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HomeMy WebLinkAbout043-260-02743-26-27 JULIA DOWD 511 Bidwell- Drive,,, Chico e Contr: Four Counties Roofing Permit412590-83B(reroof/SF) 43-26-27 = Contr: MV c Const Permitl11585-86E(e a SF)_L� o 43-26=27 Pont: �C elland A.C. Inc. erwTE #1614-86P,M(in'stall dual--OWSF) -- - 043-260-027 02-01 2 pUv BYMERS, PETER 3� 1511 BIDWELL DR, CHIC(�� CONT: BAIRD ROOFING = REROOF i i i i I x:. s:�.:� 043-260-M7_t 1!� . 61-0162 BYMERS, PETER 1511 BIDWELL DR, CHICO CONT: BAIRD ROOFING REROOF • 1` r '4 COUNTY OF BUTTE: DEPARTMENT OFiDEVELOPMENT SERVICES,- BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT �'�''!� ASSESSOR PARCEL NUMBER �/i Y ^ i ZONING BUILDING PERMIT OWNERj r / I _ fes% TELEPHONE • SO. FT. OCC. BUILDING VALUATION, OWNER'S MAILING ADDRESS ""� CONTRACTOR'S NAME - J .e , f TELEPHONE _N-1;1/,,3 CONTRACTORS MAIUNG ADDRESS /? Z,-1,2 �- MZQQWK1 i / C 7 �%� CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS '�• .. '/ !/ Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISION'SNAME PARCEL MAP PLUMBING PERMIT Filing Feel 20.00 Each Trap 7.00 USEOFSTRUCTURE SF} Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK v. New ❑ Addition ❑ Re mod 1 ❑ Utilities ❑stallaticin ❑ Other ❑ Describe Work: 2/ ad N,, Gas piping s stem t - 5 outlets 15.00 Buildin sewer ' 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 ao LEOVMain Service 2o0A 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 ir-L full force and effect. 1 Class % 1'r/ Lic.NO. %J��Oy ' 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 IOOOA 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a Acc. stns. SO 3.52 FT: NON -NEW RESD ' MULTI-OUTLEf g7.50, POWER APPARATUS a SINGLE OLJfLET C',License Ex. Occup. OUTLET OR FIXTURES so BAL @', 0 FIXED APPLNS. OR Ex. Occup. OUTLETS RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 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. ori 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' corn t, insurance carrier and policy number are: Carrier 1 FA! 16 f'/V4–? Policy Number '�� i - `h-2 (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 t I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. / . • X�/� _/i?fLrl� iDate //:'' "r�o� Signatuf of�4p�licant - O Owner tractor ❑ Agent An OSHA permit is required for excavations over 5'0" 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 $ Oc ��TOTAL T. PE �-� FEE $ AZ. D. FEES IMP FLOOD CDF PARCEL 'THD SUE This permit is hereby issued under the of the Butte County Code and/or Resolutions indicated above for which fees have By /// PERMIT EXPIRES ON applicable provisions to do work been paid. J, ' Z 3 , V 2 Date at �• O (Da ta Receipt No. WHITE-D.D.S.-B.D. C ARY-ASSESS R P1NK-rNsPECTOR GOLDENROD -APPLICANT r COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PRM,IT No. (Rev. 12/96) APPLICATION AND PERMIT �'0' C-)1�- ASSESSOR PARCEL NUMBER O77,3 A _ �C� �7 ` ^ U v ZONING BUILDING PERMIT OWNER �" "E SO. FT. OCC. BUILDING VALUATION 0 OWNERS MAILING ADDRESS �, wt -L CONTRACTOR'S NA Eaf9 TELEPHONE CONTRACTS MkiLiNd ADDRESS/ G CONSTRUCTION LENDER Fireplace — LENDER'S MAILING 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 S LOT NO. SUBDNISroNS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF P 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 ❑ Rem I ❑ Unities ❑ steIlatiqp ❑ Other ❑ Describe Work: �C71`J � !M Gas piping system 1- 5 outlets 1 5.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE $ 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 i full rce and effect. !/ License Class Lic. No. o L31 S%a 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 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. 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 permitis issued. My workers' compensation insurancarrier and policy number are: Carrier Policy Number <. 3(9`z (The above sections need not be competed 0 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 fo ith comply with those rovisions. / J� n X Date p� Sign u e o Applicant - ❑ caner Contractor ❑Agent An OSHA rmit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO Iloo." 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a."cC. S.3.5¢FT. NEW p°�ID. MULT I.OUTLEr 97.50 POWER APPARATUS a SINGLE OUTLET CIR. OUTLET OR FIXTURES 20 Q I'0° Ex. Occup. BAL @ .50 Ex. Occup. o UTLEEDT3 RsID. MLNS °Ew 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ n_ T TOTAL FEE $ HAZ. D. FEES IMP FLOOD I CDF PARCEL PO HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. II--�� Date 13 V 2 Z T, of Date Receipt No. zz WHITE-D.D.S.-B.D. C NARY -ASSESS R PTNK-TNSPECTOR GOLDENROD -APPLICANT L�w�_ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 , APPLICATION, AND�PERMIT ASSESSOR PARCEL NUMBER • !, 3 _26 _`� ZONING BUILDING PERMIT OWNER Ju1. Sn TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1;11 Ltd—..all Ur., Chico, CA 95926 2112=1 CONTRACTOR'S NAME OU't COUNTILS rAOFI*..0 f:C. TELEPHONE 343-1416 LL 16 fsaw ra (ihoke re—rnt,f /- CONTRACTOR'S MAILING ADDRESS 10GU :braudcr 5t.,.Chico.CA 95926 Fireplace CONSTRUCTION LENDER •VA UNKNOWN Total Valuation $ / 1,. ec<-- Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ n7 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS 1311 :idutll rr.. Chico. CA 9 926 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 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 ❑ Duplex ❑ Mobi lehome ❑ Other o SPECIFY Building sewer / 5.00 Mobile Home / I SG W 10.00 e / TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ® Describe work: Rc : oof — Shake Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 1 10.00 Main service EA. ADO'L 100 AMP oO' 2.50 NEW CONST. DWELLING OCCUP.&\- OR ADDNS. ACC. BLDGS. j / 1�2 2 2sgft CONTRACTORS LICENSE LAW I declare under penalty p y of perjury ur y (Check one): o I am licensed under provisions of Chapt. 9, Div. 3 of the Bus Iness and Professions Code and my license is in full force and effect. License No. 275945 Classification r—*AQ ❑ 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 CONSTR ULTI.OUTLET/ 2.50 ea NO N.RESID BRANCH CIRC ITs NEW CONSTR ( POWER APPARATUS &'1 NON -RESID.// SINGLE OUTLET CIR. / Ex. OCCup\OUTLETSAR FIXTURES 20@50 Q 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 FiIingFee "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 shall 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 againstsaid C)ounty,iinn consequence of the granting of this permit. X /t.( /t/l.i�tiIINA ..2/21/x3 Date Signature Nf Applicant — Owner ElContractor EJAgent F-1 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 $ It-, -nn OCCUP. GROUP I TYPE of CONST. PARCEL PD HD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or workindicated- above for which ' l DIRECTOR OF PUBLIC j By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. y WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICVTIOWAND PERMIT PERMIT NO. D— ASSESSOR PARCEL NUMBER 43-26-27 ZONING BUILDING PERMIT OWNER Julia Dowd TELEPHONE 343-0680 SQ. FT. OCC. BUILDING VALUAT N OWNER'S MAILING ADDRESS 1 511 Bidwell Dr., Chico, CA 95926 %i1SFllt CONTRACTOR'S NAME FOUR COUNTIES ROOFING CO. TELEPHONE 343-1416 16 square — shake re—roof CONTRACTOR'S MAILING ADDRESS 1060 Marauder St. hico CA 95926 Fireplace CONSTRUCTION LENDER N/A UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S M ADDRESS Permit Fee $ 25.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 35.00 BUILDING ADDRESS 1511 Bidwell Dr. Chico CA 95926 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or v 5.00 Gas piping system 1 - utlets 5.00 USE OF STRUCTURE SF X❑ Duplex❑ Mobilehome❑ Other = SPECIFY Building sewer Z5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lilies ❑ Installation ❑ Other ® Describe work: Re—Roof — Shake Permit F e $ Cont ctor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 00 Main service EA. ADD'L 100 AMP 2.50 NEW CONS. DWELING OR ADDNST ( ACCLBLDGS.CCUP. V/4sgit CONTRACTORS LICENSE LAW I declare under penaltyof perjury p I y (Check One): ®NON•R 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. 275945 Classification C-39 ❑ 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 CONSTR ULTI.OUTLET 2,50 ea ID BRANCH PIR NEW S NEW CONST R. /POWER APPA TUS &'� CO ESI D. \SINGLE OUT T CIR. 20050C Ex. Occup(OUTLETS R FIXTURES BAL®30 EX. OCCUp. FIXE SPRESID )RE..) 2.00 Temporary serv' a 10.00 Mobile Hom acilities 15.00 Misc. Wi ng 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing 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 shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contracto 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 liabilities, judgments, costs, and expenses which may in any way accrue aga' t aid unt'n c :�s=ceofanting of this permit. X Date 7/29/83 Signatureplicant — Owner ❑ Contractor ElAgent ®wor 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 $ 35.00 OCCUP, GROUP I TYPE OF CONST. I PARCEL PD I HD ISSUE This permit is hereby issued under sion of the B�te County Code and/or is tedabovefor which IEQTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date �j$-�'ff3 O `/_� Receipt No. 614-937 WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT is �, c . w _.. w �.s r .Y-• Y � .' fie". sx.::- -• +`rl.%, .. .. v :.. - R )7+ .. f, � y-� j' ' . » }I+..' 4 t OFFICE COPY ±s5' �• Date ELECTRI � r ' Meter By C4`� 7s� `; Date• /J fi } t v . COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drivg-�OYov"Nle, California 95965 - Telephone 916/534-4541 APPLICATION *AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SQ, FT. OCC., BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS , f Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 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 SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 1 10-00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 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 Bushes$ and Professions Code and my license is in full force and effect. License No. f Classification a. ❑ 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.R , New CONSTR.( A 1 �z2sgft MULTI -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea APPARATUS e `SINGWLE OUTLET CIR. (SINGLE Ex. Oc u zoesoe OR FIXTURES eALO 30 p�OUXED A EX. Occup. OUT ETS (RESID )RE A.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 'ie s, ` 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 ofthe 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 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. X Date Signature of Applicant — Owner ❑ Contractor ❑ 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 $ TOTAL PERMIT FEE $ Occup. CONST.TYPE __J_FLOOD PARCEL PD 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 ' PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. - WHITE-O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT �OwD E COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS \/ 7 County Center Driv4=;7rov4.e, California 95965 - Telephone 916/534-4541 7� APPLICATION AND PERMIT �/ \ PERMIT NO. I I I r ASSESSOR PARCEL NUMBER _ a ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING• ADDRESS , CONTRACTOR'S NAME TELEPHONES CONTRACTOR'S MAILING ADDRESS .. r ," , 4 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 r , 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 5 USE OF STRUCTURE SFEJ Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home IS I GJWJ 10.00 e TYPE OF WORK New ❑ Addition_❑ Remodel ❑ Utilities ❑ Installation❑ Other,0 Describe work: r� / - — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service &oov OR LESS 100 AMP OR LESS 10.00 01 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. / DWELLING OCCUP.& OR ADDNS. ( ACC, BLDGS. 21/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): Q I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions uCode and my license is in full force and effect. / S /—Q C' -' ,1 (_) License No. 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) ❑ 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. (POWER APPARATUS &) NON-RESID• SINGLE OUTLET CIR. Ex. Occup(ourLETs OR FIXTURES 1.20@50c EX. OCCUp. OUTLETS FIXED P(RESID )REA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. a 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. Heating -h, I_ Cooling Hood 3.00 Ventilation permit Fee $ Contractor 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 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. X Date Signature of Applicant — Owner❑ Contractor ❑ Agent FJ 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 $ j ( (} OCCUP, GROUP I TYPE OF CONST. PARCEL PD ND 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. DIRECTOR OF -PUBLIC WORKS ` y A Date PERMIT EXPIRES Date Receipt No. �~ ��' WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS P RMIT O 7 County Center Drive - Oroville, Californ�; 95y55i Telephone 916/534-4541 APPLICATION" AND PERMIT , ASSESSOR PARC L NUMBER — ZONING BUILDING PERMIT OWNED TELEPHONE SQ. FT. OCC. BUILDING VALUATION O WNE MAILING Lj G ADDRESS44, MOO N 71 A TELEPHONE 99 /1 zv ONTRACTOR'S MAI ING _ADDRESSn _ /J % `A" 9S_ 9Z6 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 r� Water piping ' 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent. 5.00 Gas piping system 1 - 5 outlets 5.00 v0 USE OF STRUCTURE SF,4 Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home IS I GJWJ 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ 1 stallation ❑ Other Describe work: 5 g� /� D 3o/fin Permit Fee $ SQ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORLESS10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. I 12 CONTRACTORS CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): N—A I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professio ode and my license is in full rce and effect. `�jS �D License No. v 5 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) ❑ 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.RES,D BRANCH CIRC ITS NEW CONSTR. ( POWER APPARATUS &) NON-RESID• SINGLE OUTLET CIR. 2D@s0C Ex. Occup(o OR FIXTURES BAL®300 FIXED A FIXED APPLES, OR EX. QCCUp. 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 ,00 Cooling a (� 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. 1 also agree to save, ' demnify and keep harmless the County of Butte against all li Iities, jud en costs, and expenses which may in any way accrue aga' st said Cou ty in onsequence of the granting of this permit. X Date_ ,,,ttt,,Lc� Signture of Applicant Owner El Contractor ❑ Agent An SHA permit is r quired for excavations over 5'0" deep and demolition or construct- ion of structures over 3 storiesnin height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 57,00 OCCUP. GROUP TYPE OF CONST. PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DI OR F PUBLIC By. AL PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date �l [Receipt No. � 6b� WNITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Fran: June 10, 1986 When you called yesterday and asked if this was -in the City, apparently I misunderstood what street you asked me for. . . (I thought you asked -for Bidwell Park which is all inside city limits).. All or most of Bidwell Park and Bidwell Avenue are in the City but none of Bidwell Drive is . Therefore you'll have to send this.to the county.'; ` Sorry about that. .- . ! Jan/City of Chico Building Div. .sc. of Work Tf?rC arLic��er_ lan _ ,e of Structure si r-, I e fL7n11. pe Occup. emarks: 1 = Payne 58,511030/40 duo pack LICENSED CONTRACTORS DECLARATION :ereby affirm that 1 am licensed under provisions of Chapter 9 (comment - i with Section 7000 of Division 3 of the Business and Prof sions Code), d my license is in full lorce and effect. _ense Class C-43 0--4 :en Nr 345121 ire 67A /06 Controctor Gti _ OWNER -BUILDER DECLARATION iereby affirm that I am exempt from the Contractor's Licenke Law for the lowing reason, (Sec. 7031.5, Business and Professions Code: Any city county which requires a permit to construct, alter, improve, demolish or .?air any structure, prior to its issuance, also requires the applicant for .ch permit to file a signed statement that he is licensed pursuant to the ,vision of the Contractor's License Law (Chapter 9 commencing with ection 7000 of Division 3 of the Business and Professions Code) or that is exempt therefrom and the basis for the alleged exemption. Any olation of Section 7031.5 by any applicant for a permit subjects the iplicont to o civil penalty of not mote than five hundred dollars ($5001): ❑ 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 (Sec. 7044, Business and Professions Code: The Contractor's License Low does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements ore not intended or offered for sale. If, however, the building or improvem6nt is sold within one year of completion, the owner - builder will hove the burden of proving that he did not build or improve for the purpose of sale.) ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Profes- sions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Con- troctor's license Law.). ❑ 1 am exempt under Sec. B. 1L P. C. for this reason, tote Owner WORKER'S COMPENSATION DECLARATION hereby affirm that I have a certificate of consent to self -insure, or a nrtificate of Worker's Compensation Insurance, or a certified copy thereof ,uc. 3800, Lob C.) Tslicy No. 272-85UN108 ompany R Ming ❑ Certified copy is hereby furnished. [[ Certified copy is filed with the City o 1 3 Building Di tion. _ Mie ti"9— �6 APPlicant /1-CiiA / // OF EXEMPTION FROM This section need not be completed if thi permit is for one hundred dollars ,1001 or Iessl. 1 certify that in the performance of the work for which phis permit is issued, I shall not employ any person in any manner so as o become subject to the Worker's Compensation Laws of California. am -,oplicont r^:VCtf TO APPLICANT; If, after mnking this Certificate, of Exemption, you ,orf become subject to the Wo'km'c ts'oms of the ' •.• you reuse (Om+ly, woil Sur.l. ..site! or this Y T 90-3504 1211 4944 DOLLARS BLE DISCOUNT r. -27 1 AIRND TIONING, INC. sr the perform - f. C.). above informa- ordinances and t : orize represent - for inspection or Agent Date cLECTRICAL PERMIT FEES No. @ $ Fee Permit Filing Fee Service Switches Fixtures Receptacles Appliances Heaters. Circuit Panel Motors Lighted Signs Other IE TOTAL ELECTRICAL PERMIT $ PLUMBING PERMIT FEES Permit Filing Fee Toilet Bathtub Shower Lavatory Kitchen Sink Dishwasher Laundry Tray or Washer_ Water Heater and/or Vent Sewer Connection Repair or Alter Drain Vent Floor or Service Sink Gas outlets, 1 to 4 Gus outlets, 5 or more — Other TOTAL PIwUMBING PERMIT $ 15.00 MECHANICAL PERMIT FEES No. @ $ Fee Permit Filing Fee Duct Work Cooling 2 TOP_ Heating M 77 uo— Hood Other TOTAL MECHANICAL PERMIT $ 12.00 TOTAL VALUATION $ Building Permit Fee $ GRAND TOTAL PERMIT FEE $ 27-00 Permit fee includes California Department of Conservation Strong Motion Instrumentation tax equal to 7¢ per 1000 valuation. r Fee Received: [ Check By ❑ Cash Date 6-9-86 PERMIT/ IIR�E�S,I,N� 60 DA` S IF WORK IS NOT COMMENCEC. Sig//r(ature of Permitee Per/nit Approved a Issued By COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 41 -3- a(� -- '�. ZONING BUILDING PERMIT ry OWNER ✓\ 'V �ll�f. Q) W i TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CT CONTR 'S NAME F � 60 TELEPHONE CONTRA TOR'S MAILING ADDRESS 80S717 C a C/5`ty7 Fireplace CONSTRUCTION LENDER UNKNOWN C Total Valuation $ Filing Fee $r 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. ARCHITECT OR ENGINEER'S MAILING ADDRESS - Plan Checking Fee 1 Energy Plan Checking Fee E$. + $ Penalty $ BUILDING ADDRESS /• LOT NO. SUBDIVISION NAME PARCEL MAP Permit fee PLUMBING PERMIT Each Trap Solar or heat pump water heater Water piping Each qas water heater or vent $ Filing Fee 10.00 2.00 20.00 5.00 5.00 USE OF STRUCTURE SFCK Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S J G I W I 10.00ea TYPE OF WORK New Addition❑ Remodel❑ Utilities❑ Installation[— Other ❑ Describe work: c=An! � ����, ��•�� �rCa%r- ��„r Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 U,•CSo Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): IL�^Yl I am licensed under provisions Of Chapt. 9, Div. 3 of the Business Profession ode and my license is in full/force and effect. License No. Classification v ff� El 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 CONST. DWELLING 0CCUP.3� +/Z�sgft OR ADDNS. ACC. BLOGS. NEW CONSTR. ULTI.OUTLET 2.50 ea NON-RESIO BRANCH CIRCUITS) PO ER SINGLE OUTLET US &I f OIL) EX. 0C Up�OUTLETS OR FIXTURES z0®50t BAL030 EX. Occup. OUTLETS FIXED P(RESID )KEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00S UO Prv, 4 Permit Fee $ O Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. �1 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 FilirgFee 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 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 against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X t` ^ G� Signature of Applican Owner El Contractor ❑ 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 $ TOTAL PERMIT FEE $ 917• %_Z�. OCCUP. CONST.TYPC FLooo PARCEL PD No Issu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR O PUBLIC o By �� PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date �- Receipt No. Xve WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT It S f'I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION iJ, 10 7 COUNTY CENTER DRIVE - OROVILLE, CPLI•FORf4IA 95965 - TELEPHONE: 916/534-4,541 PERMIT APPLICATION DATA SHEET D Permit No. OWNER �L .lam �y`r^^t N A. P. No. y 3 ",;Z G — 7 Proposed Building Use Serest_-¢. CL,\ " , Permit Fee Based Upon: Complete Contract Price DPW Valuation Other (Explain) Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . . . . . . . . . . . . . 2. Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 114. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16 . Mobilehome Installation Data. request to �Z (Date) Pre -Inspection for Flrc.�vcc. s/� . Required. p q Building Inspector 18. Recorded of Agricultural pick owledgment Statement . �� required 19. Other vew�ay permit const. approval prio to occupancy) �r When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other � // Applicant Date ( ///FG t Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other ' By Date Plans checked by Date Plans approved by Date Other: Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovilie, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT. ASSESSOR PARCEL NUMBERZONING — -2, (9 --2 BUILDING PERMIT OWNER 1r TELEPHONE SO. FT. OCC. BUILDING KALUATION OWNER'S MAILING ADDRESS r, CT •S CONTR lv ENE �1J r 3C// CONTRA TOR'S MAILING ADDRESS `V7 Fireplace - CONSTRUCTION LENDER UNKNOWN Total Valuation$ LENDER'S MAILING ADDRESS Filing Fee _ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 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 SF CK Duplex❑ Mobilehome❑ Other I SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home TSTG FW 10.00 ea TYPE OF WORK New❑ Addition❑ Remodel E] Utilities❑ Installation[] Other E] Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 n �� /LJ �Tt-- Main service 10000 AHP ORLESS10.00 V;U- CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): •�„ rLYIY I am licensed under provisions of Chapt. 9, Div. 3 of the BUSlness and Professions Code and my license is in full force and effect. License Classification C—/li 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 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.Si , OR ACDNS. \ ACC. BLDGS. 2/2¢sgft NEW CONSTR. M ULTI-OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. EX. OC Up(OUTLETS OR FIXTURES 20e90C5AL930 11 FIXED APLNS. EX. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 0 U �- r f, iL�v Permit Fee $ S O 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 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 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 against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the grgranting of this permit. X �Date o (. Signah •� Kf 7�:iplicaii' Owner El Contractor ❑ Agent L An 05• -ermil is required for excavations over 5'0" deep and demolition or construct- ion CLL `^'crures over 3 stories in he;yht_ pe,eeipt No. Ai •ITE -O. r. w., YELLOW-ASec330R. PINK-INsrItCT- oR.GOLDE_HAOV-APDL •AN_ Y� Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ S—a , occU P. CONST.TYPE FL000 PARCEL Po Na 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. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date