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HomeMy WebLinkAbout064-340-054r'� • A.P. , (o'f �44MATTOX, W. W . W . - - �--- u Lot 137 Paradise Pines #4, 2.90 Elmira ✓ D,/ Circle, Magalia 6)64 CONTR: Ray N. Munj j Par. y e _ Permit 1385-72P /�Z (water service o y for mobile h6ne) A.P.-��- W. W. MATTOX 290 Elmira Circle, P.'e galia Permit 2004-72E (electrical s rvic y for o ' e home) W. W. MATT.O7eP.P., 290 Elmira iMagalia Permit 2279-7 '(sewer connection for mobile home) A.F. W. MATTOX 290 Elmira, Circle, Ma lia Permit 247-73B,E�.�13�/ (garage & deck fo mobile hom 064=34-0-054, .93-3040 E KNEAVICH, LORNA - n14218 ELMIRA;-MAGALIA CONTR;: - CURRIE ELECTRIC 9 < }ELEC 'SERV MH B07-0968 064-340-054 MISCELLANEOUS Re -Roof RE -ROOF RAMADA & GARAGE (26 S( , 14218 ELMIRA CIR SUMMY, WILLIAM m 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 w„uacw, Hppucar : square Nootage: SUMMY, WILLIAM Building Garage Remd]/Addn 14218 ELMIRA CIR MAGALIA, CA 95954 (530) 873-1490 Other Porch/Patio Total FEE INFORMATION DBMSC Re -Roofing $165.00 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires 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 05/03/2007 Contractor's Signature Date I' WORKERS' COMPENSATION DECLARATION I 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; Carrier: Policy Number. Exp. Date: (('This section need not be completed if the permit is for one hundred dollars ($100) or less.) 9CERTIFY 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, r, X (AJ /h, zz&�� 05/03/2007 Signature 00V Date WARNING: FAILURE TO SECURE WORKIEMS' 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 Total Charged: $165.00 Fees Paid: $165.00 Balance Due: $0.00 Receipt No: B2916 . 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 Contractors 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 Contractor's License Law.). ❑ I AM EXEMPT under Section B. & P.C. for this reason: X�_ �"7,h 05/03/2007 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 rty owner am authorized to act on the property owner's behalf. ro /rl1 _ .01-. W) ///,l,— !IqL _nim 1/ 05/03/2007 Owner Contractor OR. Agent for Owner DAgent for Contractor FILE COPY PROJECT INFORMATION Site Address: 14218 ELMIRA CIR Owner: Permit NO: B07-0968 APN: 064-340-054 SUMMY, WILLIAM Permit type: MISCELLANEOUS 14218 ELMIRA CIR Issued Date: 05/03/2007 By KCG Subtype: Re -Roof MAGALIA, CA 95954 Expiration Date: 05/02/2.008 Description: RE -ROOF RAMADA & GARAGE (2 (530) 873-1490 Occupancy: Zoning: R -I w„uacw, Hppucar : square Nootage: SUMMY, WILLIAM Building Garage Remd]/Addn 14218 ELMIRA CIR MAGALIA, CA 95954 (530) 873-1490 Other Porch/Patio Total FEE INFORMATION DBMSC Re -Roofing $165.00 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires 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 05/03/2007 Contractor's Signature Date I' WORKERS' COMPENSATION DECLARATION I 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; Carrier: Policy Number. Exp. Date: (('This section need not be completed if the permit is for one hundred dollars ($100) or less.) 9CERTIFY 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, r, X (AJ /h, zz&�� 05/03/2007 Signature 00V Date WARNING: FAILURE TO SECURE WORKIEMS' 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 Total Charged: $165.00 Fees Paid: $165.00 Balance Due: $0.00 Receipt No: B2916 . 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 Contractors 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 Contractor's License Law.). ❑ I AM EXEMPT under Section B. & P.C. for this reason: X�_ �"7,h 05/03/2007 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 rty owner am authorized to act on the property owner's behalf. ro /rl1 _ .01-. W) ///,l,— !IqL _nim 1/ 05/03/2007 Owner Contractor OR. Agent for Owner DAgent for Contractor FILE COPY Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. 1. I PERSONALLY PL TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT (YES)OR NO) 2. (HAVE/ VE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: ADDRESS CITY PHONE CONTRACTORS LICENSE NO 5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: RE -ROOF RAMADA & GARAGE (26 SQ) Reference Number: B07-0968 Applicant Name: SUMMY, WILLIAM Owner's Name: SUMMY, WILLIAM AP # Signature of Property Owner: Date: 064-340-054 ,-5--3-07 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER INFORMATION Last, Name Fist N ey ` M. i�'n A ss� c c ! r Iq StA Zi � y Ph _ Fax E-mail APPLICANT INFORMATION CONTRACTOR Name Address City City ` State Zip Phone Zip Fax E-mail ' Fax Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address ` City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail J APPLICANT SIGNATURE 3t PERMIT NO. PROJECT LOCATION AP# OGS _3 qP — 0,�7 Property Address City - � C�•� ��-. �s9� WORKER'S COMPENSATION Policy Number Carrier 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 DESCRIPTION OR SCOPE OF WORK: Zoning C11 SRA Yes No Occ. 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 �.... y..."R.Ji-,."S+s s.iws ,:.ate , q�.,. s.r .:5�:'.' j ++'t".. .5. .'�(.�.;r.,,.%i �r jb .- . ..,....�....E w- e.:•#i2-�'"�f�s'°�'�"'`-�•-;':'iS�''_''iit`Cie'i.i'`,Y�ti✓:n'r'r ic'w:,.�art � .t„ .,r •-, w� v - w, t 064-34-0=054:_: 93-3040 E KNEZEVICH, LORNA 14218`' ELMIRA, ,-.MAGALIA CONTR: CURRIE ELECTRIC: '' ELEC SERV/Mk,- y t COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (91'6) 538-7541 PERMIT No. APPLICATION AND PERMIT 93 - ASSESSOR PARCEL NUMBER 064-340-054 ZONING ART U4 3 BUILDING PERMIT OWNER I0RNA J. IUtE?EVICH TELEPHONE 873-6443 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 14218 FI 11RA CIRCLE hIAGALIA 95954 CONTRACTOR'S NAME CURtRIE RI. EMIC I TELEPHONE 873-2395 CONTRACTOR'S MAILING ADDRESS 3767 I`I; ISI19-1 RD"1AGALIA 5954 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENS NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS I42 !� F, INTRA C'TT? . F.'� (: T PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7,00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE 1 SF ❑ Duplex ❑ Mobilehome D Other POI F EI.0 SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition ElRemodel ❑ Utilities ❑ Installation EIOther C)Contractor Describe Work: FFTT•f p(11 F GFT_ PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 2100101 LESS 2OOA OR LESS ) 23.00 23.00 Main Service ( 200A To IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. j OR ADONIS.( a ACC. BLOS. / 3.50 FSTO., CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Co e and my cense is in full force and effect. License No. Classification El 1, as the owner, my em loyees with wages as their��compensation, 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 contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET .NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWERAPPARATUS ) a SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 2120@'.00 Ex. Occup.FIXED APPLNS. OR ( OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 20,00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 63.00 Contractor MECHANICAL PERMIT Filing Fee 20.00 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 Butte County Ordinances and California 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$ ' ments, costs, �ip xpen which rn yV .n any way accrue against said County' nsequence of h granti f this.permit q X Date / 3 Si§nature of Applicant - Owner Contrac or O Agent ,i An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $-� HAZ- D. FEES IMP FOOD CDF PARCEL PD HD Issu 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 '1.6(�AC � /—Date 9101193 PERMIT EXPIRES ON / /'•� (Date) 148220 Receipt 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 (916) 538-7541 PERMIT N0. APPLICATIO'N'AND PERMIT CL ASSESSOR PARCEL NUMBER 064-340-054 ZONING AR MH 3 BUILDING PERMIT LL OWNER LORNA J. KNEZEVICH TELEPHONE 873-6443 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 14218 ELMIRA CIRCLE MAGALIA 95954 CONTRACTOR'S NAME I TELEPHONE CURRIE ELECTMIC 873-2395 CONTRACTOR'S MAILING ADDRESS 13767 NIMSHEW RD MAGAL14 95954 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 14218 ELMIRA CIRCLE MAGALIA PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome IX Other PnT,F mr.. SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel O Utilities ❑ Installation 1:1Other O Describe Work: NEW P0LR SET PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BDDv OR "' ) 200A OR LESS 23.00 Main Service ( 200AT01000A ) 46.00 NEW CONST. DWELLING OCC P. OR ADDNS. ( a ACC. BLDS. ) SD. 3.50 FT. CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions C e a d y cense is in full force and effect. License No. Classification ,/ C El 1, as the owner, o my em loyees with wages as their sore compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) D I am exempt under Sec. Business and Professions Codenn forthis reason NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 82L @ 1.00 Ex. Occup.FIXED APPWS. OR (OUTLETS (RESID.) EA. ) 5.00 Temporary TService23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate .sof Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. Ishall not employ any person inanymannerso as to'become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 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 Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities mems, costs, xpen which may 'n any way accrue against said Coun onsegdence of anti f this,permi ,, X Date / �c� 3 S' ature Applicant - Owner Contra or O Agent An OS permit is required for excavations over -;.570" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $.� HAZ D. FEES IMP FLOOD CDF PARCEL PD HD ISSU { 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 b� Date l q z1 PERMITEXPIRESON / l IDat Receipt No. 148220 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT PRE-INSPEOTION- OLJNER : . /. DATE LOCATION: .K�,„P # CONTRACTOR:— �h G�L�� ZONING ___________________ PRE=INSPECTION FOR: DATE TO INSPECTOR ------------------- PERMIT HISTORY:. NONE y TYPE.OF OCCUPANCY It AS FOLLOWS !�I l�T��G X* FIELD—.I4FORMATION BUILDING USAGE: TENNAN OCCUPIED HAS ELECTRIC HAS GASS SANITATION FACILITIES Q HEATED—COOLED PERSON CONTACTED OTHER COMMENTS: E . s f �j ACT RECOMMENDED: fy ISSUE [_J HOLD FOR t. f� OTHER: ` COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 OWNER Proposed Building Use PERMIT APPLICATION DATA SHEET _ Building Inspector Date, 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. .......... . ,Driveway permit (cons ruction approval required prior to occupancy). .. .. . 20. Pre -inspection for - q � P`�'"apeoI°"'�° p re wired. .. t° Building �"sp�r (Data) 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: Mail to owner. Mail to contractor Telephone and hold for pickup at office. CDet' er with inspector. Other Parcel Creation Acreage Applicant 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 0 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 rrtl� i _ 2 -y -6n- lib -'d APPLICATION, AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER r BUILDING PERMIT OWNER or n _ P Vl' Y LEPHONE 6qq3 • SQ. FT. OCC. BUILDING VALUATION OWNER' 1V J[NO ADDRESS C' c ep7d 959 CONTRACT R'SNAME f LF- L- eTR �C- TELEPHONE 73-0239. CO�RACTOR'S AILING DD w/ S a'; Fire lace p CONSTRUCTION LENDER UN OWN Total Valuation $ Filing Fee S 20.00 LENDER'S MAILING ADDRESS Permit Fee S ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS � / �,�A/ �j�� C' f� PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Soler or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE ` . / uplex ❑ Mobilehome-k SPECIFY Other Pb� �� Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑ Installation ❑ Other O Desc i e ork: i�0 L. �( PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 �- Main Service ( 2ODA ORLESS ) 23.00,2 p Main Service ( 200A TO 1000A ) 46.00 ' NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) SO. 3.5C FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) VIEx. am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions C de an fcense is in full force and ffect. �� License No. Classification / 1:11, as the own r, o my employees with wages as their so a*compensation, 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 contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON RESID. ( BRANCH CIRCUITS ) @7.50 ( rOWER APPARATUS ) & SINGLE OUTLET CIR. OCCU OU LET OR FIXTURES P• ( ) 20 @ 1.00 BAL. @ .50 Ex. Occup.FIXED APPWS. OR ( OUTLETS (REBID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 1 0 00 WORKER'S COMPENSATION INSURANCE declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a certificate of Consent to Self -insure. shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE S Contractor MECHANICAL PERMIT Filing Fee 20.00 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 Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all d expenses which may in any way accrue against said liabilities, gmenWgran=J County ' onseftuC' Date /This Si atur f Appliner Contract r gent An OSA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ coN . TrrE TOTAL FEE $ T1Az• D. FEES IMP FLOOD COF PARCEL PD HD ISSUE 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 PERMIT EXPIRES ON Ware) Receipt No. � C/ WHITE-O.O.S. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .s COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 533-1230, Ext. 259 APPLICATION AND PERMIT BUILDING Owner& 7� r+ SQ. FT. OCC. BUILDING VALUATION r yr. r Mailing Address v6fr - Fireplace Contractor Total Valuation v Mailing Address Permit Fee Plan Checking Fee&/or Penalty j Permit Fee $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 r i - Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. <— Zoning Gas piping system 1 - 5 outlets 1.50 ' Each additional outlet .50 Fire Zone Fire Dept. Sanitation Planning Building sewer f 5.00 pv Plans, -,,—Fees W. Q R/W Encroachment Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ OTHEFV❑ Permit Fee $7,961 7 ep - ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 c •- a- Main service incl. 1 meter Additional meters, each 1.00 USE OF STRUCTURE Single Family ❑ Duplex ❑ Other f❑ Sub -panel (12 or less) (more than 12) Range, dryer or water heater 1.00 Oven, Cook -top or space heater 1.00 Light fixtures 2 Receps., switches & fix outlets 20 25 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 Misc. wiring License No. Classification iC❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee IV 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 Apermit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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. :T_fr✓ WS gnoto�ofCPermifee o�Agenr � r Receipt No. Y White-O.P.W. - Pink -Inspector Goldenrod -Assessor - Yellow -Applicant MECHANICAL No.1 @ PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Permit Fee $ $tate Fee for Strpng Motion $0.07 / 1000 EV31UatI0n In5lrumintation roqram $ TOTAL PERMIT FEE This permit is hereby issued under the appljcable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. �DIRECTOR O-�F9_PUBLIC WORKS By Date Building Permit Expires Date PERMIT: 2004-72 MATTOX', W.W. 290 -Elmira --Circle- P&f-idid6 pifi6s' M... Electrical svcO for mobile. VAloEif (2/70UNp 44-117-14 lVd- 1,WYA4F07'Jdti( P 4E C/T *7 /_ - t4-1 7-/1- CO 1VGaFTC ,Pp 4C IA -9 11V T?L/ )A711 C C-1 p /T 2,17 7 . ,. 1.-Gs-� . ; a U'6 0 c L4 i; COUNTY OF BUTI=k 4' -DEPARTMENT OF PUBLIC WORKS 7 County Center Drive CrQville, California 95965 r Tele�Vne: 533-1230, Ext. 259 r... APPLICATION AND PERMIT ,2c) C) 1-( 7 Z_ autnorize representatives or the Lounty or tsutte to enter upon the above-mentioned property floor, inspection purposes. % Date x_� / Signature of Permitee or Agent t Receipt No. 7 / 0 '? — White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -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 'r� Z S - J Z_ !/ Building Permit Expires Date BUILDING Owner / /!//! p SO. FT. OCC. BUILDING VALUATION Mailing Address 6w _ Fireplace Total Valuation 4 \� Mailing Address�j� �l\V ����� \ �� Permit Fee Plan Checking Fee &/or Penalty JV\ ter \ J.y� JV� �\ �V\w Permit Fee $ $ Building�Aiidres'sJ� lw� fy. i% PLUMBING No. @ FEE PERMIT FILING FEE $2.00 e \ Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 \ Each gas water heater or vent 1.50 �`� ' ��, 7O + �`� � .-_ �� A.�P.,No. 9�p� onln Gas i piping system 1 -5 outlets 1.50 r, Each additional outlet .50 dJ\JJ Fire Zone ,e Fire Dept. Sanitation �F'harlTni'n 5.00 Building sewer, ---ter Plans) !� Fees W. C. R/W ' ' 'C-ncroachmehtr\ Lawn sprinkler system 2.00 _1 NEW'Q ADDITION OTHER -Q- Permit Fee $ $ f ELECTRICAL No.1 @ FEE FILING FEE V $3.00 NPERMIT - r -Q �r\— Main service incl. 1 meter Additional meters, each 1.00 SUb-panel (12 or less) (more than 12) USE OF STRUCTURE SF�gIe'�F mily�❑\ Duplex-Qthers ❑ Range, dryer or water heater 1.00 Oven, Cook -top or space heater 1.00 Light fixtures 2 5. Receps., switches & fix outlets ` }S CONTRACTORS LI'�CE�NS��L�AW'� I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business X'P fessiiorts 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 Misc. wiring License No. Classification f��t I am exempt from the Contractors License Laws of the State of California. Permit Fee $ /, $ MECHANICAL No. @ 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. 0 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. PERMIT FILING FEE J$3.00 Heating Cooling Ventilation 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 $jPermit Inst mentati ntrl a Motion $0.07/$1000 Evaluation $ TOTAL PERMIT FEE $ autnorize representatives or the Lounty or tsutte to enter upon the above-mentioned property floor, inspection purposes. % Date x_� / Signature of Permitee or Agent t Receipt No. 7 / 0 '? — White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -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 'r� Z S - J Z_ !/ Building Permit Expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 g 53 Telephon3-1230, Ext. 259 APPLICATION AND PERMIT c� eQ_ /7-7.LZ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X W ` [4/ Date Signature of PPermitee or Agent Receipt No. ` '?lf7 White-D.P.W. —Pink -Inspector – Goldenrod -Assessor – Yellow -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���Y Y" Date Building Permit Expires Date�� BUILDING Owner kl,all SQ. FT. OCC. BUILDING VALUATION Mailing Address 0 !�6 /ZQ a A^qe Fireplace Contractor 69 al e t? -V Total Valuation Mailing Address �C Permit Fee Plan Checking Fee&/or Penalty Permit Fee $ $ Building Address ©/� 3 7 U/tii (� PLUMBING No. @ FEE PERMIT FILING FEE $2.00 , Ov Each Trap 1.50 �GrC/" • SB ��s Repair drainage or vent piping 1.50. Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. i 7 — % O _ off Zoning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .50 Fire Zone Fire Dept. S_apAtation Z-- Planning Building sewer I 5.00 a;GD Plans '--- Fees V"1W. C. W000, I R/W I Encroachment Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ OTHER Permit Fee $ 7,O!! 7, GU 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) USE OF STRUCTURE Single Family ❑ Duplex ❑ Others ® Range, dryer or water heater 1.00 /NO�j/� / Oven, Cook -top or space heater 1.00 Light fixtures 25 Receps., switches & fix outlets 20025 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.orD.W, 1.00 Air conditioner or heat pump Water pump Misc. wiring License No. Classification 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 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 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 $jPermit Instrumentati �t` 9 Motion $0.07/$1000 Evaluation $ TOTAL PERMIT FEE $ 7, Od authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X W ` [4/ Date Signature of PPermitee or Agent Receipt No. ` '?lf7 White-D.P.W. —Pink -Inspector – Goldenrod -Assessor – Yellow -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���Y Y" Date Building Permit Expires Date�� r COUNTY OF BUTT E — t` DEPARTMENT OF PUBLIC WORK 7 County Center Drive - ,OroviIle, California 95965 Telephonf : 533-1230, Ext. 259 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permit�arent r Receipt No. 9 72�/ -7 _ White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -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 s Date—_? -F—? �— Building Permit Expires Date ?-f7— %� BUILDING Owner O SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address 4.7" • d t�� � Fireplace Contractor ���Pe� Total Valuation Mailing Address �j�vO Permit Fee Plan Checking Fee&/or Penalty Permit Fee $ $ Building Address �1h1(�,cC &fie hi PLUMBING No. @ FEE PERMIT FILING FEE $2.00 e 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. 7- 70 / Zoning — Gas piping system 1 - 5 outlets 1.50 Each additional outlet .50 Building sewer 5.00 Fire Zone Fire Dept. Sanitation Planni 2p"Lawn Plan Fees W. C. R/W Encroachment sprinkler system 2.00 NEW ❑ ADDITION ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter _ 3 021 Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) USE OF STRUCTURE Single Family ❑ Duplex ❑ Others ❑ Range, dryer or water heater 1.00 Oven, Cook -top or space heater 1.00 Light fixtures 5 Receps., switches & fix outletsb-al )a 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 Misc. wiring License No. Classification PqI am exempt from the Contractors License Laws of the State of California. Permit Fee $ /I ALF 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. 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 the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation 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 ion �ns}rumte entationtrf�f a am $0.07/$1000 Evaluation Is TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permit�arent r Receipt No. 9 72�/ -7 _ White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -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 s Date—_? -F—? �— Building Permit Expires Date ?-f7— %� r i 1 G w COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 533-1230, Ext. 259 APPLICATION AND PERMIT authorize-representauves Ot the t;ounty of tsutte to enter upon the above-mentioned property for inspection purposes. X %1 z, -Z C�. Date 7` —7�' / Signature of Permitee or Agent �h or Receipt No. C G' C- --- White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -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 ��r �; __� —Date—,./ Building Permit Expires Date BUILDING Owner W.MJ_ ,15-'7- d SQ. FT. OCC. BUILDING VALUATION Mag�il i ng Address 90 eS % Pi SQIl'y 6: ;S 2(-) 4105/9 ' Fireplace Contractor �/!/, (j �� Total Valuation Mai I i ng Address C�,�f� S'� �GJ �� Permit Fee Plan Checking Fee &/or Penalty Permit Fee $ $ Building Address - PLUMBING No. @ FEE PERMIT FILING FEE $2.00 7 00 L 7 �1,�/�jl/l.r� �(/�' ' Each Trap 1.50 _ % Repair drainage or vent piping 1.50 3 SG .� Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Zoning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .50 Fire Zone Fire Dept. Sanitation Planning Building sewer 5.00 Plans Fees ---W. C. R/W Encroachment Lawn sprinkler system 2.00 NEW ADDITION ❑ OTHER ❑ Permit Fee $ $ 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) USE OF STRUCTURE Single Family ❑ Duplex ❑ Others ❑ Range, dryer or water heater 1.00 Oven, Cook -top or space heater 1.00 Light fixtures 20 P 25 Receps., switches & fix outlets 20 P 25 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: R 6 Y All 90A),JA0, 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 Misc. wiring License No. 2 7/0/ ! Classification 14 ❑ 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. placed on file with the County of Butte a certificate of 0 'Workmen's Workmen's Compensation Insurance. lecertify 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 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 $tate Fee for Strpng Motion $0.07/$1000 Evaluation Iln st rums nt atio n Program $ TOTAL PERMIT FEE $ -2 1-0 authorize-representauves Ot the t;ounty of tsutte to enter upon the above-mentioned property for inspection purposes. X %1 z, -Z C�. Date 7` —7�' / Signature of Permitee or Agent �h or Receipt No. C G' C- --- White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -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 ��r �; __� —Date—,./ Building Permit Expires Date COUNTY OF BUTTE -0 DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 533-1230, Ext. 259 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above--mmentioned property for inspection purposes. X Date 7-5--7 �. Signature of P/rmitee or Agent Receipt No. g� C rc C White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -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. A DIRECTQR-OF PUBLIC WORKS BY Date 74, Building Permit Expires Date BUILDING Ownere-Y7 0 X SQ. FT. OCC. BUILDING VALUATION Mailing Address Ir -20"'9 19wf e e5T- s�alfllY6s !�/fi S��%/� /!O §/✓ , Fireplace Contractor - �, �� c/ Total Valuation Mailing Address ��' �® w �� Permit Fee Plan Checking Fee &/or Penalty Permit Fee $ $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 o -a ZO F4/14_5 �* Each Trap 1.50 G L Repair drainage or vent piping 1.50 3 SG Water piping 1.50 •�' S;� Each gas water heater or vent 1.50 A. P. No. —�Q — Zoning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .50 Fire Zone Fire Dept. Sanitation Planning Building sewer 5.00 Plans Fees W. C. ' R/W Encroachment Lawn sprinkler system 2.00 NEW ® ADDITION ❑ OTHER ❑ Permit Fee $ $ 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) ' USE OF STRUCTURE . Single Family ❑ Duplex ❑ Others ❑ Range, dryer or water heater 1.00 F.f� / e; S,u� �� Qi(/L . Oven, Cook -top or space heater 1.00 Light fixtures Receps.i 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: RAY At, A4_0A)J/V# 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 Misc. wiring License No. 2710! Classification ❑ 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 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 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 $tate Fee for Str ng Motion In$trumentation f�rogrom $0.07/$1000 Evaluation $ TOTAL PERMIT FEE iv authorize representatives of the County of Butte to enter upon the above--mmentioned property for inspection purposes. X Date 7-5--7 �. Signature of P/rmitee or Agent Receipt No. g� C rc C White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -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. A DIRECTQR-OF PUBLIC WORKS BY Date 74, Building Permit Expires Date COUNTY OF B'U,TTE— Departmervt of Publics Works BUILDING INSPECTION RECORD Zoning Setbcck ��1�5Z:� /-- Forms Foundation Piers & Girders 7"1 ! 73 Fireplace - Rgh. Plumbing Bond Beam Lath & Plaster Rein. Stee Y:&--7 Gas Piping & Test' 'Found.-Vents Framing' 2 Plmg. Topout Rough Elec. -� I ✓.7_i / Wtr. Htr. Furnace Kitchen Vent Firewall Garage Vents Sanitation & Water ELECTRIC GAS BUILDING Temporary Temporary ,, .'Cert. of Occup. Final Final Final7'�''L3 s� / DATE REMARKS OR CORRECTIONS - 7-3 150 /9- Tr • k COUNTY OF BUTTE DEPARTMENT OF PUBLIC WOR 7 County Center Drive — Groville, California 95965 " T Telephone: 534-4541 2oa - 22C. _ 2 7 - 2-P APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X A • &I Date �f 7,3 Signature of Permitee or Agent Receipt No.� White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -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. DIRECYTOR OF PUBLIC WORKS BY Date Building Permit Expires Date a - BUILDING Owner SO. FT. OCC. BUILDING VALUATION D J Mai ling Address f o. S 3 b 0 191EC y Fireplace Contractor p Total Valuation (� �Q Mailing Address Permit Fee Plan Checking Fee &/or Penalty Permit Fee $ $.23,00 Building Address C 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. — S Zoning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .50 Fire Zone Fire Dept. Sanitation Planning Building sewer 5.00 Plans !/ Fees /" W. G.e R/W I Encroachment Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ OTHER ❑ Permit Fee $ $ /7111,:11�76E ' i5G1r, ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3, QQ m // — Main service incl. 1 meter Additional meters, each 1.00 Sub -panel 12 or less (more than 12) 1.3'0 USE OF STRUCTURE Single Family ❑ Duplex ❑ Others ❑ Range, dryer or water heater 1.00 Oven, Cook -top or space heater 1.00 Light fixtures f ReceTs., swi t4les & fix outlets paaf0 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 Misc. wiring License No. Classification i am exempt from the Contractors License Laws of the State of California. Permit Fee $ ' C $ 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. 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.1 @ I FEEPERMIT FILING FEE J$3.00 Heating Cooling Ventilation Permit Fee $ $ I certifythat I have read this application and state that the above pp information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby rate Fee for Srr�rg Motion $0.07/$1000 Evaluation nate Fee for n n gMot $ TOTAL PERMIT FEE $ ,, authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X A • &I Date �f 7,3 Signature of Permitee or Agent Receipt No.� White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -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. DIRECYTOR OF PUBLIC WORKS BY Date Building Permit Expires Date a