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HomeMy WebLinkAbout047-100-151KURT SCHILL SIS Cana Hwy app 6/10 mi . E of SCHILL, John G. 1641E Cana Pine Creek Rd,Chi 1395P f Contr : McClelland nc, I� • co 1937E P Permit #3307-78 st % 1 t Sys - 11 ele) SF �/ 2 mi west of 99E on Cana Rd., Chico CONTR: Moore Construction, Rt. 4, Box 455C 047-100-151 Chico _ 06-1873 j MCGOWAN, HARRY 5969 CANA HWY, CHICO ' Cont: MCCLELLAND AIR 4 HVAC L-4D A C..,- 4 D oo) f 4 1 J 1 6k6 - - - - � _ .� i � yam.-_ _ - /` _ � 'd" r-• O BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP061873 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF'ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS 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. 3y 5� r& License Class : � � License Number: n Dale: AL4 1(30- Contractor:(r��.Eu aaa kH % TOWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the. basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 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 Contractors' Slate License Law does not apply to an owner of property who builds or Improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or Improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner•, of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' Slate License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such. projects with a 'conlractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penally 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. !J215 I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Insurance carder and policy number are: Carrier: Policy#: ❑ 1 certify that in the performance of the work for which this permit Is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if 1 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: - WARNING; Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. Issued Date: 08/04/2006 APN: 047-100-151-000 Site Address: 5969 CANA HWY CHI Map Index: Description: NEW HVAC UNIT Owner: MCGOWAN HARRY & THERESA FAMILY TRUST A MCGOWAN THERESA B TRUSTEE 1323 MANCHESTER RD CHICO, CA 95926 Applicant: MCCLELLAND AIR CONDITIONING, INC 801 MARAUDER ST. CHICO, CA 95973 (530) 891-6202 Contractor: MCCLELLAND AIR CONDITIONING, INC 801 MARAUDER ST. CHICO, CA 95973 (530) 891-6202 License #: 345121 Architect: Engineer: Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: czi—+C� CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resoluti to do work indi t aba for which fees have been paid. performance of the work for which this permit Is Issued (Sec 3097 Civ.) Date: Name: By. PERMIT EXPIRES ON: Address: ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health S Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or t � duly authoriz agent f the owner. I agree to comply with all county and stale laws relating to building construction. I acknowledge it is unlawful to alter the substance of y official for or ocum t of Butte County. I hereby authorize repreesseenttativveesofof+Butte County to enter upon the above mentioned property for Inspection purposes Print Name: o/c:[/!� 1J1 -/J Signal Date:N�DIo ❑ Owner 0 Contractor 0 Agent for Owner �ent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" CONTRACTOR OWNER INFORMATION Last Name . OW irst Name Address Phone �J- City CAO States A Zip '77 5q-79 Phone Fax lax - E -mail E-mail State License Number CONTRACTOR Name Q Address (20 I HOU N. t4UhP'4_ City G State GA Zip � Phone �J- Fax , , E-mail Lic. # Cass APPLICANT INFORMATION ARCHITECT/ENGINEER Name City ( l „' �' `� Address Zip � City Fax State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT INFORMATION _ Name f4 C, C.L IL IL?/17 Address �-O h City ( l „' �' `� State Zip � Phone f - b2�2 Fax E-mail For office use only: Zoning Property Address 15q (ae,C14tAa 14t14r Flood Zone Cross Street SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BP M) BIN # PROJECT LOCATION AP# Q/ -701I �t Property Address 15q (ae,C14tAa 14t14r Cit (.� Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address f Description or Scope of Work: 1 �r Scl FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. I I Received by: Amount: Bldg I I K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc " Page 1 of 2 Receipt #��J�" 6ack4obil7 Dates_ q—o� SRA Sheriff SMIP Other REV 8-12-05 SUBMITTAL & PERMIT REQUIREMENTS. The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -:heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bidgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc page 2 of 2 REV 8-12-05 TO Buildinq Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner. Lbcation AP# Plan Approved for: Sewage Disposal _ Water Supply Hold final for: Water Supply Final clearance O.R. for: Water Supply Clearance for bedroomobil home. Other NOTE * * * Sanitarian Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive- =' Orovi Ile, California 95965 1 Tel ephGne: 534:•4541 APPLICATION AND PERMIT autnonze•represenTanves or the Lounry OT butte to enter upon the above_meentioned property /for inspection purposes. X Date—7/'J Signature of Permitee or Agent ' Receipt No. 1 -7 7 ( l 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. �; J DIRECTOR,OF PUBLIC WORKS /I By t I� ,'� �i� Y Date (— ) .-i / f -Building permit expires Date 011 BUILDING Owner y%i} 1'114-1.14b�{ It &,-k t SQ. FT. OCC. BUILDING VALUATION Mailing Address /A(Cz ("4 95�y/yti GyL-, Telephone No Contractor 1;, C e7_l'a J'n�.h! ..1� /( Mailing Address„l6.;2V a.,�Y�� Fireplace Total Valuation //' ^ �/J i Cj ! l� Telephone No. 0( •T-3 S ,- Permit Fee Building Address S /S t i^�n a J7/ (A 17W 9111 0 t -A ;! Plan Checking Fee&/or Penalty Permit Fee 19/+ ►� 1 �� n �a�'1 ��nQ fan,_ PLUMBING No. @ FEE `. ff PERMIT FILING FEE $3.00 Each Trap 1.50 / eA Repair drainage or vent piping 1.50 r♦ / A. P. No. �/ �"Q�j ��')C%%, • Zoning 8 Planning Water piping (� U�50 �"` - - • µ _ Each gas water heater or vent,-, 1.50 Fees W. C. Sanitation, FireDept. FireZone Use Permit Gas piping system 1 - 5 outlets! 1.50 EQA Parking Plans I Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet / 1 .30 Building sewer j 5.00 Bldg..Plans.Rec'd Parcel Approval Plans Approval - Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER .0 Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family 0 Duplex ❑ Mobil Home ❑ Others ❑ - Main service EA. ADD'L 100 AMP 2.50 �� ���VJ_� `7 iJ�� / Lam} Lt7-.mitt �j {�`+ Main service OVER P O 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. I DWELLING OCCUP. OR ADDNS. ACC. BLDGS. 22 Sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name //] of: style 1 e } /�'� J,�f�"• �iL.G•-1f (. �. l/ •UK'•ht/%fl.l• �t.�..t-A T NEW CONSTR / BRANCH CIRCUITS) NON.RESID ` BRANCH CIRCUITS) 2.50ea C (1 v NEW CONSTR. (POWER APPARATUS 8 NON-RESID. SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTIIRES 5 L@�1¢ FIXED APPLNS. OR EQ x. CCU (OUTLETS LETS (RESID.) EA) 2.00 y BOUT Temporary service 10.00 ! y ,o+o� ����� (.G��+-t (/����t �� (�• q 26 Mobile Home Facilities 15.00 3VS 1�J (J. a (J License No. Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE I a`m aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. F! I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No @ FEE PERMIT FILING FEE $3.00 �•GU Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ /S 1 certify that I have read this application and state that the above information,ls correct. I agree to comply to all County Ordinances and StateyLaws relating to building construction, and hereby Land De4elopment Fee $ TOTAL PERMIT FEE $ autnonze•represenTanves or the Lounry OT butte to enter upon the above_meentioned property /for inspection purposes. X Date—7/'J Signature of Permitee or Agent ' Receipt No. 1 -7 7 ( l 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. �; J DIRECTOR,OF PUBLIC WORKS /I By t I� ,'� �i� Y Date (— ) .-i / f -Building permit expires Date 011 0 s COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Tel ephune: 534_+4541 r APPLICATION AND PERMIT autnorize representatives or the county of tsutte to enter upon the above-mentioned property for inspection purposes. X' A Date Signature of Permitee or Agent Receipt No. ' / 7 - s / 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 Building permit expires Date Date BUILDING Owner rr SQ. FT. OCC. BUILDING VALUATION Mailing Address ' Telephone No. Contractor Ire .r , j j ter- ,. •� , Mailing Address i . J,.+ r .n ;- fr 0- 3 l Fireplace Total Valuation ' Telephone No. Permit Fee Building Address `i �— �' ^� /t< <� ,' J r -r Plan Checking Fee &/or Penalty permit Fee mac+ 1�� ; ; PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 ,. A. P. No. , f %— c r Zoning &Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees W:C' Sanitation FireDept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plans Recd. Parcel Approval awn sprinkler system 2.00 P roval NEW ADDITION UTILITIESK OTHER r per 't Fee $ $ -'r a3 ►' `: . ^ r` s' e9 7-- 7'� ELECTRICAL No. @ FEE PE IT FILING FEE $3.00 ti n M. service 600V OR LESS n 100 AMP OR LESS 5.00 Single Family Q Duplex Mobil Home Main service EA. ADD'L .100 AMP 2.50 Main service OVER s 25.00 100 AMP O OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST (DWELLING ACCBLDGS.CCUP. 4\ 20sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: .:'%� �.>`i• .' .� �i�'{ - is NEW RESID, BRANCH CIRCUITS) NON-RESID � BRANCH CIRCUITS) 2.50ea ) NEW CON STR. (POWER APPARATUS 8 NON-RESID. (SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXT11PES 5 L25 FIXED ALNS Ex. Occup.(OUTLETS P(RESID )REA) 2.00 c-, Temporary service 10.00 Mobile Home Facilities 15.00 License No. ry'-' f l — Classification ~ '�r� Misc. Wiring 6.25 _ 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 permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ -: autnorize representatives or the county of tsutte to enter upon the above-mentioned property for inspection purposes. X' A Date Signature of Permitee or Agent Receipt No. ' / 7 - s / 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 Building permit expires Date Date e COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Tel ephme:'•534'4541 APPLICATION AND PERMIT auurunce represeniauves or the County or Butte to enter upon the above-mentioned property for inspection purposes. X -Q� Date 000'S'ignoture of Permitee or Agedv 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 BY6&/— Date &_)6-7p BVHd• ftg permit expires Date — 6.__/ 6 -?9 BUILDING Owner G SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Mailing Address49 79/y S j- `,F 7•- ANG Fireplace Total Valuation f^ r G -0 Tele hone No. Permit Fee Building AddressPlan �k Checking Fee&/or Penalty Permit Fee AliICH r 8 e� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. p7-- — / Zoning 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 F Sanita+i'en Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60R/W ' Improvements Each additional outlet .30 Building sewer 5.00 sl Parcel A proval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ l ec , CC: C d IT -At d 9_ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 SinSingle Family Duplex Mobil Home 9 Y P ❑ ❑ Others ❑ Main service 600V OR LESS loo AMP LESS 5.00 -L Main service EA. ADDloo AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( OR ADDNS. ACCLBLDGS.LING CCUP. 4'\ 22sgft 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: JF//�fsl i1�/6d?/ids 9� �L�.Ti©/Ci TLF NEW CONSTR BRANCH CIRCUITS) NON.RESID BRANCH CIRCUITS% 2.50ea NEWCONSTR. POWER APPARATUS B NON .RESID. SINGLE OUTLET CIR. EX. OCCUD(OUTLETS OR FIXTIIRES BAL@1 Ex. QCCU (( FIXED -PPLNS. OR y P•IOUTL TS (RESI D.) EA) 2.00 •C�Qt� Temporary service 10.00 Mobile Home Facilities 15.00 o License No. 30&FZ Classification C—l� Misc. Wiring 6.25 ❑ 1 am exempt from the Contractors License Laws of the State of California. Permit Fee ' $ $ 7 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. lm?r1have 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.1 @ FEEPERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that 1 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 $ / T auurunce represeniauves or the County or Butte to enter upon the above-mentioned property for inspection purposes. X -Q� Date 000'S'ignoture of Permitee or Agedv 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 BY6&/— Date &_)6-7p BVHd• ftg permit expires Date — 6.__/ 6 -?9 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 i7'�� Tel ephotie: 00 534-4541 1 APPLICATION AND PERMIT A4 au nor' epresentatives of the county OT tsutte to enter upon the above- tioned pro rty r ins ection purposes. X a�L� L `� Date Signature of-'P7ermitee or Agent R ceipt No. -1-7:7 / -7 ( 1 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. DI, C,TO F PUBLIC WORKS By ate 131 g permit expire Date BUILDING Owner %C.�%!� SQ. FT. OCC. BUILDING VALUATION Mai Iing AddressT. C �LI z 001, ° 5-92 6 Cl I h o�S / Contractor C (1 ( (7 Mailing Addresses 6A Va eq_11� Fireplace Total Valuation //j� ,r-� O� Tele hone No. -3,S 73 Permit Fee Building Address P I an Checki ng Fee &/or Penalty Permit Fee Q 11 C n e PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap k5o;0 Repair drainage or vent piping 0 —Water A. P. No. ��"'���� ^�� Zoning & Planning piping 0 Each gas water heater or vent 1.50 F W. C. S94wt1OR Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 e 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 F049. -121--w aev'd Parcel ApEroval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION UTILITIES ❑ OTHER Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 OR L Main service 1000 AMP ORESLS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L too AMP 2.50 L Main service VER 600V 10 0 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( OR ADDNS. ACCLBLDGS.LING CCUP. Yl 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st)ae of: ��� IAV L TLET NEW CONSTR. BRANCH CIRCUITS) NON-RESID � BRANCH CIRCUITS/ 2.50ea NEW CONSTR. /POWER APPARATUS 8 NON-RESID. \SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTIIRES 9 L@; Ex. Occup.FIXED TS (RESAPPLNS. OR OUTLETS RESID.) EA) 2•�0 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 3Y� Classification e-19-0 Misc. Wiring 6.25 ❑ 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 fo� W rkmen's Compensation. ,1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. F -1I 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 $3.0013.6V Heating Q/i� 5.0 Cooling p �' Ventilation Hood 2.00 0 •7 ,, PermiRl?`ee"tt :ls� ?�i .t3 ;T, $ I certify that I have read this application and state that the above informations correct. I agree to comply to all County Ordinances and Staty'/Laws relating to building construction, and hereby Land Development Fee ,' $ I�TOTA� P�RMIuT:FEE; $ /,r au nor' epresentatives of the county OT tsutte to enter upon the above- tioned pro rty r ins ection purposes. X a�L� L `� Date Signature of-'P7ermitee or Agent R ceipt No. -1-7:7 / -7 ( 1 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. DI, C,TO F PUBLIC WORKS By ate 131 g permit expire Date 1 WiYd $161 E I NN on SHyoM Jnfni do '1430 ions 40 AiNnoo ` , y 1 WiYd $161 E I NN on SHyoM Jnfni do '1430 ions 40 AiNnoo ` ,