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
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HANCOCK�TftALIA
2879
HANV813 OCont: UPGR
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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
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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