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HomeMy WebLinkAbout068-360-0674, 41. AP _J '7 AMES KERN, - 61 Hi.11dale hVe. vi e Or6vi'lle Emit# 168945B(carp6iVL'Zd:dti'.') 7 HMA ES T1 6 1 Hilldale Ave, Oroville Contr: Lagrone Htg & AC, Oro Permit#1019-79E,M(replac'e htr & AC) S 68--;36-67 GIL MORT- -.rl6l---Hi-1 ld-a-l-e -Avenue ;,�-Orov i Ile Con�r: Wendell Const I ) ) S/ Permit#3038-86B(rerook/SF)' .............. -A668-366-'d67-. "'HOL I �.A J�DrrU A D f 't';_ I'*-- -- - - '_.' 1 71 4 �4161,-HILDA , IMLE AVE, CHICO n -t CTRtip��- G 6 bbf RER 12 0 T., t 4, 41. AP _J '7 AMES KERN, - 61 Hi.11dale hVe. vi e Or6vi'lle Emit# 168945B(carp6iVL'Zd:dti'.') 7 HMA ES T1 6 1 Hilldale Ave, Oroville Contr: Lagrone Htg & AC, Oro Permit#1019-79E,M(replac'e htr & AC) S 68--;36-67 GIL MORT- -.rl6l---Hi-1 ld-a-l-e -Avenue ;,�-Orov i Ile Con�r: Wendell Const I ) ) S/ Permit#3038-86B(rerook/SF)' .............. -A668-366-'d67-. "'HOL I �.A J�DrrU A D f 't';_ I'*-- -- - - '_.' 1 71 4 �4161,-HILDA , IMLE AVE, CHICO n -t CTRtip��- G 6 bbf RER 12 0 T., I � cn C� , ! CSI 17 BUTTE COUNTY DEPARTMENT OF'DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.net1dds PERMIT NO. BPO43183 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: 1 1/01�2004 APN: 068-360-067-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number:qO—'j'(��369 Site Address: 4161 HILDALE AVE ORO Date: Contractor: 6�& if, L_ -Z Map Index: Description: re roof 30 squares OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: HOLLAND CHARLES H & SANDRA D permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such. permit to file a signed statement that he or she is licensed pursuant to the provisions of 4161 HILLDALE AVE 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 she is exempt therefrom and the basis for the alleged exemption. Any 95966 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: GOELZ BROS ROOFING 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 14 LESLIE LANE sale. If however. the building or improvements are sold within one OROVILLE, CA 95966 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 530-534-0797 sale.). 1, 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 a0ply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: GOELZ BROS ROOFING pursuant to the Contractors' State Licenselaw.). 14 LESLIE LANE 1 am Exempt under Article 3 of the Business and Professions Code OROVILLE, CA 95966 Date: Owner: 530-534-0797 WORKERS'COMPENSATION DECLARATION I h reby affirm under penalty of perjury.one of the following declarations: License #: 805830 I have and will maintain a certificate of consent to se*lf-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. Architect: EJ 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: Carrier: Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 Ll 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' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: 0 4d- 65 Applica nt WARNING: Failure to e re workers' compensation coverage is L I e r. w C) u bject n mp unlawful, and shall subject n mployer to criminal penalties and one Ila s hundred thousand dollars 000), in addition to the cost of compensation, damages as provi d for in Section 3706 of the Labor code, interest, and attorney's fees. CCNSTRUCTION LENDING AGENCY — This pi�rmit is hereby issued under_the applicable provisions of the Biitte County CodFt anritor I hereby affirm that there is a construction lending agency for the Resoluti t 0 w for �vhich fees have been paid. performance of the work for which thispermit is issued (Sec 3097 Civ.) /k Name: B D ate: Address: PERMIT EXPIRES ON:— I (Date) El 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 o or th dul a thorized agent of the owner. I agree to comply with e I ly all county and state laws relating to building construction. I acknowledge it is unlawful to alter the submeowsr I ce n offilialuoirm or document of Butte County. thereby authorize representatives of Butte County to enter upon the above mentioned property for inspection �es.. Print Name: L4 Signature: Date: 0 L! IZI Owner Q Contractor 13 AgentforOwner Agent for Contractor I NN 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.buftecounty.net\dds PERMIT NO. BP043183 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: 11/01/2004 APN: 068-360-067-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: (Zorj-Q�30 Site Address: 4161 HILDALE AVE ORO Date: 4 Contractor 75 k ( &4� C, L -7Z Map Index: Description: re roof 30 squares OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: HOLLAND CHARLES H & SANDRA D permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 4161 HILLDALE AVE 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 she is exempt therefrom and the basis for the alleged exemption. Any 95966 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).): LI 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: GOELZ BROS ROOFING 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 14 LESLIE LANE sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of OROVILLE, CA 95966 proving that he or she did not build or improve for the purpose of 530-534-0797 sale.). 1, 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, and who contracts for such projects with a contractor(s) licensed Contractor: GOELZ BROS ROOFING pursuant to the Contractors' State License Law.). LI I am Exempt under Article 3 of the Business and Professions Code 14 LESLIE LANE OROVILLE, CA 95966 Date: Owner: 530-534-0797 WORKERS'COMPENSATION DECLARATION I h reby affirm under penalty of perjury one of the following declarations: License #: 805830 I 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. Architect: 13 1 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 carder and policy number are: Carrier. Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 (3 1 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' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: 0 Applicant: WARNING: Failure to e re workers' compensation coverage is to e re w C� u bject n mpi unlawful, and shall subject n mployer to criminal penalties and one hundred thousand dollars 000), in addition to the cost of compensation, damages as provi d for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicabil -provisions of the Butte County CodA :?nri/or I hereby affirm that there is a construction lending agency for the Re 1 0 w6r' i dicat for which fees have been paid. so'ut'Z performance of the work for which this permit is issued (Sec 3097 Civ.) /abov It 4 Name: B — Date: P ERMIT EXPIRES Address: O4N (Date) L3 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. 0 Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. 0 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 o r or h d I authorized agent of the owner. I agree to comply with 0 he ]u tny all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substa _N_r ce officyia form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection es. Print Name: 't t k -,O -LA& cmclza Signature: Date: Ll Owner 0 Contractor L3 Agent for Owner ZZ, Agent for Contractor Permit#3038-86B Gil Mort 4161 Hilldale Ave COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, galiforri4a 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER _ R " - - (/_ 7 ZONING BUILDING PERMIT OWNER TELEPHONE - SQ.FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME , i—�f r" /' - 4 (_ - I IC t., Ll 776 A—.1 TELEPHONE NTR CTOR'S MAILING ADDRESS kF- 7-�� 15— Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is V Filing Fee $ 10.00 LENCER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER 77'� SE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT FilingFee 10.00 Each Trap 2.00 Solar or heat pump water heater 20-00 LOT NO. SU BDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF 0 DuplexF� MobilehomeF-] Other 1 SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 1 110-00 ea TYPE OF WORK NewF� Addition Remode I UtilitiesF� InstallationD Other Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 10.00 main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD -L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): P1 I am licensed under provisions of Chapt. 9, Div. 3 of the B.sin,, S and Professions Code and my license is in full force and effect. License No. 7 Classification 771 El 1, 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) 0 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) El I am exempt under Sec.—, Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.&) OR ADONS. ACC.BLDGS. 21/20sqft NEW CONSTF;L MULTI -OUTLET NON-RESID, BRAN C H CI 5C UITS) 2.50 ea FF — T;� WER P, R��TUS.&) (SINGLE OUTLET CIR Ex. OCCUP(OUTLETS OR FIXTURES .20@50C ALO 300 FIXED APPLNS OR Ex. Occup. OUTLETS (RESI*D.) EA.) 2.00.- Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F� 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 shal I be deemed revoked. MECHANICAL PERMIT Fi I ing Fee 10.00 Heating Cooling Hood 3.00 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 County ot 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. I X Date Signature of Applicant OwnerEl Contractor, Agent D 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 TOTAL PERMIT FEE $ occup.1 CONST.TYPrJ I IFLOODIPARCELI P11 I No I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES 06te I I the applicable provi- resolutions to do fees have been paid. WORKS Date J & y C 7 Receipt No. WHITE-O.P.W.. YELL-OW-ASSE SOM, PINK -INSPECTOR. GOLDENROD-APPL I CANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Galifornha 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PJERMIT 0 ASS�SOR PARCEL NUMBER 9 - ZONING BUILDING PERMIT V 0 W N -I- R;� Z4 0 TELEPHONE SQ.FT. OCC. BUILDING VALUATION 44 q 'S 0 OWNER'S MAILING ADDRESS CONTRACTOR'SNAME 6' J-1 Cr/6 k—' 16-3 ROM, (PAD 4DVRESS TELEPHONE 3 -64 SM C 440-A IAT?Otf L I N ,,/, _< lev /44,& Q, 7 Z) I& 17,1"� Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is (41 , 15eq Filing Fee $ 10.00 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 Permit fee $ PLUMBING PERMIT FilingFee 10.00 W&L Ea h Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. UBDIVISION NAME is PARCEL N_fAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF DuplexF� Mobilehomer-I Other V_ SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G IW 10.00ea TYPE OF WORK New F� AdditionEl Remodel[] Utilities[:] InstallatioriM Other Describe work: 3 -3 I Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 10.00 600V OR LESS Main service 100 AMP OR LESS 10.00 Main service EA. ADD -L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 1 am licensed under provisions of Chapt. 9, Div. 3 of the Busines S and Professions Code and my license is in full force and effect. 4- '13 6 License No. Classification T?, 1. 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) El I, as the owner, am exclusively contracting With licensed conticlut- ors. (Sec. 7044) F� I am exempt under Sec.-, Business and Professions Code for this reason NEW CONST ( DWELLING OCCUP.ad) OR ADDNS. ' ACC.BLDGS. 2'/20sqft NEW CONSTFIL MULTI -OUTLET NO N.RES'.. BRANCH C'RC., TS) 2.50 ea PO ER APPARATUS.&) (SINWGLE OUTLET CIR Ex. OCCUP(OUTLETS OR FIXTURES 20@50t BAL1301 FIXED APPLNS. OR % Ex. Occup. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 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. 1 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 shal I be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 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 County ot 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 agai�ail liabili ies, ju gments, costs, and expenses which may in any way accrue st s id County in em conseg ence o the anting of this permit. X ate Signature of Applicant Owner El Contracto Agent ED An OSHA permit is required for excavations over 5 P and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ to 0 occup, I CO"ST,TYPEJ I I FLO..J P..CEL j- This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR PU LIC ry 'r f PERMIT EXPI ES L R &te the applicable provi- resolutions to do fees have been paid. WORKS Date 7 Receipt No. _Z42 WHITE-O.P.W.. YFL�OW-^;sE3SOR. Pitl.-INSPECTOR. GOLDEN ROD-APPL I CANT I lot,? -n 'i "E -, I COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 W APPLICAXION &ND PERMIT C1ULIIU(I1V F 01 inu uuunLy oi t5utit! to enter upon ine above-ment7opried property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. / �- F 07 0 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod-Appli cant 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. DIRECT013-OF PUBLIC WORKS Date B y ,Building permit expires Date BUILDING Owner SO. F T. OCC. BUILDING VALUATION Mai I i ng Address A -,,f .. . I Telephone No. - : . - -./ Contractor Mai I ing Address Fireplace Total Valuation ephone No. Permit Fee Building Address Plan Checking Fee &/or Penalty Permit Fee $ PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 U Repair drainage or vent piping 1.50 A. P. No. rt Zoning& Planning Water piping 1.50 Each gas water heater or vent 1.50 Fde!§�J we(::el Sanitati'65' Fire Dept. Fii e Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA IParking Plans I Parcel I Declaration Parcel Map I -- --L- 60' R/W — I Improvements = Each additional outlet .30 Building sewer 5.00 Bldg. Plans Rec'd I Parcel Approv:l T Plans Approval Lawn sprinkler system 2.00 NEW ADDITION UTILITIES OTHER [j] I I a Permit Fee $ A, ELECTRICAL NO -1 @ FEE PERMIT FILING FEE $3.00 600V OR LESS Main service 100 AMP OR LESS 5.00 Single Family Duplex Mobil Home Others Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD -L 100 AMP 1.00 NEW CONST. ( DWELLING OCCU P- 1) 20sq ft OR ADDNS. ACC. BLDGS. 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: NEW.CONSTR. (MULTt-OUTLET al NON RESID. BRANCH CIRCUITS)i 12.50e NEW_CON,STF;L POWER APPARATUS fi� NON RES D. - (SINGLE OUTLET CIR. Ex. Occur)(OUTLETS OR FIXTI]RES 50 @ 250 BAL@1 FIXED APPLNS OR Ei� Occup.(OUTLETS (RESI*D.) EA)_ 2., 00 Temporary service 10 too Mobile Home Facilities 1 -1500 License No. 4 4 Classification Misc. Wiring 6.25 I am exempt from the contractors License Laws of the State of California. P&mit Fee $ $777 i WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions ot 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 Cal i forni a. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating "A Cooling Ventilation Hood =2.O 0 Permit Fee $ 4/, 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 relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE C1ULIIU(I1V F 01 inu uuunLy oi t5utit! to enter upon ine above-ment7opried property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. / �- F 07 0 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod-Appli cant 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. DIRECT013-OF PUBLIC WORKS Date B y ,Building permit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Proville, California 95965 Tel �plfioiie:- 534-4541 APPLICATION AND PERMIT - — t -- . _', - 1. - — - — WU11 Y W ­­ LW V11-1 UP -1 L1JV above-mentioned property for inspection purposes. X ze--� Date Signature of Permitee or Agent Receipt No. 108,020 White-D.P.W. - Yellow --Assessor - Pink -inspector - Goldenrod-Appli cant 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. DIRECTO PUBLIC WORKS By Date_a�.P� uilding permit expires Date BUILDING Owner SO. FT. Occ. BUILDING VkLUA,?f60N Mai I i ng Address 7Telephone No. Contractor Mai I i ng Address Fireplace Total Valuation (DRO I-) � � 1,e Ce, 1-5"34 Telephone No. 3�7,0/ Permit Fee Building Address Plan Checking Fee &/or Penalty Permit Fee $ PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trao 1.50 —Repair drainage or vent piping 1.50 A. P. No. 3q- 52 7 4ol rt Zoning& Planning Water piping 1.50 Each gas water heater or vent 1.50 F4ef I vke.- I Mnlafrio_n I Fi re Dept. Fi e Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking I Plans Parcel Declaration I Parcel Map 1 60' R/W I Improvements Each additional outlet .30 Building sewer 5.00 fah._` �­.sfecq— I - Parcel Approval I Plans Approval Lawn sprinkler system 2.00 NEW ADDITION UTILITIES OTHER Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.001 -?.60 Single Family Duplex Mobil Horne Others Main service 600V OR LESSE 100 AMP OR L =SS 5.00 Main service EA. ADD'L 100 AMP 2.50 OVER 600V Main service 100 AMP OR LESS 25.00 Main service EA. ADD -L 100 AMP 1.00 NEW CONST' ( DWELLING OCCUP. 5i 120 sq f t OR ADDNS. ACC. a LOGS. 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* r -'I 1'r 4 /C- NEW CONSTP_ -OUTLEET (MULTI NON.REr BRANCH CIRCUITS) 12.50ea NEW.CONSTR. ( POWER APPARATUS.& NON RESID. SINGLE OUTLET CIR. I Ex. OCCUD(OUTLETS OR FIXTIIRES 50 @ 259� [BAL@1 FIXED APPLNS OR Ex. Occup.(.UTLETS (RES(D.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No._2_A.,q_J classification 2— 0 Misc. Wiring 6.25 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 ot 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 - .1,00 All Cooling Venti I ation Hood 2.00 Permit Fee $ $ 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 -S.tate Laws relating to building construction, and hereb Land Development Fee 1$ TOTAL PERMIT FEE $ - — t -- . _', - 1. - — - — WU11 Y W ­­ LW V11-1 UP -1 L1JV above-mentioned property for inspection purposes. X ze--� Date Signature of Permitee or Agent Receipt No. 108,020 White-D.P.W. - Yellow --Assessor - Pink -inspector - Goldenrod-Appli cant 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. DIRECTO PUBLIC WORKS By Date_a�.P� uilding permit expires Date ;.,-% , , y � T 111I I ITIOI161812i U� 6 UR f i IPERMIT NO. i689:Z75B P E M �MH UTIL. PERMIT NO. -4� PERMIT EXPIRES 7"� -76 lu fOWNER James Kern FONTR. .'LOCATION (A.P. 34-27-67 4161 Hilldale Ave, rovi I I e Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED— (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets Ist Floor Main Bld'g*- Restroom Finish 2nd Floo�' Footings Windows 3rd Floor Stemwall Sidina Topout Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwa I I Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final 7 Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors - Framing —S-L� Test Water Htr. Stucco 'Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS i COUNTY OF BUTTE DEPARTMENT OF PUBLIC WOR 7 County Center Drive — Orovi Ile, California 95965 Tel.eph.pne: 5U-4541 ff APPLICA 'IMN AND PERMIT 11!� �11­ 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 author, z epresentatives of the County of Butte to enter upon the a bovc F, t ioned property for inspection purposes. )-,x )at .7r e S. gn.ture o 0. . Sli nature of Permitee or Agent R eipt N J+f;0 S,�s White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod-Appli cant TOTAL PERMIT FEE 1$ cc;;� 16 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 UBLIC WORKS Date I(u/ilding permfit expires Date BUILDING I Owner I�KJQ - SQ. F T. OCC. BUILDING VALHATION_ MailingAddress 4_16) 14111DALIg- FT—elephone No Contractor -Fireplace— Total Valuation Mai I i ng Address Permit Fee Plan Checking Fee&/orPenalty Telephone No. Permit Fee $ PIR�� Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 A—"O 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. 34 ------ Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fwesl a I FireDept. FireZone Use Permit . Parking Parcel EQA �FPI an s Declaration I Parce0a 60' R/W I Improvem5pts :,I I Building sewer 5.00 Lawn sprinkler system 2.00 Bldg. PlanLs'oRec'd P a r c eT'ApE ro y a Plans kpprovol Permit Fee $ NEW ADDITION UTILITIES OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (marathon 12) Single Familyv Duplex Mobi I Home Others_W Ranqe, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures [201125 ba 10 Receps.-, swi tches & f I x outl ets �m 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 > :U 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 Wo rkmen's Compensation Insurance. I certify that in the performance of the work for which this permit Js 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 Hood 2.00F_ Permit Fee $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby author, z epresentatives of the County of Butte to enter upon the a bovc F, t ioned property for inspection purposes. )-,x )at .7r e S. gn.ture o 0. . Sli nature of Permitee or Agent R eipt N J+f;0 S,�s White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod-Appli cant TOTAL PERMIT FEE 1$ cc;;� 16 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 UBLIC WORKS Date I(u/ilding permfit expires Date