Loading...
HomeMy WebLinkAbout066-470-009m P. t, '-t3-3825 i -009 066-470 D, MICHELE HOLLAN Cont: OWNER DE ELEC SERV UPGRA r t � f• rI• ri '-:.) ''• 77 r.i. / •It r It ff '} T= 11 t.1st +i1 A ' rl 1 •s I A . q y .1 t , 1, . t r COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO. 12/96) APPLICATION AND PERMIT 03 .s9zs ESSOR PARCEL NUMBER ZONING BUILDING PERMIT ��� 47O ooq YcR TELEPHONE SQ, FT. OCC. BUILDING VALUATION 97,2-74-09 O"- S MAILING ADD S Avr r✓rrrGO X4-4- $ffE2.tt7+°� g59a-� TELEPHONE ' drRAGTORS NOME 4TRACTORS MAIUNG ADDRESS i NSTRUCTION LENDER Fireplace NDEF S MAILING ADDRESS Total Valuation Is qR Cf OR ENGINEER LICENSE N0. _ 'Filing Fee $ 20.00 Permit Fee' $ ARONRECr OR ENGNEERTi MAILING ADDRESS ` Plan Checkin Fee $ Bu0.DNGADDRESS 13788 SK w Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. sueDmslDNSNAM,E PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Tr 7.00 USEOFSTRUCTURE SF t�Duplex ❑ Mobilehome ❑ Other SPECK Soler or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities i3"installation ❑ Other ❑ Describe Work: lAPG int= S Et2J l GC— �fSEf�l 1. �E�2 �I T —(a 9ytlt.7t1� Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S laW @20.00 PERMIT FEE ELECTRICAL PERMIT I Fling Fee 20.00 Main Service �o�n 01;tF;s 23.00 2,3 — .PERMIT FEE PAID $ �� • SRAR /� $ ��+'+ SHERIFF $ OTHER $ $ $ AMOUNT RECEIVED $ to/. DATE RECEIVED ®CrC1®T 5q,,�Or Main Service 2004 TO ,ODOR 46.00 NEw CONST. DWELLING OCOUP. 3.S¢0.1 OR ADONS. 8 ACC. BLDS. NONA6ID.CONST* MULTI-0Un.Er eO 7.50 POWER APPARATUS e ANGLE OUTLET em. @ t..00 Ex. OccOUTLET OR FWME9 eA. so Ex. Occup. vrLr,s BLEs o 5.00 Tem or Service 23.00 Mobile Home Facilities 20.00 Wise. Wiring- _23.00 'P►2E• I" SP. 23— 23 -- PERMIT FEE S G . MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee 1 $ Energy inspection Fee I $ =0 CONST. TYPE TOTAL FEE $ HAZ 1 0. RMS IMP FLOOD I COF I PARCEi PD 6SUE 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 PERMIT EXPIRES ON COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: A/O L LSI /,1� 7 ASSESSOR PARCEL NUMBER ' ¢ / � ' Proposed Building Use: �(E� Counter Technician: K� Date: Q3 Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... L9� 28. Pre -Inspection for LLP6/NA0E E L.EC_ required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number ........................................... El 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization.................................................................... ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone and hold for pickup. I have been inforr dof the a,¢S,We items and,#quirements for obtaining a building permit. Applicant: 1. Index of i pplica}'on r e above items 2. Additional items re, it Y Date: -- O9012- a3 Plan Check Letter Contractor, designed, owher, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Plans reviewed by: Date: Plans approved by: Structural reviewed by: Date: Structural approved by: Note transfer by: Date: Yellow: Building Division Date: Date: Date Date: O.B.- I 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 !,,xnajor labor and materials for construction of the proposed property ' ovement : YES NO ❑ 2 I HAVE HAVEN 'geed an application for a building permit for the proposed work- - I have n cted with th follo g person (firm) to provide the proposed construction: NAME: ADDRESS: 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: PHONE: 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 SI PROPERTYOWNER: K� This Owner -Builder Verification is required by Section 19831 and 19532 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. • O. .-1 I OWNER BUILDER INFORMATION -- I Dear Property Owner: 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 ofrecord 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 yourself; 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 carry 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, if yon 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. ely, Mc 1 C. Vi ira, C.B.O. M ger, Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code OVER COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT -SERVICES , BUILDING DIVISION, NOTICE Post this job card in a safe, conspicuous place. Do not remove until all required inspections are made and building is approved for occupancy. Plans must be available on the Job site. .( 066-470-009 03=3825— A.P. No. '•HOL-L-AND, MICHELE Owner .13788 SKYWAY, MAGALIA Contractor Cont: OWNER i Permit No. UPGRADE ELEC SERV — — PERMITTEE MUST CALL FOR INSPECTIONS INSPECTION I DATE I INSPECTOR Piers Conduit Pre-Gunite Underfloor Plumbing Underfloor Electrical Underfloor Mechanical Underfloor Framing Slab ) Rough Electrical Rough Mechanical Framing Shower Pan ............... ....... ... Insulation Fireplace Footings Fireplace Throat _... ....... ... . Stucco Lath Scratch and Brown Sewer Service Water Service Pool Final Plumbing Final Electrical Final Mechanical Final Building or M.H. Final DO NOT OCCUPY UNTIL ALL THE ABOVE IS SIGNED AND THE BUILDING OR MOBILE HOME IS APPROVED FOR OCCUPANCY Addresses Information:... : 24 ,Hr InsP Oroville - 7 County Center Drive 538-7541 538-7636 Chico - 411 Main Street 891-2751 891-2834 Revised 7/94 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 03.38p. -S ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER [Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing 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 as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service 2o0A oR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law r the following reason: I, as owner of the property, or my employees with wages as their sole compensation, ill do the work, and the structure is not intended or offered for sale. ❑ 1, 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 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.) certify that in the performance of the work for which this permit is issued, I shall not employ any person in any m nner so as to become subject to workers' gein,sation, la sof Cslffornia, d agree thatffI should become subject to the rscoma sation provisi s of section 3700 of the Labor Code, I shall ithZI Zwitose pr isions. X _ Date _� in ure o A cant - Owner 11 Contractor ❑Agent n OSHA p rmit is requi d for cavations over 5'0" deep and demolition or construction of structur over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. %ELUNG OCCUP. SO OR ADONIS. ( a ACC. BLDS. 3.5QFT, NNOONN-RESD ' mu LTH' @7,50 POWER APPARATUS a SINGLE OLfTLET CIR. 20 Q 1.00 Ex. Occup. OUTLET OR FIXTURES BAL p .50 Ex. Occup. oFurl�iors RM °Ew 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ Doc CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP FLOOD COF 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 By Date PERMIT EXPIRES ON provisions to do work paid. to ReceiptNo. 304--205 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT (Rev. 12/96) it '� .erg COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 APPLICATION AND PERMIT o3' PERMIT NO. 30;1 ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION - OWNER'S MAILING ADDRESS CONTRACTOR'S'NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS I Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE S LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 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: Gas piping sy2tern 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE S " ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2d0A 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.PSINGLE License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law • r 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 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 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.) certify that in the performance of the work for which this permit is issued, I shall not employ any person in any nner so aS to become subject to workers' co ensation la s of California, d agree that if I should become subject to the w ers' com - e sation provisi • s of section 3700 of the Labor Code, I shall rntwith o wit ose pr isions. _ Date 49_ 'en'afure o A p (cant - • Owner ❑ Contractor P Agent n OSHA p rmit is requi d for cavations over 60" deep and demolition or construction of structur s over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWEL.ING OCCUP. SO OR ADDNS. ( a ACC. BLDS. 3.5QFr: HESINEW OIDD MULTRANCI.OUTLETIT. @7,50 owER OUTLET CIR. APPARATUS a OUTLET OR FDfTUREs Ex. Occup. BAL p I:w Ex. Occup. oFuTLEFDrs RAID °Ew 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE t 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 $ HAZ. D. FEES IMP FLOOD CDF PARCEL PO HD SSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No. Be74";?05 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 APPLICATION AND PERMIT f-> PERMIT NO. � r, .J C, ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER E TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDIVISIONS 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 ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 LE Main Service zo.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. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Lawlor 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 WORKERS' COMPENSATION DECLARATION I 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 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.) certify that in the performance of the work for which this permit is issued, I shall not employ any person in any m nner so as to become subject to workers' compensation lavis of California, a�'id agree that if I should become subject to the 2g(0erS' com - elsation provislins of section 3700 of the Labor Code, I shall f6r�hwith co �ly wit ose pro�iisions. Date js�'dllnature o A plicant wrier ❑ Contractor ❑ Agent An OSHAp rmit is requi d for �ccavations over 5'0" deep and demolition or construction of structur s over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a ACC. S.3.5¢FT. NON -RID. MULTI -OUTLET 97,50 POWQLEER APPARATUS 8 SIN OUTLET CIR. zo @ ,.� EX. OCCU OUTLET OR FDRURES B20 .SO Ex. Occup. OFIXEDTSRES OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have in By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 066-470-009 03-3825 HOLLAND, MICHELE 13788 SKYWAY, MAGALIA Cont: OWNER UPGRADE ELEC SERV If (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75411— APPLICATION AND PERMIT PERMIT NO. r ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS - CONTRACTORS NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 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 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other sPECIFY Each Trap r� 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: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 a00VOR LE Main Service zo.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. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law140! the following reason: 1, as owner of the property, or my employees with wages as their sole compensation, sJ 4will 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 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. ( ADDNS.EW 3 50SO. FT. NOR CONST. MUL�TICO �iEr NON•RESID. 97.50 PowER APPARATUS a swGLE ourLer cIR. - Ex. Occup. OUTLET OR FIXTURES 200 1'50 BAL @ •50 Ex. Occup. OFlxuTiEtDrs A oEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 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. ❑ 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 Policy Number e above sections need not be completed if the permit is for work of a valuation one hundred dollars ($100) or less.) rtify that in the performance of the work for which this permit is issued, I shall DCnc ot employ any person in any m nner so as to become subject to workers' compensation laws of California, d agree that if I should become subject to the wo `ers' com a tkation provisi s of section 3700 of the Labor Code, I shall f rthwith c • m I with ose pro Isions. X Date 62_ e;� `© nature of A pl cant -` wner ❑ Contractor 13 Agent An OSHA pe mit is requir d fore cavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ HAZ. I O. FEES IMP I FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date peke Receipt No. = WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT C � COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. 12/96) APPLICATION AND PERMIT o3's9zs ESSORPAFICELNUMBEA O/ /- 47O OO9 zONING BUILA6ING PERMIT �Y aER ' OCG T97�E74O� SQ. FT. OCCr.I BUILDING VALUATION t SOL—LjtI�J D G t! E�L-E S MAKING ADOR�s 9� Al t, d+ico e -v � TELEPHONEr r i HrRgCTOR'S NAME Ae I WRACTORS MATING ADDRESS %TAUCnoN LENDER ERS MAILING ADDRESS AR LT OR ENGINEER ARCWTECT OR ENGWEE" MAEUNG ADDRESS BULDINGAODRESS 13788 SKyW nt un SUBDrMIDN'S NAME Total Valuation Is IO'FI'In Fee $ 20.00 Permit Fee' $ Plan Checking Fee $ Energy Plan Checking Fee $ $ PERMIT FEE $ MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 17.00 USEOFSTFtUCTURE Solar or heat pump water heater 23.00 15.00 SF t�Duplex ❑ Nlobilehome 13 Water piping Other SPECIFY15.00 Each gas water heater or vent TYPE OF WORK Gas piping system 1 - 5 outlets 15.00 New 13 Addition C3 Remodel E3 Utilities I�Instaliation E3 Other ❑ Building sewer 15.00 Moble Home I S J G I W @20.00 Describe Work: 1-lP60-4rnE SE-t2�lGC— _PLt✓A5E t,4AtL PC-eMI-r -Ta &Wf'oe- PERMIT FEE S ELECTRICAL PERMIT OOOV OA LESLESS Main Service zo•AOA S Main Service ( 2c" To +occA ) .PERMIT FEE PAID SRA SHERIFF OTHER AMOUNT RECEIVED $ 66.— DATE RECEIVED ig Fee 20.00 23.00 46.00 3.50R Ex. Occup. OLm-u OR F=uRE9 64L Ca .90 FIXEDEx. Occu OUTLETSC(RESIN OFR.A 5.00 Temporary Service 23.00 Moble Home Facilities 20.00 Mise. Wirin _.__ _,- T _ _,- -- _ _ _ _ _ _ _23.00 23.00 _— ______-- T PERMIT FEE $ 6 .— MECHANICAL PERMIT Ffing Fee 20.00 6.50 PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ =c CONST. TYPE TOTAL FEE $ HAZ. 10. FEES I IMP I FLOOD I CDF I PAACEL I PD -UE 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 / 3 -1-49� C;