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HomeMy WebLinkAbout071-180-06271-1-8-62 - � - -' - • - - . - - r16 ITHEODOREILER / y 7510 Lumpkin Rd, Oroville r/�Cc �l Qom• + Contr: Theeveos & Gipe �l�a► �3 Permit #2479-83E(ele ser dh/ft X071 18-0`0621"""' `, " '7 +, w98-0095` A` 071-18-0-062 93-1837 ROUSAVILLE ANGLE t't ` j ILER, TED- = , , "1'454'.LUMPKIN • ROAD 1'54 LUMPKIN. RD, OROVILLE .' Y yOROVILLE ' A�''(AG:•EXEMP* TRACTOR F' CONTR: 'GEORGE•iR00FINGF w &SHAY , EROOF/SF , , I 1 ft00% Tun BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 14 AGRICULTURAL BUILDING EXEMPTION PERMIT PERtA{T ?.9oc— Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public,. ASSESSOR PARCEL NO. ZONING r OWNER ry� LC ) le. PHONE N . 5'�O'58n 01"''t35 OWNER'SffiffsU"moKin'Vo. rov d d LOCATIO SgJltn USE OF BUILDING SIZE OF STRUCTURE l� a 'x `O SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME ✓ STEEL CONCRETE OTHER (Specify) TYPE OF SIDING �Q ROOF C—iiOVERING FL TY E ESTIMATED COST OF CONSTRUCTION $ --• AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: - , _ �� , may✓ FRONT Y5 / tOL-- SIDES �- t7 / REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq._ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvalsbcomply with th a uireme is in effect at that time and before occupancy((� Date 8 � 7 � 7CJ Signature of Own Permit Fee - $60.00 The above described AG Building is exempt om a building perg*. . Receipt No. Zc/ f Manager Building Division By Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant FLOS I PARC I PV ROOF G ISSUE Manager Building Division By Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant 40*NTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541f PERMIT APPLICATION DATA SHEET OWNER: L ASSESSOR PARCEL —7I `' I�-- Proposed Building Use: Building Inspector: Date: RbOlq At time of permit application, I was advised the following data must be submitted prior to pi—r&' processing andVor issuance: Date Received By .All items have been submitted.------------------------------------------------------------------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 06. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings.-------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications ------------------- 0 10. Fees of $------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ------- ❑ 12. California Department of Forestry plan approval/fees. ❑ 13. Flood elevation certificate. 1114. Sanitation and plot plan approval ❑ 15. City of Chico plumbing permit. -• Health Department. ---= ==-------- ❑ 16. Plot plan and business license approval from the City of Biggs. ❑ 17. Planning approval for (A) Use: (B) Parking: _ ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). --- ❑ 20. Pre -inspection for required Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). 1122. Workers' Compensation carrier and policy number. ----------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). - ❑24. Letter of signature authorization. -------------------------------------------- 1325. Recorded copy of Agricultural Acknowledgment Statement. ------------- El 26. Letter of intent on building use. ------------------------------ --------------- 027. Manufactured Home utility clearance.-----------------------------�.--� ❑28. Existing violations and/or expired permits.------------------� ---- ❑29. 11433 A, []Grant Deed, ❑ M.H. Title, ❑ Check to H.C:D P 1130. Other: When you issue the permdit, process as follows ❑ Mail to o 4a)(Mail to —Felephone � ` T3S'� and hold for pickup (Date) �2� X66 ❑ Deliver with inspector. Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, o Air Pollution Dat4: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Divi sion M `i :r^'r..--•'�,,,.!^+ s�"^`:�.� <;'L"1'yy}—,�.sti��:,/� �`,�.':1 `3i.1.'A're�Cr 41+'=. •: �Mr t '^�., `� _ }7. � ���.,�v .sem r ,,,tf .:r},,, +:�. .. ,�a�; � •�"t f.: ._�,_,�._. �,+y,,=.C.�,e'n' _ _ e :t�. �, yz::."� r""�%:;d 4' � ..1. � �. .. _�. .._ i � I� . �, • 11 � • � _ !, 7 , !. �{ ' c EE' yF�) to �. ' _ '. • �. � -. � _ ., t � � -.,.. . �. ,. � ��� � s� k / / ` � ' � sa. - I ...�. ..� � .. .. ,...�. . :�. 11• i,F �1. � � v 1 t� r � � E � \ ♦ ,� � ....._.._. ..� j. _ t • � �� ♦ R . � � Y _ i � � " s � .� � .� , f � . + . t f 1 r y ` �� � 1. '. • �. � -. � _ ., t � � -.,.. . �. ,. � ��� � s� k / / ` � ' � sa. - I ...�. ..� � .. .. ,...�. . :�. 11• i,F �1. � � v 1 t� r � � E � \ ♦ ,� � ....._.._. ..� j. _ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovilie, Galifornia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESS PARCEL NUMBER 0'7l' /8� -D%a� ZONING j"J<-.5 BUILDING PERMIT OWNER TELEPHONE SQ. FT. BUILDING VALUATION 1OCC/. OWNER'S MAILING ADDRESS , X59&0�3�G� C TRACTOR'S N �g!_EPHO Et 33 - 3 CO TR OR's MAILING DD SS op ( 7 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ O ♦ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BU ZING ADD R ES / Permit fee $ , PLUMBING PERMIT Filing Fee 15.00 �p��j� Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SIX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK �,{ New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstailationE Other {� Describe work: A — A_A& Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 18.50 200A OR LESS _ Main service 200A TO 1oo0A, 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): Iv/I �J 1 am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Profession Code a d my license Is In full fo�rc and effect. License No. Classification C� a 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 for this reason OCCUP.8d\ 3.6asq.ft. NEW CONST. ( DWELLING OR ACDNS. ACC. BLDGS. // NEWCONSTR. ULTI-OUTLET NON .RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 20 76 Ex. Occup. OUTLETS ED APP(RESI 0.)REA.) 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): ❑ The permit is for $100.00 (valuation) or less. 'KI 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 Coolin g ffHood 6.50 J 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 t said County in consequence of the granting of this permit. againZIZU� X � �' /�Z� _JZ� Date --/' 3 Signature of Applicant — Owner ❑ Contractor ❑ Agent -Or 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 FEES Q� HAz I DFEES I IMP FLOOD CDF PARCEL PD HD ISSUE j This permit is hereby issued under the applicable provi- i sions of the Bu ounty Codefand/or resolutions to do work indica dove4r wk"c'h fees have been aid. p DIRECTO � PUBLIC WORKS By 1 ate PERMIT.EXPIRES Date / Receipt No. °t �S WHITE—D.P.W.. YELLOW—ASSESSOR. PINK -INSPECTOR. GOLDENROD—APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Califoi;.iia 95965 - Telephone: 916/538-7541 J APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER O•i/— i8®-��p� ZONING I< S t BUILDING PERMIT owNEr�LEPHONE� o�v SQ. FT. OCC. BUILDING VALUATION c OWNER\l'S MA ING ADDRESS � l r � 5 q 4 ,O:p TRACTOR'S N /w[ r i TELEPHO E 533-�3 COtJTRACr OR's MAILING ADDR SS o 1(offJ(� a/ Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 66 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUI�ING ADDRES "Jr Permit fee $ 500 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/V Duplex❑ Mobilehome❑ Other 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 ❑ Remodel ❑ Utilities ❑ Installation ❑ Other v Describe work: ` t — J & Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200V OR LESS 00AOR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): Ix�� J 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profess i n Code a d my license is in full force and effect. License No. Classification � ley 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 Main service 200ATO1000A) 37.50 NEW CONST. / DWELLING OCCUP.&\ OR ADDNS. 1 ACC. BLDGS. 3.6Q sq.ft. NEW CONSTR ULTI-OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS & (SINGLE OUTLET CIR. Ex. Occup( LETS OR FIXTURES 20 76 FIXED APPLNS. Ex. Occup. OUTLETS IRESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. �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 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 �///J�%> C�� (.���J��� Date ��/�3 $ignoture of Applicant — Owner F1 Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures overr�3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ r HAz I DFEES I IMP I FLOOD I CDF PARCEL PO HD LZ This permit is hereby issued under the applicable provi- Bions of the Bu un y Co and/or resolutions to do work Indic d ov or Ich fees have been paid. D E PUBLIC WORKS / By ate PERMIT -EXPIRES Date. Receipt No. 17 J.2� WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Theodore Iler Permit #2479-83 i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Cjtliforni2'95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER - TELEPHONE ,SQ. FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME �T C- /71;N TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee .$ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO.SUBDI VISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10-00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: - ` ' < Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 !' Main service EA. ADD'L 100 AMP 2.50 .J NEW CONST. DWELLING OCCUP,&` OR ADDNS. ACC. BLDGS. 1 / 2/20sgft CONTRACTORS LICENSE LAW I declare under penalty perjury p y of p I y (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. /11) �'rr J, y )"' - 1Imo) 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 CONSTR ULTI.OUTLET 2.50 ea NON-RESID BRANCH CIRCUITS NEW CONSTFL POWER APPARATUS &'\ NON.RESID. SINGLE OUTLET CIR. / Ex. Occu / zAL030 P\OUTLETS OR FIXTURES BAL030 Ex. Occup- OUTLETSED P(RESID,)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 , 5 Permit Fee $ -J, r; f Contractor MECHANICAL PERMIT Filing Fee 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 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. 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 liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. OF X !'� /s' Date 'k -' Signature of Applicant — 0 ner ❑ Contractor ❑1 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 I TYPE OF CONST. I PARCEL PD I HD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC Y- A B �_ y PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date l i �r Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville;-Califorrlia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO., ASSESSOR PARCEL UMBER rf r ZONING BUILDING PERMIT OWNER _ / /�� TELEPHONE S0. FT. OCC. BUILDING VALUATIOV OWNER'S MAILING ADDRESS 5/O s CONTRACTOR'S NAME 7-71 TELEPHONE CONTRACTOR'S MAILING ADDRESS f3 I)/ Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 d — 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 ❑ Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G I W I 110-00ei TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilitiesg Installation❑ Other ❑ Describe work: CT /Q/P '��.Qc///fj�J� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 ��jj�� (ii/,0,0 Main service EA. ADD'L 100 AMP 2:50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. ZthQsgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): [�I am licensed under provisions of Chapt. 9, Div. 3 of the Business20®s0a and Professions Code and m ''rrU ��? y license is in ful force and effect. License No. `Y' i y Classification I O El1, 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 �NEWi•RESID PL BRANCH CIRCUITS.2.50 ea NEW CONSTR. / POWER APPARATUS &1 NON-RESID. `SINGLE OUTLET CIR. / Ex. Occup(o OR FIXTURESBAL®30 IXEDTs PR Ex. OCCUp. OUTLETS (RESID )EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 /s 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 9i 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. 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 Countyot 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 liab• ' •es, judgments, costs, and expenses which may in any way accrue again sa County • cos y�ence of the granting of this per it. .2 � 3 Si ature of Applicant — Owner ❑ Contractor Rq—Agent F1work 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 $ _-3' (� OCCUP. GROUP TYPE OF CONST. PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or indicated above for which DIRECT OF PUBLIC By PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. ©�� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 'PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICM 10-H AIND PERMIT ASSESSOR PARCEL NUMBER o WNFR ZONING TELEPHONE BUILDING PERMIT SQ. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS �'S./D dC�' J L _� CONTRACTOR'S NAME W T/- C. C� U J , c TELEPHONE .5 -O CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITE"� OR ENGINEER'S MAILING ADDRESS C Permit fee $ BUILDINj ADDRESS Lt/ J 0 jQD PLUMBING PERMIT Filin 9 Fee 10.00 Each Trap 2.00 s -- Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBGIVISION NAME PARCEL MAP t Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other , SPECIFY Building sewer 5.00 Mobile Home S G W O.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities?�3 Instal lation ❑ Other ❑ Describe work:_ .-- - - Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 600V OR LESS Main service 100 AMP OR LESS ,h y� 10.00 1, ,eo Main service EA. ADD'L 100 AMP 2.50,SQ NEW CONST. / DWELLING OCCUP.6\ OR ADDNS. l ACC. SLOGS. // t�id3q ft = CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ETr-i am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license Is in ful force and effect. %%(( �7 y .-. � � License No. TL D9.( � Classification ❑ 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason _ NEW CONSTRU TI -OUTLET 2,50 ea NON-RESID. BRANCH CIRC ITS NEW CONSTR. ( POWER APPARATUS @') NON-RESID. SINGLE OUTLET CIR. / S20 OP 50t OR FIXTURES DALO 30Q E^• Occup(o AL130 A FIXED APPLNS. OR FIXED Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 /5, Permit Fee $ .5'C3 Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE 1 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 gi Consent to Self -Insure. rUr-TSI 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 Ventilation Permlt Fee E 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liab' ' 'es, judgments, costs, and expenses. which may in any way accrue againstsa' Countc s uence of the granting of this permit. X L . Date. % 2�/�3 Si44ture 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 e $ TOTAL FkAVT FEE $ 3 , 5 Cl/ OCCUP. GROUP TYPE of CONST. PARCEL PO I No I ISSUE This permit 1s hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. O/,�6TQQ0 WNITE-O•P.W., YELLOW-ASSCSSOR. OINK -INSPECTOR. GOLOENRoo-APPLICANT