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Home My WebLink About058-350-014IV, li , • o-3 IV, li , • IV, li , COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 2 cERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT C-1 ASSESSOR PARCEL NUMBER- ✓ ZONING BUILDING PERMIT OWNER V /� '�\ I - • I _ TELEP ONE � SO. FT. OCC. BUILDING VALUATION OWNER?AIPHG ADDR� /� ei C 11 15 2: e • 0�`)152:73 . CONTRACT 11' 14AME /T11II// . / 6fONE / `I 1_ CONTRACTORS fAgIUNO ADDRESS � -�'1 {/' d st. C % i I � [� 0 ` CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS i- ;� -. Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. t. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS,LT f �y f, -1 t/• Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME 'PARCEL MAP, PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplgx ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00. TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe.Work: W 1'I Irt` ict Ct (r i C' t ! c i Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I WI @20.00 PERMIT FEE $ V t oc -F" (��u� MI 1, 1 trt (1G1 ELECTRICAL PERMIT Filing Fee 20.00 LES Main Service 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 in full'force and effect.POWER License Class C- 1.0 Lic. No. ,) 7 71 V\ OWN WILDER DECLARATION f- I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I♦ ❑ 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 i Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING occuP. OR ADDNS. ( b ACC. S. sG 3.5QFT; NOTFREEW ORID.' OUTLET , CIRCUITS @7,50 APPARATUS & SINGLE OUTLET CIR. EX. OCCU . OUTLET OR FIXTURES B20 @ 1.00 0 FIXED APPLNS. OR Ex. Occup. ourLErs RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ yam} .00 WORKERS' COMPENSATION DECLARATION J 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure jfor workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ' ] I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this pet mit is issued. My workers' compensation insurance carrier and policy number are: Carrier S.JA"'f E f_LA_NYj Policy Number • '27 - Dafb ` 7 - 0 A (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ f 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 ith those provisions. Jof X o/ Date - — 7 Signature of Applicant - ❑ Owner V Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in'height. MECHANICAL PERMIT Filing Fee 20.00 Heating 15 LD Cooling Hood 6.50 Ventilation . kC PERMIT FEE S • v Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 17 ':�. 00 HAZ. D. FEES IMP I FLOOD I CDF I PARCEL PD HD I ISSUE This permit is hereby issued under the Butte County Code and/or indicated above_ for -which fees have i� I By I PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No, �': ��%�(�I I.Z-` C7l% WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT �-:�,.--E7;r--otic-^�'^^,s.w+..e..�'.vra.,�.v--.-.y.,:'�,pµ+-, Sr+.....r.s...+,or•.�,. '`'�'..r"�-.�. COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE Lz� - y25L O ER PERMIT NO. r A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, olease contact this office immediateiv. -COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (r-30) 538-75 agT NO. (Rev. 12/96) APPLICATION AND PERMIT C� �3 -�D/ L� ASSESSOR PARCEL NUMBER J543_ , f� I ZONING BUILDING PERMIT OWNER IH641 V—��/ , _ �./ _ E� SO. FT. OCC. BUILDING VALUATION . OWNERI ADDRF�^�� 1111. a C� )We- Ch g54�� COM ORrM Y - COTORS JIUNG SS �]_- ('�/ �� f T IW CONS TRU TON LENDER t LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Z int- -e Energy Plan Checking Fee $ 5�$ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other sPECIFv Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: t 'mow r�6 CE na Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ `j -0 0 1 �%� (�G-� Oo� �I JL . �) r%I ELECTRICAL PERMIT Fling Fee 20.00 Main Service aDOV OR LESS ZOOA 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 in full force and effect. License Class -Lic. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason 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. I 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.JL My workers' compensation insur ce carrier and policy number are: Carrier SI&I E :run_ Policy Number' -7), - QC10Q 7 - O (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 0 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fo ith cc yith those provisions. i- iI —o � Signatuof Applican - Owner Contractor ❑ Agent '� re An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46,00 NEW CONST. DWFIIING UP. OCCSo OR ADDNS. ( y . BLOS. 3.50FT. EW N"ONRESD. MULTI.OUTLET. @7,50 POWEPPARATUS 8 SINGLER AOUTLET CIR. 20 Ex. Occup. OUTLET OR FIXTURES @''50 BAL Q .SO Ex. Occup. OUTLED ETS PPRENS OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating 115 Cooling Hood 6.50 V tilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ f Z HAZ. D. FEES IMP FLOOD CDF PARCEL PO HD ISSUE This permit is hereby issued under of the Butte CountyCode and/or c to abovejo hic fees have By PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been paid. '\7 Dto Date Receipt No. 77M% • Q -D WHITE-D.D.S.-B.D. CANARY AS SSOR PINK -INSPECTOR GOLDENROD.APPLICANT