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HomeMy WebLinkAbout078-140-029a Wynoka Homes 5789 Via Pacana, lot 29, Vista Del Cerro#2, Oroville Permit #3027-80B,P,E,M(new single family)Svfiozrl Contr: Wynoka Homes PErmit##5034-80B (wood stove) 07g-iso-cyzq ra- Wynoka Homes 5789 Via Pacana, lot 29, Vista Del Cerro#2, Oroville Permit #3027-80B,P,E,M(new single family)Svfiozrl Contr: Wynoka Homes PErmit##5034-80B (wood stove) 07g-iso-cyzq ra- CIc- 079 079 COUNTY OF BUTTE - DEPA tMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Cali ornia 95965 -Telephone 916/534-4541 APPLICATIO! AND PERMIT _ /PERMIT NO. ASSESSOR./P�Aj.RCEL NUMBER ZONIN l�J(! BUILDING PERMIT OWNERI(�,� Gv rkok"tj r 5 TELE HONE SQ.FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS + CONTRACTOR'S NAME ELEFIHONE CONTRACTOR'S MAILING ADDRESS ' /.,-, G . 00 �1, /&Oc,, Gk%,1 t L � , U� lk' f CONSTRUCTION LENDER /I4._2rLJ10'i UNKNOWN Fireplace p `' 7 61. GU Total Valuation $ //J av LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ f (/•470 BUILDING ADDRESS A AAe' PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. G% SUBDIVISION NAMEPARCEL V1571 UCL.. �:��,�� ., Z MAP r I Each qas water heater or vent 2.00 Gas piping system 1 -5 outlets USE OF STRUCTURE SF ©!Duplex❑ Mobilehome❑ Other- SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities_❑ Installation[ Other Q' Describe work: �f���0%i_ ^ u t=� r `�� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100 AMP ORSLESS 5.00 Main service EA. ADD'L too AMP 2.50 NEW CONST. DWELINGI OR ADDNS. ( ACCLBLDGS.CCUP,&) 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): FX) I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. � '^" Classification �, ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason New CONSTR MULTI.OUTLET NON.RESID. - BRANCH CIRCUITS) 2.50 ea NEW CONSTR POWER APPARATUS &) NON.RESID, (SINGLE OUTLET CIR, EX. Occup(OUTLETS OR FIXTURES 50@25Q BAL@10¢ FIXED APPLNS, OR Ex. Occup.(OUTLETS (RESIDJ EA,) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 3.00 WORKMEN'S COMPENSATION INSURANCE 1 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 1 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 -6f California. Notice to Applicant_ If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 2.00 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� �� ^ !Q Z`- '�� _ Date Signre oOf Applicant -r Owne ❑ 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 $ Land Development Fee $ TOTAL PERMIT FEE $ 4-0 Ce OCCUP, GROUP I TYPE OF CONST. PARCEL PD I HD I 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 J BY _ Date, I>� PERMIT EXPIRES Date Receipt No. 4.9'? o WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT L., 3027-80B ,P.: E,M -PERMIT N0. ,I PERMIT EXPIRES // Zo? t4l OWNER WVnoka Homes owner .,CONTR. 36-74-29 . LOCATION (A.P. ) N J<- 5789 Via Pacana, lot 29, Vista Del Cerro#2, Oroville 0 Temp. Power Pole i Called PG&E Temp. Elec. Serv. Called PG&E 6 Temp. Gas Serv. `l �� d Called PG& G JOB FALE,� V (Date) (Signatur 0 JOK' ' 0 . Not OK ' Not Applicable m Not Ready RESIDENTIAL (Single and Duplex) °r►�y - ;,:�:x` Date UND FLOOR Plans OK except #'a / 'Date FRAMING Continued Zo ing requirements -Setbacks -Easements *487•Pr party Line Firewall & Openings t , Main; Soils-Steel-Elec. Gmd.-I/ /" Ftg. Depth xt. Doors -One 3' -Check Garage -3rd story, 2 exits ' Garage; Soils -Steel-./ /,V/" Ftg. Depth 597 -Stairs; Width -Headroom -Rasa -Run -Landing -Fire Protection -4.. tg., Porches & Decks; Soils -Steel- / /" DepthAW-Plywood on Roof Overhang -Attic Vents -Ratter Outriggers V CV Stemwalis, Main; Steel-Blockouts-Wrappe •467 -Siding -Nailing -Veneer -67 Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab tucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access -7 --Piers-Fire lace Ftg.-Steel . Glazing Area -Glass Protection -Skylights -Plastic W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test -9 -.Gas Pipe; Size -Anchors 40- Water Pipe; Test-Anchors-Regulator-Seryice Test 44- Electric; Underground 46r9hear Walls; Nailing -Bolts 1f,. Plenums & Ducts; Clearance -Material -Support -Ins. 40r Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Datel� Sv-:9? Card 81 Date Card -BI Card -81 Date Card -BI Date Date Card -BI Date Card -BI Date and -BI Date iUate FINAL—(Plans) OK except q's Card -BI DateCard-BI Date Date PLUMBING (Permit) OK except #'s E t. Steps -Door & Sidelight Protection -Landings %?-.'_SInoke Detector 14. Water Ht.; Vent -Access -Combustion Air • Furnace; Vents -Clearance -Comb. Air -Connector- {n rarrnpw eti,,s ct,,,,9_Ducts-Mech. Protection 15. Vjefer P e; Tet &nchors-Nail D. .; T Fttngs & Anchors Nall act Bedroom Exiting G.F.I. & Bath Fixtures & Tub Access 17. Shower Pan; Test, First Floor -Tub ccess 18. Test Tub & Shower, 2nd Floor -Tub Access Elec. Trim & Subpanel; Breaker Sizes -Labels lairs & Rails 19. Gas Pipe; Size & Anchors CISF Fireplace or Stove; Clearances -Hearth o ift EI Outlets at Wood Panel; Int. & Ext. Card -BI Date M '6 Card -BI Date it. Fixt. & Appliance: Grnd.ZiiiiiF0Eookino Clearance Card -81 Date/ Card -BI Date . Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except #'s Garage Fire Door; Swing -Landing -Closer .611—}1.C. Duct in Garage -Damper Fixture & Transformer Clearance -Ins. Protection Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- Mech. Protection lec. Receptacles Spacing -Lights & Switches at Doors e ., Elec. & Mech. Equip. Listed for Location 22-"Slze Boxes & No. of Conductors -Stapled E Receptacles in Garage; (G.F.I.)-Ro ex Protec. Z3,fomex Installed Close to Edge of Studs & C.J. 7 nsulatlon-Foam-Looked in Attic ONes ,Equip. Ground made up w:/Mech. Fasteners -Bond Gas & Water _pard Rails &Deck Construction -Post C Z5. Appliance Circuits in Kitchen & Conductor Size 46rSubfeed Wire Size / / ga. Cu r AI-A.C. Wire Size / / ga. Cu or Al 7 -Dr ' ge &Wood h Clearance ke ZZ ange Circ. / / ga. Cu o en Circ. / / ga. Cu or Al, Insula Neutral ❑Yes o Following Instid.: Drive es .�)Vo; Walks as ;� No; Planters Dyes o •28. ice-Ricoc-Gooduaers & G nd-Main Disconnect 29 -Equip, Clearances; Panels -Motors -Mach. Equip. ucco; Brown-Fi sh V..C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30101othes Closet Light -Shower Light Itt. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. -n- Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B I Date Card BI Date entilation throughout House Card B -I Date Card -BI Date lass Protection Date MECHANICAL (Permit) OK except #'s W. Corrections from Previous Inspections s Test -Meters Tagged; Gas -Electric A.C. Ducts; Insulation &Support[�TEnergy ater & Sewer Connected -C/O to Grade -HD Approval Vent Fan; Exhaust above Insulation Compliance Certificate -Other Certificates 40- Condensate Drain & Overflow; Size & Grade wITurnace-Vent; Access -Comb. Air -Return Air Vent -115V outlet 86rAttic Access & Platform if Furnace in Attic Erd-BI Caird -BI _ Date Card -BI Date Date dCard-BI Date Cab -BI Date D Card -BI Date Card -BI Date -Card-BI Date Card -BI Date Card -81 Date Comments at Final: Date FRAMING Plans OK except #'s ills; Proper Material & Anchors &Ze'Nalis; Studs -Nailing, Spacing & Bracing -Plates -Sound In Bearing Walls over Gir ers & Floor Nailing r 39!Draft Stop in Walls (rat proof) 40!Fire Stops; Furred Cell in s -Stairs -Chases -Tub Or—Header & Beam -Size & Bearing 42, -Hangers -Post Caps -Anchors -Connectors CIng. Joist-Rftr. Ties -Pur g -Roof Brac. russ-Shthng.-Rfng. 4 Fireplace Ties or Ty Flue-Firep Throat 2�„` Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions araga Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) Setback Forms Main Bldg. Footing: Stemwa I Slab —f Piers Garage Footi na: COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PL Firewall Soil Piping Parapets Restroom Finish Windows Siding Roof Sheathina / Fdn. Vents — Garaoe Vents btemwali i Insulation kill Slab Prov. for ph sic Ily Carport handica ed Conformance of ex. Footings sklfture Slab Inal /2 Patio Footinas Fnntinn — Reinf. Steel FIRE LACE 1st Floor 2nd Floor 3rd F or To out (/ Water Pi in lri Sewer Fixtures Water Htr. Heaters Appliances Gas Piping & Test Temp. Gas F MBIDIG Framing Y!') / 0 /71�A 1 Test V1 I Water Htr. `—_-- mesn MECHANICAL Grd. Fault Prot. / 2-1 YO Scratch Heating Service Brown _ !d L& ff 0Cooling Temp. Pole Finish Ducts /06 Underground Interior Lath V tion anent Door Closer final olf in Y 0 MOBILEHOM UTILITI S ---------------- Service c. Pedestal Water Piping Sewer Gas Piping MOBIINSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS 417114 2- A700 - (NOTE: An entry must be made on this form each time you visit the job site.) J COf-119STRt:CT10,'-1 C()iHiTIAN(:J-: CENT11-1CATF. P L (:I:R'UJI-"-( TIIA'r 1:'Nl-'I((;y C0tF'l­A,'VATf0N UQUIRFMI: ' 14 -CS ILAVE BEEN Iii WLTII COW-AWATLON -Z 40T location) Cr A P. NO. Tilt: F0I.I.(X.1]'N(; HAVE ISHM INSTALLED AS PER APPROVED PLANS: ((:Ii(-ck each itcul or write N/A if not applic.,I)te) 1 1; 1. AT I o i CU Z ITIC : NA sini"10 Clazed INA F 10 L I C NA U'a I I s - — Ll —NA WEAT11FRSTI, [Pllrn T) Ciucll lat im,Pipci; rI INA APi,i,mv1:D HFXF!..Ic NA CU Z ITIC : sini"10 Clazed NA -SI)Ccial (Tllstllatcd) . NA CEI(T. & LAlsl-:u-*D t4Ds. — & SLIDII.c. ous. —NA WEAT11FRSTI, [Pllrn T) NA BACK DA?Ii'I*I-:I'IY FANS.- NA 11F1'E1\11,111, vF.;,T i GN IT LON IDEV ICES NA CFIZ.T. APPI. I:%1;(:FS__ — NA I f)FCI-A1J-' THAT ALI. RE.(!(JTP\F0 ITFMS AS NOTE) AROVE IIAVI:'. PF.I.-x 1,;STAI.A.F.0 IN w1i'll THE M4) ACKFI: 'it) OU THI'S ('11(cfFICAU'. AS �J;R:!VCHIA). I W.11 I :1C Im, Ailp I ic;ltol: N.1wo S i i,.[!. I t I I rc 0 1 , !: 1-:111. 1 L. iml Ailp L fc.t Hawkins insulation Co _Tpc. I / I)Cill(:) State Contractors LicellsO No. -378407 i'xncral Contractor/(hmer Name //,/)//VOX,9 -=,vr- sii',11.1t11rc of ase print) Contractou/ovill0r, Date State Contractors I.ircn,e No. 2B 1926�� Tiii.". , I.. , M.H.. N, !.".T Br ON 1: 11-1: W 1`TII THE. 11.11 Ill) mr. [)I..I AR r I'R.TON TO 1;., 1 1. 1 VFCT Ri N A N D S I IA 1. 1. 1-1 1.' 1,1,: *.,1, 1: ': I OcAT ION IN A CONS V (CUOU Telephone 533.2000 North Burbank Public Utility District" 1960 Elgin Street OROVILLE, CALIFORNIA 95965 127-�®' DISTRICT APPROVAL AND VERIFICATION OF INSPECTION BUILDING SEWERS This verification form must be submitted to the Butte County Department of Public Works - Building Department prior to issuance of a building or occupancy permit, whichever is applicable. Prior to final approval by Butte County of a Building or an Occupancy Permit, a copy of this verification form, signed off by North Burbank Public Utility District, must be submitted to Butte County. f Applicant: WYNOKA HOMES, INC. Applicant Address: P. 0. BOX 1600..OROVILLE. CA 95965 Applicant Phone No.: 533-2738 Property Location(s): 5789 VZA PACANA VISTA DEL CERRO`UNIT 2 - LOT 29 A. P. No. (s): 036-74-0-029-0 Fees Paid: FEESrUUNPAII AS OF 6/13/80. ALL FEES TO BE PAID BY MID V Application for service approved: JUNE 139 1980 TITLE & ESCROW CO. AT CLOSE-OF`ESCROW. 1 North Burbank Public Utility District Inspections) made and successful test(s) observed: Location: Zpl' ,�, !3! Date: 2 l� X By, �- V North Burbank Public Utility District release to close permit: ��� Date: �/ � 5 - g 2 By: COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Tel ephone; 534-4541 APPLICATION AND PERMIT cs50,71 7 autnorize representatives or above-menti,4ed property fgr X Signature of'Permitee or Agen my or butte to enter upon ine ion purposes. Date -/a , & Receipt No. 7 1 L., e z 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. DIRECTOR OF PUBLIC WORKS By Date 241 -2 Building permit expires Date BUILDING Owner 0�� "F S_ SQ. FT. OCC. BUILDING VALU N 2252®. Mailing Address P.O. 160X /&00 /S M Tajephon &V Contractor Mailing Address Fireplace Total Valuation Z W. O O Telephone No. Permit Fee 121,00 Building Address ! n , /R- /n �` c.�/V Plan Checking Fee&/or Penalty 3, O J Permit Fee 15/,71 5 S Z.` PLUMBING No. @ FEE PERMIT FILING FEE $3.00 .Q(7 Each Trap 5;VIVA lOrDi� D�� ,�j //��,,, E& � " Z9 t; 46 Repair drainage or vent piping 1.50 / A. P. No. 36--7/V- Z ,� Zodin"g & Planning Water piping Z. o0 Each gas water heater or vent "0 Z.o Fe tSan Ire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets *c5o •Z.OQ EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 5.00 Iar�t(-- BUAc-7�l�e� Parcel AEErov.1-14 Plans Appro Lawn sprinkler system 2.00 NEW Imo' ADDITION ❑ UTILITIES ❑ OTHER ❑ permit Fee $ Z4,00$ Z 00 ELECTRICAL No. @ FEE PERMIT FILING FEE J$3.00 S,00 V OR Main service 100 AMP ORSLEsS 5.00 Single Family e-11" Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER e 100 AMP O OR LESS 25.00 Main service EA. ADO'L 100 AMP 1.00 NEW CONST. ( DWELLING O OR ADDNS. C ACC. BLDG 20sq ft rk�s 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: ����/> n /��� K-/7 ��r Vl NEW CONSTR H LET NON.RESI D. � BRANCH CIRCUITS 2.50ea NEW CONSTR. ( POWER APPARATUS.6 NON•RESIO. `SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTURES B L0; EX. Occup.FIXED APPLES. OR OUTLETS (REST D.) EA) 2•00 Temporary service 110.00 Mobile Home Facilities 15.00 /1 License No. ��2'�108 Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 29.05 $ Z 9 Orj MECHANICAL No. @ 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 W men'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. 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 PERMIT FILING FEE $3.00 3, 00 Heating i5a 000 OD lit/ Cooling L A10 ,Od Ventilation Hood 2.00 X00 Permit Fee $ DO Land Development Fee $ /a Oa $ o2s 00 TOTAL PERMIT FEE $� 3c autnorize representatives or above-menti,4ed property fgr X Signature of'Permitee or Agen my or butte to enter upon ine ion purposes. Date -/a , & Receipt No. 7 1 L., e z White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date 241 -2 Building permit expires Date This set of plans ands xcificafions MUST b kept on the job at all tim ,s and it is unlawful to make any changes or alteroticns on same without written permission from th Department of Public Works, County of Butte. �r NOTE:-- Accordance t�tQrirk St' Workmanship Shall 6 Accordance %iih Fio�;- Good Practices -` of aY quaif pi est Specified Uniform Buildirt;,r ;'l:e , iglu; ,i,.� Sp d use in tl, fie National El �ctrical Code. Mechanical Codes Q by o lvlas er flan on dile Tor I Itfildit ZI ns. 71 BUTTE CO.?;T`Y' RUILDiNG DEPARTt ENT rAPPROVE) � i &5, 0-0/ N.,4 A setback of 5 ft. from tip property lines and a setbi of 50ft. from the road centerline shall be clear o structures or equipment' e for a 2 ft. eave ovdrhandr 20' I?. C. L 3e v wT A Dt L C (, -rt RO SUBOIVISION CITY -COUNTY LOT NO. N A PV 1) - SEWER JOB NO. s o w / n MOME8, INC. WATER P.O. BOX I8 scr GAS,(�� i OROVILLE, / A CAL. 85D85 ELECTRIC 916.533.i2736 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT rNO 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-45 :V U APPLICATION AND PERMIT E SOR C MBER A?KC OR ZONING F1UA)J BUILDING PERMIT /0" (!✓ //ilVk/7 AMCC J TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS C7'OR'S NAME "E5 TELEPHONE Z/(//tel �/�'/T /�.,j�V] 5 33- 2_73ff — CPTC R'�y+Ai IpG ADDRESS (�� p �C �lo©0 CONSTRUCTION LENDER UNKNOWN Fireplace144- Total Valuation$ LENDER'S MAILING ADDRESS - Permit Fee $ ARCHITECT OR G E!'K�' LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee BUI G ADDR F�S$�� PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOTU DIIVISION AME �e=L PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF JDuplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition 44 Remodel El Utilities ❑ In o Other Describe work: Alyep snow rp- / 3®7-7-�� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 00V OR LES Main service 100 AMP ORS SLESS 5.00 Main service EA. ADO'L too AMP 2.50 NEW CONST. ODWELING R ADDNS. ( ACCLBLDG5. OCCUP,&) 20sgft 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 Professio s Code a d my license is in full force and effect. License No. Classification &/_ ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR (MULTI -OUTLET NON-RESID BRANCH CIRCUITS) 2.50 ea NEW CONSTR ( POWER APPARATUS &) NON-RESID. SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES BAL@1 BAL@tOC EX. OCCU FIXED APPLNS. OR p'(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Mi sc. Wiring 6.25 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 3.00 WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 2.00 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 sai County i consequence of the granting of this permit. ��� �,-, X Date g® ❑vrAgent FJ Signatur of Applicant — 0w er Elovations An OSHA permit is required f excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ �• OCCUP. GROUP I TYPE OF CONST. PARCEL PD I HD I 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. CT OF PUBLIC WORKS By ^De PERMIT EXPIRES D e O Receipt NO.)M�T � — WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT