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HomeMy WebLinkAbout043-260-00943-26-9 RICHARD FURR V 813 Oak Lawn -A e, Chico Permit #4532-7'§E(misc clean up & wiring) SF g/9/7S 043-260-009 03-2879 HANCOCK, THALIA, a 813 OAK LAWN, CHICO INALED Cont: WOLF ELECT UPGRADE MAIN SERV r _ .� it � !C�", � � � Ctrl �z, � ., �. 043-2=- HANCOCK�TftALIA 2879 HANV813 OCont: UPGR 1 OFFICE COPY Add ss c.v GAS Meter By .ELECTRIC ` Dat Da�- iO Meter By :- �t%.. � • � '?�SS lMt � � c COUNTY OF BUTTE'; DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION �,.. W.-. County Center Drive Oroville, California 95965 • Telephone (530) 538-754 Pi; MIT NO. (Rev. 12/'96) APPLICATIONANbPERMIT ASSESSOR PARCEL NUMBER 3, CR j_ � ^ V ZONING BUILDING PERMIT OWNER +y� J/�\ �j ••� + rY� } I i !4/��'L/lJ�i z -I ' TELEPHONE 39 6-c�31 SO, Fr. OCC. BUILDING VALUATION i . OWNERS MA -JUNG � RESS�I-'\J t CC ,�,--I/':�. (L-h.{ij1�NW CONTRACTOR'S ME TELEPHONE CONTRAC_jO f.AI R % "`� • �'"+• V \ _f 95 09 CONSTRUCTION LENDER ' LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER 5CE ENO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS A Plan Checking Fee $ BUILDINGADDRESS?1 Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ,W Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 t TYPE OF WORK New ❑ Addition ❑ Remodel 13 Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home ISI G1 W1 920.00 PERMIT FEE S I ELECTRICAL PERMIT Fling Fee 20.00 600VOR LESS Main Service A 0R 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.8 �' /+ License Class � – /' 0Lic. No. ��`�� S_17 V 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. OR ADDNs: ' ( So NGµa°ESID.' MULTI- OUTLET @7.50 PSINGE OUOWERLAPPARATLET TUS CIR . Ex. Occup. OUTLET OR FDRUR6 200 1_00 BAL Q .50 LNS °E. Ex. Occup. ouUT�is p D, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 lire 1 1 PERMIT FEE $ (,G . UJ 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. y 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: Car-rier7 t '..r �'`t'�s.r.,l�N�;.� MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 _ Ventilation '-r- PERMIT'FEE 'S --P,61icy Number \, (The above sections need not -be completed if ttib permit is for work of a valuation Of one hundred' dollars '($100) or less.) -�_' t1 certify that in ttie performance'of the work for which this permit is issued, I shall 11i manner so as to become subject to workers' not employ any person in 'any. 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. Date Fr�,7-a� X �-�►�'� �ne SigrTTatue�of� plicant - ❑ OwContractor ❑Agent An OSHA permit is required for excavations over 5'0"deep and demolition or constructionr1; of structures over 3 stories in height. Mq@je'Home Installation "Fee / Energy Inspection Fee 3 / $ i occ CONST. TYPE TOTAL FEE $ ( r f (,. J HA2 D'FEEs 'IMP D. FLOOD CDF PARCEL PD HD ISS � This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have ' F By ( PERMIT EXPIRES ON ,j� the applicable provisions Resolutions to do work been paid. 1 Date V 3 I t I� ! 1 Dewe Receipt No. �� �G�' WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 1 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75 P T NO. (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMB3-r � ZONING BU I LDING P ER M IT OWNER -LEPHONE 5-a31 ^{ SO. FT. OCC. BUILDING VALUATION .OWNERS M1gJ DRESS CONTRACTOR'S ME TELEPHONE 3 5�8b CONT G IURte., ' 'OL V 9 4V� CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE N0. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ SUILDINGADDRESS 213O Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF k 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 ❑ Describe Work: �f / },, V� (� `� f � MA_t� SeVV I: . Y� Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service E00A 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 _C �-� f i LIC. NO. T !J [ 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 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' comp nsation insurance carrie and licy number Carrier Policy Number (The above sections need not be comp eta -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. O q Date/ / Sigcant - ❑ Owne ontractor ❑Agent XOpr An OSHA permit is required for excavations over 5'0"deep and demolition or constructionA of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. %%ING OCCUP. 3 Soso. ( FT. NRA coNS.. MUTAOCou�rLEST NoN•RESID. @7.50 POWER APPARATUS SINGLE OUTLET CIR. Ex, OCCU OUTLET OR FIXTURES B20 @ 1:00 Ex. Occup. OUTEIE°TSA q�jp.DE,, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 —Misc: Wirin 23.00 1 /l � �pERMIT FEE $ (�-00-- MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI= S Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TAL FEE $ =HAZ LIMP FLOOD I COF PARCEL PO HD ISSU This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have d1w,30 PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. D to O3 Date eceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT j^ ,'-,?.-.ij�,pR;,.y�.��-.vnsa,a+.:.. w-vP'.+M.c�,"I�''�s+x+r'tY`Ri'{F+�'%*'n,":iif"�.8"`':: rcA:s trr�r�.r-us...m-m. _ +i y^.ra-:.:�-w. a:+�+-vs,-�sr.n7 Ns,;.7r''�F:Y^'CRtwr-�!�.►!"''.YY?�r'is�'��'�.�`9Y'r-� F!"'+7r►-t e .ti i . 4 � � � •' � - �. _ - � f.� + • .�� � � _ ! `` A � • � ,. � y' �� t. ��` \j 1 - r _x: . * . COUNTY OF BUTTE-DEPARTMENrT OF>DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oi'b'ville,3:CA 959'65'Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: 6* -Co C LASSESSOR PARCEL NUMBER• 2 &0 J UAV 1 G �0 9 Proposed Building Use: /� Io G ty�-) �� C` Counter Technician:' � ; Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. ❑ 1.. Plot plans, 3 or 4 sets, signed�y the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate: ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the en ig neer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. Date Received By +,•r ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ' ❑ 9. Plot plan and business license approval from the City of Biggs .................................... t :• ❑ 10. Letter of intent for non-residential buildings......................................................:.. ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... *s ❑ 12. Hazardous Material Form.............................................................................. _ ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ 15. Statement of Intent for Non -heated and A/C Buildings ............................................. ❑ 16. Sanitation and plot plan approval from the Environmental Health Department in ❑ 17. City of Chico Plumbing permit........................................................................ ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 19. Planning approval for (A) Use: (B)Parking: . (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ X2.1. Encroachment Permit for driveway from the Public Works Dept. (constr *tion approval prior to occupancy). 22. Pre -Inspection for P jPr t y, -C- �2 ✓ U I CC ���%C�tf'ed................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) :..................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Ver.Vication (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .....................•'............... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone and hold for pickup. I havebeeninfo fidnthe above items and requirements for obtaining a building permit. .Applicant: Date: 1. Index permit application for the above items numbered 2. Additional items required Contractor, designer, owner, was advised cf the above data by Contractor, designer, owner, was advised of the above data by Plans reviewed by: Date: Structural reviewed by: Date: Note transfer by: Date: e ft Plan Check Letter phone, ❑ mail, ❑ counter, by Date: phone, ❑ mail, ❑ counter, by Date: Plans approved by: Date:_ _Structural approved by: Date: Yellow: Building Division. PRE -INSPECTION REPORT OWNER: 4I/1 C O G I[. LOCATION: �"ONTRACTOR:-//t) 0i PRE-IwETION DATE:a1l, 1, 0 A.P. # q 3 z 6 -1 - ZOMNG: DATE TO INSPECTOR t 0.� pinn fflyrp�Y•( ) NOS ( ) AS FOLLOWS: Y HndldtnE �_ BUILDZKG 1kSPWWR'5 RSpODtr ReaidesltiaUAt o[Uaitx-----�- Curreatly Oocupi0 ,7 AbandonaWamw Electric: Yes ✓ No Condition of Electric I d o. Gas: Natural Obvious Problems: Sanitation: Plumbing Worlds �S Well Worl ino Obvious 1 Eleatic currently On Off N Cwmtly On__ Potable Water��, f ACTION RECOMMENDED: ISSUE: (/ HOLD FOR Inspector: Date �1. .0 Sketch buildings on reverse and indicate location on property. ' Z O 74 4 " I Sep 17 03 02:43p 11 ;��. `-'_• COUNTY OF:BUTT-E — DEPARTMENT OF PUBLIC WORKS 1^ , -7 County Center Drive - Oroville, California 95965 1 ';Telephone: 534-4541. ` APPLICATION AND PERMIT 'y authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. r X - / 6�, -J Q A-11 / Date Signatures of PPermittee1e or Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY C�l%�Gl�� Date _ Building permit expirest J BUILDING Owner �� lr /RC1 1 /f/�°�Cc-� cin SQ. FT. OCC. BUILDING VALUATION Mailing Address `n Telephone No Contractor c- '`� C.� �=`� --- �Fire MaiAdd ling ress( N-3 () lace_ Total Valuation Telephone No. Permit Fee Building Address Plan hecking Fee&/oFPenalfY . 1 Permit Fee - _ PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 !� Repair drainage or vent piping 1.50 7�� / � A. P. No. G Zoning;,& Planning Water piping 1.50 r Each gas water heater or vent 1.50 Fees C Sanitation.. Fire Dept. Fire Zone- Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking, 'Plans' Parcel, Deciaration ` Parcel Map � ` 60�R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg ;P-Ian:s:Rec;d Parcel A royal w Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Q Permit Fee $ $ —i/ 9 / A% ELECTRICAL No. @ FEE , PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5•�� Single Family Q Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. AOD•L 100 AMP 2.50 - Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONSDWELING OR ADDNST ( ACCLBLDGS,CCUP 20sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR /MULTI -OUTLET NON-RES,.,`BRANCH CIRCUITS) 12.50ca I NEW CONSTR. POWER APPARATUS a NON-RESID. SINGLE OUTLET CIR, Ex. Occuo(OUTLETS OR FIXTIIRES 6 L,01 Ex. Occup.(FIOUXED APPLNS. OR TLETS (RESID,) EA) 2•00 Temporary service 10.00 Mobile Home Facilities 15.00 ~ License No. Classification Misc. Wiring rlr,Al aV 6.25 1,, 7S" ( ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ MECHANICAL No. @ FEE �f WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this ' permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 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 relatinq to buildinq construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ 75 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. r X - / 6�, -J Q A-11 / Date Signatures of PPermittee1e or Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY C�l%�Gl�� Date _ Building permit expirest J e�, .r COUNTY OF BUTTE 'DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT • BUILDING Owner ��'� aw,Q% ���� \, 1 SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address 2 Z 60 �0��1�i� �f %/�� /' �T}e�lephone No. _ Contractor ^ ^ Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address ���/ ��� �� Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ I FEE PERMIT FILING FEE $3.00 Each Trap 1.50 • f Repair drainage or vent piping 1.50 � A. P. No. (fl Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees WIC. Sanitation Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking I Plans Parcel Declaration Parcel Map 60' R/W - I Improvements Each additional outlet .30 Building sewer 5.00 Bldg.-P•Ions:Re6'.d I Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 0 Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 _::�; J7 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family Q Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD•L 100 AMP 2.50 Main service OVER 600v 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( OR ADDNS. ACCLLING BLDGS.CCUP. s) 2¢sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: TLET NEW RESID,CONSTBRANCHMULTI-OCIRCU NON -REBID BRANCH CIRCUITS) 2:60ea NEW CONSTPOWER APPARATUS 6 R RESID. SINGLE OUTLET CIR. I NON. 250 Ex. Occup{OUTLETS OR FIXTIIRES 5 L ,Lp FIXED LNS. Ex. Occup. ( OUTLETS APP (RESID.)REA/ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring(�jj�� av 6.25 r I am exempt from the Contractors License Laws of the State of California. Permit Fee $ <7, 25-$ 1- 1 MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ®I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner • so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee. $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to .building construction, and hereby Land Development.Fee $ TOTAL PERMIT FEE $ 9 7S autnonze representatives of the Uounty oT ttutte to enter upon the above-mentioned property for inspection purposes.. X /� V-��i_if J Date Signature of Permittee�e or Agent r Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY e%I7� l Date Building permit expires Date COUNTY OF -BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Qiovil'le, California 95965 Telephone: 534,-4541.; APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X-4- 6�d-Date 5 gnature of Pe�rrmm�itee or Agent Receipt No. / ®1�17 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant 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. .05;;,�RECWI OF PUBLIC WORKS By Date —,?,- P B permit expires Date Z OZ BUILDING Owner SQ. FT. OCC. BUILDING VALUATION ) Mailing Address 2 -co D1nao6 c,-eeo e ephone No. .S Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address ' Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each TraD 1.50 Repair drainage or vent piping 1.50 A. P. �� ��J Zoning &Planning Water piping 1.50 Each gas water heater or vent 1.50 F s SenitetioR Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Parcel A royal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 600V OR L Main service 100 AMP ORSLESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADO'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service/ EA. ADD'L 100 AMP 1.00 OR ADDNS. \ ACCNEW CONST. DWELBLOGS.LING CCUP. h\ 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le of: y NEW CONSTR T NON-RESID ( BRRANANCCHH CIRCUITS) 12.50ea NEW CONSTR (POWER APPARATUS p NON-RESID. `SINGLE OUTLET CIR. 11 Ex. Occup{OUTLETS OR FIXTIIRES1 5 L25 Ex. OCCU FIXED APPLNS. OR p•�OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring ( (/ 6.25 Z ® I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. r ®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 the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 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 Land Development Fee Is TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X-4- 6�d-Date 5 gnature of Pe�rrmm�itee or Agent Receipt No. / ®1�17 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant 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. .05;;,�RECWI OF PUBLIC WORKS By Date —,?,- P B permit expires Date Z OZ