HomeMy WebLinkAbout078-040-002O
,.GEORGE, JAMES :& ,MARY
R"6230�LINCOLN,,BLVD OROVILLE /qj�
rCONT:'VINYL, DESIGNS,-!-INC'
VINYL SIDING/SF
Y�
- � � • 99_=0214 B.
x yGEORGE.� James
6230 Lincoln Blvd,4Oroville
" (reroof/SF)�C�o� & Son
F/NA�
0
o-
cm�
m
r OWNER: DATE g
LOCATION -1(� o��� Llhr,��v� �I/ A. P.
CONTRACTOR: ZONING
-------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------
PRE-INSPECTION FOR:
DATE TO INSPECTOR ga
- ----------------- ---------
PERMIT HISTORY NONE AS FOLLOWS:
TYPE OF OCCUPANCY
------=------------------------------------------------------------------------------
------------------------------------------------------------------------------------
FIELD - INFORMATION
BUILDING'USAGE:
TENNANT:
OCCUPIED HAS ELECTRIC HAS GAS HAS SANITATION FACILITIES
[� HEATED -COOLED L_j PERSON CONTACTED
OTHER COMMENTS: 4,16 FU
I
ACTION'RECOMMENDED:
C] ISSUE 0 HOLD FOR
PAGE OF
CDF / BCFD DAILY INCIDENT LOG
WDATE FROM 0800-5/7//�1--1 DAY/DATE TO 0800 .:,n//
DAMAGE: so/ WT DOZ CREW AA Al HU
0 UvVNtK/ I tillANI
R.P. B.I.
MISC.:
'rikF # NAME
TYPE
nCnn0-r -rIRAC7// CTAPT TIKAP roNiTpnl TIMF Rn_ STA. 7 --
CAUSE: ENGINES: CDF BCFD / CO# OFFICER:
DAMAGE: so WT DOZ CREW AA AT HC
SAVED: OTHER EQUIP: MEDICS
LAND USE: ACRE/TYPE TOTAL
OWNER/TENANT WRA 67
O R.P. Yc Sc-)B.I.
MISC.: �-
INC # -592141 FIRE# NAME TYPE
P;:PnRT TIMF' START TIME CONTROL TIME
'Z -
DAMAGE:
so WT DOZ
CREW AA AT HC
SAVED:
OTHER EQUIP:
MEDICS C--/"/
LAND USE:
ACRE/TYPE
TOTAL
OWNER/TENANT
WRA
O R.P.
MISC.:
k1k
INC # 5,5-1:�f'FIRE # NAME
. .....
TYPE
REPORT TIME START TIME CONTROL TIME
R . STA. 57
LOCATION:
BAT. <"
CAUSE:
ENGINES: CDF
BCFD COM OFFICER:
DAMAGE:
so wr DOZ
CREW AA AT HC
SAVED:
OTHER EQUIP:
e,'113 7 MEDICS
LAND USE:
ACRE/TYPE
TOTAL
OWNER/TENANT
WRA
,i'
R.P.
O
B
B.I.
MISC.:
1F: 7 ; ;,�: � .fin- •!, r.try7.-..co?„r<...r'r- .<.,.�: _�� w.:s !�,-- .�• . M:� t {�; ,Y :. _ t ,.�
1
036-291-006 ' `. 94-0791B
.:.. GEORGE, JAMES, & MARY-
'.6230 LINCOLN BLVD.,'OROVILLE
CONT ;VINYL DESIGNS, INC.
VINYL SIDING/SF.
Led
.1
t!
I u
t R'
1
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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVIS ' N .'
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO,
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER ;;
036-291-006
ZONING
BUILDING PERMIT
OW.TAMNERES & MRY •GEORGE '
TELEPHONE
SQ, FT, OCC. BUILDING VALUATION
6.
OWNER' MAILING ADDRESS
b2 0 LINCOLN BLVD., OROVILLE
CONTRACTOR'S NAME
VINYL DESIGNS, INC.
TELEPHONE
-+
CONTRACTOR'S MAILING ADDRESS
1134 COLOMA RD., GOLD RIVER, CA 95670
Fireplace
'
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ #
Filing Fee $
20.00
LENDER'S MAILING ADDRESS
Permit Fee $
90-00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS 6230 LINCOLN BLVD., OROVILLE
PERMIT FEE $
110.00
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Each gas water heater or vent
15.00
USE OF STRUCTURE
SFii► Duplex O Mobilehome O Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation,❑ Other
Describe Work: 111=9 its VINMVIDING
PERMIT FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ( BOOV OR LESS )
200A OR LESS
23.00-
Main Service ( 200A TO 1000A )
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( 8 ACC. BLOS. )
SO•
3.50 FT.
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS )
@7.50
'
CONTRACTORS LICENSE LAW
I d tare under penalty of perjury (check one)
[ I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions CUd y -c a is in full force and effect. r
CC�� r}�
License No. { Classification •
❑ I, as the owner, or my emp ogees with wages as their sole compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
❑ I, atthe owner, am exclusively contracting with licensed contractCfs. (Sec 7044)
❑ 1 am exempt under Sec. Business and Professions Code
forthis reason
( POWER APPARATUS )
8 SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
en0 @'.00
Ex. Occu FIXED APPINS. OR )
p' ( OUTLETS IRESID.1 EA.
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one): , D
❑ This permit is for $100.00 (valuation) or less.
1 have placed on file with the County of Butte Dept. of Development Services,
A Building Division 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 fb become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith Comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
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 Butte County Ordinances and California 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 vihich may in any way accrue against said
County in consequence of theiI_granting of t permit.
X r -� I Date �� l
Signature of Applicant - ❑-Own@�- ❑'Contra or Agent ' 1
An OSHA permit is equired for excavations over 5"0" deep and demolition or
construction of s` res over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $ 110.00
HAZ.
I D. FEES
I IMP
I FLOOD
I COF
PARCEL I PD
I HD
1
ISSUSO
114
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated love for which fees have boon
l
By ,P
PERMIT EXPIRES ON
(Date)
provisions
to do work
paid.
Date /
156579 •w
FRceipt No.
I
HITE-D.D.S.-B.D. CANARY -ASSESSOR PIAK-INSPECTOR GOLDENROD -APPLICANT
(
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING D/PERMIT
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75NO.
APPLICATION AND PERMIT22
ASSESSOR PARCEL NUMBER
036-291-006
ZONING
BUILDING PERMIT
OWNER
JAMES & 11ARY GEORGE
TELEPHONE
SQ, FT- OCC. BUILDING VALUATION
OWNEMS MAILING ADDRESS
6230 LINCOLN BLVD. OROVILLE
CONTRACT
6,008
CONTRACTOR'S NAME
VINYL DESIGNS, INC.
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
1134 COLOMA RD., GOLD RIVER CA 95670
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee $
20.00
Permit Fee $
go no
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
6230 LINCOLN BLVD. OROVILLE
PERMIT FEE $
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
SOlar or heat pump water heater
23.00
Water piping
15,00
LOT NO.
SUBDIVISION'SNAME
PARCEL MAP
Each gas water heater or vent
15.00
USE OF STRUCTURE
SFXK Duplex O Mobilehome ❑ Other
SPECIFY
Gas piping system 1 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
20.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities O Installation E)Other CXx
Describe Work: HINYMMINDIN(, VINYL SIDING
PERMIT FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ( 00V OR LESS
2 )
200A OR LESS
23.00
Main Service ( 200A TO 1000A )
46.00
NEW CONST. DWELLING OCCUP.
OR ADONS. ( & ACC. BLOS. )
SO
3.5C FT;
CONTRACTORS LICENSE LAW
I d lare under penalty of perjury (check one)
I am a licensed undel provisions of Chapter 9, Division 3 of the Business and
Professions VI y ice a is in full force and effect.
(�(
License No. Classification
❑ I, as the owner, or my emp ogees with wages as their sole compensation, 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 contractors. (Sec 7044)
❑ 1 am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS )
& SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
820AL. @ 1.50
Ex. FIXED APPLNS. OR )
Occup.
OUTLETS (RESID.) EA.
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
Q This permit is for $100.00 (valuation) or less.
1 have placed on file with the County of Butte Dept. of Development Services,
Building Division 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 Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
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 Butte County Ordinances and California 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 expenseshich may in any way accrue against said
County in consequence of the, ranting of permit.
X ! Date " I
Signature of lica t Contr or Agent
An OSHA permit is required for excavations o er 5"0" deep and demolition or
construction of ruc res over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
DCC
CONST. TYPE
TOTAL FEE $ 110.00
HAZ.
I D. FEES
I IMP
I FLOOD
I CDF
PARCEL I PD
HD
ISSU
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated ove for which fees have b n paid.
By Dat '
PERMIT EXPIRES ON J/d rJ 7
IDetel
Receipt 156519
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
VINYL DESIGNS, INC.
Building 300, Suite 345
11344ppoloma Rd.
Gold River, CA 95670
Date: Z 3 IGq 4
KjnraaYWt1SKA has permission to authorize all purchases
of:building permits and business licenses or any other documentation
pertaining to this matter.
Thanki You,
�j
St hen Kuhlke
Owner
vIHIL �� •��v� 11►1.�.
.IYPE OF LEAD k% V-) Ju- 00%- I L1') DATE , )-
CUSTOMER NAME
��an�s
�`r�
SALESMAN
��. ��I�n
ADDRESS - WORk TO BE DONE
ll... bv)06�) s
CITY
�G� \�'
ZIP PHONE <?
HOME
qs wonl< lq b __) L-�
MAILING ADDRESS -
- - .CITY. _
ZIP CONTRACT PRICE
SIDING SUB CONTRACTOR
-
I i (
DATE STARTED
DATE FINISHED
MANUFACTURE - !' 1 SOFFIT COLOR
STYLE FASCIA COLOR
COLOR
I
WINDOW SUB CONTRA41OR
i
DATE ORDERED
DATE READY
MANUFACTURE _ NUMBER OF UNITS.
COLOR
STYLE
I
FINANCE CO.
DATE APPROVED
DATE SIGNED DATE FUNDED
DOWN PMT
PROGRESS PAYMENTS
FINAL PAYMENT
TOTAL OF PAYMENTS
DATE
REPAIRS
�.� ���- ZPk
WARRANTY
DRAWS
AMOUNT
DATE!
PERMIT
PERMIT # j
PRE INSPECTION
MID INSPECTION
FINAL INSPECTION
. •. Rns� �—�.-Ric61`�ai. i�u"��•rP`r �. .. � -•--A m . -�-R o. �pc�l^► rylp�t�r .��it• _ +R• -. irPA�^T�-� ZaSitlt, �w�v..'�m�.iR%��'_tC'..�+—.�iin.rY-�w�.i a.r•'_. �. � ..._ ,r :�, {� �-t
IF i
ail
�y 036-29-1-.006 99-0214 B
GEORGE, James
6230 Lincoln Blvd, Oroville
(reroof/SF) Cook & Son
4
i
r�
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION r I
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75{4 y PERMIT 0.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 036-291-006
ZONING
BUILDING PERMIT V
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
17 SQ.
OWNER'S MAILING ADDRESS
6230 LINCOLN BLVD., OROVILT,F CA 95966
CONTRACTOR'S NAME COOK W) SOP' TTIILDFTS
TELEPHONE
533-0302
CONTRACTORS MAILING ADDRESS
147 LOMA VISTA DRIVP.
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $ 1+ -
ARCHITECT ORENGINEER
UCENSE NO.
Filing Fee $
20.00
Permit Fee $
27.M
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDINGADDRESS MVD..
620 LINCOLN �fi., OROVIL6B. CA
Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing 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 nas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: RF -ROOF 17 �,QUARF COMP.
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G W
@20.00
PERMIT FEE $
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service zoOA OR LESS
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. Ll �!� % �,�
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for 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.
❑ 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
O 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.00
NEW CONST. ( DWa ACELLING C
OR ADDNS. C. OCCUR
SO
3.50FT.
NEW CONS MULTI.OUTLET
NON•RESID.
@7.50
FOWER APPARATUS
a SMlGLE OtmET CIR.
EX. OCCU OUTLET OR FIXTURES
BA0 ® 1.w
Ex. Occup. DunErs RESID.) E
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE $
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
O 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 V
(The above sections need not be completed 4 the permit is for work of a valuation
of one hundred dollars ($100) or less.)
d 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 os4 provisions.
N
X _�//.i �� Date s*" � -y '�~�
Signature of Applicant - ❑ Owner d Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
coNsr. TYPE
TOTAL FEE $ 47.00
2.A.
D . FEES IMP
I FLOOD
CDF
PARCEL
PD
I HO
I ISSUE
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 ., f Date -�
PERMIT EXPI E ON 2-1-3 1"11`�CJ
efo
Receipt No. 2S (3 1/ �/
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) 538-75V5� R 0•
(Rev. 12/96) APPLICATION AND PERMIT^v
ASSESSOR PARCEL NUMBEF D36-291-006
ZONING
BUILDING PERMIT
OWNER
JAMES> GEORGE
TELEPHONE
534-9448
SO- Fr, OCC. BUILDING
VALUATION
7 SQ. 1,020-00
OWNER'S MAILING ADORES
5230 LINCOLN BLVD., OROVILLE CA 95966
CONTRACTOR'S NAME
SOOK AND SON BUILDERS
TELEPHONE
533-0302
CONTRACTORS MAILING ADDRESS
147 LOMA VISTA DRIVE
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESa
Total Valuation $ 1,020.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
27.00
ARCHITECT OR ENGINEER'S "UNG ADDRESS
Plan Checkin Fee $
BUILDING ADDRESS
6230 LINCOLN BLVD. OROVILLE CA
Energy Plan Checking Fee $
$
PERMIT FEE $
LAT NO.
SUBDNISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing 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 gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition 7 Remodel ❑ Utilities ❑ Installation O Other O
Describe Work: RE—ROOF 17 SQUARE COMP.
Gas piping sy2tern t - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G W
@20.00
PERMIT FEE $
ELECTRICAL PERMIT
Filing Fee 20.00
"OVOR LE
Main Service zo.A OR LESS
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 'n /fujl force and effect. /
License Class YS Lic. No. Ly�G,'7 (o �✓
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ 1, 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.
❑ 1, 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'
compensat')on, 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
of 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'.
compensaton laws of California, and agree that if I should become subject to the
workers' compensation pr visions of section 3700 of the Labor Code, I shall
forthwith corn with os provisions.
X Date _
Signatu a of Applicant - ❑ Owner yr, Contractor O Agent
An OSHA permit is required for excavations over 60" deep and demolition or constructionAIN
of structures over 3 stories in height.
Main Service 200A TO 1000A 46.00
NEW CONST. DWEwNG OOCUP. 3.5Qso
OR AD(
coNS.
Muin owner
NON RESID. @7.50
POWER APPARATUS
8 SINGLE OUTLET CIR.
EX. Occup. OUTLET OR FIXTURES
.00
BAL @ 1. 0
Ex. Occup. oinLEEDTsRES o.) OR 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring
23.00
PERMIT FEE $
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEI: $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 47.00
D6 IMP
FLOOD
CDF
PARCEL
PO
HD
ISSUE
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.
ByDate
PERMIT EXP E ON v
ate
Receipt No. 2S9 It
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. 121915) APPLICATION AND PERMIT . PERMiT NC
~SM APAW`N"MM BUILDIN4 PERMIT r Z —C)O +6
Sa. FT. OCC. BUILDINQ VALUATION
owmm= .
amu«
Co " *W „a
/Z
core 27,77—f
7,7 f Lit \ ��
ttllDGMWARM AWWS
COW
Fire lace
TOTAL FEE $ b ��
K&Z
1 0. Mo
AnumaCra�eHowese
uc�ce �`Flin
Total Valuation
poam
I PO
I PO I SSLE
Fee
nM20.00
AMC= oa eHoscsms waarn ADOMS Permit FeePlan
Checkin Fee
Energy Plan Checking Fee
t
i
PERMIT FEE S ,
sueoMr*s
FMcst war
PLUMBING PERMIT
FYnQ Fee
20.00
USEOFSTRUCTURE Each Trap 7.00
Solar or heat um water heater
23.00
SFO Duplex D Mob�ehane O 011ier
Water piping
15.00
TYPE OF WORK
Each gas water heater or vent
15.00
GAS in t • S outlet
15.00
Now O Addition O Remodel O[ Ul�s hsraaia8ort O
Other �1
Building sewer
15.00
Describe Work: ,-I-ea,J �'� i
,rip f��
MobOe Home 3 Q W
(q�20.00
PERMIT FEE
_
PERMIT
F� 'Fee
20.00
s
23.00
EELECTRICAL
2WA TO 1000►
4&00
oweuroOCCUR
a pec. eros.
3.5CmuuvovrLr140"Essx
ANCHCVKX
@7.50
Power �PP�nivw
a3
Ex. Occup. mme oft►acme
20S
AL .so
Ex. Occup. ovf°n °s°esm. a
5.00
Temporary Service
23.00
Moble Home Facilities
20.00
"Sc. Wiring
23.00
PERMIT FEE
S
MECHANICAL PERMIT
Fling Fee
20.00
Heating
Cooling
Hood
e.50
Ventilation
PERMIT FEt
$
Mobile Home Installation Fee
S
_
Energy Inspection Fee
S
t
oco
COW
T. noE
TOTAL FEE $ b ��
K&Z
1 0. Mo
WP
P=6
cOP
poam
I PO
I PO I SSLE
This permit is hereby issued under the applkable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
LR
_ By Date tNo. PERMIT EXPIRES ON
� �
J
COMPLAINANT
ADDRESS:
PHONE NUMBER:
OTHER COMMENTS: