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HomeMy WebLinkAbout058-220-013- ---- • • ---- � .., . _ �. :..�, -- ---- - ---- - - - - -- -- - __ � - . `ice _--�� 58-22-13 lyde Blount 13 /S Concow Rd.,app.4/10 mi.N.of Kirby �- reek/.Concow Area erm t #k ;50-77B,P,E,M(new single _anvilY) 58-22-13 \peit it #5834-78B(ls renewal fo #4550-77) 1� L- 058-220-013 94 ,0132P,M GREGG; TERRY LEE CONT: RELIANCE PROPANE 13387 CONCOW RD.., OROVILLE --- , .:z PROPANE -SER & DUAL PAK/SF- �I rote t � 1 ,LL �ian�;ol ,p .� I rf ,R�3­ r.w. " s 058-220-013 94-0132P,M i'1+ _ • ' GREGG, TERRY LEE CONT: RELIANCE PROPANE' 13387 CONCOW,RD,., OROVILLE PROPANE ,SER & DUAL PAK/SF r ys 1' a, s ;t c I t 4 f j +.�ir •� "4�i�''7�1•��1•�:or�`�'�£-,i�.�+, .�•ti^r• "�-ti.�-:r=1:��:'��:�/+.�t-:..1:....:r%'7'C•.+�+,'M'.7:aiK++++'rMcrlt�+v^i4 ..-.wt •. COUNTY OF'BUTTE - DEPARTMENT -OF DEVELOPMENT SERVICES - BUILDING DIVISION U 7 YCountq-Center Drive- Oroville' Califoriia 95965 - Telephone (916) 538-7541 ,PERMIT NO. APPLICATION!AND PERMIT ASSESSOR PARCEL NUMBER ( 58-220-013#. ZONING 1 FR5 BUILDING PERMIT 'OWNER ,' 1 ; G �. ,R , TELEPHONE,G S31_n687 SO. FT. OCC. BUILDING VALUATION ,FE OWNER'S MAILING ADDRESS ' 33£97.-. N(1Otl R11110im CONTRACTOR'S NAME KIM RELIANCE PROPAN, ': TELEPHONE 1 871-7740 ' CONTRACTOR'S MAILING ADDRESS' O 5311 SKYWAY PARADISE 95969 Firepiace CONSTRUCTION LENDIeR UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS n Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSENO. Plan Checking Fee $ -Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 111387 "CM RD PERMIT FEE $ r ORA Ij6 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME LAKE CONCOW ACRES PARCEL MAP MJtfl`l' 1 Each gas water heater or vent 15.00 USE OF STRUCTURE SF',O Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 5 outletsM$100 15.00 Building sewer Mobile Home S G W TYPE OF WORK { v I New ❑ Addition ❑ Remodel ❑ Utilities © Installation ❑ Other ❑ Describe Work: GAS SERVICE PERMIT FEE Contractor ELECTRICAL PERMIT Filing Fee 20.00 PROPANE I Main Service ( 200AORLESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 { NEW CONST. DWELLING OCCUP. OR ADONS. ( & ACC. BLOS. ) 3.50 FTBO.- 4 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I ❑ I, as the owner, 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) I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. EX. Occup. ( OUTLET OR FIXTURES ) P 1.000 BAL. 0 -Ex. Occup' (OWFIXED APPS. OR UTLETS IRESID.1 EA. 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ®`tshall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE S Contractor " MECHANICAL PERMIT Filing Fee 20.00 Heating DUAL PAK 1.1). UU Cooling UNDER 1' S. Hood 6.50 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 Butte County Ordinances and California State Laws, relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consseegfuen�ceepof the granting of this permit. X �Og' -1 y /1 yu,<I'T Date /// g//V Signature of Applicant - `❑Owner' ❑ Contractor ❑ Agent An OSHA permit is requiredJfor excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 8S OQ HAZ. 1 D. FEES IMP I FLOOD I CDF 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. DIRECTOR,=OF.PUBLIC WORKS eyA�Date _111,4y U PERMIT EXPIRES ON lDete) 155821 Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville,-va^lifo4iia 95965 - Telephone (916) 538-754 PERMIT NO. APPLICATION AND PERMIT ® -ate - ()13 ASSESSOR PARCEL NUMBER 58-229-013 ZONING BUILDING PERMIT OWNER TERRY LEE GREGG TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS RX RXNX 13387 CONCOW RD ORO CONTRACTOR'S NAME KKR RELIANCE PROPANE TELEPHONE 872-7740 CONTRACTOR'S MAILING ADDRESS 5311 SKYWAY PARADISE QS969 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 13387 120NCOW RD PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAM'LAKE CONCOW ACRES PARUNIT 1. Each gas water heater or vent 15.00 USE OF STRUCTURE SF] Duplex O Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 Mobile Home S G W 20.00 TYPE OF WORK Other ❑ New 1:1Addition ElRemodel ❑ Utilities b Installation C3 Other Describe Work: GAS SERVICE FEE $ . Contractor ELECTRICAL PERMIT Filing Fee 20.00 PROPANE Main Service (1111 OR Ill 200AORLESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. SO. OR AODNS. ( & ACC. BLDS. ) 3.50 FT, CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect.Ex. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compensation, will do .1be work, and the structure is not intended or offered for sale. (Sec 7044) WI, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ lam exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON -RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BA20 @ 1.000 Occup. FIXED APPS. OR p' OUTLETS WIRESID.1 EA. ) 5.00 ( Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a rtificate of Consent to Self -insure. 01"shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating DUAL PAK 15.00 Cooling UNDER FLR 15.00 Hood 6.50 Ventilation PERMIT FEE $ 50.00 Contractor I certify that I have read this application and state that the above information is correct.. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Count consequegcDeof a granting of this permit. X JJZ ` -a Date / u / % Signature of Ap licant - wrier ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ocC . CONST. TVP' TOTAL FEE $ s5 on HAZ. I D. FEES IMP I FLOOD CDF PARCEL I PD 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. v DIRECT RJ1BUC—WORKS BY •/'v'� ate e% v 9 PERMIT EXPIRES ON �O /1141, ID tel If Receipt No. 155821 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville,,�,2-31ifo'rnia 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER /^ ^v O/ /� J Z ZONWG & Ste. BUILDING PERMIT OWNER yji ��,/ N 'I� TELEPMON� SQ. Fr. OCC. BUILDING VALUATION OWNEWS MAIUNG AOOR!! CONTAACTO S TELEPHONE CONTRAC Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILWG ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER ucovsE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS PERMIT FEE $ 3 ��- �� >^� C c7 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 0— Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION' NAME / �GC G�.I��GGt%CS CEL MAP Water piping 15.00 Each gas water heater or vent USE OF STRUCTURE SF A_I Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK ' New ❑ Addition ❑ Remodel ❑ Utilities Installation ❑ Other ❑ Describe Work: Sei )I ./� - {�/ A 4 c , !Y �Y PERMIT FEE $ (J Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service 'OV OR LESS I 200A OR LESS I 23.00 a //�(,(` Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. I & ACC. BLOS. I 3.50 FTSD. , CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 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 compensation, 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 contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NDN-RESID. ( BRANCH CIRCUITS I @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BA20 @ 1.000 Ex. FIXED APPLNS. OR Occup. I O UTLETS (RESID.) EA. I 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating ��j9 L Cooling Hood 6.50 Ventilation PERMIT FEE $ - rl/ Contractor I certify that I have read this application and state that the above information is correct. 1 agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorise 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 a County in consequence of the granting of this permit. X Date / 7�7;'st said Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent tof An OSHA permit is required for excavations over 5"0" de and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEES d� HAZ D. FEES IMP FLOOD CDF PARCEL PID HO ISSUE This permit is hereby issued under the applicable provisions 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 ON (Date) Z� `7 i Receipt No. o` WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I :d PERMIT NO. P,E,M PERMIT EXPIRES / OWNER Clyde Blount tCONTR. owner. r LOCATION (A.P. 58-22-13 W/S Concow Rd., -app -441,0 mi.N.of Kirby Creek Rd. lot 5 Concow• Are f' 11 , r� •fir e , i r� i Temp. Power Pole 77 Called PG&E f !' l`mwElec. Serv. % l @ailed PG&E — Temp. Gas Serv. Called PG&E JOB ' FINALED (Date) Y } (Signa ure) i COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS f BUILDING INSPECT30N' RECORD � s Permanent BUILDING BUIL NG (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding — out Slab qggTo Roof Sheathin Water Piping Piers Roofing 7 Sewer �l Garage Fdn. Vents Fixtures Footings Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov, for physlcally handica ed Conformance of ex. structure Appliances Gas Piping &Test Temp. as Slab Final Sanitation Patio FIRE LA E Final Footings Footino ELVCTRICAL Masonry Walls Throat 4 Rough - Reinf. Steel Final �� Fixtures Bond Beam "FIS'E'iPKINkLE RS Motors Framing Test Water Htr. Stucco V Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling a Temp. Pole Finish Ducts _ Underground /' r Interior Lath Ventilation (` Permanent Door Closer Final V I Final MOBILEHOME UTILITIE Elec- Service Elec. Pedestal Water Piping Sewer Gas Piping 1 EHOME 9=4= 669= - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping /DATE IREMA KS OR CORRECTIONS r//`-%'�._ /�'✓ (i�1/—G@ GOvtiruz-ti�� •R/4�r✓�e-L�C.._ CQ.f/ a61/s.C. 7 Z 2 !1." —d am! Ofv -o Z SA V -L - (NOTE: An entry must be made on this form] tim y t ffe jo ) t i Y RFC TT)T?WT TAT. ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE J THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS (location) BU ILD ING PERMIT NO .�/ f �O — 7 % �S'e P _ A : P . NO. THE FOLLOWING HAVE -BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write,N/A if not applicable) INSULATION: Slab Edge. ,4./ Fdn. Walls ,4 Floors Walls_ Ceiling/Roof Ducts WA Circulating PipesA/A APPROVED HEATER APPROVED WTR.HTR' GLAZING: Single Glazed AIA Special (Insulated) CERT. & LABELED WDS. & SLIDING DRS. IVA WEATHERSTRIPPED DRS. BACK DAMPERED FANS INTERMITTENT IGNITION DEVICES/? -/71 CERT. APPLIANCES I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name Signature of Insulation Applicator General Contractor/Owner Name C _ please grin .E . 'State Contractors License No. lease .r. Signature of int General Con tractor /Owne State Contractors License No. THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. J S e e S5=t '.at on Usaraace PI ass approved for! 'Sawage W-spoaa-I � �da��r aw.p�o! Hold iiral for.- Weer Supply Fina. clearance O.K� for.. water supply Gleam fora alta, CJ,S=�ar,CE for addit•®= of .00a.ay.eca.xa cr.�saa.+wrms--s.-car*.a�r _ ..,crrs �eec-ae,,�,oa�mo iF3 eta) i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS a 7 County Center Drive — Oroville, California 95965 Telephone: 5344541 APPLICATION AND PERMIT 7 authorize representatives of the county of t3utte above-mper fo inspection purpos. X Date Sieti1ture o _ ermitee or Agent to enter upon the This permit is hereby issued under the applicable provisions of the County Code and/or resolutions to do work indicated a e f which fees have been paid. J 1 CTOR OF PUBLIC WORKS � y BY Date !� ^2 7p Receipt No. Z e T' "I' -' U White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date "' `% _ 7 BUILDING Owner �� �Ull/1/%' SO. FT. OCC. BUILDING VALUATION Mailing Address 7.; 2— Telephone N d g z V Contractor C� i lV lx dL, Mailing Address Fireplace Total Valuation Telephone No. Permit Fee ,fid , t Building Address (,� I$ a ° �/• Plan Checking Fee&/or Penalty Permit Fee ,0c) 61 Be QJF < I 6 CfzGEK81 • PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 Each Trap 1,50 nn l,0'YICa tat Repair drainage or vent piping 1.50 A. P. No. '2" 13 Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F s . -6ewi.tai FireDept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans ParcelEach Declaration I Parcel Map 1 60' R/W Improvements additional outlet .30 Building sewer 5-00 ---Bhdm P+atls rZec'd Parcel ApEroval Plans Approval Lawn sprinkler system 2.00 NEW E�t' ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ T -A,41 l ,Qf. 41 36-0 -77 6, ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600v OR LESS loo AMP LESS 5.00 Single Family Duplex Mobil Home 9 Y � P ❑ ❑ Others ❑ -L Main service EA. ADD'L loo AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD•L 100 AMP 1.00 NEW CONST. ( OR ADONS. ACCLBLDGS.LING CCUP. k� 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 le of: Y TLET NEW CONSTR BRANCHMLILTI-OCIRCUITS NON.CONS ( BRANCH CIRCUITS 2.50ea NEW CONSTR. (POWER APPARATUS .& NON.RESID. (SINGLE OUTLET CIR, Ex. OCCUp(OUTLETS OR FIXT11RE5 a l� o¢ EOFIXED APPLNS. OR x. CCUp2.00 • OUTLETS (RESID.) EA) Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 A- 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. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 Workmen's Compensation Laws of California. _ MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ "s -i aG authorize representatives of the county of t3utte above-mper fo inspection purpos. X Date Sieti1ture o _ ermitee or Agent to enter upon the This permit is hereby issued under the applicable provisions of the County Code and/or resolutions to do work indicated a e f which fees have been paid. J 1 CTOR OF PUBLIC WORKS � y BY Date !� ^2 7p Receipt No. Z e T' "I' -' U White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date "' `% _ 7 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS �- 7 County Center Drive — Orovi Ile, California 95965 Telephone: 534.4541 APPLICATION AND PERMIT 4�5_0-7] /) Ll authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purpo s. 65 Xo,4S1 '1,XDate gnatur Permitee or Agent Receipt No. jd� 9() 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 P IC WORKS By I ate oZ 1— 14 i % BulTding permit expires Date 74 BUILDING Owner WOUVA-t SQ. FT. OCC. BUILDING VALUATION 40( Mailing Address /y� 1 T�ephone f, Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee ,�_ y (� _ W✓ Building Address aADPERMIT PLUMBING No. @ FEE FILING FEE $3.00 ri r Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 y r1 t8n9 De )callo Qn Each gas water heater or vent 1.50 A. P. No. A �_ ZO Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F S o re Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel M P 60' R/W Improve is P Lawn sprinkler system 2.00 Parc pproval Plans Approval Permit Fee $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP ORV OR L SLESS 5.00 Main service EA. AOD'L 100 AMP 2.50 Single FamilyLIff Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW OR AODNS. ( DC G CCUP. &) 2�sgft NEW CONSTR ULTI-OUTLET NON-RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) D00 FIXED ALNS Ex. Occup. ( OUT ETS P(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 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 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability73 for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 7 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 p ' Heating V9 , Ventilation Hood 2.00 Q� Permit Fee $ �® $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby E' b �. TOTAL PERMITEE ©� authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purpo s. 65 Xo,4S1 '1,XDate gnatur Permitee or Agent Receipt No. jd� 9() 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 P IC WORKS By I ate oZ 1— 14 i % BulTding permit expires Date 74