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HomeMy WebLinkAbout065-070-005rJA 65=07-5 Gregory 'P-aguio Rd.Across Skycaayjfrom DeSabla Store, Go app.1200' on gravel rd., make left turn for 250' (At Fairclos S*p),Maga. >- contr; Triple "S" Custom Home Bldrs., Paradise Permit #61-78B,P,E,M(new single family) ki 065-070-005 04-2377 PAGUIO, GREGORY 15371 RAMBLING WY, MAGALIA Cont: RELIANCE PROPANE EF NEW LP TANK & GAS STOVE P? - B08 -0062 065-07JC/O MISCELLANEOUS Water HeaWATER HEATER REPLACEMEN 15371 RAMBLING WAY BUCKLEY, DIANE -- -- �I � � 1 t , 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 PROJECT INFORMATION Site Address: 15371 RAMBLING WAY Owner: Permit NO: B08-0062 APN: 065-070-005 BUCKLEY, DIANE Issued Date: 01/09/2008 By KCG Permit type: MISCELLANEOUS 2245 GREYSTONE LN Subtype: Water Heater C/O LINCOLN, CA 95648 Expiration Date: 01/08/2009 Description: WATER HEATER REPLACEMENT (530) 300-1863 Occupancy: Zoning: TM5 Contractor I Applicant: Square Footage: COMM ACTION AGENCY OF BUTTE CO COMM ACTION AGENCY OF Building Garage Remdl/Addn 2255 DEL ORO AVENUE 2255 DEL ORO AVENUE OROVILLE, CA 95965 OROVILLE, CA 95965 Other Porch/Patio Total (530) 538-7559 (530) 538-7559 FEE INFORMATION DBP Water Heater (qty) $58.00 Total Charged: $58.00 Fees Paid: $58.00 Balance Due: $0.00 Receipt No: B6036 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that 1 am exempt from the Contractor's License COMM ACTION AGENCY OF BI 617201 / B / 04/30/2009 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 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 pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. 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 X 01/09/2008 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: S.0 factor's Signatur , Date - ❑ 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 WORKERS' COMPENSATION DECLARATION 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 I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE the work himself or herself or through his or her own employees, provided that such improvements AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR E]I are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: action 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the y Cartier: CARE WEST INSUILpolicyNumber:W10612000380 Exp'Date:�11/2008 Contractor's License Law.). (This section need not a completed if the permit is or one hundred ollars ($100) or es— s ) ❑ I AM EXEMPT under Section B. 8 P.C. for this reason: ❑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 Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 01/09/2008 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. X 01/09/2008 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 Slate laws relating to building Signa a Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, 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 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, 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 DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorized to act on the property owner's behalf. 01/09/2008 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner ❑ Contractor OR. DAgent for Owner gent for Contractor FILE COPY Lender's Address City State zip .. • 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 APPLICA TION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** FORMATION PROJECT LOCATION OWNER IN Last Nam ---x^� Address ` Mailing Address r City Al Ct - . Phone Zip _ P ne r Fax - E -mai Class FORMATION PROJECT LOCATION APPLICANT INFORMATION CONTRACTOR Name Address Addres City � Y _ / City State C� Zip Phone Fax E-mail Fax Lic. # 6 17 4 Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name Address Address City � Y _ / City Phone $ _ State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name Address J 610 City � Y _ / State C� Zip ,• (s - Phone $ _ Fax E -mail /y O APPLICANT SIGNATURE X Property Address - City PERMIT NO. -�21 BIN # 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. W✓ `l e_-<' 1A . e �G Sq FT- Living Garage Open Cov ❑ • Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: t Zoning Flood Zone SRA I Yes I No Occ. Type Const. Butte County Department of Development Services 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING 12/30/2004 Reliance Propane 6426 Skyway Paradise, CA 95969 Re: Permit Number: 04-2377 APN: 065-070=005 >al'9%y Upon review of the above -referenced permit file by the County Building Official, it has been determined that a refund cannot be processed for the following reason(s): ❑ Refunds can only be made upon written request by the person who paid the fees, whose name is on the receipt issued for the fees paid. ❑ The request is over two years from the date of the fee payments on this non -issued permit. r ❑ The request is over two years from the date of permit issuance and construction work has been done. ❑ Filing fees and plan check fees for work plans checked are not refundable. The above determinations have been made in accordance with Butte County Code 3-41(t). You may view Butte County Code online at http://municipalcodes.lexisnexis.com/codes/butteco/. ® Other reason: Due to the processing regarding your permit application, there are no remaining fees to be reimbursed to you. Should you have further questions about this, matter, please contact this office between 8:00 am and 4:00 pm, Monday through Friday. Sincerely, Diane Lewellen, OAIII Administrative Division enclosure 04-2377.1tr VANT: Reliance Propane LESS: 6426 Skyway & STATE: Paradise, CA 95969 OF CLAIM: 10/05/04 APN: 065-070-005 NUMBER: DATE: ISSUED TO: CHECK AMOUNT: PERMIT M Z REFUNDS: VERIFIED DETAIL 1$55.00 11-1 1 P I I 104-6821/22- 10t4-.23)) 1 1 Title BLDG THRM DRNG AUD SUSP SHER DEV FEE THRM URBN Fund 0010 1800 1001 1800 1800 Dept 440-001 rHRM ORN( (SMTP) (SHR) (TUA) Accnt 4210500 280 280 280 280 - Cash 101001 1011822 1011430 1011811 1011816 PAID RETAIN REFUND BLDG Ti -T1 . W 98F 0.00 ................ ........ ................ :::-*-*-'-'-*-'- ................ ........ ................ ................ ......... ........ ....... -*-'-'-*-* .... ........ -*-*-'.-'-'-'-'.-' 1: ........ ........ ........ ................ ........ . .. .. .. .. -. -.!. - •................ ........ ................ ........ ........ ................ ........ ................ ... ........ ................ ...... ::.:.>:.:.{>:........ ........ ........ ........ ........ ........ ........ ........ ........ ........ TINIn-9 from Plan Check) i 0.001 202�- 0!5 0.00 Plan CheckfFiling 0.25 27 0.00 1 0.001 0.00'-'.,.'-,.*.'.*. Inspection 1 0.001 0.00 1 0.001 0.00 BLDG FEES OTHER BLDG New propane tank and gas stove 55.00 55.00 0.00 REFUND PROCESS FEE 54.99 54.99 -54.99 55.00:-::::•:•:•:• -54.991-: BUILDING TOTAL 55.00 54.99 0.01 0.01 THERM DRNG0.00 (Should be blank) SMIP 0.00 Building Manager 0.00 SHR Y"A Vo - --------- 0.00 0.00 0.00 1: 0.001 $ "55.00 $ 54.99 $ 0.01 $ 0.01 1 $ -T$ - 1$ APPROVAL CHECK: $0.01 Date Reviewed 10 7120 DIFFERENCE: $0.00 Michael Viieira (Should be blank) Building Manager Vo - --------- eEf -4 A110.0 -- °�vTrF° Butte County Department of Development Services ° ° Building Division ° ° °- _ - ° ° ° 7 County Center Drive -_ �: ° cOUNOroville, CA 95965 (530) 538-7541 REFUND REQUEST APPLICATION REFUND POLICY -Butte County Code 3-41(t) 1. Refunds can only be made upon written request by the person who paid the fees, whose name is on t he receipt issued for the fees paid. Any refund checks will be made payable to the name on the receipt. 2. The request must be made within two years from the date of fee payments on permits not issued, and two years from the date of permit issuance for permits issued -if no construction work has been done. 3. Filing fees and plan check fees for work plans checked are not refundable. 4. Fees paid to other County Departments are not covered by this claim. INSTRUCTIONS: Submit this application to Development Services for determination of refundable fees. A claim will be generated for any fees to be refunded and sent to the address below for signature (by the person whose name is on the receipt) and return to Develo ment Services for pia ment rocessin . CLAIMANT'S NAME: �f MAILING ADDRESS: �::��r��r e � �� �� 6 I 477 PHONE: I ✓ It3uilding Permit Fees "Sheriff Fees [_ ]SRA Fees (CDF Fire Planning) =Other (specify): Plans for cancelled permits will be disposed of within 10 working days upon submission of a Request for Refund. If you want the plans, you may pick them up prior to that time Sig ture K:/Forms/Refund Application 082203 uate 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.neAdds PERMIT NO. BP042377 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 08/11/2004 APN: 065-070-005-000 the Business and Professions Code, and my license is in full force and effect. 7 License Class: License Number: / 3-/ Site Address: 15371 RAMBLING WAY MAG Date: Contractor: Map Index: Description: NEW PROPANE TANK AND GAS STOVE OWNER43UILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a e Owner: PAGU10 GREGORY J &ELAINE 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 PO BOX 834 the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or MAGALIA, CA she is exempt therefrom and the basis for the alleged exemption. Any 95954 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).): ❑ 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 Contractors' State License Law does not apply to an Applicant.. PAGU10 GREGORY J &ELAINE owner of property who builds or improves thereon, and who does such 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 improvements are sold within one year of completion, the owner -builder will have the burden of proving 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 Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: RELIANCE PROPANE ❑ lam Exempt under Article 3 of the Business and Professions Code 6426 SKYWAY Date: Owner: PARADISE, CA 95969 530-872-9200 X206 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 License #: 734318 workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Ng_--t—have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier:_ :6� f ✓n 1 Total Square Ft: 0 S. F. Policy #: / (,, / 7722, — C.Z ❑ 1 certify that in the performance of the work for which this permit is Valuation: $0.00 issued, 1 shall not employ any person in any manner so as to Census Code: 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. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages s provided for in Section 3706 of the Labor code, interest, and attorney's fees. _L.I� I�✓1 CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Cods ?n o I hereby affirm that there is a construction lending agency for the Resolution �0 c indicated above for which fees have been paid performance of the work for which this permit is issued (Sec 3097 Civ:) Q Name: BY _ - _ Date: EXPIRES Address: PERMIT V Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representativesofButte County to enter upon the above mentioned property for inspection purposes. Print Name: // �/✓ 1�L beq/,? c Signature: Date: ❑ Owner ❑ Contractor O Agent for Owner %4 A9911i 'dr Contractor 6434 Skyway, Paradise, UA y5yna t—� et— ® ® A ® NAr =A— 530-872-7740 (FAX) 530-872-8951 Chico 530-343-8547 Yuba City 749-9999 - . - 800-871-7740 Redding 226-9477 - PROPOSAL SUBMITTED TO f (3 r c> I vel PI ZONE E73 _ 2—:9-Z/ DATE STREET . JOB NAME CITY, STATE AND ZIP CODE -d' H JOB LOCATION 1, C ARCHITECT/CONTRAJTOR DATE OF PLANS JOB PHONE We hereby submit specifications and estimates for: 3 L5 located G1 �G'iZ "��j'e /6 $ Install gal tank 1D from house, Complete system safety testing. -- �5 Annual tank lease charg, tan r green colors available. Pressure regulator and flex connector to tank - II / --�����1''� backfill from tank, �� ' to �'1�+� G (�'�� 1v Trenching and without obstacles, Underground piping from tankI ' to hr,V e- ? +errnrn fi-7 el Czn6UCi- > ,� � Fuel in tank when installed: gal. @ $ - per gal. —� •- Optional gal tank leased @ $ _ . _ per yr. & Fuel @ $ _ . _ per gal. Sales Tax •— Thank you for considering Reliance Propane as your gas supplier! rr7the Qu of: Pe Frog se hereby to furnish material and labor — complete in accordance with above specifications,. for dollars (£ ). Payment to be made as follows: Installation chargesdue upon completion; Fuel deliveries due Net 10 Days On Approved Credit -/ms/ Any requested additions or alterations to above specifications may be at additional charge. Customer agrees to be responsible for any permits, fees, taxes, or inspections unless detailed above. Authorized Fuel price is as of this date and any increases in cost will proportionately affect the quoted rate. Signalur This proposal represents a good faith estimate unless specified above as a fixed price bid. Note: This proposal may be withdrawn by us if not accepted within _ days. PItCeptaitce Df Frali rsal , The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as Signature outlined above. 11 ✓,a Date of Acceptance:�_�' I 91 6121-78B,PE,M PERMIT NO. - i PERMIT EXPIRES OWNER Gregory Paguio CONTR. Triple "S" Custom Home Bldrs., Paradise LOCATION (A.P. 65-07-5 Gravel Rd., across Skyway from DeSabla Store Go app.1200', make left turn for 250'(At Fairclos Sign), Magalia- f s- 4 i Temp. Power Pole Called PG&E mp/.E ea Ser%F 1 �-� -7CfCd PG&EiTem as Serv. ailed PG&E i1ZI/ OB C `�FINALED v marPi Framing l COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 'BUILDING INSPECTION. RF_CORD z Water Htr. BUILDING BUILDING (Cont'd) Final PLUMBING Setback Firewall Soil Piping' MECHANICAL Forms Parapets list Floor —S Main Bldg. Restroom Finish 2nd Floor Footin s Windows 3rd Floor Stem walI Siding To out y Slab Roof Sheathing Water Piping I i' c1 7v Piers ( l Roofing Sewer Garage Fdn. Vents Fixtures Footing- ootin s?: Stemwal) , Garage Vent i Insulatio 71L Water Htr. Heaters 7 Slab Carport Po Footings s Prov. for physically handica ed Conformance of ex. structure A Iiances Gas Piping & Test-- estFootin Temp. as Slab Final L 21 1 L Sanitation Patio FIREPLACE Final 01 i '-7 Footings Footing ELECTRICAL Masonry Walls Throat Fou h 2 I QL Relnf. Steel Final Fixtures Bond Beam. FIRE SPRINKLERS Motors Framing l Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pete- 2 Finish Ducts Underground Interior Lath Ventilation Pennanen Door Closer Final G Final MOBILEHOME UTILITIES ------'--'•••'-••• Elec. Servic EI .Pedestal Water ng Sewer Gas, 'ping 1 E ME INSTALLA N --------------Support Elec. 2Sntinuity Water Piping Drainage Gas Pi Pin DATE REMARKS OR CORRECTIONS 7% Q -7.p D,e Zb 57v� ,L"looe `a -- /s- 7 g Z-4 iz� 9 e)C i (NOTE: An entry must be made on this form each time you visit the job site.) .L . a � RESIDENTIAL a S ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE I j THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT Oxwky — .4--,mo-os t'Aapw Ve," .4l3ka "AA1(e-76�- /;OP' (location) _ BUILDING PERMIT NO. G/o2/ - 78 , A. P. NO. Gam- D 7^ S i A THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item o INSULAT ION : Slab Edge. Fdn. Walls —' Floors Walls Ceiling/Roof -/ 9 Ducts .I G G-• Circulating Pipes -� APPROVED HEATER p: APPROVED WTR.HTR. G, r write N/A if not applicable) r GLAZING: Single{ Glazed Special (Insulated) -- CERT. & LABELED WDS. & SLIDING DRS.- r WEATHERSTRIPPED DRS. BACK DAMPERED FANS • ,e 5 INTERMTTTENT IGNITION DEVICES �- CERT. APPLIANCES i S I I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name z /;IPle-- �,�j G v$rpm &-0,07-e, I&L' J3 S Signature ofQ ( se print) Insulation Applicator -'4G_ � 4 ',4 State Contractors License No. T iI 4 General Contractor/Owner Name / ^ !.,R> -'G .5 C-1,, 6 rp .-7 A/0 —7 t (plea Signature of print) General Contractor/Owner ate .3 State Contractors License No. e2//d THIS CERTIFICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. Q e 5 iG 0- o .v COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS • 7 County Center Drive - Orovilfe, California 95965 Tel eph.gne: 534=4541 APPLICATION AND PERMIT YAt above-mentioned property for inspection purposes. XJc�-�c Dated® /' Signature - of Permitee or Agent Receipt No. /9 37 d7Z White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant I nis 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. DIREUOR OFePiNJBLIC WORKS By. A . � //Date E2: Building permit expires Date !lam_ BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address 4� �y"•�Q Telephone No. Fireplace a R1S C , C o n t r a c t o r'rA 6 e- o "D -ii G eiiS Total Valuation , o p �` Mailing Address p L% /t A ,p iA-�iiSG Permit Fee , C' 0, Plan Checking Fee&/or Penalty Telephone No.o. Permit Fee $ 12,zbCes -2 �C Building Addressk,*0 o41 SK C✓ PLUMBING No. @ FEE PERMIT FILING FEE $3.00 3 aC A4 e-60 M/04x Each Trap 19 1.50 x,00 ,/;too' .iN X� L 07'rj �I VV F,6 AJ, .--3 Repair drainage or vent piping 1.50 .2o _ T ) fe CLc S -5ieA.2 ¢ ti1t;3 WrTl l a}inn _?4-1 gg-_41ZII Water piping 1.50 JJ -6 Each gas water heater or vent J 1.50 B A. P. No. G S—_ -, _ �� 22 a �Man'n Gas piping system 1 - 5 outlets 1.50 , 'Q Each additional outlet .30 F.6e< (SM"—on, on, Fire Dept. I Fire Zone Use Permit Building sewer 5.00 EQA Parking I Parcel Declaration Parcel Ma P 60' R/W Improvements Lawn sprinkler system 2.00 ,,//Plans Bldg. PLat�ec'd Plans Approval Permit Fee $ �Qj r ' /JVI� $ 3Z NEW ® ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 3,ot> Main service eoov OR LESS 100 AMP OR LESS 5•00 Main service EA. ADO'L 100 AMP 2.50 r Single Family Duplex Mobil Home P ❑ ❑ Others ❑ OVER 600V Main service 1100 AMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW CONST. DWELING OR ADONIS.( ACCLBLDG9. &) 2¢sq ft •i ! NEWCONSTR. MULTI -OU L T NON.RESID. BRANCH CIRCUITS) 2.50ea NEW C ON ST R. POWER APPARATUS &) NON-RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: it L / !` 7-/'i / )"-/ e- e- .S V s O M D b- I Ex. Occup(OUTLETS OR FIXTURES)@2- L@1109 FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 13 4,05 Mobile Home Facilities 15.00 License No. s�-/�,�%r Classification�" Misc. Wiring 6.25_1�,L� ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 7, 'Xo $ a � 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. C( 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.1 @ I FEE PERMIT FILING FEE J$3.001 3.e,0 Heating ,yAr "gulp 00 $d er1 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 anthnri7P ronrPco tnti,m .,f *k-r,,.��.,�.. ,.f o....,...- __.__ ..___ ..__ W. L``--�xL FE- :2:5—,e© Its-, CO TOTAL PERMIT FEE $ above-mentioned property for inspection purposes. XJc�-�c Dated® /' Signature - of Permitee or Agent Receipt No. /9 37 d7Z White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant I nis 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. DIREUOR OFePiNJBLIC WORKS By. A . � //Date E2: Building permit expires Date !lam_ 'd dk" "TA"Im MY, 41, AW r lot Ai � s '17 q J", J—w ;vo ,)), 1, l�:,;l t 1, _ '! l a q " �,l o. I'll -Ti.ic, vabi if I: � l, �f, ". 1. J F, I'li TO lJl 01 ,, �,:� t