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HomeMy WebLinkAbout069-410-06269-41-62 . A , SIDNEY HUNN /' � .4 tL` 2 /91 /S Ridgeway, a.pp..300 E_Quincy Pl,*O- C _ ontr: Norton Construction, Oroville Permit#135-83B(remove existing slab & _ replace• with wood deck/open) 69-41-62• 295-90E M { 0 r' HUNN; Sydney ';CONTR ,.G* &" T Electric,, 25 Quincy Pl,.. `Oroville (upgrade' elect-..-" ry .to 100 amp) " n / GZ ` � �� �'� I �� I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATIWAND PERMIT — ASSESSOR PARCEL NUMBER 69-41-62 ZONING AR1 BUILDING PERMIT OWNER Sydney Hunn TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 25 Quincy Place, Oroville, CA 95966 CONTRACTOR'S NAME G&T Electric TELEPHONE CONTRACTOR'S MAILING ADDRESS P.O. BOX 1804, Oroville, CA 95965 Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 25 Quincy Place Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 {OmVille Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME - PARCEL MAP Water piping 5.00 Each gas water heater or vent 5.00 USE OF STRUCTURE SF Q Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 1 110.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ® Describe work: Upgrade Electric Service to 100 Amn _ Permit Fee $ Contractor ELECTRICAL PERMJR Filing Fee 10.00 Main service 600V OR LESS10.00 100 AMP OR LES 10.00 Main service EA. ADD'L 100 A 2.50 CONTRACTORS LICENSE LAW p y p f y (check one): I declare under penalty of perjury ) ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business Professions Code and my license is in full force`and effect. License No. y!£s3 �¢ Classification Cr —�l� ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ .; I.am exempt under Sec. , Business and Professions Code 16 this reason NEW CONST. DWELLING OCC OR ADONS. ( ACC. BLDGS.2/20sgft NEW CONSTR. MULTI-OUTLET2,50 NON.RESID BRANCH CIRC ea POWER APPARATand (SINGLE OUTLET Ex. Occup(OUTLETS OR FIXTURES 209300 e ALO 30 Ex. Occup. OUTLETS FIXED PI REST D.ILNS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 15.6 Permit Fee $ 35.00 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ©. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 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. 1 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 nsequence of the granting of this permit. X_ _ �`/J Date 3/ „r� / Signature of Applicant — Owner Contractor � Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories inn height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 35.00 HA2 CUA PARK SCHL FLD PAR PD Ho ISSUE This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTO OF PUBLIC cam^ By ; 4 PERMI{EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date 7.r ,� Receipt No. 5 �s i 1 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD-APPLI CANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County CenterDri �-,Oroville, California 95965 - Telephone: 916/538-7541 1.APPLICAT'IOWAND PERMIT PERMIT NO. 2 ASSESSOR PARCEL NUMBER 69-41-62 ZONING AR1 BUILDING PERMIT OWNER Sydney Hunn TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 25 Quincy Place, Oroville, CA 95966 CONTRACTOR'5 NAME G&T Electric TELEPHONE CONTRACTOR'S MAILING ADDRESS P.O. Box 1804, Oroville, CA 95965 Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation $ Filing Fee g $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 25 Quincy Place Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Oroville Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF J] Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti I i t i e s ❑ Installation❑ Other® Describe work: Upgrade Electric Service to 100 Ami Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 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 BUsineSS and Professions Code and my license is in full force and effect. ,�pp ''`` License No. V7r�S' 14 Classification C. ^/U Fl 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) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason oR ADDNST ACCLBLDG/ OCCUP..� 2'/22sgft NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e) SINGLE OUTLET CIR. Ex.Occu Occup(OUTLET OR FIXTURES SALO30 eAL030 Ex. Occup. OUTLETS I1 FIXED PRESID,IREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 15.00 Permit Fee $ 35.00 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. �I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all Iia ities, judgments, costs, and expenses which may in any way accrue aga' st aid County in nsequence of the granting of this permit. XDate nature of Applicant — Owner ❑ Contractor [P— Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures overstories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 35.00 HAz I CUA PARK I SCHL I FLD I PAR PD HD ssu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTO F PUBLIC By PER EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date2����� Q3 Receipt No. 5-L7U WHITE-D.P.W.. YELLOW-ASSFSSOR, PINK-IN9P EC TOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENV�OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTEt?tR VE;- OROVI L� OALIFORNIA 95965 - TELEPHONE: 916/538-7541 OWNER Proposed Building Use PERMIT APPLICATION DATA" SHEET Permit No. Bui (ding Inspector At time of permit application, I was advised the following_ data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ................ ............... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector a&. Contractor's license information (No., Name Style, Classification) ... j. Certificate of Workmans Compensation Insurance ..................�� 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. Date) When you issue the permit, process as follows: Mail toowner. Mail to contractor. Telephone and hold for pickup at (*`)(YD .office. Deliver w/inspector. Other 4 Applicant Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: Date (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by_phone---nail—counter by .date Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by date Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in . File cabinet AP folder Date PERMIT NO. 135-83B PERMIT EXPIRES. OWNER A. SIDNEY HUNN CONTR. Norton Construction, Oroville ASSESSOR PARCEL 69-41-62 LOCATION NIS Ridgeway. arT '400' F. nni nrV P1,Dro k � 4 . Temp. Power Pole 4 Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) V �J Signature Z/� 11 %I,= 0K. . 0 = Not OK = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except q's Date DEC!$F, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch 2. Foot' ; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete 4. Water; Location—Test—Easement Needed (Sketch) _ ecks; Girders and/or Joists—Decking—Bracing—Stairs—Rails Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing_ S. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete _ m. wn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6�erporis, Windows—Doors 7. Utility Clearance _ Card -BI Date Card -BI Date -BI ate f Card -BI Date Card -BI Date Card -BI Date C� - I _ ate,° '_3 Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except k's 1. Zoning Requirements—Setbacks—Easements Date -- POOLS (Plans) OK except q's 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances _ 4, Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fa117Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6.. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/O to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes— Enc losures— Pane lboards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date J = OK - 0 = Not OK - _ Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR Plans OK except H's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., arage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection , Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 6. Stemwalls, Garage; Steel -Block s -Wrapped -Slab 52. 53. Siding -Nailing -Veneer Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ft - 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V. F I-Fi iA g -Test-2 way C/0 -Sewer Test 55. Shear Walls; Nailing -Bolts _ 9. G e -Anchors 10. W Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date -� - Card -BI Date Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date _ Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting _ 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access _ 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails - 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper --- 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meeh. Protection 21. Slee. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location - - - 22. 23. Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic EJ Yes - 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 73. Guard Rails &Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen &Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 26. S_ubfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al. -_ - 27. _Insulated 28. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Neutral ❑Yes [I No Service -Riser Conductors & Ground -Main Disconnect 75, Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters C1 Yes 0 N 76. Stucco; Brown -Finish _ 29. Equip. Clearances: Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet _ 30. Clothes Closet Light -Shower Light _ 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. --_---. Card B -I Card B -I _- ________--- -- _Date_ _ Card -BI Date _ _- Date Card -BI Date 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection Date MECHANICAL (Permit) OK except N's 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric - 31. A- - Ducts; Insulation & Support _ 85. Water & Sewer Connected -C/O to Grade -HD Approval _ 32. 33. Vent Fan: Exhaust above Insulation _ Condensate Drain _& Overilow; Size & Grade 86. Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI .Ca d -6I Date _Card -BI _ Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING(Pians) OK except q's _ _ 36. 37. 38. 39. 40. Sills; Proper Material & Anchors_ Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) _Fire Stops; Furred Ceilings -Stairs -Chases -Tub _ 41.Header 42. 43. 44. 45 46. 47. & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rfir. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat Alt ic Access: Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgl. & Dimensions___ _ Garage Fire Protection Framing (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE - DERARfMffNT OF PUBLIC WORKS 7 County Center Drive - Oroville, Californi% 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSO P RCE NUM ER r ZONING BUILDING PERMIT OWN U� TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRE S COp1,TROR'S NA a N ^VtA TELEPHONED (76ACTOR'S MAILING ADDRESS Fireplace CONSTRUCTIO44 LENDER B'Y1 UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ �. ARCHITECT OR ENGINEER ov LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILD! IRISSRI w v1PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 �/ USE OF STRUCTURE SF L?7 Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home JSJGJWJ 10.00 e �/ TYPE OF WORK New ❑ Addition [E Remodel ❑ Uti IliLties ❑ Installat'on❑ Other Q Describe work: �% s -a — �M Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service soov OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC, BLDGS. 12/ ZQSgft CONTRACTORS LICENSE LAW I declare rider penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No..�o?(2� Classification &--f ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR, ULT! -OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR. ( POWER APPARATUS &1 NON-RESID, SINGLE OUTLET CIR. / z0@s0a Ex. Occup( Ts OR FIXTURES eAL030Q FIXED EX. OCCUp. OUTLETS P(RESID )REA,� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less: ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate �f Consent to Self -Insure. LvJ shall not employ any person in any manner so as to become subject ' to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 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. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X _.✓�-ti -) a- D to /— /J1' 43 Signature Of Applicant — Owner ❑ Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ , occuP. GROUP _ TYP — F c ST. PARC) L ,�// PD HD --- Is E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREM PUBLIC By PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. 6S-6 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT