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Home My WebLink About056-360-004t 1 i 56 MARCIA EQ10JAN -36-04 6-100 . -Al .-I --Fores.t-R"U-n'- Rd.,.-Fore&t--R..-nc Permjt#2309-86P(i,,t.jj s Piping)SF7V V 56-36-04 -t V Ou n g C° R. R L N Permit#19 pgrade 47-88E( 7q ue e ser / 56- 36-04 40 qp"M , 75 8 ECKMAN9 Marcia 16100 ForestRanch , RdF.R.- (wallheater/new-gas p- -lpjhg) I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT '7'60 ltty Center Drive - Oroville, California 959E:5 - Telephone: 916.'538-7541 CAn APPLICATION AND PERMIT - 7 ASSESSOR PARCEL NUMBER - ZONING 56-36-004 1 TM -5 BUILDING PERMIT OWNER��, TELEPHONE SO. FT. OCC. BUILDING VALUATION 342-6827 1MAIL ING 394 0 1,970.00 OWNER'SADDRESS P.O. Box 524 Forest Ranch 95942' CONTRACTOR'S NAME TELEPHONE CONTRA MA L hNUMDDRESS Fireplace CONSTRUCTION LENDER UNKNOWN C Total Valuation $1,970.00 LENDER'S MAILING ADDRESS Filing Fee $ 10.00 56-36-04 Permit Fee $ 32.50 ARCHITECT OR permit#3435-90B =Plan Checking Fee $ 16.25 ARCHITECT OR d`� . s pec (open dk/sf) 4 I_ Energy Plan Checking Fee $ r` - - _ Penalty $ BUILDING ADDRESS '-� ' Permit fee $58.75 PLUMBING PERMIT Filing Fee 10.00 minn Fnregt Ranch Rd--,--F-pxCSt—Rap-Ch 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 Gas piping system 1 - 5 outlets 5.00 SF ® Duplex❑ Mobilehome❑ Other Building sewer 5.00 ,SPECIFY Mobile Home S G W 10.00e TYPE OF WORK New PQ Addition ❑ Remodel ❑ Uti lities ❑ Installation❑ Other ❑ Permit Fee $ Describe work: Deck Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10,00 Main service EA. ADO'L 100 AMP 2.50 a CONTRACTORS LICENSE LAW OR ADDNST DDWEACCLBLDGOCCUP.&) 2Yz¢sgft declare under penalty of perjury (check one): NEW CONSTR. ULTI-OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business /POWER APPARATUS &) and .Professions Code and my license -is • in full force and effect. \ SINGLE OUTLET CIR. License No. Classification Ex. Occu o p( OUTLETS OR FIXTURES 20e50e eAL030 I, as the owner, or my employees with wages as their sole compen- FIXED APLNS.❑ Ex. Occup. OUTLETS (RESID )REAJ 2.00 sation, will do the work,and the structure is not intended or offered, Temporary service 10.00 for sale. (Sec. 7044) —I, Mobile Home Facilities 15.00 as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) Misc. Wiring g 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 FiIirig Fee 10.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate o Consent to Self -Insure. Coolin g. shall not employ any person in any manner so as to become subject Hood 3.00 to the W. C. laws of California. Ventilation 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 Permit Fee $ provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee $ to building construction, and hereby authorize representatives of the County of CONST TYPE 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 TOTAL FEE $ 58. 75 all liabilities, judgments, costs, and expenses which may in any way accrue HAZ CUA PARK SCHL FLD [sions PAR PD HD ISSUE against said County in con ue ce of the granting of this permit. X ��'/I/��, �� V�� is permit is nereby issued under the applicable provi- - Date of the Butte County Code and/or resolutions to do Signature of Applicant — Owner C Contractor ❑ Agent ❑ work indicated above for which fees have ,been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct- DIRECTOR OF PUBLIC WORKS ion of structures over 3 stories in height. '• Receipt No. 73901 By Date WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT - y PERMIT EXPIRES' Date COUNTY OF BUTTE - DEPARTMENT.OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CgNTER DRiVE =i@ROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER /M Z 6`I 74 y� /(/ A. P..No. Proposed Building Use �j��L� Building Inspector Date At time of permit application, I was advised the following data must be submitted prior`to permit processing and/or issuance: DATE RECEIVED APPROVED All items have been submitted . ..................................... Plot plans in duplicate/triplicate, signed by preparer of plans........ Complete plans In auphca,te/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 .................................................... 1 School District fees paid ............... Sanitation approval from C / e__Z Health Department �=Q =q 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, Classifications ... 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 youissue the permit, process as follows: Mail t owner. Mail to contractor. Telephone_2 /,E nd hold for pickup atoffice. Deliver w. /inspector. Other_ /% l , Applicant Date _A Copy of Haz-Mat form sent Health Dept. Fire Dept. air Pollution Date Copy of plans sent Health Dept.---Fire-Dept. Other Date Bye_ The following data must be submitted prior to permit . s�,uance: (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_L/_phone_±_jnail—counter by BW ..date Contractor, designer, owner, as advised of above required data by—phone —mal l_counter by date Plans checked by Date M Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW TO Huildi-na D'�epartment FROM: Environmental Health SUBJECT: Sanitation Clearance �c it 44 r+r1 1^4",e,) r b" ,_4 'jl� 3 6 — y owner Location AP# Plan Approved for: Sewage Disposal Water Supply Hold final for: Water Supply Final clearance O.R. for: Water Supply Clearance for bedroom mobile home. Other MOTE * * * Dat® Sanitarian COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541 MARCIA ECKMAN P 0 BOX 524 DATE AUGUST 1. 1991 FOREST RANCH CA 95942 RE: PERMIT APPLICATION #343.5-90 FOR OPEN DECK A.P. # .56-36-04 With reference to the above subject: / / Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER / —/'We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ . payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in DUPLICATE , including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise (DPW). Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. / XYMOTHER YOUR PERMIT APPLICATION WILL EXPIRE 10/1/91 AND CANNOT RF Tssum AFTER THAT DATE Should you have any questions concerning the above, please contact DAVE WASNEY of this office. Yours very truly, William Cheff Director of Public Works J.F. Glander JFG/aj Chief Building Inspector .. rn,...!;`^-:.'l_.; .,:J I?rr, 'f�'b�i.;; r< 4.. "•rArn.+nw,�vrnc�Mdcrtx+�^. ro•..-. �tn!y..,.s;.g ..s.cl r%. .. .-.r4{5-M.rs�'.F��. ^i4n,;ft:�; �I-_.�..�.,-.•.FJ .r-._t.�?ua'a•r,�,re`rv.,.., y�•r.'- -,= *s_ a • M i ` ECKMAN, ;Marcia 16100 Forest Ranch Rd, F.R. (wallheater/new gas piping -31 AP -56 • elf?;. T c2 f v COUNTY OF BUTTE - DEPARTVENT OF PUBLIC,.WORKS`. 7 County Center Drive - Oroville, California 95965 - Telephone: 91`6/538-7541 APPLICATION AND PERMIT \ PERMIT NO. �/ '//lZ-) w/l ! ASSESSOR PARC NUMBER L - 0 �'/ ZONING A �' BUILDING PERMIT ow R TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'SNAME TELEPHONE hl nJ CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 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 1 �� Sr �'"�C Each Trap 2.00 5 5 c 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 N"' Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 T Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation El Other Describe work: /i1.5.r,9 �- LJ VZ -t fiH"W(7, Wf'✓� /�/Pt•J GAS!,o/iJ� - �X/�?��,G, Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 610V 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): j E -1I 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.61 OR ACDNS. C ACC. BLDGS. 1 2/zQsgft NEW CONST R.MULTI-OUTLET NON-RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. po UTLETS OR FIXTURES 20®e0C eAL030 EX. OCCUp. OUTLETS PIRESID IREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F -]The permit is for $100.00 (valuation) or less. ❑ 1 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. Contractor MECHANICAL PERMITFiling Fee 10.00 Heating I o o /; ®`,/ Conlin g Hood 3.00 Ventilation Permit Fee , $ Contractor I certify that I have read this application and state that the above information, is correct. I agreeto 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 ich may in any way accrue against said County i%rf%,'c�pns,6quence of the granting of this permit. his XDate �Z-^ rs�l Signature of Applicant — Owner Contractor El 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 $ occ CONST TYPE TOT $ ` AL E AL FEE HAz cuA PARK PAR PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. �CTOR OF PUBLIC WORKS By. Date ,T i„`�T - PERMIT EXPIRES Date Receipt No. `57 WNITE-D.P.W.. YELLOW-ASS[330R, PINK -INSPECTOR, GOLDENROD -APPLICANT w COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 . 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 '1 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 corrected. Please notify 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. Date �� -�� Inspector 0 wa-, REV 11/91 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE L LIC_/ M I In 1 u V ►-6Xj':YC UXn-e.U, Carl v l -J-0 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify 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. Q—Q nn «u• nein 4 c o Y f A—f . �- iYn i /g"/h. 17 - In - I1 n �z Date REV 11/91 Inspector COUNTY OF BUTTE - D9PAR-TMENT OF PUBLIC 7 County Center Drive - Orovill California 95965 - Telephone: APPLICATIONANDPERMIT WORKSPERMIT NO. 916/538-75 1 Z/0 73 j/ 9 ASSESSOR PARC9j�t�MBER 0 �% ZONIN BUILDING PERMIT Ow R TELEPHO E SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'SNAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 1 o -o Cc sr -g lc A Each Trap 2.00 442-,() S �� 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 N Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 'zo Building sewer 5.00 Mobile Home is G W O,OOe TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: 1,.r��'2LiL L1e+ LL �G�C- _ Wflf-I� /�d'� �r3�$J>�/n/�; — �/1�I,•JGj Permit Fee Contractor ELECTRICAL PERMIT Filing Fee 10.00 o Main service 100 AMP ORSLESS 10.00 Main service EA. ADO'L too AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered �for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ADONS. ( ACC. BLDGS. , /zQsgft NEW NON-RESID CONSTR. BRANCH CIRCUITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES aAL@20@30 9AL0 30 Ex. Occup. OUTLETS P(RESID,)FIXED APLNS.REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Virin 9 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 �f Consent to Self -Insure. 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 10.00 Heating jo0 A- .41 e®' 'J Coolin g 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, judgment costs, and expenses which may in any way accrue against said County i, s quence of the granting of this permit. Date I Z-'� r3�y Signature of Applicant— Owner Contractor ElAgent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures ovver�3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE FEE TOTAL AL HAZ CUA PARK FLD PAR PD HD ISSUE This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY PER EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. IV�`� WNITC-D.P.W., TELLOW-A88E380R, PINK-IN9PEaTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMEN'a OFVUBLIC WORKS - BUILDING hV.l ON 7 COUNTY CENTER DRIVE -O (�1111,k_ CALIFORNIA 95965 - TELEPHONE: 916/538-7541 �- -: .° .. ^�✓ .I, ...5 a _•' - PERMIT APPLICATION DATA SHEET 4 Permit No. OWNER 2?4/7/1 /45 A. P. No. 5-(, r C, Proposed Building Use -Sly - LJ#LL Building Inspector Date Z �� At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: / DATE RECEIVED APPROVED x 1. 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) M. 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) i 20. Pre -Inspection for required Pre-Inspec.request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner o, 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. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant Date Copy of plans sent - Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1.. Index permit for above items No. 2. Additional items required: }`r Contractor, designer, ower, was advised of above required data by phone�nall counter'Iby ..date Contractor, designer, owner was advised of above required data by phone_maII counter 6y date Plans checked by Date - Plans approved by r Date Sets of plans on hold in File cabinet AP folder Copy -DPW ZW9 .�% COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION ANS PERMIT PERMIT NO - ASSESSOR PARCEL NUMBER r�,, - t, — c��► ZONING "," ; BUILDING PERMIT OWNER r r TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S,MAILING ADD R ESSf r CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER J 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 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 G W 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ .I 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): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Buslnes and Professions Code and my license is In full force and effect. License No. Classification Q 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.& , h¢sgft NEW CONSTAR. MULTI-OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES eA 0530 FIXED APPLNS. EX. QCCUp. OUTLETS IIRESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin 15.00 g Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty Of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT 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 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 -- .fI °'� 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 $ OCCu P, CONST.TYPL FLOOD PARCEL I PD HD SSOE 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. DIRECTOR`OF PUBLIC WORKS By. - Date PERMIT EXPIRES Date Receipt No. (n + � WHITE•D.P.W., YELLOW-ASSE330R, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICA3`10N 'AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER o - - Oql ZONING J A BUILDING PERMIT OWNER'. - / �CInvatiJ TELEPHONE S0. FT. OCC. BUILDING VALUATION OWNER' MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER (V0 UNKNOWN 1 Total Valuation Is FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER Q LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ae Permit tee 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 , 00 USE OF STRUCTURE SF54— Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home ISFG W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: __-� 5 la c C11 _ Permit Fee $ S'; vw Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR00V OR LE LESS10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, 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) ❑ 1, 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.& OR ACDNS. ACC. BLDGS. h¢sgft NEW CONSTR. MULTI -OUT 2,50 ea NON-RESID BRANCH CIRC ITS POWER APPARATUS &) SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 20®30C BAL030 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 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. 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 10.00 Heating Cooling 9 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. 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 sa'd County Ln copse f the granting of this permit. X Date (lam Signature of Applicant — Owner Contractor EJAgent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structuress over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP, CONST.TYPFJ I I FLOOD PARCEL I PD HD 39UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which YDI 0 OF PUBLIC BY e4 PERMIT EXPIRES Date/ the applicable provi- resolutions to do fees have been paid. WORKS Da � � �' Receipt No. LD a Qs WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 7' COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: 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 i provement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed co ruction: Name _ Address Phone 4. I plan to provide portio to coordinate, supervise, Name Address Phone City Contractors License No. of this work, but I have hired a following person n�rovide the major work: Contractor ic�tfse No. City 5. I will provide some of the w>ind ut ave cont cted (hired) the following persons to provide the work ed: Name Address Phone Type of Work Signed: ` Property Owner Social•Security Number _ - .- Date _ 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. 4 .0 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS /PERMIT 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-754146 APPLICAJION AND PERMIT / f ASSESSOR PARCEL NUMBER ' ZONING - BUILDING PERMIT OWNER ; I C; A A TELEPHONE �� / �, �7 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS I, CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS /� r P/1 i! j,r [� �r n I I , i c 7 5� C. Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESSL n) F, t-&,; " c �l ,Eo',/ Permit fee $ PLUMBING PERMIT Filing Fee 10.00 / M• L _ ,,r t - %, . d Each Trap 2.00 v ;i �j NG Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL M P Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFEJ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home ISTGTW J hO.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities 2"' Installation[] Other ❑ Describe work: I r, J E :.tPwIc!- n*% 90AAA.rn Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 ;- Main serviceeOOV OR LESS 10.00 100 AMP OR LESS L 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. fo s- r Classification a _ /✓ ❑ 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING CCCUP.a) yzQsgft OR ADDNS. l ACC. BLDGS. NEW CONSTR U I.OUTLET 2,50 ea NON-RESID BRA CH IRC ITS POWER APPARATUS 61 SINGLE OUTLET CIR. I EX, Occup OUTLETS OR FIXTURES SALO 0 Ex. OCCUp. OUTLETS FIXED P(RESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 [; t• t . -, .0 I -f. •1 . / .r'o Permit Fees $ 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. O 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 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. 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 sa_id.Cqunty,in consequence of the granting of this permit. (' ( X _ _t -r Date - /G- y k 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, CON3T.TYPEJ JSCNOOLJFLOODJPARCFLJ PD I ND39DE,r V/against 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. DIRECTOR OF PUBLIC WORKS By - Date /,� ? 4 PERMI EXPIRES Date Receipt 1-% J l.. RNITE-O.P WO. YELLOW-A3eE33OR. PINK -INSPECTOR, GOLDENROD -APPLICANT i COUN�Y OF BUTTE ar .� DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 i 7 County Center Drive, Orovi Ile — Phone: 536-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE Ytr6P1. ,44V l Q 1 % - 08 OWNER 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- - Inspector Date ' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSPERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-754 _ APPLICATIONAND PERMIT ASSESSOR PARCEL NUMBER ' ZO IN _ r BUILDING PERMIT o aER 1 � C Q —4/� TELEPHONE�7 S SQ. FT. OCC. BUILDING VALUA ION O ER'S MAILING ADDRESS //,,��++ C N R TOR'S NAME TELEPHONE S.-tt-a A. 5-ZT 5 - CO T ACTOR'S MAIL , A t az 5! Fireplace CONSTRU TION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSENO. Plan Checking Fee Energy Plan Checking Fee A$.. $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESSPermi ,p Fares !C t fee $ PLUMBING PERMIT Filing Fee 10.00 rrvt�1 0221el IDA, Aliall-4 1, Each Trap 2.00 e ve 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 10.00ea TYPE OF WORK -l" "New ❑ Addition ❑ Remodel ❑ Utilities IJ Installation❑ Other ❑ Describe work: Ir1 A A l'4 2 `J� ePv i C rQ f�/OM 3 0 A6# o lb O .R,,,, ,n J 12 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00" Main service 600V OR LESS 100 AMP OR LESS 10.00 16- D'b Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Com and my license Is In full force and effect. License No.'-� Jy�• Classification &-/G FJ 1, 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'Permit NEW CONST. � DWELLING OCCUP.aI\ , OR ADDNS. ACC. BLOGS. /2tsgft NEW CONSTR [-OUTLET 2.50 ea NON-RESID .BRA CH CIRC UIS / POWER APPARATUS e - (SINGLE OUTLET CIR. . EX. OCCup(OUTLETS OR FIXTURES 200500 e ALO 30 FIXED ALISIS Ex. QCCUp. OUTLETS P(RESID )REA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 9-O cC ` / Fee $ a, -D 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. ICS 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 FilingFee 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 Countyote- 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 ' my ' nsequence of the granting of this' ermit. X 4*__9 Dat —� fl Signature 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 $ • oc Cu P. CONST.TYPE SCHOOL I FLOOD PARCEL PD ND 17 This permit is hereby issued under sions of the Butte County Code and/or work Indicated above for which DIRECTOR OF PUBLIC By 'PE EXPIRES Date - the applicable provi- resolutions to do fees have been paid. WORKS Date 1/ Receipt No. I / to I WHITE-D.P.W., YELLOW -Ase CS So R, PINK -INSPECTOR. GOLDENROD -APPLICANT � ,....-...-:.. - _ v- or _ r w^7-.., N+n^y..++v...,��,,.[+7 _..r �..ri.:�'s'1rMpi, v�� 'f"-Y.�rt1;.Jciir. �i�'.;,, �'r'!W "'Y!r,-f•�',4``'*4'j;'ry'.f.-d�Y.'`-..;�{4vw:T, wti:u COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING�DIVISIO.N 7 COUNTY CENTER DRIVE - OROVILLE%CAL,IFQ-ANIA 95965- TELEPHONE: 916/538-7541\.� / PERMIT.APPLICATION DATA SHEET / Permit No. / , / OWNER /'/ 114d �i/�...�- r. A. P..No.,5b 3 �' " �J '�7 Proposed Building Use e�el��'lc� �er�'7`GBuilding Inspector J^ Date At time of permit application, I was advised the following data must be submitted prior to permit processing andJor issuance: DATE RECEIVED APPROVED 1. 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. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp -on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . , . . , . . , 9. Letter of signature authorization. . . . . . . . . . . . 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . - 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner[], Mail to owner ❑.) _15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . ' �. Pre-Inspec. re uest to Pre -Inspection for P_l�L r'ic a��• Re uired. P a Mote) q Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. Engineered trusses in duplicate (required prior to plan check). 22. When you issue the ermir�css as fol lows: -Mail to owner, --Mail to,contractor. I e p h o n e and hold for pickup ate5n office, Deliver w/inspector. Other Appl is Date Copy of plans sent Health Dept., Fire Dept., Other ,/ Date The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: (Cirofe new item not checked above). Contractor, designer, owner, was advised of above required data by_phone--nall—counter by date —Contractor, designer, owner, was advised of above required data,by—phone _mall—counter by date Plans checked by Date Plans approved by Date 'Sets of plans on hold in File cabinet AP folder Copy—DPW .G -F k COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovitle, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR ARCEL NUMB RZ w IN � y BUILDING PERMIT O ER q c'w �✓ TELEPHONE g�7 SO. FT. OCC. BUILDING VALUATION ER'S MAILING ADDRESS C N R TOR'S NAME S I )—a N TELEPHONE J -2S' S CO TRACTOR'S MAIL A Eg 7:7 Cobsof 6 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Fv res �1 Permit fee = _ 1Je5 N L rOre 11_90%4welxEach PLUM PERMIT Filing Fee 10.00 p 2.00 V L&} IJ or hea r ump water heater 20.00 LOT NO. SUBDIVISION NAME PARC L M4;7- IEach y4 t i iv 5.00 qas water hea r_vent 5,00 USE OF STF(1U' CTUR SF [Duplex❑ Mobilehome p F / SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea jTYPE O WOR New [:]Addition ❑ Re o! I Ut les LTJ Installation ❑ Other ❑ Describe work: r Q f v+ c e 3 a Amp 0 A^ —� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 OOV OR Main service 1500 AMP ORSLESS 10.00 / 6 • o'i) CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BUslnesS and Professions Com and my license Is In full force and effect. License No. 5-S J 0 T Classification ��/d ❑ 1, 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) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions CodeeC4- for this reason Main service EA. ADD'L 100 AMP 1 2.50 NEW CONST. / DWELLING OCCUP.a , OR ADDNS. C ACC. SLOGS. �i�Sgft NEW CONSTR U I -OUTLET NO N•RESID BRA C CRCI 5 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. ) EX. OCCUp OUTLETS OR FIXTURES eALO 30ti FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 e -O r� ermit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 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. fail I shall not employ any person in any manner so as to become subject 5� 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. 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 ' my ' nsequence of the granting of this ermit.- X �"` Dat /G—�� Signature of Applicont — 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. Contractor MECHANICAL PERMIT Fi ling Fee 10.00 Heating Cooling Hood 3,00 Ventilation permit Fee $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE$ I� OCCU P. 'CON ST.TYP[ SCHOOL PLOOD PARC[L PD ND Il9UF This permit is hereby issued under sions of the Butte County Code and/or work indicated above for Which DIRECTOR OF PUBLIC By PFRUIT FYpIRFc data the applicable provi- resolutions to do fees have been paid. WORKS Date_ Receipt No. 1-7 LL I wNlr►-D. r. w.. v•„ —..... .n.. P,Nk-INMP.f Tn. ,.....,----- ...,e, ....._ � � q)94 -3 k -