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Home My WebLink About064-330-046:/C178 64=33-46 Shaulis Const. Skyway, lot 244, PP#4, Maga Permit #6734-77B,P,E,M(new single family) - 64-33-46 Permit #7095-78B(conv.garage to family ro m & inst.wood bu ning stove/ SF )_7L 64-33-46 Permit #7358-78E(add'1 elec.Dr permit 064-330-046 05-11693 VANCE 14281 SKYWAY. MAGALIA Cont: FOUR COUNTIES ROOFIN RE ROOF 25 SQIS COMP _ o �. °BUTTE:000NTY" >.P.EKIVIII NU. DEPARTMENT ,OF DEVELOPMENT SERVICES T :BUILDING PERMIT 4 HOUR INSPECTION aY (530) 538.7636 (OROVILLE) (530) 891-2834 (CHICO) BPO51693 530 538-7541 OFFICE #:.( ) LICENSED CONTRACTORS DECLARATION - : ;• �? I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commenting with Section 7000) of Diylslon�3 of Code, and my license Is In full force end _,Issued.Date: 06/28/2005- APN: •064-330=046-000 ' the Business and Professions effect C-39 license Number. 74 5 ri 4. :a Site Address: 1428.1�YWAY. MAG License Class: �— -SK . e Date: Contraclor.E011r LCD11 1 Rn_o ink, Map Index: OWNER•BUILDER DECLARATION under penalty of perDjury that I am exempt from the ;': Description: RE ROOF --25 SQ.'S -COMP 1 hereby affirm Contractors' State License Law for the following reason (Sec -7031.5 Any city or county which requires a' Business and Professions Code: to construct alter, Improve, demolish, or repair any structure, prior 'a Owner: VANCE VIRGINIA R TRUST permit 10 its Issuance, also requires the applicant for, such permit to„file Is licensed pursuant to the provisions of ; VANCE VIRGINIA`R TRUSTEE ' signed statement that he or she the Contractor's State License Law (Chapter 9 comrnencing wtth•Sectlon PO BOX 612 7000) of Division 3 of the Business and Professions Code) or that he or basis for the alleged exemption. Any. MAGALIA,.CA 95954 she Is exempt therefrom and the It'subjects theviolation of Section 7031.5 -by any applicant for a perm , applicant to a civil penalty of not more than five hundred dollars ($500),): p I, as owner of the property`be my employees with wages as their do the work, and the struclure., is ;not sole compensation, will Intended or offered for sale (Sec. 7044, Business and Profession's State License Law does not apply, to an Applicant: FOUR COUNTIES ROOFING Code: The Contractors' owner of property who builds or.improves thereon,.and'who'boes such work himself or herself or through his or her own employees,” are not Intended or offered for ..• .. 3 CRUSADER COURT - provided that such improvements sale. II however, the building or improvements are sold,within one CHICO, CA 95973 year of completion, the owner -builder will tiaLe the bwden -o1 did not build or improve for the purpose of (530) 343-1416 proving that he or she sale.). O 1, as owner of the property, am exclusiyely contracting' with licensed contractors to construct the project (Sec, 7044, Business The Contractors' State License Law does and Professions Code. not apply to an.,owner of property who builds or improves -thereon, —Contractor: FOUR COUNTIES ROOFING and who contracts for such projects with a, contractor(s).licensed pursuant to the Contractors' State.license Law.). 3 CRUSADER COURT O I am Exempt under Article 3 of the Business and Professions Code CHICO, CA' 95973 (530) 343-1416 Date: Owner: ''WORKERS' COMPENSATION DECLARATION License #: 774554 1 hereby affirm under penalty of perjury one of the following declarations. O 1 have and will maintain a certificate of consent to self -insure for provided for by Section 3700 of the - workers' compensation,"as Labor Code, for the performance of the work.for which this permit Architect: is issued. tK I have and will maintain workers' compensation insurance, as. Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit Is issued. My workers' compensation Insurance carrier and policy number are: Carrier. State Comp. Ins.'-F.und • Total Square Ft: 0. S. F. Policy #: 573-2003 Valuation: $0.00 0 1 certify that in the performance of the work for which this permit Is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, If I become subject to the workers' and agree that should compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant' WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and one In to the cost of hundred thousand dollars (5100,000), addition compensation, damages as provided for in Section 3706 of lhe_Labor code, Interest, and attorney's lees. �. CONSTRUCTION LENDING AGENCY This permit is reby Issued under a pplicable provisions of the Butte County Code and/or . o work Indicated ove for which fees have been paid. I hereby affirm that there Is a construction lending agency for the Resolutions — performance of the work for which this permit is Issued (Sec 3097 Civ.) By' Date: Name: PERMIT EXPIRES ON: 'Date Address: 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely Code, which regulate the storage, O handling and use of hazardous materials. 19827.5 of California Health & Safety Code Is not applicable to the scheduled construction of this project. O Notification In accordance with Section O Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above Information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with of any o dal form or document of Butte County. I hereby all county and state laws relating to building construction. I acknowledge It Is unlawful to alter the substance the above mentioned property for Inspection purposes. authorize representatives of Butte County to enter upon 0701 E� J a X Print Name: �n Signature: p - 0 'SOS Date: ' • D Owner Contractor O Agent for Owner O Agent for Contractor B. C. Building Permit 01-10-04 pg 1 S0 (3-7r BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS. 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE M (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION CONTRACTOR Name Four Counties Roofing OWNER Name L11 ZIp95973 Address Y �Z $I S IrtN19y City R .Pr 1, 77 Class'C3 State Zip Phone ( 3 yo2& State License Number Fax E-mail Date Approved: CONTRACTOR Name Four Counties Roofing Address 3 Crusader Court City Chico State CA ZIp95973 Phone 343-1416 Fax 343-5274 E-mail Uc.# 774554 Class'C3 APPLICANT NAME ARCHITECT/ENGINEER Name City Chico Address Zip ."....-9.59.7.3.... City Fax 343=5274 Slate Zip Phone Type Const. Fax E-mail Map Book State License Number APPLICANT NAME Name . Address 3 Crusader Court City Chico State CA . .. Zip ."....-9.59.7.3.... Phone 343=1416 Fax 343=5274 Email PPLICANT SIGNATURE X For office use only: Zoning Flood Zone SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BIN # LOCATION AP# 2 Prope yAddress 2�J Cross Street . I [d WORKER'S COMPEtMATION Policy Numb%73-2003 Carrier State Comp. Ins. Fund If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit Issuance. LENDING AGENCY Name Address IV Description or Scope of Work: Cr a Mf - Sq. Footage • Structure Built without Permits • Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a pemut has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. .-REQUEST FOR•RERUNDS---- -- - - Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: FU - Amount: Bldg Receipt #: 4a121-2-610 Sheriff (! 8q?(0 SMIP Other Date: p. / �-7 � Total KAFORMSOUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 4-30-04 FIA `PFAMIT- NO. 7095-78B• PERMIT EXPIRES � OWNER Shaulis Const. ' owner CONTR. 64-33-46 LOCATION (A.P.. ) 12455 Skyway, lot 244, PP#4, Magalia r Temp.,,Power Pole Called PG&E ( Temp. Elea Serv. Called PG&E Temp. Gas Serv. Called PG&E OB r� INALE'D V (Date) (SignatuP Framing 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 ) B MOBILEHOME UTILITIES ---------------- Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping ME INSTALLATION - - - - - - - - 7!- - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS 2 tC13 d' Ji.,e. CA F P- /),3 `� cI 1� Cil (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall — Soil PIpIngA Forms Parapets – 1st Floor Main Bld . Restroom Flnish<:—y 2nd Floor Footin s Windows,0 A -- —jrg 3rd Floor Stemwal I Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footin s Stemwa I I Garage Vents ---- Insulation Water Htr. Heaters Slab Carport Footings handicar pehyslcall�� Conformance of ex. structure Appliances Gas Piping & Te t Temp. Gas Slab Final 0 Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Roush I 'a r .-- ^7 Q 4 Framing 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 ) B MOBILEHOME UTILITIES ---------------- Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping ME INSTALLATION - - - - - - - - 7!- - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS 2 tC13 d' Ji.,e. CA F P- /),3 `� cI 1� Cil (NOTE: An entry must be made on this form each time you visit the job site.) L COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive) — Oroville, California 95965 % , Telephone: 834-4541 � f APPLICATION AND PERMIT auk IVI Z17J UI IIIc V UUnIy UI 01,11.1t: LU enter upon Ine above-mentioned y for inspection purposes. X� pate Signatu a of PCermitee or Agent Receipt No.�,- 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. DIREG bB-,8,F PUBLIC WORKS BY �� wilding per BUILDING Owner / SQ. FT. OCC. BUILDING VALUATION Mailing Address bCILLct �t Telephone No. Contractor� v - Mailing Address Fireplace to '� SCC, Total Valuation Telephone No. Permit Fee Building Address 11121 S_y UJ �- Plan Checking Fee&/or Penalty Permit Fee ..- L PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each TraD 1.50 � 1 Repair drainage or vent piping 1.50 A. P. No. bq_ 3 3- 6 Zoning 8 PI ening Water piping 1.50 Each gas water heater or vent 1.50 `F•e�s &miiaiien- Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Improvements p ovements Each additional outlet .30 Building sewer 5.00 Bldg. s Recd Parcel royal Plans Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTI ITIES, THER Permit Fee $ $ s s AELECTRICAL No. @ FEE Woo �� 1r. Gv PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 ^ Main service 00 AMP OR LESS 25.00 100 AO Main service EA. ADD'L 100 AMP 1.00 OR ADDNST % ACCLBLDGS.CCUP. S) 20sgft 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 le of: Y TLET NEW RES ST'S BRANCH CIRCU NON•R ESID (BRANCH CIRCUITS) J2.50ea NEW CONSTR. POWER APPARATUS 51 NON-RESID. SINGLE OUTLET CIR. / ZW Ex. OCCUD(OUTLETS OR FIXTIIPES g L ,P Ex. OCCU FIXED APPLNS. OR p•�OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. permit is issued I shall not employ any person in any manner 'sI certify that in the performance of the work for which this o 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 Land Development Fee $ TOTAL PERMIT FEE $ auk IVI Z17J UI IIIc V UUnIy UI 01,11.1t: LU enter upon Ine above-mentioned y for inspection purposes. X� pate Signatu a of PCermitee or Agent Receipt No.�,- 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. DIREG bB-,8,F PUBLIC WORKS BY �� wilding per 0,W e✓ A ry E NOTE -,All Materials & Workmanship Shall Be in Accordance with Recocinmed Gond Practices and (.Jc U-• 0 A7 ®tae tz j of a- quality Prescr+6e-1 for the Specified use in the Uniform Buildinq, Plumbing & Machanical Codes and y the National Electrical Code. 4/ Z -,S® C ieC-,S To : v nis set. of plans and specitications MUST be (/' T S3 ® 140 cept on the job at- all times and it is unlawful to makeany changes or alterations on same without written permisson from the Department of Public 2 Works, County of Butte. r? v 4.2V I {? vs _ 0 aX .. r • ' dFJ `ny__� C" QU� si � e� Provide adequate clearances and a Type -A Flue•' £r 4spec.To� ,�vECLt�Drotection V,4. Y OA&UWe mt� GElUn1G, (zoo F � J�• • (3P�7ogS-?g • - d W BUTTE COUNTY z1X BUILDING DEPARTMFWD, D APPROVED ��oe COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive 5 le, California 95965 �� - Telephon e:534-434-4541 ::�V APPLICATION AND PERMIT V aumonze represeniatives or ine uounry or tsulle io enter upon me above-mentioned property for inspection purposes. Date Signal re of Permitee or Agent Receipt No. /��%�5�� 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. �VIRECTOR OF PUBLIC WORKS By /lL/ Date J 2 - Ze-7,f Building permit expires Date Y 9._ —' Z— i BUILDING Owner _4167e— �% f�L-tiS SO. FT. OCC. BUILDING VALUATIO Mailing Address 6� 17-7 f`J- C•• TALep^ne No. �_� Contractor (�/�(/,� .� �` Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee S1 PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 _ s f =AV Repair drainage or vent piping 1.50 A. P. No. 4 -ow, —33 — j J Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F461 Sertitetier+ Fire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Plans I ParcelEach I Declaration I Parcel Map 60' R/W I Improvements additional outlet .30 Building sewer 5.00 B I d ans ec'd Parcel A roval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® Permit Fee $ ,$ 'T is z T �U2 '=� o VX 7 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 9e) Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 r Main service OVER 600V 25.00 100 AMP OR LESS Main service(( EA. ADD'L 100 AMP 1.00 OR ADDNST ( ACCLBLDGS.NEW CONS.DWELING CCUP. Y\ 22sgft 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: NEW CONSTR BRANCH CIRC. NON.RESID, (MULTI BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS aJ NON-RESID. SINGLE OUTLET CIR. Ex. OCCup(OUTLETS OR FIXTURES Ig 4 , Ex. Occup. ( OUT ETS P(RESID IKEA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ MECHANICAL N0.1 FEE 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 fo Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. �j I certify that in the performance of the work for which this �L permit is issued I shall not employ any person in any manner sbbb as to become subject to the Workmen's Compensation Laws of California. 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 Land Development Fee $ TOTAL PERMIT FEE is 3 3 aumonze represeniatives or ine uounry or tsulle io enter upon me above-mentioned property for inspection purposes. Date Signal re of Permitee or Agent Receipt No. /��%�5�� 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. �VIRECTOR OF PUBLIC WORKS By /lL/ Date J 2 - Ze-7,f Building permit expires Date Y 9._ —' Z— i :.� {taERMI,T N0. 6734-77B,P,E,M PERMIT EXPIRES OWNER Shaulis Construction CONTR. owner 64=33-46 LOCATION (A.P. ) 12455 Skyway, lot, 244, PP#4, Magalia i • t n4- it Temp. Power Pole f Called PG&E Temp. Elec. Serv. Called PG&E J 11017e Temp. Gas Serv. Oalled PG&E JOB FINALED�p (Date) t (Signature) CER.LIFICAIIONS As required by the State.regulations,-both the builder and the insulation applicator. must sign a -card. certifying that, the proper "R values for all... insulation locations have been installed An example of a certification card, which is furnished by -the builder or insulation applicator is shown in Fig. 13. THIS IS TO CERTIFY THAT INSUWITION HAS BEEN INSTALLED IN CONFOfLA4a WM THE CURRENT ENERGY REGULATIONS. CALIFORNIA AMINl RATIVE CODE, TITLE 25. STATE OF CALIFORNIA. IM THE BUILDING LOCATED AT: / i t ree A _ o Number rac'�t ,:. EXTERIOR WALLS . \ Manufacturer Alm �/''�� TIOckness/Type R Value CEILINGS Batts: Manufacturer' :So , ' °Thickness. e�/ "R Y61ue " •• Blown: Manufacturer . ......... T!Jt:kness' No. Bags®..... Vt./Bag" ... Sq. Ft. Covered,'_,—_ R Value FLOORS G. Manufae aerna r �: Ttifekness / Y + y �, 11•Ype R slue SLAB ON GRADE Manufacture' 10 11— Thlckness/Typo R value Width of Insrelatlon Inches FOUNDATION MALLS Manufacturer Thickness/Type _ R Values GENERAL CONTRA C TO R� � LP % �f+ ,y LICE& HUH8FR BY TITLE ,rr ®t�� ee DATE INSU 1 CONT ' CTO t .h�I�i� "� ��sL/ .LICENSE //�� Ps BY � 1 ✓/VT1TLE A A i DATE y� obi...- �� • - _ Fig. 1.3 8-14 N COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION' REC(LIRD B U I L DJN G BUILDING (Cont'd) PLUMBING Setback 15' Firewall Soil Piping l '/G Forms Parapets list Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding ✓ — To out 3— —% Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures `7 S Footings Stemwa l l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handicap ed Conformance of ex structure Appliances Gas Piping Temp. Gas & Test Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICA)14 Masonry Walls Throat 2 Rou h Reinf. Steel Final �. Fixtures Bond Beam r FIRE SPFLINICLOISS I Motors Stucco Final Subpanels Mesh ME HANICAL Grd. Fault Prot. Scratch Heating Service , Brown Cooling Temp. Pole Finish Ducts X Underground Interior Lath _ Ventilation Permanent Door Closer — % Final Final MOBILEHOME UTILITIES .................. Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping 22%16E ME INSTA LATION .............. Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS S•Yy 2�� Nti'� i° .Ne B7C (NOTE: An entry must be made on this form each time you visit the job site.) 4 • COUNTY OF'BUTTE• — DEPARTMENT OF PUBLIC WORKS �J�_� " •� 7 County Center Drive - Oroville, California 95965 1/ 7 Telephone: 534-4541 ((/ APPLICATION AND PERMIT hf I/t/ Signature of Permi-fe or Age 7 Receipt No. 171/ c,By Date �� White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant Ulldlll9p@CI11it expiresD8t@ 1--7-7f BUILDING Owner `1 �L f� Ca,/y /� SQ. FT. OCC. BUILDING VALUATION. Mailing Address % 3 �. ro <A, Fireplace -L1 Contractor Total Valuation J G — Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee � � 1$ fit Building Address K r 1 PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 3- -a—/ -/Each Ad Trap kb I 1.50 12-- 2--- Repair Repair drainage or vent piping 1.50 _ - _►¢ur�Cefion Only Water piping 1.50 1 -- Each gas water heater or vent 1.50 a A. P. No. 3`3 �- - 7 �rZ Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s iowlon Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking, Declaration Parce Ma 60' R/W lmprovem is Lawn sprinkler system, 2.00 - s (® Parcel A rovol Plans Approval Permit Fee $ 3-- $ C� NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 Main service 1000V OR 0 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 . Single FamiilRly ❑ Mobil Home ❑ Others ❑ Main service 1100EAMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 ��jjy��yyDguplex BW F . M11`IIMUM NEW LING 0 OR ADDNST ( ACCLBLDGS. ` L,'y) 20sq ft f— NEW CONSTR MULTI-OUTL T NON-RESID. ( BRANCH CIRCUITS) 2.50ea NON -RES R (SINGLE OUTLETTCIR.& CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) BAL�1 09 Ex. Occu p•(FIXED APPLNS. OUTLETS (RESID.)OR EA) 2.00 mporary service 10.00 T M bile Home Facilities 15.00 License No-3� �3 ;ZClassification Misc. Wiring 6.25 ❑ 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ J Y $ 70 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 r Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. XI 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 Cal i forni a. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 3' Heating Cooling Ventilation Hood 2.00 2— Permit Fee $ 3 $ J77 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 herebyQ authorize representatives of the County of Butte to enter upon the • above-mentioned property for inspection purposes. 1 X 1� Date - "�/ �"4`) 0 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 0 UBLIC WORKS Signature of Permi-fe or Age 7 Receipt No. 171/ c,By Date �� White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant Ulldlll9p@CI11it expiresD8t@ 1--7-7f