Loading...
HomeMy WebLinkAbout073-180-070_ .f 73-18-70 FRANK UHRE W/S New ork Flat Rd, 3/10 mi S Forbes Rd, Forbe own Permit#3004 5E(upgrade el�e ser to 100 amp) 073-18-0-070' "92 3909& KUHRE, Pat ck.. y - 19017 N York Flat Rd,,Oroville compl e/85-3.004, 0 �3 w • COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE ag�' ca y- 0 NEA i C70 /-7 �(J�} 0gZ aIr PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exnetat the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additionalexplanatiorL please contact this office immediately. AV 4�- T P i j .4i(A- Yb£ 7- 4 g•g a dUe-4. b Date 1 Z Z -Inspector REV 11/91 •,a 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 3o6=/_ ii,' 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 off ice immediately. l 1 /S Gl,v.C-1 �JtY GLA f Inspector_ (r'° Date' �l� 6 .. I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 'S 7 County Center Drive - Oroville, California 9596•: - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSORPARCEL NUMBER .J.� ZONING ' BUILDING PERMIT OWNER_ j fel TELEPHONE S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS /) fi. 1-� "r) a /i,� �Y, be� ye-wvm CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is J At,4X Filing Fee LENDER'S MAILING ADDRESS g _ Permit Fee $ 10.00 $ ARCHITECT OR ENGINEER LICENSE NO. ,411g) ARCHITECT ARCHITECT OR ENGINEER'S MAILING ADDRESS ? f Plan Checking Fee Energy Plan Checking Fee Penalty $ RESS BUILDIJ� �DD�/< (l J 7�Y tom, f f4 � /r(�-1 u �;� ��� � Permit fee (/ J / �) / / PLUMBING PERMIT Each Trap -L7fY�P� !Glf. 1/1 'Solar or heat pump water heater 'LOT NO. SUBDIVISION NAME PARCEL MAPWater piping Each qas water heater or vent $ Filing Fee 10.00 2.00 20.00 5.00 5.00 USE OF STRUCTURE SF 21 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 1 5.00 Building sewer 5.00 Mobile Home 'S I G 1W 10.00 ea TYPE OF WORK New ❑ Addition ❑ //Remodel ElUti li ties ❑ Installation Elthe Or E:1t Describe work: # i1r� yo e L" to / q / I A C, ! _ /A Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 / Main service 0v OR LESS 10 100 AMP OR LESS 10.00 /n. t")(_) 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/POWER and Professions Code and my license is in full force and effect. �L'icense 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 '/z¢sgft OR ACDNS. ACC. BLDGS. NEWTI-OUTLET 2,50 ea NON- RESID BRANCH CIRC ITS APPARATUS e (SINGLE OUTLET CIR. Ex. Oecu zo @ 30 Occup(OUTLETS OR FIXTURES aAL030 R Ex. Occup. OUTLETS (RESID,)EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 /ri .ev Permit Fee i $ •�/a /) 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. �fl 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 Filing 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 County of 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 N'"+�� f{} X15 ")h Date Signature of Applicant — Owner 0 Contractor ❑ Agent ❑ An OSHA 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 $ �� 1(0Butte TOTAL PERMIT FEE $ OCcUP. CONST.TYPC-l- FLOOD PARCEL PD ND 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 �^ � DaDate,//)/,f/,f 77 -� PERMIT EXPIRES Date (♦/,�� -/ Receipt No. 0 A %0 / WHITE-D.P.W., YELLOW-A58E790 R, PINK -INSPECTOR. GOLDENROD -APPLICANT 9 Z!�Oq dq ' r r Permit#3001=851 • Frank Kuhre New York Flat Rd OFFICE COPY Address GAS Meter By Date ELECTRIC Meter By Date" • ��is sA r s: r*i C"• .of F'� �`�' .S'#'F1'� �,n" ?t1T ? d►'S% .r� 1n ��lf�'E��.0"ti �� fit n!' .--•c .a! fy�:: kt . '+''- � r .y +`. <-'r�' r »:i �fsr ''l�rh :"�tn^ .71' �lii r x i f COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSi i PERMIT N0. (� 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541.. �yJ APPLICATION AND PERMIT �t ASSESSOR PARCEL NUMBER- rte. 073-180-070 ZONING Q BUILDING PERMIT 7 OWNS !^ ; , P t• i TELEPHONE 675=2745 SQ. FT. OCCa= BUILDING VALUATION ' OWNER'S MAILING ACORESS , Forbestown 95941 P MAP, - 't• CONTRACTO TELEPHONE s CONTRACTOR'S MAILING ADDRESS � Fireplace CONSTRUCTION LENDER ` UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 19017 New York nat,Rd., Orov31].e Each Trap 5.00 w • e,. Solar or heat pump water heater 20.00 f LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SFE:; Duplex❑ Mobilehome❑ Other I SPECIFY Gas piping system 1 • 5 outlets - . _ 5.00 Building sewer 15.00 Mobile Home I S I G JW I @ 15.00 r TYPE OF WORK _; New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation❑ Other [A Describe work: _ Perflllt to Complete B.P. #3004-85 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 2000AA OR LESS 18.50 20OR 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 my license is in full force and effect. License No. Classification �\ 1, as the owner, or m "@�FTI� o ee I, '\ wa es �as their sole cam en- ..sation, will do the work,and the\struct°nre Is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) A ' -. 1 t - ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. 1 DWELLING OCCUP.81 3.6Qsq.f[. OR ADDNS. ACC. BLDGS. / NEW CONSTR U TI.OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 it POWER APPARATUS d (SINGLE OUTLET CIR. 9 I EX. OCCUp(OUTLETS OR FIXTURES 20 76 FIXED APPLNS. OR EX. Occup. OUTLETS (RESIO.) EA./ 3.00 Temporary service 15.00 " Mobile Home Facilities 15.00 Misc. Wiring -15.00 0100 Permit Fee $ r e t 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 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 aga s aid Ccunt in consequ ce of the granting of this permit. G X� Date signo ure of Applicant — Owner Y - 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 gY Inspection Fee $ OCC CONST TYPE t TOTAL FEES 30 00 �. .. HAZ I DFEES I IMP 1 FLOOD 1 COF PARCEL I PD HD This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do ov work indicated a e for which fees have been paid. D,IIR� TOR OF PBLIC WORKS BY � i"�� \I r eDate //-744 PERMIT EXPIRES,% Date _ //~ Y -13 129b4-') Receipt No. WNITC-D.P.W.,.YELLOW-ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 073-18-0-070 92-3909E KUHRE, Patrick �d, Oroville 19017 New York Flat complete/85-3004 G�+�f� /f'Q 0 LI - - - - - - -.- - - - - 3004-85E W/S New York Flat Rd, 3/10•mi S Forbes Rd,,For. (upgrade ele ser to 100 amp) r i 0 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT �P�ERI&T NO. n G lY/J f SSESSOR PARCEL NUMBER 073-180-070 ZONING U BUILDING PERMIT OWNER TELEPHONE 675=2745 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS wn 95941 CONTRACTOR'SNAME TELEPHONE CON OR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Js LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING'PERMIT Filing Fee 15.00 19017 New York Flat Rd., Oroville 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 SF❑C 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 ❑ Uti lities ❑ Installation❑ Other ® Describe work: Permit to Complete B.P. #3004-85 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR18.50 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 [� 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 200A TO 1000A). •37.50 NEW CONST. ( DWELLING OCCUPM 3.64 sq.ft. OR ADDNS. ACC. BLDGS.NEW CONSTR I. ULTOUTLET _NON .RESID BRANCH CIRC ITS @ 5.00 (POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 76 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESIO.) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 1 -15.00 15. Permit Fee $ 30,00 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. Contractor 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 aga' aid Count in consequ ce of the granting of this permit. X GDate //y — 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 S Energy Inspection Fee S occ i CONST TYPE TOTAL FEES 30.00 HAz I DFEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated a Ove for hlch fees have been paid. R TO,IOF P BLIC WORKS By vu _ Date PERMIT EXPIRES' Date ^�3 Receipt No. 129645 WHIT!-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,'538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER i✓ r7,3- v Q -76 ZONING BUILDING PERMIT OWNER - �t�'�iC f i v ' 12,E 67s ;�7�is SQ. FT. OCC. BUILDING VALUATION OWNER'S MAh LINGDRESS V) t'O aX 2qd? %gybes 6w� CONTRACTOR'S NAME TELEPHONE CONTRACTOR MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 19 a ►y /►V ►e� r FIA _I ( 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 1 7.00 USE OF STRUCTURE SF� Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 1 15.00 Mobile Home S I G I W@ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installatio cher LA- Describe work: lei -3QQy-i45 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OOR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): El 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 El 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 DWELLING OCCUP.>i\ NEW CONST.OR ADONS. 1 / ACC. BLDGS. // 3.6Qsq.ft. NEW CO NST ULTI.OUTLET NON ESID BRANCH CIRCUITS @ 5.00 (POWER APPARATUS d\ (SINGLE OUTLET CIR• / EX. OCCUp(OUTLETS OR FIXTURES A20 764 0 464 FIXED Ex. OCCUp. OUTTS PIRESID IKEA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 S 0 0 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 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 consequence of the granting of this permit. X Date Signature of Applicant — Owner❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct - ion of structures over 3 storiesin height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ HAz 1 0FEES I IMP FLOOD I CDF PARCELPD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. I & J WNITE-D.P.W., YELLOW -A93 C990 R, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, 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 issu-ing'your building permit. No building permit will be issued until this verification'*s received. .1: I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) VE> S 2. I (have/have not) {AfAU-4_. 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 Contractors -License 4". :I plan to provide portions of thi's work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors.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 Signed: Property Owner�'lti/ Social Securityber Date v� 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. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 'w 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT r PERMIT NO. ASSES O PARCEL U ER ZONING BUILDING PERMITPHO OWNER Ff 1/714 91, TELEE SO. FT. OCC. BUILDING VALUATION OWN R'S MAIL( G ADDRESS C ON CTOR SNA E - �CCOITTRA:'CMYGILING TELEPHONE ADDRESS Fireplace CONST UCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 L ER's AILING ADDRESS Permit Fee $ ARCHITFCT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDIN 1aDDR 3 S be Lo Permit fee $ PLUMBING PERMIT Filing Fee 10.00 `Pill Each Trap 2.00 r © Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each gas water heater or vent 5.00 USE OF STRUCTURE SFV Duplex❑ Mobilehome❑ Other ` SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti li- ❑ Installatio ❑ Other ❑ Describe work:ilvi — ` Lew v `zenwom Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8011 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 Business and Professions Code and my license Is In full force and effect. (cense 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..) '/zQsgft OR ADDNS. `ACC. SLOGS. r NEW CONSTR. ULTI.OUTLET 2,50 ea NO N.RESID BRANCH CIRCUITS) POWER APPARATUS 61 SINGLE OUTLET CIR, I Ex. OCCUp(OUTLETS OR FIXTURES 20®80C DAL@ 30 Ex. Occup. OUTLETS ED P(RESID.IREA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Mis . wiring 15.00 J� 4/ Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for. $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate onsent 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 Filing Fee 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 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 if) 1.7 165 Signature of Appliccnt — Ownerff" 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 $ TOTAL PERMIT FEE $ occu P, CONST.TYP! I I FLOOD PARCEL I PD 1 ND 1 ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTORr0F P LIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. S WNIT!-D.P.W., YELLOW-ASSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT S a COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION N��.• i 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET \ �/ % Permit No. /� n OWNER / (0 N /�, /1 11 � A. P. No. Proposed Building Use C �c-r�Y,`�✓i>i C - Permit Fee Based Upon: Complete Contract Price Building Inspector DPW Valuation At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: ,DATE RECEIVED. APPROVED 1. All items have been submitted. . . . . . . . . . . . 2.. Plot plans in duplicate./triplicate. . . . . . . . . 3. Complete plans in duplicate./triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . 9. Letter of signature authorization. 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: - 12. Certificate of Workmen's Compensation Insurance. 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation JB�Data� . . •... P request to 1 17. Pre -Inspection for Cz /P i- .v-1 0 Re uired.Building Inspecto( ate) Recorded copy of Agricultural Acknowledgment Statement. 19. Other r When you issue the permit, process as follows:Mail to owner. Mail to contractor. Telephone and hold for ickup at office. Deliver w./inspector. Other .� ��,.C` t + Applicant Date t O Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Plans checked by, Plans approved by • Other: Copy—DPW Date Date Date w COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 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 property improvement (yes or no)yt;'$ .� 2. I (have/have 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 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 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 Signed: Property Owner Social •Securiy Number }- Date 161 rl � �5 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.