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HomeMy WebLinkAbout047-070-027n FOHX 47-07-27 ►�.SHELTON 2 E. of Hw*99E, app. 1 mi. N/of r o y 1 e s Rte.,. Chico - Permit;##5254-75B-(new-sir�le -family) 1*1 P47-07-27 2 r o RM #5819-75P(P6BG.-FOR 54— 5. j 75) S/F CONTR: A w SDE I TZ1 IDURHJAM r—� t 47— 27 CO TR:HUiVTS LECTRIC D PER I T #73-7 t� E �� R 5 54-75 i SF - -- 47-07-26 Contr: Camp FT6atin'g & A/C Permit #1672-76M(mech for 5254-75 c o 047-070-027 PERMIT#98-2921 HACKETT FAMILY TRUST 235 Gaia Way, Chico Cont: Morehouse AC Service �p Replace HVAC/SF f jai )Z13)170, Cc�.'�b V�W) 2 . Ji n FOHX 47-07-27 ►�.SHELTON 2 E. of Hw*99E, app. 1 mi. N/of r o y 1 e s Rte.,. Chico - Permit;##5254-75B-(new-sir�le -family) 1*1 P47-07-27 2 r o RM #5819-75P(P6BG.-FOR 54— 5. j 75) S/F CONTR: A w SDE I TZ1 IDURHJAM r—� t 47— 27 CO TR:HUiVTS LECTRIC D PER I T #73-7 t� E �� R 5 54-75 i SF - -- 47-07-26 Contr: Camp FT6atin'g & A/C Permit #1672-76M(mech for 5254-75 c o 047-070-027 PERMIT#98-2921 HACKETT FAMILY TRUST 235 Gaia Way, Chico Cont: Morehouse AC Service �p Replace HVAC/SF f jai )Z13)170, Cc�.'�b V�W) 2 . ^.Y�^.^4u^: '�.+�Tr-'Al'Kv-:ulA"N':RI:O:ktlh•t...-,-•yt4Ge/.4M'.SN'YlINFJ4.'Ki�n..7Y�1'•�,�T�(w;!,.. �Fc /,' e. .�..-Z= 047-070-027, PERMIT#98-2921. 1 �% •�. = HACKETT FAMILY TRUST 235.Gaia Way, Chico Cont: Morehouse AC Sernv'ce Replace HVAC/SF OFFICE COPY Address GAS Meter By Date���/ ELECTRIC Meter By Date i a �AOAZ-Amr;ki COUNTY OF, BUTTE - DEPARTMENT OF -DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville,�California 95965 • Telephone (530) 538-7 '41 C^ PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 7 `' it ASSESSOR PARCEL NUMBER 1i-, ZONING BU ING PERMIT 1 OWNER - p-''' /401 e TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS "IUNG ADDRESS �s 4 r! e, -,u ; e- IJJ , C -)n' f a CONTRACTORSNAME + Il yr .o P �. + TELEPHONE1 !T Ya 7'" :' CONTRACTORS MAILING ADDRESS j L CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS Energy Plan Checking Fee $ i C ! PERMIT FEE $ LAT NO. SUBDNSIONS NAME P MAP PLUMBING PERMIT '' Fling Fee 20.00 'Each Trap ' ' — - 7M •- - USEOFSTRUCTURE SF Clo 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 New ❑ Addition ❑ Remodel ❑ Utilities ❑•••Inslallationl❑ Other all- tt f NO Describe Work: �/1R.1sir � /a �..l H ✓/l ( - J li fi� ` .,►�' a ..►+lily 1Al•, f [ Gas piping system 1 - 5 outlets 15.00 &.o Building sewer x 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE 25t t� I S ; Alf -C. , ELECTRICAL PERMIT Filing Fee 20.00 eoov OR IESs Main Service ' zooA oR Less 23.00 * I - LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class . Lic. No.-7�(�63- --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 I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier �'�'A_f KA /A 1 + Policy Number b * (The above sections need noYlie 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 if should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith complygith~thoAse provisions. f X A�}^.-- Date /� Signa4u a of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction _ of structures over 3 stories in height. Main Service WOOL TO 10-A 46.00 NEW CONST. DWEWNG OCCUP. SO OR ADDNS. ( a ACC. BLDSso S.3.5QFT, MULTI -OUTLET @7.50 NON -ID. BRANCH CIRCUITS POWERIN.L APPARATUS 8 SINGLE OUTLET CIR. 20 O 100 FIXTURES eAL p .50 EX. OCCU ouTLET ORXED APP Ex. Occup. ountrs A IESIEs D.OFR.A 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring J 23.00 c;t LK PERMIT FEE $ 9-3, C-ei MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling7 y e o r� Hood 6.50 Ventilation PERMIT FEE $ 149 4, Mobile Home Installation Fee $ Energy Inspection Fee OCC CONST. TYPE � TOTAL FEE $" HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD SU f (/ 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. ^� o r<=�t+�^G111�! Date %� Gc 7 By _ + G PERMIT EXPIRES' ON pato Receipt No. as I A G WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT, SERVICES - BUILDING DIVI N 7 County Center Drive - Oroville, California 95965'9 Telephone (530) 538- F1 P RMI^ O. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBERr ® 77 ZONING oB ING PERMIT OWNER 7_ h6a TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS en L; C ;e CONTRACTOR'S NAME I TELEPHONE o0 CONTRACTORS MAILING ADDRESS !2,0 CONSTRUCTION LENDER Fireplace VENDER'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 $ C ` e- a PERMIT FEE $ LOT NO. SUBDN610N5 NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF U- Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK / New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ OtherET Describe sWork: eka-vim -e— c ,i /7 V, al Z. Gi 4l i IV s.vit.c •e+A Gas piping system 1 - 5 outlets 15.00 V-0 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ 5 ' N -t__ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200AoRlESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.( License Class (.zn Lic. No. 73\0_433 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages astheii 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 I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' c m en on 'nsuraLce carrier a policy number are: Carrier Policy Number (The above sections need not be completed i1 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' compen provisions of section 3700 of the Labor Code, I shall Com se provisions. 9 X _ Date C Xureof Sign Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. TO Main Service To 46.00 NEW CONST. DWELEE CU DWOCCUP. 3.5QF°: ADDNS. ( ACC. NOR EW CONST. MUALCCC. NON-RESID. @7.50 POWER APPARATUS 8SINGLE OUTLET CTR. .00 Ex. Occup. OUTLET OR FIXTURES BAL @ I.50 APa E. 5.00 Ex. Occup. oF„TE, TS Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 0�30 , 41 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating L`D,010 Cooling0 Hood 6.50 Ventilation PERMIT FEt S Mobile Home Installation Fee $ Energy Inspection Fee OCC CONST. TYPE TOTAL FEE $ HAz. D FEES IMP FLOOD F7 CEL PD HD S 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. nG By Date le��7 0 PERMIT EXPIRE ON /2-- 0 4 _/?J Date Receipt No. % a� % �� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT / 7- PERMIT N0. ' b254 75B • s i 1 P j II M f. MH UTIL. -PERMIT NO. PERMIT EXPIRES OWNER John Shelton CONTR. owner LOCATION (A.P. 47-07-27 ) 4% mi. E. of Hwy 99, app. 1 mi. N/of Broyles 'Rd., Chico li ± ino 2-1 t�4 • Temp. Power Pole Called PG&E _ Temp. Elec. Serv.. Called PG&E . Temp. Gas Serv. _ Called PG&E JOB FINALED (Date) f (Signature) !j f ' COUNTY OF BUTTE — DEPARTMENT'OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING t BUILDING.(Cont'd) PLUMBING Setback Firewall Soil Piping f Forms Parapets 1st Floor Main Bldg. Footings – %%� –� .-"� Restroom Finish Windows 2nd Floor 3rd Floor StemwaII Siding. To out Slab &—/ Roof Sheathing Water Piping Piers'&—Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances ' Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat 5^. —' Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. _ Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole s5 Finish Ducts Underground Interior Lath Ventilation Permanent D I Final Final •A •- •- • , V 4 .. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS y 7 County Center Drive — Uroville, California 95965 Telephone: 53,4-4541 APPLICATION AND PERMIT (� / �ncocn "Vco vi U�tion SuUe to enter upon the above -me Toned property �,i'oses. X Date ignatureoA i gen^ Receipt No.. �7 / White-D.P.W. — Yafiov�Ssegso/'� Pink -Inspector — Goldenrod -Applicant ((gyp Je vv 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 0 PUBLIC WORKS Q BY Date — . 7 Building permit etftfts Date C� -�G -7 BUILDING Owner ©�� SQ. FT. OCC. BUILDING VALUATION Mai I ing Address Telephone No. Fireplace Contractor 7 �'4 ���� Total Valuation Mailing Ad6 Permit Fee Plan Checking Fee &/or Penalty C - Tele ne y0 (p Permit Fee $ Building Address �E- Gly PLUMBING No. @ FEE PERMIT Q /11/2'er per' FILING FEE $3.00 Each Trap 1.50 S © ,D Repair drainage or vent piping 1.50 If C,4 r Water piping 1,50 Each gas water heater or vent 1.50 A. P. No. 5 •- Q —� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 $ Each additional outlet F s W. . SafiTTft)on Fire Dept. Fire Zone Use Permit .30 Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg?-Ptans T7ec'd J Parcel Approval Plans Approval Permit Fee ,$ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER [ ELECTRICAL No. @ FEE c --c- -02 G�/2/%l/'' lf PERMIT FILING FEE $3.00 Main service 100V OR 0 AMP ORSLESS 5.00 Main service EA. ADD'L too AMP 2.50 Single Family ® Duplex ❑ Mobil Home ❑ Others ❑ Main service OIEAMP0 V LESS 25.00 Main service/ EA. ADD•L 100 AMP 1.00 (WEOCCUP. &) 2¢Sgft OR ADDNS.NEW CONST ACCLBLDGS. NEW CONSTR -OUTLET (MULTI NON.RESID, BRANCH CIRCUITS) 2.50ea NEW CONSTR./POWER APPARATUS &) NON.RESID, (SINGLE OUTLET CIR, 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—FIXED Ex. Occup(OUTLETS OR FIXTURES) BALM09 APPLNS, OR E Occup.(OUTLETS OUTLETS (RESID.) EA) 2,00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.Misc. Classification Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 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. I have placed on file with the County of Butte a certificate of '1y4� 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 mannerVentilation as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 S. CXR Heating , (gyp Cooling S To:so Hood 2,00 Permit Fee ��/�L/ 3 $ � j $ I �' 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 .ti TOTAL PERMIT FEE ,� i �ncocn "Vco vi U�tion SuUe to enter upon the above -me Toned property �,i'oses. X Date ignatureoA i gen^ Receipt No.. �7 / White-D.P.W. — Yafiov�Ssegso/'� Pink -Inspector — Goldenrod -Applicant ((gyp Je vv 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 0 PUBLIC WORKS Q BY Date — . 7 Building permit etftfts Date C� -�G -7 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 73-76 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 2 �AgentC ate �" 7,C qi,9nature of Permitee or 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. CT OR OF PUBLIC WORKS By ` Date Big permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing dress Telephone No. Fireplace Contractor Total Valuation Mailing Address S ,`� Permit Fee Plan Checking Fee Vor Penalty Telephoneo./ 3 3~ 0b Permit Fee Building Address / PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 / Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 *� A. P. No. �' t2 / v � Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 _� rjes Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 �iQQ r /0 r V�J_ Main service 100 LESS5.00 AMP OR Main service EA. ADD'L too AMP 2.50 Single Family Duplex ❑ Mobil Home E]100 Others ❑ Main service OVER 600V AMP OR LESS 25.00 Main service EA. ADD•L too AMP 1,00 ' NEW CONST.DWELLING O UP & OR ADDNS. ( ACC, BLOGS"d4) 2¢sgft O•od NEW CONSTR. MULTI -OUTLET NON.RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS & NON.RESID. SINGLE OUTLET CIR. 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 sty e o , Ex. Occup(OUTLETS OR FIXTURES) BAL@1 FIXED APPLNS. OR Ex. Occup. (OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. -2-Z' 6 In � % Classification / Misc. Wiring 6.25 - ❑4 am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am -aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. �-I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is,issued I shall not em P employ y an y person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 2 �AgentC ate �" 7,C qi,9nature of Permitee or 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. CT OR OF PUBLIC WORKS By ` Date Big permit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOR 7-Courtty Center Drive — Oroville, California 95965' Telephone: 534-4541 APPLICATION AND PERMIT BUILDING LI T OCC BUILD NG VALUATION I Owner ® If 59 Mailing Address? bgv� ` Z d • Telephone No FVireplace -%6 4 Contractor 6V A/ 45/r?—)Total Valuation Mailing Address Permit Feed 1 It Z Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address Q PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 o�Q Repair drainage or vent piping 1,50 Water piping 1.50 CL C o Each gas water heater or vent 1.50 A. P. No. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe Sa ion Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Flans Parc el Ma Declaration p 60' R/W Im rov ents p Lawn sprinkler system 2.00 Bld� . Ions Recd s ° P pp` Plans pproval Permit Fee $ $ NEW,K ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family, Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 p Light fixtures yal 10 Receps., switches & fix outlets 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: Hood, Ex. Fan or F.A. Furn. Motor' 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. �( [� I certify that in the performance of the work for which this ' moi' permit .is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling - Ventilation Hood 2.00 Permit Fee $ 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-mentione property for inspection pu oses. / Date • Signa. � ture o Permr Age /6QZ7, eceipt N 5;7113 7 oW ' White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant TOTAL PERMIT FEE 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 P BLIC WORKS By Date %/ ilding permit expires Date CUUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 Gountq Center Drive - Oroville, California 95965 Telephone:' 534-4541 APPLICATION AND PERMIT v _ Receipt No. White-D.P.W. — ellow-Assessor — Pink -Inspector — Goldenrod -Applicant permit expires Date i�'� BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai 1 i Address Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee PI anChecking Fee&/or Penalty Te WI honeo. Permit Fee Building Address / PLUMBING No. @ FEE PERMIT FILING FEE $3.00 -4,0 4) jYJ Each Trap 1.50 J d Or Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. 7— a7— 2- Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 S2n6tativn FireDept. Fire Zone Use Permit Building sewer 5.00 EQA I Parking Plans I Parcel Declaration Parcel Ma p 60' R/W Improvements p Lawn sprinkler system 2.00 Bldy,-Wane-Raaf. Parcel Approval Plans Approval Permit Fee NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. � @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel 02 or less) (more than 12) - Single Family Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures b al 0 Receps., switches & fix outlets 20 R 25 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner•or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. 2i�j !&ZMisc. Classification G 3 wiring, ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. �,I�tiave placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. r-11 certify that in the performance of the work for which this permit ,is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of- California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. �/�� c� Date /%-1.7_%S� X tZIAt 2,--., Signature of Emit r Agent TOTAL PERMIT FEE $S 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. II��CTOR F PUBLIC WORKS By JeCKl�e[r� /� Date v _ Receipt No. White-D.P.W. — ellow-Assessor — Pink -Inspector — Goldenrod -Applicant permit expires Date i�'� Ava 't 11*96WAU& kalmud. fi I I u &4qe,14 vu 1/4 +1 s J.', I , A L v'l', �. t 0' b