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Home My WebLink About069-420-020069-420-020 PERMIT#94-.2459 BERTRAMS, PAUL 4755 OLIVE HWY, OROVILLE CONT: THEVEOS CONSTRUCTION REPAIR CHIMNEY & GABLE/SF 069-420-0-020 93-3421 BERTRAMS, PAUL 4735 OLIVE H14Y OROVILLE ELEC FOR SPA odoe lzd mw in adArrG�5 f;�' e- 6?UA4 i A AA Rt (� . sKw� '" , N t - F14735 -42-0-020 93-3421 E AMS, PAUL OLIVE.HWY, OROVILLE• FOR SPA ! � i t { 1*. , 10 4 .. l 4 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541, PERMIT NO. APPLICATION AND PERMIT no ASSESSOR PARCEL NUMBER .. " 069-420-020 OWNER Paul Bertrams ZONING AR -1 BUILDING PERMIT TELEPHONE 589-1019 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 4735 Olive . ,. Oroville 95966 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation $ Filing Fee $ 20.00 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 PERMIT FEE $ 4735 Olive Oroville PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 i •MAP Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL Each gas water heater or vent 15.00 USE OF STRUCTURE } SF ❑ Duplex ❑ Mobilehome ❑ Other Spa SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK t � New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation O Other ! Electric for Spa Describe Work: a PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 y Main Service { 200A OR) 23.00 200AAOR LESS Main Service ( 200A TO t000A ) 46.00 NEW CONST. DWELLING OCCUP. S0. OR ADDNS. ( & ACC. BLDS. ) 3.5C FT. i CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) EII am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET •NON.RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BAL. @ 1.50 FIXED (RESID OR Ex. Occup.UT (OUTLETS (RESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 • WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. 101I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 50.00 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood E6.50 Ventilation PERMIT FEE S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California 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 consequenceof the granting of this permit. / - ,e!� -flp X ,•j%/i,. G �G�-�/'"""'"' Date A- Signature of Applicant r Owner ❑Contractor O Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 50 00 HAz• I D. FEES I IMP FI -000 I COF I PARCEL PO HDISSUE 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. l`�L/% DIRECTOR OF PUBLIC WORKS By O ��/� '�" ' Date { /a PERMITEXPIRES ON / U/� �/ ! i/ lDetel 153152 Receipt No. WHITE-O.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. r--) Date'—J// )/7 `t' Inspector REV PAUL BERTRAMS 4755 OLIVE HWY OROVILLE, CA 95966 ,gufte C BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES �7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 536-2140 8/29/95 RE: Building Permit # 94-2459 Expiration Date: 9/1/95 A.P. # 069-42-0-020 With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into the category marked below: [XX] Permit work started, but not completed. Permit may be renewed for 1/2 the original building permit fee (plus a $20.00 filing fee). The renewal.permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. [ ] No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. If our records are in error or should you have any questions concerning this matter, please contact the OROVTLt ' office. Thank you for your prompt attention concerning this matter. Yours very truly, Michlael C. Vieira, C.B.O. MCV•ahb Manager, Building Inspection Attachments Chico Office - 1469 Humboldt Rd/891-2751 Paradise Office - 747 Elliott Rd/872-6307 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 8/29/95 PAUL BERTRAMS 4755 OLIVE HWY RE: Building Permit # 94-2459 OROVILLE, CA 95966 Expiration Date: 9/1/95 A.P. # 069-42-0-020 With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into the category marked below: [XX] Permit work started, but not completed. Permit may be renewed for 1/2 the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. [ ] No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. If our records are in error or should you have any questions concerning this matter, please contact the OROVTT T r of f ice. Thank you for your prompt attention concerning this matter. Yours very truly,. Michfael C. Vieira, C.B.O. MCV•ahb Manager, Building Inspection Attachments Chico Office - 1469 Humboldt Rd/891-2751 Paradise Office - 747 Elliott Rd/872-6307 'J 069-420-020 ft 69 RMIT#94-2459 BERTRAMS, PAUL 4755 OLIVE HWY,-.ORIOVILLE CONT: T14EVEOS.CQN.STRUCTION REPAIR'CHIMNEY &�,PABLE/SF C/)/, eg"e -414 /C,6 1) —1335 COUNTY OF+BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ..., 74County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. } APPLICATION AND PERMIT 9q- ag 5y ASSESSOR PARCEL NUMBER 069-42-020 ZONING AR1 BUILDING PERMIT OWNER PAUL BI!kfRAMS TELEPHONE SO. FT. OCC. BUILDING VALUATION �` T ��j (��{{► OWNER'S MAILING ADDRESS • 4755 OLIVE J� riC! 1 CONTRACTOR'S NAME lJir► S CINST RVMON TELEPHONE CONTRACTOR'S MAILING ADDRESS,070 ORO OOUNTRY CLUB RD ORO, x.3966 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 5 X00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 4755 OLIVE FW PERMIT FEE $ 70.00 OROVII.I.E, 95966 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEr,MAP Water piping 15,00 Each gas water heater or vent 15.00 USE OF STRUCTURE r�tey. SF71_ Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New O Addition ❑ Remodel ❑ Utilities El Installation El Other ❑ Describe Work: REPAIR QMMM & OA= END PERMIT FEE $ Contractor 1 ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS ) 200A OR LESS 23.00 ■y II Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCC UP. OR ADONS. ( 3 ACC. BLOS. ) SO 3.50 FT,, _ CONTRACTORS LICENSE LAW I dQC fare Under penalty Of perjury (Check one) h4I am a licensed under provisions of Chapter 9, Division 3 of the BISiness and Professions de and my license is in full force and effect. License No. ! Uc-/ Classification 8Temporary ❑ I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec044) El 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason' NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWERAPPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. I OUTLET OR FIXTURES ) @ 1:0000 BAL. FIXED (RESID OR Ex. Occup.UT (OUTLETS IRESID.) EA. ) 5.00 Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23 00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. J 1 have placed on file with the County of Butte Dept. of Development Services, /\ Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood , 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned p arty for inspection purposes. I also agree to s e, Inde f 8 d keep harmless the County of Butte against all liabilities, Ud j g d expenses which may in any way accr a again t said County i c sP Lie of granting of this permit. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ocC coNsr. rvPE TOTAL FEE $ 74.00 HAZ. D. FEES IMP FLOOD COF PARCEL PD HD ISS 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 `%-/ (Dere/ Receipt No. 167680 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT PM COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION .7 County CeDriye - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATIONAND PERMIT s97% ASSESSOR PARCEL NUMBER 069-42-020 ZONING AR1 BUILDING PERMIT OWNER PAUL BERTRAMS TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 4755 OLIVE HWY EST 2,780.00 CONTRACTOR'S NAME THEVEOS CONSTRUCTION TELEPHONE CONTRACTOR'S MAILING ADDRESS, / 070 ORO COUNTRY CLUB RD ORO, 95966 Fireplace P CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 54.00 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 4755 OLIVE HWY PERMIT FEE $ OROVILLE, 95966 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF)ff Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ElOther O Describe Work: REPAIR CHIMNEY & GABLE END PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLINGOCCUP. OR ADDNS. ( & ACC. BLDS. ) SO, 3.50 FT. CONTRACTORS LICENSE LAW Flare under penalty of perjury (check one) I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions de and my license is in full force an,�effect. /` License No. 0 Classification J ❑ I, as the owner, 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) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BA20 @ 1.000 Ex. Occu FIXED APPWS. OR p• (OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. IexI have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood JE Ventilation E650 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 Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the a mentioned p erty for inspection purposes. I also agre o s e, Inde f d keep harmless the County of Butte against all judI s, s xpenses which may in any way accr a again t Seld County i C SP ue of granting of this permit. X S Date Sig lure of A plicant ❑Owner El Contractor Cl Agent An OSHA permit is required for excavations over 5"0" deep and emolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ocC CONST. TYPE TOTAL FEE $ HA2. D. FEES IMP F1000 CDF PARCEL PD HO I rWliabilities, This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicat a ove for which fees have been By PERMIT EXPIRES ON q-1— /Date! provisions to do work paid. Date 9 � l ` Receipt No. 167680 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �':X'^*'�P+w;7Rs��y`w��`re-;i,;s.�:��'F+1�Ti7rs�a;;�m�_�; �+'�z'i• #;;iri,i�nr:,;i�w.s,•^a„� ,,r-�.%;s�,.,,,;;,..:ti.•,- COUNT.Y„QF BUTTE - D°-?ARTMENTOF DEVELQPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 OWNER Z Proposed Building Use RMIT APPLICATION DATA SHEET Building Inspector Date At time of permit application, I Was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. All items have been submitted . ........................................ Plot plans, 3/4 sets, signed by preparer of plans. ......................... . Complete plans, 3/4 sets, signed by preparer of plans . ...................... Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. Hazardous Material Form . ............................................ Energy Design Compliance and supporting documentation . .................. Statement of Intent for Non -Heated and A/C Buildings . ...................... Engineered truss details and layout in duplicate (required prior to plan check). .... Mobilehome data and manufacturer's installation instructions, 2 sets. ........... Feesof $ .......................................... Impact fees as shown on attached schedule . ................................ California Department of Forestry plan approval/fees. ....................... . Flood elevation letter (100 year flood) by California Engineer . ................. . Sanitation and plot plan approval Health Department . ............ City of Chico plumbing permit . ......................................... Plot plan and business license approval from City of Biggs/Gridley. ............. Planning approval for (A) Use: (B) Parking: . ......... Contact Land Development about (A) Improvements (B) Drainage. .......... . Driveway permit (construction approval required prior to occupancy). .. Pre-Insp.ection n:quest Pre -inspection for required. . to Building Inspector (Date) Contractor's license information. (No., Name Style, Classification) . .............. Certificate of Workmans Compensation Insurance . .......................... Owner -Builder Verification (Given to owner , Mail to owner . .......... . Recorded copy of Agricultural Acknowledgement Statement . .................. Letter of signature authorization . ........................................ Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . Letter of intent on building use . ......................................... Mobilehome utility clearance ................................... . Documentation of legal access . ..................... :.......... ....... . Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan checklist ...................................................�.. . 33. 34. When you issue the permit, process as follows: Mail to owner. (/ Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone i ;`mail .. Counter by _ Dater'.? Plans checked by Date Plans approved byf °'�' '` F `" Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 z APPLICATIOU AND PERMIT PERMIT NO. . A49ESSOR PARCELNI1MeER / ,/ ,_. D '1 (p zoNIN '0 BUILDING PERMIT . OWNER fA , % ( 12 S TELEPHONE ESQ.T. OCC. BUILDING VALUATION OWNEWSMAI G ADDRESS a L , / /Vr CONTRACTOR'S NAM r fD TELEPHONE CONTRACTOR'S MAILINGADDRESS QA-v C(/v.r/r7'L (/�j .� Fireplace CONSTRUCTION LENDER ��`/ /;, UNKNOWN Total Valuation $ Fling Fee $ 20.00 LENDENS MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER ucENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS <:5—A/ L , / / / 1/ PERMIT FEE $ 0 , O PLUMBING PERMIT Fling Fee 20.00 rrnn� Iw Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ElContractor Describe Work: �-" G(-�I A4 A/ (5 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 6`/ lll (� /- �f� IV Main Service ( 200A OR ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 ll/$a��-�-` NEW CONST. DWELLING OCCUP. OR ADONS. ( a ACC. BLDS. ) SO. 3.5C FT. CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON•RESIID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) SAL. @ r _000 Ex. Occup.(FIXED APPINS. OR OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23,00 Mobile Home Facilities 20,00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. 1 agree to comply to all Butte County Ordinances and California 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 Date3 Signature of Applicant - ❑ Owner CI ❑ Agent 7of An OSHA permit is required for excavations over 5"0" deep and demolition or An construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ I CONST. TYPE TOTAL FEES , D HAZ. 1 D. FEES I IMP I FLOOD I CDF PARCEL I PO HD ssUE This permit is hereby issued under the applicable provisions the Butte County Code and/or Resolutions to do work above for which fees have been paid. By Date PERMIT EXPIRES ON (Dere/ �+-L rct. �(� S.13. D. CANARY•ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT