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072-580-006
,i wop 7-4-7le v• i LARRY MOORE 2 mi: S. of Stringtown Rd, 22 mi. i E. of Hurlton-St]r,ingtown Intersec - { � Chanle� 86��i 75E( 1°�'-��ervice 03-005 ��i-'`•.� 072,580-006 a w t r_ ,,r j•. ANGLIN,WILLIAM s "211 REBEL LN.; OROVILLE +.RE TAG -ELECTRIC SERVICE �r .,� ,.i, p t 5 =3r,.+('�1 hy1 s r y X07 580-006' 4k't1vIISCELLANEOUS ' ''f rAg Exempt i r ti6.� - - � +� -tis• � r AGE PTLIVESTOCK BARNt 211tREBEL�LN'' �r " �ANGLIN;�W_ILLIAM. - .n- # u'r.�?LiiSt.'W'F1'�'r•" .rk.tl-:•::� s.� ��+f5._�''�sh. r - l 9 o • o tiI � . <.E .� � w(s�'.yT .� .+y � 1. .' ..., sir , r ��� r. .. _ ��_w .. .�ti__ _- � _ �• _ _ _ I� '612-580 ANGLIN#WILLIAM�.r,,;','� 211 REBEL LN,`'OROVILLE,;+ " ARE TATG ELECTRIC SERVICE'�w' i + uK d COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541C JEV� (Rev.'12/96) APPLICATION AND PERMIT � ASSESSDRPARCELNUM -00 42 -EK -005 ZONING BUILDINGPERMIT OWNER l Tn N ry TELEPHONE r _rid•?7 SO. FT. OCC. BUILDING VALUATION OWNER'S MAIUNG ADDRESS r 95, OROV111F., CA 9516-) CONrRACTOOR'S�7NAAMME R OWER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 211 REREL N � Energy Plan Checking Fee PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.0023.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or hest um water heater Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: RE -TAU' SIC SBVICE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoOA"OOV OR LEOR SS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law tpY the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation pf one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with ose provisions. / X / i�l�- �e Cis, Date _7 Sigrr$t a of Applicant - ❑ Owner. -❑'Contractor ❑ Agent An OSHA permit is required for e— ns over 5'0" deep and demolition or construction of structures over 3 stories in heig Main Service 200A TO 46.00 gCU000A NEW CONST, DWEIiING OCCUP. SO OR ( a AcI' sins. 3.50' EW CNS. rNpLL pO�Ip. T.MULTI.OUTLETITS @G 7.50 aPsINGOWELE R AP=US urL� PARATUS aR. OUTLET OR FDrTUREs Ex. Occup. s20 ® I:w Ex. Occup. OFUIXrELErs PL. DEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 We-insp=tion 1 Z3, 00 PERMIT FEE s 66.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 66"00 I O. F9 IMP FLOOD CDF PARCEL HD ISSUE �HAZ. 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. /y By t d J��u t3 t Fr, Date PERMIT EXPIRES ON date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMB€R `72-580-006 ZONING BUILDING PERMIT OWNER `,24CLI r TELEPHONE _ 9 SO. FT. OCC. BUILDING VALUATION OWNER'S MAIUNG ADDR SS O CONTRACTI.O�R'7S�7NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Film Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 911 1) . Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ E -TAG ELE=FIC SL''.ZVICE Describe work: ,S Gas piping system t - 5 outlets 15.00 sewer 15.00 —Building Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200gORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law the following reason: 9 '. as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46.00 NEW CONST. DW EWNG OCCUP. OR ADONS. ( a ACC. BLnS. SO 3.5¢FT; NO"�ADSID. MULT.1 CIROUTCUITS 97,50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup.OUTLET OR FIXTURES 20 @ t.50 srl @ .� LINS Ex. Occup. ouTiErs AEES.6°EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 _ PERMIT FEE $ 66.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of sect' 3700 of the Labor Code, I shall forthw' 1; comply with those prov s ns. \ P X Date — Sffig'rKtSTApplicant -tj Owne Contractor ❑ Agent An OSHA permit is required for exc' a ions over 60" deep and demolition or construction of structures over 3 ties in heig 1011 kU Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 66.00 HAZ. p, IMP 1 FLOOD CDF PARC Po HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON 1 7w. applicable provisions Resolutions to do work been paid. 1 ` o ? pDate, sT P� Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDIN DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 53 -7541® - R I (Rev.12/96) APPLICATION AND PERMIT ASSEsBCRPARCELNUMBER On/1 ZONM° BUILDING PERMIT SQ. FT. OCC. BUILDING VALUATION 1C.-OHIPA'MR11 NTRACiD TELEPHONE MAMNO ADDRESS COP6TRUGTION IFNDHi LENDER'S MARJNG ADDRESS Flre IaCe Total Valuation S ARCWTECrOAENGIMM NO. Erin Fee $ 20.00 ARCHn= OR SIU MEERS MALM ADDRESS Permit Fee $ Plan Checking Fee $ BunOM°ADnaEss • Energy Plan Checking Fee $ . 5 PERMIT FEE 5 uDTNa sueDmstoNstuueE PARCEL MAP PLUMBING 'PERMIT I Fling Feel 20.00 USEOFSTRUCTURE SF D Duplex D Mobilehome D Other Solar or TYPE OF WORK Gas pi -New D Addi ion D RemcO D D In D Oth& D Buildin Describe Work: Mobile *PERAIT FEE PAXb SRI SHERIFF OTM. AM0VNT RECU"o s i � i water heater or vent ig system 1 - 5 outlets sewer ome I S I G1 W PERMIT FEE S [CAL PERMIT Main Service ( =A To Loom MEW CONS . ' DWa 'NQ OCC�lP. OR ADDNB. ( 8 ACC. BIDS. ' GONST.( YULTFOIIrI.ET ) NO"ESUL gpgNCN CtACU1iS (POWHi APPARATL79 a sMm E ounEr cin ) Ex. Occup. (cunErORFDm1Rm FDD APPLNS. OR Ex. Occup. (ounETs caEsm.t PA ) Temporary Service Mobile Home Facilities Wir' RMIT FEE MECHANICAL PERMIT Heating Cooling Hood T Ventilation Mobile COO " TO so PIT =PITO Compim PERMIT FEE I S Installation Fee 3 Energ Kion Fee S 23.00 15.00 15.00 15.00 15.00 20.00 ng Fee 20.00 23.00 ,23 46.00 3.50M Q7.50 5.00 23.00 20.00 Feel 20.00 6.50 °0WT'T1fFE TOTAL FEE $ HAZ 0. FEES DAP I FLOOD. I COF I PARCEL PD ND 68UE 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 ReceiptNo. PERMIT EXPIRES ON WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENR00•APPLICANT Date 9r"r.r,,..vyi{ssa��"Ti1�'�""`a�.�.q�'w�n'����_t;'i�`��� �'`"moi, v �+';�Afe•iWti�sz COUNTY OF BUTTE -DEPARTMENT -OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMB �� 5�6 _aD ( 1�7 I Proposed Building Use:(1Counter TechniciLdOR -R Date: Items required in order to apply for ermit. All boxes MUST be check arked NA in order to apply. ❑ 1.. Plot plans, 3 or 4 sets, signedty the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature ori"plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line„information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. _- ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................:.. ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... _ ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the followinj items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ 15. Statement of Intent for Non -heated and A/C Buildings ............................................. ❑ 16. Sanitation and plot plan approval from the Environmental Health Department in ❑ 17. City of Chico Plumbing permit......................................................................... ❑ 18. California Department of Forestry plan approval ❑ paid. Sent_ by: ...................... ❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ rainage................................ 0/21. Encroachment Permit for d� y, from the P Iblic orsa t. construction approval prior to occupancy). 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. 04umber, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given t0owner, ❑ Mailed to owner) ...................:. ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance .................. ............ `.:.............................. ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: r; When issued Telephone `a and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: i � c � Date-, l. Index permit application for the above items numbered: 2. Additional items required Contractor, designer, owner, was advised cf the above data by ❑ phone, ❑ mail, ❑ counter, by_ Contractor, designer, owner, was advised of the above data by ❑ phone, • ❑ mail, ❑ counter, by_ Plans reviewed by: I Date: Plans,approved by: Structural reviewed by: Date: Structural approved by: Note transfer by: Date: Yellow: Building Divisinn Plan Check Letter Date: _Date: Date: Date_ O.B.- I 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. 1. I personally plan to provide the major labor and materials for construction of the proposed impro ment: YES a—'NO D,property I HA' AVE NOT ❑ 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: PHONE: CITY: CONTRACTOR'S 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: PHONE: CITY: CONTRACTOR'S LICENSE 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 C �f NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION Dear Property Owner: O.B.-1 An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is '$300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. rely, Mic el C. Vi ira, C.B.O. M ger, Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code OWNER LOCATION: CONTRACTC PRE-INSPETION F DATE TO INSPEC Building Description: Commercial/Usage: Residential/1i of Units: Currently Occupied Abandoned/Vacant Electric: Gar PERMIT HISTORY:( ) NONE BUILDQYG INSPECTOR'S REPORT Yes No Electric currently On Off Condition of Electric ZONING: FOLLOWS: Natural Propane None ' Currently On Off Obvious Problems: Sanitation: Plumbing Working Well Working Potable Water Obvious SewageProblems Comments: ACTION RECOMMENDED: ISSUE: i/ HOLD FOR Inspector., 9 Date - Sketch buildings on reverse and indicate location on p'roperi v� +: ,, „v. •-^'S }�Ia sr 4.-.ys 9y�. x' .y .�,�1 a�Y ` .t,. v t^�y; s �-03 .. . LARRY MOO REIOU r'� S Of Strin town Rd P. ios i.F: .x4 '£x,✓� P�i� �'i,~� ill +Y. axLF'`h.�„4'i _:x 'y.` .�'' �_ E. of Hurlton-Stringtown Intersec'a. ' �IKA AN,�� permit# 86-75E (e ec. erviceTs ri :fir, i"N151 '�'< r. t.rz S� +'.'�`"�-:'r�":ti change)..i�.,i?Y..Cy .Vis`' •- '' +�`- _...h n rs..,., - y�;�, _-�-;s:-2� :v"t«' - _::1 s}�` 'k�+l,`,_ �. •� �; '"'oa�' .�� .�. ..C� ri� \- ..G;,• .�, St.. - �' - `+'1. - �.. 3 :$r�-�..:.,'�`c::f-yTE,,ry53'; r'iw'2: 3. .• t :;,,:.-.. y >> . �(r.�..aq,}., k.z- '7.. s• 1.. .. -,-: _.^sem-'�'... `p�.",S�'. s 4�.y �a+'•.�` ,.r,. ..w' .,e.r,LS-- �.:>s�5i.` YL. .,3 + u y � ��5,_� �rtK r•'.:�'-. . �''-. m� �. �=����•�_. _qe, .�,..rri,. ...i�'',_,y4.• <-_:res:. , ,� .� ,:,thy =ei"', t Y - .. s .,. -•e�•- -v.t C'! `.'i* .-,r,;.e .r'r r' ..4t ...v,-<',.+ �?'.at�`},..=:4`' -00- 'k 'e, .,, fc .,.;a� X47. :,,+f,; .�-�'•7�$:°...... w. t:[�:�a'�s.: �., c 1,.-. ..,{c> 4 - '. mew �:..-. t# 444 .•�. •• +�. ih:4. #'.,-.••rL�. - ,s°„�:':ri -,:� -t, .'r;_; ..c. .:x =Tom?":;-<'4:s-.�.f' �.. 3i,.,'U`+�-•.•�. .:n* i`�_Y '.."q'`+=•. "?r.'•-. r9'h.F•....:- rd`s,_;$,_. ._z. ,,.. 4:, t.c:”. 't".'..a. .+ 'Yi .CisAT,- .s;cs. .t,•. as e '.�..y:r�.1'b• '•..- �+. f� .: yi:, -..+" s. K..s-"i '.x�"� - =.n� "f' r.�^.r1 {`i .n.'Cr "�^ -''_ •-=..'' '•�s.-?i-{:.+ s ..1 i;`•,i s -s. 4:. '" �" -.•-:, ,, wf• � h a;.'S ``::-. }• .-�Y•s` .4 ref}"^ {{ `d �, ;,ii'r ':�1: +y .0 .^`�„t,•,.: a: t ,y 'a'., 14 !'.. .0 .�;�. �.•i. rK''�i�-,r 3..:. x:. ±v . '.� h... i .. 5 �1 ;r r ,eye?';E' J 3.. .�-" .� .,•,'� 'Ccs+ s. ;:1 �'5 t -n, ..r_v •s 9.-::� 'z, 'T ri i c,4. :F't% '�,,,7 ?�i-, -�'•' tt f'+ 4 - 1. f�;�1. Y.. r. ,.r.. .� ai h.- .fi r• ;' ..��u-3f,:1-<x- ;a::: < i4 s ; u': S t n� .�: ;c..,� }iif- �' .. K' , a i - !- 'x rt, 4 �. '� i -?•+ Y,�: s �'f r<v- � y,:; t" c.,l.` -� ` .,+ :.'i` �'42 }�� ,I 1 r I h V `� ,. L.C�Y \. '_ � -�---�..._-,.-.., ..---� r .� �," -�. _._ .- - 'wry C;.. _ _ ,..._--...-,--� �--•- �t -. .., � Jr�_"` rts. r�� g � `F/ r ` � �� �-/_ --� � A COUNTY OF BUTTE ZEPARTMENT OF PUBLIC WORKS G (' 7 County Center Drive — Oroville, California 95965 r Telephone: 534-4541 APPLICATION AND PERMIT out, lul ILC it fprVbWILGtlVeb UI the uuunty of butte to enter upon the above-mentioned property for inspection purposes. X Date I 4 Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIRECTOWOF PUBLIC WORKS By ✓ . "s - ,.. Date Building permit expires Date .................................... M BUILDING Owner`vw • ` //,/, SO. FT. OCC. BUILDING VALUATION Mailing Address''r�--— �Gv/L e— e Telephone No. Fireplace Contractor Q ,�/��� Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address �! PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 a�///��/�/4 Tr uJ,�r y i► /�flS%—U f+ Each Trap 1.50 /7lJ/7 T A/ � ST,h/i//� !}ttiiv Repair drainage or vent piping .Water piping 1.50 1.50 Each gas water heater or vent 1.50 A. P. No. �2— �, �Z Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. Sanitation- Fire Dept. .Fire Zone . Use Pen -nit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60 ' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 0 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ��^^ / ,.7cC.f�!%C Main service incl. 1 meter (� Additional meters, each 1.00 Sub -panel (12 oPles`s) (more than 12) Single Family Q Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixturesbal dio Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. FanorF.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of Cal ifomia.' Permit Fee $ 2 5-0 $ 2, WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE $ out, lul ILC it fprVbWILGtlVeb UI the uuunty of butte to enter upon the above-mentioned property for inspection purposes. X Date I 4 Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIRECTOWOF PUBLIC WORKS By ✓ . "s - ,.. Date Building permit expires Date .................................... M COUNTY OF BUTTE — 1JEPARTME;NT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT _.._..__ . ..y — _.— — on uPvn uic above-mentioned property for inspection purposes. X Date gnat of e ASiirmiteeitee or Agent S _ Receipt No. � , zS White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIRE=PUBLI ORKS Bye % �/pate_ -.Building permit expires Date ........................................ BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mailing Address ®opLST D Telephone No. Fireplace Contractor Cu IV Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty . Telephone No. Permit Fee $ $ Building Address/ Se PLUMBING No. @ FEE PERMIT FILING FEE J$2.00 Each Trap 1.50 ^� Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. 2— ��--� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W. C. -%� Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parkin Pla sg Declaration I Parcel Map 60' R/W I Improvements Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval I Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 , Q ^ � �7a:jei/lCE C viV Main service incl. 1 meter 3 p Additional meters, a ch 1.00 Single Family © Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12o ss) (more than 12) S� Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixturesbai alo Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F. A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No.Misc. Classification wiring :�J I I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner o as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ I FEE PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE $ �C _.._..__ . ..y — _.— — on uPvn uic above-mentioned property for inspection purposes. X Date gnat of e ASiirmiteeitee or Agent S _ Receipt No. � , zS White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIRE=PUBLI ORKS Bye % �/pate_ -.Building permit expires Date ........................................