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Home My WebLink About064-350-031---_`~- -__ ~ q 64 35 31 Sam Intermill -1�iX41;c4i i/.5hO 10 Citadel Way, lot 255, HIM, Magalia Permit #4438-77B,P,E,M(new single famil LES 64 -35 -31 - OS Y. /2/cq 4 Citadel. Wa ga 43a- ontr� Daybreak SoIr System n. r ea ay 83P s 01 28 95 0 064 350 3 64 350 031 PE8MlI#96-2071 byr j ' 1 W 14130 Citadel -- , Ma8aIia Cont; Artic Aire- � Cfll 'CI' M Bt PERMIT#96-2071 H.A-AE-R-BG,seH—,D6Tzn-y-- -14130 Citadel Way;,Magalia Cont-;, Artic'Aite .HVAC/SF 6u.0 p ii Bt PERMIT#96-2071 H.A-AE-R-BG,seH—,D6Tzn-y-- -14130 Citadel Way;,Magalia Cont-;, Artic'Aite .HVAC/SF 6u.0 i COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING,DIVISION 7 County Center Drive = Oroville, California 95965 - Telephone (916) 5,38-7541 PERMIT NO. APPLICATION AND PERMIT // g - �r�� S SSORgpRC NUMBER ��-350131 zONII BUILDING PERMIT OWNE DU��IM RABERBOSCH (. TELEPHONE 73- 2513 SO. FT. OCC. BUILDING VALUATION ADDRESS UAEL WAY, MAGALIA CONTRACTOR'S NAME ARTIC AIRF TELEPHONE 89a-3330 CONTRACTOR'S MAILING ADDRESS 2838 NY 32 CHICO 95973 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 14130 CITADEL WAY, HAGALIA PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF Q° Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 p p g y Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Inslallatiork Other ❑ Describe Work: HVAC Mobile Home S I G W 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service E00V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. e� License Class eQ I0 Lic. No. .2 3 y / l3 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. - ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR SO. OR NS. ( BLDS. 3.5Q FT. -ACC. CONST, M NEW CULTI-OUTLET NON•RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES) 20 @ 1.00 �'� so Ex. Occup. ( OUTLETS (R SD.)EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 PERMITFEE $ 43.00 Contractor WORKERS' COMPENSATION DECLARATION i 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating 21 WIN 15.001 Cooling 15.00 Hood 6.50 Ventilation PERMITFEE $ 50.00 Contractor Policy Number o tr -i (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws olifornia, and agree that if I should become subject to the workers' compensate n provisions of section 3700 of the Labor Code, I shall ti comply wA ose provisions. // �. X' _ Date / O 9 Sigr�,a�ture of Applicant - 11 Owner ❑ Contractor >CAgent An OSHA permit is required for excavations over 60" deep and demolition or construction//�� of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE I TOTAL FEE $ 93.00 HAZ. 1 D. FEES I IMP I FLOOD CDF PARCEL PD HD ISSUE 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. / Date - /0 -7�^'b By Y V , 49 PERMITEXPIRESON �/ / (Date) ReceiptNo. V ! �S- 7 3 • o' WHITE-D.D.S.-E.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 4 PERMIT NO. 44177B,P E;M t ^ 1.6 , PERMIT EXPIRES �J t SOWNER Sam Intermill CONTR. emd 'owner LOCATION (A.P. 64-35-31 10 Citadel Way, lot 255, PP#4, Magalia �n Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JB O - 3 (/ FINALED (Date) (Signatur ,f• +Y '• i d j f 4 PERMIT NO. 44177B,P E;M t ^ 1.6 , PERMIT EXPIRES �J t SOWNER Sam Intermill CONTR. emd 'owner LOCATION (A.P. 64-35-31 10 Citadel Way, lot 255, PP#4, Magalia �n Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JB O - 3 (/ FINALED (Date) (Signatur ,f• +Y '• i d COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS , BUILDING INSPECTION REtbRD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall '- Sol[ Piping_ Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor FootingsI%Windows 3rd Floor Stemwal I Siding To out Slab Roof Sheathing Water Piping�•�.4 , Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwa I I Insulation 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 0 ELECTRICAL Masonry Walls Throat "7! % Rou h r/ Reinf. Steel Final tz -;L-fl - Fixtures - �- L• Bond Beam FIRE SPRIPdfCl ERS Motors ----- / /— i ') 1 - Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer 'j • Final Final MOBILEHOME UTILITIES - - - - - • - - - - - - - - - Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEUOME INSTALLATION - - - - - - - • - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS 77 Jq. e 1& -/-7,-17 i2 0 A%,v ,�,�,, Cam c Q tit.oT (NOTE: An entry must be made on this form each time you visit the job site.) 7,7 CERTIFICATIONS 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 INSULATION HAS BEEN INSTALLED IN. CONFOMMANCE WITH THE CURRENT ENERGY REGULATIONS. CALIFORNIA OMIN1STRATTVE CODE, TITLE 25, STATE OF CALIFORNIA_, IN THE BUILDING LOCATED AT: A -Street ' Lot Number— rac .30. EXTERIOR MALLS Manufacturer l/n ./Typ. 4/ R Value . CEILINGS Batts: Manufeeturer c R Value Blom: Manufacturer:>' h c osis.. No. BagsQ Sq. Ft. Covered R Value BOORS `d% � 44�. ' Manufacture. Thicknoss/Type R Value SLAB ON GRADE Manufacturer Thickness/Type R Value atio Width of Insuln Inches FOUNDATION WALLS Manufacturer Th1 ess 7 R Value GENERAL CONTRACTORLICENSE KMER�'� BY TITLE. DATE__ INSULATION CONTRACTOR LICENSE NUMBER BY TITLE DATE Fig. 13 8-14 �. COUNTY OF BUTTS,' — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - tOroville, California 95965 Tel0 one: 534-4541 APPLICATION AND PERMIT authorize epresentatives of the County of Butte to enter upon the above -me Toned property for inspection purposes. X Date ` I Signature offPermitee or Agent Receipt No. zCC 7 (� 2-1 • 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. DIREC e-10 R OF P LIC WORKS BY Date i Building permit expires Date BUILDING I IF Owner -� SO. FT. OCC. BUILDING VALUATION Mailing Address t I (1� �^2 17 � PL f � _ lephone 'Fireplace S Contractor y �YL Total Valuation Z Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 �!1 i 1 �1, �Ju Each Trap 1.50 r- ^r—C �� Repair drainage or vent piping 1.50 Water piping 1.50 e -M -4—C L, ! ng Ver' a a Each gas water heater or vent 1.50 p A. P. No. —1 '� �^ --Z)a �T Z i Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F W"15. Sa n' Fire Dept. Fire Zone Use Permit Building sewer 5.00 EOA Parkin arcel Plans Declaration Parcel M - 60' R/W Im rove ents p Lawn sprinkler system 2.00 Bldg. PfEF,s Recd Parcel Approval Plons proval Permit Fee $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP ORLESS5.00 Main service EA. ADD'L 100 AMP 2.50OVER 600V Main service 1100 AMP OR LESS 25.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( DWELLING O �.i 2�sgft OR ADDNS. ACC. BLDGS. �J NEW CONSTR. MULTI -OU L T NON.RE51D. (BRANCH CIRCUITS) 2.50ea NEW CONSTP- POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am lice sed under the provisions of Chapter 9, Div. 3, of the Iate of alifornia usiness & Professions Code under the name Y le O r/ Ex. Occup(OUTLETS OR FIXTURES) 50 BAL@21 EX. OCCU / FIXED APP LNS. OR p•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 • License No., ,22-- If/ Classification��ze 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. I certify that in the performance of the work for which this permit is issued. I shall not employ any person' in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 44 U_ PGS TOTAL PERMIT FEE $ (pZ authorize epresentatives of the County of Butte to enter upon the above -me Toned property for inspection purposes. X Date ` I Signature offPermitee or Agent Receipt No. zCC 7 (� 2-1 • 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. DIREC e-10 R OF P LIC WORKS BY Date i Building permit expires Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER r _ � (� -, I ZONING BUILDING PERMIT OWNER I, I LEPHONNE, SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS d / CONTRACTOR'S NAMEI / 11 J n : .� r- � , ,1 %A a c TELEPHONE S rTz' 3 CONTRACTOR'S MAILING ADDRESS r . r y 'tip -�, \J , , I — � , I I) _ I Fireplace CONSTRUCTION LENDER UNKNO= Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER r LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 / Each Trap 2.00 Solar Water Heater 20.00 1 q /}, J Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ J Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Q- Describe work: -'� i ;-0, ;k) 1 i Permit Fee $ r) Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. // DWELLING OCCUP.& OR ADDNS. l ACC. BLDGS. t 2/20Sgft 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 m license is in full force and effect. y 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 CONSTR. MULTI -OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR. / POWER APPARATUS &� NON-RESID. %SINGLE OUTLET CIR. Ex. Occu Ts OR FIXTURES 20@50C P�o XeAL@30 FIXED APP LNS. OR Ex. OCCUp. OUTLETS (RESID.) EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 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 shal I be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. / t . �' X Date / r Signature of Applicant — OWner / % ❑ Contractor Q Agent ❑ An OSHA permit is regtlred for excavations over 5'0"deep and demolition or construct- ion of structures over 3 stories in hei- ht. g Mobile Home Installation Fee $ TOTAL PERMIT FEE $ () or) OCCUP. GROUP I TYPE of CONST. PARCEL PD I ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC '' l By �_�yr.',I PERMIT EXPIRES Date I the applicable provi- resolutions to do fees have been aid. P WORKS Date {� Receipt No. 1 "r WHITE-D.P.W.• YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATJON AND PERMIT PERMT NO.� ASS SSOR PARCEL NUMBER ZONING BUILDING PERMIT OW TELEPHONE SQ. FT. OCC.1 BUILDING VALUATION OWN R'S MAILING ADD f RACTO 'S NAME CM T PHONE )M) CONTRA T R'S MAILING ADD ESS Gm 2► ml -a D 0-U Fireplace CONSTRUCTION LENDER UNKNOW Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDI G A DRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 (0 Water piping 5.00 LOT NO. SUBDIVISION NAME �RCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S I G I W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti iitieL� ❑ Installation ❑ Other Describe work:_ I`W ! ISI — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV OR LE LESS10.00 Main service EA. ADD'L too AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 2/20sgff CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): Ix I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professio de d my license is in full force and effect. License No. Classification ❑ 1, 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 NNEW CO ID R. BRANCH CIRCUITS) 2.50 ea NEW CONSTR. (POWER APPARATUS &' NON-RESID, (SINGLE OUTLET CIR. zo 0 50 Ex. Occup(o OR FIXTURES BAL@30 FIXED A PP LHSOR ED A EX. Occup. OUTLETS (RESI.D.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 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. Heating Cooling Hood 3.00 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 ag n said County ' con e e of the granting of this perm't. %� Date z4 83 Signature of Applicant — Owner❑�'on.lracl;r 11Agent l An OSHA permit is req ired for excser'0" deep and demolition or construct- ion of structures over 3 stories in herghgi. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ �t OCCUP. GROUP I TYPE OF CONST. PARCEL PD I ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which CTOR OF PUBLIC BYDate PERMIT EXPIRES ate the applicable provi- resolutions to do fees have been paid. WORKS �� Receipt No—OGReceipt WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDINIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 5 -7541 PERMIT NO. APPLICATION AND PERMIT % ASSESSOR PARCEL NUM BER 064-350-031 ZONING B ILDING PERMIT DOROTHY HABERBOSCH 73 3--2513 ONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAIUNG ADDRESS 13130 CITADEL WAY, MAGALIA CONTRACTOR'S NAME ARTIC AIRE TELEPHONE 895-3330 CONTRACTORS MAILING ADDRESS 2838 HWY 32 CHICO 95973 Fireplace CONSTRUCTION LENDER UN -OWN Total Valuation $ 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 $ BUILDINGADDRESS 14130 CITADEL WAY MAGALIA PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LAT NO. SUBDIVISIONS NAME PARCEL MAP Solar Or heat pump water heater 23.00 USEOFSTRUCTURE SF IN Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallationX❑ Other ❑ Describe Work: jV®C Mobile Home IS I GI W @20.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service a OR LESS ( zOOA OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class I- d Lic. No. - -2 3 y 9 /3 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, 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. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ( 8 ACC. BLAS. ) S0. 3.50T. CNS. NEW CONST.MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) zo p I.DD 6AL 30 Ex. Occup. ( OUTLETS (REs D.)EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 PERMITFEE $ 43.00 Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance Farrier and policy number are: Carrier e LAA1J Policy Number / p All Y %,/° (The above sections need not be completed if t e permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shallTOTAL not employ any person in any manner so as to become subject to workers' compensation laws of alifornia, and agree that if I should become subject to the workers' compensa ' n provisions of section 3700 of the Labor Code, I shall ith comply w' ose provisions. Date �LD � _ Sig ure of Applic t - Owner ❑ Contractor gent An OSHA permit is required for excavations over 60" d ep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing 9 Fee 20.00 Heating 21 TON 15.00 Cooling it 15.00 Hood 6.50 Ventilation PERMITFEE $ S0.00 Contractor Contractor Mobile Home Installation Fee Is Energy Inspection Fee is Occ CONST. TYPE FEE It 3 00 HAZ. 1 0. FEES I IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for w 'ch fees have By PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date �(J (Oat ) Receipt No. Z— Y 0.4 WHITE-D.D.S.-B. . CANARY -ASSES OR PINK -INSPECTOR GOLDENROD -APPLICANT