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HomeMy WebLinkAbout069-330-015a. 5 Nolan C. Bush �JAR46/e�100 Riverview daTract Dr::i #1, ,Oroville r, Permit #6643=76B,E(new single family) Permit?#750-77B(add 1 footage for- permit-,1#6643-76-frontporch/SF) =`' B07 1688",Z,., * 06_9 330.015'. = r MISCEL—4qLANEOUS ° :`�Re-Roof kY REROOF,50 SQi i x' ri,,1 I"100 RIVERVIEWiDRr'� j+c< BUSH'NOL•AN C &•ALVILDA , • • I q :r U y col 4=iT cn. 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.net\dds ' PROJECT INFORMATION Site Address: 100 RIVERVIEW DR Owner: Permit No: B07-1688 APN: 069-330-015 BUSH, NOLAN C & ALVILDA Permit type: MISCELLANEOUS 100 RIVERVIEW DR Issued Date: 8/7/2007 By MJS Subtype: Re -Roof OROVILLE, CA 95966 Expiration Date: 8/6/2008 Description: REROOF 50 SQ (530) 589-0104 Occupancy: Zoning: ARI Contractor Applicant: Square Footage: GEORGE ROOFING GEORGE ROOFING Building Garage Remdl/Addn 6810 LINCOLN BLVD 6810 LINCOLN BLVD OROVILLE, CA 95966 OROVILLE, CA 95966 (530)533-6393 (530)533-6393 Other Porch/Patio t Total FEE INFORMATION DBMSC Re -Roofing $287.00 ;-LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires GEORGE ROOFING 452266 / C39 B C43 / 2/28/2008 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X JQ �,t �f� )6��gg% 8/7/2007 ontractor's Sign / ure Date WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: 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. I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Nly Workers' Compensation insurance carrier and policy number are; Carrier: State Fund Policy Number. 272-0000596 Exp. Dater/1/2008 (This section nee not a completed if the permit is or one undre ollars ($100)—or-Te—ss.) E: CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS SSUED, 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 X Al _42 0 . ln,n V,G,'1 8/7/2007 Signature 0 Date WARNING: FAILURE TO SECURE WORKERS' PENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. ...,CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip I otat Charged: $287.00 Fees Paid: $287.00 Balance Due: $0.00 Receipt No: 134131 OWNER/ BUILDER DECLARATION A I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a 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 the Contractor's License Law [Chapter 9 (commencing with Section 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 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]; Please check one of the following: ❑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 (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the 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 improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). - ❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). ❑ I AM EXEMPT under Section B. & P.C. for this reason: Owner's Signature 8/7/2007 Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned pr party for inspection purposes. I hereby certify that I am the proownet or am authorized to a on the property owner's behalf. , 2 ,0,4 8/7/2007 Owner Contractor OR. Agent for Ownel�Agent for Contractor FILE COPY BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION APPLICANT SIGNATURE X For office use only: OWNER Name ALVILDA BUSH Address 100 RIVERVIEW DR. City OROVILLE State CA Zip 95966 Phone 589-0104 Fax E-mail Lic.# APPLICANT SIGNATURE X For office use only: CONTRACTOR Name GEORGE ROOFING Address 6810 Lincoln Blvd City Oroville State CA Zip Phone (530)533-6393 Fax (530)533-0287 E-mail dan@abcgc.com Lic.# Class dan@abcgc.com 452266 1 C39 APPLICANT SIGNATURE X For office use only: ARCHITECT/ENGINEER Name N/A Address 6810 Lincoln Blvd City Oroville State CA Zip Phone (530)533-6393 Fax E-mail dan@abcgc.com State License Number APPLICANT SIGNATURE X For office use only: APPLICANT NAME Name GEORGE ROOFING Address 6810 Lincoln Blvd City Oroville State CA Zip 95966 Phone (530)533-6393 Fax (530)533-0287 E-mail dan@abcgc.com APPLICANT SIGNATURE X For office use only: Zoning I jFloodZonejSRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. NO.�/� — BP 1log� BIN # WORKER'S COMPENSATION Policy Number 272-596 Carrier STATE FUND If hiring anyone other than license contractors, a certificate of workers compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work Overlay - House - Com Sq. Footage 50 sq. ❑ 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 required. 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: Amount: Bldg SRA Receipt #: Sheriff SMIP Other Date: Total REV: George Roofing LOCATION AP# Property Address 100 RIVERVIEW DR. OROVILLE, CA. 95966 Cross Street WORKER'S COMPENSATION Policy Number 272-596 Carrier STATE FUND If hiring anyone other than license contractors, a certificate of workers compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work Overlay - House - Com Sq. Footage 50 sq. ❑ 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 required. 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: Amount: Bldg SRA Receipt #: Sheriff SMIP Other Date: Total REV: George Roofing I 6643-76B,E :PERMIT NO. i PERMIT EXPIRES OWNER Nolan C.. Bush CONTR. owner LOCATION (A.P. 34-30-15 100 Riverview Dr., lot# ,Glendale -Ridge -tract, Unit #1', Oroville } • { t r 1 c i i a, Temp Power Pole\ Called PG&E r Temp. Elec. Serv. Called PG&E Tempa Gas. Serv. Call•dd PG&E r /NALED / /-A 1-7 (Dat � 4 (Signature) .r -76 , -77 ,3 COUNTY OF BUTTE — DEPARTMEN'T OF PUBLIC WORKS • �' BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Lc__ FirewallZAW Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings 62 -1-7Z Windows 3rd Floor Stemwall !/ Siding To out'Y Slab ,�" r- Roof Sheathi - Water Piping 32r-1 - Piers Roofing Sewer 7 - Garage Fdn. Vents Fixtures Footings f Stemwall "' ` Garage Vents - .� Insulation Water Htr. Heaters -----� Slab Carport Footings Prov. for physically handica ed Conformance of ex. structure Appliances -� 7-7 Gas PipingTest - Temp. Gas - Slab Final Sanitation Al Patio FIREPLACE Final Footings Footing .l EL CTRICAL Masonry Walls Throat — 2 �jkti� Rou h / - Reinf. Steel Final 1p �_/ Fixtures — '� Bond Beam FIR9 SPRINKLERS Motors Framing" - Test Water Htr. Stucco Final Subpanels 6 - % - 77 Mesh MECHANICAL Grd. Fault Prot. Scratch No Heating - /6 - 79,4--, , Service Brown Cooling ro Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final (o f'�e� Final '40DATE REMARKS OR CORRECTIONS �,ro u� �€ ter,. . � � . / A� 4,avwJG, & e xw v%4,.&�7— n 1J LJ --7 d (P F/peEato r, (C Tu L, AeC6SS AA /L.. C)A/ G� S Tib /N 64 e rWx' I 8 K TD 570/M Fc1&^/17Z146 h BO J l- A4E0!NFD 7-0 F/ NSC. Az 0 L/S ! (NOTE: An entry must be made on this form each time you visit the job site.) ,. _ ....__ . _ . _. ..... TO: Building Department P y ..,,> r FROk,! nvironmental nealtn d RE, Sewage and./or ;later C-i�_-arance in Ov iER LOCAT ION A . F# Has been approved for: I S.S.,,-JAG DISFuSAL,_0",,-23 J :AT1R SUL'?LY. I . _ Saari 7Z Date S9 _ 5 775 • � `' far COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive —, Uroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT —�-- Signature of Per� mitee or Agent By �— Date /Z- 7 6=, Receipt No.�����7 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Uilding permit expires Date ` Z� Z ` �7 BUILDING Owner �V C U S SQ. FT. OCC. BUILDING VALUATION O D d Mailing Address Q /�D —" �' " 9�•S�� Tele hone No. % 00 Fireplace S O, 00 Contractor �/ �c �� Total Valuation Mailing Address Permit Fee PI an Checki ng Fee &/or Penalty Telephone No. Permit Fee " Building Address 'b o Ele.v PLUMBING No. @;FEE PERMIT FILING FEE $3.0 D 61 L Each Trap 1.5 '6444 & rificaflon 0-rilly,Each Repair drainage or vent piping 1.50 Water piping 1.50 gas water heater or vent 1.50 A. P. No. 5 ZO"' Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fs W. . S FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking P s I Parcel Declaration parcel Ma 60' R/W P Improvements Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel ApprogiLl Plans Afproval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3, dtJ Main service 100 AMP OR01V OR LESS5.00 Main service EA. ADD•L 100 AMP 2.50 Main service OVER 600V100 AMP OR LESS 25.00 Single Family,% Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD•L 100 AMP 1.00 NEW CONST.(DWELLING O � 2�sgft OR ADDNS. ACC. BLDG NEW CONSTR. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. 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 st le of: y 0Z 25c Ex. Occup(OUTLETS OR FIXTURES) 101 Ex. Occu FIXED APPLNS. OR P•(OUTLETS (RESID.).EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ J s S< WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner o as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 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 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. Qabove J -4-4��11 Date/.2 _ f�,7� G C TOTAL PERMIT FtE This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated for which fees have been paid. DIRECTOR OF BLIC WORKS —�-- Signature of Per� mitee or Agent By �— Date /Z- 7 6=, Receipt No.�����7 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Uilding permit expires Date ` Z� Z ` �7 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center griye , Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X _ - �o�'`� Date J JE Signature of Permitee or Agent Receipt No. ' d A V? 2` 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. D R,E,CaT�OR OF PUBLIC WORKS OF By Date.3 R/7 7 �.e,e t expires Date & (oy3 -- 74, . g permi BUILDING Owner` � SQ. FT. OCC. BUILDING VALUATION Mailing Address,_ Q D � I�`� Telephone No. Fireplace Contractor 0 W Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address �� f V e le.. ,( tud 6/L.PLUMBING No.1 @ e FEE PERMIT FILING FEE $3.00 0 J Each Trap 1.50 3 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No.— .' .Y Zoning a Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F �3 Seni-tatfiflfl I Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration parcel Ma p 60' R/W Improvements= Lawn sprinkler system 2.00 my BI^;, Plane Rec'a Parcel ApprovalI Plans Approval Permit Fee $ $1i NEW ❑ ADD.ITION ❑ UTILITIES ❑ OTHER [ ELECTRICAL- No. @ FEE PERMIT FILING FEE $3.00 _ Main service 100V OR LESS 5.00 100 AMP OR LESS % ain service EA. ADD'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home Others ❑ OVER Main service 1100 AMP OR LESS 25.00 Main service EA. ADD'L loo AMP 1.00 OR ADDNS. ACCNEW CONST. DWELBLDGSCOUP. &) 2¢Sgft ( / NEW CONSTR. MULTI.OUTLET NON.RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONST. POWER APPARATUS & NON- R RESID. (SINGLE OUTLET CIR. 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 St y le of: Ex. Occup(ouTLETs OR FIXTURES) BA50 L 01lCk E x. Occu FIXED APPLNS. OR p•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification 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 of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California.p MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Z J Cooling,� Ventilation j 2— Hood 2.00 Permit Fee $ • $ i 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 3 TOTAL PERMIT FEE $ — authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X _ - �o�'`� Date J JE Signature of Permitee or Agent Receipt No. ' d A V? 2` 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. D R,E,CaT�OR OF PUBLIC WORKS OF By Date.3 R/7 7 �.e,e t expires Date & (oy3 -- 74, . g permi -4, -,PERMIT NO. 750-77B PERMIT EXPIRES all xa• ,r OWNER. Nolan C. Bush Ft 'CONTR. owner LOCATION (A.P. 34-30-15 100 Riverview.Dr., Glendale Ridge Traci# l,Oro Temp. Power Pole Called PG&E Temp. Elec. Serv. —1 %% Called PG&E Oy Temp. Gas Serv. r '.• Cal l edsPG& E O!t B FINALED (Date)e (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS `R BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) Setback FI II PLUMBING Forms r rewa Parapets Soil Pipin 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing — — Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footin s Stemwall Garage Vents Insulation Water Ht r. Heaters Slab Carport p Footings Prov. for ph sically handica ed Conformance of ex. structure Appliances Gas Piping & T st Temp. Gas . Slab Final Sanitation Patio'FIREPLACE Final —Footings — Footing ELECTRI AL j Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FI SPR NKLERS Motors Framing Test Water Htr. St ucco Mesh Final MEC NICAL Sub anels Grd. Fault Pr Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Under rouni Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES--------•---------Elec. Service Elec. Pedes 1 Water Piping Sewer Gas Piping OBILELIOME INSTAL6A11PN - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) r. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965d -77 r Telephone:`t34-4541 APPLICATION AND PERMIT Z1_ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. x Date +O'r 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 UBLIC WORKS By Dated —f2- 7 B f Iding permit expires Date / 2- Zo - -7 BUILDING Owner P 0-6- %- C ✓ SQ. FT. OCC. BUILDING VALUATION J 1104 0 Mailing Address t e 1Z V,(&Lv & ,/J L'"wa P ' ""��• Telephone No. Fireplace Contractor L=/2- Total Valuation Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ , 0.0 0© Building Address 10D elaa PLUMBING No. @ FEE PERMIT FILING FEE $3.00 _firte ( LOG B /yidEach Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 EAEach gas water heater or vent 1.50 A. P. No. — CS r Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 FA.'s' Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking I Parcel Declaration parcel Ma p 60' R/W Imp rovements p Lawn sprinkler system 2.00 //Plans g�Ple�nsrRec�d` 3 Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service 1000V OR L 0 AMP ORLESS5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ OVER 600V Main service 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1,00 NEW CONST. LING OR ADONS. DWEACCLBLDGS.CCUP. &) 22sq ft I\ NEW CONSTR. ( MULTI -OUTLET NON-RESID. BRANCH CIRCUITS) 2.50ea ' NEW CONSTPOWER APPARATUS &) NON- R. RESID. (SINGLE OUTLET CIR. 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 st %r le of: Ex. Occup(OUTLETS OR FIXTURES) 50 BAL� FIXED APPLNS. OR Ex. Occu p•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 $ Permit Fee alom: $ 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 TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. x Date +O'r 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 UBLIC WORKS By Dated —f2- 7 B f Iding permit expires Date / 2- Zo - -7 r I l i � ���I II I I I. � .. Y � .. t I' � ,.. L i il�. i. 1 I 1 � � � il� TV' I 1 .1 � I N"', '­'fM" '^nn� � - 11,; ­" .' 1" 11 !: " i6 . 141-1- :rti" , ll�' I Ui HMM .F� UT7 t.0, 14 1, L "IR flgptT 1 A I " 4i : IK oP sl jj 1. rf m top MIMOTMO 009 l V, ie Ofli A� V,j V. Nil- I mi, 01 ", , 'I 1� , , , , , - , '.I ; - 4 �`� � Z, ;io"V ­'Iri �j Tll,,-�q:­. v "'l T I on, A M, V, TA W- 7 i� OWNU. , ............... '.Il. r:,_��'3 -'.'':Sr � Oki, -7 41.1.11, z��, I'll �17 JIN rf NN VOW C �r� _ �ii 7 1W lit 1 111,111,10" 1 p _q1 p t)tljm- T o"I p, p Rif 111T �p p , jq� 2, RM,-, AMIM 71- iteop , A 1C IC !J fn p pq 0 Wn tp r '.'c feejj bm up r I "'Ok 9; 1�1, ss , ZS, 9 a p: I ! t.� I , , m