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HomeMy WebLinkAbout065-173-00965-173=`09, 2918-91B. +, DEER, Dale 1; 14686 Holmwood Dr, Magalia cont: Stilwell Roofing (reroof/sf) 065-173-009 PERMIT#94-2389 „ DEER, DAYLE 14686 HOLM OMD; MAGALIA SPA`ELEC/SF hy HARMONY Builders 836 Tikker, South 1/2, Lot 351 0 �- Magalia \7 i I I 65-173=`09, 2918-91B. +, DEER, Dale 1; 14686 Holmwood Dr, Magalia cont: Stilwell Roofing (reroof/sf) 065-173-009 PERMIT#94-2389 „ DEER, DAYLE 14686 HOLM OMD; MAGALIA SPA`ELEC/SF hy HARMONY Builders 836 Tikker, South 1/2, Lot 351 0 �- Magalia \7 i I'. r �� I .... • r.4i .. r � .. _ . 1"yc 'r -<c` -y"?' ;,.�. i.}Lz.y� '�iYc y'1:... 5 065-'173-009 PERMIT#94-2389 DEER, DAYLE- �14686 H0 LMjd00D, PIAGALIA SPA ELEC/SF r G COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 -Telephone (916)'538-7541E MISl; --N�, APPLICATION AND PERMIT -�_ ,3 ASSESSOR PARCELNUMBER 065— ZONING A BUILDING PERMIT OWNER TIME TELEPHONE 873-4337 SO, FT, OCC. BUILDING VALUATION O/W�NER'S MAILINrt/G� ADDRESS Y 11 CONTRACTOR'S NAME t N TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee _ $ 20.00 Permit Fee ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 1 HOLMWOOD MAGALIA PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE g SF l Duplex 11Mobilehome O Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ElAddition ❑ Remodel 1:1Utilities 1:3Installation ❑ Othe?[X Describe Work: SPA ELECO PERMIT FEE g Contractor ELECTRICAL PERMIT « Filing Fee 20.00 Main Service ( 800V OR LESS , 200A OR LESS 23.00 Main Service ( 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLDS. 3.50 FgT0,, CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ 1, as the owner, 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) X11I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reasonPA NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ' @7.50 ( POWER APPARATUS a SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES , 20 @ 1.00 RAL. 50 . Ex. Occup.FIXED APPLNS. OR (OUTLETS (RESID.) EA. 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 30.00 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 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 $ 50.00 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all judgments, costs, and expenses which may in any way accrue against said County -in conspquenceeiof ttjegranting of this permit. X /(,)///-+- --//,!.- �„C \ lt Date 1141_1:.W '�� jf Sid'h6ture of`Applicant -;a Owner ❑ Contractor ❑ Agent y 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 $ J50.O�Oliabilities, HAZ- D. FEES IMP FLOOD COF PARCEL PDr This permit is hereby issued under the applicable provisions of the Butte County Code,and/or Resolutions to do work indicate for whi 'feel he abovve been paid. % W��5 ByDateReceiptNo. PERMITEXPIRESON (Date) Y 167382WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I Coo/ COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95265 - Telephone (916) 538-7541E MIS, �N APPLICATION SAND PERMIT 9 _ J 0 -- PARCEL NUMBER ZONING 1267-0173-009 T1A BUILDING PERMIT OWNEfl TELEPHONE 873-4337 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS R, MAGALIA 95954 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERLICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF INDuplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New O Addition ❑ Remodel ElUtilities ❑ Installation ❑ Othetx01 Describe Work: SPA ELEC. PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( B00V OR LESS ) 2ODA OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) 3.5C FgT0,. NEW CONST.MULTI-OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification O 1, as the owner, 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) Ivri, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason ( POWER APPARATUS ) & SINGLE OUTLET CIH. Ex. Occup. ( OUTLET OR FIXTURES ) @ 1.00 BALL.. 50 Ex. Occu FIXED APPLNS. OR ( ) p' OUTLETS IRESID.1 EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 3PA30.00 WORKER'S COMPENSATION INSURANCE 1 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. iWI 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 $ 50.00 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, judgments, costs, and expenses which may in any way accrue against said Count conslrquenc oft g anting of this permit. X Date pZy� C/�/ Signature of Applicant.Owner ❑ Contractor ❑ Agent 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 $ Q QQ HAZ. D. FEES IMP F100D 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 indica above for whi fe have been paid. BY Date 9fJqJI; PERMIT EXPIRES ON 5�4 (Do rel Receipt No. 167199 WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT cow COUNTY OF BUTTE - DEPARTM NT OFj PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541��� /- - APP&CATION'.AND PERMIT ASSESSOR PARCEL NUMBER 65-173-009 ZONIfiG.; RT 'i. AW: BUILDING PERMIT OWNER DALE DEUR TELEPHONE 873-4337 SO. FT. OCC.1 BUILDING VALUATION 24 SO 1440 OWNER'S MAILING ADDRESS 14686 HOLMWOOD - MAGALIA j CONTRACTOR'S NAME , STILLWELL ROOFING TELEPHONE 872-2849 CONTRACTOR'S MAILING ADDRESS P.O. BOX 1052 MAGALIA Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is wo Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 25.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 14686 HOLMWOOD Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIIVVISIIO�N�/NAME liMAY.CdY PARCEL MAP i Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE ! SF © Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW I O.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Otherf] Describe work: RF—ROOF COMPO Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service GOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the BUSIieSS and Professions Code and my license is in full forc and effect. �j C^ License No. ,,$S3 /s9 Classification. 9 ❑ 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 CONST. DWELLING OCCUP.ad OR ADDNS. ACC. BLDGS. / 1/2 OSq ft NEW CONSTRMULTI-OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea (POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. OCcup(OUTLETS OR FIXTURES .AL@ 30 20@030 FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor 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. MECHANICAL PERMIT FiIingFee 10.00 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 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, judgments, costs, and expenses which may in any way accrue against sai County in consequ ice of the this permit. p�This X Date l� "'� Sign re of Applicant — Owner ❑ Contractor � Agent ❑ OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 35.00 HALcuA PARK scHL P@D coP PAR PD l HD• ISS permit is hereby issued unser the applicable provi- sions of the Butte County. Code and/or resolutions to do bove for which�ees have been paid. "BLIC WORKS !An work inZzlzv PERMIT EXPIRES Date Receipt No.JByDate WHITE-O.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO, 7 County Center Drive - OrovHle; Calliornla 95965 - Telephone: 916/536-7541 ( APPLICATION AND PERMIT AA_ j, ASSESSOR PARCEL NUMBER 65-173-009 ZONING ' RT 1 AW BUILDING PERMIT OWNER DALE DEER TELEPHONE 873-4337 SO. FT. OCC. BUILDING VALUATION 24 SQ 1440 OWNER'S MAILING ADDRESS 14686 HOLMWOOD MAGALIA CONTRACTOR'S NAME STILLWELL ROOFING TELEPHONE 872-2849 CONTRACTOR'S MAILING ADDRESS P.O. BOX 1052 MAGALIA Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 1440 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 29.06 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 14686 HOLMWOOD Permit tee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME FIRHAVEN PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF g Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S 10.nnan TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other] Describe work: RF.—ROOF C MPn • Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 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 my license is in full force and effect. P'] License No,"�� /� Classification. �^�9 ❑ 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) ❑ 1, 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 OR ADDNS. CONST. DWELLING OCCUP.ei` � ACC. BLDGS. / , �2¢Sgft NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. ) Ex. OCcu p�OUTLETS OR FIXTURES BAL@ 30 eAL030 FIXED PR Ex. Occup. OUTLETS (RESID,)EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Virin 9 15.00 Permit Fee $ 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. EEI'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. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g 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. 1 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 co eq ice of the 7ing of this permit. p X Date 2/ ^ `� Sign re of Applicant — Owner ❑ Contractor 2 Agent E]work An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE - TOTAL FEE $ 35.00 HAL. I CUA I PARK SCHL FLD I COF I PAR I PD 1 HD• ISS , This permit is hereby issued unser the applicable provi- sions of the Butte County. Code and/or resolutions to do Ir1dIC above for which @eS have been paid. IREVF P WORKS BY Date R -611W PERMIT EXPIRES Date Receipt No. 19 1� -5—% % WHITE-O.P.W.. YELLOW-ASSE350R. PINK -INSPECTOR. GOLDENROD -APPLICANT ��. . . f ` "�'s���%,�'p.?�,a,%'�!1 ��7r4F i+i'Sd.�� �4't C�'ti'!"?il'..hHl'c vr hS{'�^t'�•••^i►' 7�+..��"'����'f^f•.Rr.�-.,.. COUNTY OF BUTTE - DEPARTME T.F PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPIICArT ON DATA SHEET l / Permit No.— o. OWNER filv/ e 22e_e t - A. P. No. OWNER j Proposed Building Use Re /To0 S Bui11 lding 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 APPROVED 1. All items have been submitted . ........................ (......... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ........................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. ' Engineered truss details and layk ut in duplicate (required prior to plan check) 9. Mobilehome installation data,,Jncluding manufacturer's installation instructions...................................................... . 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... x 13. School District fees paid .............. 14._ Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... ' 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required...Pre-Inspec. request to Inspector (Date) jBuilding 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... ti 25. Letter f signature authorization ................................... .26. ' 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w./inspector. Other Applicant C' 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--nail—counter by .date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. i 7 County Center Drive - Orov1,ile, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR P RCEL NUMBER �" ,!; %� Ooi ZONING BUILDING PERMIT OWNER ' T LEPH0NE SO. FT. OCC. BUILDING VALUATION M 55 OWNER'S AIL G P.DP Y t; s G k�� CONTRATORS%AME w� %1��Fr.� TELEPHONE X72-Zeyg CO TRACTOR'S MAILING ADDRESS CO O, p-f—E- Ca Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ Z f ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty BUILDING ADDRESS Permit fee !$ $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LVOT NO/ �� SUBDIVISION NAME — 2 Ailq t/ PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W O.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Er Describe work: 1?e 1<64>1& 6c>CW0 _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6011 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 1�r_l am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code an my license Is In full force and effect. License No. % S Classification. e ^3� ❑ 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 CONST. ( DWELLING OCCUP.81 OR ADDNS. ACC. BLDGS. /:¢sgft NON-RESID NEW CONSTR. BRANCH CTRCTITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR, Ex. Occup(ouTLETs OR FIXTURES 00530 6AL030 FIXED APLNS. Ex. OCCUp. OUTLETS IPRESID 1REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ Contractor 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. EB /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. MECHANICAL PERMIT Filing Fee 10.00 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 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, judgments, costs, and expenses which may in any way accrue against said County in conse ue ce of th granting of this permit. X �� Date g'o7�-' QI Si tura of pplicant — Owner ❑ Contractor V Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ - HAz CUA PARK SCIiL FLD cOF PAR PD i HD ISSUE This permit is hereby issued unoer the applicable provi- sions ot° 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 Date Receipt NO. �V WHITE-D.P.W.. YELLOW-ASeESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT