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HomeMy WebLinkAbout043-730-005Gary Pederson 'KENNICOTT CONST. CO. 1068-69.B26 Ranchita Way, Chico contr: Tom Hall, Chico 218-70P 1044-69EPermit#5052- 78B P ,E,Mq2I4additiio nA 26 Ranchita. Way (LOT Chic(new single family)B tt4� . / -FContir: David Brandt 044s--7sPErmit#3111-87E(relocate di washer/SF)PEDERSON, GaryRanchita, Chicocontr: Ely Roofing| | | | / ' ' ... - --~� ' -�� � ®_ � � - �, ,W V ��� � � �� 043-73-0-005 92-3783B " PEDERSON, Gary 26 Ranchita, Chico contra Ely Roofing. reroof/sf 6�z {t. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS �,•: 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT r PERMIT NO. C ASSESSOR PARCEL NUMBER ' ..- ZONING BUILDING PERMIT OWNER TELEPHONE J— - S0. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS 0. J C'r Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 1 d • JJ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ JU . ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS _ r 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 GW 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: r� `' -. I,1 t r_. Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6101 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): DI am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Codef and my license is in full force and effect. +,J/ .��i.j --.. 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.y 2/,zQsgft OR ACDNS. (ACC. BLDGS. NEW CONSTR. MULTI—OUTLET NON.RESID BRANCH CC ITS 2.50 ea RARTUS POWER APPAI6 (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20@50t eALO 30 FIXED APLNS EX. OCCup. OUTLETS P(RESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 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 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 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.TYPC I FLOOD PARCEL P11 I No 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 1 Receipt No. WHITE-o.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 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBERt 3--7 _0a5 Z'NING �- BUILDING PERMIT OWNER Gary Pederson TELEPHONE 345-1234 SO. FT. OCC. BUILDING VALUATION 2 400 1440 OWNER'S MAILING ADDRESS 26 Ranchita Way Chico CA 95926 CONTRACTOR'5NAME Elv Roofing Inc TELEPHONE 343-7663 CONTRACTOR'S MAIL NG ADDRESS P 0 Box 704 Chico CA 95927 Fireplace CONSTRUCTION LENDER UNKNOTr 1C Total Valuation $ Filing Fee $ 15.00 34mmx LENDER'S MAILING ADDRESS Permit Fee $30.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 26 Ran chita Way - Chico 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 S I G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities [I Installation[] Other j] Describe work: roofing overlay -24 sqs - 20 yr COMI Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 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): 1 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. 607386 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 OR ACDNSCONST. DWEACCLLIN GS CCUP.N) 1/20sq ft / NEW CONSTR.U TI.OUTLET NON.RESID BRANCH CIRCUITS) 2.50 ea /POWER APPARATUS &) (SINGLE OUTLET CIR, 20050Q Ex. Occup OUTLETS OR FIXTURES eAL93'0 Ex. OCCUp. OUTLETS (RESFIXED ID.)REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ 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. 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 con q ence of the granting of this permit. + 10-12-92 X Date Signatu4,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 $ 45.00 OCCUP. CONST.TYPFJ I IFLOODIPARCEL PD NO 59UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which IRE OF PUBLIC By l2l2r PERM( EX IBES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. 17-6 2- ID WNITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT a , .PERMIT NO. PERMIT EXPIRES Gary Pederson OWNER ;CONTR. Tom Hall, Chico LOCATION (A.P. 42-36-5 ) t 26 Ranchita Way, Chico ' I, a i R • • a {a }tyT` } Temp. Powe�Pole Called PG&E Temp. Elz Serv. Called PG&E TempGas Serv. Called PG&E FI ALED (Dat (Signature) .f 1 5052-78B,P,E,M- COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ' - BUILDING INSPECTION_REC_ORD .JtU�%,U rinai auo aneis Mesh MECHANICAL Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole , Finish Ducts Underground - ilnterior Lath Ventilation Permanent Door Closer Final 4 '2- Final i MOBILEHOME UTILITIES ------------- ---- Elec- dervice Elec. Pedestal Water Piping Sewer Gas Piping E OME INS ALLATI N - - - - - - . - - - - - • • Support Elec. Continuity '3 Water Piping Drainage Gas Piping DATE REMARKS 0 CORRECTIONS Rim /o 16 �1 ��- _ ,:= ,Gc�4;�4� r GLr-e� �y -� • each time you visit the job si e.) + BUILDING- BUILDING (Cont'd) PLUMBING Setback - o— Firewall Soil Piping Forms 2 2 Parapets 1 st F loor Main Bldg. Restroom Finish 2nd Floor Footings !2-2,2—,-'9 Windows 3rd Floor Stemwall -2 7-7 9 Siding To out -� $ Slab Roof Sheathing Water Piping Piers Roofing Sewer ' Garage Fdn. Vents .- Fixtures w' Footings Stemwall Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for phsically handicapped . Conformance of ex. structure Appliances Gas Piping Temp. Gas &Test O —2 Slab Final /2 Sanitation Patio FIREPLACE Final Footings Footina ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures ) Bond Beam FIRE PRINKLERS Motors Framinq % ,67z.L- - Test Water Htr. ,- .JtU�%,U rinai auo aneis Mesh MECHANICAL Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole , Finish Ducts Underground - ilnterior Lath Ventilation Permanent Door Closer Final 4 '2- Final i MOBILEHOME UTILITIES ------------- ---- Elec- dervice Elec. Pedestal Water Piping Sewer Gas Piping E OME INS ALLATI N - - - - - - . - - - - - • • Support Elec. Continuity '3 Water Piping Drainage Gas Piping DATE REMARKS 0 CORRECTIONS Rim /o 16 �1 ��- _ ,:= ,Gc�4;�4� r GLr-e� �y -� • each time you visit the job si e.) + COUNTY OF BUTTE - bE'PAIRTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 .� Telwhrone: 634-4541 APPLICATION AND PERMIT M t1U111U11Le [upluJCllto CS UI Ule I,UUIIty 6Ulre tU enter upun the above-mentioned p rtv for insoectio utAes. X Date $ignoture of Perm* a 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 Date B ding permit expires Date III BUILDING 3F III Owner a SO. FT. OCC. BUILDING VALUATION � Mailing Address Telephone No. Contractor1-0c =114415pt&mow/ dke i Mailing Address replace Total Valuation Telephone No. Permit Fee �. Building Address Plan Checking Fee&/or Penalty Permit Fee s ,b, PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Ch//A_ k C,6 Repair drainage or vent piping 1.50 A. P. No. Zoning &Planning Water piping 1.50 Each gas water heater or vent 1.50 F s Sa ' Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 ?> EOA Parking Parcel Plans Declaration parcel Ma 60' R/W P improve is P Each additional outlet .30 Building sewer 5.00 Bldg. ans Recd Parcel p rovaI Plaho Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION UTILITIES ❑ OTHER ❑ permit Fee $ na co $ l/t7osol �% ELECTRICAL No. @ FEE b PERMIT FILING FEE $3.00 ,DC7 Main service 100 AMP OR11V OR LESS5.00 Single Family 10 Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O y Main service// EA. ADD'L 100 AMP 1.00 ORNEW CONST. \ AC B CUP. &) 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 style of: pEEQ. C_ws_eh, <--cww QVC \ kIt, t -k NEW CONSTR MULTI -OUTLET NON-RESID, BRANCH CIRCUITS) 12.50ea, NEW CONSTR. (POWER APPARATUS .&, NON-RESID. `SINGLE OUTLET CIR. 250 Ex. OCCUD(OUTLETS OR FIXTIIRES 6 L 11 FIXED APPLNSOREx. OccuP•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.�+SdgO6 Q Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ t) is t WORKMEN'S COMPENSATION INSURANCE I 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. 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. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 , 4>0 Heating/t u Lab ACAj Cooling �a 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 $ t1U111U11Le [upluJCllto CS UI Ule I,UUIIty 6Ulre tU enter upun the above-mentioned p rtv for insoectio utAes. X Date $ignoture of Perm* a 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 Date B ding permit expires Date III COUNTY OF BUTTE -,DEPARTMENT OF PUBLIC VORKS ` 7 County Center Drive - Oroville,.Califotnia.95965 - Telephone: 916/53817541- APPLICATION AND -PERMIT PERMIT NO. ASSESSOR PARCE[NUMBER ) - ZONING BUILDING PERMIT OWNER TE/L%EPHONE SO, FT. OCC. BUILDING VALUATION OWNER'S WAILING ADDRESS hy/wry l COON{TTR`AC'TOR'S-NAME ' TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCT ON LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS 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 � ��� ���� `' h ���� Each Trap 2.00 i 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 I W O,OOea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lit'es ❑ Installation ❑ yOther El Describe work: �Pf���� r ��«���— _ - ! d �1� t Permit Fee $ 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): El 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 OCCUP..) yzQsgft OR ADDNS. ACC. BLDGS. NEW CONSTR.MULTI-OUT LET 2,50 ea NON•RESID BRANCH CIRCUITS) /POWER APPARATUS IN) (SINGLE OUTLET CIR. 1 Ex. OCcup(OUTLETS OR FIXTURES SAL@30 9ALaso 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 WORKMEN'S COMPENSATION INSURANCE 1 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 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 jsaid County in consequen�c/e of the granting of this permit X !���� -1 /f y�� / ter"� 7� Date 5 �lG� �� / O ❑ C ❑ g entT Signature of Applicant — wner ontractor A ' An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories n7 height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ oc CUP, I CONST.TYPE FLOOD PARCEL PD I NO I 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 aid. %1 p DIRECTOR O.F�PUBLIC WORKS! B I',� .-,Jft�/,�I-,lAf � Date y+, �+ q111 -1, PERMIT EXPIRES Date �s � -i Receipt No./ WHITE-O.P.W„ YELLOW-ASet:,SOR, PINK -INSPECTOR, GOLDENROD -APPLICANT kid� - . .� Z7- 4dvr yolcvrO 14 40, /✓1 0 COUNTY OF BUTTE . DEPARTMEAT OF PUBLIC WORKS 196 Memorial Way, Chico —Phone: 891-2751 f 7 County Center Drive, Oroville - Pho�.e: 538-7541 `s ' 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE �'Pco ,Pr so✓l -311-1- 9 7. 'NER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. i.r r+r.cr�nds ?md" J-�� />Y✓/yI 1 �% T b � vrn tee%/ ��,�� i1L� e. ? In, S.P 6m_&c.1 ewc, of k/4eC X30 S i7 ft /n (Vo r rfc f e/k/ I'S Date 12 - 3b-q� Inspector . 01 Bill h®R`Q'�1101'T,N/I/E99AW FOR A.M. DATE TIME' P.M. - M PHONE AREACODE - NUMBER ' :EXTENSION a'iupp✓//Z,.%Y�'.To� �^k �`3i�`C `3�2 / � Sv� Y7ELEPHDNEDZJ„� e mill PLEASE CALL��yk �Wt r°” GAME SEE AGAIN ' � � .. . 4's TO YOU , >WILLSGALL u y � ¢� �RETURNEDLYDURCALL��� a SPECIAL'�ATTENTIDN�' �s�'�,�. ■m COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. , ASSESSOR PARCEL, NUMBER• �), 'ZONING / BUILDING PERMIT Ow ER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OW,4ER'S VAILANG ADDRESS , C(_JOA T 'S AME r TELEPHONE CONT ACT RV 4'S M&J41NG ADDRESS �ylt Fireplace ONSTRUCT ON 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 OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 / fP ! Each Trap 1 2.00 Solar or heat pump water heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP 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 S G W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel Utili 'es ❑ Installation❑ Other ❑ Describe work: -� J ��LLLL Permit Fee $ Contractor ELECTRICAL PERMIT FiIin Fee 10.00 9 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD -L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check.one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Businessf 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.EdI/Z¢sgft OR ADDNS. ACC. BLDGS. I NEW CONSTR. ULT).OUTLET NON-RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS 6\ (SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 20®50t 5AL0 —0 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 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 Filing Fee 10.00 Heating 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. 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 Cou in copse rice of the granting of this permit. X Date Signa? re of Applicant Owner ❑ Contractor ❑ Agen 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.T77 I IFLOODIPARCEL.1 PD I ND ISSUE This permit is hereby issued under sions of the Butte County. Code and/or work indicated abo for which DI OR F PUBLIC f By PE MIT EXPIRES Date the applicable provi- resolutions to do' fees have been paid WORKS / Receipt No. �� d WHITE-O.P.W-. TELLOW-ASSE330R, PINK -INS ECTOR. GOLDENROD -APPLICANT a .t COUNTY OF BUTTE -,Department of Public Works 7 County Centef Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-538-7541 An'"owner-builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your.building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of . the proposed property improvement (yes or no) We) �. 2. I (have/have not) for the proposed work. signed an application for a building permit 3. I have contracted with the following person (firm) to provide the proposed construction: p Name he, V e /J td. d Address city Phone 3y3 -?33% Contractors License No. g6,?y2 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work. but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner �2Gov�— Social Security Numbe Date J'ea -1 /S /9y Z; NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit.