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HomeMy WebLinkAbout062-200-08562-20-85 r� Julian ' - '/S pri. r app.- 450' Y. of Baldrock P. app. 1 m�7e .of Oro -Quincy Rd., Orovill� contr: Moseley Hill, Oroville Permit #k3229-76BCadd bath, laundry, bedroom & family roodjn/SF) _Abi al ' 62-2',-8-8.5 contr: Moseley & H.11, V 44#4Permit Y/406&-76B(aad'1 f g foermit,, #3229- 76 ) 62-20-85 Permit ##4114-76P (plbg �f---r 3229-76 ontr: Mosely & �� - I _ 62-20-85 Contr��• j mes Edwar-ds ermi0t_##,6446 _76E (ele for 3229-76 1 A.P. 62 -20 -*6C $,t-- —H.D.-Hill ! app. 350' off n/s Bald Ro.k Rd app.. _ 4 2 mi. east of Quincy Rd. Permit 623-7.28 (new sin e z��nily) 62-20 Permit##4776-80E (inst . for pump) e 062-200-085 #98-2613 MASON, EARLEEN, 28 STARBRIGHT,.BERRY RE SUMMIT ELECTRICp q - 'RE TAG ELECT. SERVIC B07-1540 ,t 0621200-085 MISCELLANEOUS Electrical NEW ELEC SERVICE FOR`WELL FUN 28 STARBRIGHT LN SPATZ, CHRISTOPHER I 72 A BUTTE COUNTY • DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds SUMMIT ELECTRIC PO BOX 130 BERRY CREEK, CA 95916 (530)589-4530 SUMMIT ELECTRIC PO BOX 130 BERRY CREEK, CA 95916 (530)589-4530 FEE INFORMATION DBE Single Phase Service-Resid $58.00 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires SUMMIT ELECTRIC 452834 / C10 / 02/29/2008 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X L'�,L C,' IULQ�1 07/17/2007 Contractor's Signature Date WORKERS' COMPENSATION DECLARATION I I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I 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 WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Carrier: Policy Number: Exp. Date: (This section need not be completed if the permitis oror onhudreddodollars ($100 ®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 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. 9 07/17/2007 Signature ' V Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. Square Footage: Building Garage Remdl/Addn Other Porch/Patio Total $58.00 Balance Due: $0.00 Receipt No: OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001; Please check one of the following: ❑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 (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). ❑1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). ❑ I AM EXEMPT under Section B. 8 P.C. for this reason: IX 07/17/2007 Owner's Signature Date - CONSTRUCTION LENDING AGENCY I 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lenders Address City State Zip I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am aul orized� to act on the property owners behalf. �,a , i, I Ll M r :i n o \ C_ 16 . F, 07/17/2007 Owner Fq Contractor OR. Agent for Owner ❑Agent for Contractor FILE COPY PROJECT INFORMATION Site Address: 28 STARBRIGHT LN Owner: Permit No: B07-1540 APN: 062-200-085 SPATZ, CHRISTOPHER Permit type: MISCELLANEOUS 55 SQUIRREL LANE Issued Date: 07/17/2007 By KCG Subtype: Electrical BERRY CREEK, CA 95916 Expiration Date: 07/16/2008 Description: NEW ELEC SERVICE FOR WELL I (530) 589-2529 Occupancy: Zoning: U SUMMIT ELECTRIC PO BOX 130 BERRY CREEK, CA 95916 (530)589-4530 SUMMIT ELECTRIC PO BOX 130 BERRY CREEK, CA 95916 (530)589-4530 FEE INFORMATION DBE Single Phase Service-Resid $58.00 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires SUMMIT ELECTRIC 452834 / C10 / 02/29/2008 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X L'�,L C,' IULQ�1 07/17/2007 Contractor's Signature Date WORKERS' COMPENSATION DECLARATION I I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I 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 WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Carrier: Policy Number: Exp. Date: (This section need not be completed if the permitis oror onhudreddodollars ($100 ®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 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. 9 07/17/2007 Signature ' V Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. Square Footage: Building Garage Remdl/Addn Other Porch/Patio Total $58.00 Balance Due: $0.00 Receipt No: OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001; Please check one of the following: ❑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 (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). ❑1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). ❑ I AM EXEMPT under Section B. 8 P.C. for this reason: IX 07/17/2007 Owner's Signature Date - CONSTRUCTION LENDING AGENCY I 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lenders Address City State Zip I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am aul orized� to act on the property owners behalf. �,a , i, I Ll M r :i n o \ C_ 16 . F, 07/17/2007 Owner Fq Contractor OR. Agent for Owner ❑Agent for Contractor FILE COPY BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" 1' OWNER INFORMATION LastName n z f " First Name - AddressS re La City Z State Cex zipq,5 Phone � W s - Fax E -mail c,L 1' CONTRACTOR Name Name C e.J Y 1 Zip Address o W N �, 11 Uj U` Po `— G Cityt Phone State Zip E-mail Planner c,L Phone L4 S 36 Fax E-mail Lic. #� Clasl 0 1' ARCHITECT/ENGINEER Name City 1 Address Zip City Fax StateZip Type Const. Phone Map Book Fax E-mail Planner State License Number APPLICANT INFORMATION Name Address } City 1 State Zip Phone Fax E-mail Ii APPLICANT SIGNATURE X t For office use only: Zoning Property Address �.� v ► Flood Zone Cross Street SRA I Yes No Occ' Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NOrr.�� BP Vq BIN # PROJECT LOCATION AP# 0 -000 Property Address �.� v ► City i3e �vb CYee Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Description or Scope of Work: Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit.and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. (n r'yy Received by. . V - Amount: c% 00 Bldg SRA 1 Receipt #: Sheriff SMIP Date: To- V ,D Other L )� Total REV 8-12-05 r SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the,Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 i i l D62� 200-086, I �asohJ �a..leaa i I '76(!5--- SaIW moo, It /2,�. IN COUNTY OF �iUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Cen+,r Dr&e - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS _ _ Permit fee $ BUILDING ADDRESS " PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 _ Repair drainage or vent piping Water piping 2.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer Lawn sprinkler system :44 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ UtiIities ❑ InstallationE Other ❑ Describe work: — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 800V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.6 OR ADDNS. ACC. BLDGS. 20 sq ft 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 CONSTR -OUTLET 2,50 ea NON•RESI D. BRANCH CIRC ITS NEW CONSTR. I POWER APPARATUS & NON•RESID. %SINGLE OUTLET CIR. Ex. Occup(50 O TS OR FIXTURES L @1 BALcdi (FIXED FIXED APP LNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 3.00 WORKMEN'S COMPENSATION INSURANCE 1 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. 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. Heating Cooling Hood Ventilation 2.00 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 against said County in, consequence of the granting of this permit. X Date Signature of Applicant — Owner E: 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 $ Land Development Fee $ c ` TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. I PARCEL PD ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT I I y PERMIT NUMBER — B 623-72 B,P,E,M `c 1 t P w E r A i PERMIT EXPIRES �Q� 27-7.3 $ OWNER H.D. Hill I . CONTR: owner LOCATION (A.P. 62-20-65 approx. 3501 off n/s Bald Rock Rd. app. 2 mi. east of Quincy Rd. a J ✓�� r r I, 1 1rr � 1 1 r � � r 'v ,t. h I y PERMIT NUMBER — B 623-72 B,P,E,M `c 1 t P w E r A i PERMIT EXPIRES �Q� 27-7.3 $ OWNER H.D. Hill I . CONTR: owner LOCATION (A.P. 62-20-65 approx. 3501 off n/s Bald Rock Rd. app. 2 mi. east of Quincy Rd. a J ✓�� r r I, 1 1rr � 1 1 r � � COUNTY OF BUTTE Department,.of Public Works BUILDING INSPECTION RECORD Zoning Setback Forms Foundation Piers & Girders Fireplace Rgh. Plumbing Bond Beam Lath & Plaster Rein. Ste I^ Gas Piping & Test Found. Vents % Framing -n ^ — Plmg. Topo Rough EIec. 2'�f —1 '� %J Wtr. Htr. Furnace Ar Kitchen Vent Firewall Garage Ve is Sanitation & Water ELECTRIC U GAS BUILDING Temporary Temporary Cert. of Occup. Final Final s� Final DATE REMARKS OR CORRECTIONS etLc 0� e,4�9� j CC- /4-/.u; - z�"tb' T t C— a�NF 'Zzi .. a X I/ ��ar Re, r- 4 (,/szl,: es�o Lig' /fir �ie`� J)eRb 1,0r7,.D z67 vAa F�cOT` go. C'L A, !� C` G t'.4,hL - C m r, ,w i is —, m /T% /m U / -;e qZ L C uJ /iAJ�ct-s v Y v / rA .C,- ., n, 6 es o t/,kt `oaTialr \A!/bTy /AJ CRjze-A st= FiE2 .Nc;r—a- Raor-rN4 `{ S f/ EflTif • (j /nJ / n , - z�"tb' T t C— a�NF 'Zzi .. a X I/ ��ar Re, r- 4 (,/szl,: es�o Lig' /fir �ie`� J)eRb 1,0r7,.D z67 vAa F�cOT` go. C'L A, !� C` G t'.4,hL - C m r, ,w i is —, m /T% /m U / -;e qZ L C uJ /iAJ�ct-s v Y v / rA .C,- ., n, 6 es o t/,kt `oaTialr \A!/bTy /AJ CRjze-A st= FiE2 .Nc;r—a- rr i C-& ,, J.--, L a rrz , A) o- i.W?,! 4 -.TL--- �..� �. L L. / n , l%14i/ /yt 4-1 7- 41 i L&7 !Z:'YN'/'wr, jatarD rr i C-& ,, J.--, L a rrz , A) o- i.W?,! 4 -.TL--- �. L L. / l%14i/ /yt 4-1 �31iL,b 1l�LJ�l /fil�tl 'COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WOR f s 7 County Center Drivg -- Oroville, California 95965 (Qo/) C. Telephone: 533-1230, Ext. 259 3 APPLICATION AND PERMIT BUILDING Owner SO. FT. OCC. BUILDING VALUATION as a Mailing Address z5_ 12' Fireplace - Contractor 3 y... EG�3f Total Valuation Mailing Address Permit Fee P Ian Checking Fee &/<5e`naIt3,-t enalt J— Permit Fee Q—Q $ Building Address _- PLUMBING No.1I FEE PERMIT FILING FEE $2.00 ' Each Trap 1.50 0-111 097 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. �` o f Zoning Gas piping system 1 - 5 outlets 1.50 $ Each additional outlet .50 Fire Zone Fire Dept. an' ion Iann Building sewer 5.00 Plans n/ Fees � W. C.✓ e R/W Encroachment Lawn sprinkler system 2.00 NEW ADDITION ❑ OTHER ❑ Permit Fee $/ fJa ELECTRICAL No.1 @ FEE PERMIT FILING FEE —1$3.00 0�+ Main service incl. 1 meter Additional meters, each 1.00 USE OF STRUCTURE Single Famil Duplex ❑ Others ❑ Sub -panel (12 or less) (more tbyn 12) Range, drrer-or water -Heater 1.00 Oven, Cook -top or spaceAeater 1.00 Light fixtures R961hr., sw/ es & fix ou is ,%'o 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: Hoe�Ex. Fan or F. A. Furn. Motor 1.00 Evap. cooler, gar. isp. or D.W. 1.00 Air conditioner or heat pump Water pump Misc. wiring License No. Classification i am exempt from the Contractors License Laws of the State of California. Permit Fee $ CJ $ Z .fes $ 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. ❑ Irhave 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 $3.00 S p-" Heating ���� /L�yaw Cooling Ventilation �_,.✓� ,� Permit Fee $ cru 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 -menti ned property for iinnspectittiioonnJ purposes. �Y�� J A,/ p Date Signature ofQ0 rmitee or Agent 40 Receipt No. White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant tate Fee For StrArg Motion $0.07/$1000 Evaluation n5tru Feet forationS (grogram $ TOTAL PERMIT FEE $ 3 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 i' i� 062-200-085 #98-2613 MASON, EARLEEN 28 STARBRIGHT,.BERRY CREED SUMMIT ELECTRIC RE TAG ELECT. SERVICE yy p� OFF�IC,¢E,,COPY�. „/ %1 Address �Q �" i "' �'�'f /'( r GAS Meter By Date ELECTRIC Meter By 062-200-085 #98-2613 MASON, EARLEEN 28 STARBRIGHT,.BERRY CREED SUMMIT ELECTRIC RE TAG ELECT. SERVICE yy p� OFF�IC,¢E,,COPY�. „/ %1 Address �Q �" i "' �'�'f /'( r GAS Meter By Date ELECTRIC Meter By .. - ....�:-- -a, .hq,;.�,{.gr(n «x -"a- . _-�.•�+'.'rz--ss;.--- .•.-.^.y=�7fi ^FT"�Yt:=,G'�^w7""qC;^'s��-•..�..,•�..�..�.._.�.-.•�c,+�. COUNTY OF BUTTE - DEPARTMENT QF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541r PERMIT NO. (Rev.12)96) APPLICATION AND PERMIT _ ncpG ASSESSOR PARCEL NUMBER 062-200--085 ZONING f1 BUILDING PERMIT OWNER MASON, E.ARLERM, TELEPHONE 589-3019 SO. FT. OCC._ BUILDING VALUATION OWNERS MAILING ADDRESS 28 119TARBRI11,FT, BERRY CREEK 95916 CONTRACTOR'S NAME SIWIT FLFCITIC TELEPHONE CONTRACTORS MAILING ADD ESS � '. O. BOX 394, BTMRY CREEK, CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 28 STARBRIGW. . BMY CREEP - Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 ` USEOFSTRUCTURE V SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities [i Installation ❑ Other ❑ Describe Work: RE TAG EXISTING SERVICE,. Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 ELES Main Service 2*'o0A OORR LESSS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class c In Lic. NO. t j 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 Policy Number a (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) , © I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. t X `wu u. e Date 11 tii I Q S! Signature of Applicant - ❑ [,Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service zoOA TO tOooA 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. a ACC. S.3.5¢Fr_ NC .NEWR.ID MULTI -OUTLET @7,50 OWER APPARATUS a PSINGLE OviLEr CIR. .00 EX. OCCU (OUTLET OR FIXTURES BAL @ I. 0 Ex. Occup. OI DSP°R� °� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRF INSPECTION 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee Is Energy Inspection 'Fee is occ � . CONST.TYPE TOTAL FEE $r t•3.00 HAZ D FEES IMP I FLOOD CDF I PARCEL 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. By Date - , PERMIT EXPIRES ON /WHI.D.S.-B.D. ( ete rRecTeiptNo.z-C �`..Z 11/ CANARD?-ASSESSOFff PINK -INSPECTOR GOLDENROD -APPLICANT ► COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVI N 7 County Center Drive Oroville, CaliforlIfia 95965 • Telephone (530) 538-7 1 PERMIT NO. (Rev.12/96) APP LI=ibN AND PERMIT ASSESSOR PARCEL NUMBER 052-200-085 ZONING TT BU ING PERMIT OWNER . iv1AS0AT. FAPT�EF,1T TELEPHONE 019 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRE SS t 28 STARBRIGHT, BERRY CREEK 95916 CONTRACTOR'S NAME SI)t�,`�i.IT ELECTRIC TELEPHONE CONTRACTORS MAILING ADDRESS BOX 394, BERRY CRFF" , r l� CONSTRUCTION LENDER 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 $ BUILDINGADDRESS,� LT n 28 STARBRIG..T, ..ER�.Y CREEK Energy Plan Checking Fee $ ;t PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 F USEOFSTRUCTURE SF lb Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.001 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities 11 Installation ❑ Other ❑ IMobile Describe Work: PE TAG EXTST_ TnTG SFRVTCF - ,I Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 000V OR LESS Main Service 2o0A OR LESS 23.00 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.P License Class G C Lic. No. �� 3 �� f OWNER -BUILDER DECLARATION 1 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, 1will 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 200Al To Main Service 46.00 NEW CONST. DWELLING OCCUCUP. WEE OR ADDNS. ( & ACC. BIDS. SO 3.5Q FT_ pESID. MULT, CZcPT 97,50 OWER APPARATUS d SINGLE OLmET CIR. Ex. Occup. OUTLET OR FIXTURES 20 @'•50 BAL @ .SO Ex. Occup. oF"uT>EET°sx REMSID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRE 12SPECTION PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I 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 1 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ®I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' .+ compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X) e Date 111 Signature of Applicant - ❑ LOwner ❑ Contractor ❑ Agent An OSHA permit is required for excavationsver 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEL: $ Mobile Home Installation Fee Is Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $43. 00 HA.. D FEES IMP FLOOD I CDF I PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have ByA��Date PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. /�• /Aw D to Receipt No ".i WHITE-D.D.S.-B.D. CANAR-ASSESSO PINK -INSPECTOR GOLDENROD -APPLICANT PRE -INSPECTION �? 6 OWNER • LOCATION: g r 'i CONTRACTOR: PRE -INSPECTION FOR: PERMIT HISTORY: NONE [�AS FOLLOWS: TYPE OF OCCUPANCY r, BUILDING USAGE: TENNANT: OCCUPIED D [� HEATED. -COOLED OTHER COMMENTS: (?ff- 1;(V F�> DATE A. P. # ZONING d/C - DATE TO INSPECTOR FIELD - INFORMATION HAS ELECTRIC FD HAS GAS Q HAS SANITATION FACILITIES ED PERSON CONTACTED ACTION RECOMMENDED: : ISSUE HOLD FOR •k OTHER: DATE ti s.� Julian /.S 'pr.i.i; r app. 450' Ncof Baldrock .Rd app:. 1 m)f Oro -,Quincy Rd. , Orovill contra Moseley" Hill, Oroville Permit #322946B dd bath, laundry, !,bedroom & family ro /SF) contr : Moseley & H,'11 41 Permit �1J06-76B�ad'd' 1 f foermt #3229-76) J 5'2-20 0-85 Permit #4114-76P (plbg r 3229-76 ontr`: Mosel y & H 62-2-0-85 ^: Contr "es Edwards er' .##6446-76E (ele .for 3229-76 A.P. 62-20-.61 H. i7.. -Hill _g app. 3501 off n/s Bald Ro Rd app 2 mi. east ofQuincyRd. 3'7 ' * Permit 623-7.2B Lly) Permit#4776-80E(inst., ''� for pump) . �+ ri _. a :..c'�i' n. -."r J7 (Rev.12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER2 ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION .OWNERS NO CONTRACTOR'S NAME 1 r TELEPHONE CONTRACTORS w NO ADDRESS^ L0 CONSTRUCTION LENDER Fire Iflce LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ SUILDINGADDRESS , Energy Plan Checking Fee $ , PERMIT FEE $ LOT NO. SUBDNISIONSNAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SFA4,,Duplex ❑ Mobilehome ❑ Other sP�� Each Tra 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ,{❑ Utitities°tk Installation ❑ Other C3 Describe Work: lC.� Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 mobile Home I S I G I W Q20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 80 2 Main Service sow oas 23.00 3, I 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,Ip and my license Is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 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.c� 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. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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 N 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 Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 20" TO 1000A 46.00 NEW CONST, DWELLING OCCUP. SO OR ADDNS. ( a ADC. BIDS. 3.5QFT: RE . ' MULT,,OLmtT @7,50 POWER APPARATUS a swGLE oun�r all Ex. Occup. CUTLET OR FIXTURES eAL 2O ®1'00 .w O Ex. Occu . o„r�sAPP® 01,1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 MiSC.Xiring 23.00 �. PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FET= $ Mobile Home Installation Fee Is Energy Inspection Fee $ Ccc CONST. TYPE TOTAL FEE $ KAZ I D FEES IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby Issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON provisions to do work paid. is Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 %; APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER (0Z- Zd _ g�� ZONING BUIE15ING PERMIT OW ER �` /1 P—tl✓ J J1 ,A , / �V TELEPHO E 5k9_ 14,31 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRE(S/S(.�/ _ I -T //7 S&re-i Geld C4 9s CIM, CONTRACTOR'S NAME rf /V TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LEND R UNKNOWN Fireplace Total Valuation Is LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGIyJEEEjR _ �i/i ��7S LICENSE NO. Plan Checking Fee $ Penalty $ MAI'_ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUI ING ADDRESS � r C S' ,e/ • L' D . APP.. s'o ,{�. $/EGD /2bC� PLUMBING PERMIT Filing Fee 3.00 . APP• A4 444— 11/410 RD Each Trap 2.00 Repair drainage or vent piping 2.00 OrlOd/�C� Water piping LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2,00 Gas piping system 1 - 5 outlets USE OF STRUCTURE ` SF ❑ Duplex❑ Mobilehome❑ Other a PUMP SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe work: %1J57AU-- lN��✓��UfIC- EC Cu. Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 600 Main service 800°V OR O AMP ORLESS5.00 Main service EA. ADD -1- 100 AMP 2.50 NEW CONST. DWELLING OCCUP.9 OR ADDNS. ACC. BLDGS. I 20sgft 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 CONSTR ULTI-OUTLET 2,50 ea NO N.RESID BRANCH CIRC ITS NEW CONSTR. / POWER APPARATUS & NON.RESI D. (SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 50@ 250 BAFIXED L@1Cq Ex. Occup.(OUT ETS (PRESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring I(j6A79r -f s5 Q S0 -T /U&-1r_e_ A11S6 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 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 3.00 Heating Cooling Hood 2.00 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. 1 al o agree to save, indemnify and keep harmless the County of Butte against all ' bilities, jug nts, c ts, and expenses which ma in any way accrue aga ns said Cou ty i cons enc8 of the granting of this ermit X Date � - %9 OWn Contractor ❑ Agent ❑ Signature of Ap(Ve An OSHA permired for excavat ns over 5'0" deep and demolition or construct- ion of structureser 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ r� TOTAL PERMIT FEE $ OCCUP. GROUP TYPE OF CONST. PARCEL PD HD ssuE This permit is hereby issued under sions of the Butte County Code and/or wor I dicated above for which 1 ECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. 42-139 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT 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 nameand bearing your signature. ' Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this'verif ication is received. 1. I personally plan to provide the major labor-and.m erials for construction of the proposed,property improvement (yes or no) -S 2. I (have/have not) �,/ VAC-_ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. .4. I plan to provide portions of this work, but I have hired the following person to coordinate, s ervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work S igr 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 permitted to issue the permit. a PERMIT NO. PERMIT EXPIRES/�/ ✓' OWNER Gary Julian `CONTR. Moseley & Hill, Oroville LOCATION (A.P. 62-20-85 11 E/S pri. rd., app 450'N.of Bald Rock Rd.,, app. 1 mile E.of Oro -Quincy Rd., Uroville Temp. Power Pole Called PG&E Temp. Elec. Serv.W::-/` Called PG&E Temp. Gas Serv. \ Called PG&E ' 11013 FINALED / (Date) (Signature) COUNTY OF BUTTE, --DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD Masonry Walls BUILDING BUILDING (Cont'd) Final Fixtures PLUMBING Setback= 6�/ — [� Firewall Soil Piping Forms . Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows f l 3rd Floor Stemwall 7 Siding / - To out Slab I Roof Sheathln — i --,7r- Water Piping Piers — 1 % Roofing — Sewer —-� Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwal l Insulation Heaters .Slab Carport Footings Prov. for physically handica ed Conformance of ex. structure Appliances Gas Piping Temp. Gas & Test _Slab Final Sanitation Patio FIREPLACE Final, Footin s Fobtinq ELECTRICAL Masonry Walls Throat Rou h / Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framingg_ Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent — 2 Door Closer Final Final DATE REMARKS OR CORRECTIONS o L lore o c< , s• �� H� a' c�arG� ✓o � `o w�7-4/ Rd,� 4-0 L,0 (NOTE: An entry must be made on this form each time you visit the job site.) i COUNTY OF BUTTE -', Ef*1RTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 �� � / Tel epoone: 534-4541 7 (6 APPLICATION AND PERMIT V y� p BY '��--� nate�7 (a Receipt -No. /J?% White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant B tiding permit expires Date %- ��� BUILDIN Owner SQ. FT. OCC. BUILDING VALUATION b Mailing Address Telephone No. Fireplace Contractor /v%0 S 1 e /:/i L L Total Valuation j01 71/0. 0 C Mailing Address — , CvegT Ave Permit Fee5-4,00 Plan Checking Fee&/or Penalty Q YpUrGL-73 Telephone No. - 3 7 7 Permit Fee $ ©0 (� o Building Address ���'��• PLUMBING No. @ FEE PERMIT FILING FEE $3.00 SO f V. e, F 8.9 C d R o c, R p P, -a k / iu , L Each Trap 1.50 O F Y Ut L L e -- N G + Repair drainage or vent piping 1.50 . 4.1- Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. (, — Z b — S 9 -Gas Zoning & Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe Sa Tori Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking PlansBldg. Decla ation Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 P ons Rec'd Parcel App' al PloZwolCpproval Permit Fee $ $ NEW ❑ ADDITION � UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 h �A4Nd y/ 13 e J yoe►ta 4 q , Ly �'C'oo Main service io°V OR o AMP ORLESS5.00 Main service EA. ADD'L too AMP 2.50 Single Family ® Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 1100 AMP oR LESS 25.00 Main service EA. AOD'L too AMP 1.00 NEW CONST. DWELING 0 OR ADDNS. ( ACCLBLDGS, yP &) 20sgft NEW 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 style of: / Ex. OCCup(OUTLETS OR FIXTURES)BA''5a 104 Ex. OCCU FIXED APPLNS. OR p'(OUTLETS (RESID.) EA) 2:00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.� O 7'� i 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 Wor n'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. 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 relatingto buildingconstruction, and hereby$ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date / %� igna ermitee or Agent TOTAL PERMIT FEE S(� 00 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. D�CTOR OF BLIC WORKS A w V y� p BY '��--� nate�7 (a Receipt -No. /J?% White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant B tiding permit expires Date %- ��� FILE MEMO OWNER AP N0.6 Z •At time�of permit application; the applicant was advised the following data or information must be .submitted prior to permit processing and/or issuance: 1. 2. 3. 4. 5. �7A 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. All items have been submitted. Plot plans in duplicate/triplicate. Complete plans in duplicate/triplicate. Complete engineered plans and talcs. Fees of $ Letter of signature authorization. Sanitation approval. Planning approval Workmen's Compensation Insurance Certificate. Contractors license information. Parcel declaration. Access declaration. Aunt Minnie information. Deed of access.. Deed of parcel creation. Parcel map. Pre -inspection request for Other By. Date 4,_/,5—_ •% Bldg. Inspector �aaaaasaasaeaaaaaaaaaaaaaa-a oaaman000anaaaaseaaoaeaamaaaaaaaaaoamoaaasotaaaaaaaaaaaaaaataaaaaaaaaa When.permit is issued, process as follows: 1. Mail to owner. 2. Mail to contractor. 3. Deliver with inspection. .� `�. Telephone S3 3 3 7 7 3 and hold for pickup. 5.* Other •massage a saw=am.e ams as a a a a a a an a a==a=aa==aaa=a==aaaaC.'ia�aCaaaaa.Zaaaaaaasaam a aaaa a==== a mag am==== mass During plan checking process, the following data or information must be submitted prior to permit issuance: 1. Index permit for items numbered above. 2. Applicant advised by telephone we eed 3. Send letter to applicant.. We need 4. Pre -inspection for NOT verifie (In ex) 5. Other 6. Plans checked and/or pproved Date ma=aaa=a--'9aeeoaa=========a=sa=o=a==a=aaaaaa=aa=aa=aaasoasaa=aaaasaaaoaaaaaaaaaaaa■ ■aa■ aaaaaaaa Additional Processing or Notes: S 7 , 'r t: , r l_ �• , x 1 S, A9 ' y-:) 'W. 6 :3 z .Win' r ,�'o mS, � ; C 0 r: nr kh 0 _ N. V/ tl. �:. J T N / 3/. h y 711 /✓. �2 ° E, 3 �d• lQ Ti% �' 'r/ a 00 —7 -Al. C �tiV.p;l r< 2,3K.30 Th'. M f " r� ,4_ / � 1_ f<t ti >; v • 1 �/l E ,?'r_ F"1�a 7_1 A � Z-)4 :t a 1� 1 Td i. f�`p ^ �• '�>>:; F!I Z 1_1 c... U 7 i [_ iTj/ �7U r ?�A.S' F_'S V F' in /� �`i'IZ 1 I b1= i c: ��� ,�•�;1 r:•l L.Y/�rG -36 vN E.Ac q SJ DF , - TNr p I WCslr4,g V F- 1-/1CbL�L-rC1:' Z37,DA66v9 h 0' !i S t: I:- o �'b ci> nN M /�`/ ;Z / 970 /N o FF.�..� n L ,) Dr' l� (.17ri.. C�• Septic system and location of'build- ing .drain stub -out to be' as per. Butte . County Health Dept. Re- quiremer)ts. �. o; 19 � v The Bldg. Setback shall be 5 ft, fEnrre the side property line and 50 ft..f 'Sot. to centerline of the road, permit a maximum of a 2 ff, eave overhan ' .' � 7°�. i - "\' %�.'4/ 1/ n �I` _-; � r'1 X 2 � � RR cp .ice � r. -n i'r i•.=<-1 O' r y, .54 • ,off / � - ����� �1 EXIrrN�. • vI 1 his set of plans a 10 SpLoeifien,MUST be kept on the job at all times and it is unlawful to A �. make any changes or a!terations on same, without ' written permisson from the Department of Public Works, County of Butte. / '� /Yl • /�/ 1 � fOAID 7i�,0c < 4%'6AA J . itCi NOTA:—All 1� laterrry!s $ \'%or!�manship Shall Be in Accordance-.) with Rec,ir;i-cd GOocl- rractices and BUTTE COUNTY -4 of a quclifv nrescr%e� for ithe Snocilied use in the BUILDING DEPARTMENT . Uniform Builainc�, Plumbing & r�achanical Codes and �'.., 46Q Pla+iarsryl Electrical Code.f. APPROVED � � , a I'a 1 e t ',� - _. .�'"I� 4:x"1 '.f .. .. - � �. r. .r .h '." T1.1:4 • .l .f �i1 1 � I i l � • J - S - I f a �� ao Pit All. .eoW c o M tl f f IM i• t �W AZ 14-1. V 6 /jDb 0 7/0, i 6UTTE COUNTY BUILDING DEPARTMENT APP. 2 �o U3AOddd`d�:....-..,r4 «. iN3WAYOCI JNiO�I(1 ,ill. 0 , . y ij /vw! p Ill --i 124 v iz, -J UQ .. J IV,( 7 T.�M '• �-yJ�- '`J" 7T I ---• 17" �`---- - j .' I �� . � . �— .. �--- .f • �l�-del �✓ . \.J' f� \l,� �✓' .� c / ,- �—� i � � �- — � C (fir ,(}•� -���G �f �� to 40 Ull I' 1 i '—.moi r--� � Q-•'�• ..� /.8% El A-.L . 'USI yyix YGGGG 1N3WRJVd3G JNIQ�l�1 ' kLNnoogiing jVq/..L tgry 7N! 7:�!n (� �77 yL on s i f t I (D3AOddd`d 1N3WAVOCI eNlMin� �r �dNnm giinP. i n Yarjr i��+r j I R (Z\( —7 ory -7 -7 i e a J/XodddIV IWWi21` K JNl4�ln AIN.no:) all n9 t b e • F G'3AO,ddd'V iwlwidvdm eNici-lins kLNnop gung 'A -;77 7 P -L,3- 0 A/ (13AOdd.dV JN3W-LbVd'34 eNici ,tam kmnoD.3imp M. Cyal-Litmw OQ NO* DIN. W I pf X3 ► i- i epoo jed J040040P GJOWS 11049 11 .1 #'/f( V(\" K - . I Ltz 11� LL -j Top rail to be 42!'i i. wjj�i 1-f�, termedlafe rails tai be not over t. 4L: K 1-:5 TI Vi§-- 4:t 0 5`=•L, SOS 7 A> Ile c /0 US? z J) Z� A I A AI i A/6 DZ71-1 IL- L -7 t_ .e SL-A::.Te: A. BUTTE COUNTY .3UILDING DEPARTMENT Ole APPROVED 11 r.l _ c COUNTY OF BUTTE — 'nQTMENT OF PUBLIC WORKS 7 County Center Drive — yroville, California 95965 .—�/ Telephone: 534-4541 ' (F.�.J�, APPLICATION AND PERMIT Date / / U .. .. ���.� ..%,IIr.IJ gn h to a mitee or A nt By Date 7- �6 -%'G. Receipt No. 9✓ // White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Ulldlfl9 pefRlit expires Date 7�zto — 77 BUILDING Owner G�� T)✓L�� SQ. FT. OCC. BUILDING V LUATION 22 i 3,3 6-� Mailing Address Telephone No. Fireplace Contractor d 5 L= L Total Valuati V.3 3 6� Mailing Address's/;��G (: Permit Fee Z -V. O D Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ AG Building Address C d/�"- PLUMBING No. @ FEE PERMIT FILING FEE1$3.00 L p / 'c:, 8,4-ko /�y� 7cK Xkaleav Each Trap 1.50 Repair drainage or vent piping 1.50 e7t.11GGA Water piping 1.50 Each gas water heater or vent 1.50 'A. P. No.G 'Z S Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 FeWl Vk. Sano t" rt I FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking I Parcel Plans "Declaration Parcel Ma P 60' R/W Improv s P Lawn sprinkler system 2.00 .Bldg.tans Rec'd Parcel Approval .Planspproval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ I FEE PERMIT FILING FEE $3.00 Main service ;000V OR 0 AMP ORSLESS 5.00 Main service EA. ADD'L too AMP 2.50 Single Family ® Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 1100 AMP oR LESS 25.00 Main service EA. ADD•L too AMP 1.00 NEW CONST. DWELLING OCCUP. & OR ADDNS, ACC. BLOGS. ) 22sgft NEW CONSTR. MULTI -OUTLET NON-RESID, BRANCH CIRCUITS) 2.50ea NEW CONSTP- POWER APPARATUS & NON_RES,(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: r� r/ /� // L/ Ex. Occup(OUTLETS OR FIXTURES) BALI RX Ex. Occu FIXED APP LNS. OR P•(DUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.— 2 %� Classification �L, 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 Workm Ws Compensation. ave 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 em P to an employ y person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 County of Butte to enter upon the above-mentiiood property for inspection purposes. /+( V (J .� n ���D �,/i/)i�71 TOTAL PERMIT FEE is F0 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. nIp)li=r n IQI I� u)no�c Date / / U .. .. ���.� ..%,IIr.IJ gn h to a mitee or A nt By Date 7- �6 -%'G. Receipt No. 9✓ // White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Ulldlfl9 pefRlit expires Date 7�zto — 77 J COUNTY OF BUTTE — DEPAR_WENT OF PUBLIC WORKS 7 County Center Drive — L)roville, California 95965 6��6 �J/Telephone: 534-4541 7��, APPLICATION AND PERMIT presen a Ives o the County of Butte to enter upon the above-mentioned property for inspection purposes. &W4 -Date Signature of Permitee or Agent eceipt No. t � � / ;z 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. _QIREgVD43 OF PUBLIC WORKS 1,26,177 By Date /� uil8 ding permit=Zpl— BUILDING Owner(gayI SQ. FT. OCC. BUILDING VALUATION Mai I ing Address Telephone No. Fireplace Contractor J i w Total Valuation Mailing Address a vq e " Permit Fee Plan Checking Fee&/or Penalty Ovo V T e hone No. Permit Fee $ Building Address 1 U`P !— v PLUMBING No. @ FEE PERMIT FILING FEE $3.00 /'') J y A) /JCZ (x 4 Each Trap 1.50 VQ I /,e 01 - O v _ ( Repair drainage or vent piping 1.50 C —oOV Q Water piping 1.50 Each gas water heater or vent 1.50 A. P. 1p. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s C. &arrFtattoTr Fire Dept. Fire Zone Use Permit Building sewer 5,00 EQA I PPIk sg Declare ion Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 ` C nn ��pp CGS ,�� , +.4qq — 600V OR LESS Main service 100 AMP OR LESS 5.00 Main service EA. ADO'L 100 AMP 2.50 Single Family Er Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service// EA. ADD'L 100 AMP 1.00 NEW CONS.OR ADDNST % ACCLBLOGS. P &) 2¢sgftko NEW CONSTR. MULTI.OU L T 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) BALE Ex. Occup. ( OUT ETP ((RESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.,ZZA/4._4 Classification e-10 Misc. Wiring 6.25 0. e ❑ I am exempt from the Contractors License Laws of the State of California. Per it 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. MEC ANICAL No. @ FEEPERMIT 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 authorize re t t' f TOTAL PERMIT FEE $ presen a Ives o the County of Butte to enter upon the above-mentioned property for inspection purposes. &W4 -Date Signature of Permitee or Agent eceipt No. t � � / ;z 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. _QIREgVD43 OF PUBLIC WORKS 1,26,177 By Date /� uil8 ding permit=Zpl— I COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — .5 le, California 95965 Telephone: 534-434-4541 !/�( APPLICATION AND PERMIT / • �F.."sa..i.0 V.- y VUuU to clitul upull IIIC above-mentioned property for inspection purposes. X ! Date r Vi naty ee or�yA`ge t Receipt No. 61` 5r-3 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 '^ 2/ `,� BUILDING Owner -JuL f SQ. FT. OCC. BUILDING VALUATION Mailing Address (�// 012eJ `t 6� Telephone No. Fireplace Contractor S Total Valuation Mailing Address �� �� ' C �„ �, Permit Fee Plan Checking Fee &/or Penalty _ n QKQ UI P �% L. Telephone No. Permit Fee Building Address/S' ��� P — PLUMBING No. @ FEE PERMIT FILING FEE $3.00 !Ji) or (Igo .. Each Trap 1.50 ' 1 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 -- A. P. No. �, — Zd —� Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. Lanita*ir,n Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 -19 -el nJ-v Parcel Approval Plans Approval Permit Fee $ AD 5-d �� NEW ❑ ADDITION ❑ UTILITIES ❑ OTHERELECTRICAL © No.1 @ FEE PERMIT FILING FEE $3.00 v AA J () a "- f0 Main service 60000 AMP V OR LOR ESS 5.00 Main service EA. ADD•L too AMP 2.50 Single Family ® Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V100 AMP OR LESS 25.00 Main service EA. ADD'L too AMP 1.00 NEW CONST. OR ADDNS. ACCDWELBL I OGS,NG CCUP. &) 20.syft ( / NEW 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 style of: ` oke& �l/ /K/f (/ Ex. Occup(OUTLETS OR FIXTURES)50 @25t BAL@1 TS (RES' OR Ex. Occup. (OUTLETS P•\OUTLETS IRESIDJ EA) 2.00 Temporary service 10.00 f IF Mobile Home Facilities 15.00 � License No. v�1- Ae % 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 re s every employer to be insured against liability for Work 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. 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 TOTAL PERMIT FEE $ >� • �F.."sa..i.0 V.- y VUuU to clitul upull IIIC above-mentioned property for inspection purposes. X ! Date r Vi naty ee or�yA`ge t Receipt No. 61` 5r-3 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 '^ 2/ `,�