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HomeMy WebLinkAbout065-190-046.• _ � `n,t.,. Berl- _ 65-19-4b Paul HuskeS' 1' 135' .e St. , lot 475, Magdia contra Do arby, Magalia , S f, Permit #2181-8.B,P,E,M(new sin s family) � 5-19-46 f ,, gcotr: Do`alia` Permit-80B,E(addition/SF) +v R' 065= 00-2553' 190-046 �1 ,. �' .0HARRINGTON; MICHAEL.. -;t ,• _, ' '# 6535 VINE ST.; MAGALIA!� F//f -�,'CONTR:-RELIANCE PROPANE `�'I INSTALLATION OF WOOD INSERT P !, i a LM „p. v:'ssyW..r. •.7.ti1� .. «-., z. :.•.,.Ry.i.... ;,,sf,.-av ... ay....v....-a. r..;yc;.,. � .i- a�.`w,:,.�..+x•c.;�,;,,,.�;cYrJ(v:+'<,.i.a;i.�i.Nei17•-•^'La'v"'r;Ri!;,'°W r..y..r•Sr„��.+rorar.•aia.::",hn[W �Nwf:�. w y 'NARRI ,065-190-046 t IV 00 2553 a GTON MICHgEL' Y 6535 VINE ST.,'MAGAI CONTR: RELIANCE PROP r r i INSTALLATION OF WOOD INSERT f ' 14 i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75411w PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 10`11� ASSESSPARCEL NUMBER �� 065-190-046 ZONING BUILDING PERMIT OWNER,(,,, . MARMUM (C�111NG TI MO'E 5 SO. FT. OCC. BUILDING VALUATION OWNER WSW KAGALL4, CA a959-% , CONTRA ' AF � 1RY"i�1- T� � ��g�% CONTR/SfT�lfrV 9 PARADISE, CA 95%9 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ suiLD,Nc�ssW Sr.,A Energy Plan Checking Fee $ PERMIT FEE s55.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing 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: D MALUMON OF Si= INSW Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 600V OR LESS Main Service 200" oR 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,f rce and effect. -7 License Class Lic. No. 7 34-'1 3/ 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 Main Service zoo" To ,000A 46.00 NEW CONST, DWELI.MIO OCCUP. OR ADDNS. a Acc. elDs. SO 3.5¢FT; I",pµq�Ip, MULTI.OUTLUT ITS @7,50 POWER APPARATUS a SINGLE OVILET CIR20 . (, CCU OUTLET OR FIXTURES �O �L ' .00 .50 Ex. Occup. p T gR ED °E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin 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. jhave 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' compens tion insurance carr er and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number 0-7k Vn I y'(,GGfi6 (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 coT.ply with those provisions. - ,y:- X ;'.i' Date G / _� Signature�of Applicant - ❑ O Owner ❑ Contractor Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ • HAZ. p, FEES IMP I FLOOD I CDF I PARCEL Pp HD ISSUE This permit is hereby issued under of theAutte County Code and/or indicate v or w ich fees have By AL PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. n /1 ' �( �`/ Jof tei� UUU ' f ate Receipt No. `°"� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 1 i/ 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 '69 ASSESSOR PARCEL NUMBER 065-190-046 ZONING BUILDING PERMIT OWNER MICHAEL. HARRINGTON TELEPHONE 873-4465 SO. FT. OCC. BUILDING VALUATION . OWNERMA6NG WS. 840, MAGALIA, (:A _-95954 CONTRAST�Q�S i, PROPANE 877.0799 CO' T4%"9L\1 Wtif, PARADISE, CA 95969 CONSTRUCTION LENDER [Fireplace A 17500 - LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 35.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 6535 VINE ST. MAGALIA Energy Plan Checking Fee $ $ PERMIT FEE $55.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing 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: INSTALLATION OF WOOD INSERT Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A OR 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 rce and effect. 7 3L� 3/ License Class Lic. No. �� 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 Main Service 200A TO 46.00 CCU000A NEW CONST. DWEWNG OCCUP. OR ADDNS. ( DW: ACC. BLD S. SO 3.5¢x. CONST. MULTI.OUTLET @7,50 PoWERAPPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES BAL @ I.50 Ex. Occup. GUXTLEEDXS RaID,G� 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 rformance of the work for which this permit is issued. I have =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' compens do insurance Carr. r and policy number are: Carrier S57e /ti,7 G' MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number �/ – 9 U/t ! i" ayGOa ti (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 wotrhkeers' compensation provisions of section 3700 of the Labor Code, I shall forthwith�o ly with those pro isions. ��of X Date G �8 _ Sign ure of Applicant - ❑ caner ❑Contractor Agent An OSHA permit is required for excavations over 5'0" d ep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE55.00 TOTAL FEE $ HAZ. D. FEES IMP I FLOOD CDF PARCEL PO HD ISSUE This permit is hereby issued under the applicable provisions the utte County Code and/or Resolutions to do work Indic eAvow ich fees have been pad. c By y D i e o/ /% PERMIT EXPIRES ONTE-D.D.S.-B. ate rReipt No. Jv — 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. AP ND PE IT (Hev.12/96) PLICATION A RM A..EtfORPAReaNUM601 ^� -,�. V mNNe BUILDINGPERMIT °iMN°" �� / � /rl n ><-02, T�jD1O"° X73—yy�5 SO. FT. OCC. BUILDING VALUATION owNER7 ADOEInf oma/ 1Ia Q.,OOffRAC1b lA (J 117, -1;) (o an T 7 -G?q9 OONnUCTOR'S MARINO ADONESS CONSTRUCTION LENDER LOCEy MANNO , Ass Fireplace Total Valuation E (f ARChffECT oR ENOINEEA UCEME NO. Filing Fee S 20.00 Permit Fee S ARCNRECT OR 04MEMS MARJNO ADDRESS Plan Checking Fee S OU LOwo ADO Energy Plan Checking Fee S 49 S PERMIT FEE LOT NO. SUBONISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other sPECIPv 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 ❑ R el ❑ Ud ❑ Installation Other ❑ Describe Work: vau, -j Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home S G W 020.00 PERMIT FEE t ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoo. OV on LLEESS 23.00 *PERMIT FEE PAID $ j SRA ' ' $ SHERIFF $ OTHER $ $ $ AMOUNT RECEIVED $ x *RECEIPT NUMBER U I * TO BE PVT INTO COMPUTER Mein Service 200A To IOOOA 46.00 NEW CONST. DWE111N0 OCCVP. 35¢so. . OR ADDNS. i ACC. BIDS. FT. NON•RES10. MULT40UTLET AAWH @7.50 POWER APPARATUS 6 SM16LE OUTLET C10. OUTLET OR PoRUREs 20 ® L Ex. Occup. 6ALa .50 Ex. Occu � o.OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirinq 23.00 PERMIT FEE t MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood6.50 ventilation PERMIT FEt $ Mobile Home Installation Fee L Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ NAZ• D. FEES IMP PLooO CDP PARCEL Po - 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 PERMIT EXPIRES ON ra • PERMIT NO. 218.1-80B;P,E,M PERMIT EXPIRES OWNER Paul Huskey I CONTR. Don Darby, Magalia•.. 65-19-46 LOCATION (A.P. ) 135 Vine St., lot 475, Magalia ST, s�S v//JE ST oZv0 LtJ. O�/�alx1 urOo�J J♦' :,_ �o a:v ®%� /iia/� c%o�/ cj_, r JAA ` rr 1 i _ Temp. Power Pole Called PG&E Temp. Elec. Serv. �O Cal led PG&/c�r Temp. Gas Sre v. Calle PG&E JO I ALED (Date) I/ v (Sign re) ) P L U M B I N G Check List ❑ Permit ❑ Underfloor Stage ❑ D.W.V.: (1) Sizing. (2) Materials. (3) Fittings. (4) Grade & Support. (5) Cleanouts & Accessibility. (6) Clearances. (7) Rough -in Locations. ❑* (8) Wrapping. (9) Test - including "Ts". (10) Additional test not required.' ❑ Water: (1) Sizing. (2) Materials. (3) Support. (4) Test. (5) Wrapping. ❑,ti (6) Dissimilar metals. (7) Service regulator installed. or not required.* ❑ Gas: (1) Sizing. (2) Materials. (3) Support. (4) Log Lighter. (5) Wrapping. ❑ Frami g Stage (Top Out) D.W.V.: (1) Size. (2) Vent Area & Termination. (3) Materials. (4) Fittings. (5) Grade & Support. (6) Cleanouts. (7) Traps. (8) Nail -Protection. (9) Plumbing Access. (10) Toilet Clearances. (11) Shower size. (12) Shower Pan Test. (13) Vents - turns, horiz., runs, loop, wet, etc. ❑J (14) Additional 2nd floor test not required.* ❑ Water: (1) Pipe Test. (2) Mixer Valves. (3) Support. (4) Roof drains. ❑ Gas: (1) Size. (2) Materials. (3) PR Valve Drain. ❑ Water Heater: (1) Vent. (2).Lotation. (3). PR Valve Drain. ❑ Final E-D.W.V.: (1) Connected to sewer system. (2) Special systems. ❑ Water: (1) Water Source. (2) Shut-off. (3) Anti -siphon Valves. ❑ Gase (1) Test. (2) Connectors. ❑ Water Heater: (1) Location. (2) Accessibility. (3) Clearances. (4) Stability. (5) 18" Garage Floor. (6) Mechanical protection. (7) Combustion Air. (8) Draft'Diverter. (9) Vent Connector. (10) Vent. (11) Shut-off and connector. (12) PR Valve & Drain. ❑ Fixtures: (1) Approved. (2) Stability. (3) Clearances. (4) Trapped. (5) Connections. (6) Cross -connections. (7) Dishwasher Air Gap. 5/79 t COUNTY OF BUTTE —DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING B ILDING (Cont'd) PLUMBING Setback Firewall , a w v i Soil Piping Forms Parapets 1st Floor to Main Bldg. Restroom Finish 2nd Floor Footings Windows MECHANICAL 3rd Floor Stemwall - Siding To out Slab Roof Sheathinjyu Water Pi ' og Piers Roofing VAu^V• Sewer Garage Ventilation Fdn. Vents ' Fixtures Footings >1, Stemwall Garage Vents Insulation ( Water Htr. Heaters Slab Carport Footings Prov. for physica!fi physical handicapped Conformance o X. structure Elec. Pedestal Appliances Gas Piping & Teve Temp. Gas Slab r Final it Gas Piping t MOSILEHOME INSTALLATION - - - - - - - - Sanitation Patio FIREPLACE Water Piping Final , Footings Footing I EljECTRICAL Heint. steel Final Fixtures Bond Beam FIR§ SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL dRerd. Fault Prot Scratch Heating Service Brown Cooling Temp. Pole &- a-? A-,% L" Finish Ducts VAu^V• Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES - - - - - - - - - - - - - - - - - Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping t MOSILEHOME INSTALLATION - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS Woo 3/S- Qs L-r"� poy 9Q ,/13)90 C) (V /a Q ,10 oJL 1`J� *j4 ,,�h 64-v roti! i 1,6-tp S7s vv��c✓,kyr K,`d�� o/cm (NOTE: An entry must be made on this form each time you visit the job site.) RESIDENTIAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT /11&s f4,Z/A �2L (location) / BU ILD ING PERMIT NO. 2! .P / - pr)R i?,_&Nr, A P . NO. 9:� �� " ��� THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: GLAZING: Slab Edge. Single Glazed --6� Fdn. Walls Special (Insulated) SO - Floors CERT. & LABELED WDS. Walls & SLIDING DRS. 9Q' SC2 Ceiling/Roof I -/, WEATHERSTRIPPED DRS. 4il' Ducts /'e BACK DAMPERED FANS Circulating PiINTERMITTENT IGNITIO14 DEVICES APPROVED HEATER3`/�%a f{P CERT. APPLIANCES APPROVED WTR. HTR. _fes �g 'Z CLc, 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 SUBMITT/ED. Insulation Applicator Name Signature of Insul.atiori Applicator. State,,;eontractors License No. SIX General Contractor/Owuex- ame, Signature of (please print) r ' 4 General Contractor/Oumet,;E� Date State nt•ractors License No...'? -72 in THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. 'y. . COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive.- Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT P RMIT ASSES OR PARCENU 5-- l d ZONING RTI BUILDING PERMIT WNER rOWNER'S TELEPHONE SQ. FT. OCC. BUILDING VALUATION 29 D MAILING A RESS 35 �+�c�4 6AW o40 10' CONTR TOR'S N E �o .J VA9-Lf TELEPHONE -7 4-03,71 _—I ( (051 cx� N T,406- (rte `Jo CONTRACTOR'S MAILING ADDRES div �19�E. _ �C i ° °' 'I SO CONSTRUCTION LENDER NAIL UNKNOWN Fireplace 5'6 O Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ / ARCHITECT OR ENGINEER � � LICENSE NO. Plan Checking Fee $ 16-9,56) Penalty $ 44 ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ :3ZZ O BUILDING ADDRESS PLUMBING PERMIT Filing Fee 3.00 ' Each Trap 14 2.00 2 00 Repair drainage or vent piping 2.00 /► M,4e.,4LIA, Water piping 7.6v 2.00 LOT NO.SUBDIVISION -715 NAME iJ�a,/ eil PARCEL MAP —/0 Each pas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF� Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Q� Lawn sprinkler system 2.00 ecer,( �✓ /r� �r TYPE OF WORK New Addition❑ Remodel❑ Utilities❑ InstallationC Other Describe work: Permit Fee $ pQ Contractor _ ELECTRICAL PERMIT Filing Fee 3.00 Main service 100Uo AMP ORV OR LESS5.00 Main service EA. ADD -L. iOO AMP 2.50 NEW CONST. DWELLING uuP��, ge` OR ADDNS. ACC. BLDG G6J I 21t sq ft 6c>. CIO = CONTRACTORS LICENSE LAW I declare under penalty of perjury ) p y p I y (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. License No:% / 2- 7' F 40 Classification ��l ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONSTR. MULTI -OUTLET NON-RESID, BRANCH CIRC ITs 2.50 ea NEW CONSTR. (POWER APPARATUS \ NON. & RESID, SINGLE OUTLET CIR, Ex, Occup( OUTLETS OR FIXTURES SU@� BAL@rOs FIXED APP LHS. OR Ex. OCCUp.(ouTLETS (RESID•) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor eo&- _ 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 Ca.l.ifornia. 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 3.00 Heating y,,..,v coo 1 . d(/ Fu-' Cooling , ZT Hood 2.00 Ventilation permit,Fee $ L1 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 enses which may in any way accrue against said Coun onsequenc f th ranting of this permit. X Date f Signature of Applicant — Owner Co ocror Agent ❑ An OSHA permit is required for excavations over S'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ 75;60 TOTAL PERMIT FEE $ OCC P, GROUP 7 —3 J TYPE OF CONST. Y PARCEL ✓ PD NO ttt���/ ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR PUBLIC By PE IT EXPIRES Date_ the applicable provi- resolutions to do fees have been paid. WORKS Date $� Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT 1 COUNTY OF_::BQ'JT.E - DEPARTMENT OF PUBLIC WORKS PERM T NO. 71,County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 OPLICATION AND PERMIT ASSESSOR PARCEL MBER 6 �_ / - 4p ZONING R7-1 BUILDING PERMIT . OWjER ER // �/S� C—K TELEPHONE SQ. OCC.1 BUILDING V DATION /F ]T. V 112 - oig OWNER'S MAILING ADDRESS CjR'S N// ��/- HONE U JO; CONTRACTOR'S MAILING . eV"maIV/at�Rt_I^v CONSTRUCTIONLELE D,� UNKNOWN Fireplace . Total Valuation Is 3 45�• LENDER'S MAILING ADDRESS Permit Fee $ 00 ARCHITECT OR ER E G E LICENSE NO. Plan Checking Fee $ 2,00 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ ©o BUIL 07 �+✓/S Jt¢Jpi3Ess LNG 5,:,� PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 //1� �/-t 4/qu ,jJ- Water piping LO NO. a„ 'T7 S SUBDIVISION NAMES , /' /—! 14A V � PAR-C7EL MAP Z7_10 / _ to Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF K Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition"K Renode�l] Ins Utilities ❑ tallatio Other ❑ Describe work: /4,60)1- 700-t eel o ���t/^ �' ® Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 10000 AMOR LE P ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLINGCC OR ADDNS. ACC. BLDGSO. 22 sq ft / 8'(D 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. License No.�3/02 7 r �� Classification / ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NO .RES,. R BRANCH CIRCUITS 2.50 ea NEW CONSTR. (POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. ExOccup(ourLETs OR FIXTURES 50 @ 250. BAL�1os EX. OCCU FIXED APPLS, OR p'(NOUTLETS (RESID. EA.)2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ r 6 0 Contractor WORKMEN'S COMPENSATION INSURANCE 1 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 Filing Fee 3.00 Heating Cooling Hood 2.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said C in copse a of he granting of this permit. X " _ ate •- _ ? () Signature of Applicant — Owner ❑ C ntractor 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 $ Land Development Fee $ TOTAL PERMIT FEE $ .3 OCCUP. GROUP Q I PE OF CONST. v PARCEL PD ✓ J ND ✓ SS U.0 - This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO OF PUBLIC By PE T EXPIRES Date. the applicable provi- resolutions to do fees have been paid. 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