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Home My WebLink About065-370-057r e k A.P . r5`1=5±=57 MR. GEORGE DENNY 66'-.3v-6-7 1195 Denise Dr.p S' rra Del.Oro Ma Permit 2141-72B �� 3 �` 7 (roof over deck fo mobile home ) CONTII nwj AP 65-37-57 Wilson & ons, Paradise Fermi6-75B(carport & rama.da, MH) TYPE IT PERMIT PERMIT NO. " PLAN NO. DATE ISSUE 65-37-57 REMARK 5 14797 Denise Dr, MAgalia ontr: Rogers & .Shields.. Me_ �� Permit#2251-86E(ele ser ch)MH � PERMIT DESIGNATION: B—BUILDING E—ELECTRICAL U—USE PERMIT HM—HOUSE MOVING DEPARTMENT OF P—PLUMBING TV—RADIO-TV ANTENNA V—VARIANCE EP—ENCROACHMENT BUILDING AND SAFETY T—TRAILER S/W—SIDEWALK NOTICE. S— SIGN PERMIT D — DEMOLITION 600.1 INSPECTION RECORD BUILDING- APPROVALS FK W rci IL Z . Z Z O OIAF aQ D o 4 a -',-It O..I Z UJ OW Z y K (7 Z IL K O WIQ- z g O WF F g Ky OW WN F g ZIL K0 OW WN 1xx- - Wa I {W{... WY UO Z m U W J gO 3Wa ¢ la U ` •aJ W IL J = a i SIG. DATE SIG. DATE SIG. f DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. 4 t' DATE 'i, i 1 SIG. - h DATE SIG. DATE SIG. DATE SIG. DATE PLUMBING APPROVALS PERMIT NUMBERt SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE ROUGH -IN GAS PRESSURE TEST WATER PIPING SEWER LINE APPLIANCES & VENTS FINAL ELECTRICAL APPROVALS PERMIT NUMBERt SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE ROUGH -IN FIXTURES & APPLIANCES METERS FINAL MISCELLANEOUS APPROVALS PERMIT NUMBERt DESIGNATION SIG... DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE PERMIT NO. 2436-75B P E M MH UTIL. TPERMIT NO. x. PERMIT EXPIRES .OWNER George Denny CONTR. — Wilson & Sons, Paradise LOCATION (A.P. 65-37-57 t� Z'Denise Dr., Magalia Temp. Power Pole r. Called PG&E — Temp. E a Serv. 5�11ecl PG&E Te _ _s Serv. Called PG&E JOB B Fol N A L ED (Oate) (Signature) 4� 0 ' COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings ,$— Conformatice of ex. structure Gas Piping & Test Temp. Gas Slab Final 2 - Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE�j �,� REMARKS OR CORRECTIONS i COUNTY OF BUTTE — DEPARTMENT OR PUBLIC WOR 7 County Center DridQ" — Oroville, California 95965 Telephone: 533-1230, Ext. 259 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above -men .oned propeertty/for inspection purposes. qX c/af ate /-7► Signal of Permitee or Agent Receipt No. White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant This permit is hereby issued under the applicable provisions of T the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR F PUBLIC WORKS By C _ Date F-3 1- 7 Z Building Permit Expir atei- 3f—? BUILDING Owner y�— L SQ. FT. OCC. BUILDING VALUATION G Mai I i ng. Address r Fireplace Contractor Total Valuation �J Mailing Address Permit Fee Plan Checking Fee &/or Penalty Permit Fee $ $ Building Address PLUMBING No.1 @ I FEE ERMIT FILING FEE $2.00 Each Trap 1.50 G .3 O f// /[�!� Repair drainage or vent piping 1.50 Water piping 1.50 s/ pv Each gas water heater or vent 1.50 A. P. No. �� 'S� -- S 7 Zoning _2 Gas piping system 1 - 5 outlets 1.50 Each additional outlet .50 Fire Zone Fire Dept. Sanitation o anning u er 5.00 Plans Fees — I W. C—' R/W I Encroachment Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 �� Main service incl. 1 meter Off"' G l e e7 Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) USE OF STRUCTURE . Single Family ❑ Duplex ❑ Others ❑ Range, dryer or water heater 1.00 J I [ Oven, Cook -top or space heater 1.00 Light fixtures 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 Misc. wiring License No. Classification _. 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. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. ' MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation 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 SSPermit Insfrumentafionirpn a Motionr$0.07/$1000 Evaluation $ d TOTALt PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above -men .oned propeertty/for inspection purposes. qX c/af ate /-7► Signal of Permitee or Agent Receipt No. White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant This permit is hereby issued under the applicable provisions of T the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR F PUBLIC WORKS By C _ Date F-3 1- 7 Z Building Permit Expir atei- 3f—? COUNTY OF BUTTE — DEPARTMENT OF PUBLIC W& KS`?`�`, �— 7 County Center Drive .-, 0soviIlei California 95965 ��/ Telephone: 534-4541 APPLICATION AND PERMIT auu U iuricc rep esenLaVCS UI the County or butte to enter upon the above-mentioned property for inspection purposes. X t uc LL/ YO 011 . Date 9 Signature of Peerr+mitee or Agent Receipt No./ T / 7 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 PUBLIC WORKS BY wy-ter—', Date Building permit expires Date BUILDING Owner CY /i c SQ. FT. OCC. BUILDING VALUATION 2-00 J g ope ,•d Mailing Address .Z1261 a t/ / / .1—O U -p Telephone No. Fireplace Contractor S Total Valuation �D DO Mailing Address S'G� S Permit Fee -y-'� , Plan Checking Fee&/or Penalty Telephone No. Permit Fee az Building Address �� S' �f s� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 �a per/ 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. �S '-37 — S- 7 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe W.4�;—. - a i FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Parcel Declaration Parcel Ma P 60' RW Im provements Lawn sprinkler system 2.00 1Planns Bldg. Plcns r,ed Parc proval Pla Approval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ I FEE PERMIT FILING FEE J$3.00 Main service incl. 1 meter Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home'®' Others ❑ Sub -panel 02 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 20 5- b.1%211 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: ` n 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./3 3% -- 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. ❑ 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. 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 MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE $ auu U iuricc rep esenLaVCS UI the County or butte to enter upon the above-mentioned property for inspection purposes. X t uc LL/ YO 011 . Date 9 Signature of Peerr+mitee or Agent Receipt No./ T / 7 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 PUBLIC WORKS BY wy-ter—', Date Building permit expires Date s PERMIT NUMBER - B 2141-72B P A. E PERMIT EXPIRES -31-73 OWNER George Dehny CONTR• owner d LOCATION (A.P. 57-51-57 '1195 Denise Dr., Magalia (Sierra Del Oro) a b } t 1 4 l I J DATE Forms Fireplace Lath & Plaster_ Found. Vents _ Rough Elec. Kitchen Vent Sanitation & Water BUILDING Cert. of Occup. _ Final REMARKS OR CORRECTIONS D z, l Il . n 5�l . COUNTY OF BUTTE bfepo,rtinent of. Public Works BUILDING INSPECTION RECORD' Zoning Setback Foundation Piers & Girders Rgh. Plumbing Bond Beam Rein. Steel Gas Piping & Test Framing / i 1-1--2 Plmg. Topout Wt:. Htr. Furnace Firewall Garage Vents ELECTRIC GAS Temporary Temporary Final 7y Final DATE Forms Fireplace Lath & Plaster_ Found. Vents _ Rough Elec. Kitchen Vent Sanitation & Water BUILDING Cert. of Occup. _ Final REMARKS OR CORRECTIONS D z, l Il . n 5�l . COUNTY OF BUTTE - DE(AFiTMEI`qT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovillpi C* t*n9r%95965 - Telephone 916/534-4541 ? <` APPLICATION AND PERMIT ASSESSORPARCEL NUMBER +y ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILINGrADDRESS 51;W iLI !�G CONTR CTOR'S✓NAME `' T LEPHONE r 7 7 CONTRACTOR'S MAILING ADDRESS 0 �,�/ G r Fireplace CONSTRUCTION L NDER A £ UNKNOWN Total Valuation Is Filing Fee g $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER A z) -k/ E 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 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomePOther SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 10.00 ea' TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other,- Describe work: C 7 Sfy� ` �l�l% _ Permit Fee $ Contractor ELECTRICAL PERMIT Filin Fee 10.00 Main service 1000 V OR AMP ORLESS10.00 <Ju Main service EA. ADO'L 100 AMP 2.50 1 CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p erjy (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.SINGLE �� License No. t '� t Classification r ! f � El 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) ❑a I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) F -1I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.&) '/22sgft OR ACDNS. `ACC, BLDG S. I NEW CONST R.MULTI-OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) OUTLET CIR. Ex. OCCU OUTLETS OR FIXTURES 2ALO 30 P ALO 30C EX. OCCUp. FIXED D OUTLETS(RE )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 — .wl,/ /f .� .J Oermit Fee $ r Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. E:]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 PERMITFiling Fee 10.00 Heating 1 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 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 againftsaid C��in,cohsegilence of !the granting of this permit. Y`../_` X f 4 A Date - Signature of Applicant - Owner ❑ Contractor`s Agent ❑ A� 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 $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPE FLOOD PARCEL PD NO ISSUE , 1 // This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR)OF PUBLIC _ k By !'^ PERMIT1EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Q' �' L 7 - -f Receipt No. %� 7�� (� WHITE-D.P.W., YELLOW-ASSE330R, PINK -INSPECTOR. GOLDENROD -APPLICANT ( OFFICE'COPYjl:f h 714, t4 .�:,• `SFr ,Address GAS Me.ter,By ; f� ., Fa e—' { EL'ECTR «1� Meter-By I i COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville,-, 'li1ornnia 95'965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSO 'PARCEL NUMBER �S ZONING BUILDIN PERMIT OWNER ` TELEPHONE SQ.FT. OCC. BUILPING VALUAT OWNER'S MAILING/ADDRESS CONT CTO NAM T LEPHONE CONTRA OR'S MAILIr4G ADDRESS ' 71 ` Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Filing Fee $ 10.00 LENDE 'S MAILI G ADDRESS t Permit Fee -RCHITECT 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*eat0rx 20.00 LOT NO. SUBDIVISION NAME OARCEL MAP # Wateri in - ' ''Y. 5,00 P P 9 rr'i"` Each -g 3srwater.heater. or vent,'.,,*&N 5,00 USE OF S CTURE SF ❑ Duplex❑ Mobilehome Other { .,�•!'' SPECIFY yr .. ,Gas piping,system 1 - 5 outletsjqA1•t 5.00 EBuildingTsewer ' - 5.00 , ., .• * ',Mobile Home' S' , G' W , 10.00ea _, ., .� TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ installation❑ Other .01 Describe work: /G % SfiCy/GC .'Permit FeetO , .y 'y , ' i*, $1'� Contractor , ''LltI ;*) ,4* �C€ 04 Je00VaOR ,. ELECTRICAL'PERMIT�'FilingFee 10.00 C LESS✓'"" Main S2fVICe„100, AM.P.OR,L'ESS 10.00 (� .Main service EAAO"O L 100 AMP 2.50 CONTRACTORS LICENSE LAW 1 I declare under penalty of perjury (check one): 1 am licensed under provisions of Chapt. 9, Div. 3 of the BUsIneSS and Professions Codeandmy license IS in full force and effect. License No. 3 48Classification _� 'o El I, as the owner, or my employees with wages as their sol4e compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) i ❑ 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.Y DWELLING OCCUR OR ADONS. I ACC. BLDGS. /20sgft NE W'C_O NST_. U TI -OUTLET NON-RESID BRANCH CIRCUITS2.50 ea (POWER APPARATUS e SINGLE OUTLET CIR. EX. OCCUp�OUTLETS OR FIXTURES 5AL@30 AL0 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.I EA,) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.0010L3 J 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. ' I shall not employ any person in any manner so as to become subject ► %o 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 Filing -Fee 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. ,Iso I agree t save, indemnify and keep harmless the County of Butte against I' ies, ju e , costs and a enses which may in any way accrue ns saiC t e granting of this permit. tet. Date Signature of Applicant — Owner ❑ ContractorAgent ❑ An OSHA permit is required for excavations over S'0" ep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 5 15-6) 0CCu P. coNST.TYPc FLOOD PARCEL PD ND ISSUE This permit is hereby issued under the' applicable sions of the Butte County Code and/or resolutions work indicated above for which fees have DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date provi- to do been paid. Receipt No._,62 ;?�Q 9 WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPeTMENT OF PUBLIC WORKS MliPERMIT NO. 7 County Center Drive - Oroville, Cfol�5965 - Telephone 916/534-4541/ APPLICATION AND PERMIT f4 ASSES50 PARCEL NUMBER 5 3 7 T ZONING BUILDING PERMIT OWNER ` TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILIN ADDRESS Gr CONT CTO ' AMF el LEPHONE Aa 1r CONTRA OR'S MAILII4G ADDRESS A� Fireplace CONSTRUCTION L NDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDEAZS LENDE 'S MAILING ADDRESS Permit Fee $ 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 LOT NO. SUBDIVISION NAME ARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF S CTURE SF ❑ Duplex[:] Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 1 110-00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: /nG % iii _ t CC Penult Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 Q CONTRACTORS LICENSE LAW I declare under penalty p I y (Check One): of perjury 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Codeand my license is in full force and effect. License No. 3`x-48 Classification _� 'O El 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) ❑ 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'Permit NEW CONST. DWELLING OCCUP.hd, OR ADDNS. ACC. BLDGS. /z¢sgft NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS 61 SINGLE OUTLET CIR. / 0@50 e EX. Occup(OUTLETS OR FIXTURES 2ALO3FIXED t Ex. OCCUp. P OUTLETS (RESID.)REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin 15.00 g �QJ 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. NI shall not employ any person in any manner so as to become subject O 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 Filing Fee 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 County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also gree t save, indemnify and keep harmless the County of Butte against all li (es, ju en costs and a enses which may in any way accrue ns sai C t e granting of this permit. R/� %� Date CCL✓✓ `��CC�� Signature of Applicant — Owner g pp ❑ Contractor � Agent ❑ An OSHA permit is required for excavations over 5'0" d ep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP, CONST.TYPEJ IFLOODIPARCELI PD ND ssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO OF PUBLIC /� By PERMI EXPIRES Date - the applicable provi- resolutions to do fees have been aid. p WORKS Date Q --7—a9 7 —P Receipt No. , , 1,%� WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPART0 N,_C BUIL DING. DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534541 PERMIT APPLICATION DATA SHEET Permit No. OWNER �� -C N A. P. No. Proposed Building Use � clfc—> SES c r, Permit Fee Based Upon: Complete Contract Price DPW Valuation Oth r (Explain) d Building Inspector Date ✓� ""�b At time of permit application, I was advise 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. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. itation approval from Health Dept. . . I>rPlanning approval for (A) Use: (B) Parking: . 1,4W12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner[], Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . Mobilehome Installation Data. . . . 7. Pre -Inspection for ��f�7 ��1/�ired... . Pre-Inspec. request to (Date) Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Other DRIVEWAY PERMIT (CONSTRUCTION APPROVAL REQUIRED PRIOR TO 0 PANCY) When you issue the permit, process as follows:Mail to owner. Mail to contractor. Telephone and hold for pickup atp office. Deliver w/inspector. Other a Ap icant-�� Date Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone By Plans checked by. Plans approved by Other Copy—DPW Date Date _Mail Date Other