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Home My WebLink About064-610-006a e:1y r 064-610-006 99-1357 CARLSON, Robert (' 14586 Centerville Roal Magalia Contr: IlluminationElecn. Install new IOOA main servir, 064-610-006 _ 99- 377/ %9\ CARLSON, Bob 14586 Centerville Road, Ma alia Contr: Greene & Son Roof Re Roof t 4 . V`b ., .,�i .�:.,�'<. ,;+t+er'M+ ti" a +moi ACjY.'s.�+: + `'.r`f�.�*.�=%3''.'.i,'a*".w-c: ,�.,;..�'�'' .�:�f CYr1 r��.k' 6 t '. r _. .ii.X't ,y � 4iJ✓'. ,...•`w i e .'L-„.ii.2, �^+�” j its'! .y �� .', i �. � � � , .. • - � � 1 � � � �%3A�� e &. . , �� _ �� .., k � ` , , t� r � 1 �' \ � R ' �� w � 'r-Wx' it.�,.SS'� .�; g4,Y{."l�`wi�s .�r,r,...�p.s,g-,c.� �j ils�lr"�ldryr^1�,� *��•�.,,...,-.-�. r.�wgrgA}A'a.w.�..,.- ,.,�-,.� i7FE�L+..v_:�:� ..-+-. COUNTY OF BUTTE - DEPAFfTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 C-. PERMIT NO., (Rev. 12/96) APPLICATION AND PERMIT /- ASSESSOR PARCEL NUMBER (•� ZONING� M 3 BUILDING PERMIT V �s1J OWNERf6 06 r in' TE HONE SO. FT. OCC. BUILDING VALUATION -OWNERS MAILING ADDRESS CONTRACT'S NAMEZLEP'NrLHONE� CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS �M Energy Plan Checking Fee $ PERMIT FEE S G LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.0023.00 USEOFSTRUCTURE ' SF\C]/Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat um water heater Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel 0 rUbllides ❑ In llation ❑ - Other -01- Describe Work: /L j� 1�'f/ `% c Iy Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A OR IES: 23.00 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 U11 force and effect. A+� License Class ��_1 / �„� Lic. No. $ OWNER -BUILDER DE A ATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 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 Main Service 200A To 1000A 46.00 NEW CONST. DWEWNG OCCUP. OR ADDNS. ( a ACC. BLDS. so 3.5¢FT. IpµR SID BRANCH MULTI - OUTLET 97,50 POWEIN.R APPARATUS a STLE`T OUTLET CIS. Ex. Occup. OUTLETOR RES zo p 1.00 BALI@ .50 NS. Ex. Occup. OUTLETSLEDR� °EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ 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. �EK,, I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of worklor which this permit is issued. My workers' compensation ins rance carrier and policy number are: Carrier �-rA JrQ ;tie V G1 -PERMIT _ Policy Number 7jjT -✓� � 1!/Y�' 47 = (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 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. X J�!' — `s-y+�--- Datej� T _ Signature of App (cant - ❑ Owner -Contractor ❑ Agent- An OSHA permit is required for excav Ions over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 'Ventilation FO= S Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ J . D FEES IMP I FLOOD I COF PARCEL PD HD 166In This permit is hereby issued under in the Butte County Code and/or indicated above for which fees have .''• B ��-'� PERMIT EXPIRES ON the applicable provisions beentp i to do work been aid. Date Date Receipt No. t!/TNr— WHITE-D.D.S.-EI.D. CANARY -ASSESS -OR PINK -INSPECTOR GOLDENROD -APPLICANT 11COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER O ®� zO INC{`)3 BUILDING PERMIT OWNER ,,+q` A ifC TELEPHONE SO, FT, OCC. BUILDING VALUATION .OWNERS MAILING ADD ESS �� /-I"y "� = lLlo 11��I�T�.!/O4ZZi 'L4► -O`/ -N -®E (—•37 CONTRACTOR'S E CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER - Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER . LICENSE NO. Filen Fee $ 20.00 Permit Fee $ — ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF1p/15uplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑41n1lation ❑ Othr~ 12,aDescribe Work: 4 41leA70A Gas piping system 1 - 5 outlets 15.00 Buildin sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service zaOA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 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 Ull for and effect. �y L� e7 / License Class 3 Lic. No. �JIO / OWNER -BUILDER DECL RATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 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 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 ins rance rrier and policy number are: Carrier . S-1 �Q ' 7LGM _ Policy Number -7/3 — 41,j AV (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 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 com ith those provisions. X 4 Date �� Signature of App (cant - ❑ Owner ontractor ❑ Age An OSHA permit is required for excavdlions over 60" deep and demolition or construction of structures over 3 stories in height.B Main Service 'zooA To +oaoA 46.00 NEW CONST. DW EWNG OCCUP. S° OR ADDNS. ( 8 ACC. BLD S. 3.50FT. =R°SIDT. MULTI -OUTLET @7,50 POWER APPARATUS 8 SINGLE OUTLET CIS. Ex, Occu ourLEr OR FOcruREs Bnl � +:So Ex. Occup. Ao .°� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt S Mobile Home Installation Fee $ Energy Inspection Fee $ Gcc CONST. TYPE 04— TOTAL FEE $ 3 HAZ. D. FEES IMP I FLOOD I CDF PARCEL PO I HD 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. ate /j ,,�—, PERMIT EXPIRES ON (p �p1�� Date Receipt No. WHITE-D.D.S.-B.G. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT i Ir, pe.;.� n , u.± . � ,:M ,,.YEA' N�y1S)'� y �- I 1.c r COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ' 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538.7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT � ASSEIGORPARCQNUMSER ZONING BUILDING PERMIT OWNER C, •C VJ L S O . /y, '�MONs SO. FT. OCC. BUILDING VALUATION ,� �• owNaLs MAILINo A00111299 p CONTRACTCR•9`Y w• 3 324 • CONTRACTORS MAULING ADDRESS •• CONSTRUC IONLDOEA . Fireplace LENDEWS IAMM ROAM - Total Valuation is ARCHITECT ORENmNEERSENO' Filin Fee a 20.00 Permit Fee S — ARCH/TECT OR ENGWEERs MAULING ADDRESS - Plan Checking Fee S °t1LD'JOADORESS Energy Plan Checking Fee S PERMIT FEE LOT NO. ?usumioN13 MW - PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 1 7.00 J USEOFSTAUCTURE SFlex ❑ Mobilehome ❑ Other Solar or had pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 • TYPE OF WORK New ❑ Addition ❑ Re d ❑ Utilities ❑ Insloadon ❑ Other ' Describe Work: Gas piping system 1 - 5 outlets . 15.00 Building sower 15.00 Mobile Home I S I G IW 020.00 PERMIT FEE t ' ELECTRICAL PERMIT Filing Fee 20.00 Main Service p°00 ORR LFe 23.00 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 Claes ' Lk. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I ❑ 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. ❑ 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 - WORKERS' COMPENSATION DECLARATION Lhereby 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 workwo' compeneatlon Insurance, as required by Section 3700 of the Labor Code, for the performance of work for whk:h this permit le Issued. My workers' compensation insurance carrier and policy number we: Carrier Policy Number (The above sections need not be completed It the permit is for work of a valuation of one hundred dollars ($100) or lees.)occ O I certify that In the performance of the work for which this permit is Issued. I shall not employ any person In any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent -An OSHA permit is required for excavations over 50' deep and demolition or construction of structures over 3 stories In height Main Service ro IOWA 48.00 IV U NEW CONST. DWE11M10 OCCUP. 3.S¢ OR ADS• + • ews. NONflESID.' MULTFOUrLET @7.50 +P8 wee APPARA ew p O�rOR�R� Occu ew a Ex. Oocu . oM ME.6.1 EEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 8.50 Ventilation PERMIT FEPE $ Mobile Home Installation Fee = Energy Inspection Fee S NST TYPE D TOTAL FEE _ 11112 D. FEEDIMP rtnoo eor PARCEL HD sSUE This permit Is hereby Issued under the applicable of the Butte County Code and/or Resolutions Indicated above for which fees have been By Date PERMIT EXPIRES ON provisions to do work paid. v' lo ReceiptNo. WHITE •0.0.3.-9.0. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT t ' j('4 •=,fir � ;, (J . two rycgsr ;T7 064-610-006.,1" 99-1357 CARLSON',Robert 14586 Centerville Road, Magalia Contr: Illuminatioit Electric Install new IOOA main services ,•/a//oo OFF {CE COPY Address �7Sd L! �e'�''��'c� AW GAS _ Meier By Date ELECTRIC \ } Meter By ?� % Date 6 �� - 1 ' 7 OFF {CE COPY Address �7Sd L! �e'�''��'c� AW GAS _ Meier By Date ELECTRIC \ } Meter By ?� % Date 6 �� - 1 ' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 064--610_0()6 ZONING R 2.S BUILDINGPERMIT OWNER CARISO,�t, ROBERT TELEPHONE TELEPHONE FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 1603 EATON AVENUE, S11N CARI.OS, 94070 CONTRACTOR'S NAMEILLVIIINA i'ION EI..ECTRIC TELEP?ONE 817:3-0122 012MAILINGCONTRACTORS MAILING ADDRF6�S90 CEAI"ITP,VILLc^., ROAD, i4A{iAI.IA 959511 1 CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 14586 CENMITILLE ROAD, 1,11AGALIA Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF )I Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation EY Other ❑ Describe Work: INSTALL i"l 100A VAIN SERVICE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 800V OR LESS Main Service 200A OR LESS 23.00 23.00 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 L/ % RC' �' / fa Lic. No. J �%! . 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 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation /of one hundred dollars ($100) or less.) Q' I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwit omply witVthose provisions. Date Signature' of Applicant - Owner ®'Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELJNG OCCUP. so OR ADDNS. ( a ACC. BLDS. 3.50FT. PNJWON-RESID. MULTI.OUTLET @7,50 POWER APPARATUS a sINOLE OurLEr CIR. Ex. Occup. ani ®':5000 OFIXEDARFDCTUREs Ex. Occup. o..=.) EE 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23, D3 PRE, IMEEMION 23 .00 PERMIT FEE $ 89 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FES $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE 89.00 TOTAL FEES HAZ. D. FEES IMP FLOOD CDF PARCEL PD W7 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. By v / 1 I %� 1 y / � 7 Date PERMIT EXPIRES ON /,lr, i Date Receipt No. 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 (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AICD PERMIT C%� ,� ASSESSORPARCELNUMBER 064-610-006 ZONING AR 2.5 BUILDING PERMIT ;OWNER " CARLSON, ROBERT TELEPHONE SO. FT. OCC. BUILDING VALUATION .OWNERS MAIUNO ADDRESS 1603 EATON AVENUE, SAN CARLOS, 94070 CONTRACTORS NAME ILLUMINATION ELECTRIC TE 873E 0122 CONTRACTORS MAILING ADDRn590 CENTERVILLE ROAD, 1IAGALIA 95954 - CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS - , Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS �� - Plan Checking Fee $ BUILDINGADORESS' 14586 CENT Energy Plan Checking Fee $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME - PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF JJ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New.'❑ Addition ❑ Remodel ❑ Utilities ❑ Installation EX Other ❑ Describe Work:, INSTALL NEW 100A MAIN SERVICE `' Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE $ ' •- ELECTRICAL PERMIT Fling Fee 20.00 "OV OR LESS Main Service zo.AORLESS 23.00 23.00 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 Dull force and effect. - %9 �� V �j� License Class C / �7 Lic. No. LLL%%% V �J� OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 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 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed R the permit is for work of a valuation �f one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' c mpensation provisions of section 3700 of the Labor Code, I shall forthwit omply wit those provis• ns. �+ Date �—�c �% Signature of Applicant - Owner Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWEWNG OCCUP. So OR ADDNS. a ACC, g�S. 3.5¢FT: NEW CONS MULTI.OUTLET NON•RESID. CU 97.50 POWER APPARATUS 8 SINGLE OUTLET CIS. �, QCCU OUTLET OR FDRURES Bye � 1:� Ex. Occup. oUMrsR' D.GeA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 1 23.00 PRR TiggpFrTmN 3. 00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 89.00 HA2. p. FEES IMP FLOOD CDF I PARCEL I PD I HD I ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON I Date provisions to do work paid. ReceiptNo. 265214/$89.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ''111 11 111115 1 IS 511,11111,1 jw IIIIIIIIIA 1,IINII 11! 111, 11111,111 COUNTY OF BUTTE - DEPARTMENT OF DEuDPf,MENT SERVICES -BUILDING DIVISION y 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 = TELEPHONE (530) 538-7541 t PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER: Proposed Building Use: 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 ---------------------------------------------------------------------------------------- E12. Plot plans, 3/4 sets, signed by the preparer of plans. ----------------------------------- ------------------------ ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------- Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- " ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- 0 8. --------------------------------------------------------❑8. Hazardous Material Form.------------------------------------------------------------------------------------------ 17 ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $---------------------------------------------------------------------------- : u.. ❑ 11. Impact fees as shown on the attached schedule. -------------------------- ❑ 12. California Department of Forestry plan approval/fees- ---------------------------------------------•-_--_______- ❑ 13. Flood elevation certificate. --------------------------------------------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. --------------------------------=--- ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------- °° ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------. ' ❑ 17. Planning approval for (A) Use: (B) Parking: ---------------- ___ ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). --------------------- ❑20. Pre -inspection for required. Request to Building Inspector on 021. Contractor's license information. (Number, Name Style, Classification). -------i--------------------- M z1122. Workers' Compensation carrier and policy number. --------------------------- -------------------------- '023. Owner -Builder -------------------------- --=--------------------.:❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner El) - -----------------------------. ❑ 24. Letter of signature authorization. ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. ------=------------------------------------------- ❑26. Letter of intent on building use. ---------------=---------------------- • " _ 027. Manufactured Home utility clearance.--------------------------------------------------- -"--------- ---- 028. Existing violations and/or expired permits.---------------------------------------------------------------------- (Date) ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ , • --------------- El 3 0. ______________❑30. Other: Xou issue the permit, process as follows ❑ Mail to owner, h4ail to contractor. 'L< and hold for pickup at office. ❑ Deliver with inspector. G} Ap c t. Copy of Haz-Mat form sent o Health Department, ❑ Fire Department, ❑ Air P ution Date: By: Copy of plans sent o Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, b mail, ❑ Building Division counter, by Date: 'Contractor, designer, owner, was advised of the above required data by ❑ phtone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: w Plans reviewed by:.�- - r,., -,� , Date: Plans approved by: - Date: Sets of plans on hold -in -0 PlanCabinet, ❑ A.P. folder. Note transfer by: Date: Vett.,... !`...... TL,.. ,._.a .r T.n_ -t-��-` r COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ' '7 County Center Drive • Oroville, California 95985 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 99�"IS�7 ASM80APARca NUMM (O ZONING ' BUILDING PERMIT OWNER .12 "s SO. FT. OCC. BUILDING VALUATION OWMR9 MAUNO ADOWN CONT IYa NE -7 - t zZ CO Rb MINUNO AOORra/ . l01 G-.� - r,� .. CONSTRUCTION UIMER - - - Fireplace , UENDFA'a MAnJW ADDRESS - Total Valuation S AACHnECT OR EWNEER - UcV6E NO. Filina Fee S 20.00 Permit Fee s N3 ADDRS ARCNITEOT OR ENMEEAV W.UES ' Plan Checking Fee S eJOADORESS S Energy Plan Checking Fee S . - _ _ .___�G • A �..� PERMIT FEE _ LOTNO. V PARMIL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE { SF Duplex ❑ . Mobilehome ❑ Other °P60/Y Soler or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK -New ❑ Addition ❑ Remodel ❑ Utilrte s ❑ Insulation )Other 0 Describe Work: N S a J/. ' e CA) /)'YIi iLi S IP r ci i c Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE _ .. ELECTRICAL PERMIT Filing Fee 20.00 Mein Service 2MOORRLESS 23.00 I9-3 Of 'LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I em 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 Lk. No: OWNER -BUILDER DECLARATION- .. _._ I hereby affirm under penally of perjury that I am exempt from the'Contractore 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 sols. ❑ 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_ • ' WORKERS' COMPENSATION DECLARATION 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 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 Policy Number (The above sections need not be completed 0 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 shallETOTAL employ any person In any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' oompensation provisions of section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit Is required for excavations over 50' deep and demolition or construction of structures over 3 stories in height. Main Servtoe 2W+ TO +000A 46.00 NEW CONST. OWEiLF1O occuP. so OR AOONS. a ACC. e�na. 3.50FT. MULT . UTLET NON•RE�ID. ' ' @7.50 POWE+APPARAATUS a e o as Ex Occu °nrr OR'UR� eel 0 so Ex. Occup. o �ro.°HFw 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Mtsc. Wiring 23.00 ,e } " s # e- V I PERMIT FEE _ MECHANICAL PERMIT Ming Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE i Home Installation Fee ti Inspection Fee tb !OCC TrPE'❑ FEE $not ECONST. o, r�rL000 Cor PARCEL PD ND ISSUE This permit is hereby Issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON MAW provisions to do work paid. Receipt No. .265"!911/ WHITE -0.0.5.-8.0. ' CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I {' -4 1-o Tssu� L' A ' A, (Rev.12/ge) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95985 • Telephone (530) 538-7541 APPLICATION AND PERMIT PERMIT NI A.�dsoR►ARULw►Nsa -� - G O mNNo �' 11 g BUILDING PERMIT OWN" MLMPHCWE SO. FT. OCC. BUILDING VALUATION MIMI@ VANrw AOOI�q -� e Sa �. ��e 7 0 9 0 CONT �•. TY,usvroNa CO0 r{ 00TINIXTION LENDO Fireplace Uo+oors MOM ADDN ' Total Valuation ! „RC„MCTOR MINNIIIIIIIIucwallo Filing Fee ! 20.00 Permit Fee ! ARCWrECT OR ENI Nese VALM ADORM ; . hien Checking Fee $ •° `.t2 Energ Plan Checking Fee ! $ PERMIT FEE ! 1°r"'o sueoNlra°NSNUNs PAarxL MAP PLUMBING PERMIT Ring Fee 20.00 Each Trap 7.00 U8EOF8TRUCTURE SF-*, �Duplsx O Mobiehorrne O Other speoff Soler or hod pump water heater 23.00 Water poft 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New O Addition O Remodel O Utilities O Inddation "W 0 Describe Work: -V Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home 3 G W @20,00 PERMIT FEE ! ELECTRICAL PERMIT Filing Fee 20.00 Main Servicea�oo i o�R u�p 23.00 3 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 0 (commencing with Section 7000) of Division 3 of the Buskwss and Pnafeasions Code, and my license le" In full force and effect. License Claes Lie. No. OWNER -BUILDER DECLARATION I hereby affirm under Penally of perjury that 1 am exempt from the Contractors License Law for the following reason: O I, as owner of the property, or my employees with wages as their solo compensation, will do the work, and the structure Is not Intended or offend for sale. 0 1, as owner of the property, am exclusively contracting with licensed contractors e projecli. to construct 0 1 am n Sec. , Business and Professions Code for this - reason ' WORKERS' COMPENSATION DECLARATION 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 workers' compensation, as provided for by section 3700 of the Labor Code, for the + performance of the work for which this permit In issued. O 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 Policy Number (The above sections need not be completed If the permit a for work of a valual.on of one hundred dollars ($100) or Ion.) ❑ 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 of Callfomla, 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. X Date Signature of Applicant • O Owner 0 Contractor O Agent An OSHA permit In required for excavations over 90• deep and demolition or construction of structures over 3 stales In height Main Service 29M TO N000A 48.00 OR Afl01at. • DYva � NANAe/Q ' wlTt ouno,iLer j @7.50 aNwwet APIOMM s Ex. Ocar 6. ovntr on ►anal= Ex. Occup. unasr°iNso °NfA 5.00 Twnporary TemporaryService 23.00 Mobile Home Facilities 20.00 Mac. Wiring 23.00 } N PERMIT FEE !41* MECHANICAL PERMIT gling Fee 20.00 Heating Cooling • Hood 8.50 Ventilation PERMIT FEE ! Mobile Home Installation Fee ! Eriergy Inspection Fee ! occ CONST. TSPS TOTAL FEES ML 1 o. MO WAP I ncoo I cow PARca PO NO nut This permit In hereby Issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON provisions to do work paid. M RecelptNo, WHITE-O.D.S.-S.O. CANARY - ASSESSOR PINK -INSPECTOR GOLOENROO•APPLICANT Ceu:jut - LOCATION: CONTRACTOR: �1 ll i ti a �ie.r/ � le PRE -INSPECTION FOR: / �,% i!/f�LC� i` N 4f l e LY DATE: 6 / A.P.#: ZONING: DATE TO INSPECTOR: PERMrr HISTORY: [ ONE I ]AS FOLLOWS: z TYPE OF OCCUPANCY: s �� BUMDING INSPECTOR'S REPORT ig Description: ( J Commercial/Usage: [ ] Residential/# of Units: Mobile Home: Yes[ ] No[ ] [ J Currently Occupied. [ ] Abandoned/Vacant. ( ] Yes [ ] No Electric is currently : [ J On [ ] Off Condition of electrical? Natural [ ] Propane[ ] None[ ] Currently On[ ] Off[ ] Obvious problems: :ion: Plumbing working Yes[ ] No[ ] Well: Yes[ ] No[ ] Obvious Sewage Problems: Potable water: Yes[ ] No[ ] lection Recommended: ( ]Issue PqHold for: May 1995 Date: