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HomeMy WebLinkAbout058-340-041i 91 TOM COURIS App- ami. E of Concow'"Rd. , pri. i rd 300' past end of pavement) Permit ##4887-76E (ele ser ch & rewire as necessary) SF 58-3 -4 contr: Theveos Const., Oroville Permit #ll9-79B, P,E,M(new single I nn V family) -nal ' A. 7 058-340-041 03-0451 �- WALKER, LON• _ 4220 SCHWYHART, OROVILL CONT: WOOD HEAT & SPA INALED GAS STOVE Z Z% -D4 :x< i 91 J "�'058-340i'041 03-0451 WALkEk, LON 422-0 SCHWY H-- ART, OROVILLE CONT: WOOD HEAT & 'SPA S STOVE OFFICE COPY Address pin Z— GAS Meter By-4A� Dateas? E T--7--' m g ��e z� �ia3 ra kdR COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILD G DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530 38-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT D " U -RSfiZU-u041 656 ZONING BUILDING PERMIT FA WALKER, LON AND ELLEN TriV5917 SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 4220 SCHWYHART LANE OROVILLE CA 95965 CONTRACTOR'S NAME WOOD HEAT AND SPA 6426 TELEPHONE 877-0799 CONTRACTORS MAILING ADDRESS SKYWAY PARADISE CA 95969 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. a Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUI DINGADDRESS 410 SCHART LANE OROVILLE CA 9596 WYH Energy Plan Checking Fee $ j $ PERMIT FEE S LAT NO. SUBDIVISION'S NAME PARCEL MAP I3 PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF © Duplex ❑ Mobilehome ❑ Other 04 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 Q Other ❑ Describe Work: G ASSOCIATED CAS PIPING Gas piping system 1 - 5 outlets 15.00 . Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S 35.00 ELECTRICAL PERMIT Fling Fee 20.00 [— Main Service zooA aOOV 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. Q irp License Class V Lic. No. 7,3 4-/3 I 1 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed, contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 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 ' -brfe fLl.t C Policy Number V 1. - 0) f vn F+ -e-+4 P (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date ���! G Signature of Applicant - 171Ow r ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. TO Main Service TO IOooA 46.00 NEW CONST. DW W OCCUP. SO OR ADDNS. ( 6 ACC. BLDS. 3.50FT. N NS MULTI. OLET NON•RESID. UT@7.50 POWER APPARATUS A SINGLE LET OUTCIR. Ex. Occup. OUTLET OR FIXTURES BAL @':w FIXED APPINS. OR Ex. Occup. ouTitTs .a. EA 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 GAS FURNACE • PERMIT FEE S 0 Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 70.00 HAZ. D. FEES IMP I FLOOD I CDF I PARCEL I 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. p By Date PERMIT EXPIRES ON Date Receipt No. /At70, WHITE-D.D.S.- .D. CAN ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT KKK r ' COUNTY 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 3 - �5gSE SORPARCELNUMBER -340-041 ZONING BUILDING PERMIT WALKER, LON AND ELLEN TtTr-"E5917 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 4220 SCHWYHART LANE OROVILLE CA 95965 CONTRACTOR'S NAME WOOD HEAT AND SPA 6426 FTELEP.ONE 877-0799 CONTRACTORS MAILING ADDRESS SKYWAY PARADISE CA 95969 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 4220 SCHWYHART LANE OROVILLE CA 95965 Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF DO 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 ❑ U61'rties ❑ Installation IX Other ❑ Describe Work: GAS STOVE, INSTALLATION AND ASSOCIATED CTAS PIPING Gas piping system 1 - 5 outlets 15.00 15.0 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 R LES 800VMain Service zo.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 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 inforce and effect. 2 License Class ft Lic. No. 7 7 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, 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. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 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 3700ofthe Labor Code, for the performance of work for which this permitis issued. My workers' compen tiop insurer pe crier and policy number are: Carrier �Q G /1 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. a Acc. BLDs. 3.5QFr: NON-RNONT.MULTI-OUTLET 97,50 POWER APPARATUS 8 SINGLE OUTLET CIR. B20 @ 1.00 �(, OCCU OUTLET OR FDRURES 00 Ex. Occup. GFIXF EEDA Aa 0RE., 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation GAS FURNACE 1 15.0015. 0 PERMIT FEt $ 35.00 Policy Number -Ai L,A itGc, Dab 75 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those pro 'sions. X N Date G Sign re of Applicant - ❑ Ow r ❑ Contractor ❑ Age An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 70.00 HAZ. D. FEES IMP I FLOOD I CDF PARCEL I PO 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. By Date PERMIT EXPIRES ON to ReceiptNo.320 105 Iff 70, cV WHITE-D.D s.-T3.D. CAN ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT A PERMIT NO. 119-79B.P•.E.M PERMIT EXPIRES fly6 OWNER Tom Couris Theveos Const., Oroville CONTR. ,LOCATION (A.P. ) App.k mi.E.of Concow Rd., on pri.dirt rd., app.300'N.of end of pavement, Concow 4 _ r t 6 r i r S 4 u `i r i Temp, Power Polo Called PG&E Temp, Elea, Sor%f Called PG&E Temp. Ciao Sorv. Called 121111E JOB PINALED ata ( ®nature) COUNTY OR BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING tetbaak A 7 5P Firewall —376 $al I Piping- I InForme Forms—/ _ 7 Parapets 1 at Floor Main Bldg. Restroom Finish--- 2nd Floor Footings —) -- Windows 3rd Flo ac Stamm I I — / — SidingTo out Slab Roof Sheathing Water Piping Piero 9— i — Roofing O.— 2 Sewer Qara 'Fdn. Vents r 0- Fixtures Footings — StemwalI — — Game Vents ' Insulation E — Mftftc Heaters Slab_ - , Prov. for phy loally ADDllanoes A —/ PI �� .................. Elsa. Service nape r 61®0: Podostal DATE REMARK$ OR CORRECTIONI j 2—/y_2 4 -S rel), a"00, i (NOTE., An @ntry mu@t b@ m@d@ on thi@ fom @atoh tim you vi@It th@ job @It@.) �� N E w_ 0 0 Periiit# .INSULATION CERT'IFICAT'ION Conaow Number and Street City County Subdivlslon LoI Number DESCRIPTION OF INSTALLATION ROOF —AzqMaterial LLI�Brand Name Thickness (inches) Thermal Resistance'(R Value) EXTERIOR WALL Material nberglass Brand Name Certainteed a Thickness (inches) 2 Thermal Resistance (R Value) 11 CEILING Batt or Blanket Type Fiberglass Err Brand Name Certainteed Thickness (inches) Thermal Resistance IR Value) 19 Loose Fill Type Brand Name Minimum Thickness (,inches) Number of bags Weight per bag Ib Area Covered Ih2) -, Thermal Resistance (R Value) FLOOR,ELEVATED — Material Fiberglass Brand Name Certainteed 2i rs Thickness (inches) — JZ Thermal Resistance (R Value) 1 FLOOR, SLAB t•rt Mcterial _-:_ 2 and Name / Thickness finches) Thermal Resistance (R Value) Width (inches) — e FOUNDATION WALL' Material/fir f)rand Name Thickness (inches) __ Thermal Resistance (R Valui') HEATING SYSTEM Gas F r}�nace —' Make �_�.- ���j I� Model Description jT AuM� Rated Bonnet Capacity -7-- '' DECLARATION hereby certify that the above insulation was installed in the building at the above location ir. conformance with the current regulations setting .Energy Conservation Standards for new residential buildings (located in Title 24 of the California Administrative Code). /nereraall/lCContractor (builder) License Number 4 �7 - - - - - - Signa pre and Tllle Date Hawkins -Insulation Co., Inc. 215925 y'Sub-Contractor (insulation Applicator) License Number A". Signature and Title Da(e CERTIFICATE REVIEWED BY -Date BIN -029 (Building Inspec:ti_on Office) COUNTY OF BUTTE -- DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT / authorize re esentatives of the County of Butte to enter upon the above -me ion d property for i sp tion purposes. 6� X Date 1 ` Signature of PPe'rrmi a or Agent Receipt No. ./ b E9" 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. DIRE OR OF BLIC WORKS By Date ��� Building permit expires Date �L 9. BUILDING OwnerSQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. (°Ci) 4179, CIQ� C) waf .- Contractor Mailing Address — — �� Fireplace1196-0, e0wo Total Valuation Telephone No. Permit Fee , 8Q Building Address �Q `����� Plan Checking Fee&/or Penalty Permit Fee m t " PLUMBING No.1 @ I FEE PERMIT FILING FEE $3.00 Bc� Each Trap 1.50 oy� Repair drainage or vent piping 1.50 �f A. P. No. 7 �— Zoning & Plahning Water pi ing 1.50 E c s water heater or vent 1.50 F64sva, S 'on Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W I Improv ents Each additional outlet .30 Building sewer 5.00 Bldg. P s Recd arce vol Plans pproval Lawn sprinkler system 2.00 NEW Fm ADDITION UTILITIES ❑ OTHER ❑ Permit Fee $ ®$ Q ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3. b'p Main service 100 AMP OR00V OR LE LESS5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service// EA. ADD'L 100 AMP 1.00 NEW OR ADDNST l ACC I G P %) 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 of: Z7ece-eo-s 0©-4/r NEW `ESLD, (MULTI-0UTE T NON -REBID BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS B NON-RESID. SINGLE OUTLET CIR. EX. OCCUD(OUTLETS OR FIXTURES BAL21 FIXED APLNS.style Ex. Occup.( OUT ETS P(RESID )KEA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. '3190 y`Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ qsvo $ MECHANICAL No. @ FEE COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Wo�rken's Compensation. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Clc'1 Heatingv OU y,-ATJ0t±V Cooling of 4z 00 Ventilation Hood 2.00 ®a Permit Fee $$ 17 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 $' authorize re esentatives of the County of Butte to enter upon the above -me ion d property for i sp tion purposes. 6� X Date 1 ` Signature of PPe'rrmi a or Agent Receipt No. ./ b E9" 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. DIRE OR OF BLIC WORKS By Date ��� Building permit expires Date �L 9. /1�11 L-� -T-- r a 51-346 s. CQ,UAITNE40F BUTTE — DEPARTMENT'OF-PUBLIC WORKS — BUILDING DIVISION <0 7 County Center Drive — Oroville, California 95965 — Telephone: 534.4541.,. , i, PERMIT APPLICATION DATA SHEET Permit No. OWNER_ Chis%? COvs A. P. No. y Proposed Building Use Permit fee based upon: Complete Contract Price - DPW Valuation .., cher (explain) Building Inspector _`Y Date 7� At time of permit a0li6ation, I was dvised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted......... �' + Plot plans in duplicate�riplicate...�S���� 3. Complete plans in duplicate/triplicate................................................... 4. Complete engineered plans and calcs.....................:............................... 5. Plans with Energy Design Compliance Statement ............................ 6. State Energy Forms No. .................... 7. Statement of Intent for Non -Heated & AC Buildings ................... 8. Fees of $.................................................. 9. Letter of signature authorization.............................................................. v 10. Sanitation approval from 01"'Ov'44e Health Dept.... 11. Planning approval for 12. Certificate of Workmen's Compensation Insurance 13. Contractors License Information (no., name style, t classification) ............................... 14. Improvements may be required. Contact Land Development Section of Dept. Public Works (see addressbelow)................................................................................................. 15. Pre inspection for rerpUlfed. Pre•inspec. request to ldg-inspector a (date) '� 16. Other/v/T �� Ti i�j�.. ,� % 5,/ciafi��► �y�jk� q Whe yo issue the p n'1'I , ro s as ows: Mail to owner Nfalf C 6 tract Telephone and hold for pickup at office. Deliver w/inspOlction. Other Z ? Applicant �Wt/D. Date Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to rmit issuance: (For required items not checked above at time o, i n 1. Index permit for above Items No. 2. Additional items required: i (Contractor, Designer, Owner) was advised of above required data by iii Plans checked by no 0aDate Plans approved by Date OTHER: , r—, /r)PIAI Telephone Mail Other Date 1/17/7 OWNER .70hA. �Krl' A. GE aRAL Zoning requirements 21" -Valuation. Signature by R.C.E. RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX, & MISC. ONLY) Bldg. Permit # �1 4 A.P. # SW- -34-19 (sideyards and parking). or Architect (if required). B. PLOT PLAN — Complete parcel size and dimensions. . J 2. Setbacks, sideyards, easements, etc. Other buildings or structures. Grading, fills, drainage. C. FLOOR. PLAN ' d. omplete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1405). . equired windows for second exit (Sec. 1404). k.11owable glazing for energy requirements (20% max. per.State law). R�1. Human impact glass (Sec. 5406). sC% Required room sizes, ceiling heights (Sec. 1407). it G.F:C:I.'s in baths and exterior outlets (Sec. 210-8). Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. 9. Locations,of water heater, heating & cooling equipment, other electrical or gas equipment, and plumbing fixtures. ]�. Garage firewall, door size, and closer (Sec. 503(d)(4)). 1 - 3'0" exterior exit door (Sec. 3303d). iFireplace location. � Smoke detectors (Sec. 1413). MURAL DETAILS Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. elevations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. Fireplace construction details and calcs if over one-story in height. Sufficient data and details to satisfy energy insulation requirements (State law). E. MISCELLANEOUS ITEMS TO LOOK OUT FOR CX plywood on exposed locations and overhangs.- 2!/ Stairway details (Sec. 3305). �<Brick ardrail details (Sec. 1716). or stone veneer (Chapter 30). b._Exterior plaster - weep screeds (Sec. 4706 & 4708). 6� Proper roof pitch for roof covering (Chapter 32). Rafter ties or bearing ridge beam. .B: Garage door or porch header sizes. 9/: .Adequate bracing. P • Living area over garage - complete 1 -hour separation required including supporting walls and posts-, etc. 1. Two (2) exits on three-story dwellings (Sec. 3302). ® +�� INSURANCE COMPANY, To: bL ULLML Lj-d (,Lullg,W From!i/U I�A.A/1U Date / /0-77 I are, to .Q.p..�ofi,n,q-, eat �-zv ,.,fxu.Pcl.uni-, 2� ,vnt atamr <� - -1 'V, '#4887 16E COURISt T61n' App �- mi E of - Coil'66V -Rdd, prim rd, 300' past end of pavemelit 4 (elece sere ch & retire) W, COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Dries broville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the C;ounty of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. e 11 y White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date ' Building -permit expires Date � �F BUILDING Owner SQ. FT. OCC. BUILDING VALUATION . Mai l i ng.Address Telephone No. Fireplace Contractor ' Total Valuation - - Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Zan;ng 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W. C. Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. Plans Re't d I Parcel Approval I Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 > - Main service 100 A�M4P ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. OR ADDNS. ( DWEACCLBLDGLING OCCUP. &) 2¢syft NFW CONSTR. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR.POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. ) CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le of: y Ex. Occup(OUTLETS OR FIXTURES)BAL91 X Ex. OCCU FIXED APP LNS. OR p• OUTLETS (RESID.) EA) 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 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑ I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE J$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 TOTAL PERMIT FEE authorize representatives of the C;ounty of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. e 11 y White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date ' Building -permit expires Date � �F I, COUNTY OF BUTTE • DEPARTMENT OF PUBLIC WORKS 7 County Center Drive ':: •Uro#ille, California 95965 � Telephone: 534-4541 �eP/76 APPLICATION AND PERMIT BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address �Wy W_W_�ZE�: / Telephone No. , A Contractor Mailing Address Building Address �y �.9�rf�.ryr . h/srG one No. r, A. P. No. v — — ` Zoning & Planning F ftn"ati6h I Fire Dept. Fire Zone Use Permit EQA Parking I Parcel Parcel Ma 60' R/W Im rovements Plans Declaration P P Bodg. Plan. Rei,'d Parcel Approvol Plans Approval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Single Family to Duplex ❑ Mobil Home ❑ Others ❑ 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: License No. Classification I am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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. Datea Signature of Permitee or Agent Receipt No. /SY White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee _ PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee B ELECTRICAL PERMIT FILING FEE Main service 600V OR LESS 100 AMP OR LESS Main service EA. AOD'L 100 AMP Main service OVER 600V 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. ( OR ADDNS. DWELLING CCUP. & ACC. BLDGS. NF_W CONSTR. NON.RESID. (MULTI -OUTLET BRANCH CIRCUITS S NEWCONTR. NON - RES I D. , POWER APPARATUS & ISINGLE OUTLETiCIR. $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 $3.00 5.00 2.50 25.00 1.00 FEE FEE Ex. OCcup(OUTLETS OR FIXTURESAL.1 ) B FIXED APPLNS. OR EX. OCCU P•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 p, Permit Fee $ 4 MECHANICAL No. @ r FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ TOTAL PERMIT FEE I$/=11� IC -4i This permit is hereby issued under the applicable provisions of the Butte ounty Code and/or resolutions to do work indicated above i h fees have been paid. I CTOR 0 PUBLIC WORKS D a 11 Bermit expires Date r r A , 8pa N� - ry W „ �a•�.+"".�.":^!r,.r..�n.^.a'wwY'.Mn '. ' ' ' ..nn _ . _ �r .... _ ,.:. �.r.... r , w.• .w...... 5 #s Iacar burin ,fr sy t ��nd on c� inq . dren sfug-ouf to, 5 Buffe County, Health 'Per quiremenh h I