HomeMy WebLinkAbout078-050-009_—eo
I
Clarence Lindsey
6239 Lincoln Blvd., orovil.le
Permit #5394-76B,E,M(add being room,
clothes closet & orch, relocate
wall heater/SF) 4
— e
Permit #63 3-76P(gas piping for
5394-76) .��
__
v�i *-V
36-292-70
Permit #327-79B(new'pri.garage)' '
Ana-
- 2349-91B
VINSON, Edith & Ora
6239 Lincoln Blvd, 'Oroville �q I
cont: K -Designers" n J
(vinyl siding/sf) lam'
raps
g-- dso q
C`
1
EM
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroviller California 95965 - Telephone: 916/538-7541
APPLICATIDN ANQ PERMIT
PERMIT NO.
ASS E,SOR PARCEL NUM
ZONING
BUILDING PERMIT
owNeS`//J/
TELEPH NE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
0,4 95w
CONTRACTOR'S NAME
,-
TELEPHONE
3 - Ivo
CONTRACTOR MAILING ADDRESS
7D L ,f 427
Fireplace
CONSTJ;JCIr10 ENDER
UNKNOWN
Total Valuation S` $�D
Filing Fee $ 10,00
LENDER'S MAILLI G ADDRESS
Permit Fee $ j`6', -5-,g
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
�.
Penalty $
BUILDING ADDRESS
/ �inc� h
Permit fee $ 1,51"0
PLUMBING PERMIT Filing Fee 10.00
Each Trap 2.00
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
a" USE OF STRUCTURE (y 4-
SF4 Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 5.00
Mobile Home S I G I W O.00ea
TYPE OF WORK
New Addition❑ Remodel❑ Utilities❑ Installation❑ Other
Describe work:
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 10.00
Main service eoov 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.
�J(R OG
License No. �� Classification.
ElI, 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.eI) +/zQsgft
OR AODNS. ACC. BLDGS.
NEW CONSTR. MULTI -OUTLET 2,50 ea
NON-RESID BRANCH CIRC ITS
POWER APPARATUS &)
SINGLE OUTLET C+R. )
Ex. Occu z093ot
Occup(OUTLETS OR FIXTURES SALO 30
FIXED APLINIS
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 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 shal I be deemed revoked.
Heating
Cooling
g
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 th� above-mentioned property for inspection purposes.
I also agree -to save, I demnify and keep harmless the County of Butte against
all liab'ilitie judgme ts, casts, and expenses which may in any way accrue
against said my in conseq 6nce of the granting of this p r lit
X 1 �L 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 $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $
HAz
CUA
PARK
SCHL
FLD
CDF
PAR
PD
I HD.
ISSU
This permit is hereby issued under the applicable provi-
sions of the. Butte County Code and/or resolutions to do
work indicat�d abo/,/ which,.fes have been paid.
f �DIR�FCF PUB IO WORKS
Bye % /% Date
PERMIT EXPIRES Date �� %� / � •
Receipt No.
WHITE-D.P. W.. YELLOW-A33E330R. PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - OroviIle,,CalifOrnia 95965 - Telephone: 916/538-7541
r
APPLICATION AND PERMIT
PERMIT NO.
ASSESjS R PARCEL NUMBE
���fff///
ZONING
BUILDING PERMIT
ow
��� �,
TELEPHONE
3
SQ. FT. OCC. BUILDING VALUATION
OW ER'S MAILI A.DDRE S
7� 3 re U; 9S 96
C PTR TOR'S NAME
13,0
TELEPHONE 1110
CONTRACTOR' M ILIN ADDRES
3 7Q fl . C ,��,Z%
Fireplace
CONST C 10 ENDER JUNKNOWN
Total Valuation $ ew
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$ r,SD
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
Energy Plan Checking Fee
E$.. $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
�� fl co
Permit fee
$ Q
PLUMBING PERMITFilin
gFee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.SUBOI
VISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SFX] Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S I G I W
TYPE OF WORK
New Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other
Describe work: _
f � �
r�0ea
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service soov 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.
f11V-59
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 CONST./ DWELLING OCCUP.&)
OR ADDNS. 1 ACC. BLDGS. I
+/zQsgft
NEW CONSTR. ULTI.OUTLET
NON.RESID BRANCH CIRC ITS
2,50 ea
POWER APPARATUS o-
SINGLE OUTLET CIR.
(
Ex. Occup\OUTLETS OR FIXTURES
200 DOt
eAL03o
FIXED ALNS
Ex. Occup. OUTLETS P(RESID )REA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. �yirin 9
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
,&--I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed,revoked.
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Conlin g
LHood
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 /0 ply to all County Ordinances and State Laws relating
to building constructs n, and hereby authorize representatives of the Countyot
Butte to enter upon th above-mentioned property for inspection purposes.
I also a o save, i demnify and keep harmless the County of Butte against
all liablitie judgme ts, costs and expenses which may in any way accrue
against sa' nt in conseq Rice of the granting of this p rmit.
X iIrl
Date
Signor a of Applicant — Owner ❑ Contractor ❑ Agent ❑
An 0 HA permit is required for excavations over 5'0" deep and demolition or construct -R.
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
/
TOTAL FEE $
HAz.
can PARK
SCHL
FLo
OF
PAR
PD
i Ho.
Issu
This permit is hereby issued under the
utte County. Code and/or
sions 2icat
work above f which f
F PUB I
B
PERMIT EXPIRES Date
applicable provi-
resolutions to do
have been paid.
ORKS
ate
Receipt No.
WHITE-D.P.W., YELLOW-ASeE830R. PINK -INSPECTOR. GOLDENROD -APPLICANT
PERMIT N0. 327-79B '
PERMIT EXPIRES
OWNER Clarence Lindsey
-
CONTR. owner
LOCATION (A.P. 36-999-70 )
6239 Lincoln B1vd.,Orovill
V
Temp (ower Pole
Called PG&E
I
Temp.
Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
OB
FINALED
� e
� 1�
_ COUNTY OF BUTTE" — - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
Telephone: 5:14-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
Date /'
Signature of Permitee or Agent
Receipt No. l
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.
DIRECT 0 PUBLIC WORKS
By _ Date _1 -:2- &
Iding permit expires Date
/-zG--
BUILDING
OwnerSQ.
FT. OCC. I BUILDING VALUATION
i- y , a
Mailing Address 6x�)
CS-
°=--
7
E
Contractor,e7w4le-R
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee 2-e. U0
Building Address a
Plan Checking Fee&/or Penalty
Permit Fee p
OG
-
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
'71;-
A. P. No. (9 7` ��®
44ing `�
" '"g
Water piping 1.50
Each gas water heater or vent 1.50
F esSa
on
Fire Dept.
FireZone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking ParcelEach
Plans Declaration
Parcel Map
60' R/W
Improvements
additional outlet .30
Building sewer 5.00
Bldg. Plans ec'd
Parcel A roval
P on Approval
Lawn sprinkler system 2.00
NEW Q— ADDITION ❑ UTILITIES ❑ OTHER ❑
Permit Fee $
Fs
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
V OR L
Main service 80000 AMP ORSLESS 5.00
Single Family ❑ Duplex ❑ Mobil Home ❑ Others
Main service EA. ADD'L 100 AMP 2.50
Main service OVER 600V 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW CONST DWELLI..
OR ADDNS. ACC. BLOGS.CCVP. 7i) 20sgft
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:
NEW CONSTR. MULTI-OUTL T
NON.RESID,BRANCH CIRCUITS) 2.50ea
NEW CONSTR. (POWER APPARATUS 0
NON•RESID. SINGLE OUTLET CIR.
Ex. OccuD{OUTLETS OR FIXTIIRES g L2;
FIXED APPLNS. OR
EX. Occup. OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
IN I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
MECHANICAL No. @ 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.
f�f 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.
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
Land Development Fee
Is
TOTAL PERMIT FEE$
AO
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
Date /'
Signature of Permitee or Agent
Receipt No. l
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.
DIRECT 0 PUBLIC WORKS
By _ Date _1 -:2- &
Iding permit expires Date
/-zG--
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD '
BUILDING BUILDING (Cont'd) PLUMBING
Setback
Firewall
Forms
Parapets
Main Bldg.
Restroom Finish
Footings
Windows
Stemwall
Sldin
Slab
Roof Sheaths
Piers
Roofing
Garage
Fdn. Vents
Footings _
Garage Vents
Stemwal I
Insulation
Slab �� _
Carport
Footings
Prov. for ph slcally
handica V
Conformance of ex.
structure
Slab
Final
Patio
FIREPLACE
Footings
Footin
Masonry Walls
Throat
Reinf. Steel
Final
Bond Beam
FIRE SPRINKLEI
ICAL
Soll Piping
1st Floor
2nd Floor
3rd Floor
Topout
Water Piping
Sewer
Fixtures
Water Htr.
Heaters
Appliances
Gas Piping & Test
Temp. Gas
Sanitation
Final
ELECTRICAL
Fix
s
Scratcn Heatina Service
Brown Cooling Temp. Pole
Finish Ducts Underground
Interior Lath Ventilation Permanent
Door Closer Final Final
MOBILEHOME UTILITIES ------------------ Elec- Service Elec. Pedestal
Water Piping Sewer Gas Piping
OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you visit the job site.)
PERMIT NO. 5394-76B,E,M
PERMIT EXPIRES
OWNER Clarence Lindsey
CONTR. owner r
LOCATION A.P. 36-22-70 )
6239 Lincoln Blvd., Oroville
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called P,�G&E
Temp. Gaserv.
Called PG&E
/OB
FINALED
(Date)
(Signal e)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTON RECORD
BUILDING I BUILDING (Cont'd) _ PL,UMBING i
Setback /U Firewall
Forms Parapets
Main Bldg. Restroom Finish
Footings 14 Windows
StemwaI I Siding
Slab Roof Sheathing
Piers Roofing
Garage Fdn. Vents
Footings Garage Vents
Stemwa I I Insulation
Slab Prov. for physically
handica ed
Carport Conformance of ex.
Footings structure
Slab Final C
Patio FIREPLACE
Footings Footing
Masonry Walls Throat
Reinf. Steel Final
Bond Beam FIRE SP I
Framinq Test
Stucco Final
Mesh M CHA 1 L
Scratch Heating
Brown Cooling
Finish Du
Interior Lath Ve tion
Door Closer Final /.
DATE REMARKS OR CORRECTIONS_
/ SolI Piping
1st Floor
2nd Floor
3rd Floor
To out
/ Water Piping
Sewer
Fixtures
Water Htr.
' Heaters
Appliances
Gas Piping & Test
01 Temp. Gas
Sanitation
Final
ELECTR
Fixtures /
Subpanels
Grd. Fault Pr
Service
Temp. Pole
Undergrouni
Permanent
Final % 1/1
I
(NOTE: An entry must be made on this form each time you visit the job site.)
6 -
r;J COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — OroviIIe, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
539
u orize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date 2-7—&_
Signature ofc�Permitee or/Agent
Receipt No. ru ;`i-/�
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisfons of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR PUBLIC WORKS
?Uildin�g
Date permit expires Date
BUILDING
Owner �y 4 1x1
SO. FT. OCC. BUILDING VALUATION
Mailing Address 1� NC� /— ��,
Teleph
Zr
Fireplace
Contractor A.J �,
Total Valuation
Mailing Address
Permit Fee Q
Plan Checking Fee&/or Penalty
Telephone No.
Permit Fee
Building Address M
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
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. �� — 2.9 -' 7C/Z
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F4;T
W. C. Sa n FireDep t.
FireZone
Use Permit
Building sewer 5.00
EOA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Im Proveme .s
Lawn sprinkler system 2.00
4
Bldg. Plans Rec'd
Parcel Ap r
Plan pproval
Permit Fee $
$
NEW ❑ ADDITION [Ef— UTILITIES ❑ OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 aD
n/
D '�V 6Gt3T�feP G 4,s Pll�2C
Main service i°oo AMP ORSLESS 5.00
2 i HmeMain
service EA. ADD•L 100 AMP 2.50
Single Family [B' Duplex ❑ Mobil Home ❑ Others ❑
Main service 10 0 AMP ER OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. DWELLING OC P &
OR ADDNS. ACC. SLDGS.Ca. ) 2¢sq ft Irl
NEW CONSTFL (MULTI -OUTLET
NON-RESID. BRANCH CIRCUITS)-2.50ea
NEW CONSTR. (POWER APPARATUS &)
NON-RESID. SINGLE OUTLET CIR.
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:
Ex. Occup(OUTLETS OR FIXTURES)@2'a
109
Ex. OCCU FIXED APPLNS. OR
P• ( OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
® I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
I 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.
Elhave placed on file with the County of Butte a certificate of
'Workmen's Compensation Insurance.
10 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. @ FEE
PERMIT FILING FEE $3.00 3,0V
Heating —(a �-o
Cooling
Ventilation
Hood 2.00
Permit Fee $ 70y
$
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
a th
TOTAL PERMIT FEE
$ <
u orize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date 2-7—&_
Signature ofc�Permitee or/Agent
Receipt No. ru ;`i-/�
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisfons of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR PUBLIC WORKS
?Uildin�g
Date permit expires Date
N
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Orovilie, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
639s�_
•�r•���••••+•.•�� v� ina vvunty 0i outtE to e[ILUr upun tne This permit is hereby issued under the applicable provisions of
above-mentioned property for ins ction purposes. the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
at 23^ DIRECTOR OF UBLIC WORKS f
'Al,nature olf rmitee or Agent By
/
Receipt No. /-2e/���✓3r Date
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant �Building permit exp re&4M4e
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address -
T le hon No.
3
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/orPenalty
Telephone No.
Permit Fee
Building Address 2 j '
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00 X00
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.
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Few
SaM-t'ation
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Plans Parkin
Declaration
Parcel Map
60' R/W
Improvements
Lawn sprinkler system 2.00
111,49 Recd
FParcel Approval
Plans Approval
Permit Fee $ �$��
$ S
NEW ❑ ADDITION F] UTILITIES E] OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 100 AMP OR0V OR SLESS 5.00
Main service EA. ADO'L too AMP 2.50
Single Family p Duplex ❑ Mobil Home ❑ Others ❑
OVER 600V
Main service 00 AMP OR LESS 25.00
Main service EA. ADD -L. 100 AMP 1.00
NEW CONST. DWELING
OR ADDNS. ( ACCLBLOGS.OCCUP. &) 20sgft
NEW CONSTR. (MULTI -OUTLET
NON.RESID. BRANCH CIRCUITS) 2.50ea
NEW CONSTP- POWER APPARATUS &
NON-RESID. (SINGLE OUTLET CIR.
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:
Ex. Occup(OUTLETS OR FIXTURES)50 @25�1
BAL@1
FIXED ALN9-.
Ex. Occup. ( OUTLETS P(RESID )REA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
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
so as to.become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ 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
anthnri7n r rte.:...... ,.s .L..
TOTAL PERMIT FEE
$ C
•�r•���••••+•.•�� v� ina vvunty 0i outtE to e[ILUr upun tne This permit is hereby issued under the applicable provisions of
above-mentioned property for ins ction purposes. the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
at 23^ DIRECTOR OF UBLIC WORKS f
'Al,nature olf rmitee or Agent By
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Receipt No. /-2e/���✓3r Date
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant �Building permit exp re&4M4e
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MOTE:--AII Materials & Workmanship Shall Be in
Actordance with Recognized Good Practices and
of a qualify prescribed for the Specified use in the
Uniform Building, Plumbing & Mechanical Codes and J
the National Electrical Code. j
set of plans and specifications MUST be
�;) of all times and it is unlawful to
n;, chirnes or alterations on same without
permission from the Department of Public
County of Butte.
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The Bldg. Setback shall be 5 {t. fr
side property line and 50 ff. fry
ccnferlina cf Ae road, permi ing
mum of a 2 ft. eave overhang ut
out of all easements.
BUTTE COUNtY
BUILDING DEPAR;ME
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APPROVEE
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