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HomeMy WebLinkAbout069-470-011069=47-0-011— 93-18.46 B Y DALLAS, ELWOOD I 48 SUNSET VIEW .DRIVE, OROVILLE / Y/agI93 (REROOF/SFj. �l p 7-0-011 .93-1893 E DALLAS, ELWOOD 48 SUNSET VIEW, OROVILLE CONTR: STRAND ELEI;'1'kIC 1 ELEC SERV/SF V .,. r�� �-.,,u; ,, � '��''r � t E H r _ v' .. a.:i..-'c ; w,ae' eW'�.* �.w-cam:-•r.'r^rx-rr'ir:. _ .=r^ , ,. _ . ` , .n -•-..r .-t , . ,: )j ..Z, "= 069-47-0-011 93-1893 E DALLAS, ELWOOD 48 SUNSET VIEW, OROVILLE CONTR: STRANG ELECTRIC ELEC ..SERV/SF r a t d OFFICE COPY Address GAS Meter By date r ELECTRIC Meter By DatelL .l OFFICE COPY Address GAS Meter By date r ELECTRIC Meter By DatelL '.-�-•--,-----,�•r...-._.T �..�-•r—.�...—.-•sI-�.,..._�-.,-�.�.,..-1�•�-..��,,,;r,.t..."h,.r,r,-...�,1:�`��a.�Q�.w"'*1�.."e`��ry'"``,'�,t'^k�"`_......` COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916.`538-7541 APPLICATION ANQ PERMIT Ir�_. ASSESSOR PARCEL NUMBER 069-47-0-011 ZONING 1 BUILDING PERMIT OWNER E11MD PAU AS TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 3 Cottonwood Circle, Oroville CA 95965 CONTRACTOR'S NAME Strang Electric TELEPHONE 533-4214 CONTRACTOR'S MAILING ADDRESS 250 Canyon Highlands Drive, oroville Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 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 48 Sunset View, Oroville Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF [�J Duplex❑ Mobilehome❑ Other ` SPECIFY I Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00. Mobile Home S I G W @ 15.00 TYPE OF WORK New a Addition LJ Remodel ❑ Utilities [I InstallationC Other ❑ Describe work: upRrsde train elec Ser _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 Main service 200A TO 1000A, 37.50 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. License Ao. '���� Classification ❑ 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 cont ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.&) 3.60 sq.ft. OR ADDNS, l ACC. BLDGS. NEW RESID,CONSTRANCHUT LET @ 5.00 NON-RESID BRANCH CIRC ITS POWER APPARATUS & (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20 @ 760 FIXED APLNS. Ex. DCCUp. OUTLETS PIRESID IREA.) I 3.00 Temporary service 15.00 Mobile Home Home Facilities 15.00 Misc. H g 15.00 00 Permit Fee $ 48 tin 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 1 15.00 Heating Cooling g Hood 6.50 Ventilation penult 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 liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X s i✓�� Date C �/7 /1r-� Signature of Applicant — / Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0deep and demolition or construct- " ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE I TOTAL FEE 4 5 I HAz I D FEESil IMP I FLOOD I CDF PARCEL PD I Ho ISSUE This permit is hereby issued under the applicable provi- sions of the Butte �Cou`ntyPtode and/or resolutions to do work indicateda6ov(Bf & which fees have been paid. RECTO OF PUBLIC WORKS�C By Date 6/27/93 PEAMIT EXPIRES Date A/17/A4 Receipt No. 143343 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 069-47-0-011 ZONING' 1 BUILDING PERMIT OWNER ELWOOD DALLAS TELEPHONE S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 3 Cottonwood Circle, Oroville CA 95965 CONTRACTOR'S NAME Strang Electric TELEPHONE 1 533-4214 CONTRACTOR'S MAILING ADDRESS 250 Canyon Highlands Drive, oroville Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15,00 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 48 Sunset View, Oroville Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF EJX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 1 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK f� New ❑ Addition L_J Remodel E]Utilities Ek InstallationC Other ❑ Describe work: upgrade main elec Ser _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600v OR LESS 18.50 200A OR LESS Main service 200A TO 1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions �Code and m(y license is in full force and effect. �i /w� 3 (1 License .Jo. Classification C-` V ❑ 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 CONST. / DWELLING OCCUP.&\ 3.6a sq.ft. OR ADDNS. l ACC. BLDGS. / NEW CONSTR.ULTI.OUTLET NON•RESID BRANCH CIRCUITS @ 5.00 POWER APPARATUS (SINGLE OUTLET SIR. ]1�20 764 Ex. Occup(OUTLETS OR FIXTURES EX. DCCUp. OUTLETS FIXED (RESID ILNS REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 15-00 Permit Fee $ 48 50 — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): 1 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. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g 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 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 liabilities, judgments, costs, and expenses which may in any way accrue against said Count in consequence of the granting of this permit. X � Date Si nature of Applicant – owner 9 PP ❑ 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 S Ener Inspection Fee $ Energy P OCC CONST TYPE TOTAL FEE $ HAz 1 0FEES I IMP FLOOD I CDF PARCEL Po I OE This permit is hereby issued under the applicable provi- sions of the B to Cou ode and/or resolutions to do work indic d o r which fees have been paid. E BLIC WORKS BY Date A/17/ 3PE 1 EXPIRES Date j Receipt No. 143343 WNITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD-APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone. 916 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PAR UMBER 9 r � ( � 7 ., G7 t f ZONING 'IV, BUILDING PERMIT OWNER .� WDDC/ � / A l l i9S TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS ' CONTRACTOR'S NAME �7'f? N G- TELEPHONE CONTRACTOR'S ILING ADDRESS ,g^� Fireplace CONSTRUCTION LENOEFIF UNKNOWN Total Valuation Is Filing Fee $ 15.00 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 $ Bul � NG ADDRESS5r� NSG � / e Permit tee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME _ PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE rrbbtf SF ILII Duplex❑ Mobilehome❑ Other 11 - SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W@ 15.00 TYPE OF WORK New❑ Addition i_; Remodel;_; Utilities Installation❑ Other ❑ Describe work: c _ TL Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 20000AA OR LESS 18.50 2OR LESS Main service 20CATO IODDAI 1 j4 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): F1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Co and my license is in full force and effect. License No. S 2,Classification ,� / v F-1 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 NEW CONST. ( DWELLING OCCUPM 3.6Q sq.ft. OR ADONS. ACC. BLDGS. // NEW NON•RESID R. BRANCH CIRCTITS 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. tAt Ex. Occup(OUTLETS OR FIXTURES 764 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.I EA.� 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ 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"" 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 15.00 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 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 liabilities, judgments, costs, and expenses which may in any way accrue against said County in con uU a of the granting of this permit. X Date 6 17 Signature pp ❑ Contractor [1�j Agent ❑ si nature of Applicant - owner 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 S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ HAz 7ES I IMP I FLOOD I CDF I PARCEL PO HD ISSUE This permit is hereby issued under the applicable provi- bions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. 2!Z2 WHITE-D.P.W., YELLOW-ASBESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT f i • f 069-47=0-011.' 93-1846 B' DALLAS, ELWOOD 48 SUNSET VIEW DRIVE, OROVILLE (REROOF/SFj T 4 e f 4 i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS i 7 dounty Center Drive - Oroville. CEilifolnia 95965 - Telephone: 916.'538-7541 APPLICATION'Affil PERMIT PERMIT NO. AS SSOR PARCEL NUMBER 0 —470-011 ZONING - ARI BUILDING PERMIT DC;1,WlJUD DALLAS TELEPHONE SO. FT. OCC. BUILDING VALUATION 31 @60 1860 D3W Nt.O'I'IMOAMJO(�D DGS RC E, OROVILLE CA 95965 cpN PACTOR'S NAME TELEPHONE CONTRACTOR'S MAILI(JG ADDRESS Fireplace WhRUCTION LENDER UNKNO N (t`` Total Valuation Is Filing Fee $ 15,00 LENDER'S MAILING ADDRESS �.� Permit Fee $ 36.00 AJCCHI_TECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ B4"8L�MUff WWII OROVILLE Permit fee $ 51.00 PLUMBING PERMIT FilingFee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF F3 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer15.00 Mobile Home S G W 615.00 TYPE OF WORK t New Addition; ! Remodels Utilities❑ Installation❑ Other EJ Describe work'.--' REROOF WCOMP _ Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO 1000A) 37.50 CONTRACTORS LICENSE LAW I declare under 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. Classification 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 CONST.( DWELLING OCCUPM OR ADDNS. ACC. BLDGS. I 3.60 sq.ft. NEW CONSTRULTI-OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 /POWER APPARATUS e (POWER OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 760 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. byirin g 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. ❑ 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. Contractor MECHANICAL PERMIT FilingFee 15.00 Heating Cooling LHood, 6.50 I Ventilation Pertntt 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 liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. .X Date Signature pp ❑ Contractor ❑ Agent ❑ Si nature of Applicant — Owner 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 $ occ CONST TYPE TOTAL FEE $ 51.00 HAz I DFEES I IMP I FLOOD CDF PARCEL I PD I Ho Issu This permit is hereby issued under the sions of the+,Butte County Code and/o¢ �, '7, work indic�'ted abo a fo which fees" DIRE(3fQj ` PU LI By ))i 1i PER I. PIRE Date applicable pro i - resolutions to do h1 a been paid. KS i Date a/6 h4 , 1 327 Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT ,J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.`538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 069-470-011 ZONING AR1�_ BUILDING PERMIT OWNER ELWOOD DALLAS TELEPHONE SO. FT. OCC. BUILDING VALUATION 31 60 p 1860 OWNER'S MAILING ADDRESS 3 COTTONWOOD CIRCLE, OROVILLE CA 95965 CONTRACTOR'SNAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 36.00 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Ener Plan Checking Fee Energy g ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 48 SUNSET VIEW, OROVILLE Permit fee $ 51.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW I @ 15.00 TYPE OF WORK New a Addition Lj Remodel ❑ Utilities ❑ Installation CI Other ❑ Describe work: REROOF W/COMP Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 20rATO 1000A) _ 37.50 CONTRACTORS LICENSE LAW I declare under 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. Classification 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 CONST.(DWELLING OCCUP.&` OR ADONS. ACC. BLDGS. I 3.60 sq.f[. NEWC ONSTR ULTI.OUT LET NON-RESID BRANCH CIRC ITS @ 5-00 POWER APPARATUS (SINGLE OUTLET CIR.e Ex. Occup(OUTLETS OR FIXTURES 20 @ 761 Ex. Occup. OUT EPR TS (RESID,)EA.1 I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): 17 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. IU 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. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g 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 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 liabilities, judgments, costs, and expenses which may in any way accrue against s id County/in consequence of the granting of this permit. Date X – I - 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 $ Energy Inspection Fee $ occ CONST TYPE ITOTAL FEE $ 51.00 HAz 1 11 FEES I IMP I FLOOD I CDF PARCEL PD HD Issu This permit is hereby issued under the sions ofa utte County C de and/or r work i is ed aboohich fee DIRE PUBLIC By PER PIR' Date applicable pro i - re lutions to do h e been paid. KS Date Receipt No. 143271 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -.INSPECTOR, GOLDENROD -APPLICANT M NO. 7 County Center Drive - Oroville, California 95965 - Teleonone 916 538-7541 APPLICATION AND PERMIT ASSESSOR PA;CEL NUMB R ZON1N _ BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER' MAILING ADDRESS C0770/t/ CONTR CTOij'S NIl t���/////V/ c� TELEPHONE CON ACTOR'S MAILING ODRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ �D ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ I ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ESSPermit fee $ 5 ,O PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW @ 15.00 TYPE OF WORK New ❑ Addition. Remodel L Utilities ❑ InstallationC Other ❑ Describe work' n Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 Main service 20GATO1000A1 37.50 CONTRACTORS LICENSE LAW declare under penalty of perjury (check one): F-1NON-RESID f 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. Classification L)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 NEW CONST.OR ADONS. ( ACC. SLOGS. DWELLING OCCUP.y) 3.64sa.ft. NEW CONSTR ULTI-OUTLET BRANCH CIRCUITS) @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. 0 A Ex. Occup(OUTLETS OR FIXTURES 76 _A2 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.1 I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wirin 9 15.00 Permit Fee s — 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. ❑ 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. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g 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 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 liabilities, judgments, costs, and expenses which may in any way accrue g I'nst said County in consequence of the granZpermit. X a 1 Ignature of Applicant — 0 ner ❑ tractor nt ❑ An OSHA permit is repaired fo exc aliens over 5'0" deep and demolition Dr construct- ion of structures over 3 tories i eight. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEES HAz 1 DFEES I IMP FLOOD CDF PARC L PD HO ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By DatePERMIT EXPIRES Date Receipt No. WHITE-O.P.W.. TCLLOW-ASSC370N. PINK -IN PCCTOII. GOLDENROD -APPLICANT Pis �-��� COUNTY OF BUTTE - Department of Public Works 7.County.Center Drive, On-oville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to _,avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. to I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) s 20 I (have/have not) Y-Ayl)�__ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4: I plan to provide' portions .of this work, .but I .have hired -the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors'Lidense No'. 5. I will provide some of the work but I have contracted (hired) the following persons to provide .the work indicated: Name Address Phone Type of Work Signed,: Prperty Owner,,,'�a: Social Security Number Date /o -- / -1' 93 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code: This verification must be completed and returned to our office before we are per- mitted to issue the permit.