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HomeMy WebLinkAbout065-370-033E. ENDELL 40 C scent Dr., Ma.galia CONTR: Lloyd. Kurt,ze, Paradise Permit 2-73B,P,E (garage) E. PENDELL _ :f 40 Creseent ., DO#3, Lot 277,Mag. CONTR: Llo Kurtze, Paradise Permit 3 5-73P (water & gas for MH) A. P. E. P;F ELL 6S'-31-3.3 ,W40 Crescent Dr., SDO #3, Lot 277, Mag. t 4224-73P- ,. E_ (sewer & elec., f or MV ---_ AP65-37-33 ` Permit# /_,.168-75B(awning, MI �Q�/?3' 065-370-033 02-2 PENDELL, ALICE 14812 CRESCENT DR., MAG, CONT: FRANK'S REFRIG. ADD PROPANE TO MH e 0 c® • k 065-370-033 02-2050 PENDELL, ALICE 14812 CRESCENT DR., MAGALIA CONT: FRANKS REFRIG. ADD PROPANE TO MH ------- - ----------- OFFICE Copy Address GAS t Meter By Da �D a t �eg&Z ELECTRIC Meter By ------- Date COUNTY OF`BUTTE�- DEPARTMENT OF'DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center:Drive e Oroville, California 95965 • Telephone.(530) 538-7541 OA. PERMIT NO. APPLICATION A p� ® ��lU (Rev. 12/96) APPLICATI®N AND PERMIT ASSESSOR PARCEL NUMBER06 41;, 4 d � 17 071 ZONING 7 l1 BUILDINGPERMIT OWNER /JJ�}'/% TELEPH�IONE �/}fid. SO. FT. OCC. BUILDING VALUATION p� �s,,+y���hA . OWNER'S MAILING 1 'V SI U . !!L 1 f /A" hlY r / Almm6'�/! f/ �� y }r�p�01 ,.Y��iy'�} �f �rj�'�/ a1-,(/,^/! CONTRACTOR'S NAME TELEPHONE CONTRACTO/R'S'MAIUN,/G''`ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS�+� A ♦ ��+y p�}yp (� �j ,� /� Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP i PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE I SF ❑ Duplex ❑ Mobilehome .O" Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities I- Installation-❑ Other ❑ Describe Work:9{f /91/7111le/�b'6a-e" f PAar(//y-11 %�'dr A -11D` l ,, !- IbIl.) Gas piping system 1 - 5 outlets 15.00 16-, % Building sewer 15.00 " Mobile Home S G I. W @20.00 PERMIT FEE d ELECTRICAL PERMIT Filing Fee" 20.00 sov OLES Main Service zooeonoRRLEss Main Service zooA To I000A ( 23.00 46.00 r 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 A� 'and effect. License Class /' ft') le `1 9 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, 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 NEW CONST. DWELLINGOCCUP. OR ADDNS. ( a ACC. BLDS. So 3.5¢FT: NON -RES IDT BRANCH CIRCUITS 97.50 POW ER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 @ 1.00 BAL @ .so FIXED APPLNS. OR Ex. Occup. oUTLETs RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I 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. I 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 `,�3'$';�t`I7o fii-I AO/;�IX.hIAA)i I10 iAl5.,J`1AAAlnrg g1A.P MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy. Number '71X- 01 9Id91 V' 000 !?-. W (The above sections need not be completed if the.permit is for work of a valuation of one hundred dollars ($100) or less.) El 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 thei workers' compensation provisions of section 3700 of the Labor Code, I shall forthwiih comply with tKose provisions. X �' ,% ' � .& � Date _��,� Signature of Applicant -'❑ Owner. ❑ Contractor ®'Agent " ! An OSHA permit is required for excavations over 60" deep and demolition or construction of structures overh3 nstioribs1lilinn,eiight.. Mobile Home Installation Fee $ Energy Inspection Fee, $ Occ CONST. TYPE cy pn TOTAL FEE $ HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD Is_SUE This permit is hereby issued under the applicable provisions in the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By---���-������,�fffjjj.^,z,��AX-x--Date PERMIT EXPIRES ON 7- 7,9— F pale " Receipt No. � /'b". / W `?L- AU WHITE-D.D.S.-B.D' ' CANARYoASSESSOR ` PINK -INSPECTOR GOLDENROD -APPLICANT q COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive e Ofroviilllle, California �g95965 •®Tpellephone (530) 538-7541 OA �1 -AoI (Rev.12/96) P1�6'LI1.r/�4TI®1d/i1�9®PEf9eN®IT O� (� ASSESSOR PARCEL NUMBER / _ e t/r✓ � /j U ZONING BUILDINGPERMIT OWNER TF JPHONE 7S 7t SQ. FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS {X r/ CONTRACTOR'S NAME , C 0' TELEPHONE COM OR'S MAN ADD _R S P-1 4y/1_7 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHTECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS J .I� s- _ q /�— (/ Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USE STRUCTURE SF ❑ Duplex ❑ Mobilehome Other SPECIFY Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ UUtilities,�6, �` Installation ❑ Other ❑ Describe Work: � � /,"/G��//H�/ 7O /p%oilg6AZfyl.�G �l 1.7A/ye C ////el �rI Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home S I G I W 920.00 PERMIT FEE $ i ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( zoon oa mss 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full f rcend effect. License Class C J3 Lic. No. �p 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 ( TO Main Service 1000A 46.00 NEW CONST. DWELLING CUP, OCCU OR ADDNS. ( & ACC. BUDS. O 3.50' FT. NON -RES DT BRANCH011 C IUE TS @7.50 POWER APPARATUS d SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 @ 1.00 BAL @ .50 Ex. Occup. OUTELETS RES D.OEA. 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 (fgM10,-AIn-.&Jp49 ��SfJ&AA1Gr: rVA� Policy Number 5-01 UA/ r 00O2 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 wnrkam' rmmnansatinn nrnvisinns of section 37(X1 of tha I ehor Cnde. I shall MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation Im PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE � HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD IJ forthoh com lyith ose p ovisions. % X _ Date Signature of Applican - ❑ Owner ❑ Contractor kAgent An OSHA permit is requirecIfor excavations over 5'0" deep and demolition or construction of structures Wgr/3 Bight. Receipt No. . . •APPLICANT-D.D.S. ANARY (/ WHITEBS This permit is hereby issued under the applicable provisions of t4afor ty Code and/or solutions to do work indiwhich fees h been paid. By Date 7-- PER PEON �� PERMIT NUMBER - B 2687-73B,P,E P E PERMIT EXPIRES OWNER E. Pendell CONTR: Lloyd Kurtze� Paradise LOCATION (A P. 57--51=33 40 Crescent Dr. Magalia DATE REMARKS OR CORRECTIONS -/6-700/,( �v/�S� E P/9TH/M6 4�w oa-5- rZ r G COUNTY OF BUTTE Department of Public Works BUILDING IN�SP�ECti-ON Zoning _ .�RECORD Setback xj�i 1 /t/7 Forms r, /9-,73 Foundation Piers & Girders Fireplace Rgh. Plumbing Bond Beam Lath & Plaster Rein. Steel_ Gas Piping & Test Found. Vents Framing Plmg. Topout Rough Elec. Wtr. Htr. Furnace Kitchen Vent Firewall _ Garage Vents Sanitation & Water ELECTRIC GAS BUILDING Temprar Temporary Cert. of Occup. Final Final _ t %" Final l �- DATE REMARKS OR CORRECTIONS -/6-700/,( �v/�S� E P/9TH/M6 4�w oa-5- rZ r G COUNTY OF BUTTE DEPARTMENT OF PUBLIC WO 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signa tu o Permitee or Agent f Receipt No. ! o ,fig White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant 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. DIRECTOR OF BLIC WORKS By Date Building permit expires Date 2:21--21/ BUILDING OwnerSQ. FT. OCC. BUILDING VALUATION L 1 Mailing Address Telephone No. Fireplace ' Contractor U 7) (✓/L Total Valuation Mai I i ng Address s _43 1Y V Permit Fee 23,-o6 Plan Checking Fee/or Penalty � Telephone No. Permit Fee \('$ V j B+a - _ Building Address ' l PLUM IN No;; . @ FEE PERMIT FILING FSE $2.00 l � 4' Each Trap. , Z" 1.50 Repair rainage or vent'pipin 1.50 Water iping 1.50 B IV ,� G, :,Sa gas water heater or vent 1.50 A. P. No. r r!'— Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fee W -. Sanitation FireDept. I Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Im rovements p Lawn sprinkler system 2.00 Bldg. Pons Recd Parce Approval Plans Approval Permit Fee ,Q in $ Q NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 6;0 GYlr Main service incl. 1 meter Qui Additional. meters, each 1.00 Sub -panel (12 or less) (morethanl2) Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater/ . 1.00 ,0 Light fixtures 20 0 (d 1 Reb s., switches &fix outlets CONTRACTORS LICENSE LAW 1 am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style o Hood, Ex. Fan or F. A. Furn. Motor 1.00 Q Q Evap. cooler, gar. lisp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. •ll l (�� d Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee ' $ $ WORKMEN'S COMPENSATION INSURANCE 1 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. El 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 $3.00 Heating 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 TOTAL PERMIT FEE $ :- authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signa tu o Permitee or Agent f Receipt No. ! o ,fig White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant 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. DIRECTOR OF BLIC WORKS By Date Building permit expires Date 2:21--21/ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC KS /f 7 County Center Drive — Oroville, .California 95965 Tel ephune. 534-4541 d APPLICATION AND PERMIT BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address ES - Permit Fee PI an Checking Fee &/or Penalty C, elephone No. Permit Fee $ $ Building Address PLUMBING No. @ FEE PERMIT. FILING FEE $2.00 O Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 S Each gas water heater or vent 1.50 A. P. (— l Z 1Ag ng Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s C o i re Dept. Fi re Zone Use Permit Building sewer 5.00 EQA .. Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system- 2.00 Bldg. Plans Recd PorceTApproval Plan ppro al Permit Fee $ < $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER R ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil HomerV OtheXhirs ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures pal__ a10 Receps., switches & fix outlets 20 (a 2s 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: Hood, Ex. Fan or F. A. Furn. Motor 1.00 Evap. cooler, gar. lisp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 d, Temp. Power Pole 5.00 ` Lice se No. n Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ 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. 17724 1 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. @ FEE PERMIT FILING FEE $3.00 Heating - Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 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 TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon•the above-mentioned property for inspection purposes. X Date Signatur of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Asp sor - Pink -Inspector — Goldenr d -Applicant 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. DIRECTOR OF PUBLIC WORKS By Date f o--'(— 7 + ing permit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — OroviIle, California 95965 /5 Telephbhcl: `534-454.1 APPLICATION AND PERMIT BUILDING Owner l,r, SQ. FT. OCC. BUILDING VALUATION Mailing Address " Telephone No. 2-8 Fireplace Contractor Total Valuation Mailing Address ' Permit Fee Plan Checking Fee &/or Penalty. Telephone No. Permit Fee $ $ Building Address �� C SST PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 D Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. 4 67 2 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Feed I Wim. Six2<on FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 S6� i BI g. Pans Recd Parcel Approval Plans Approval Permit Fee $ $ NEW ❑. ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (morethant2) Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures � bai_ Receps., switches & fix outlets 20025 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 ,5 1 Temp. Power Pole 5.00 License No. Classification Misc. wiring DII am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ < WORKMEN'S COMPENSATION INSURANCE 1 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. ElI 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. @ FEE PERMIT FILING FEE $3.00 Heating 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 authorize representatives of the County of Butte to enter upon the above -me i ned property fl spection purposes. XDate Signature of Permitee or Agent Receipt No. White-D.P.W. - Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant TOTAL PERMIT FEE 1$ /151 " 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. DIRECTOR OF PUBLIC WORKS _0 Anuman permit expires Date X/.!s//",Coe " PERMIT NO. /r 68-75B P E M MH UTIL. PERMIT NO. PERMIT EXPIRES OWNER; Everett Pendell i CONTR. LOCATION (A.P. 65-37-33 40 Gre dent Dr., Magalia, lot 277 ,1 Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED Setback Forms Main Bldg. Footings Stemwal I Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footings Masonry Walls Reinf. Steel Bond Bea Framing Stucco Mesh Scratch Brown Finish Interior Lath Door Closer DATE COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Firewall Soil Piping Parapets 1st Flobr Restroom Finish 2nd Floor, Windows 3rd Floor Siding To out Roof Sheathing Water Piping Roofing Sewer Fdn. Vents Fixtures Garage Vents Water Htr. Prov. for physica4liv., handicapped Heaters % Appliances Conformance of ex. structure f Gas Piping & Test f Temp. Gas Final i Sanitation (REPLACE Final Footing /ELECTRICAL I Throat Rough J Final Fixtures FIRE RINKLERS Motors Test Water Htr. Final Subpanels MECHANICAL Grd. Fault Prot. Heating Cooling Ducts Ventilation Final REMARKS OR CORRECTIONS Service % Temp/ Pole Underground Pernanent Final I, y COUNTY OF BUTTE — DEPI,RTMENT OF PUBLI 1 KS 7 County Center Drive - 0roville, California 95965 (f/ TeIepho.pe: •534'4541 O APPLICATION AND PERMIT authorize- representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. / Date Signature of Permitee or Agen17 Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIRECTOR OF P�BLIC WORKS y� B _ Dates Building permit expires Date ���`� 2 L BUILDING Owner G h csGC. SQ. FT. T OCC. BUILDING VALUATION L o(� Mai I i ng Address L �, elephone No. -/-7 -S Fireplace Contractor Q ('u IvE 9 • Total Valuation ' Mailing Address Permit Fee a '- Plan Checking Fee &/or Penalty Telephone No. Permit Fee ' Building Address '�.� CQ(�S��� �/� PLUMBING No. @ FEE PERMIT FILING'FEE $3.00 194_ i P9 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. � Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fps W L� FireDept. re Zone Use Pen -nit Building sewer 5.00 EQA Parking Parcel Declaration Parcel Ma 60' R/W p Improvements p Lawn sprinkler system 2.00 ,Plaanns Bldg. Pld� Read Pariel proval Pl ns Approval Permit Fee $ NEW ® ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE . PERMIT FILING FEE $3.00 Main service'incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12)• - Single Family ❑ Duplex ❑ Mobil Home'o Others ❑ Range, Cook -top or Oven 1.00 IJIJ IN ' Water Heater or Space Heater 1.00 Light fixtures b 1%25 Receps„ switches & fix outlets 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE 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. 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. PERMIT FILING FEE moo Heating 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 TOTAL PERMIT FEE $ o� 1 authorize- representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. / Date Signature of Permitee or Agen17 Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIRECTOR OF P�BLIC WORKS y� B _ Dates Building permit expires Date ���`� 2 L