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HomeMy WebLinkAbout065-370-064_ A.•P.. &5-37- 44- r 4- N•0 W. RIPLE'�� . 1125 De ' e Dr . , S . D_. 0 .,; #4, Lot 310, Magalia COMM: Tom He Bart, Paradise Permit 1461-73P,E � Fe �'_ t0 -73 .(utilitbs for mobile h e A.P. X65-37 -4* DR. ROBERT W. RIPLEY 1125 Denise Drive) MagalLa o Permit"3331=73B'r.(deck�f�r: r:a'rr. - 65-37-64 I a� r. S` #4 Magalia� 1125 Denise Ma alfa. ,contr: Fran D. Vasquez, g Permit #5082-77B(new cargxt/MH) 065-370-064' ' n r • 99-1611 z� - LALONBE, Parnell 14771 Denise Dr., Magalia Contr: Reliance Propane Set tank 91,2 YI r . a s i 3 3 d r Cfll �t'� M n�� O B.I.N. REQUEST FOR INSPECTION Permit No. U Location: �1 -7 �! ��/✓�.%G n weer. Complaint:_ L�A ) ofj `b -e` ContractororTenant: BLDG. PLUMB/MECH ELECTRIC M.H.I./M.H.U. PRE- =orm Rough Rough INSP N =rame/Underfloor Top Out Temp. Service Corrections ousing Stucco Lath Gas Piping/Test Service Final Job Status Stucco Brown Temp. Gas Underground Permit Renewal =ireplace Sewer Piping Well Circuit Verify Utilities OTHER Bond Beam Water Piping Light Niche Insulation Shower Pan Nailing Corrections Corrections Corrections Final Final Final READY FOR b A.M. INSPEC.ON 19_ p,M, Date: Time: Note: Jia - lis -99 02:10A PRE -INSPECTION; OWNER: LOCATION: CONTRACTOR: PRE -INSPECTION FOR: DATE A.P. # ✓�' ✓��� �'� ZONING ' P.02 DATE TO INSPECTOR /% _11 ------- —----------- ...-----a--s�=ee���a=�a=opa�oaaasa= aaeam=ozss�mm assaaset PERMIT HISTORY: Z3 NONE AS FOLLOWS: TYPE OF OCCUPANCY _— as=�s�c=ass--�--ao saw----=s�"^"x3 s -s e�� r—aso�ao�rasarxaosaass�asa=�---^ FIELD - INFORMATION BUILDING USAGE: TENNANT• [� OCCUPIED HAS ELECTRIC HAS GAS Q HAS SANITATION FACILITIES [3 HEATED -COOLED OTHER COMMENTS: ED PERSON CONTACTED ACTION RECOMMENDED: ISSUE Q HOLD FOR - OTHER: o _�. A.P. 66-37-64- RO W. RIPLEY a 1125 De a Dr., S.D.O. #4, Lot 310, Magalia COMM: Tcm He b t; . Paradise Permit 161-73P, E !A4 g- I D- 73 (utilities for mobile e) j A., P. DR. ROBERT W. RIPLEY' ; 1125 * Denise Drive, Magalia Permit 3331-73B (deck fnr vul -' -�� 65-37-64 '7• N, reitas sz.. 4 Magalfa 1125 Deniser' contr : Fran D'Vasquez, MaSa13a Permit #5082-77B(new carport/MH) . Q rl CY O 16 ek 1 i rq 1 43 7 N � ` / - � . � ' . | ' ` | L � ` ^ 065-37M6,4- 99-1611LALONBE, Parnell14771 Denise Dr., MagaliaContr: Reliance PropaneSet tank OFFICE COPY Address ` ' n N � ` / - � . � ' . | ' ` | L � ` ^ 065-37M6,4- 99-1611LALONBE, Parnell14771 Denise Dr., MagaliaContr: Reliance PropaneSet tank OFFICE COPY Address COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, CaMornia..95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT f/� a ASSESSOR PARCEL NUMBBE�+EER'' ! ZON1 O BUILDING PERMIT OWNER i7,/ ' .� <,� b TELEPHONE L-'73-270 SQ. FT. OCC. BUILDING VALUATION OWNERS !AILING ADDRESS .41771 CONTRACTOR'S NAME J TELEPHONE �y CONTRACTORS MAILING ADDRESS -� CONSTRUCTION ; % Fireplace LENDERS WAILING ADD SS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ ✓ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome,Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK5 New ❑ Addition ❑ Remodel ❑ Utilities 0 Installation ❑ Other ❑ ! !- ..rL Describe Work: Nl ! "+ / %, "4, / f �G12, 1C, , Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ afj ELECTRICAL PERMIT Fling Fee 20.00 OOOV LE Main Service 2o..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 force and effect. License Class %''i Lic. No. % �y `3J OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors Lice se Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensati n, 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 contractoMisc. to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP. OR ADONS. ( a ACC. BMS. So 3.50FT: r"roµg6IDMULTI.OUT . LET @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. E7(, OCCU OUTLET OR FDRURES B20 00 ®1'00 FUMED APPLNS. OR Ex. Occup. ounETs REBID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Wiring 23.00 3 PERMIT FEE S 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. I3YI 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' compensatio insurance carrier and policy number are: Carrier -.4'-r -r,F yF" 0 Policy Number 311— 1 ` U ^ 1 l'C+UCx,C.- ?'"1 (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 forthwit omply with those provisions. X Date (�� _34—/ % Signature of Applicant - Owner ❑ Contractor $'Agent An OSHA permit is required for excavations over 60" deep and demolition or construction/�!! of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP I FLOOD CDF PARCEL pD HD ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been q r;��,/ Date BY / L 14� /J ✓7 PERMIT EXPIRES ON provisions to do work paid. / Receipt No. f WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD-APPLICANT(Date) COUNTY OF BUTTE - DEPARTMENT OP-DEVEILOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541P MI O. (Rev. 12/96) APPLICATION AND PERMIT 9� /� ASSESSOR PARCEL NUMBE9 ���� G UL/CJ_ 5 ZONING BUILDING PERMIT OWNER PAS a el��be TELEPHONE £73-z7r?'1 SO, Fr, OCC. BUILDING VALUATION .OWNERS MAIL'/ ADDRESS 77/ m!5 L Q Pr � �/ (- ^5 Iq % JT/ELEPHONE 5 NO CONTRACT S ME Pro ri/J 2 e72,-77zib CONTRACTORS UNG ADDRESS f5/4- CONSTRUC N D Fireplace LENDER'S MUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAIUNG ADDRESS Plan Checking Fee $ BUILDINGADDRESS /y77 Dem -,c Pr - 9 -i /1 Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDNISIONS 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 gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Ins/tallation/❑ Other ❑ Describe Work: `-et Ta, % J 7-,L., I i alei 0h D b/ l e �Iom t? Gas piping system 1 - 5 outlets 15.00 /S Buildingsewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ 35 ELECTRICAL PERMIT Fling Fee 20.00 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 Chap r 9 (commencing with Section 7000) of Division 3 of the Business and Professions C e, and my license is in full force and effect. ' / License Class 13 Lic. No. 7.3`7 318 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors Lice se Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensati n, 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 contracto to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADONS. ( a.cc. BLAS. 3.50 FT. NON.galpT MU OUTLET @7,50 POWER APPARATUS 'POWER OUTLET CIR. 20 @ 1.00 Ex. Occup. OUTLET OR FIXTURES &,L @ .50 Ex. Occup. otm s RESSID.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. 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' compen do insurance car ier and policy number are: Carrier -5 -r, 7 Fun 2 Policy Number -3H., - Oo f 0004-011 (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 fo mply with rsevisions. X _ Date % 3G [ q __ Signature of Applicant - Owner ❑ Contractor gent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee 7T — Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $� HAZ. D. FEES IMP FLOOD 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. L By UI AM j PERMIT EXPIRES ON / �(� ate Receipt No. WHITE-D.D.S.-B.D. CANARY -ASS SSOR PINK -INSPECTOR GOLDENROD -APPLICANT M/1 -/G 77) d0X)7-/e/7CTD/ C` —� PERMIT NO. 5082=77B PE O ♦' RMIT EXPIRES OWNER N. Freitas CONTR. Frank D. Vasquez, Magalia 65-37-64 LOCATION (A.P. ) 1125 Denise, OWN, Magalia lot 310 Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED• ' (Date) (Signature) Y t COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION, OCORD BUIL�I Q BUILDING (Cont'd) PLUMBING Setback i Firewall Soil PI In 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 Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for phsically handicaped Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Water Htr. FI Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES - - - - - - - - - - - - - - - - - - Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEWOME INSTALLATI N - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE /0 /b '-7 7 j1,iy•7-) REMARKS OR /CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7,Gounty Center Drive Urov;lle, California 95965 �f Telephone: 534-4541 �[ / APPLICATION AND PERMITmi� . .- �a.l+.a.-, w vca v� uic VVUl y Vi OUltc W c111C1 UjlVll UIC above-mentioned property for inspection purposes. X- 9 L -7T Signature of Permitee or ent 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 PUBLIC WORKS By Dale _J�7 B 01ding permit expires Date BUILDING Owner 2ir, I T,04S SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Fireplace Contractor Q„ S v Total Valuation Mai I i ng Address ' Permit FeeU Plan Checking Fee &/or Penalty Telephone No. Building Ad ress . I � Permit Fee $ PLUMBING No. @ FEE PERMIT FILING FEE $3.00 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. &S7—(6Z Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Few W.C. a ' Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel a P 60' R/W Im r p ov ants Lawn sprinkler system 2.00 BId9.'f1'ans Recd A`r3/aPermit Parcel Ap oval Plan Approval Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE 1 $3.00 Main service i8°V OR o AMP ORRSLESS 5.00 Main service EA. ADD'L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ OVER Main service 1100 AMP oR LESS 25.00 Main service EA. ADD'L too AMP 1.00 NEW CONST. DWELLING OCCUP. & OR ADDNS. ACC. BLDGS. 2¢Sq ft NEW CONSTR. MULTI.OUTLET NON-RESID. BRANCH CIRCUITS) '2.50ea NEW CONSTR. POWER APPARATUS & NON -RES ID. (SINGLE OUTLET CIR. 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 st le of:FIXED f? %A, 14�z S..� d' "7 Ex. Occup(OUTLETS OR FIXTURES)�� BAL�1 APPLNS. OR EX. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.q3 00 7 _ Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ Is 77 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 o as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 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 $ . .- �a.l+.a.-, w vca v� uic VVUl y Vi OUltc W c111C1 UjlVll UIC above-mentioned property for inspection purposes. X- 9 L -7T Signature of Permitee or ent 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 PUBLIC WORKS By Dale _J�7 B 01ding permit expires Date 1 PERMIT NUMBER - B 3331-73B P E PERMIT EXPIRES - -OWNER Dr. Robort W. Ripley �CONTR:. Owner "LOCATION (A.P. .57-51-64 1125 Denise Dr.., SDO 4, Lot 3101 Magalia 6 l it t, J K X , f _ f COUNTY OF BUTTE Department of Public Works a. BUILDING INSPECT-AON RECORD Zoning __ Setback Forms Foundation 1w `. Piers & Girders Fireplace Rgh. Plumbing Bond Beam Lath & Plaster Rein. Steel Gas Piping & Test Found. Vents Framing -4 21: — % Plmg. Topout Rough Elec. Wtr. Htr. Furnace Kitchen Vent Firewall Garage Vents Sanitation & Water _ ELECTRIC GAS BUILDING Temporarn Temporary Cert. of Occup. Final Final Final DATE REMARKS OR CORRECTIONS I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC 7 County Center Drive - OVvi Ile, California 95965 Tel eph&e: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the ab0-mege property for inspection purposes. I- X Date - 6 - 73 Signal re of Pe mj�ot Receipt No. I� 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. DI CTOR F BLIC WORKS By a _! ,-Z Bupermif expires Dafe ---F-_.-j_L-?- BUILDING Owner �/SQ. FT. OCC. BUILDING VALUATION M ' 'ng Address tJ r KA&& /)( . /9- Telephone No. Fireplace 11 Contractor ; Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ -S $ ;� Building Address '- ��� PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 Z Q, 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 –' S /— �f Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 s Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Parcel Plans Declaration Parcel Ma P 60' R/W Improvements provements Lawn sprinkler system 2.00 Bldg. PI ns Recd Parcel A royal Plans A proval Permit Fee $ $ NEW ❑ ADDITION Ll UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE FILING FEE $3.00 DPERMIT G` Main service incl. 1 meter Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home 2 Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixturesbol_ _ @ic Receps., switches & fix outlets b.Z6i�25 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 Temp. Power Pole 5.00 License No. Classification Misc. wiring 1 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 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 ab0-mege property for inspection purposes. I- X Date - 6 - 73 Signal re of Pe mj�ot Receipt No. I� 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. DI CTOR F BLIC WORKS By a _! ,-Z Bupermif expires Dafe ---F-_.-j_L-?- t PERmIT: 1461-73 P.,E RIPIEY, ROBERT V. 1125 Denise Dr. s. D. 0.' #4 Lot 310 magalia (Ut-iltiei-for mdbile home) 1,vC1e7!9 —0 4"- C I?aVlv-O 4 /r '-f 3-- jr; caz Y. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drivf — 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 Signature of Permitee or Agent Date 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. By DIRECTOR OF PUBLIC WORKS Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Fireplace Contractor Total Valuation Mailing Address ; %;` Permit Fee Plan Checking Fee&/orPenalty Telephone No. Permit Fee $ $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 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 Fees W.C. Sanitatiop FireDept. 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. Plans Recd Parcel Approval Plans 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 ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures b�q 10 P,eceps., 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 $ $ 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 Hood 1 1 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 77 $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Signature of Permitee or Agent Date 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. By DIRECTOR OF PUBLIC WORKS Date COUNTY OF BUTTE — DEPAR, MENT OF PUBLIC WORK 7 County Center Drive — California 95965 Telephoge:*,' Orville,t41 f / - v APPLICATION AND PERMIT authorize repr tives of t my of Butte to enter upon the above -men ' ne perty for ins a tion purposes. X Aate ignature of P rm fee'or gent 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 PUBLIC WORKS By •� Date �Zr3 — Building permit expires Date S..', 2:2 74/. BUILDING Owner /� SQ. FT. OCC. BUILDING VALUATION Jr Mailing Address Telephone No. Fireplace Contractor Lo ��+ Total Valuation Mai I i ng Address ��pp G 9`® 2��� , Q/^er�l/Sm Permit ee F PI an Checking Fee &/or Penalty Tee hone No. �rJ,, Al 0s— Permit Fee $ $ Building Address d y kel 310 ' PLUMBING No. @ FEE ERMIT FILING FEE 2.00 ;,,po Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 y'rj Each gas water heater or vent 1.50 A. P. No. r — — `� Z zoni Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. Sanita io Fire Dept. Fire Zone Use Permit Building sewer 5.00 e* EQA IParking Plans I Parcel Declaration Parcel Ma 0' R/W P Im provem s Lawn sprinkler system 2.00 Bldg. Plans Recd A-fParcel App oval I Plans Approval Permit Fee $ 1a Oj NEW ❑ ADDITION ❑ UTILITIES, OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 ,00 Main service incl. 1 meter 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 Water Heater or Space Heater 1.00 Light fixtures ba_ lUl P,eceps., switches & fix outlets 20 23 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 o : f�L�L—�.IJBi��T T.�s'P�TOL E �AZt�i� 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 ( 5.00 490 Temp. Power Pole 5.00 Jr, o�Classification Z4Misc. License N�7 9S wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ Ulm $ 77 p 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. 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 @ 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 buildi construction, and hereby TOTAL L PERMIT FEE $ %/ authorize repr tives of t my of Butte to enter upon the above -men ' ne perty for ins a tion purposes. X Aate ignature of P rm fee'or gent 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 PUBLIC WORKS By •� Date �Zr3 — Building permit expires Date S..', 2:2 74/.