of perjury (check one): OR ADDNS. ACC. BLDGS. NEW CONSTR MULTI -OUTLET @ 5.00 ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business NON-RESID BRANCH CRC, RC ITS POWER APPARATUS S and Professions Code and my license IS In full force and effect. SINGLE OUTLET CIR. License No. Classification EX. Occup( zo 76d p OUTLETS OR FIXTURES I, as the owner, or my employees with wages as their sole compen- FIXED ARPLNS Ex. DCCUp. OUTLETS RESID IREA.) I 3.00 sation, will do the work,and the structure is not intended or offered Temporary service 15.00 for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- Mobile Home Facilities 15.00 ors. (Sec. 7044) Misc. byirin g 15.00 15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ 49-50 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 15.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ 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 Cooling LHood 6.50 to the W. C. laws of California. Ventilation 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 permit Fee $ provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee S is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Energy Inspection Fee $ Butte to enter upon the above-mentioned property for inspection purposes. OCC CONS""' 1 also agree to save, indemnify and keep harmless the County of Butte against TOTAL FEE $ 93-50 all liabilities, judgments, costs, and expenses which may in any way accrue HAz DFEES IMP FLOOD CDF PARCEL PD HD Issu against said County in consequence of the granting of this permit. I I I X Date -/ a -/(� q2_ This permit is hereby issued under the applicable provi- Contractor ❑ Agent ❑ sions of the Butte Coun Code and/or resolutions to do An OSHA permit is required For excavations over 5'0" deep and demolition or construct- work iodic a v r which fees have been paid. ion of structures over 3 stories in height. OF PUBLIC WORKS Receipt No. 123162 BY Date%7' 94— PERMIT EXPIRES Date WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT • )0 X"' , COUNTY OF BUTTE - DEPARTMENT OFPUBLICWORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - ORQVILLl, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER W, (l" a^tM 1► 01 4 i N Proposed Building Use J ti A. P.No.Z3- 952--003 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1, All items have been submitted......................................... 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and. layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of$ ........................................... 11. Impact fees as shown on attached schedule . ............................... 12. California Department of Forestry plan approval/fees..................... . 13. Flood elevation letter (100 year flood) by California Engineer .............. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . .......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). . . 20. Pre -inspection forPre-Inspection request - required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance. ............... 23. Owner -Builder Verification (Given to owner , Mail to owner ): ........ 24. Recorded copy of Agricultural Acknowledgement Statement . ................. . -- 25. Letter of signature authorization . ......................................... 26. Copy of recorded,deed of parcel creation and 60 right of way to a public road. . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance ...................................... . 29. Documentation of legal access . ........................ !.............. . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. : .............. 31. Existing violations/expired permits . ........................+............. . 32. Plan check list. ......: ............................... . ............ 33. 34. r When you issue the permit, process as follows: �Mail to owner. Mail to contractor. Telephone and hold for pickup at i,,/office. Deliver with inspector. Other V Parcel Creation �2 Acreage Applicants Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health"Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not'checked above). 1. Index permit for above items No. 'l R 2. Additional items required: i Contractor, designer, owner, was advised of above required data by _ phon mail Counter b _ e s ©� Contractor, designer, owner, was advised of above required data by _ phon _ mail, ' Counter by _ Date Plans checked by' Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works f7'I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916:'538-7541 APPLICATION AND PERMIT PERMIT NO. 9-z- SKS ASSESSOR PARCEL NUMBER" - - ZONING BUILDING PERMIT OWNER t I TELEPHONE S0. FT. OCC. BUILDING VALUATION OWNER' MAILING ADDRESS 1 D Gov o a CONTRACT -R'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN 2 Total Valuation $ 6P, Q LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING DDRESS 1 Permit tee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF�d Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W F 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation I Other ❑ Describe work: N 0 Gt.) o b - /y►'y a �` i✓ �.P f �- e ty i c �P Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 /I t / /t/ S tom 4-4o C h it h -o 200A OR LESS 18.50 Main service 600VORLESS �� CONTRACTORS LICEN E LAW -e I declare under penalty of perjury V p y p I y (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License No. Classification 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 Main service 20GATO IOOOA1 37.50 NEW CONST. / DWELLING OCCUP.8i) 3.60sq.ft. OR ACDNS. A AGC. BLDGS. NEW CONSTR ULT'.OUTLET NON-RESID BRANCHCIRC ITS @ 5.00 (POWER APPARATUS tr) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring '15.00 Permit Fee $ r 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. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 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 conseq ence of the granting of this permit. X �- -�. ~� - -A Date � SignatUre Of A Iicant - 0 er Contractor ❑ Agent F1sions An OSHA permit is required for excavations over 5'0" deep and demolition or construct - \ion of structures over 3 stories in heights Mobile Home Installation Fee S Energy Inspection Fee $ 3 . p occ CONST TYPE I TOTAL FEE $ HAz 1 OFEES IMP FLOOD cOF PARCEL I Po Ho ISSUE This permit is hereby issued under the applicable provi- of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date PERMIT EXPIRES Date \% a3 % % Z �- 7 3 , sa R'eceipt No. WN�TE-D.P.W.. ►eLLOW-ASSCSSOR. PINK•INSPE[TOR enI ne..enn_. ee. .1- COUNTY OF BUTTE -.Department of Public Works CbB G MPT 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 Q�iQ�1992 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your.building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the maior labor and materials for construction of the proposed property improvement (yes or no) No 2. I (have/have not) wLk& signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name k Address City �k C G7 (D Phone ��y _" L,"�(� Contracto s License No. 22 0 370 4% Z plan to provide portion's of this• work, but I have -hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner�y, Social Securit Nu ber � - Date ln'2-2. NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per - mi ed to issue the permit. C`Ki+P viftU. SLAU,tom` = ' I sr . T�; y,+ t ;i s• r� ,(,( ej. ('4r 0 `• rr J.,� 1 ii� '(lj,[,4 °+'.1 t tij `a:. rw Jr.r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS p.,PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 �ILI �/� Q� APPLICAThON AND PERMIT - / <J l� a ASSESSOR PARCEL NUMBER -- .03 ZONING , BUILDING PERMIT OWNE i' TELEPHONE SQ. FT. OCC. -.. BUILDING VALUATION .WNE S MAILING ADDRESS n/ 'a.i! ,;.e (�Y1;Cb iC CONTRACTORS NAME , ," TELEPHONE . CONTRACTOR'S MAILING ADDRESS __-.. Fireplace 40Q CONSTRUCTION LENDER" -' ' - . t' UNKNOWN Total Valuation $D"0 LENDER'S MAILING ADDRESS d' Filing Fee $ 10.00 Permit Fee $ Z 7, SQ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee =15 PLUMBING PERMIT Filing Fee 10.00 7 J I f' u Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF;A Duplex❑ Mob ilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home is 10.00ea, TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe work: L;. r" I- r 0 J&c e ), Se rt Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00V OR LESS 10.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Busines$ and Professions Code and my license is in full force and effect. License No. Classification r] 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) as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason j NEW CONST. DWELLING OCCUP.I♦I` , OR ADDNS. ACC, BLDGS. / /20sgft NEW CONSTR. MULTI -OUTLET 2,50 ea J NON-RESID .BRANCH CIRC ITS tPOWER APPARATUS e\ %SINGLE OUTLET CIR. / % Ex. OCCup(OUTLETS OR FIXTURES 200E0t eAL030 FIXED APNS \\ Ex. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 g r' Permit Fee $ J WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (checli'one): ill F-]Thepermit is for $100.00 (valuation)'or less.0f 'i ❑ 1 have placed on file with the County of ButtelBuilding Department a Certificate of Workmen's Compensation• Insurance or a Certificate of, Consent to Self -Insure.", V. t` A - \ i I shall not employ'any�person 'Ir any manner(sol1as to become subject to the W. C. laws of bAlifornia . ` a,1 - 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. 1 Contractor ,MECHANICAL PERMIT FiIirig Fee 10.00 Heating t i t Cooling , Hood i i . •, 3.00 Ventilation ^� pertnit,Fee �' $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way ccrue against said County in consequence of the granting of this permit, �.,-- X , �^��► N Date w Signature of Applicant — Owner Contractor ElAgentElwork An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ , 7 5a occu P. CONST.TYPE SCHOOL FLOOD PARCEL PO 1 ND 1 ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do indicated above for which fees have been paid. DIREC , OR OF PUBLIC WORKS �1 Byt/ �' Date ' yr✓ PERMIT EXPIRES Date Receipt No. 2 l'% 3 WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, COLD ENROD-AP►LI CANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATI,,QN AND PERMIT PERMIT N0. ASSESSOR PARCEL NUMBER 3 — — D3 ZO N.ING;, BUILDING PERMIT OWNER TELEPHONE y SQ. FT, OCC. BUILDING VALUA ION OWNER'S MAILING /ADDR -7// f iGL e S Vc I'u a gG CONTRACTORS NAME _r TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER_— UNKNOWN Total Valuation $ ()Q Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ L7, 50 ARCHITECT OR ENGINEER,` LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $, 5 PLUMBING PERMIT Filing Fee 10.00 r ! "' �'V� Each Trap 2.00 C) Solar or heat pump water heater 20.00 , LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF� Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home FSTG W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe work:PA2 16.CP i✓1 Se rt 1 17 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 1 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main Service EA. AOD'L 100 AMP 2,50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F -1I 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. Classification ElEx. 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 ���f r sale. (Sec. 7044) 2 I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.DI , OR AODNS. ACC, BLDGS. h2sgff NEW CONSTR. MULTI -OUTLET NON . RES ID .BRA CH CIRC TS 2.50 ea /POWER APPARATUS e� (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 20950t DAL030 OCCUp. OUTLETS FIXED P(RESID )LNS REA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 9 Permit Fee $ 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 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 subjectpermit to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Coolin g Hood 3.00 Ventilation Fee $ Contractor I certify that I have read this application and state that the abovs information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte a ainst all liabilities, judgments, costs, and expenses which may in any way ccrue against said Count in copse uence of the granting of this permi XZ�7 10 .5 �' Date Signature of Applicant — Owner Contractor ❑ Agent ❑ 1 If An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 7, J� 97 occu P. CONST.TYPE SCHOOL FLOOD PARCEL P11 HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DJAE OR OF PUBLIC WORKS f" BY , Date P MIT EXPIRES ate �6 ods Receipt No. d 3 5� WHITE-D.P. W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT RDD -APPLICANT