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HomeMy WebLinkAbout078-150-004Wynoka Horn, Inc. -7- -3, 5706 Vista Del Cerro, lot 4, Vista Del Cerroll, Oroville Permit #1702-78B(new single family) B07-0707 078-150-004 MISCELLANEOUS HVAC Change Out INSTALL NEW HVAC UNIT 5706 VISTA DEL CERRO GOODWIN, JERRY & KATIE I BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 5706 VISTA DEL CERRO Owner: Permit NO: B07-0707 APN: 078-150-004 GOODWIN, JERRY & KATIE Issued Date: 04/04/2007 By KCG Permit type: MISCELLANEOUS 5706 VISTA DEL CERRO Subtype: HVAC Change Out OROVILLE, CA 95966 Expiration Date: 04/03/2008 Description: INSTALL NEW HVAC UNIT Occupancy: Zoning: R1 Contractor Applicant: Square Footage: GALLAGHER'S HEATING & AIR GALLAGHER'.S HEATING & . Building Garage Remdl/Addn PO BOX 35 PO BOX 35 LOS MOLINOS, CA 96055 LOS MOLINOS, CA 96055 Other Porch/Patio Total (530) 384-2444 (530) 384-2444 FEE INFORMATION DBM Heat Pump (Package Unit) $55.00 Total Charged: $55.00 Fees Paid: $55.00 Balance Due: $0.00 Receipt No: B2504 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License GALLAGHER'S HEATING & AIF 777334 / C20 C38 / 04/30/2008 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed Pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with S ction 7000) of Division 3 of the Business and Professions Code, and my license rce e de of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the Qu` basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects 04/04/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: C on ctor , ignature Date I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE —11, COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). MAINTAIN WORKER'S COMPENSATION INSURANCE, by K ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED HAVE AND WILL as required CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: ection 3700 of the Labor Code, for the performance of the work for which this permit is issued. —My Workers' Compensation insurance carrier and policy number are; The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the 013855 05/01/2007 Carrier: State Fund Policy Number. 713-0Exp. Dat e: Contractor's License Law.). (This section need not be completed if the permit is for one hundred dollars ($100) or less.) ❑ I AM EXEMPT under Section B. & P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS X 04/04/2007 ISSUED, I shall not employ any person in any manner so as to become subject to the 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 those Owners Signature Date qons. ;X- 04/04/2007 &d I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Sign re Date �—"� WARNING: FAIL E TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused by, arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to erger the above mentioned property for inspection purposes. I hereby certify that I am the propergf e r am u orized to ct on the rope owners behalf. 04/04/2007 CONSTRUCTION LENDING AGENCY ame Permittee [SIGN] Prim Date 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) ElOwner 11Contractor OR. Agent for Owner Agent for Contractor FILE COPY Lenders Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION st Na I�p�J! nsM m F ,e Mailing Address Jr770 tJ Z StQ j�Q� Cee_ �` City 4%D V / Ile State /) C Zip Phone Fax E-mail CONTRACTOR Name a( S 4WAc, �V Ac, Address PO City&s Mc�� ` �S ///� State CAZip? Zi%O5J_� Phone jg L11 Fax E-mail Lic. # r�r� 33 Class COOC APPLICANT INFORMATION ARCHITECT/ENGINEER Name City [�Oj US Address Zi%O5J_� City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name C ,,, 19 r s INIVJ Address Po 13,o5 City [�Oj US State Zi%O5J_� Phone N n Fax E-mail / ,;ATURE SIG'iN..— - 1w PROJECT LOCATION API 0 -7 0 (on Q Property Addres� City ' 1 PERMIT NO. BIN # WORKER'S COMPENSATION Policy Number // 2 , O01 Carriera6t,tQ If hiring anyone other thaK license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: 1 5-E as Mul c;�l C Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA I Yes No Occ. Type Const. r Y ., (Lot 4) PERMIT NO. 1702-78B XIX i Z PERMIT EXPIRES OWNER Wynoka Homes, Inc. CONTR. owner t LOCATION (A.P. 36-65-49 port. 5796 Vista Del Cerro; lot 4, Vista Del Cerro#l, Oroville f, r 4 f I Temp. Power Pole Called PG&E f Tempi Elec. Serv. _(?--/ Called PG&E PG&E emp. Gas Serv. Called PG&E y% JOB �� G / r? FINALED / (Date) (Signature) THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT REGULA- TIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 45, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: Street Lot 4 Lot Number Tract No. EXTERIOR WALLS Manufacturer Certainteed Thickness/Type 3i's R Value 11 CEILINGS Batts: Manufacturer Thickness R Value Blown: Manufacturer Certainteed Thickness 8 3L4�� No. Bags 24 Wt./Bag Sq. Ft. Covered 1200 R Value 19 FLOORS Manufacturer Thickness/Type R Value . SLAB ON GRADE Manufacturer Thickness/Type R Value Width of Insulation inches FOUNDATION WALLS Manufacturer Thickness/Type R Value GENERAL LICENSE No. BY o � s e _DATE INSULATION CONTRACTOR: HAWKINS INSULATION CO., INC. LICENSE No. 215-925 V WAR 1-1 ��/� -September �- • l �� ' ' w - > ' � � �. .. � - � - > rh +' ���� t COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Forms Main Bldg. Footings StemwalI ` Slab Piers Garage Footings Stemwal l Slab Slab Patio Footings isonry Walls Reinf. Steel Firewall Soil Piping Parapets 1st Floor Restroom Finish 2nd Floor ` `7 - Windows 3rd Floor _ Siding To out Roof Sheathinga = Water Pi in �� Z(` Roofing 14 Sewer rp r Fdn. Vents Fixtures Garage Vents Water Htr. Insulation Heaters Prov. for ph sically handica ed Conformance of ex. structure Appliances Gas Pi in &Test Temp. Gas Final SanitationI FI PLACE Final FootingELEC ICAL Throat Rou h <e;—" 0- 7 Final Fixtures FIRE SP NKLERS Motors Framing 754 -Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground 9 " Interior Lath Ventilation Permanent Door Closer Final Final ° MOBILEHOME UTILITIES - - - - - - - - - - - - - - - - - - Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOS16�EWOME 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.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC�J � 7 County Center Drive — 0roville, California 95965 WORKS _/ Telephone: 534-4541 d Q APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for insDeClJon purposes. ie_�_w Date Signature of Perm' e5 r Ag 71 Receipt No. l � G z 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. DIRECTOR OF PUBLIC WORKS By 4,eVfY 4 Date permit expires Date` '% BUILDING Owner wmmka SO. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Contractor `ec Mailing Address @. %��Vlww Fireplace Total Valuation Tele one No. Permit Fee Building Address Qrm Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. Zoning &Planning Water piping 1.50 Each gas water heater or vent 1.50 Fkes Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Plans Parcel Declaration Parcel Ma P 60 ' R/W Improvements P Each additional outlet .30 Building sewer 5.00 6F ans ac Parcel A royal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ $' ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 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. ADO'L 100 AMP 1.00 NEW OR ADDNST ( DACC W E DG CUP s) 22sgft CONTRACTORS LICENSE LAW State of California Business & Professions Code under the name le of: style NON•RESID CONSTR ` BRANCH CIRCUITS)2.50ea NEW CONSTR. (POWER APPARATUS 8 R. EX. OCCUD(OUTLETS OR FIXTIIRES .ATL2J¢ BL@1 Ex. OCCU FIXED APPLNS, OR P• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 36-l-7491.�- C_/ (J . Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ @ MECHANICAL No, FEEPERMIT 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 FWkmen's Compensation. ave placed on file with the County of Butte a certificate of orkmen'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. FILING FEE $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 $ TOTAL PERMIT FEE $ 3 I -<- authorize representatives of the County of Butte to enter upon the above-mentioned property for insDeClJon purposes. ie_�_w Date Signature of Perm' e5 r Ag 71 Receipt No. l � G z 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. DIRECTOR OF PUBLIC WORKS By 4,eVfY 4 Date permit expires Date` '% COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 L, Telephone: 534-4541 APPLICATION AND PERMIT CONTRACTORS L .CENSE LAW r1� � I am licensed under the provisio »of�t✓Fiapt6rc9„D�,yW����� State of California Business & Professions Coda nder�h,e name ,,Cod I U J style of: Oroviiie, Calif. 95965 Phone; 533-2738 License No. 1191)�5(Ob Classification G — I D I am exempt from the Contractors License Laws of the State of Cal ifomia. 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. I have placed on file with the County of Butte a certificate of AWorkmen'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. 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 Butte to enter upon the above-mentioged property for inspection purposes. ZX �Date --' SignatureofPermitee or Ag t / Receipt No. y6 V7 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant V_/V1111 _ BUILDING SQ. FT. OCC. I BUILDING VALUATION Fireplace Total Valuation Permit Fee P I an Checki ng Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trao Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee Temporary service Owner PERMIT FILING Mai I i ng Address EVIf Ons IN 600V OR LESS 100 AMP OR LESS F. U. Box 1600 .cu ITS Telephone No. Contractor Y Phone; (913) 543-273$ Mai I i ng Address EA. ADD'L 100 AMP NEW CONST. ( OR ADDNS. DWELLING OCCUP. 51 ACC. BLDGS. Telephone No. Building Address .,570(o ar;--U Zoning V60 icefion Only, A. P. o. a �9 tonin P4oging ees SanilP9tion�� Fire Dept. Fire Zone Use Permit EQA Parking Plans Parcel Declaration Parcel a P 60' R/W Im rovements P ,Plans ec'd P ok'.I'App roval Plans Approval NEW,& ADDITION ❑ UTILITIES ❑ OTHER ❑ Single Family Duplex ❑ Mobil Home ❑ Others ❑ CONTRACTORS L .CENSE LAW r1� � I am licensed under the provisio »of�t✓Fiapt6rc9„D�,yW����� State of California Business & Professions Coda nder�h,e name ,,Cod I U J style of: Oroviiie, Calif. 95965 Phone; 533-2738 License No. 1191)�5(Ob Classification G — I D I am exempt from the Contractors License Laws of the State of Cal ifomia. 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. I have placed on file with the County of Butte a certificate of AWorkmen'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. 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 Butte to enter upon the above-mentioged property for inspection purposes. ZX �Date --' SignatureofPermitee or Ag t / Receipt No. y6 V7 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant V_/V1111 _ BUILDING SQ. FT. OCC. I BUILDING VALUATION Fireplace Total Valuation Permit Fee P I an Checki ng Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trao Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee Temporary service ELECTRICAL PERMIT FILING FEE Main service 600V OR LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP Main service OVER e00v 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. ( OR ADDNS. DWELLING OCCUP. 51 ACC. BLDGS. NEW CONSTR. NnN-RFSIn_ (MULTI -OUTLET BRANCH CIRCUITS $3.00 1.50 1.50 1.50 1.50 1.50 30 5.00 2.00 $3.00 5.00 2.50 25.00 1.00 )0 SQ ft I Ex. OCCUDIOUTLETS OR FIXTURES I gAL'@*IJ Ex. Occup ( FIXED APPLNS. OR • OUTLETS (RESID.) EA 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ MECHANICAL No @ PERMIT FILING FEE $3.00 Heating Coo I i FEE FEE Ventilation Hood 1 1 2.00 Permit Fee $ $ Land Development Fee $ , TOTAL PERMIT FEE Is volew 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. ZzR�= W RK/SS ej By at Building permit ex ires Date - fie �r it CM+I kept on_the jab at v1l timss and it is unlawful to mak 'any changes or alterations on same without writ, n permisson from the Department of Public Wor County of Butte. i NOTE:—All Materials 8; WorLmanship Shall Be in Accorr:Nnre W y .1 O'�,. : V01 la-1.� .,,_ �, .. of a qualit%! r�r��rr�l��� `�ar $e Specified use in the. Uniform Building, PlurnYng & Machanical Codes and the National Electrical Code. dtoo of c2r.141144 it q ILA r I10, tT o j E 070 e Bldg. Sefacc4 sF"al E 5 ft. from the PrI6,10,' sidetild I- -r-�=-lig---50--ft—frUrfl the —�-- cenre:•line of the road, permi#ting a maxi. ` � mum of a 2 ft. eave overhan 10141, j, - g but entirely p ! out of all easements, l S e' seer P a f building i pia D �- --7 BUTTE BUILDING DEPARTMENT i APPOVED h►r*%VM40F-0/ � rliv/®'i Pel am \/ISD o0� L)F.j I.rI aA) SUBDIVISION CITY COUNTY LOT NO. SEWER JOB NO. I X� 0 /�HOMES INC. la ' WATER Ljy�py,YNO P.O. BOX 16 SCALE GAS Qj., OROVILLE, •• ((// CAL. 95965 ELECTRIC v- 916'533'273x$ ' COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT aor��P authorize representatives of the County of Butte to enter upon the above-mentioned property for ins ection purposes. X Date —2f— Ignaturc of Plermitee or Agent Receipt No. ' W.20 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. DT OF PUBLIC WORKS ZqjkBy Date 1 8u14dkM permit expires'Date y —Zf-7 BUILDING OwnerSO. r b N� !F-3 jqG FT. OCC. BUILDING VALUATION Mai I ing Address Telephone No. Contractorv o ut..yd��2 h N+✓�tf+. �6 � rK Mailing Address Fireplace Total Valuation Tele hone No. ��-2lot Permit Fee Building Address 6'7p(p v +<s1� k` � �a Plant ng Fee&/or Penalty Permit Fee Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Qb Each Trap 1.50 FJO C>7 C, owo..r i LL3 Repair drainage or vent piping 1.50 A. P. No. (� — (oS --�f (PoK►� Zoning & Planning Water piping 1.50 �p I Each gas water heater or vent 1.50 Fees Sanitation Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 s 'p EQA Parking Plans Parcel Declaration Parcel Ma pBuilding 60' R/W Improvements= Each additional outlet .30 sewer 5.00 "'r0o d Parcel A royal 1 Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Eir Permit Fee $ , 5b is —( Lu ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 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. ( DWELING OR ADDNS, ACCLBLDGS.CCUP. 4') 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Profes Code under the name style of: y NEW CONSTR. MULTI.OUTL T NON- RESI D, BRANCH CIRCUITS 12.50ea, NEW CONSTR. POWER APPARATUS & NON.RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTURES BA� ,� Ex. Occup. FIXED TS (RESAPPLNS. OR p• OUTLETS (RESID•) EA) 2•00 Temporary service 10.00 Mobile Home Facilities 15.00 License No�,T7 939 Classification -- Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ 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 Workmen's Compensation. 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. PERMIT FILING FEE $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 $ TOTALPERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for ins ection purposes. X Date —2f— Ignaturc of Plermitee or Agent Receipt No. ' W.20 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. DT OF PUBLIC WORKS ZqjkBy Date 1 8u14dkM permit expires'Date y —Zf-7 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC 7 County Center Drive = ' Ofoville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentio roperty for irlspection purposes. X Date Z ign re of P'er`mit.. ee or Age /f Receipt No. �7%' / - 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 ! f Date g..permit expires Date 'yh BUILDING OwnerSO. � S FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Y I Mailing Addres III Fireplace Valuation Pelephhon�eIIN,_,Total Permit Fee Building Address Vista,rra Plan Checking Fee &/orPenalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 i—Qv* 1MV1e- Repair drainage or vent piping 1.50 A. P. 3�_ Zoning &Planning Water piping - 1.50 Each gas water heater or vent 1.50 F s 1 W . 9a" Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking I Plans Parcel Declaration Parcel Ma P 60' R/W Imp rovements P Each additional outlet .30 Building sewer 5.00 Bkdg_le"-Rur-* Parcel A roval I Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ is ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 0V OR Main service 100 AMP ORSLESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD -L 100 AMP 2.50 Main service O100VERAMP s00vOR LESS 25.00 Main service// EA. ADD'L 100 AMP 1.00 OR ADDNSNEW T 1 ADWECCLBLDGS.LING CCUP. Y\ 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 of44,& �e�d,l .fir TLET NEW RESID. ( BRANCH CIRCU ) NON.CONST ` BRANCH CIRCUITS/ 12.50ea NEW CONSTR. (POWER APPARATUS 6 NON-RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTHRES 50 * @I BAL1 Ex. Occup.(OUTLETS FIXED APPLNS. OR OUTLETS (RESID.) EA 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 3 i C s/3 ~ SS Lp License No. .- � Classification Misc. Wiring 6.25 ❑ 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. ❑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 $3.00 'r (� 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 Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentio roperty for irlspection purposes. X Date Z ign re of P'er`mit.. ee or Age /f Receipt No. �7%' / - 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 ! f Date g..permit expires Date 'yh