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Home My WebLink About062-610-011n 62-61-11' KATHERINE PETERSEN E/S Seminole, 1 mi S Oro Quincy Hwy,BC Contr : , De Air Co��' Permit#407-87P,E,M(htg/,SF,)�; E OFFICE COPY Address�,O,W\ VA(p I GAS Meter By Date ELIC Me tVrt4 (n�rr COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovillef California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ,;/C17 r7 ASSESSOR PARCEL NUMBER / ZONING BUILDING PERMIT OWNER f ' TELEPHONE q. SO. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS f } CONTRACTOR'S NAME / i TELEPHONE CONTRACTOR'S MAILING ADDRESS -/% . jV J� /-< %ll{� fr j .' { / % ,'_' Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER 7_7LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ eulLDl G AD Ess r.Zooj Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 1 5.00 r /. Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00V OR LESS 10.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): El I am licensed under provisions of Chapt. 9, Div. 3 of the Bushes$ and Professions Code and my license is in full force and effect. �1 (�/;r� (J %_ ' License No. Classification T F1 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.N) , OR ADDNS. ACC. SLOGS. I /20Sq ft NEW CONSTR ULT' -OUTLET 2,50 ea NO N•RESID BRANCH CIRC ITS (POWER APPARATUS 6) SINGLE OUTLET CIR. /;r z0esoe Ex. Occup(OUTLETS OR FIX-URES SAL@30 Ex. OCCUp. OUTLETS PFIXED APLNS. R (RESID.IEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: It after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating 0, Cooling Hood 3.00 Ventilation permit Fee $ /•.(,/j Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. --I X Date 7 /1 J, 1 Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occUP. CONST.T7 I I FLOOD PARCEL I PD ND ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been aid. � . f. p DIRECiORI F, PUBLIC WORKS / Date oo PERMIT EXPIRES Date Receipt NO.By. WHITE-D.P.W., YELLOW ASSf350R.,PINK-INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California b5965 - Telephone 916/534-4541 APPLICATION AND PERMIT PER IT NO: C Vi9 i A SSES$0i 4RC,EL NIJ ER pv''')) // </ ZONING BUILDING PERMIT Ow Epr + P r `►t �' Alr5'�` TE6,(r , SO. FT. OCC. BUILDING VALUATION OW S M ING RESSY CO CTOR'S VJkME C- , V- I TELEPHONE CONTRACTOR' MAILING ADD 55 4:v Phet Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUIL IL DDRES ,, Ine f M Permit fee $ PLUMBING PERMIT Filing Fee 10.00 O� �Cc HWV Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00ea TYPE OF WORK ,,,,----��(((( New [-I Addition❑/ Remodel❑ Ut'lities I�nn Ration❑ Other Describe work: Lo, oon T (494? 15 / ]h V, Pi 0, C_ & Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declar 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. Ci�y �y �.��D License No. ! 3 7 7 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) ❑ 1, as the owner, am exclusively contracting with licensed contract- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING oCCU1.& , OR AODNS. ACC, BLDGS. / /20sq ft NEW CONSTR.ULTI.OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. tLm 0@50e EX. Occup(OUTLETS OR FIXTURES ZO®506 FIXED Ex. Occup. OUTLETS IPRESID )LNS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ /0(0 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑The permit is for $100.00 (valuation) or less. YT11,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 FiIirig Fee 10.00 Heating bq, Q Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in cuenc o .,o Date ��/ �l / C�f the granting of this permit. p/� Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE D occuP. CONST,TYPEJ IFLOOOIPARCELI PO 1 NO ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicat d above for which IRECT UBL 1,1A4 h 14 BY PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. RKS to Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT