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HomeMy WebLinkAbout066-460-0010 a r R t- A.P. HENRY CROFOOT STRE w/s Skyway, so. of Canyon View School AK I5 William J. 627-71B r Magalia loo -(c =0/ -- "694-71P-- COhTR: Frank Kline, Magalia 670-71E _(demolition) t I � 4� w�s Skyway app. 700 I o , of Pentz ,. Lfir�iJ"J "~rfamily), Rdc�, _i�11P�arca suee.�066'460OOj'PERMLor BLOCK IT#95`-289(new single family) I,r� s MOLVIG,. Finn.t , v'. /��, �% yrrr'".129 +Skyt.,.wa•y- , Magy. a, a:_'�� 2 TYPE OF PERMIT NO. PLAN NO. DATE ISS •. l s PERMIT C36ont :aSierra,Refrigeration;:r:Htg &SAC ,.New HVAC/SF :. O -066-460-001. `✓PERMIT#97 y6 T .MOLVIG; .Finn`&Brgitt `13629 Skyway, Magalia e! „.�.--- Cont y JerryCoo er + P 4 .-:; Reroof%SFLL ,.x q -- J . �' .. AI ., PERMIT DESIGNATION: DEPARTMENT OF BUILDING AND SAFETY JWP Akww l��a�i B -BUILDING E -ELECTRICAL U -USE PERMIT P -PLUMBING TV -RADIO -TV ANTENNA V -VARIANCE T -TRAILER S/W-SIDEWALK NOTICE S- SIGN PERMIT HM -HOUSE MOVING EP -ENCROACHMENT . D - DEMOLITION 600. 1 �lcrj Ilk— INSPECTION RECORD BUILDING APPROVALS �w a3 z ° Otl)f F..fQ U0 O 0 U. z Uj tC W z~ MN Z O= f, �g z O= f, �g Ow a.H FN zL Ow I CF 1- 'SIL W m zm u W J r,Q �� �L U 'a Q LL ! f SIG. DATE SIG. DATE SIG. DATE SIG. DATE l SIG. DATE SIG. I DATE SIG. DATE SIG. DAVE SIG. DATE SIG. DATE SIG. DATE SIG. DATE PERMIT NUMBERf SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE ROUGH -IN GAS PRESSURE TEST WATER PIPING SEWER LINE APPLIANCES & VENTS FINAL ELECTRICAL A PPROV A LC PERMIT NUMBERt SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE ROUGH -IN FIXTURES & APPLIANCES METERS FINAL PERMIT NUMBERs DESIGNATION SIG. DATE • <, �� 066-460=001 `. '� r PERMIT#95-2891•:"` ',MOLVIG, Fi.nii ,j�' • ••13629' Skyway,Magalja• Cont: Sierra, kefrigeration`,4 Htg`& AC 3: , Pew HVAC/SF .. t 'i Nil } p j� E Ij , t , � r �-• z.. '<'AS•�\Pv'• .'r�i'-;-�..,�--�.av<wrv��a�:-�'n�o?!wA��t4rs+x-:!�'�3"T�fi.. •?b�f'- +: '!" v,," F'% `".�`$.a"'- s:'i� COUNTY OF BUTTE - DEPARTMENT OF DEVEL"OPMINT SERVICES -BUILDING DIVISI 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 PERMIT NO. APPLICATION AND PERMIT ASS ARCELN MB s6SSORP6- o--001 ZONING' BUILDING PERMIT OWNER ^7 - i TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS ' 1 &z-1 r �? CONTRACTOR'S NAME J f t TELEPHONE C NTRACTORS MAILING ADDRESS I r• ` S (% Fireplace CONSTRUCTION LENDER UNIWOWN Total Valuation $ LENDER'S MAILING ADDRESS Fling Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Pian Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISIONSNAME PARCEL MAP Solar or heat pump water heater 23.00 USE OF STRUCTURE SF [B' Duplex ❑ Mobilehome ❑ Other &/ SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 1 5.00 pn Building sewer 15.00 TYPE OF WORK / New ❑ Addition ❑ Remodel ❑ Unities ❑ Installation ❑ Other [B� ) r / / c Describe Work: G� W� tii V/ Mobile Home ISI GI W @20.00 PERMITFEE _ V p Contractor ELECTRICAL PERMIT Filinq Fee 20.00 Main Service a OR LESS ( 2ooA OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby af'irm under penalty of perjury that I am licensed under provisions of Chapter 9 (comwith Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. � p License Class C -f � G_�' Lic. No. yS.1 '3 7 � OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I ❑ 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. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. ) SO. 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50, ( POWER APPARATOUTLET sUS ) SINGLEmencing a Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL .50 Ex. Occup. FIXED (RE ISIS of eA) 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ , 00 Contractor 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' compensationsi surance carrier and policy number are: Carrier 1%44 �-r4'lv�. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling 00 Hood 6.50 Ventilation PERMITFEE $ 0.0o Contractor Policy Number /r o n 22"? - 9 y (rhe above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X/ tiliE_��-,G.i�n Date _�f"� �'-c/ S^ Signature of Applicant - ❑ Owner Vii; Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ /10,00 HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL I 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. BY _ ��' Date // AS - / l i PERMITEXPIRESON I(Date) ReceiptNo.-S WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT r , V COUNTY OF BUTTE- DEPARTMENT..OF DEVELOPMENT SERVICES - BUILDING DIVISI 7 County Center Drive - Oroville„ Calla ornia 95965 - Telephone (916) 538-754 PERMIT NO. APPLICATION AND PERMIT -'� ASS SSORP C0.N s ZONING R -r I BUILDING PERMIT OWNER n TELEPHONE SO, FT, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 13621 CONTRACTOR'S NAME r I-` E ro_ -� TELEPHONE -7-. ZC NTRACTORS MAILING ADDRESS i RCIS9 6 01 Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS tj LOO, it PERMITFEE $ ]� PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 / USEOFSTRUCTURE SF IB' Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 l 00 Building sewer 15.00 TYPE OF WORK / New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: ��L HVdr- —New w H d Mobile HomeS G W @20.00 PERMITFEE $ 00 Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Serviceeoov oRoR LEss LEN ( zooA ) 23.00 Main Service ( 200A TO IooeA ) 46.00 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 Pis in full force and effect. iC�' Lic. NO. License Class IV 5.2 i 7 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. DWELLING OCCUR.s0. OR ADDNS. ( a ACC. BLDS. ) 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIS. Ex. Occup. ( OUTLET OR FLXTURES) 20 BAL Q I.5o Ex. Occup. ouTLEt-Drs (a sE Io.�eA. ( ) ' 5.00 5. UO Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 06 Contractor 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. 7^ 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' co pensation surance carrier and policy number are: Carrier �7 Qom, MECHANICAL PERMIT Filing Fee 20.00 Heating IS, C76 Cooling 5.00 Hood 6.50 Ventilation PERMITFEE $ 06 Contractor Policy Number (Qpt7'L2 7 �� �f (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comp) ithth a provisions. X 10C_ Date ��/ i�� S~-- Signature of Apppot'- ❑ Owner ' Contractor ❑ Agent ' An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 00 0 U HAZ. I D. FEES I IMP FLOOD I CDF PARCEL I POHD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have BY PERMITEXP ESONHITE•D.D.S.-B.D. applicable provisions Resolutions to do work been paid. Date / Die) eceipt No. /[,A:T /s F CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT nlie X� 5.tl!h COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Calithrnia 8,5965 - Telephone (916) 538-7541 PERMIT o. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER + U[ ` ^ ZONING BUILDINGPERMIT OWNER r I,1 I R4 jTF� 1�1G TELEPHONE' X71, �1l L I, SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 3 Zai CONTRACTOR'S NAME( ME( � T�I,�PHONE��O/ CONTRACTOR'S MAIUN6 ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT 09 ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ . �7 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS r(�- lel —Ck11`iIT Energy Plan Checking Fee $ U'O PERMIT FEE $ -N • f�,� LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF a, 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 ❑ Installation ❑ Other ❑ Describe Work: /�� �U�� Gas piping system 1 - 5 outlets 15.00 Building sewer 1 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 OOOV OR LESS Main Service 20.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, and my license is in full force and effect.PowEPPARATUS License Class LIC. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, Will do the work, and the structure is not intended or offered for sale. Q` I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO I 46.00 WEL200A NEW CONST. DWELLING OCCUP. SO U OR ADDNS. ( a ACC. sLOS. 3.5QFT, =.C.�D MAULTI.OUTLET 97.50 a SINGLR AE OLlrLET CIR. .00 Ex. Occup. OUTLET OR FIXTURES a4L @ I. 0 Ex. Occup. ouXTLEtT. AEs o.) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 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. ❑ 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 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.) O. 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. tt yy _ -• X i f (( t l j` ' �1 Date _i f _�_/ Signature of Applicant - O`Owner�❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 9CC i1. CONST. TYPE TOTAL FEE $ 3 �`� HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE, v 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. y" ` By / Date PERMIT EXPIRES ON Date Receipt No. LiZ E, /I 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,; Califotnia 95965 - Telephone (916) 538-7541 PERMIT o. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER &_ "/ _ ®� r - zON�G BUILDING RMIT OWNER I �! O J!G TELEPHONE �`Z SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS6 13i 5) � 0 C CONTRACTS R'S NAME r Coo T LEPHONE i7 CONTRACTORS MAIUPf ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ az) ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESSq w Dk>"11 JV'LA Energy Plan Checking Fee $ (� Old %�� �' �� PERMIT FEE S S- Cn LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF J Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat''pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel �❑ Utilities ❑ Installation ❑ Other VT Describe Work: /� L /ice✓ Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home S G I W 1 @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service z*.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, and my license is in full force and effect.PDWELL License Class 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: ❑ 1, 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 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 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( & ACC. BLDS. SO 3.5¢FT: NON -R SD. NEW NST_ STI -OUTLET 11 97,50 APPARATUS 8 SINGLE OUTLET CI R. Ex. Occup. OUTLET OR FIXTURES Q 1.00 BA20 .00 R. Ex. Occup. OFIUTIFTS A o of 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE S 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 forthwitNcomply with those provisions. rr X L Date 01 1 Signature o Applicant - Ownw� ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE _ \),� TOTAL FEE $ HA2. D. FES IMP FLOOD CDF PARCEL Po HD SU This permit is hereby issued under the of the Butte CountyCode and/or Resolutions indicated above for which fees have By PE IT EXPIRES ON 1 7011 applicable provisions to do work been paid. 1 y Date ) X Q Receipt No. 7-Z r I WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 1 PERMIT NUMBER - B .2996-72B P _4 E ;i js PERMIT EXPIRES 10wNER Henry Crofoot 1,CONTR: Frank Kline i LOCATION (A.P. 57-32-34 w/s Skyway, So. of Canyon View School, Magalia It 8, m Zoning -- Foundation Rgh. Plumbing Rein. 'Steel Framing Wtr. Htr. Firewall ELECTRIC Temporary Final DATE COUNTY OF BUTTE Department of Public Works BUILDING INSP.CCTIO-N RECORD Setback Forms Piers & Girders Fireplace Bond Beam Lath & Plaster— laster_Gas GasPiping & Test Found. Vents Plmg. Topout Rough Elec. Furnace Kitchen Vent Garage Vents Sanitation & Water GAS BUILDING Temporary Cert. of Occup. _ Final Final REMARKS OR CORRECTIONS COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Djive . Oroville, California 95965 l l Telephone: 533-12$0, Ext. 259 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the This permit is hereby issued under the applicable provisions of above-mentioned property for inspection purposes. the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. P DIRECTOR OF PUBLIC WORKS. X :�=--� .&P Date '-2-S Signature of Permitee or Agent By Date k % Receipt No. Zo C) o 3 kt Building Permit Expires Date e White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mailing Address Fireplace Contractor Total Valuation Mailing Address r Permit Fee Plan Checking Fee&/or Penalty Permit Fee $ Building Address PLUMBING No. @ 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. _ — L 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 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 Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) USE OF STRUCTURE . Single Family 9Duplex ❑ Others ❑ Range, dryer or water heater 1.00 Oven, Cook -top or space heater 1.00 Light fixtures Receps., switches & fix outlets EM 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 Permit Fee $ $ I certify that I haye read this application and state that the above y Y pp information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby (State Fee for n r g Motion $0.07/$1000 Evaluation nate Fee fo S program $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the This permit is hereby issued under the applicable provisions of above-mentioned property for inspection purposes. the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. P DIRECTOR OF PUBLIC WORKS. X :�=--� .&P Date '-2-S Signature of Permitee or Agent By Date k % Receipt No. Zo C) o 3 kt Building Permit Expires Date e White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant