HomeMy WebLinkAbout066-400-017PERMIT 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
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LOCATION.
FORMS.
FOUNDATION
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FIREWALL
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FINAL
066-400-017` i 03-1860
GORMAN, ROBBIE
13721 OLD SKYWAY, MAGALIA
RE—ROOF
1
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUI /DING DIVISION
7 County Center Drive - -Oroville, California 95965 - Telephone (5 ) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
066-400-017
ZONING
BUILDING PERMIT
OWNER -
ROBBIE & LINDA GORM
TELEPHONE
87 2-8300
SO, FT, OCC. BUILDING VALUATION
rt t+�
e i q 6
. OWNERS MAILING ADDRESS
6584 Piz RD.. PARADISE. CA 95969
'
CONTRACTOR'S NAME -
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS {
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE N0.
Filing Fee
$ 20.00
Permit Fee
$ 29.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
13721 OLD SOW. MAGAUA I
Energy Plan Checking Fee
$
$
PERMIT FEE
$ 49.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF OXDuplex ❑ Mobilehome ❑ Other
SPECIFY
I
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: RWOF 20 SQ cAMP
I
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
Fling Fee 20.00
Main Service Z0I)A 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,
( 9 )
and my license is in full force and effect. L
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:
X01; 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.
�13I am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.00NEW
CONST. DWELLING OCCUP.
OR ADDNS. ( a AOC. BLDs.
so
3.50FT
NEW CONST. MULTI -OUTLET
NON -REBID.
@7.50
POWER APPARATUS
a SINGLE ourtrT CIR.
Ex. Occu OUTLET OR PURES
DR
BA� @': o
Ex. Occup. OU�TLFOrs gES,p,O�
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
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.
❑ 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
Policy Number
(The above sections need not be completed,d the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
_
=" ""�- _ Date �+ Z� �i 'j
Knature�of Applicant p� ,Owner ❑ Contractor ❑ Agent
An OSHA per ,mit is required for excavations over 5'0" 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 FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 49,00
HAZ
p FEES
IMP
FLooD
CDF
PARCEL
I PO
HD
IsY
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 .0 Date l./7 h 3 U
PERMIT EXPIRES ON
r Date
Receipt No. _ ��
WHITE-D.D.S.-B.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) 538-754t_ -E MIT NO.
(Rev. 12/96) APP�LICATONAND PERMIT %�
ASSESSOR PARCEL NUMBER
066-400-017
ZONING
BUILDING PERMIT
OWNER
kBBE& LINDA GORMAN
TELEPHONE
872-8300
SO. FT, OCC. BUILDING VALUATION
. OWNERS MAILING ADDRESS
6584 PENTZ RD., PARADISE, CA 95969
90 sQ :0HP 1,90() -
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHrrECT OR ENGINEER
LICENSE NO.
Alin Fee $
20.00
Permit Fee $
29.00
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee $
BUILDING ADDRESS 13721 OLD SKYWAY, nAGAT JA
Energy Plan Checking Fee $
$
PERMIT FEE $
49.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF NXDuplex ❑ 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 ❑ Others
Describe Work: REROOF 20 SQ COMP
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home ISI GI W1
@20.00
PERMIT FEE $
ELECTRICAL PERMIT
Filing Fee 20.00
V OR LE
Main Service . ' 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 Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
the following reason:
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.
as owner of the property, am exclusively contracting with licensed contractors
o construct the project.
am exempt under Sec. Business and Professions Code for this
eason
WORKERS' COMPENSATION DECLARATION
rherebyaffirm under penalty of perjury one of the following declarations:
have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
'❑ 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( 8 ACC. BLAS.
So
3.50FT.
CONS
No RESDT MULTI -OUTLET
@7.50
POWER APPARATUS
b SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES20
@ 1.00
BAL @ .50
Ex. Occup. oF"EDTs A= '.oma
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring23.00
PERMIT FEE _
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forth ith co ly with those provisions.
X _ Date �— ��"—d-j
natur of Ap 1icanf, Owner ❑ Contractor ❑ Agent
An OSHA er is required for excavations over 60" deep and demolition or construction�hW
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 49.00
HAZ.
D. FEES
IMP
FLOOD
CDF
PARCEL
PO
HD
ISS
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.
AlO
By Date
PERMIT EXPIRES ON
D-
Receipt No.
WHITE-D.D.S.-B.D. ANAR -ASSES R PINK -INSPECTOR GOLDENROD -APPLICANT
_ COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541^� _
APPLICATIONAND PERMIT ( (%{
2196)
$SDR PARG8 KJM9ER `P
D/ 6--,1400
0O BUILDING PERMIT
. UB-10ME c -l- -X SQ. FT. I OCC. I BUILDING VALUATION
EA
S ADDRESS
rRk=; S
S'pit5 MAN" ADDRESS
SSRUCSIDN lFND9i
)6t'S 1tMJNG ADDRESS
KUE=
ZF= OR EMGD W" --4 ADDRESS
tAJ
PARCEL MAP '
yp. SUeDfJ6DN"
USEOFSTRUCTURE
dit( OuDlex ' ❑ Wbblehome ❑, Other
TYPE OF WORK
ew ❑ Addition ❑ Remodel ❑ LUroas ❑ instmlhS ❑ Other K
00
escribe Work:
Total valuation 5
Erin Fee S 2D.00
Permit Fee S �-� • _
Pian Chackina Fee S'
Energy Plan Checking Fee S
Matin Service
•� Main Service
PERMIT FEE S
RMrr
eoov OR ups
2mORr =
20" TO I"" 1
E L O=p. ( OUTLU OR F=L RB
Ex. Occup. ( ounEm rlgmm: Ex
Temporary Service
Moble Home Facilities
W= Wiring
PERMIT FEE FS
MECHANICAL PERMIT
ventilation
Firing Fee 20.00
23.DD
46.00
3.56Fr.
@7.50
SAL
5.00
23.DD
20.00
23 -DD
Filing Fee 2 D. DO
6.5D
PERMIT FEt S
Nbble Home Installation Fee 5
Energy Inspection Fee S
aci``D '' TOTAL FEE $ L.>� • ��/
-Z. I D. FEES IMP FLOOD GDF PAR PO I i 6SUE
This perml is hereby issued under the appricabie provisions
of the Butte County Code and/or Resolutions to do work
indicalad above for which fees have been paid.
By Dale ------
PERMIT EXPIRES ON
S
PERMIT FEE
PLUMBING PERMIT
s
Filing Fee 20. D0
Solar or heat.pump water heater
23.00
Water piping
15. D 0
Each gas water heater or vent
i 5.D0
Gas piping wmlerr� 1 - 5 outlets
15.00
Building sewer
15.00
Moble Home I 5 I G I W
@20.00
Matin Service
•� Main Service
PERMIT FEE S
RMrr
eoov OR ups
2mORr =
20" TO I"" 1
E L O=p. ( OUTLU OR F=L RB
Ex. Occup. ( ounEm rlgmm: Ex
Temporary Service
Moble Home Facilities
W= Wiring
PERMIT FEE FS
MECHANICAL PERMIT
ventilation
Firing Fee 20.00
23.DD
46.00
3.56Fr.
@7.50
SAL
5.00
23.DD
20.00
23 -DD
Filing Fee 2 D. DO
6.5D
PERMIT FEt S
Nbble Home Installation Fee 5
Energy Inspection Fee S
aci``D '' TOTAL FEE $ L.>� • ��/
-Z. I D. FEES IMP FLOOD GDF PAR PO I i 6SUE
This perml is hereby issued under the appricabie provisions
of the Butte County Code and/or Resolutions to do work
indicalad above for which fees have been paid.
By Dale ------
PERMIT EXPIRES ON
O.R-
OWNER-BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary delay
in processing and issuing your building permit. No building permit' will be issued until this
verification is received.
1 I personally plan to provide the I r labor and materials for construction of the proposed
property improvement: : YE NO ❑
2 I HAVE NOT ❑ signed an application for a building permit for the proposed work.
. I have contracted with the following person (firm) to provide the proposed construction:
NAME
ADDRESS:
PHONE:
CONTRACTOR'S LICENSE NO.
4. I plan to provide portions of this work, but I have hired the following person to coordinate,
supervise, and provide the major work:
NAME:
ADDRESS:
':e
CONTRACTOR'S LICENSE NO.
5. I will provide some of the work but I have contracted (hired) the following persons to provide
the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
IGNED:
PROPERTYOWNER:
S + ER:
DATE: 3 :3
NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the
California Health and Safety Code. This verification must be completed and
returned to our office before we are permitted to issue the permit
OWNER BUILDER INFORMATION
Dear Property Owner:
.
O.B.- I
An application for a building permit has been submitted in your name listing yourself as the builder of property
improvements specified.
For your protection, you should be aware that as "owner builder" you are the responsible party of record on such
a permit Building permits are not required to be signed by property owners unless they are personally performing their
own work. If your work is being performed by someone other than yourse14 you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business
license from the city or county. They are also required by law to put their license number on all permits for which they
apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should
be aware of the following information for your benefit and protection:
♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is '$300 or more for the entire project, and such persons are not licensed as contractors or
subcontractors; then you may be an employer.
♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
♦ There may be financial risks for you if you do not cant' out these obligations, and these risks are especially serious
with respect to worker's compensation insurance.
♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and,
ifyou wish, the U.S. Small Business Administration). For more specific information about your obligations under
State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License Board in your
community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you
are aware of these matters. The building permit will not be issued until the verification is returned.
rely,
Mc 1 C. Vi ira, C.B.O.
M er, Building Inspection
NOTE. This Owner-Builderlnformatfon is required by Section 19830 of the California Health mid Safety Code.
OVER
1lo7�4tPD�in� SkYWgy
(�c�low�r�) 57paq
��a� l�vJtS d83-171
WIN
(,V
Butte County Code Enforcement i
NOTICE OF COMPLIANCE (n//
(Butte County Code Sections 41-6.1(k) and 41-9)
PROPERTY AFFECTED:
Assessor's Parcel No: 066-400-017
Street Address or Location: 13721 Skyway, Magalia, California 95954
Legal Description: See Attached Exhibit "A"
OWNER(S) OF RECORD (name and address)
as of the date of Noncompliance: Ismael Garza Ibarra, 13721 Skyway, Magalia, California 95954
as of the date of Compliance: Gordon & Norma Lewis, PO Box 97, Quincy, California 95971-0097
NOTICE:
As of June 6, 2001 all work needed to correct or abate the noncompliance specified in the Notice of
Noncompliance recorded as document number 97-033389 has been completed and approved by the
affected County department, and the required $300.00 fee has been paid.. Therefore, this Notice of
Compliance 's eing recorded pursuant to Butte County Code Section 41-6.1(k) and 41-9.
CSigned by ' � Date: June 25, 2001
E. Frank Cook
Butte County
Code Enforcement Officer
State of California
County of Butte
On Monday, the 25st of June, 2001, before me, Anne Belser, personally appeared, E. Frank Cook,
personally known to me (or proved to me on the basis of satisfactory evidence) to be the person whose
name is subscribed to the within instrument and acknowledged to me that he executed the same in his
authorized capacity, and that by his signature on the instrument the person, or the entity upon behalf of
which the person acted, executed the instrument.
WITNESS my hand and official seal. +
i ANNE BELSER
Commission # 1241742 Z
Signature a (seal)Notary
seal)Nota Buffe Pub CCouno(iforruo
LW1tMVCarnm.5#esNov13,20M1
;hECORDING-REQUESTED BY:
BUTTE COUNTY
Recorded
• k
I REC FEE .00 r
CODE ENFORCEMENT
Official Records
County Of
I CONFORM .00 I
I
EGRUBBS
AND WHEN RECORDED MAIL TO:
CANDACEUJ.
I
Recorder
I
ROSEMARY DICKSON
I
BUTTE COUNTY
Nikki
CODE ENFORCEMENT
02:1AssistaJun-2001
I 9 of 2
7 County Center Drive
— -�
Oroville, CA 95965
Butte County Code Enforcement i
NOTICE OF COMPLIANCE (n//
(Butte County Code Sections 41-6.1(k) and 41-9)
PROPERTY AFFECTED:
Assessor's Parcel No: 066-400-017
Street Address or Location: 13721 Skyway, Magalia, California 95954
Legal Description: See Attached Exhibit "A"
OWNER(S) OF RECORD (name and address)
as of the date of Noncompliance: Ismael Garza Ibarra, 13721 Skyway, Magalia, California 95954
as of the date of Compliance: Gordon & Norma Lewis, PO Box 97, Quincy, California 95971-0097
NOTICE:
As of June 6, 2001 all work needed to correct or abate the noncompliance specified in the Notice of
Noncompliance recorded as document number 97-033389 has been completed and approved by the
affected County department, and the required $300.00 fee has been paid.. Therefore, this Notice of
Compliance 's eing recorded pursuant to Butte County Code Section 41-6.1(k) and 41-9.
CSigned by ' � Date: June 25, 2001
E. Frank Cook
Butte County
Code Enforcement Officer
State of California
County of Butte
On Monday, the 25st of June, 2001, before me, Anne Belser, personally appeared, E. Frank Cook,
personally known to me (or proved to me on the basis of satisfactory evidence) to be the person whose
name is subscribed to the within instrument and acknowledged to me that he executed the same in his
authorized capacity, and that by his signature on the instrument the person, or the entity upon behalf of
which the person acted, executed the instrument.
WITNESS my hand and official seal. +
i ANNE BELSER
Commission # 1241742 Z
Signature a (seal)Notary
seal)Nota Buffe Pub CCouno(iforruo
LW1tMVCarnm.5#esNov13,20M1
EXHIBIT "A"
A.P. #066-400-017
All that certain real property situate in the County of Butte, State of California, described as follows:
BEGINNING at the East quarter corner of Section 36, Township 23 North, Range 3 East, M.D.B. & M.,
and thence following along the Easterly line of said Section, North 1 deg. 18' East for 303.50 feet; thence
North 87 deg. 32' West for 58.00 feet to a point in the Westerly line of the Magalia-Stirling City County
Highway and said point being the true point of beginning for the parcel of land herein described; thence
from said true point of beginning following along the Northerly boundary of the Meyers property North 87
deg. 32' West for 212.01 feet; thence, leaving the Northerly boundary of said Meyers property and going
North 1 deg. 18' East for 90.73 feet to a point in the Southerly line of a 14 foot road reservation; thence
following along the Southerly line of said road reservation, South 87 deg. 47' East for 212.00 feet to a
point in the Westerly line of said Magalia-Stirling City County Highway; thence following along said
Westerly line South 1 deg. 18' West for 89.81 feet to the true point of beginning.
EXCEPTING THEREFROM all mines and/or minerals under said property.
AP No. 066-400-017
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JUL 1J �
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E C E O lJ E
D
JUL 5 2001
BUTTE COUNTY
PLANNING DIVISION
I
B
t
PERMIT NUMBER
B; 781
P
E
PERMIT EXPIRES
OWNER Charles McDonald
r.
Smith Const., Paradise
CONTR:.
LOCATION (A.P. 57-30-18
Hitching Raill..*Magalia
f
q-12-7-3
COUNTY OF BUTTE
Departmenf of. PVblic Works
BUILDING INSPECTION RECORD
Zoning
Setback
Foundation
Piers & Girders _
Rgh. Plumbing
Bond Beam
Rein. Steel
Gas Piping & Test
Framing 3 30—i3
Pimg. Topout
Wtr. Htr.
Furnace
Firewall
Garage Vents
ELECTRIC
GAS
Temporary
Temporary
Final 4-12--73
Final
DATE
1
Forms
Fireplace
Lath & Plaster
Found. Vents
Rough Elec. 2-20-73
Kitchen Vent
Sanitation & Water
BUILDING
Cert. of Occup.
Final 4��2.zz
REMARKS OR CORRECTIONS
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive {=' Or-oville, 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 ao %
Signature of/P�errmiitee or 'Agent
Receipt No. /L 7': � 7`— 2—
White-D.P.W.
White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -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.UBLIC WORKS
Building Permit Expires Date 3-1-1 •--7y
BUILDING
Owner S
SO. FT. I OCC. BUILDING VALUATION
o a D rJ
Mailing Address a363 PY541ZZ
Fireplace
Contractor %. TiG/S/
Total Valuation p , QQ
Mai I i ng AddressPermit
Fee
- p
Plan Checking Fee&/or Penalty J6, Qom/
,— -3 3
Permit Fee
$
g, '06J
$ 549,,0o
Building Address / %�f,/ /
PLUMBING
No. @ '
FEE
PERMIT FILING FEE $2.00 QQ
,z12 xi 6 ,C/
Each Trap 1,50
` -ef0 _ /
Repair drainage or vent piping
1.50
Water piping 1.50 /,5'6
Each gas water heater or vent 1.50
A. P. No. ?' ..
Zoning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .50
Fire Zone
Fire Dept.
Sanitation
Planning
Building sewer 5.00
Plans
Fees f/
W. C.
R/W
Encroachment
Lawn sprinkler system 2.00
Q
NEW ❑ ADDITION ❑ OTHER
Permit Fee
$5.00
$ roe
ELECTRICAL
No. @
FEE
PERMIT FILING FEE $3.00 3. OO
Main service incl. 1 meter
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
199 v-
Oven, Cook -top or space heater
1.00
Lig fixtures 25 id
Roefps., switches & fix outlets 8M,7„7S
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. Z_ Classification
Classification
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
$ S
MECHANICAL
No. @
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.
E71 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.
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
$5Permit
Instrumentationt`� a Motion $0.07/$1000 Evaluation
$
TOTALY PERMIT FEE
$ •7
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date ao %
Signature of/P�errmiitee or 'Agent
Receipt No. /L 7': � 7`— 2—
White-D.P.W.
White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -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.UBLIC WORKS
Building Permit Expires Date 3-1-1 •--7y