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Home My WebLink About065-180-003APjf 65-18-03' r ROSS TANNEHILL . _J eu)OQ r., lot 343, Magali contra/Rodney Kops.a; Paradise Permit## 2997-74B, P,E' M (ne6 w singie family) r X065 X180 003`--PERMIT#98 CHURCH alias 7Ldine "&°Wtr`�Htr/SF' • 7065180,'003 , �°PERMIT#98` 0259` ' fiCHURCH-yW' lliam +'�.t�tnt' �.. . o- ---- - - �- -- - --..a.- - - - _ +- — - - ��-3,��Ln Woodstove/8F l -T �M, • + IR` Q � i DAT E BUTTE COUNTY INTERDEPARTMENTAL.CORRESPONDENCE DELIVER TO LAST PERSON NAMED NAME I DEPT. DATE j NAME DEPT.. �I U�j � Q ` %ENCROACHMENT PERMIT �ounty of Butte Department of Public Works 7 Count Center Drive Oroville, CA 95965 Phone (530) 538-7157 Ext. 2016 Fax: (530) 538-4356 Download Forms: www.buttecounty.net/publicworks/forms.htmi NOTIFY COUNTY 24 HOURS BEFORE WORK�IS TO BE DONE Phone (530) 538-7157 Ext. 201% Perm' umber p V 7o 7 2 6 District 1 1 APPLICATION WE, the undersigned, hereby apply to the County of Bu for an encroachment permit to do the following work under or over the County roads td highways, all in accordance with County ordinances d general laws. All information except signature must be typed or legibly rinted. Applicant's Name: la. Company Name: Address: • iY\ P, 11 l A - Phone: 4. Assessor's Parcel Number. Location of Work to be Done C O S-z�j �?Co j I 1 Kkt.7 LFr>\tt. r M�GY A�–tP�, Applicant's Signature ' 7. Date: CONTRACTOR'S INFORMATION Contractor's Name VUI�lrAcr)y,kk P—v'T S C Address 5 ;1 S C%E�P� �z;✓ 0. Phone: �.,_. 3v .A �_.� ` 11. Fax: 2. Contractor's License Nu er: - � ... 13. Certificate of Insurance: Yes No: ❑ 4. Contractor's S' nature: 14a. Date Signed: Z 5. Authorized Agent. TYPE OF WORK TO BE DONE" 6. Please Check: ElEl17 Curb: Gutter: Sidewalk: El. If Driveway List Type: 11 17 oSea�c�od 8. Other Work - Describe: 19. Plans Attached: ❑ Yes ❑ No PERMIT GRANTED n compliance with the above request, and subject to all terms, conditions (including those on page 2 of this permit form) and special conditions written below, ,ermission is hereby ranted. 0. Conditions ) ��! n/ o o a y"ci A.G Mu&f 0. e c� uJ i C r)Ve r CA- T-' ao /^e It, d 70 G a ti r7 / d a t? -17 CC ! a r o 'I r^ r cJ ovte Y 1 r`a a l o G cL s. )nder round Service Alert .S.A. must be notified two working days prior to any excavation. 800-227-2600 :I. ❑ All work shall conform to accompanying: Detail ❑ Plans ❑ Special Conditions ❑ .2. Date Issued �1 / 23. Expiration Date: S-11 GS/ 24. Surety: :5. Date Paid: 7 1/0 26. Amount Paid: / i1 �� 27. 697 Paid By: 28. Receipt � .: , vlike Crump, Director of/Public Works By: ,or County 29. Final Inspection Date: 30. Inspected By: ❑ Completed - OK RT Completed — Not OK ❑ Additional Comments Attached ' o:conly: 31. Comments: 4ote: If permits are faxed to any number besides (530) 538-4356, they can be delayed up to one week. Page l of 2 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDINGX4;� 7 County Center Drive - Oroville, California 95965 - Telephone (916) 53PERMI O. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 65-180-003 ZONINGRTIAW BUILDING PERMIT OWNER WILLIAM CHURCH TELEPHONE 873 2173 SQ. FT• OCC. BUILDING VALUATION OWNER'S MAILIQI�..POq{1�� 40 MAGALIA CA 95954 Y 'S CONTRACTORS NAME TELEPHONE ' CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ' Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Film Fee $ 20.00 Permit Fee $15 -00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 6637 TIKER LN. Energy Plan Checking Fee $ MAGALIA $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: WOOD STOVE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT I Fling Fee 20.00 Main Service zuono.LEss 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.P License Class Lic. 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, as owner of the property, or my employees with wages as their sole compensation, mill do the work, and the structure is not intended or offered for sale. 2' 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 � l�off ne hundred dollars ($100) or less.) fcertify 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. Date _ Signature of Applicant - 19 -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. OW EWNG OCCUP. SO OR ADDNS. ( a ACC. sins. 3.50FT; NEW CONST. MUITI.OUTLET NON•RESID. C c curs @7.50 OWER APPARATUS 8 SINGLE OUTLET CIR. 20 Ex. Occu OUTLET OR FUTURES SAL @ .50 PPLIKIS Ex. Occup. ouxTLEEDTs RES D.OEA. 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 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 55.00 HAZ. I D. FEES I IMP I FLOOD I 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. By e PERMIT EXPIRES A i. 47 I IDa e Receipt No. to WHITE-D.D.S.-B.D. —CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chico, CA - (916) 891-275-1-- 7 County Center Drive, Oroville, CA - (916) 538-7541 CORRECTION NOTICE -(( Af OWNER PERMIT NO. �i A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work y is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. ' -woO-��`�G ! Fri•/%y{ • - r F ' Y.. r . A Date `4f Inspector REV 10/92 ti i L OFFICE COPY xy•kr'�,.J•, yy„�.y�, w k �♦ -4e+ 7dy..�' - AddresJt s GAS,_. Meter BY -T Date ELECTRI Meter BYDate -; o may. 3. +` 1 i r COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIVISION . 7 County Center Drive - Oroville, California195965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT J/ q9_ too ll ASSESSOR PARCEL NUMBER ZONING BUIL ING PERMIT OWNER WILLIAMCM^H R TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNERS MAUTRETICUB IN. PO BOX 40 MAGALIA CONTRACTOR'bM kR TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILOINGADDRESS 6637 TICKER LN Energy Plan Checking Fee $ $ MAGALIA PERMIT FEE S LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee -20.00 Each Trap 7.00 USEOFSTRUCTURE SFl Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pumpwater heater 23.00 Water piping 15.00 Each aas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other _ Describe Work: GAS LINE AND WATER HEATER Gas piping system 1 - 5 outlets 15.0015 Building sewer .00 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ 50.00 ELECTRICAL PERMIT Filing Fee 20.00 Main Service 20 AOR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I 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.P License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 01'1, 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. ❑ 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 I 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 Main Service 200A To 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. s0 3.5¢FT: NEW CONST. NON -RES D. AU LTI-OUTLUTTTS @7,50 SOWER APPARATU a SINGLE OUTLET CIR. Ex. OCCu OUTLET OR FIXTURES BAL O I;50 Ex. Occup. ouTIEETS(1 APRES,6.)0EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE t MECHANICAL PERMIT Filing Fee 20.00' Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ 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.) 9)-*,, 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, 1 shall forthwith comply with those provisions. Date�—�__ Sig�iature o Applicant - wner ❑ Contractor ❑ Agent 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 TOTAL FEE $ 50�.00 :.AID FEE IMP I FLOOD I CDF PARCEL PD } HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By r PERMIT EXPIRES ON — the applicable provisions Resolutions to do work been paid. Dine2-11. 4 Dere ReceiptNo. 224988 WHITE-D.D.S.-B.D. CANARY -ASSESSOR • PINK -INSPECTOR GOLDENROD -APPLICANT >• bOUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIV S'ION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7 41 ��PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ` 11 ASSESSOR PARCEL NUMBER ' 069-180-001 ZONING RTI A BUILDING PERMIT OWNER WILLIAM CHURCH JR TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS M<'t Tr"TICKKER LN. PO BOX 40 MAGALIA CONTRACTOR'b MtR TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENS E NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 6637 TIKKER LN Energy Plan Checking Fee $ MAGALIA $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF X3 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 ❑ Other Describe Work: GAS LINE AND WATER HEATER Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ 50. 00 ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoonoa.ss 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.POWER License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 2'11, 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 Main Service 46.00so W:o NG OCU000A NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. IS.S. SO 3.5QFT, NEW CONST. MULTI.OUTLET NON-RESID. C c urs @7.50 APPARATUS 8 SINGLE OUTLET CIR. Ex. Occu OUTLET OR. FIXTURES BALD 1.50 Ex. Occup. DLF"xD ALN E AIn.°E 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. ❑ 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 Af one hundred dollars ($100) or less.) 2' 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 thosg p ovisions. X _ Date Sig ature of Applicant - wner ❑ Q6ntractor ❑ Agent An OSHA permit is required for excavations 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 PERMIT FEI: S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 50.00 HAZ. I D. FEES IMP I FLOOD CDF PARCEL Pp 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. By Date —/ 1 PERMIT EXPIRES ON — ii — (?l I Date ReceiptNo. 994()RR WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed_ property improvement: YES[ NO[ ]. 2. I HAVE[k) HAVE NOT[ ) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME . ADDRESS PHONE TYPE OF WORK SIGNED: _ , A A A '-01 . PROPERTY OWNER: SOCIAL SECURITY NUMBER: DATE: NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Mav 1995 2.26 ,O. <>NJEI:It:FRI.4TTawl Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible parry of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is S300 or more for the entire project. and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance. disability insurance costs. and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish. the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale. property owners who art not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing 'to be contractors is to secure an "ownerbuilder" building permit. erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento. CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned Sincerely, Michael C. Vieira, C.B.O. Manager. Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. May 11)05 2 PER 'IT NO. 2997-74B,P,E,M q, P E M 'MH UTIL. PERMIT NO. PERMIT EXPIRES ,,,)WNER Ross Tannehill :4oNTR. Rodney Kopsa,, Paradise 'LOCATION (A.P. 65-18-03 ) 240 Rosewood Dr:, lot 343, Magalia P' CINU L � `fir ,. .aal •�A Temp. Power Pole /Called PG&E Tm . Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) C7 (Signa e) . d COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD Framing BUILDING BUILDING (Cont'd) PLUMBING Setback Subpanels Firewall— Soil Piping Forms Scratch Parapets 1st Floor 1 ,� Main Bldg. , Restroom Finish 2nd Floor Footings Underground Windows, p,ti 3rd Floor Stemwal I Door Closer Siding To out U --a-- Slab Roof Sheathing Water Pf in Piers Roofing ewer Garage Fdn. ;Vents ` Fixtures Footiri s � �. Garage Verits Water Htr. f Stemwall Slab Prov. for physically handicapped Heaters —� A pliances lS Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas. Slab Final Sanitation Patio FIREPLACE Final Footings / Footing ELECTRICAL Masonry Walls % Throat •- Rough /0 G' .— Reinf. Steel Final Fixtures —1-17 Bond Beam FIRE SPRINKLE13S Motors Framing -- Test Water Htr. / StuccoFinal Subpanels Mesh MEC ANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath �— Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS -124, \7Y��fi��a �.- T' �,4 �o-f , I i cz- PP"G-Lt q�Q �' E S_S ��?kt r �/ CY �. �' u 0 or .1-T r YO c� - S 0 Q-12,5 oma✓ T�%,,--S S e -j f l 0-f f �y err 5 G �`ce-s 5z� �- / �4 4) /SSS 6e-;— S —F0 up �. Ave- , le "n COUNTY OF BUTTE — DE'B'AR ENT OF PUBLIC WOR 7 County Center Drive.,—-Oroville, California 95965 Telephone: 534-4541vc;�_952�1_ APPLICATION AND PERMIT ,, 'Signature of Permitee agent ly r A,_,2-7,,, BYE— Date Receipt No.• /' White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date ......... o....%— - %,#........ BUILDING Owner 5 �6 L� SQ. FT. OCC. BUILDING VALUATION ' Zd 2 OO . D D Mailing Address Telephone No. tro�� !2� - 9 Fireplace Contractor Total Valuation 1,19 Mailing Address �� S p 7 Permit Fee Plan Checking Fee &/or Penalty S _ TeeeNo Permit Fee $ $ O Building AddressPLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 Z • 01> ,Each Trap 1,50 13, 5.6 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. 1ps %� — d Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fes W. S on Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rov ents P Lawn sprinkler system 2.00 Bldg. aff nRec'd Par pproval Plans Approval Permit Fee $ T $ % ®0 NEW V1 ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 .ov Main service incl. 1 meter S O t7 Additional meters, each 1.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 /, U a Water Ha6fer or Space Heater 1.00 /. 0 E2 Ligh xtures balrill0 ,25 ,5 O Recep' ., swi c es & fix ou s " a CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: HoolF Ex. Fan or F.A. Furn. Motor 1.00 /too Evap, cooler, gar. sp. or D.W. 1.00 2, D C) Air conditioner or heat pumpj-T— /ice a Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 h License No. Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ d $ Oz 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. Do I have placed on file with the County of Butte a certificate of orkmen'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 3.Dig Heating + Cooling Ventilation Hood 2.00 0 0 Permit Fee $ $ o D I certify that I have read this application and state that the above informatikps ct. I agree to comply to all County Ordinances and Stataws lating to building c struction, and hereby authorizresen fives of the County of utte to enter upon the above- ntioned op rty for inspection pur ses. X ( e__SLJu'f. TOTAL PERMIT FEE $�16 � 00 This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated bove for which fees have been paid. Y' �DIRECT�R OF PUBLIC WORKS 'Signature of Permitee agent ly r A,_,2-7,,, BYE— Date Receipt No.• /' White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date ......... o....%— - %,#........