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HomeMy WebLinkAbout068-160-113CHARLES GROVES 6_ � 3 • .tX. � �.�._ �. � -„ ".�. T " .. 2730 (Tu.incy Rd., Oroville 1 - , � 3356-75P (tea s� for e � SF 068-160-113 00-2798 GROVES, JOE 2730 ORO QUINCY HWY.,0ROVILLE - CONTR: STRANG ELECTRIC UP GRADING ELECTRIC 068-160-113 - 02-16861-� _ PEASE, ED & SUE w 2730 ORO QUINCY HWY., OROVILLE' CONT: SELIG CONST. ®` REPLACE WINDOWS & VINYL SIDING V68-160-111 2;' ` PEASE, EDWARD 2730 ORO QUINCY HWY, ORO Cont: GREENE ROOFING LE , ` t j,�S • tf;i 4 C NEW_ HVAC, GAS & ELECTRIr, I M c { s wc-:'s�'.itr�''nL%°►'2+F'A.'.G':7'°`.'..,,.r:.' ; �i!a,4i±:4T�:,M?q-"'ayv'h.1'!;r �cc• - .�..^a :`�:y .......-: ,: `ten=,rev`*` i';-hy�� •...N>..` rt- ---7 •._, ,..�_._. .�-... .....,,,r.., -it 068-160-1131 00-2798.^ GROVES, JOE 2730 ORO QUINCY Hwy., OROVILLE CONTR: STRANG ELECTRIC UP GRADING' ELECTRIC of -_ - 1 - i t • S -it 068-160-1131 00-2798.^ GROVES, JOE 2730 ORO QUINCY Hwy., OROVILLE CONTR: STRANG ELECTRIC UP GRADING' ELECTRIC of -_ - OFFICE COPY Address ELECTRIC Meter By, z� Date ! o� 1 - t • S h� 1� �K r, OFFICE COPY Address ELECTRIC Meter By, z� Date ! o� �10 ' FILE f 1 - �10 ' FILE f COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone -.(530) 538-7541PERMIT .O. (Rev. 12/96) APPLICATION AND PERMIT 1I w—,!�%q y ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO, FT, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 41 r► R,, PTi MINIMA CAW, CONTRACTOR'S � yNNA�M�E ����rr►►}}���� ° .� SWIC F1 r.fu11S.L.0 ! TEELEEPPH�O�N�E�y �� 533-S` 4 CONTRA..CCT�TOO/�S��M�A�ILIL��IN,gqG�••��ADDRESS ��pp ��//��}}�� �� �� ��yy�� 250 �.tY�3A+l� HIGI [R. • �.[`L/Yli , 7-936 CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing , Fee $ '20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS2 CM 14W., UMI F CA Energy Plan Checking Fee $ $ PERMIT FEE $ LOT 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 gas water heater or vent 15.00 TYPE OF WORK I New ❑ Addition ❑ Remodel ❑ Udlides ❑ Installation ❑ Other ❑ Describe Work: FT j� "Wr`o, II V?M'�, y Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ I ;L ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A OR LESS 23.00 _3 L 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 Profefssions Code, and my license is in full force and effect. � 2 i License Class / is Lic. No. 1 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: D 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 Main Service PGOA TO 100oA 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a ACC. eLns. 3.5¢Fr; NEW CONS L MULTI- NDN•REs1D. OUT'rrS @7.50 POWER APPARATUS a sINGLE DUrLEr CIR. ,.� Ex. Occup. OUTLET OR FIXTURES BAL 50 Ex. Occup. DurLe°. F19 E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 ax_koxctim 23• 00 PERMIT FEE $ 66•I� MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEi: $ 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 forthwith comply with those provisions. / X Date % /Lk /G Signature of Applicant - `❑ Owner Contractor ❑ Agent r `� An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height.Data- •grmY Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HOZ. D. FEES IMP I FLOOD I CDF PARCEL PD HD ISSUFw 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. , � r PERMIT EXPIRES ON �� Q I Date Receipt No. !) WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PER 24 HOUR INSPECTION #: (530) 538.7636 ) 538-7541 (PAX#:I(5 0) (530) 89 2834 (CHICO) OFFICE ( WEBSITE: www•buttecounty.net\dd LICENSED CONTRACTORS DECLARATION TIIONat I am Censed under I hereby affirm under penalty of perjurytion 7000) of Division 3 of Provisions of Chapter 9 (commencing with Sec the Business and Professions Code, and my license is in full force and effect. License Number: License Class : --------� Date: __� Contractor. OWNER -BUILDER DECLARATION exempt from the 1 hereby affirm under penalty of perjury reason (Sec. m the cit or county which requires a 1.5 Contractors' State License Law for the following structure prior Business and Professions Code: Anyem Y permit to file r permit to construct, alter, improve, demolish, or repair any also requires the applicant for such P rovisions of to its issuance, pursuant to the p ter 9 commencing with Section signed statement that he or she is license r or that he or the Contractor's State License Law (Chap tion Any 7000) of Division 3 of the Business and Professions Code) she is exempt therefrom and the basis ion theallegedPert subjects the violation of Section 7031.5 by any app applicant to a civil penalty of not more than five hundred dollars ($500).): <a with wages as their ❑ 1, as owner of the property, of My sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions CodeThe Contractors' State License Law does not apply to an owner: of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, ants are not intended or offered for provided that such improvem sale. If however, the building or improvements are sold within one the owner -builder will have the burden year of completion, se of proving that he or she did not build or improve for the purpose sale.).with 1, as owner of the property. am exclusively contracting v dos licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License 5 ahereon, not apply to an owner of property who builds or improves and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law-). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERSnaCOofPE perjuryAToneof the following declarations: I hereby affirm under peION Y provided trr by Section 3700 of the p I have and will maintain a certificate of, consent to self -insure or workers' cornPensation, as p Labor Code, for the performance of the work for which this perm is issued. ensation insurance, as I have and will maintain workers comp for the performance °f required by Section 3700 the Labor Code, workers' compensation the work for which this permit is issued. My insurance carrier and policy number are: Carrier: Policy it. -7 2_1 Z VPRMIT NO. i 041552 Issued Date: 05/28/2004 APN: 06$-160-113-000 Site Address: 2730 ORO QUINCY HWY ORO Map Index: Description: NEW HVAC , GAS, ELECTRIC. Owner: 2 37 EDWARD ORO QU NCY HWY E E OROVILLE, CA 95966-9254 Applicant: PEASE EDWARD F & SUE E Contractor:. GALLAGHER'S HEATING & AIR E'HWY 99 LOS MOLINAS, CA 800-892-3556 License #: 777334 Architect: Engineer: / R Total Square Ft: Valuation: 0 S.F. $0.00 Census Code: / pe it is ❑ I certify that in the performance of the work for which so as to I shall not employ any persons anymanners issued, compensation laws the California', V �[ become subject to the workers' come workers' and agree that if 1 should become subject to the C ` compensation provisions of Section 3700 of the Labor Code, I shall j+ S forthwith comeIY with those provisions. /,L� J�j. D 11 . F.. BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netWds PERMIT NO. BP041552 LICENSED CONTRACTORS 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 Issued Date' 05/28/2004 APN' 068-160-113-000 the Business and Professions Code, and my license is in full force and ' effect. License Class: License Number: Site Address: 2730 ORO QUINCY HWY ORO Date: Contractor. Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: NEW HVAC, GAS, ELECTRIC. Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: PEASE EDWARD F & SUE E to its issuance, also requires the applicant for such permit to file a 2730 ORO QUINCY HWY signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section OROVILLE, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95966-9254 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 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 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: PEASE EDWARD F & SUE E owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). PC1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: GALLAGHER'S HEATING & AIR and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). E. HWY 99 ❑ 1 am Exempt under Article 3 of the Business and Professions Code LOS MOLINAS, CA 800-892-3556 Date: Owner: License #: 777334 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 Architect: is issued. I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Cartier: S'I % A Total Square Ft: 0 S. F. / 7 7-12- Policy #: 7s Valuation: $0.00 ❑ I certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' /_ ^ i 6 60 �' S compensation provisions of Section 3700 of the Labor Code, I shall t✓� �1 forthwith comply with those provisions. �G:S• �" Date: �Vl')OUVITG��IU' (P Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under t e applicable provisions of the Butte County Cods and/or I hereby affirm that there is a construction lending agency for the of the work for which this is issued (Sec 3097 Civ.) Resolu on4to o work indicated ov for which fees have been paid. performance permit By: Date: ( J Name: PERMIT EXPIRES ON: Date Address: ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance any offic' I f rm or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purz. l r ^"• Print Name: J / NI C2 O C FI/J�b--/L- Signature: Date: ❑ Owner ❑ Contractor ❑ Agent for Owner gent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION OWNER Name Address w City rl State C4 Zi S� 6 Phone s'3 car Fax E-mail a APPLICANT NAME ARCHITECT/ENGINEER CONTRACTOR Name G LL Zip 4v+(__ Address -7 o y 1 0 u�:- City State License Number , / StateZip 64- Date Approved: Phone Fax 3'? y E-mail Lic. #,� -7 17y Class y APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City State Zip Phone Fax E-m State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail PLICANT SIGNATURE X !��L 4�� For office use only: Zoning Flood Zone SRA I Yes No Occ. Type Const Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BP BIN # LOCATION AP# a&17), _ /�5 690 Property Address Cross Street WORKER'S COMPENSATION Policy Number / 7 2T 2z Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Amu) Nerd eta Am Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by*le Amount i Bldg SRA Receipt #: ,ti Sheriff SMIP Other Date: CC �y,_/-' O (/ &S-1 Total SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! ❑ 3. 3 Engineered plans (if required)'with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. 2 Energy compliance design and supporting documentation: (Note: Not required for additions to mobile or modular homes.) ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 8. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 9. Sanitation and site plan approval from the Environmental Health Department. ❑ 10. Metal Buildings: (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. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (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. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. — --- - ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMSSUILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 430-04 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 068-160-113 ZONING BUILDING PERMIT OWNER PEASE, ED & SUE TELEPHONE 534-9768 SQ. FT. OCC. BUILDING VALUATION cont 18,290 OWNER'�71jlblblg0 QUINCY HWY. , OROVILLE, CA 95966 "'TEPT CONT TELEPHOE 1893— 5898 —RAyn l ILIMORROW LN. # 7 , CH I CO , CA 9 5 9 2 8 CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ 1-8,290 ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ 198.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 2730 ORO QUINCY HWY., OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ 218.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing 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 WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: REPLACE WINDOWS & install VINYL SIDING Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I s I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing 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 Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class — Lic. No. /,/15 Ll 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 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 S7A- T -G f6 ie �,- Policy Number -rO D (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 ply with those provisions.n / X / Date Sig e of Applican - ❑ O er ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in heig Main Service TONG 46.00 :U00A NEW CONST. DWEWOCCUP. CU OR ( SO. 3 SQ�. CDN NEW MUNir�i ou�TLSer NONLRESID. @7.50 APPARATUS a SINGLE OUTLET CIR. 20 @ t DD Ex. Occup. OUTLET OR FIXTURES BAL @ .50 Ex. Occup. RAID°� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEP_ $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 218. 0 0 HAZ. D. FEES IMP FLOOD ermit is hereby issued under the of th utte ny C de and/or indicate v or h' h fees have By PERMIT EXPIRES ON 4 CDF PARCEL PD HD ISSU applicable provisions Resolutions to do work been paid / Dat afe Receipt No. WHITE-D.D.S.-B.D. CANARY -ASS CTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PE IT NC 2ev.12/96) APPLICATION AND PERMIT 11 40 ASSESSOR PARCEL NUMBER &V e. /A m►«a BUILDING PERMIT OWNER CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ARCN(rECT OR ENGINEER ARCHITECT OR ENOWEERS MAIUNG ADDRESS BUILDING ADDRESS LOT NO. SUBS) BIONS NAME V LICENSE NO. PARCEL USEOFSTRUCTURE I SF ❑ Duplex ❑ Mobilehome ❑ Other TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ `Installation ❑ Describe' Work: Aw& o ,4 1 / % /%) I W / Iii U Fireplace PERMIT FEE $ _ Total Valuation S PERMIT Filing Feel 20.00 Filing Fee I $ 20.00 Permit Fee $ --- Plan Checking Fee $ S I 3.5COi Energy Plan Checking Fee $ /� 1 @7.50 $ PERMIT FEE S PLUMBING PERMIT Fling Fee 1 20.00 Each Trap 7.001 Solar or heat pump water heater 1 23.00 Water piping 15.00 Each gas water heater or vent 15.00, Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 EX. Occup. OUTLET OR FwruREs I aw QP I.. Ex. Occup. oLrneTSAEsio o2.5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 SRA PERMIT FEE S Sr MECHANICAL PERMIT Fling Fee 20.00 Heating OCooling1 Hood j 6.50 1 Ventilation PERMIT FEt: S / Mobile Home Installation Fee S AWS04A Ttct;,I ✓ Energy Inspection Fee $ OCC CONST./rteTOTALFEE$ /�4I' /�Z IMP iLOOD COi PARCEL PO ND I ISSUE JJJ VVV ,we �� a,��Q This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Nt&1M indicated above for which fees have been paid. co" By PERMIT EXPIRES ON Date _ PERMIT FEE $ ELECTRICAL PERMIT Filing Feel 20.00 Main Serviceeoov DR LEss zow oR LEss 23.00 Main Service zooA TO IOOOA 46.00 NEW CONST: OR AODNS. ( DWELLING OCCUP. a ACC.. BLDS. S I 3.5COi NtW GONST.MULTI-OUTLET NON•RESID. -- ( BRANCNcWctm, I /� 1 @7.50 EX. Occup. OUTLET OR FwruREs I aw QP I.. Ex. Occup. oLrneTSAEsio o2.5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 SRA PERMIT FEE S Sr MECHANICAL PERMIT Fling Fee 20.00 Heating OCooling1 Hood j 6.50 1 Ventilation PERMIT FEt: S / Mobile Home Installation Fee S AWS04A Ttct;,I ✓ Energy Inspection Fee $ OCC CONST./rteTOTALFEE$ /�4I' /�Z IMP iLOOD COi PARCEL PO ND I ISSUE JJJ VVV ,we �� a,��Q This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Nt&1M indicated above for which fees have been paid. co" By PERMIT EXPIRES ON Date _ 1:i . V LIIG This is to certify that' 'j')C,nl.J,s CLI &I&12has authorization to sign for all permits at 0 0 (M '..j C,/ �,W !d O2od,(-e.G for Selig Construction. _ I License'#711042 Class B California Indemnity Ins. Co_ Binder No 6653 Policy No N5043317B Scolig State of California County of 11.q 7 TL On oc,-ra'ac-r�3) I�`�� before me, w L-At"�c'cNGiAR�1 rjYW_(C.I personally appeared S c o -r ? Se L%L, 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/ -j" executed the same in his/h-,-_� authorized capacity, and that by his/lei signature on the instument the person, or the entity upon behalf of which the person acted, executed the instrument. WITNESS MY HAND AND OFFICE SEUL. Signature W. J. LAMBERT IIICOMM. !1109367 xNOTARY PUBIC-r�wFoanu NI!& COUPFy OF BUTTE w kir Cpm Hu 5 20, 2000 3851 Morrow Ln., #7 - Chico, CA 95928 - CA. License # 711042 • (530) 893-5898 COUNTY OF BUTTE - DEPARTMENT aF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT A- (Rev.12/96) APPLICATION ANDPERMIT* �- 79ly ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS CONTRACTORS NAME 91I1W a=c TELEPHONE 533-4214 CONTRACTORS MAULING ADDRESS 250 CAt� M HIGIIM Int. OI;a= 95%6 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 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 gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 9 FT'T62TCAT _ I_ R'241M Gas piping system 1 - 5 outlets 15.00 sewer 15.00 —Building Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 �_-- Main Service ..AoRLESS 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.✓ �+ ``^^ `� 'i f License Class („ / V Lic. NO. �7 T^ OWNUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: A 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 Main Service 200A TO lOooA 46.00 NEw CONIDNST, DW occuP. 3.5QF°: NEw CONST. MULTI-OUTLET.S. =RESID,97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex, OCCU OUTLET OR PaTUREs BAL @.5000 FIXER-B Ex. Occu . oirr�is A�ID,oFA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 ;KL_i� 23.00 PERMIT FEE _ 66,00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ 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 fo ' h comply with those provisions. ') Date / 6 V Signa re of App ant - `❑ Owner Contractor ❑ AgeKt An OSHA permit' equired for excavations over 5'0" deep and demolition or constru tion of structures ov r stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAz. D � IMP FLOOD CDF PARCEL PD HD 6SU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicat a ova f hich fees have been paid. pl i V� EXPIRES ON ff efe rReceiptNo. ��PERMIT ITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT / ❑ B.I.N. REQUEST FOR INSPECTION Permit No. '09%7:p -M -so Location: Owner. ('Fj (J(/)41�1_ 5 Contractor or Tenant: Complaint: BLDG. PLUMB/MEC ELECTRIC M.H.I./M.H.U. PRE - Form Rough Rough INSPECTION Frame/Underfloor Top Out Temp. Service Corrections Housing Stucco Lath Gas Piping/Test Service Final Job Status Stucco Brown Temp. Gas Underground Permit Renewal Fireplace Bond Beam Insulation Sewer Piping Water Piping Shower Pan Well Circuit Light Niche Verify Utilities OTHER Nailing Corrections Final Corrections Final Corrections Final READY FOR / A.M. IINSPEC. ON P.M. Date:It _17_6Z) Time: __ Note: PRE -INSPECTION REPORT OWNER: LOCATION: of CONTRACTOR: (�le/(� PRE•INSPETION FOR: &41e�- 4 DATE TO INSPECTOR: Building Description: Commercial/Usage: Residential/# of Units: Currently Occupied PERMIT HISTORY:( ) NONE DATE: AP. #. ZONING: XAS FOLLOWS: BUILDING INSPECTOR'S REPORT 'I. . Abandon ed/Vact Electric: Yes Electric currently On Off Condition of Electric � Gas: Natural Propane None Currently On Off Obvious Problems: Sanitation: Plumbing Working Well Working Potable Water Obvious SewageProblems Comments: ACTION RECOMMENDED: ISSUE: HOLD FOR Inspector. Date 1/^ t 7 5 Sketch buildings on reverse and indicate location on property. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive S, Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) e� APPLICATION AND PERMIT mNNO - BUILDING PERMIT FARcelNureea ,SO. FT. OCC. BUILDING VALUATION """° „°°"`•• CWRAMPM NA!X �5'Tie14,Aj 45Ze cONTAAGT9R7 YAa,NO MON= C 6 aN OONfTRIlC'TgN LFIOEA EFirel,,e JEWE" WuNo AOOREsf $ Total Valuation AACWECTORET401NEM UCENCENO. Filing Fee E 20.00 ARCHITECT OR o oNEme rAUNo ADOAM Permit Fee = Plan Checking Fee E ""ONeADOFJff 736 d,6U �/ �, Energy Plan Checking Fee $ S PERMIT FEE _ LOT NO. auemoxmimug PARCEL w► PLUMBING PERMIT Fling Fee 20.00 Each Trn 7.00 USEOFSTRUCTURE Solar or heat pump water heater 23.00 SF Duplex ❑ Mobilehome ❑ Other Water piping 15.00 fPEcry Each as water heater or vent 15.00 TYPE OF WORK Gas piping system 1 - 5 outlets 15.00 New ❑ Addition ❑ Remodel ❑ Utilities Installation ❑ Other ❑ Building sower 15.00 / Mobile Home I S I G I W @20.00 Describe Work: PERMIT FEE t ELECTRICAL PERMIT Filing Fee 20.00 Main Service =OARLE s 23.001 Pbjq Main Service 2WA TO IMA 48.00 CONS . OR AOONf. WqD. so. 3.SCFT. LWUU. IOM-0lE 97.50N tFOWAPUPA SO Ex. Occup. OUTLET OR Mum eA 0 T,yp Ex. Occup. O , 610 �rJL 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ HO �i MECHANICAL PERMIT Fling Fee 20.00 *PERMIT FEE PAID s- rL! Heating SRA - ' $ Cooling SHERIFF $ "O°d 6.50 Ventilation OTHER $ $ PERMIT FEIE i Mobile Home Installation Fee is Energy Inspection Fee is occ CONST. TYPE TOTAL FEE $ L' AMOUNT RECEIVED $ KkL 0. FEES WP I RDOG I COF PARCEL PO Ho GMvE *RECEIPT NUMBER 2 J� * TO BE PUT INTO COMPUTER 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 x ? '�.a.�t--. L••'/ '+ '�??`-,"!S 'sTrF,�,s9"T�—�- :-r---••*Fi;.�. �•,.w- _ ,"'.'�-... ^"1 "� "�-r �,�,•,y..q� -� �.- "=-'s."";' f _- < y i`�' ^.r--`•—:�':.. �..� �_ .� -- .:_� ___ -• — _ R• 1 �_"�-•S�w'1}l,f _;"'1i ,w• 7�Gf�.,_..r�r_ _ �.. • ' t;:2 �P.e... > `Y, ---'--AP _ tlr-16. . • _ _ _='�^4A�--' •T r `'. a u •% •�°'' •! ,kc.8v�-;�'R n '.3\r� �t s I, Yx CHARLES GROVES Uincy Rd., Oroville.'arWl Permit# 3356-75Pas 8 y. ', .•';��'�s �$`;J' µ �� ;+ ! r� for. :.r f�hh�y�r;%,I�'' �t,• Y Y. �, � ..� < •x' � .j .`� < Vis,/ �. • . + ..�.S,4a-'•F..i.. J Sat .. � f x 74 •• by rx - � r�,i �_ �S s.t t-. 4�,.,,�.t.��. r� 71 14, �t�� ��- rtf y�" r.l ;�' .y '�r 'n {' »r� `r,r �,+. �` S�'L. •�� �/ i r •t �e a++ji 'F •Z r� � • � w sr � � � a �: 4 ��, r y.n`'�.9.i�r '.�. lf�, X a s � n>t`1'�¢+ -,7.4� �.,� � � 1� .. - w ,Y • ft ..4 Z '..4 i 11 ,�.�1 M��K ,1 rei•� k�ii i��rs��`� r !'; � ¢ � � � !. � • ; }; , �.�; r % � . L � �•: a � e - t'i�'`�,. ti!2''�.,• •-�4.. '� ,�!�; ,�(• ! 1r t Y:�� �:�;y�� Z tl`�,•:;f; h, *")' ti•.�1,�'( a .A aft iC" L% ♦ ,t 1 q ` r ;`�iya . i f1..,,:.?x.� �''>°. "ti's, {a y` t . � r r Y..• F4 �'t •J J+ 1 >. i' . , l' � �� y'n 4- : ri. _ -•.-q. t 's � «� r',� � ..v y7 . 1'�`a.� '•, �'� < +�r' 1 •rT ' 't i . r • �. .�1. n ti t� r a�--. � .Y M ,..:.r�. « .,1 =� ..j�' Y COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • OroXille, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT �L` -2767e- AsSniORPARC&NUMIMM 469-160— //5 ZONNO BUILDING PERMIT Owt" "Te& 1-15 T"LIP1ONL SO. FT. OCC. BUILDING VALUATION OWMM'S W WNG ADOMS /'p- hi &rz / T&WLIJ!!�K TELVH4�5'9,� Q//� (✓ r CONfR11crOR1 ►LME �jTe/,/ \/ (.� e- C C -�i.a N! W . ��✓l CONTRACTORS M LLM AD✓ORESS _ LAN CONSTRucnoN LmoT Fireplace LMER'S MMUNG ADOREsa Total Valuation E ARCWMCT OR ENGINEER uCEME NO. Filing: Fee E 20.00 ARCWMCT oR ENONEma waiNo ADDRESS Permit Fee E Plan Checkin Fee $ GULDfN =RM 736 o�(./ �l C� Energy Plan Checking Fee $ S PERMIT FEE _ LOT NO °1Dp1M1S1DN�""'E PARCEL WP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE - Solar or heat um water heater 23.00 SF Duplex ❑ Mobilehome ❑ Other Water piping 15.00 sPW'r" Each as water heater or vent 15.00 TYPE OF WORK Gas piping system 1 - 5 outlets 15.00 New ❑ Addition ❑ Remodel ❑ Utilities Insilallation ❑ Other ❑ Building sewer 15.00 Mobile Home I S I G I W @20.00 Describe Work: PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 OR LP5S 0.0 0.v Main Service zoSA oR mss 23.001,4;4 Main Service 20" TO I 000 46.00 CONST. DWE11N0 OCCUP. OR ADONS. Ow==u BLDS. 3.5¢so. R. NOKRES.D. MULTI -OUTLET @7,50 POWER APPARATUS b SWOLE OUTUR 010. R Ex. Occup. OVnzT OR PoURES 20 .00 RAL ®x .50 Ex. Occup. UiIE°rs 6iD.DEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 P =— AV- D 0 LOiOC PERMIT FEE _ 10D 11 MECHANICAL PERMIT Fling Fee 20.00 *PERMIT FEE PAID $ rl % r� L% Heating SRA - - $ Cooling SHERIFF $ Hood 6.50 Ventilation OTHER $ $ PERMIT FEIE $ Mobile Home Installation Fee = $ Energy Inspection Fee S occ coNsT. TTPE TOTAL FEES AMOUNT RECEIVED $ 4W r NAZ I I, FEM I"° "°°° I `°P I -- I °° I MD ISS"` This permit Is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work *RECEIPT NUMBER � 3c7,;,,), �� � Indicated above for which fees have been paid. * TO BE PUT INTO COMPUTER By Date PERMIT EXPIRES ON n e V COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Tel ew4one: 534-4541 APPLICATION'AND PERMIT authorize representatives of the County of tsutte to enter upon the above-mentioned property for inspection purposes. X Date I% Signature of Permitee or Agent 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 1 By Date Building permit expires Date PAI BUILDING Owner ����, ��� Ur SQ. FT. OCC. BUILDING VALUATION Mailing Address e 7&r-3 oilj 'D-, X 17 7,5 - /.et Telephone No. .5.i4 Yr : f Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 P 7`-3U r ,t , Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 •/-�,rf ` A. P. No. / �7r!/_ �� frC, Zoning & Planning Gas piping system 1 - 5 outlets 1.50 V , U Each additional outlet .30 Fees W.C. Sanitation. - FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma p- 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. Plans Rec'd Parcel Approval Plans Approval Permit Fee $ . NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 �„ A_ 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 fixturesy 2 Receps., 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 $ 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. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. F-4 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 the Workmen's Compensation Laws of California. 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 relatinq to buildinq construction, and hereby PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE $� authorize representatives of the County of tsutte to enter upon the above-mentioned property for inspection purposes. X Date I% Signature of Permitee or Agent 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 1 By Date Building permit expires Date PAI COUNTY OF BUTTE —'.DEPARTMENT OF PUBLIC WORKSS 7 County Center Drive - •Orovilld, California 95965 �/ v Telephone: 534-4541 APPLICATION AND' PERMIT 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. t> 1 certify that'in the performance of the work for which this f 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. I certify that 1 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 County of Butte to enter upon the above-mentioned property for inspection purposes. X X ze Date Signature of Permitee or Agent Receipt No- J White-D.P.W. — Yellow -Assessor — Pink-Inspec — Goldenrod -Applicant Cooling Ventilation 1 Hood Permit -Fee 0 TOTAL PERMIT, FEE $ 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 UB IC WORKS By Date permit expires Date BUILDING , Owner -'S U SQ. FT. OCC.. BUILDING VALUATION Mailing Address en)e 77,5 - STelephone U g- Telephone No. "Z- Fireplace Contractor Total Valuation • Mailing Address Permit Fee 11 Plan Checking Fee &/or Penalty _ Telephone No. Permit Fee Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 pe Z 730 Each Trap 1.50 ©,QO 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. Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Flans Parcel Declaration Parcel Ma P 60' R/W Improvements Lawn sprinkler system 2.00 d Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter' .y Additional meters, each 1.00 Sub -panel (12 or less) (morethan 12) Single Family ® Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures b (d 25 Receps„ 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: t Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioneror heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 j License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heatina 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. t> 1 certify that'in the performance of the work for which this f 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. I certify that 1 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 County of Butte to enter upon the above-mentioned property for inspection purposes. X X ze Date Signature of Permitee or Agent Receipt No- J White-D.P.W. — Yellow -Assessor — Pink-Inspec — Goldenrod -Applicant Cooling Ventilation 1 Hood Permit -Fee 0 TOTAL PERMIT, FEE $ 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 UB IC WORKS By Date permit expires Date County of Butte DEPARTMENT OF PUBLIC WORKS REQUEST FOR INSPECTION Date 7`2 — 7,K- Time Permit# )JEW Job Address Owner ��[/6�C l /N -5U UV IA2C r" 0`51 Contractor BLDG° PLUMBING ELECTRICAL OTHER Form Rough Rough Frame Gas Piping Appliances Lath Sewer Meter Fireplace Final Water Pipe Final Temp. Service o ' Final Ready for Insp. on q 19a:m. Date m. Inspection made: By