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Home My WebLink About043-252-008—.43725-2708 JEAN BURLESON I 621 Bidwell Drive, Chico P pi ermit#2509-86B(reroof/SF) c�/a//�g I Poor COUNTY OF BUTTER- DEPARTMENT AF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATI0N.A0 PERMIT j PERMIT NO. ASSESSOR PARCEL NUMBER ZONING I BUILDING PERMIT OWNER d,t . �.t._J,w,•r. 1 lin A "0- _ r TELEPHONE 1 I f ,; 7(— SO, FT. OCC, BUILDING VALUATION r-� f Al. L+ �") OWNER'S MAILING -ADDRESS - J6) I - 0/))u/1 LL nl? CONTRACTOR'S NAME /• JliaA! � TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ -' U C Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ p%v ARCHITECT OR ENGINEER /\ _V r V.� LICENSE ND. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT FiIingFee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Q Duplex❑ Mobilehome❑ Other Y'n tt < p SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New F]Addition [ i Remodel ❑ Utilities ❑ Installation[:] Other ❑ Describe work: _ 'i A t r='n ; r 7 I rt 1! Prn F ^Al /1,J ! c Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1IOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 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 my license is in full force and effect. License No. Classification Q 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.E,+\ yzQsgft OR ADDNS. ACC. BLDGS. / NEW CONSTR. MULTI -OUTLET 2,50 ea NON-RESID BRANCH CIRCUITS) (POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20050Q 5AL030 Ex. Occup. OUT LEP(RESID )REA.1 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. 0 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 i Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte againsi all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X �!/+! �� - - Date /�. / >< r Signature,/of Applicant — Owner %� c Contractor El Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ v TOTAL PERMIT FEE $ j L7 Sr OCCUP. CONST.T1'PE I FLOOD PARCEL I PD I ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work k indicated above for which DIRECTOR OF PUBLIC y v PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been aid. p WORKS / l z Dat, 1 /P ^ Receipt No. �� > ! WNITE-O.P.W.. FELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF GUTTE•- DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATIQN AND PERMIT E,R/M I T NOS-/ ASSESSOR PARCEL NUMBER VBUILDING ZONING PERMIT Ow R e'SMAILIN TE HONE SO. FT. , OCC. BUILDING VALUATION 2dD n OWN ADDR ' Q,1 - 4 /.p tO e - L1, C c — 2-4 CONTRACTOR'S NAME , TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN C Total Valuation $ 0 0 Filing Fee $ 1Q,QQ LENDER'S MAILING ADDRESS Permit Fee $ p9� ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Z. Permit fee $ 3t7r PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFW Duplex❑ Mobilehome❑ Other P01/ SPE I Y Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ® AdditionE5e' Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: �0%�j�05 j /aTl R(TOF s� G -L C S Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00. Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business/P,OWER 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) ❑ 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 OR ADDNS. CONST. ACC. BLDGS. DWELLING OCCUP.ad) yzdsgft NEW CONSTR. MULTI -OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS APPARATUS e) SINGLE OUTLET CIR. EX. OCCUp(OUTLETS OR FIXTURES 20050t SALO 30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 g 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. PK I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Perrnit 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all ' ' iti s, judgments, costs, and expenses which may in any way accrue aga nst s d County in nseq ce of the granting of this permit. X Date A Sign ur of Applicant — caner Coneraeror Agenr ❑ An 0 A permit is required for excava ions 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 $ OcCu P. CONST.? I I FLOOD PARCEL PD I ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DI ECTOR OF PUBLIC BY PERMIT JXPIRES Date the applicable provi- resolutions to do fees have been paid WORKS Date �� Receipt No. 2./ 1 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT BUTTE - De t of Public Worlks 7 County Center Drive, Oroville, CA 959E OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your signature. Phone: 916-534-4541 Iyour name and bearing 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 major labor and materials for construction of the proposed property improvement (yes or no) �-%_ 2. I (have/have not) 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 Address City Phone Contractors License No. 4. I plan to provide portions 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 Social Security NWnber Date 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- mitted to issue the permit.