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HomeMy WebLinkAbout064-090-001A.P. 64-09-1 L"GLEN'H'.' OVERTURE 1060 Carnegie Rd., PP#13, Lot 51 ti CONTR: Ray Munjar, 'Paradise _ _ permit /L, 52-73P, E 'line orLI AP 64-09-01 OVERTURF, �l'en .H....................... �....� 1060 Carnegie Rd., Magalia Permit # 2121-74B ! (garage) �T AP 64-09-1 Permit# 1396-'75B(deck and covered porch MH) 4 064-090-001 -PERMIT#95-1946 OVERTURF; Glen a E 14301 Carnegie Rd., Magalia ' Cont;.Reliance��8,� F Gas Line/MH p� I r t t j Cfll d' O __� UTIL. SFOR MOBILE HOME - #4452-73 - P,E PERMIT NUMBER — B P A " E t PERMIT EXPIRES 0C�—��J {OWNER Glen H..Overturf z. Ray Munjar Const., Paradise CONTR: s LOCATION (A.P. 64-09-1 J, 1060 Carnegie Rd., Lot 51, PP #13,Magalia M (COPY OF PLOT PLAN ATTACHED) INSPECT°dJN RECO COUNJY OF'BUTTE Deportment of Public Works BUILDING BU E RD Zoning Setback �, 3 % T Forms Foundation Piers & Girders Fireplace Rgh. Plumbing Bond Beam ' Lath & Plaster Rein. Steel Gas Piping & Test Found. Vents Framing Plmg. Topout Rough Elec. Wtr. Htr. Furnace Kitchen Vent Firewall Garage Vents Sanitation & Water ELECTRIC .-- G GAS BUILDING Temporary Final Tempordr Final e— ^-'7 y C Cert. of Occup. Final DATE - �� _ % y REMARKS OR CORRECTIONS j,0 � G COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORK 7 County Center Drive — O;oville, California 95965 Tel ephsne. 5344541 q APPLICATION AND PERMIT nq c aurfrunce represenrarives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X --bate 11-19-73 Signature of/Permitee or Agent Receipt No. r A. _ 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 OFIPUBLIC WORKS By Date 7-- ZC — 7 51 Building permit expires Date 7�_.7z — 7J BUILDING Owner Glen H. Overturf SQ. FT. OCC. BUILDING VALUATION Mailing Address 2822 Fairmount Ave San Diego, Ca. 210 Telephone No. Fireplace Contractor Ray N. Mun'ar Const. Total Valuation Mailing Address2 ScottyLood Rd. Permit Fee Plan Checking Fee &/or Penalty PCa.aradise, Telephone No. _ Permit Fee Building Address P _ 1 PLUMBING No. @ FEE PERMIT FILING FEE 1 $2.00 2.00 1060 Carnegie Rd. Each Trap 1.50 WWI Magalia, Ca. Repair drainage or vent piping 1.50 Water piping 1 1.50 1.50 Each gas water heater or vent 1.50 A. P. No. �p�— — 1 A_Z ZO Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. a ire Dept. I Fire Zone Use Permit Building sewer 1 5.00 5.00 EQA Parking Plans Parcel Declaration parcel Ma P 60' R/W Im provements Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee $ 8.50 $8.501 NEW ADDITION ❑ UTILITIES Q OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter 1 3.0 -00 Additional meters, each 1.00 Single FamilyOfl Duplex ❑ Mobil Home 0 Others ❑ Sub -panel, (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bal(d1 Receps., switches & fix outIet:::H2 �1 ba 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: C Ray N. Munjar Lonst. Hood, Ex. Fan or F. A. Furn. Motor 1.00 Evap. cooler, gar. lisp. or D.W. 1.00 Air conditioner or heat pump Water um Mobil Home Facilities 1 5.00 5.00 Temp. Power Pole 5.00 License No. 271019 A Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $15.00 $11.06 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. '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. 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 MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE 1 aurfrunce represenrarives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X --bate 11-19-73 Signature of/Permitee or Agent Receipt No. r A. _ 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 OFIPUBLIC WORKS By Date 7-- ZC — 7 51 Building permit expires Date 7�_.7z — 7J 064-090-001 PERMIT#95-1946, OVERTURF, Glen 14301 Carnegie Rd., Magalia Cont; Reliance - Gas Line/MH �j�/DLC? � 1 ` C iqg)7 OFFICE COPY ` Address } GAS �- Meter By per` Date ° ELECTRIC Meter By Date .¢i54.,,i .,+-.„F �.•. �..4!'�►�F;+', [y ..t./};ijit. ;�'�"iF^F!A�,��,1� �#�. ��;:.94t7'���1.7,��6. a-�'�. �,i•'�11'•wif'�*�. 1"� .�°S�t .'"� _gid. r COUNTY OF BUTTE -DEPARTMENT OFDEV�LOPMENTSERVICES -BUILDING VISION 7 County Center Drive - Oroville, California 9565 - Telephone (916) 53$-754 PERMIT NO. APPLICATION AND PERMIT ;/ ASSESSOR PARCEL NUMBERy D rU�1 +. ZONI BUILDING PERMIT OWNERV TV A� _ TELEPHONE • i' S $O, FT. OCC. BUILDING VALUATION OWNERS MAUN ADDRESS CONTRACTOR'S NAME I Ani C-6 TELEPHONE CONTRACTORS MAIUNG ADD SS y���jj �• �' WA jP4A GJIs¢ C^ Fireplace CONSTRUCTION LENDER LIN OWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILNG ADDRESS - Penalty $ BUILDING ADDRESS /`!/ CRN AC T PERMITFEE $ %�/ip I PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LAT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome X Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities / Installation ❑ Other ❑ Describe Work: QHS / /id G Mobile Home IS fii W 920.00 'L 0 . PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Serviceeoov oR IFss ( zooA oR tFss ) 23.00 Main Service ( 200A TO I000A ) 46.00 ' 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 ClassNo. 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, . will do the work, and the structure is not intended or offered for sale. Q� 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 NEW CONST. DWELLING OCCUR OR ADDNS. ( a ACC. BUDS. ) So. 3.50 FT. NEW CONST.MULTI-OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( d POWER APPARATUS ) SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) zo p 1.00 BAL 50 Ex. Occup. ( OUFIXED TLETS(D.OEA ) 5.00 RES Temporary Service 23.00 Mobile Home Facilities 20.00 MiscWiring' . 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION .DECLARATION I 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 per' it is issued. t My workers' compensation'�insurance, carrier and policy number ar Carrier _ -. . MECHANICALPERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ . Contractor Policy Number L (The above sections need not be completed if the permit is for worko+f a valuation of one•'hundred dollars ($100) or less.) I `I7 'I certify that ih-,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; andagree,th�at if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with• -those' provisions. I i•.-. X _ Dateindicated SignatuTT of Applicant - Owner ❑ Co tr ctor ❑ AgentT/ An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height- -. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ �jip , p0 FLOOD ca D ISSU This permit is hereby/ issued under the applicable provisions of the Butte County Code and/or Resolutions to do work above for which fees have been paid. By . � Date PE TEXPIRESON (Date) Receipt No. �a�2� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT CY.¢ 4 y %04/11:vr C i t. - � 0 COUNTY OF BUTTE -DEPARTMENT OFDEi/JELOPMENTSERVICES-BUILDI/754�3-_ ON 7 .County Center Drive - Orovilie, California 95965 - Telephone (916) 5^P,Er►yIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER (001 zONI BUILDING PERMIT OWNER 0 VE/ZT-uRF TELEPHONE Q73- IIyS Fr. SO, , OCC. BUILDING VALUATION OWNERS MAILING ADDRESS s a 1 CAIWMIE M1116ALjA CIA 95' CONTRACTOR'S NAME I TELEPHONE CONT TORS MAILING ADD SS y� q, { `' L✓.R P464 lr5G C/r /'f601 Fireplace CONSTRUCTION LEND ER UNMU-N Total Valuation $ LENDER'S MAILING ADDRESS Fling Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS �� �� �QN PERMITFEE $ C%f%DC7 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISION'SNAME PARCEL MAP Solar or heat pump water heater 23,00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome,f Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities X Installation ❑ Other ❑ Describe Work: ��S %�,y G Mobile Home S -0 W 920.00 PERMITFEE $ 7D — Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Servicev' ( zooa000oROR LEsLESS s ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 commencin with Section 7000 of Division 3 of the Business and Professions Code, ( g ) and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, JP/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 NEW CONST. DWELLING OCCUP. N SO, OR ADDNS. ( & ACC. BLDS. 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS @7.50 POWER APPARATUS (8 SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES > 20 @ 1.00 BAL .SO Ex. Occup. our%ETs AEslo.°eA ( 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE _ Contractor 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 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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.) l9' 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, 1 shall forthwith comply with those provisions. X _Date Q�Q�.�CI��� Si natu of Applicant - Owner ❑ Co ctor ❑ Agent 7 ' � �� An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ oer CONST. TYPE TOTAL FEE $ ya,00 FLOOD CDF D SSU This permit is hereby issued under the applicable provisions in the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. 10011V1 BY 29Date P TEXPIRESON IS) -19Je 15V (Date) ReceiptNo. zeoe a I WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 0 COUNTY OF BUTTE BUILD'Ift DIVISION DEPARTMENT* Of DEVELOPMENT SERVICES -1 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE 4-5 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. r �- Date 0 l C /q Inspector REV 10192 R 'PERMIT NO. 1396-753 P 1 t E M MH UTIL. ;PERMIT NO. r PERMIT EXPIRES 4-a - fr- OWNER Glen Overturf �CONTR. LOCATION (A.P. 64-09-1 r 1060 Carnegie Rd., lot 51, PP#13, Magalia k iF Temp. Power Pole Called PG&E _ Temp. Elec. Serv.. Called PG&E _ Temp. Gas Serv. _ Called PG&E _ JOB FINALED (Date) (Signa r I d COUNTY OF BUTTE — DEPART& T -OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING I BUILDING (Cont'd) PLUMBING SetbackFirewall Soil Piping Forms Parapets 1st Floor Main Bldg. f Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. -Steel Final Fixtures Bond Beam FIRE.SPRINKLERS Motors Framinq 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 Door Closer Final Final DATE REMARKS OR CORRECTIONS ► - `� ` ,.T COUNTY OF BUTTE — DEPARTMENT OF PUBLIC W S �7 7 County Center Drive — Oroville, California 95965 Tel eQhone: *44541 APPLICATION AND PERMIT X auuiunce rCNre�entauves or me County of butte to enter upon the above-mentioned property for inspection purposes. X.c_'lc / Date C� Signature of Permitee orAgentReceipt No./ 2 / y(j 72 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. (RECTOR OF NBLIC WORKS BY Date_ B IIding permit expires Date.......................................�. BUILDING Owner r SQ. FT. OCC. BUILDING VALUATION Mai I i ng AddressZ060C zo 00 - Telephone No. Fireplace Contractor Total Valuation O Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ — $ Building Address O o PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 — s— Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 _ �y _ % A. P. No. (/ [ Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fes I W.C. I a io Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Parcel Plans Declaration Parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 Bldg. Plansc'd -� Fwrctl—{ig}rTCval P pproval Permit Fee $ $ 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 less) (more than 12'. Range, Cook -top or Oven 1.00 eC Water Heater or Space Heater 1.00 Light fixtures bald to 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. 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 �-- I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not 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 1 1 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 $ t)� X auuiunce rCNre�entauves or me County of butte to enter upon the above-mentioned property for inspection purposes. X.c_'lc / Date C� Signature of Permitee orAgentReceipt No./ 2 / y(j 72 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. (RECTOR OF NBLIC WORKS BY Date_ B IIding permit expires Date.......................................�. 4' PERMIT NO. 2121-74B P E M MH UTIL. PERMIT NO. PERMIT EXPIRES �� /• ' �� "OWNER Glen H. Overturf CONTR. LOCATION (A.P.••, 64-09-01 •1060 Carnegie Road, Magalia r • L � I. ; Vii' y • � ., • c'1 ' Temp. Power Pole f� 4 Called PG&E Temp. Elec. Serv. Called PG&E ' Temp. Gas Serv. V" Called PG&E JOB FINALED / ' /6 — (Date ignature) r COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Prov. for physically Heaters Slab handicapped Appliances Carport Conformance of ex. Gas Piping & Test Footings structure Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond' Beam- L FIRE SPRINKLERS Motors Framing 7 ✓ 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 Door Closer Final Final / DATE REMARKS OR CORRECTIONS J r COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WO 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature o Permitee or Agent Loo, b -7 =FK Receipt No. 5f �37 y7 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 BLIC WORKS BY Date co— /7? - ding permit expires Date ................6.:1.%..-.7.3 BUILDING Owner Cc SQ. FT. OCC. BUILDING VALUATION 0 ��-0 0 Mailing Address l®� n���`�L�100, Telephone No. Fireplace Contractor Q 0%1 Total Valuation .�l O, 0C) Mailing Address A WK Permit Fee O,OC) PI an Checki ng Fee &/or Penal ty Permit Fee $ Building Address D ,�J��i/� e PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. '9-0 'Q Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s �. SaArtation 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 Bldg. ans Recd Par pproval PI pproval Permit Fee $ $ NEW Q ADDITION ❑ UTILITIES ❑ OTHER f!r' ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 0 �' — Main service incl. 1 meter Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures25 poUd 10 Receps., switches & fix outlets 20UM2�5 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 Licen No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this P ermit 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 H 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 $ .¢ �. o[ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature o Permitee or Agent Loo, b -7 =FK Receipt No. 5f �37 y7 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 BLIC WORKS BY Date co— /7? - ding permit expires Date ................6.:1.%..-.7.3