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HomeMy WebLinkAbout043-570-09943-57-99 SHAS COMPANY Common ea next to 140 Fairgate Ln,Chic Permit#6 -86P-LDarks rinklers)- 43-57-99 mit#746-86E(ele ser for sprinkler) 043-570-099 t 03-1031 HOLLYBROOK, HOA . 140 FAIRGATE, CHICO +' �N CONT: HIGNELL & HIGNELL ELEC. FOR SPRINKLERS • O D gpA-d IN 043=570-7099 ,,A�03.41031 UOUYBR(Ddk HOA 140.FAIRGATE.LN. CHICO" HIGNELL & HIGN= ELEC. W/'MISC. WIRING 0 I-- . k �� tly, t COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 1. 7 County Center Drive - OroviMe, California 95965 - Telephone (530) 538-7541 ` PERMIT AO. (Rev. 12/96) APPLICATION AND PERMIT 0_3 =>�� ASSESSOR PARCEL NUMBER 043 -570 -NQ ZONING PM BUILDING PERMIT OWNER tamp OOK°� $O, FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 1500 HUMBOIX AVE CHICO CA 95928 CONTRACTOR'S NAME HIGNUL & HIGNESS TELEPHONE 894-0404 CONTRACTORS MAILING ADDRESS _ AVE. N (95928 7Auli[]7l(J11{.d�Jr*l+ CHIOO �(� /y� /�CA CONSTRUCTION LENDER D [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 340 FAIRGIATE LANE CHICO CA 95928 Energy Plan Checking Fee $ ` $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other (01 '�CIAL 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, TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ELECTRIC W/WSC WIRING (R* PARR K SPRINnM Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 EO OR LESS Main Service 200OV, OR LESS 23.00 2300 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. ./(� ,r.�/ License Class C ' �� A/J / f LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License rL 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. SO OR ADDNS. ( a ACC. BLDS. 3.5¢FT. NEW CONST. MULTI -OUTLET NON-RESID. @7.50 POWER APPARATUS a SINGLE OUTLET cIR. 20 @ 1'00 Ex. Occup. OUTLET OR FIXTURES eAL @ .so Ex. Occup. oFlxur p IESIES D.ED ALINSOEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 - PERMIT FEE $ 66.00 WORKERS' COMPENSATION DECLARATION Thereby 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 whicb this permit is issued. My workers',00rMrmation inpulwAnce_ carrie polic umber are: Carrier � /& „�"%o v�` MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S _ . Policy Number X 7 "'i (The above sections need not be completed 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 f I should become subject to the work comp sation provisions of section 3700 of the Labor Code, I shall / fo wit �e.proyisions. D)te X 0% t/ �� © Ignature o Applicant - ❑ OwnerContractor❑ Agent An OSHA permit is required for excavat' ns over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 66.00 HAZ.LDEES IMP FLOOD CDF PARCEL PD HD ISSUE 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. By Al C ,. a 4-11-03 PERMIT EXPIRES ON 4-11-04 Date Receipt No. 375997 $ 66.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT wf�: . COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUI ING DIVISION "J y 7 County Center Drive Oroville, California,. 95965 • Telephone (53 538-7541Q� _ PERMIT NO. (Rev.12/96i. APPLICATION AND PERMIT it) ASSESSOR PARCEL NUMBER 043-570-099 ZONING PIM BUILDING PERMIT OWNER HOLLYBROOK HOA l�(� U 9C-26404 SO. FT. OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS 15'60 HOBOLDT AVE CHICO CA 95928 CONTRAM TELEPHONE CONTRACTORS MAILING ADDRESS 1500 HUMBOLDT AVE. CHIOO N CA 95928 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 $ BUILDINGADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other COMIC MCTAL. 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 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: ELECTRIC W/MISC WIRING (FOR PARK SPRINKLERS) Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 R LESS Main Service zo.A OR LESS 23.00 2300 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, I .9 and my licensefull force and effect. License Class ea Lic. No. /y ? % OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License rLa , 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 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 whic this permit is issued. My workers' inVeMce carrier olic mber are: P Y CarrierMIL !/ Main Service 200A TO tOOOA 46.00NEW CONST. DWELLING OCCUR OR ADDNS. a ACC. BLDS. s0 3.5¢FT. N"O _CO -.T' MULTI.OUTLET @7,50 POWAP 6 SINGERLE OUTLETPARATUS CIR. Ex. Occup. OUTLET OR PDnURES BAL p �.w Ex. Occup. OUTlEfB'R=-.DE. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 66.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Policy Number (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 if I should become subject to the work co ation provisions of section 3700 of the Labor Code, I shall fo h rovisions. / D e // ©7 S nature o Ap Icant - ❑ Owner P ontractor Agent An OSHA permit is required for excavati ns over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. T TOTAL FEE $ 66.00 =YPE FEES IMP FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work d above for which fees have been paid. C e 4-11-03 %By PERMIT EXPIRES ON 4-11-04 ate ReceiptNo. 375997 .{ 66.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Apr 29 03 10:14a p.1 r COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUI ING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (53 538-75416- PERMIT No.� (Rev. 12/2'6) APPLICATION AND PERMIT — fin:v ASSESSORPARCiNUMBER 043-570-099 ZONIIIG BUILDINGPERMIT . —1 OWNER HOLLYBRWK HOA 9026404 ISO• FT'- OCC. BUILDING VALUATION .OWNER'S MNUNG ADDRESS 1500 HUMMD1 AVE CHICO CA 95928 CONTRACTOR'S NAME TELEPHONE CONTRACTORS WAILING ADDRESS 1500 WMBOLDT AVE. CHICO N CA (95928 CONSTRUCTIONIENDER . Fireplace . LENDER'S MAILING ADDRESS c Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checkin Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ i PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ . Duplex ❑ Mobllehome ❑ Other COMMF'RCTAT. BPECGY Each Tr 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 - TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ELECTRIC W/MISC WIRING (FOR PARO'K SPRINKLERS) Gas piping system 1 -5 outlets 15.00 Building sewer 15.00 Mobile Home I s I G I W @20.00 PERMIT FEE _ ELECTRICAL PERMIT Filing Feel 20.00 Main Service loon ORLLss 23.00 2300 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 'q full force and effect. �/ ^ �/ /7 / ? V License Class --GD Lic. No. /// GGG _ OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License La .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 amexempt under Sec. Business and Professions Code for thisreason Main Service 200A To c000A 46,00 NEW CONST. DW6LNG occuP. 3.5¢60. OR ADONS. ( a ACC. BLDS. FT. NZREOSID. MULAN,n•ounFr @7,50 PowERAPPARATus 8 SPIGLE OVTLET GR. OUTLET OR FIXTURES p ®,.Ap Ex. Occu SAL •50 Ex. Occup. o°� 5.00 Tem ora Service 23,00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 _ I OFFICE COPY ;00 Address1w -S {� _���C GAS I Meter By, y Date I ELECTRIC Meter By Date 3 i ' OCC;DONST TrPE TOTAL FEE" 66.00 WORKERS' COMPENSATION DECLARATION WORKERS' 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, forthe performance of work for whlc this permit is issued. My workers' in ce carrier pollcy mber are: Carrier Policy Number (The above sections need not be completed If the permit Is for work of a valuation o1 one hundred dollars ($100) or less.)_ ❑ 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 workers' compensation laws of California, and agree that if I should become subject to the works cc aton provisions of section 3700 of the Labor Code, I shall fo h h_tho-�orov_ inions - _ / D e / © S natu e o Ap cant - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excavati ns over 5'0" deep and demolition or construction of structures over 3 stories In height. HAZ. D FEES I IMP I RDOD I CDF PARCEL Po HD ISSUE This permit Is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work dlcteabove for which fees have been paid. By�,da..i� arca , J e 4-11-03 PERMIT EXPIRES ON 4-11-04 Receipt No. 375997 $ 66.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT OFFICE COPY Address_ GAS Meter By Date ELECTRI Meter By Date -zd 19 S COUNTY OF BUTTE - DEPART4ENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT Y. P(E�RM/IT N0. ASSESSOR PARCEL NUMBER -44 -3 _ -5 -� � rag ZONING 6-1,9c BUILDING PERMIT OWNER - !! TELEPHONE S0. FT. OCC. BUILDING VALUATION o W N LL:: , Gyl[S7D 7p n- n 44 CONTRACT//OR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 MADDRESS LENDER'S AILIINNG Permit Fee $ ARCHITECT OR ENGINEER Lio�-- LICENSE NO. Plan Checking Fee ,$' Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty I $ BUILDING ADDRESS ��,, / Peit r V r ex PCC . 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❑ OtherEljkc-Lt� Se t" - i SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work:*-���t` ����s�c a� Sn�►w <«r Sy -5 �e tN !•,/?��,UA/ yr (�.�I� rc... Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 r� j' Main service 10ov OR LESS 100 AMP OR LESS 10.00 a, Oyu Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1 ❑ 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 oCCUI.&) '/z2sgft OR A.D.S. ACC. BLDGS. \ NEW CONSTRMULTI-OUTLET 250 ea BRANCH CIRC ITS IC?cz.) ON.RESID , POWER APPARATUS tr OUTLET CIR. /SINGLE Ex. Occup\OUTLETS OR FIXTURES 20@50t 300. FIXED APPLNS. Ex. Occup. OUTLETS ((RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 2 7. So 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 I 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 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. 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 against said County in consequence of the granting of this permit. ` X Date Signature of Applicant — Owner❑ Contractor ElAgent ❑ 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 $ S—V UP. CONST.TYPEJ FLOOD PARCEL PD HD ssuE FTTihispermit is hereby issued under the applicable provi- ns of the Butte County Code and/or resolutions to do rk indicated above for which fees have been paid. DIRECTOR'QF PUBLIC WORKS By �� /.��~ Date)/ PERMIT EXPIRES Date Receipt No. � pass WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DE,RT,MENT OF PUBLIC WORKS 7 County Center Drive : Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO.� ASSESSORPARCEL NUMBER ZO IN$,( �`//TT�L BUILDING PERMIT OWNER TELEPHONE SQ, FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S'NAME TELEPHONE , CONTRA OR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 M (LI LENDER'S NG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER a~ 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 fiKN -L1 SOI -V(- -PL SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: Sy 641,1% tev eAM V%,V,0tV of- C%k�(C 0-erste_ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 800V OR LESS 100 AMP OR LESS 1000 Urod Main service EA. ADD -L. 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the BUSInesS and Professions Code and my license is in full force and effect. License No. Classification ❑ 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 OCCUR.&` OR ADDNS. ACC. BLDGS. / , h2Sgft NEW CONSTRMULTI-OUTLET 2.SOea NON.RESID BRANCH CIRC ITS ,QG� POWER APPARATUS b (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20050t BALO30 Ex. Occup. OUTLETS P(RESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring15.00 Permit Fee $ S'p 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 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 01 Butte to ent r upon the above-mentioned property for inspection purposes. I also agr to save, Inde 'fy•and keep harmless the County of Butte against ay accrue all liabili i s, ju is st nd expenses which may in a�eY4�'_ against s i C u t c e ce of the granting of this p/eerrm, XDate 7 Signature ofpplic t — caner ❑ Conrroc+or ❑ 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 $ a r O OCCUR. CONST.TYPE FLOOD PARCEL P11 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. DIRECTO F PUBLIC WORKS I � BY v D e PERMIT EXPIRES Date Receipt No. ��s a WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT �g� -Q9 COUNTY OF BUTTE - DEPAR�MENT OF PUBLIC WORKS PERMIT /NO`.J 7 County Center Drive - Oroville, Vlifor 95965 - Telephone 916/534-4541 �/ APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER --A, _., < -2 . _. ZONING BUILDING PERMIT OWNER S krr r,- lrl 0 1 .,U0%40CA TELEPHONE �o 7 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS wv.(3o4- 41,�cf CONTRACTOR'SNAME %ftJ N.�Qw— �t�r"T• TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER IL^" UNKNOWN Total Valuation $ Filing Fee g $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER A I..) ^-A 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 A .1LC •. Each Trap 2.00 a 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 [I Duplex❑ Mobilehome❑ Other ��.iliC `r11,K1e, SPECIVY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other [� Describe work'„'tom 4�.,...l:lrrs _ �r i �.,, Ira+ ni�N►"/� - ,Ou Permit Fee $ Gam; CJ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eooV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. �>%{C'! 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 CONST. I DWELLING OCCUP.$) yZ¢sgft OR ADDNS. ACC. BLDGS. l NEW CONSTR. MULTI -OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS 6 SINGLE OUTLET CIR. ) Ex. OCcup(OUTLETS OR FIXTURES 20050t SALO 30 Ex. OCCUp. OUTLETS FIXED PRESID IREA.) 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. 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. 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. 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 against said County in/consequence of the granting of this permit. Ul.;;J I d.11/��lG'Lt-� `�/� X Date a Signature of Applicant'— Owner❑ Contractor A ❑ gent r ❑ 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 $ / 5 . p d occuP. CONST.TYPE IFLOODIPARCELI PD ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which �1317 OR,OF PUBLIC BY � ''9 �/✓ r PERMIT EXPIRES Date ? the applicable provi- resolutions to do fees have been paid. WORKS ^Date &L -3/� C.lReceipt 2 6 c-� No.sl� 53 f WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPA� TMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, C, iforr 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PE R NO ASSESSOR PARCEL NUMBER ASSESSOR ZONING BUILDING PERMIT OWNER TELEPHONE Q SO. FT. OCC.1 BUILDING VALN6VATION OWNER'S AILING ADDRESS 'v. a 0., CONTRACTOR'S NAME /^ nw we W TELEPHONE CONTRACTOR'S MAILING ADDRESS - Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER `� LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT R ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS �,^J fi vY►Vhdr4 \ o-, k CiL� 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 I SF❑ Duplex❑ Mobilehome❑ Other pc���� oriNk SPECI Y Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other Describe work: &Lwi 57X0ho,4 $ riNl:l .Oa Permit Fee Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00V 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): {-T IIYWI 1 am licensed under provisions of Chapt. 9, Div. 3 of the Bu$Ines$ and Professions Code and my license is in full force and effect. 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 CONST. DWELLING OCCUP.e) yzltsgft OR ADONS. ACC. BLDGS. NEW CONSTR. MULTI -OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS h (SINGLE OUTLET CIR20 / 0 50t. Ex. OCCUp\OUTLETS OR FIXTURES 5AL@30 eAlO 30 FIXED APPLNS. Ex. Occup. OUTLETS ((RESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin 15.00 g Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ® I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ 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 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,ojg7)ns, costs, and expenses which may in any way accrue agai t said Cyonse uence of the granting of this peWit.. X Date Signature of App icant Owner [I 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 $ % rj—„ 0 d occuP. I CDNST.TYPE I FLOOD PARCEL Po ND seuE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indic ed above for which fees have been paid. DIRE R PUBLIC WORKS Zl JFG By �] Date � / PERMIT EXPIRES Date �~ lk 6 �� Receipt No.Soi �3 � WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT