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.BRILL, • Roy ` 92-2867MA
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hvac/s f Jessee H .4C
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSESSOR PAbj8�-0L N�JMB,3(;x-3R
58
ZONING
AR 1
BUILDING PERMIT
OWNER
%ERR�Y,1.
/
58�-?���
',,?
SQ. FT. OCC. BUILDING VALUATION
19-%66M[Y
OWNER'S MA13 A IIDMDRIVEO1�VY./.liL.7i:1 VV _
CONTRACTORS NAMEH AC INC
TVI —406
i
CONTRACTOR'S MAILING ADDRESS
3025 SOUTHGATE LANE CHICO 95928
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee
$ 15.00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESSPermit
311 FLUP4AS DRIVE OROVILLE 95966
fee
$
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF k] Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S I G W
@ 15.00
TYPE OF WORK
New Addition❑ Remodel❑ Utilities❑ Installation❑ Other❑
Describe work: NEW HVAC � _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
'
i
Main service 600V OR LESS
200A OR LESS
18.50
Main service 200A TO 1000A1
37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check One):
El am licensed under provisions of Chapt. 9, Div. 3 of the Bushes$
and Professions Code and my license is in full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW OR ADDNS. CONST. ACC. BLDGS. DWELLING OCCUPM
3.64 sq.ft.
NEW CONSTFL MULTI.OUTLET
NON-RESID BRANCH CIRC ITS
@ 5 00
POWER APPARATUS e
SINGLE OUTLET CIR. )
Ex. Occup( OUTLETS OR FIXTURES
20 @ 76
FIXED
Ex. Occup. OUTLETS PR
IRESID )EA.)
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. �Virin 9
15.00
Permit Fee
$
Contractor
-
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 15.00
Heating
+
SPLIT SYSOM
Cooling
+ ou
Hood
6.50
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
agj nal st s id Couqfty in consequenc`b of . e granting of this permit.
X / Date
Signature o Applicant — Owner contractor ❑ Agent ❑
Si OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee S
Energy Inspection Fee $
occ
CONST TYPETOTAL
FEE $
HAz
I DFEES I
IMP
I FLOOD
I COF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under the
sions of the Butte County. Code and/or
work indica gd above for which fees
d IREGtOR OF PUBLIC
By PERf1A�PIR S ?Date
applicable provi-
resolutions to do
have been paid.
WORKS
Date g•/3 9z
► .y
p 122477
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PE
7 County Center Drive - Orovllle, Californit 95985 - Telephone: 916/538.7541 Q 7—
APPLICATION AND PERMIT —��e_7
AODE 8 RR NU
068-030-158
ZO-NING
AR 1
BUILDING PERMIT ,
OWNER
ROY MERRILL
TELEPHONE
589-3177
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
311 PLUMAS DRIVE OROVILLE 95966
CONTRACTOR'S NAME
JESSEE HVAC INC
TELEPHONE
891-4926
CONTRACTOR'S MAILING ADDRESS
3025 SOUTHGATE LANE CHICO 95928
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 15.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
311PLUMAS DRIVE OROVILLE 95966
Permit tee
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF [ Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S G W
@ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work: NEW HVAC
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600V OR LESS
200A OR LESS
18.50
Main service 200ATO1000AI
37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST.DWELLING OCCUP.&
OR ACDNS. ( ACC. BLDGS. )
3.64 sq.ft.
NEW CONSTRULT'-OUTLET
NON-RESIO BRANCH CIRC ITS
@ 5.00
POWER APPARATUS tr
(SINGLE OUTLET CIR. )
Ex. Occup(OUTLETS OR FIXTURES20
@ 76
Ex. OCCup. OUTLETS P(RESID ) EA.)
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. IYirin g
'15.00
Permit Fee
$
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
1 shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIingFee 15.00
Heating
9.00
SPLIT SYSTEM
Cooling 5 TON
16.00
Hood
6.50
Ventilation
Permit Fee
$ 0.
LContractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
ag nst s id Cou y in consequen8b o e granting of this permit.
X Date o
;
Signature o Applicant — Owner Contractor ❑ Agent ❑
An OSHA
ion of structures toverr3gstoriesoineheighttions over S'0" deep and demolition or construct-
Mobile Home Installation Fee S
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE
ttAz
OFEES
IMP
FLOOD
COF
PARCEL
PD
HO
ISSUE
This permit is hereby issued under the
sions of the Butte Coun Code and/or
work indica d abo r which fees
I OF PUBLIC
By
PEWAITE PIRES Date X—/ 3-17_7
applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No. 122477
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
- _ I
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville. Californii 95965 - Telephone: 916.'538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL U B R
-Q�Q -(S •'
ZONYP}G
�.
BUILDING PERMIT
OWNER
I13
TELEPHONE
1 22
S0. FT. OCC. BUILDING VALUATION
OWNER'S M IN
/ ADDRESSc vM /is m O -XO s
CONTRACTOR'S NAME
C C
TELEPHONE
�(
CONTRACTOR'S MAILING ADDRESS
30 Z uf�, CA Cake l.liLlC6 5 ZU
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $ 15,00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS C
0w,4 S OP
Permit fee $
PLUMBING PERMIT Filing Fee 15.00
C- 95
Each Trap 5.00
Solar or heat pump water heater 20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Water piping 7.00
Each qas water heater or vent 7.00
USE OF STRUCTURE
SF�Duplex❑ Mobilehome❑ Other
����\ SPECI FY
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.00
Mobile Home S I G I W @ 15.00
TYPE OF WORK
New❑ Addition ❑// Remodel ❑ Utilities ❑ Installation❑ other /(�J
Describe work: jf/CIA u- U- A -C - (/
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 200AORLESS 18.50
Main service 200A TO 1000AI 37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
El am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license Is In full force and effect.
License ;Jo. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. ( DWELLING OCCUP.t>c\ 3.6C sq.ft.
OR AODNS, l AGC. SLOGS. I
NEWCONSTR ULTI.OUTLET
NON -R ESID BRANCH CIRC ITS @ 5.00
(POWER APPARATUS a�
l SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 20 76d
EX. Occup. OJT ETS PRESID 1REA.T ( 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. Wiring
g 15.00
Permit Fee $
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT Filing Fee 15.00
Heating
� L%
Cooling -5- 7O -AJ J low
Hood 6.50
Ventilation
penult Fee $
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date
Si nature of Applicant - Owner
9 pp ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
I
TOTAL FEE $
HAz
1 0FEES
IMP
I FLOOD
I COF
PARCEL
PO
HD
ISSUE
This permit is hereby issued under the applicable provi-
sions 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
PERMIT EXPIRES Date
Receipt No. %
WHITE-O.P.W., YELLOW-ASeCSSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT