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HomeMy WebLinkAbout064-190-00764-19-7 Harold Welborn 410 Carnegie Rd., lot 216, PP#14, Maga. Permit 632 78B,P E,M(new single family)- 064=19-0-007 92-4298B - �` UHOR, David & Stephanie 14611 Carnegie Rd, Magalia- contr: Wood Heat & Spa ' woodstove/sf �k ' I!! Y i 1 f r t t r cfli �I- r- a�i� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916,538-7541 APPLICATIOWAND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 064-190-007 ZONING RT -1 BUILDING PERMIT OWNER David & Stephanie Uhor TELEPHONE 873-4704 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 14611 Carni ie Rd., Magalia CONTRACTOR'SNAME Wood Heating & Spa TELEPHONE 877-0799 CONTRACTOR'S MAILING ADDRESS Skyway & Foster, Paradise Fireplace "Alt 1,%0.W CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee ARCHITECT OR ENGINEER LICENSE NO. .$30.00 Plan Checking Fee $ Ener Plan Checking Fee $ Energy g $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $45.00 PLUMBING PERMIT FilingFee 15.00 14611 Carnegie Rd. Ma 81ia Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 1 5.00 Building sewer 15.00 Mobile Home S I G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ RemodelUtilities ❑ Installation ❑ Other [$ Describe work: Woodstove Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 15.00 Main service 200AORLESS 18.50 Main service 200A TO IOOOA) 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 _37.50 NEW CONST. ( DWELLING OCCUP.h) 3.64sq.ft. OR ADONS. ACC. BLDGS. / NEW CON5TR ULTI.OUTLET @ 5.00 NON•RESID BRANCH CIRC ITS POWER APPARATUS (SINGLE OUTLET CIR.e ) Ex. Occup(OUTLETS OR FIXTURES 20 @ 76 A EX. Occup. OUTLETS P(RESID.)REA.) I 3.00. Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 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 FilingFee 1 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 agains't said County in lc�n equence of the granting of this permit. I X � a 7ut Date _� �``f ' Contractor ❑ Agent Signature of Applicant — Owner❑ ❑ 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 S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 45.00 HAz 1 DFEES I IMP I FLOOD I CDF PARCEL I PD I 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 �% it : % -.� �i�/ �^—^"— Date 7 //fit/, : PERMIT EXPIRES Date ,t ; /� ,1 2 ' -7 7 I Z Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD-APPL I CANT t C --,//t- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, Cal,ifornia,95965 - Telephone: 916/538-7541 APPLICATINaAND PERMIT ASSESSOR PARCEL NUMBER 064-190-007 I ZVONING 1 RT -1 BUILDING PERMIT OWNER David & Stephanie Uhor TELEPHONE 873-4704 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 14611 Carni ie Rd., Ma alfa CONTRACTOR'S NAME Wood Heating & Spa TELEPHONE 877-0799 CONTRACTOR'S MAILING ADDRESS Skyway & Foster Paradise Fireplacei "A" 1.500.00 CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $30.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 14611 Carnegie Rd., Ma alis 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 1 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: WOodstove Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 Main service 200ATO1000A, 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. 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 3.64 q.ft. OR ADDNS. ACC. BLDGS. II NEWCONSTR ULT' -OUTLET NO N•R ESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 760 FIXED APPLNS.0 EX. OCCUp. OUTLETS IIRESID AR EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 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 FiIingFee 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 agai said County in c n equence of the granting of this permit. X j�,-1a Date nature of Applicant — owner An g pp ❑ Contractor ❑ Agent ❑ ion oofsstructures HA toveris r39stories inuired for eheight'ons over 5'l1" deep and demolition or construct- Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE I TOTAL FEE $ 45.00 HAz 1 11 FEES I IMP I FLOOD I CDF PARCEL I PD I 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 aid. D CTOR OF PUBLIC WORKS p BY Dat P IT ErXPI. S Date Receipt No. 122895 WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT -iT rte... .a✓ri.N "t r. .. .'n., /COUNTY OF BUTTE PARTMENT OF PUBLIC WO ,q BUILDING DIVISION- I .0 qz 7 COUNTY CENTER DRIVE - OROVILLE CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNERl�/l, %/",�I�,��l_ U /�GZ No. Proposed Building Use /,( 00 !S 7-41 1 Building Inspector Date / 2 - At At timeit 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).- µ 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 Prey"sped'°" request p 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 check list . ..................................................... 33. 34. / When you issue the permit, process as follows: V Mail to owner Telephone and hold for pickup at Other Parcel Creation Acreage Applicant � Copy of Haz-Mat form sent Health Dept. Fire Dept. _ Copy of plans sent Health Dept. ,' Fire Dept. Other Mail to contractor. office. Deliver with inspector. Air Pollution Date Date. 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: By 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 1 Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works N/7' --,- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 9W65 - Telephone: 916,'538-7541 APPLICATION'AND PERMIT ASSESSOR PARCEL NUMBER ZONjN BUILDING PERMIT OWNE�R / , �, % // V'/ Z �IV t4O X TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNE4GItI7ADDR ES, f� CONTRAC OR'S NAME HfF SPA TELEPHONE 1!k-27 D �(j CONTRACTOR'S 'MaAILI G A DRES _5 JG W / 1 __ Fireplace CONSTRUCTION LENDIER A UNKNOWN Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 3,0.O ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ Q(5 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 SFDuplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW 1 15.00 TYPE OF WORK }}.,, New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other A Describe work: V)QtV S7" Urz::� _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 18.50 200A OR LESS _ Main service 20GATO 1000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty ur p y of perjury y (Check One): F-1 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 OCCUP.h\ 3.60 sq.ft. OR ACDNS. ACC. SLOGS. II NEW CONSTR. ULT' -OUTLET NON-RESID BRANCH CIRCUITS) @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 20 76 Ex. Occup. OUTLETS IFIXED PRESID IRE A.) I 3.00 Temporary service 15.00 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. l ; I have placed on file with the County of Butte Building Department u 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 15.00 Heating Cooling Eood 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 County of 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 accr a against said County in consequence of the granting of this permit. X Date12,-11 Signature of Applicant - Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demoition or construct- ion of structures over 3 stori s i height. Mobile Home Installation Fee S _J Energy Inspection Fee $ occ CONST TYPE TOTAL FEES , v� HAz I DFEES IMP I FLOOD I COF I PARCEL PO HD ISSUE ermit 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. ` WHITE-D.P.W.. YELLOW-ASSE370R. PINK -INSPECTOR, GOLDENROD -APPLICANT T) PERMIT NO. 6327-79R , P , R m o PERMIT EXPIRES OWNER Harold L. Welborn owner CONTR. (. 64-19-7 LOCATION (A.P. 4' ) 410 Carnegie Rd., lot 216, PP#14, Magalia t 7 Yx . •f a, r f> Temp. Power Pole i alled PG&E T mp. Elec. Ser,. F Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED6 kta (Date (Signature " a COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD Fixtures ' Bond Bea BUILDING BUILDING (Cont'd) Motors PLUMBING Setback Firewall Soil Pipin Final Forms 04 Parapets 1st Floor Gird. Fault Prot. Main Bldg. Restroom Finish 2nd Floor Brown Footin s Windows 3rd Floor Ducts 0 7 9 Stemwall Siding To out l/ Slab Roof Sheathina Water Piping Z• 7 Piers , U u Roofing Sewer Garage t Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for p sically handicappe Conformancof ex structure Appliances Gas Pip ng & Test Temp. Gas Slab Final L Sanitation Patio FIREPLACE Final\ -q_ Footings Footing ELECTRICAL Helnf. steel Final Fixtures ' Bond Bea IR SPRINKLERS Motors =.Framin Test Water Htr. Stucco Final Subpanels Mesh Z MECHANICAL Gird. Fault Prot. Scratch Heallno I Service Brown Cooling A Temp. Me Finish Ducts 0 7 9 Underground Interior Lath Ventilation Permanent/ Door Closer V Final , ail Final MOBILEHOME QTILItIES -•----------- ---- Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping E E INSTA TI N ------/ - - - - - - - Support Elec. Con ' uity Water Piping Drainage Gas Pip!K9 DATE ( REMARKS OR CORRECTIONS 1� U 7cf J 712- � 0! 6 �4� / - �'� - G (NOTE: An entry must be made on this form each time you visit the job site.) THIS IS TO CERTIFY THAT INSULATION NAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT ENERGY REGULATIONS. CALIFORNIA ADMINISTRATIVE CODE. TITLE 25. STATE OF CALIFORNIA. IN -THE BUILDING LOCATED AT: X10 Street o Number Tract go. EXTERIOR WALLS ry— Manufacturer �� Thickness/Type ��. R Value CEILINGS Batts: Manufacturer Thickness 7 - R Val a Blown: Manufacturer �7T V\N Thickness 1- 0 i2 T'l_1 No. `Bags � Wt./Beg SQ. ft. Covered R Value cn FLOORS�_� Manufacturery Thickness/Type R Value SLAB ON GRADE Manufacturer Thickness/Type R Value Width of insulation - Inches FOUNDATION WALLS Manufacturer c N4, Thickness/Type 3V7, G R Value GENE LJCNTRACTOR �L 0 /-S� q LICENSE NUMBER By i TITLE 0(,CJ OF, P-- DATE 24 INS TION CONTRACT i AT I ONLICENSE NUMBER ` 212461 B TITLE DATE °•}�- ?�L�—�� 4 - RRC TflRNTTAT. ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONF,0"CE WITH CURRENT ENERGY, CONSERVATION REGULATIONS (location) BU ILD ING PERMIT NO. A -6-P. NO. 42 4 — 131 — 7 aECEcPT �, I,6�Jv0 THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: ('Check each item or write N/A if not applicable) INSULATION: Slab Edge Fdn. Walls Floors A LIE Walls Ceiling/Roof Ducts Circulating Pipes_ APPROVED HEATER APPROVED WTR.HTR. GLAZING: Single Glazed Special ( Insulated) &LL 0 — r 53 CERT. & LABELED WDS. & SLIDING DRS. $S WEATHERSTRIPPED DRS. S BACK DAMPERED FANS S INTERMITTENT IGNITION DEVICES CERT. APPLIANCES y�iS I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name �/'SS t'31 'r, n.SC50 Signature of (please print) Insulation Applicator S S—L T-rl4c-H ED State Contractors License No. General Contractor/Owner Name' �} P-dLJ) (p Signature of ease print) General Contractor/Owner4L J to Z3 State Contractors License No. 2053 0 g THIS CERT IF ICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. c. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Dive .—. Oroville, California 95965 • Telephone: 534-4541 APPLICATION AND PERMIT AA authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. n6�� /ate 10 —Z4.- 78 Signature oofPermitee or Agent Receipt No. I We 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 Date // /.� —i� B ilding permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION 60 Mai I i ng Address '7 �5 d l� Tele phone •��O % 2 � Z Fireplace Contractor Total Valuation Mailing Address n Permit Fee 00 Plan Checking Fee &/or Penalty T&phone No. Permit Fee $ O , b0 G Building Address 0PLUMBING No. @ FEE PERMIT FILING FEE $3.00 006 PeA Each Trap 1.50 /0>50 Repair drainage or vent piping 1.50 Water piping 1.50 /,s" Each gas water heater or vent 1.50 1, ,gro A. P. No. 4- Zoning & anning Gas piping system 1 - 5 outlets 1.50 /,5,0 Each additional outlet .30 Flies Sjoi ion Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans arcel Declaration Parcel M 60' R/W Im rovement P Lawn sprinkler system 2.00 I g. Ions Recd Parce pproval Plan pproval Permit Fee $ 06 $ 7 � 0( NEW :0 ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP ORV OR L LESS5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 5 NEW CONST. DWELING OR ADDNS. ( ACCLBL GS.0 P & 2¢sgft , ' NEW CONSTR. (MULTI -OUTLET NON.RESID. BRANCH CIRCUI S) 2.50ea NEW CONSTR. (POWER APPARATUS 8, NON RES,D. 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 St I of: Ex. Occup(OUTLETS OR FIXTURES) @25l'to OR FIXED APP LNS.D.) EA) 2.00 Ex. Occup. LETS (RESI Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification LA — % Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ J 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. ❑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 3>O'o Heating ,p0 Cooling Ventilation G / 2,0 Z db Hood 2.00 p0 Permit Fee $ iya $ 10C 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 $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. n6�� /ate 10 —Z4.- 78 Signature oofPermitee or Agent Receipt No. I We 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 Date // /.� —i� B ilding permit expires Date