Loading...
HomeMy WebLinkAbout072-150-020%1 72-15-20 JODY ' TLES 3044 Oliv WY, Oroville Permit#332-85� B'`P- emodel/SF) 72-15-20 Permit#1330-85P( pl ,g,/:3F= 72-15-20- - Pe eper X2748-85E(ele/332-85)SF Permit#332-8,5, Jody Settles 54 Mission Olive a COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER r ✓ TELEPHONE SQ. FT. OCC. BUILDING VALUATION .( OWNER'S MAILING ADDRESS------------- CONTRACTOR'S NAME ._� r TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace / I CONSTRUCTION LENDER t UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS - Permit Fee $ •' '" ARCHITECT OR ENGINEER i J /� r} LICENSE NO. ' Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ •_,' , . 0-: "_ BUILDING ADDRESS PLUMBING PERMIT FiIingFee 10.00 Each Trap 2.00 r Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL 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 ❑ In_stallation❑ Other ❑ Describe work: V ^ ( V'1"• V- - i I Y •J — - . i. ,� , - �• . , _, I -,� ._ .� , r Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main 6001 OR LESS n service 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST.(DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. � t 2/22Sq ft CONTRACTORS LICENSE LAW I declare under penaltyof perjury 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. Y 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 CO NSTR U TI.OUTLET 2.50 ea ID BRANCH CIRC ITs NEW NEW CONST R. I POWER APPARATUS & CO NON.R ESID. SINGLE OUTLET CIR. Ex. Occu 1.20 @50c P�o Ts OR FIXTURES 9AL030Q FIXED APP LNS, OR FIXED Ex. OCCUp. OUTLETS (RESID,) EA.� 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 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 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,whicli,may in any way accrue against said County in consequence of the granting of this permit. X f7 Date Signature of Applicant — Owner❑�Con�t a r.❑ Agent ❑ An OSHA permit is required for excavati\ns over 5'0"deep and demolition or construct- ion of structures over 3 stories in height. V Mobile Home Installation Fee $ TOTAL PERMIT FEE $- occ UP. GROUP I TYPE OF CONST. PARCEL PD HD ISSUE This permit is 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' rRe.ceipt No. ! � � � r�\ -D.P.W.• YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT IL ��1� o -,�-�s COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR. PARCEL NUMBER j _% ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS r - ! Lf C, CONTRACTOR'S NAME \t Nr TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER `{ UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER t LICENS NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS S Permit fee $ BUILDING ADDRESS r PLUMBING PERMIT Filing Fee 10.00 Each Trap --In 1 +, �� 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 ❑ Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home I S I G W 10-00e TYPE OF WORK New ❑ tion ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Q" D ribe work: y ' r r. ��u !ti �� — tMain Permit Fee $ ` Contractor ELECTRICAL PERMIT Filing Fee 10.00 service 100 AMP ORV OR LESS10.00 N Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUR.&\ OR ADDNS. ACC. BLDGS. I I 2/20sq it CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑NON-RESID. 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 CONSTR ULTI.OUTLET 2,50 ea NON.RESID. BRANCH CIRC ITS NEw CONSTR POWER APPARATUS & SINGLE OUTLET CIR. Ex. Occu 20@S0Q P�OIXED r.s OR FIXTURES eAL@300 Ex. OCCUp- OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 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 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. l X Date 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 I TYPE OF CONST. PARCEL PD HD ssuE This permit is hereby issued under sions of the Butte County' Code and/or work indicated above for which -DIRECTOR OF PUBLIC -I J' ' r - By \ 1CjAl �% — r PERMIT EXPIRES .1 Date the applicable provi- resolutions to do fees have been paid. WORKS Date r_ r I (" I / Receipt No. f` WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT �wta,� �� -/��.1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. r -- ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER j n �� �� TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS --x /n c.! U CONTRACTOR'S NAME V l.�l tai TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER 0"n)a LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS / ! /� /'� /J `� .. A .. L l n m r ,1 1 f u F' Permit tee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 x---� 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 EJ-�Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S G JW 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑_ Utilitiesnstallation ❑ Othe ` Describe work: e r n r' � a Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 10.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 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 Q 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) FJI am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.N , OUTLET ) h¢sgft New CONSTR.( A ULT( NON.RESID BRANCH CIRC ITS 2.50 ea /POWER APPARATUS e) (SINGLE OUTLET CIR. z0@50t Ex. Occup OUTLETS OR FIXTURES BALD 30 Ex. Occup. OUTLETS IIRESID IKEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring15.00 f j,(J 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. 'a 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 FiIirig 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. 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 consequence of the granting of this permit. -� / X �--'I Date c ' Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHAr permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 33 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occuP, CONST.TYPc I FLOOD PARCEL PD No ssuE 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. DIR CT`(F PUBLIC WORKS //�� ((� � Da�te� 0 � a BY - Wxy&rr � --7— PERMIT EXPIRES Date Receipt No. 46- WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. 116 - IoM. i ovee-d; A-,-b� -���� c4. c a� Inspector_\�i� Date S [J COUNTY OF BUTTE r DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 i CORRECTION NOTICE 3 3Z-� A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. - V. 1,.l �' t` r c.... S tr �' �`�/_� w n 1, ! A a �✓� �or M { A/" -L InspectorDate // _ COUNTY OF BUTTE L DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE - S-"�) -, OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. � J ` c Inspector Date i z1 COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS PERMIT N 7 County Center Drive - Oroville.,Califorriia 95965 - Telephone 916/534-4541 S APPLICATION AND PERMIT , ASSE �SOR PARCEL NUMBER .5 — ZONING BUILDING PERMIT OWNER ^ TELEPHONE ,SQA FT. OCC, BUILDING VALUATION OWNER'S MAI IN ADDRE55 CON A O 'S NAME 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 $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS, v Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 nim 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 � Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other Describe work:1 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service s00v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the Buslnes$ and Professions Code and my license Is In full force and effect. License No. Classification 1, as the owner, Or my employees with wages as their SOIe 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 a 1 exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.d 2/,2tsgft OR DCNS. A LC ULTB OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea /POWER APPARATUS &) %SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES e20®50C ALO 30 FIXED APP LHS. OR EX. Occup. OUTLETS (RESID.) EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 J 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 I shall not employ any person in any manner so as to become subject T 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 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 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 agr,t said County i onsequence of the granting of this permit. X Date O S Sign�,,ply' am — Owner Contractor ❑ Agent Ant Is required for excavations over 5'0" deep and demolition or construct- on over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occu P. CONST.TYPe FLOOD PARCEL I PD ND 99UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which UBLIC IR�F_' BY PERMIT EXPIRES to the applicable provi- resolutions to do fees have been paid. WORKS / Date yQ / Receipt No. 4� 7 6 � 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 916/534-4541 APPLICATION AND PERMIT PERMIT xN U 5 ASSESSO PARCEL NUM ER 7 , ZONING BUILDING PERMIT owN O S T LEPHONE l SQ. FT. OCC. BUILDING VALUATION OWNER'S MA LING ADDR SS CONTRACTOR'S NAME nt- GI TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER )JILICENSE NO. Plan Checking Fee ,$ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS ,'1C1r_'✓ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 D d 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 Duplex F-1 Mobilehome❑ Other SPECIFY Building sewer 5.00 fQ� Mobile Home S G W 10.00e TYPE OF WORK New ❑ Addition odel ❑ Utili 'e ❑ Installation Other Describe work: �Cl� r\ — — �OC C 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 NEW CONST. ( DWELLING OCCUP.& OR ADDNS. L ACC. BLDGS. t 2/20sgft CONTRACTORS LICENSE LAW I declare under penaltyof perjury p f y (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 NEWconlsTR ULT' -OUTLET 2,50 ea NON-RESID BRANCH CIRC ITs NEW CONSTR POWER APPARATUS &) NON.RESID. SINGLE OUTLET CIR. Ex. Occu / 20@50Q p\OUTLETS OR FIXTURES BALG 300 Ek. Occup. OUED PR OUTLETS (RESID )EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 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 of Consent to Self -Insure. 1 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. 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 ag I t said County in/onsequence of the granting of this permit. %� C.Date Sign Lure of A/ licant — OwnerZ 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 I TYPE OF CONST. PARCEL PD HD IssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which RE OR OF PUBLIC BY PERMIT EXPIRES Date (�/�C�/ll the applicable provi- resolutions to do fees have been paid. WORKS fes( Date y/' r, a J Receipt NO. 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 916/534-4541 APPLICATION AND PERMIT PERMIT �0, ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNERS S TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1 U - CONTRACTOR'S ACTOR'S NAME NA Il� TELEPHONE CONTRACTOR'S MAILING ADDRESS 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 $ ,p BUILDING DRESS � PLUMBING 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 Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New❑ Addition E] Remodeiffa'-`Utili i E:1Installation❑ Other❑ Describe work: b Permit Fee $ 1-7100 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 �� --L/► �� Main service EA. ADD'L 100 AMP 2.50 NEW CONST.DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. t 2h0sgft CON'TRACTORS 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 LNI, 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 NO N.RESID BRANCH CIRC ITS NEW CONSTR. ( POWER APPARATUS &) NON.RESI D. SINGLE OUTLET CIR. 20050C Ex. Occup(o XTs OR FIXTURES SAI -0300 FIXEEDDAPPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 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. 1 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. 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 ag said County in co equence of the granting of this permit. %� Date o� Signare of Appli nr — Owner Contractor ElAgentwork 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 $ 0CCUP. GROUP I TYPE OF CONST. PARCEL PD HD ssuE This permit is hereby issued under sions of the Butte County Code and/or indicated above for which R OF PUBLIC By PERMIT EXPIR S Dat N the applicable provi- resolutions to do fees have been paid. WORKS at r Receipt No-�-�� ` WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT >� BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT s Owner: A. P. # ��L 5 r9 j✓2— W r Address: s Date of Inspectionz�5- Tenant: ��,L Inspector -� Building Location: -5� Q 21,0`2' Type of Inspection requested: 1. Housing / /. 2. Financing/_/ 3. Change of Occupancy to fX 4. Other (spec Present use A. Sanitation (Housing) 1. Water.closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: Ai 5. Hot and cold water to fixtures: 1461 6. Heating facilities: 7. Natural light and ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connection to sewage disposal: 12. Connection to water supply: 13. Rubbish and garbage facilities: 14. Comments: B. Structural 1. Piers and footings: 2. Floor construction: ItY 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: C. Electrical 1. Service and ground: 2. Receptacles: 3. Fusing: 4. Comments: D. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4:•' ' Comments : E. Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Comments: F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: _ 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. Comments: G. Field Problems or Violations ` 1. Problem or violation (giv complete description : r 2. What action take ( ive c m Tete description): 3. What action recommended: A. Information only - file. B. Hold for ten days, then write letter. C. Write letter. / /—D. Other: