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Home My WebLink About056-110-050� . . ' �MARSICAN6 JACK 9987 COHASSET RD,, COHASSET FURNACE/SF r -'I 10,4 056-110-050 .99-235'8 SEI"FER, ROBERT'- -9987 CORASSET 'CON][R; | ROAD, - --------- ^ ��EL F SERVICE D . x ^ ' / m ~_ .� 50 ! ^ i � A.5 Ln ..IN►M��S' ,.•r.:�yrww.. .,��, pp;•rar...,R:. :�`R.�'�„';�«rrr�;.,,c:,rr�;:.�^•Px'...:w�rz-a-rr.... .• .- � .•cY. s.�-, •_ ,- .. _ xa m:: ..-.. ,:'z�tr,[�.. ....•r -1,1' • , -. 056—M1 -050 4 99=' 358 SHAFFER ROBE_ T 9987 COHASSET ROAD COHASSET - CONTR: OWNER ELECTRIC SERVICE • � s • iit F SERVING UTILITY. 4/�� 0WOTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96)4 AND PERMIT -- ASSESSOR PARCEL NUMBER 05110-050 ZONING THR 1111- BUILDING PERMIT OWNER ROBERT SHAFFER TELEPHONE 342-0616 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 9987 COHASSET ROAD, COHASSET, 95973 CONTRACTOR'S NAME 014NER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. FilingFee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS "UNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS 9987 COHASSET ROAD, COHASSET Energy Plan Checking Fee $/- $ PERMIT FEE S LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A OR LESS 23.00 • LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TOING 46.00 NEW CONST. DWELLOCCUP. CU EL OR ADDNS. ( & ACC. BLDS. SO 3.50FT. =.ESID MULTI.OUTLEi @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. EX. Occup. OUTLET OR FIXTURES .00 BAL @ I.50 Ex. Occup. R D °� 5.00 Temporary Service 1 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00Alin FRE ECrION n . PERMIT FEE $ 66.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 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 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.) ( 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 workers' compensation provisions of section 3700 of the Labor Code, I shall with comply with those provisions. f Date ,_ J`' Signature of 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. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 66.00 HA2. I D. FEES IMP 1 P[607 CDF PARCEL PD I HD I 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. y . ,• /)) f ; r y f /f A � By �`{ i `� i ; d/ L [ ,- Date PERMIT EXPIRES ON I Date Receipt No. O WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT • l� 4 ,.^r :.` � "s...a:f:�.:+ �'•�i%„�_".�'«�-�=Y:*�"`�;� ,:.�'4-`i�' �r i..,r�=B`1•�:..=k= �r'�'r.f�,.:�..,-.:-r..-:-:';..:,�Gt'�re4a.=�s+._;;... COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7.County Center Drive • Oroville, CA • (530) 538-7541 'CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be cgrrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. .r t . Yom. y� Date �' Inspector REV 10/92 1 11:f7 r ti .. OUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 9--� ASSESSOR PARCEL NUMBER 056-110-050 TMR ZONING BUILDING PERMIT OWNER ROBERT SHAFFER TELEPHONE 342-0616 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 9987 COHASSET ROAD, COHASSET, 95973 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 9987 COHASSET ROAD, COHASSET Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service *.AOR LESS 23.00 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.POWEPPARATUS License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: O 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 To I 46.00 WEE200A NEW CONST. DWELLING OCCUP. U OR ADONS. ( a ACC. BADS. SO 3.50 FT. N" N.RESIOT' MULTI -OUTLET @7,50 a SINGLE RAoLmET cIR. Ex. Occup. OUTLET OR FIXTURES 00 z 9 I. 9 .5050 BAL XEO APPLNS Ex. Occup. pflg RESID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PRE INSPECTION 3.00 PERMIT FEE $ 6.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 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 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.) 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 f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fadbwith comply with those provisions. _ Date �v Signature of Appli ant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 66 .00 HAZ. D. FEES IMP FLOOD CDF PARCEL pD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. D ' Defe ReceiptNo. 280409/$66.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT wat-w-q.,. 777.7777 ..:COIJhT,Y OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT as Aa'2 ASSESSOR PARCEL NUMBER ` % )D� zpwNo BUILDING PERMIT OWNER lB 6 SO. FT. OCC. BUILDING VALUATION OWNER'S &UNG ADDIiE CO (-4 �rL CONTRACTOR'S NAME �] rT "ONE c^ (1- CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace UENDER'S MAILING ADDRESSi: Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan CheckingFee $ BUILDING ADDRESS ,/� j� (� Energy Plan Checking Fee $ $ tl PERMIT FEE $ LOT NO. SUBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 'Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service z�oov oa LEss 23.00 �— -- — — - -- �O��D — - I Main Service 200A TO 1000A 46.00 NEW CONST. ( DWELLNG OCCUP. 3.59 F7. OR ADONS. 8 ACC. OCS. HEW CONS . MULTI.O NON•RESID. UTLET @7.501 POWER APPARATUS & SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES BAL O I w Ex. Occup. OUTLETS D APRESNSI6.GE. 5.00 Service 23.00 —Temporary Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 01,0 1 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEIE S Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ HA2. D. FEES IMP I FLOOD I COF PARCEL I PD ND 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 Date PERMIT EXPIRES ON 'PRE -INSPECTION REP T ORT CONTRACTOR: DATE TO INS7TOR:/, ~ l Building Electric: Gas: Residential/# of Units: Currently Occupied, AbandonedNacant Yes No Condition of Electric ZONING: -7 !l( It Vlrr IST&Y:( ) NONE ( ) AS FOLLOWS: j�� INSPECTOR'S REPORT Electric currently On Off Natural Propane None CurTently On Off Obvious Problems: r Sanitation: Plumbing Working Well Working IPotable Water Obvious SewageProblems Comments: t ACTION RECOMMENDED: ISSUE: HOLD FOR Inspector• v Date-7L' ate O � Sketch buildings on reverse and indicate location on property. 6tUgTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION �• 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ^ _ JOS /S ZOrANG BUILDING PERMIT OWNER ' "E tQ SO. FT. OCC. BUILDING VALUATION OWNER'S NO ADDRE Ca64 A CONTRACTOR'S NAME C. 1 CONTRACTOR'S MAWNO ADDRESS C/ 5-c7-7 3 CONSTRUCTION LENDER EF.rlce LENDERS MAILING ADDRESS•. Total Valuatlon $ ARCHITECT OR ENOINEER LICENSE NO. Filing Fee E 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS ^ 5� t/.i'o b Energy Plan Checking Fee $ $ It PERMIT FEE $ LOT NO. SUSDNISION'SNAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat um 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: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W I Q20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 000V OR LESS Main Service 200A OR LESS 23.00 /_IO�I D ' Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. 3.S¢so OR ADONS. ( & ACC. BIDS. NEW ONS . MULTI -OUTLET NON-RESID. Q7.50 POWER APPARATUS & SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES RAL 1_S0 Ex. Occup. GunEisAPFLN110EA L 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI= $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ HAZ. 0. FEES IIMP I FLOOD I COF PARCEL PD I 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 Date PERMIT EXPIRES ON Pate) �� 1' ?:wl +•�:jyAl' o r e.��, �r�rd�fv4`^•''i�..••.�ri'i.•', ,,meg •i V - .-y.-'�,.,a� ly 056-11-0-050 91-3427 MARSICANO, JACK 1 CONTR: ARTIC AIRE ` 9987 COHASSET RD, COHASSET. FURNACE/SF .. r /bI- 4I. .Lvs is !(i'•%,a. �F ��,rvc, c o (� Q OFFICE COPY JI A Address GAS/��III�JJJ Jy Meter By / 1 �. Date ELECTRIC Meter By Date Q1 lel z . ' -.. 'YYIRIP:r "r'•'r.<a 1'T Utr ''':�'-q"-""7_''•' wo-', 'Y•}K"wo; COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovlller California 95965 - Telephone: 916/538-7541 '- jf APPLICATION AND PERMIT / •r/ ASSESSOR PARCEL NUMBER ZONING • BUILDING PERMIT OWNER JACK MARSI W TELEPHONE 31+3-4645 S0. FT. OCC.1 BUILDING VALUATION OWNER'S MAI I ADDRESS 7 CIMSSET CONTRACTOR'S NAME AMC AM encu TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS SEP RD OWSSET Permit tee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 �•(� Building sewer 15.00 Mobile Home S I G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other 11 Describe work: HUM Permit Fee $ 20.00 • Contractor ELECTRICAL PERMIT Filing Fee 1 15.00 Main service 600V OR LESS 18.50 200A OR LESS Main service 200ATO1000A) 37.50 CONTRACTORS LICENSE LAW I declare nder 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. 734d 41 17-5 Classification C-ZO t3� ❑ 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 licensedtntract- ors. (Sec. 7044) r ❑ I am exempt under Sec. , Business and Professions Code for this reason OCCUPM 3.64 sq.ft. NEW CONST. / DWELLING OR ADONS. ACC. BLDGS. II 1 NEW CONSTR ULTI.OUTLET @ 5 00 NON•R ESID BRANCH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(ourLETs OR FIXTURES 20 761 FIXED Ex. Occup. OUTLETS PRESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): I ❑The permit is for $100.00 (valuation) or less. oe have placed on file with the County of Butte Building Department i a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating HORI?ANAL FM Cooling g Hood 6.50 Ventilation Permit Fee $ • 00 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 I to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. i I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue againstsaid County in c n quen a of the granting of thisCp�ermit. X� �„ Date / q Signature of Applicant - Owner g PP ❑ Contractor ❑ Agent U 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 S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ HAz I DFEES I IMP I FLOOD I COF I PARCEL I PD HO ISSUE,,- SSUElagainst 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. PUBLIC WORKS Date 9"414" By "` PERM T EXPIRES Date �� - :?t - �- /DIRECTWOF Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Canter Drlve - Orovllle, Callfornla 98065 - Telephone', W6,1638.9541 APPLICAJION AND PERMIT —PERMIT NO, _ —TISLIZIONONE BUILDING PERMIT yl N JACK MARSICANO 343-4645 5p, FT, OCC. BUILDING VALUATION OWNER'S MAI 1 AD 9987 C HAS E CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 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 $ 9987 C0HA1;qRT RD COHASSET PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 15.00 SF Duplex❑ Mobilehome❑ Other Mobile Home S I G W @ 15.00 SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Permit Fee $ 20-00 Describe work: HEATER _ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 20000AA OR LESS 2OR LESS 18,50 Main service 200A TO 1000A) 37.50 CONTRACTORS LICENSE LAW I declare der penalty of perjury (check one): I in licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License ,Jo.Classification G.l.IJ r3� �3T1 NEW CONST. ( DWELLING OCCUR.&) OR ADDNS. ACC. SLOGS. I NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRC ITS POWER APPARATUS & (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 3.64 sq.ft. @ 5•00 20Q0 764 ❑ I, as the owner, or my employees with wages as their sole compen- FIXED APPLNS R Ex. Occup. OUTLETS (RESID,)EA.) I 3.00 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) Temporary service Mobile Home Facilities Misc. Wiring 15.00 15.00 *15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ — Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 15.00 permit is for $100.00 (valuation) or less. Heating 1 1 9.00 9,00 Lam'Tpe 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. Cooling g t ❑ I shall not employ any person in any manner so as to become subject LHood 6.50 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. Ventilation permit Fee Contractor $ 42.00 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 Co my in c n que a of the granting of this permit. Mobile Home Installation Fee S Ener Inspection Fee $ 9Y P OCC CONST TYPE TOTAL FEE $ HAz 1-1) FEES IMP FLOOD CDF PARCEL I PD I HD Issu ` %� , Date � � This permit is hereby issued under the applicable provi- � �— si nature of Applicant - owner 9 PP ❑ 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./ sions of the Butte County Code and/or resolutions to do work indic above which fees have been paid. IR F PUBLIC WORKS Receipt No. I o /") �"/ BY EXPIRES Date q — PE M Date 't y C — -7-7— WNITE-D.P.W., TELLOW-ASSC9SOR, PINR-INSPECTOR, GOLDEN ROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovlller California 95965 - Telephone: 916.'538-7541 APPLICATI.ON AND PERMIT ASSESSOR PgF.E NUMBE? r/ ZONING BUILDING PERMIT OWN TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING AAD rD^R`ESS 't `A`N, 1 � 4 A r v CO RACTOR•S NAMETELEPHONE 330 CONTRACTOR'SMAILIN ADDRESS a ` Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Pian Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS layPermit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP . Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 0 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New F, Addition❑ Remodel❑ Utilities❑ Installation❑ Other Describe work: i� �� Permit Fee S DU a r Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS18.50 200A OR LESS Main service 20CATOI000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty per ur ) p y 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. 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 OCCUPM OR ACDNS. ACC. BLDGS. II 3.6d sq.ft. NEW CONSTRULTI-OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS 4 (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20 76d RA Ex. Occup. OUTLETS FIXED P(RESID )REA.) 1 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. �yirin g 15.00 Permit Fee $ — 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. ❑ 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating r0 t Q -H 0 41z qo Cooling Hood 6.50 Ventilation Permit Fee $ t Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct - ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEES .Q HAz 1 0FEES IMP FLOOD I COF PARCELPD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CQALIFORNIA 95965 - TELEPHONE: 916/538-7541 m PERMIT OPLICATION DATA SHEET \ h�� Permit No. OWNER c�I'' " ` �-�i C AN D A. P./W. Proposed Building Use Q&Z- �C/� Building Inspector. Date / At time of permit application, I was advised the following data must be submitted Iprior to permit processing and/or issuance: � �� DATE RECEIVED APPROVED All items have been submitted . .............................. °.... . 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ........................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) ) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classification) ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. 7 Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant " �-Date Copy of Hdz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. " Other Date By. The following data must be submitted'prJor to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by—phone—mai I counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mai l—counter by date Plans checked by Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder Date