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HomeMy WebLinkAbout063-050-005I 0 U I AP 63=05-51- 0 1 b3*050,0 005 [ , John Barnard NE side Tippi Toe Lane app. 750 ft. east' of Hwy. 32, Forest Ranch , Permit 2465-74 (new single family) 'nA l /alz/^/ - - --- 63-05-5 Permit' ##4948-75'E M ( for permit #2465-74)T`k 6.3.-05-5 Pemit #5172-75B(ls•t Renewal of permit #246-5z,-74,)4,', �1_ j 063=05-0=005 �� 92B FULLER, -'Jerry 15712 Tippitoe LN, Forest Ranch" contr: Four Counties reroof/sf _ 063-050-005 02-0927 FULLER, JERRY & SHANON 15712 TIPPI-TOE LN., FOREST RANCH CONTR: MC. CLELLAND A.C.• HVACr - 1Lk o, - I B07-2547 063-050-005 MISCELLANEOUS Remodel KITCHEN REMODEL: NEW FIXTURE 15712 SANCTUARY LANE FULLER JERRY E & SHARON L9=3 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 REMODLERS INC THE REMODLERS INC THE Building Garage Remdl/Addn P O BOX 899 P O BOX 899 FOREST RANCH, CA 95942 FOREST RANCH, CA 95942 Other Porch/Patio Total (530) 893-4741 (530) 893-4741 FEE INFORMATION DBE Misc Residential Wiring $58.00 DBP Gas System (enter outlets) $58.00 LICENSED. CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires REMODLERS INC THE 813508 / B / 10/31/2008 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 A V_ ll�� 12/17/2007 Contractor's Signature Date }; r ::WORKERS: COMPENSATION DECLARATION 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; c -,16 1 � r Carrier: it Lii%t (A Policy Number: 713-0012499 Exp. Date:08/01/2007 (This se eed not be competed if the permit is or once iun rdollars ($100) es—or s ) ❑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.Q X k (A— 12/17/2007 Signature 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. '. CONSTRUCTION LENDING AGENCY I 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) Lender's Address City State Zip $116.00 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 ($500); 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.). ❑I, 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.). ❑ 1 AM EXEMPT under Section B. 8 P.C. for this reason: ix 12/17/2007 Owner's Signature Date 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 pr7e� owner or am authorized to act on the property owner's behalf. UL l(/�"�� O f G tqcc N.( Nvu o ✓- 12/17/2007 Owner /1k'Contractor OR. Agent for Owner 0Agent for Contractor FILE COPY PROJECT INFORMATION Site Address: 15712 SANCTUARY LANE Owner: Permit No: B07-2547 APN: 063-050-005 FULLER JERRY E & SHARON Permit type: MISCELLANEOUS P O BOX 363 Issued Date: 12/17/2007 By KCG Subtype: Remodel FOREST RANCH, CA 95942 Expiration Date: 12/16/2008 Description: KITCHEN REMODEL: NEW FIXTL (530) 343-1131 Occupancy: Zoning: TM5 REMODLERS INC THE REMODLERS INC THE Building Garage Remdl/Addn P O BOX 899 P O BOX 899 FOREST RANCH, CA 95942 FOREST RANCH, CA 95942 Other Porch/Patio Total (530) 893-4741 (530) 893-4741 FEE INFORMATION DBE Misc Residential Wiring $58.00 DBP Gas System (enter outlets) $58.00 LICENSED. CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires REMODLERS INC THE 813508 / B / 10/31/2008 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 A V_ ll�� 12/17/2007 Contractor's Signature Date }; r ::WORKERS: COMPENSATION DECLARATION 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; c -,16 1 � r Carrier: it Lii%t (A Policy Number: 713-0012499 Exp. Date:08/01/2007 (This se eed not be competed if the permit is or once iun rdollars ($100) es—or s ) ❑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.Q X k (A— 12/17/2007 Signature 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. '. CONSTRUCTION LENDING AGENCY I 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) Lender's Address City State Zip $116.00 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 ($500); 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.). ❑I, 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.). ❑ 1 AM EXEMPT under Section B. 8 P.C. for this reason: ix 12/17/2007 Owner's Signature Date 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 pr7e� owner or am authorized to act on the property owner's behalf. UL l(/�"�� O f G tqcc N.( Nvu o ✓- 12/17/2007 Owner /1k'Contractor OR. Agent for Owner 0Agent for Contractor FILE COPY BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION* OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.neVdds PLEASE PRINT CLEARLY PERMIT NO. BIN # "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. OWNER INFORMATION Last Name '^ �iA- C First Name 1JA& Mailing Address ?© (�� / 3 City �_o g_e� tQlG ff State (T70 Zip os-� r Phone 3Lf 3 3 Fax _ E-mail E-mail pp-mddC dorsi /'C- &t�(C0 CONTRACTOR Name )fie vvt Q d@ f 0 1-5 /In C Address • D r� 0X ?6l Address City rt s f State C Zip os-� r Phone o-(� 3 L"-, 00 Fax c S L, 17'? E-mail pp-mddC dorsi /'C- &t�(C0 . Lic. # $ 13 5 oClass State License Number 6 APPLICANT SIGNATURE PROJECT LOCATION AP# a �� 0S 0 — 00S- O0 C) Property Address J- Z _Sck('�A&WLayt.Q City ,:0 re S � 12Uv1 WORKER'S COMPENSATION Policy Number Carrier F�k n If hiring anyone other than licensed contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING A GEAfCY Name Address ORK.JDESCRIPTION OR SCOPE OF WORK. - JC ke 11 Cken KeMOdc v & jo lorq 2-oSF S Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: ARCHITECT/ENG EER Name CO r'1 0 r Address SRA City No State Zip Phone Fax E-mail State License Number APPLICANT SIGNATURE PROJECT LOCATION AP# a �� 0S 0 — 00S- O0 C) Property Address J- Z _Sck('�A&WLayt.Q City ,:0 re S � 12Uv1 WORKER'S COMPENSATION Policy Number Carrier F�k n If hiring anyone other than licensed contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING A GEAfCY Name Address ORK.JDESCRIPTION OR SCOPE OF WORK. - JC ke 11 Cken KeMOdc v & jo lorq 2-oSF S Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: APPLICANT INFORMATION Name CO r'1 0 r Address SRA City No State Zip Phone Fax E-mail APPLICANT SIGNATURE PROJECT LOCATION AP# a �� 0S 0 — 00S- O0 C) Property Address J- Z _Sck('�A&WLayt.Q City ,:0 re S � 12Uv1 WORKER'S COMPENSATION Policy Number Carrier F�k n If hiring anyone other than licensed contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING A GEAfCY Name Address ORK.JDESCRIPTION OR SCOPE OF WORK. - JC ke 11 Cken KeMOdc v & jo lorq 2-oSF S Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning FloodZone SRA Yes No Occ. Type Const. .•�.s",�::►Y��:7�.T'-`:+`�'�ii�i2.'kn�rVl7i-.v•�.-. -�. ys ,trs�p0.�,"i�.kid-v&���-0sc»*a�-c+c;4Fii'�'i"��i'�#5;�,:{a4�i',�'�-�Nr't�.�l%'� •.. vn., -w. -- . _�. .__�,.,�xa,�c,yxsaa,,.-:,,� ` 063-050-005 02-0927 4 FULLER, JERRY & SHANON 15712 TIPPI-TOE LN., FOREST RANCH CONTR: MC. CLELLAND A.C. HVAC COUNTY OF BUTTE - DEPARTMENT OFA DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive_ • Oroville, California 95965 • Telephone (530) 538-7541. �ERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT (Oldcq ASSESSOR PARCEL NUMB!/_J ' ��w /) y ZONING BUILDING PERMIT OWNER .� J I n/ ✓ / TELEPHONE . 1, SO. FT. OCC. BUILDING VALUATION OWNER'S MA NG'ADDRESS 5 CONTRACT R'S NAME TELEPHONE CONTRACTORS' MAILING ADDRESS CONSTRUCTION LENDER Fireplace 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 $ BUILDING ADDRESS ; / T!,, Energy Plan Checking Fee $ "'. CX $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF.0 Duplex ❑ Mobilehome ❑ Other 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 ❑ Other ❑ Describe Work: �( /�( yu-4 C, Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 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 is in full force and effect. (Z, License Class t.-20 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, army 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 Main Service zooA To I000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a Acc. Bins. s0 3.5¢FT: IN,pµpQlp, T.MULTI.OUTLET 97,50 POWER APPARATUS E OUTLINGET R FIXTURES EX. Occup. OUTIFf OR FDRUREs 20.00 BAL Q '.50 Ex. Occup. ..FIXED uXT Ers .=°EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE S 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 pormance of the work for which this permit is issued. performance 0-101, 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 }tpt'l LA r-6 h Policy Number 11 - 7-Zy (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 fort t0h comply with thos provisions. Xr " �' ` ' to J �.�"" onactor3. Age t Signature of Appli - ❑ Owner ❑ Ctr An OSHA permit is required for excavations over 60" Beep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating / r� Cooling1 / " Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE It HAZ. p. FEES IMP FLOOD CDF PARCEL PO HD ISSUE /� This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have ; By,.�- PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been paid. Date""7 Def" Receipt No. YJ WHITE-D.D.S.-B.D. -CANARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 IT NO. (Rev. 12/96) APPLICATION AND PERMIT O CJS ASSESSOR PARCEL NUMBW A_ ©� — r.lOWNER /N^ ZONING BUILDING PERMIT (' I J { J �.! I/ e� TELEPHONE 3 3 - 113,1 SO. FT. OCC. BUILDING VALUATION .OWNERS MAID DRESS + 15-7 t o Q ��sr1,a,, CONTRACT R'S NAME TELEPHONE 5737 CONTRACTORS MAILING ADDRESS J�� � � � � � /� �l 7 —0922-3 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filin Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS ` / , - V�o Energy Plan Checking Fee $ $ `Ir PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF A 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 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: //� tf ✓�'�i Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 LES Main Service 200A 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.�l es �� -c-� S ,r , 2 License Class !.t/ LiC. NO. s 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 Main Service zooA To I000A 46.00 NEW CONST. DW EWNG OCCUP. OR ADDNS. ( 8 ACC. S. SO 3.5¢FT. ENCONST. MU LTI.OUTLET @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex, Occup. OUTLET OR FIXTURES BAL @ I:50 Ex. Occup. oFUT>Fis qL D 1 E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 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' cognipensation, as provided for by section 3700 of the Labor Code, for the rformance 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' compensati In insurance carrier and policy number are: Carrier 5r4T l i-cA #­ n MECHANICAL PERMIT Fling Fee 20.00 Heating /9— ir Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number -JJ - ZS!J (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' cc mpe ation laws of California, and agree that if I should become subject to the W ork s' compens n p ovisions of section 3700 of the Labor Code, I shall fo ith comply I thos provisions. X Do, 417& _ nature of Appli El Owner ❑ Contractorge t An OSHA permit is required for excavations over 60" eep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ �rAr HAZ. D. FEES IMP FLOOD CDFPARCEL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have Q By PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. _Dat tg 7, ; \_ We) Receipt No.` WHITE-D.D.S.-BJG. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovll JAt Cellfornla 95965 - Telephone: 916/538-7541 APPLICATIONAND PERMIT PERMIT NO. qa _,2ct8-2- ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS y� �i111 >Qi,Q CONTRACTOR'S NAMETELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan -Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit f@@ $ . (� PLUMBING PERMIT FilingFee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 1 5.00 Building sewer 15.00 Mobile Home S I G I W 1 615.00 TYPE OF WORK New j j Addition E Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS _ 18.50 Main service 200ATO1000Al 37.50 CONTRACTORS LICENSE LAW I declare under enact of perjury (check one): penalty P I Y( )� Q 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 CONST. ( DWELLING OCCUPM OR ACDNS. 1 ACC, / 3.64 sq.ft. NEW CONSTR. ULT( -OUTLET _OUT NON.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS 6 (SINGLE OUTLET CIR. ) Ex. Occup( OUTLETS OR FIXTURES 20 76 Ex. Occup. OUTLETS P(RESID )RFA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. �Virin 9 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: 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 FiIingFee 15.00 Heating Cooling Hood 6.50 Ventilation permit Fee --_ $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all 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❑ Contractor ❑ Agent ❑ An OSHA ion of structures over 3Q stories ineheight Ions over 5'0" deep and demolition or construct- Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAz 1 11 FEES I IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi resolutions to do have been paid. WORKS Date Receipt No. WHITE-D.P.W.. YELLOW-ASSE330R, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTT BUILD!Nr, nFPT tt� ,) COUNTY OF BUTTE' -'DEPARTMENT OF PUBLIC WORKS IJ9G AUG 2 7 7 County Center Drive - Oroville, Callfornla 95Q65 - Telephone: 916/538-7541 APPLICATION AND PERMIT .* PERMIT NO. Goiv.Kl ASSESSOR PARCEL NUMBER,,,.,_ - - Q ZONING x-445 I I BUILDING PERMIT OWNER Jerry Fuller TELEPHONE SO. FT. OCC. BUILDING VALUATION 33 s 0,00 = 1980.00 OWNER'S MAILING ADDRESS P.O. Box 363, Forest Ranch, CA Reroof existing roof CONTRACTOR'S NAME Four Counties Roofing Company TELEPHONE 343-1416 with composition. CONTRACTOR'S MAILING ADDRESS #3 Criiqadpr Court-, CA Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation J$1980.00 LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 15712 Tippitoe Lane Forest Ranch, CA Permit fee $ 52.50 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qaS water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work:_ Reroof existing roof with composition roofing. Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 Main service 200A To IOOOA1 37.50 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. 489246 Classification C-39 ❑ 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 CONST./ 3.6gsq.ft. DWELLING OCCUP.N\ OR ADONIS. ( ACC. BLDGS. // NEW CONSTR ULTI.OUTLET NO N.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(ouTLETS OR FIXTURES 20 76 FIXED APPLNS. Ex. Occup. OUTLETS IRESID IREA.� I .3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. IVirin g 15.00 Permit Fee $ — 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: 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. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all 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 n consequence of the granting of this permit. X M-1JW_ee Date 8 / 20 / 92 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 $ DCC CONST TYPE TOTAL FEE $ 52.50 HAz DFEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicaab ve r which fees have been paid. R OF PUBLIC WORKS BY Date 8 z7 -9z PER IT EXPIRES Date _ – Z7- S,3 Receipt No. Z Z 59 WNIT[-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - C{ovllle, California 95965 - Telephone: 916.1538-7541 a2, ��. APPLICATIONS AND PERMIT AS, _SSOR PARCEL NUMBR ZONING BUILDING PERMIT OWNER Jerry Fuller TELEPHONE SO. FT. OCC. BUILDING VALUATION 33 s $60,00 = 1980.00 OWNER'S MAILING ADDRESS P.O. Box 363, Forest Ranch, CA Reroof existing roof CONTRACTOR'S NAME Four Counties RoofingCompany TELEPHONE 343-1416 With composition. CONTRACTOR'S MAILING ADDRESS CA Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation IS1980.00 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 37.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 15712 Tippitoe Lane Forest Ranch, CA Permit fee $ 52.50 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: Reroof existing roof with composition roofing. Permit Fee $ Contractor ELECTRICAL PERMIT FiIingFee 15.00 Main service 600V OR LESS 18,50 200A OR LESS Main service 200ATO1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions 0} Chapt. 9, Div. 3 of the BUSIneSS and Professions Code and my license is in full force and effect. License No. 489246 Classification C-39 ❑ 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 CONST./ DWELLING OCCUP.a) 3.60 sq.ft. OR ADDNS. 1 ACC. SLOGS. NEW CONSTR ULTI.OUTLET NON-RESID BRANCH CIRCUITS) @ 5.00 POWER APPARATUS tr (SINGLE OUTLET CIR. ) Ex. Occup(ouTLETS OR FIXTURES z0 7611 Ex. Occup. OUTLETS IPRESID IFIXED APLNS.REA.) I 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. Wiring '15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check 6ne): ❑ 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. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling 9 Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state.that the above information is correct. I agree to comply to all 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 8/20/92 signature of Applicant — Owner❑ Contractor ❑ Agent An OSHA ion of structuress over r 3gstories oin heightslons over 5'0" deep and demolition or construct• Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 52.50 HAz I DFEES I IMP I FLOOD CDF I PARCEL I PD HD 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 paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. 12 Z.59 6 WHITE-D.P.W., YELLOW-ASSE330R. PINK -INSPECTOR, GOLDENROD -APPLICANT Ir .-..,,�A--l���iwKK�1'�'X77.,�:.tC�w44�+�'"T'�(ii+�r911�'J•�77f�1'M"`"�i'd{�'}r..'�"f+TE'A77�4�}'�'ttri�ir�y1'�Ff bra .BAIT_. L'' -.r7 , . `may... COUNTY OF BUTTE - DEPAR3TMENT OF PUBLIC WORKS - BUILDING DIVISION r-- -. 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 .- TELEPHONE (916) 538-7541 OWNER JCl/y Proposed Building Use PERMIT r //eti APPLICATION DATA SHEET �6- No. U�3 - Building Inspector Date Z y At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent -for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of$ .......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ........................ 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit. ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. .. ... . 20. Pre -inspection for FreInspection request-- required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _) ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ........................................ . 28. Mobilehome utility clearance . ......................................... . 29. Documentation of legal access . ....................................... . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ............................ . 32. Plan checkI. 33. .S� 4/ A' tj, 4(f- 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation //�` ,, Acreage Applicant rYV �`��� Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works r/ � PERMIT NO. I P E M rMH UTIL. V-ERMIT NO. — PERMIT EXPIRES 7 7 WNER john Barnard IONTR. 63-05-5 OCATION (A.P. vV NE Side Tippi Toe Lane app-. 750 ft.' east of Hwy. 32, Forest Ranch qTemp. Power Pole '-Z Called PG&E Temp. Elec. Serv. C ed PG&E r /Te p. Gas Serv. Called PG&E C*' ed Toe P. Gas -- ' Called ed JOB OB FINALED 21 (Date) (Signatu IV WL., ax P E M rMH UTIL. V-ERMIT NO. — PERMIT EXPIRES 7 7 WNER john Barnard IONTR. 63-05-5 OCATION (A.P. vV NE Side Tippi Toe Lane app-. 750 ft.' east of Hwy. 32, Forest Ranch qTemp. Power Pole '-Z Called PG&E Temp. Elec. Serv. C ed PG&E r /Te p. Gas Serv. Called PG&E C*' ed Toe P. Gas -- ' Called ed JOB OB FINALED 21 (Date) (Signatu IV WL., DATE REMARKS OR CORRECTIONS/ i � r � J , A d COUNTY OF BUTTE, — DEPARTMENT OF PUBLIC WORKSI ; BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Fire II Soil Piping Forms % Parape s 1st Floor Main Bldg. Restroo Finish 2nd Floor' Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathln Water Pi in � Piers `$'a Roofing Sewer Garage Fdn. Vents Fixtures F o o t i n g s Garage Vents Water Htr. \ Stemwall Slab ' Prov. for physical) handicapped Heaters Appliances. Carport Foot in s � --% Conformance of ex. structure Gas Piping & Tes _ Temp. Gas Slab Final C Sanitation Patio FIRE ACE Final Footin s Footing 7 FUECTRIltrAl Masonry Walls Throat / "� —�% Rough Reinf. Steel Final Fixtures Bond Beam IRE SPRINKLERS Motors Framing % Test Water Htr. Stucco Final Subpanels Mesh --S �? S'MECHANICAL Grd. Fault Prot. Scratch .-moi — % s HeatingService Brown Cooling Temp. Pole Finis Ducts Underground Interior Latlk Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS/ i � r � J , A d _ •1� -- �. ' � � / � ;. �'rI !ice � Ir' � � �� - / �i �. - i �� � r ��,► � , , ._ R� �, ,,_ ,, � o �`_- • ,� ��� �� ,� � � � �� � � _ � ._, -�- - - - - '� z .. '. � �. Owner Vi✓ Mai I i ng Address • COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ,�"� �js�`7— s 7 County Center Drive — Oroville, California 95965 Teleppone:, 53;-4541 APPLICATION AND PERMIT � G� BUILDING J SQ. FT. OCC. I BUILDING VALUATION /Tele �Gl;C hone o. �— (O Fireplace Contractor Ck,) Al r Total Valuation Mai I i ng Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee 7 Building Address PLUMBING No.1 @ I FEE PERMIT FILING FEE $3.00 O �= we-- e> A,( C. o,/e&j Each Trap 1.50 461 7O x / 3 40 Repair drainage or vent piping 1.50 Water piping 1.50 p sr a)- Each gas water heater or vent 1.50 A. P. No. ?�© = Q S Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe W. Sanitetl6i I Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA I Parking Plans Parcel Declaration Parcel Ma p 60' R/W Improvements p Lawn sprinkler system 2.00 Bldg-4Z4ens-Rec'd Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ®' ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter _ Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ® Duplex ❑ Mobil Home ❑ Others ❑ 'Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures y P Receps., switches & fix outlets 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. d i sp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring 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. LQ ' 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for insmction purrpppoiat ses. je X . Signature o Per a or Agent Receipt No.,/ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant TOTAL PERMIT FEE . 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 l4_1ZeV_7. / Building permit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS — y 7 County Center Drive — Oroville, California 95965 -7S v` Telep4one:, 534-4541 APPLICATION AND PERMIT BUILDING OwnerAe A 15 �/� &SQ. FT. OCC. BUILDING VALUATION Mailing Address a641se- ,e l Teleohone_No. Contractor Uv. c1lu Mai I i ng Address elephone No Building Address Fireplace Total Valuation . Permit Fee PI an Checking Fee &/or Penalty Permit Feb PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent A. P. No ©�Q � Zoning& Planning Gas piping system 1 - 5 outlets � Each additional outlet F e—e sl W. . Seni•ttitiIIrf Fire Dept. Fire Zone Use Permit Building sewer EQA Parking Parcel Parcel Ma 60' R/W ImprovementsLawn sprinkler system Plans Declaration P Bldg. Plans Rec'd Parcel Approval Plans Approval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Single Family Duplex ❑ Mobil Home ❑ Others ❑ Permit Fee ELECTRICAL PERMIT FILING FEE Main service incl. 1 meter Additional meters, each Sub -panel (12 or less) (moretge Range, Coo p or Ouaa_/ Water Water or Space Heater Liaht fixtures CONTRACTORS LICENSE LAW Hdod, Ex.ta I am licensed under the provisions of Chapter 9, Div. 3, of the Evap.coo Ier, State of California Business & Professions Code under the name Air c itl� style of: Water pump @ FEE $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 W& fix out "aL 1 F.A. Furn. Motor 2 1.00 r. disp. or D. 1.00 O or hc Ln. f7 Mobil Home Facilities MEMM M MEMS PRIMIMEMME 5.00 i3mmet-MA MUM _ t 'ri EM 11210M, W& fix out "aL 1 F.A. Furn. Motor 2 1.00 r. disp. or D. 1.00 O or hc Ln. f7 •1 certify that I have read this application and state that the above information is correct. 1 agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 644: Wgaf Date s� Signature of er%itee oro/rAgent �j Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant TOTAL PERMIT FEE `r$ IV 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. e D ECTOR PUBLIC WORKS45- ' By Date oC �-7 Building permi;z�11''��AA66--Date _�l05 74- Mobil Home Facilities 5.00 Temp. Power Pole 5.00 Misc. wiring Lice se No. Classification am exempt from the Contractors License Laws of the State of California. Permit Fee $ $j 6 MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE PERMIT FILING FEE $3.00 3� 9D 1 am aware of the provisions of Section3700 of the California Labor Heatings' Q 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 Cooling SO -0 Workmen's Compensation Insurance. ®/i certify that 'in the performance of the work for which this Ventilation permit .is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Hood 2.00 California. Permit Fee 7, S $,T �D •1 certify that I have read this application and state that the above information is correct. 1 agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 644: Wgaf Date s� Signature of er%itee oro/rAgent �j Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant TOTAL PERMIT FEE `r$ IV 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. e D ECTOR PUBLIC WORKS45- ' By Date oC �-7 Building permi;z�11''��AA66--Date _�l05 74- 0 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC S r 7 County Center Drive — Oroville, California 95965 Tele0ione: 534-4541 (C// f✓� APPLICATION AND PERMIT BUILDING Owner7J G SQ. FT. OCC. BUILDING VALUATION ®a --Z�ooc� Mailing AddressQ V .� Telephone No. ¢ G 54 - Fireplace O d Contractor w h r Total Valuation —0 Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ $ a -� - Building Address �� C PLUMBING No. @ FEE PERMIT FILING FEE $2.00 2,lc`o Q ` Each Trap al.50 00 6 r :y " Z Repair drainage or vent piping 1.50 Water piping 1.50 150 Each gas water heater or vent 1.50 A. P. No. — "�Gas Zoning 8 Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe S Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans ParcelParMa Declaration P 60' R/W Im r p ov ments Lawn sprinkler system 2.00 Bldg. P ns' Par el proval Pla pproval Permit Fee $ $ 3 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 or Jess) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures _yallo Receps., switches & fix outlets 2 010 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring �l am exempt from the Contractors License Laws of the State of Cal ifomia. 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 $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 L TOTAL PERMIT FEE $ Cl7 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date _2_6 l Signature of Per tee or Agent Receipt No.I;t 1 11 71 L1 %�_ 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.,QF PUBLIC WORKS B�IIding Date/0-0- -7 permit expire�Date7. ..... .......