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HomeMy WebLinkAbout078-160-015^ ^ kPVol34-65 i§ 0-78 '."1 GO' 015 75' � 2439 Monts, Vista, Oroville �contr: Four Counties Roofing, Chico Permit#3497-77B(built-up re-roof/SF) ' 2 7 — V 439 Monte Vista, Oroville [D ABELA 0 Permit#4296-781E(ele se ch &mis, iring) SpConte: Mauldin & Sons PlumbingPermit#2469-80P(new Vent for hotl � water heater)SF6ei � ' ~ , ' / O ' z�� e I VN EREROOF/SF -0-015 & OTT 93-1440 B TE VISTA, OROVILLE 9 _.. .vim:. ,,-:+^l:*s.r•7,�r.�w�--'t.m-..�..�..-�...�.�wv¢.ynrw.�-.. . COUNTY OF BUTTE-.D.EPART;MENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. �- V t 0 ASSESSOR PARCEL NUMBER 036-650-015 ZONING R--1 BUILDING PERMIT OWNER Vasquez & Ott . f 1,. TELEPHONE ` _ 534-7570 SO. FT. OCG`, BUILDING VALUATION 14 Ci 60 840.00 OWNER'S MAILING ADDRESS VI �':JI fly..•' 1456 Hamlmond Ave. -Qrla" 95966 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 840.00 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 21.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee d$ $ Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ., Permit fee $ 36.00 PLUMBING PERMIT Filing Fee 15.00 2439 MAnte Vista. Ave.. Orovilla Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑i Duplex F-1 Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New" Addition U Remodel ❑ Utilities ❑ Installation❑ Other " Describe work: Rer00f w/Comp _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 t Main service 600VORLESS 18.50 200A OR LESS Main service 26rATO 1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions �.of Chapt. 9, Div:'3 of the Business and Professions Code and" -my license is in fulh force and effect. License No. Classif'i.cation_EX-r as the owner, or my employees with wages as their sole compen= sation, will do the work,arid the structure is not intended or offered for sale. (Sec. 7044)_ ❑ I, as the owner, am, exclusively ccntracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST./ DWELLING OCCUR.ff\ OR ADDNS. ( ACC. SLOGS. II 3.64sq.ft. NEW CONSTR ULT' -OUTLET 5,00 NO ESID BRANCH. CIRC ITS @ I (POWER APPARATUS 61 \SINGLE•OUTLET CIR. / Occup( OUTLETS OR FIXTURES S 20 764 FIXED APLNS. Ex. OCCup. OUT ETS P(RESID )R 3.00 EA.) I Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring '15.00 Permit Fee $ Contractor — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): 1;•--' ❑ The permit is for $100.00 (valuation) or less. Q., -,I have placed on file with the County of Butte Building Department LTJ a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 0 I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling LHood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit.` X ! . I 1 Date J -/ - `! j Signature of Applicant — Ownerm W 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 FEES 36 QD HAz 11 111S IMP FLOOD CDF PARCEL PO HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated abo, or which fees have been paid. IREC�fOR OF PUBLIC WORKS Byte Da/te--i� PERMIT EXPIRES Date 5-7 ?',/./ M551 Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF PUBLIC 7 County Center Drive - Oroville, California 95965 - Telephone: APPLICATION AND PERMIT WORK�PERMIT N0. 916.'5 8-7541 ASSESSOR PARCEL NUMBER 036-650-015 ZONING R-1 BUILDING PERMIT OWNER ez &Ott VasEu .TELEPHONE 534-7570 S0. FT. OCC. BUILDING VALUATION 14 @ 60 840.00 ING ADDRESS OWNR'S MAILtf 1456 Hammond Ave. -Or-l-a'n4 95966 CONTRACTOR'S NAMETELEPHONE Owner CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN p Total Valuation $ 840.00 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 21.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 36.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each gas water heater or vent 7.00 USE OF STRUCTURE SF [:k Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 1 5.00 Building sewer 15.00 Mobile Home S I G I WT @ 15.00 TYPE OF WORK New" Addition[] Remodel❑ Utilities❑ Installation[] Other[ Describe work: Reroof w/Comp _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600v OR LESS 200A OR LESS 18.50 Main service 2ooATO1000Al 37.50 CONTRACTORS LICENSE LAW I declare under penalty perjury (check one P y of P 1 y hk : ( ) ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. )cense .Jo. Classification Lt2 )I as the owner, or my employees with wages as their sole compen-, sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.,/ DWELLING OCCUPM OR ACDNS. l ACC. BLDGS. I 3.64sq.ft. NEW RFSID, RANCH CIRCUITS) NON•RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS fi (SINGLE OUTLETCIR. Ex. Occup( OR FIXTURES 20 760 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ Contractor — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I�have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against aid Co u in o s uence of the granting of this permiit�t. X Date /t% �7 onstruct- i n OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion on of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 36.00 HAz DFEES IMP FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Bu Co n Code and/or work indic a or which fees I R OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Da Zi 5 Z 141351 Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT •�. ,^,-,,�..:�-1....r:.1,,µt.,:.. .:.a ��1"a'+ti% �1�q' t►+1�i.--'4-r't",rYr�T'"�"`�t.,,,iHUYl.'•'yy+('nxV'+ti•........,.. COUNTY OF BUTTE - DEPARTMENTOFDEVELO. MENT SERVICE - BUI DI NG DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 ,r•. PERMIT APPLkAtION DATA SHEET OWNER LIAL2-y �f0 A. . No./-' Proposed Building Use/ ���/ Building Inspector��4 - / , _f - Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted......................................... 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3_ Complete plans, 3/4 sets, signed by preparer of plans . ..................... . .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ........................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer ................... 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). ......... � re uest. 20. Pre -inspection for required. .. to Building Inspector (Date) Contractor's license information. (No., Name Style, Classification). .............. 22. Certificate of Workmans Compensation Insurance . ..........................� 23. Owner -Builder Verification (Given to owner , Mail to owner _). ........... Z/ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . ......................................... . 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ................ 31. Existing violations/expired permits . ...................................... 32. Plan check list . ...................................................... 33. -34. WheVouAgsue the permit, process as follows: Mail to owner. Mail to contractor. Telephone�c{� and hold for pickup at Ml/!� office. Deliver with inspector. Other Parcel Creation Acreage Applicant / Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date --�-W Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orm»'ile, California 95965 - Telephone: 916.'538-7541 -- APPLICATION AND PERMIT AS ESS PARCEI_/NUMAZR ZONING 41 1 BUILDING PERMIT ow TELEPHONE SO. FT. OCC. BUILDING VALUATION OW RAI LING ADD 6S CONT ATOR�� CONTRACTOR'S MAI G ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ �1 , ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS $ BUILDINPenalty Bu1LOIN oD �_ Permit tee $ 3 ,Q PLUMBING PERMIT Filing Fee 15.00 I Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK Newt Addition RemodeIL Utilitiesl Installation[ Other Describe work: I.v Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600v ORLESS 200A OR LESS 18.50 Main service 20GATO 1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License ,do. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUPM OR ACDNS. 1 ACC. BLDGS. // 3.66sq.ft. NEWCONSTRMULTI-OUTLET NON .RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 20 76d FIXED APPLNS. OR Ex. Occup. OUTLETSIREsID., EA.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): U The permit is for $100.00 (valuation) or less. E] I have placed on file with. the County of Butte Building Department E] 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 subjectHood to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling 6.50 Ventilation Permit Fee $ Contractor j I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in anyay a9crue against said County in consequence of the granting of this permit. �j X Date �a Signature of Applicant — Owner E] Contractor ❑ Agent [I An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 39 stories In height. Mobile Home Installation Fee S Energy Inspection Fee $ ; OCC CONST TYPE TOTAL FEES HAz 0FEES IMP I FLOOD I CDF I PARCEL PO HD ISSUE ! This permit is hereby issued under the s ions of the Butte County -Code and/or work indicated above for which fees DIRECTGWOF -PUBLIC By PERMIT EXPIRES Date applicable provi- l resolutions to do have been paid. WORKS Date f t Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT h COUNTY OF BUTTE - Department of Public Works 7 County Center Drive,•Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: _ An 'owner -builder" building permit has been applied for in your name and bearing your signature. 1 Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the maj,,r labor and materials for construction of the proposed property improvement (yes or no) 2. G(ha /havenot) signed an application for a building permit proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. )I plan to provide portions of this work, but I have hired the following person to coordinate,'supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: / ) Property Owner �--w Social Security Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. I - PERMIT NO. UNM 960-75B P E M MH UTIL. PERMIT NO. PERMIT EXPIRES v c —7 I )OWNER Eula Thayer f�CONTR. Pryor Contracting, Orovi-Ile LOCATION (A.P. 36-65-15 2439 Monte Vista Ave., oroville j t Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB' 7�) FINALED - =9-- (Dat6) (Sig,6,aju) 5 m COUNTY OF BUTTE — DEPARTMEI*T OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING I BUILDING (Cont'd) I PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Sidinq To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. StemwaII Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS / /? COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WO 100 D — 7 County Center Drive — Oroville, California 95965 Tel ephone+ 34-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte'to enter upon the above-mentioned property for inspection purposes. --;eX a I Date X 7 ignat e f Permitee or ent Receipt No.V.y7 '// 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 O"UBLIC WORKS By Date J -7-r-74 _ 3.Z� 411din*g permit expires Date ........................................... BUILDING Owner SQ. FT. I OCC. BUILDING VALUATION S crD Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address P 12�. . Permit Fee Plan Checking Fee&/or Penalty 10 V Telephone N 5- - � Permit Fee $ $ Building Address ;? 3 /� 7—a QPLUMBING No. @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 9/ A. P. No. /�^ 10 L� Zoning & Planning Gas piping system 1 - 5 outlets. 1.50 Each additional outlet .30 F 6enitetl= Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I ParcelParcel Declaration Ma p 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval I Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® ELECTRICAL No.1 @ I FEE PERMIT FILING FEE $3.00 e -a P,,f 171 X2 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 2U 0 25 Light fixtures bal61 Receps., switches & fix outletsMill 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:� f � ►.►/ Y o �Y2�+ / rf �i Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D. W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. '7.2 —3/O Classification [-� --.3 9 Misc. wiring ❑ 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 B4tte.a certificate of Workmen's Compensation Insurance. i1 ®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 Compensaiion Laws,of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ i 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 TOTAL PERMIT FEE $ G dt authorize representatives of the County of Butte'to enter upon the above-mentioned property for inspection purposes. --;eX a I Date X 7 ignat e f Permitee or ent Receipt No.V.y7 '// 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 O"UBLIC WORKS By Date J -7-r-74 _ 3.Z� 411din*g permit expires Date ........................................... T, 170F,1Z711910116181Z INV 5161 6 T 8VW S.:dom onand jo '103 D—:,r,o ao k-,Nnoo V November 14, 1975 � `s Ste. _•,k .F` .. .. ' ' yy'�x� :;.. E. Poling . RE.*,.,, rthquake Damage Ytry 2641 RiWaon St. j.:� 3 6 �� 5=/S� Oakland,. CA. 94619 • . Dear Ms.'Poling: With reference to'the above subject and your recent ..letter regarding tha house located 2439 Monte Vista Avenue in Oroville, this office inspected the property on Nov. 10, 1975.. '. Our inspection revealed significant damage to the fireplace to an extent that it should be removed. If you propose to replace it, a permit would be required from this office (fee ext) • ,. . ' Should you have any further questions, please feel free to contact us. Yoga very truly, - •J Clay Castleberry Director of Public Works F :,. 1 :"J.F. Glander _ JFG / dd ; w Assistant Director � � •fir f � ; MP �" t 3'T ti ! -� PERMIT NO. 3497-77B t PERMIT EXPIRES A OWNER Robert Dirk CONTR. Four Counties Roofing,'Chico LOCATION (A.P. 36'65-15 2439 Monte Vista, Oroville I Temp. Power Pole Called PG&E _ Temp. Elec. SerJ.. Called PG&E _ Temp. Gar^� Called JOB FINALED a 1 -7 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soli Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwaII Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings StemwaI I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically n mance of ex. a Conformance C structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Relnf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Mesh I MECHANICAL I Grd. Fault Prot. Scratch Heatino 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 MOSILEURMEINSTALLATION--------------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.) r COUNTY OF -BUTTE — DEPARTMENT. -OF. PUBLIC WORKS 7 County Center Drive" - Orovi Ile, California 95965� %� �% --7 7 4 Telephone: 534-4541 phi �`l / APP AND PERMIT /� � � O� � Owner Robert Dirk LIGATIN BUILDING SO. FT. OCC. BUILDING VALUATION Mailing Address #13 Westwood Way I Oroville,California I Telephone No. I Contractor Four Counties Roofing Company I Mailing Address P.O. BOX 3215 I Chico, California I Tele%P).26b41 I Building Address 2439 Monte Vista I Oroville A. P. No "� Zoning & Planning Fes W. ire Dept. Fire Zone Use Permit EOA Parking Parcel Parcel Ma 60' R/W Im rovements Plans Declaration p p R1,1 pI -- a- Parcel Approval Plans Approval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER E] Built-up re -roof Single Family ® Duplex ❑ Mobil Home ❑ Others ❑ 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: Four Counties Roofing Company License No. 252071 Classification B-1-C-39— Fireplace Total Valuation $1 Permit Fee _ Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap 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 ELECTRICAL PERMIT FILING FEE Main service 600V OR LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP Main service OVER 600V 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. /DWELLING OR ADDNS. ` OCCUP. & ACC• BLDGS. NEW CONSTR/ NON-RESID, MULTI -OUTLET 1 BRANCH CIRCUITS NEW CONSTR NON•RESID. (POWER APPARATUS & SINGLE OUTLET CIR. up re-roo $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 2¢sq ft Ex. OCCUp(OUTLETS OR FIXTURES BAL@1 FIXED APPLNS. OR Ex. Occup. OUTLETS IRESID.) EA) 2,00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wirina 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee MECHANICAL WORKMEN'S COMPENSATION INSURANCE PERMIT FILING FEE I am aware of the provisions of Section3700 of the California Labor Heating 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 Cooling Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this Ventilation permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Hood California. 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X C "' Date Signature f%e•,r��mlitee or Agent / Receipt No. /V ��Ir White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant FEE FEE @ FEE $3.00 TOTAL PERMIT FEE $ 14100 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 0 UBLIC WORKS By Date'7-lq- 77 Building permit expires Date % / L(- 7J? 7� /0 : ro r ,7,9 r 1 (Jt�NTrl OF -BUTTE — DEPARTMENT OF PUBLIC,.WOR-KS 7 County Center Drive —' Orovi lie, California 95965 Telephone: 534-4541 ` ' APPLICATION AND PERMIT . I IrI —loUV . VI UIr. VUUllly VI pulmo U VIIIGI UPUII Lnc above-mentionedcproperty for inspection purposes. X �. i ?r: Date Signature of Permitee or Agent Receipt No. 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/iPUBLIC WORKS By I ' �'� Date - Building permit expires Date " BUILDING Owner )S s1 /1/ /i A <� i" // SQ. FT. OCC. BUILDING VALUATION Mailing Address T-elephone No. ' Contractor / Mailing Address ,, �jy �,r 7/ Fireplace Total Valuation �^ Telephone No. J fJ: z-1/ti Permit Fee Building Address' Plan Checking Fee&/or Penalty Permit Fee w� %/i r% lit,'f PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1,50 • Repair drainage or vent piping 1.50 A. P. No. Zonin &Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees r W:C. San itation, FireDept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Improvements p Each additional outlet .30 Building sewer 5.00 Bldg..Plans-Rec'd Parcel ApErovol ' Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® Permit Fee $ $ 1411F, 1�iPif,�� ELECTRICAL No.1 @ FEE ,or PERMIT FILING FEE $3.00 Main service 600v OR LESS 100 AMP OR LESS 5.00 Single Family 0 Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 OVER Main service 100 AMPs00v OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST DWELING OR ADDNS. ACCLBL DGS. �� 22sgft 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: �h �/. /� ✓i . r, % f` -U "Ew RES'D,CONSTBRANCH CIRCUITS) NON-RESID l BRANCH CIRCUITS TLET 2.50ea NEW CONSTR. /POWERAPPARATUS a NON.RESID, SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTIIRES g L 1N Ex. Occup FIXED APPLNS. OR -(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 1 d Ir,-&// �{ / Classification , Mise. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ A.1.7 r 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 INo@ FEE PERMIT 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 Land Development Fee $ TOTAL PERMIT FEE $ /� J . I IrI —loUV . VI UIr. VUUllly VI pulmo U VIIIGI UPUII Lnc above-mentionedcproperty for inspection purposes. X �. i ?r: Date Signature of Permitee or Agent Receipt No. 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/iPUBLIC WORKS By I ' �'� Date - Building permit expires Date A �•+~ •n� Electrical Permit #4296-78 Oroville Pump & Electric RE: wimpyliglai P.O. Box 271 , A.P. # 36-65-15 Oroville, CA, 95965 OWNER: Dennis Abela, 2439 Monte Vista Ave.., Oroville Gentlemen: With reference to the above subject, we have been advised by one of our building inspectors that there are items requiring corrections for the work which you have done as follows: ®iY a ground clamp is not installed properly. oi4-dentify the circuits. 6 .8: Need entry to building (all circuits fused at 30 amps). .4. Permit expired 7/25/79 --'a new permit is required. 'so Since these items must be corrected before we can final the job or issue the required Certificate of Occupancy, please make the above corrections and contact this office within ten (10) days of the date of this letter and request final inspection. Your cooperation in resolving these items in a timely manner will certainly be appreciated. Should you have any questions concerning this matter, please contact this office. Yours very truly, Clay Castleberry Director of Publio-WQrks .V. Glander JFG:dd Assistant Director (CS) c:. Building Inspector -Jerry Stilwell %Z suite LAND OF NATURAL WEALTH AND BEAUTY a �- DEPARTMENTOFPUBLIC WORKS o ° CLAY CASTLEBERRY, Director 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965 Telephone: (916) 534-4541 H. W. McDONALD Deputy Director March 5, 1980 Electrical Permit #4296-78 Oroville Pump & Electric RE: wimpyliglai P.O. Box 271 , A.P. # 36-65-15 Oroville, CA, 95965 OWNER: Dennis Abela, 2439 Monte Vista Ave.., Oroville Gentlemen: With reference to the above subject, we have been advised by one of our building inspectors that there are items requiring corrections for the work which you have done as follows: ®iY a ground clamp is not installed properly. oi4-dentify the circuits. 6 .8: Need entry to building (all circuits fused at 30 amps). .4. Permit expired 7/25/79 --'a new permit is required. 'so Since these items must be corrected before we can final the job or issue the required Certificate of Occupancy, please make the above corrections and contact this office within ten (10) days of the date of this letter and request final inspection. Your cooperation in resolving these items in a timely manner will certainly be appreciated. Should you have any questions concerning this matter, please contact this office. Yours very truly, Clay Castleberry Director of Publio-WQrks .V. Glander JFG:dd Assistant Director (CS) c:. Building Inspector -Jerry Stilwell 'vv _ C01 NT_Y_ OF BUTTE — DEPARTMENT OF PUBLIC WORKS TNIounty Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Z 7 Signature of Permitee or gent 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. DIRECTOR OF PUBLIC WORKS By. ,4 Date —4ZS_— permit expires Date �'�/ BUILDING Owner ' SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Mailing Address ' Fireplace Total Valuation T;o^eja. J � G 3 Permit Fee Building Address P I an Checki ng Fee &/or Penalty Permit Fee Di(/T PLUMBING No. @ FEE ! ` £ PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. 0. Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F s saRi484+ea Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W I Improvements p Each additional outlet .30 Building sewer 5.00 MIA_ PJwrs-R'eed Parcel A royal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION UTILITIES ❑ OTHER 0 Permit Fee $ $ � ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP OR00V OR SLESS 5.00 Single Family PO Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. AOD•L too AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD -L 100 AMP 1.00 NEW OR ADDNST V ADWECCLBLDGS.LING CCUP. 22sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California BUSlnes & Professions Code under the name styl f: , eC/ NEW CONSTR. ULTI.OUTLET NON.RESID BRANCH CIRCUITS) 12.50ea NEW CONSTR. POWER APPARATUS & NON.RESID. SINGLE OUTLET CIR, EX. Occui)(OUTLETS OR FIXTI]RES BALO1 IXED APLNS Ex. Occup. OUT ETS P(RES(D )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 License No. �,9r/ar� Classification d--/ d I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL iNo. @ 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 1 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 L2.00 Hood 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 $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Z 7 Signature of Permitee or gent 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. DIRECTOR OF PUBLIC WORKS By. ,4 Date —4ZS_— permit expires Date �'�/ n .. rt� j• I � � - �_ i � � Jn�/� �sf 7�j /j� �_, ���� a.- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 1 11 APPLICATION AND PERMIT ASSESSOR PARCEL ZONING BUILDING PERMIT OWNER, oc,; Ixll S /I & cl,".4 TELEPHONE SQ. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S AM /%1/11LI)IA :5&A .S PL. 01;1; /it/ T77 41 1qS1 / CONTRACTOR'S MAILING ADDRESS /,35/5 .5T. k6 CONSTRUCTION LENDER - UNKNOWN Fireplace Total Valuation is LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ ADD BUILDINGDRESS � � ,0AJ_ 1,// e-714 PLUMBING PERMIT FilingFee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 .00 Gas piping system 1 - 5 outlets ,-, USE OF STRUCTURE SF [I-/ Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ UtiIitiie�ss `❑ Installation❑ Other Q Describe work: � A1,YAl V�7 �'� � — / Permit Fee $ r c%GJ "Contractor ELECTRICAL PERMIT Filing Fee 3.00 600V OR LESS Main service 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.&) OR ADDNS. ACC. BLDGS. 2�sgft 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 fug force �-and effect. License No. � 0 � q 5f 9 Classification ❑ I, as the owner, or my employees with wages as their sole compen- 'cation, 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 -OUT LET NON.RESID. BRANCH CIRC ITS 2,50 ea NEW CONSTR. ( POWER APPARATUS &) NON-RESID. SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES BAL@1 BAL@tOQ FIXED APPLNS. OR . ` Ex. Occup.(OUTLETS (RESID.) 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. a 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 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-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 Az -,.t& '�J )-no.-+.tV Date 5- JI Signature of Applicant — Owner ❑ Controctor v 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 $ (J� OCCUP. GROUP I TYPE OF'CONST. I PARCEL PD HD SSUE This permit is hereby issued under sions'6f the Butte County Code and/or wo,K itidicated above for which fees r S�DIRE{CTOR OF PUBLIC 1 B / 1 lif ERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date %,� ! ,/ Receipt No.��1 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APRUCATION AND PERMIT PERMIT NO AA ASSESSOR PARC L NUM ER _/� , zo)-�� %` BUILDING PERMIT O NER / r�1/ l S' 4 6 67&4 TELEPHONE S0. FT. OCC. BUILDING VALU ION OWNER'S MAILING ADDRESS c^4ULD��M SQA S PLAIM&` I� TELE HO4J/ CONTRACTOR'S MAIILING ADDRESS `r 7- 4 ea CONSTRUCTION LENDER 7 UNKNOWN Fireplace ' Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEE LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDIN ADD Ess z �o .4 PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 2,-0 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Lys Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New Addition ❑ Remodel U iIit-es❑ Installation❑ Dther Describe work: C v '� Permit Fee $ 15-,490 Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 6001 OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP,&) OR ADONS. ACC. BLDGS. 2�sgft 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 m license is in full force and effect. Ga (� y �t License No. 2& $ 7 9 7 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 ULTI-OUTLET 2,50 ea NON.RESID. BRANCH CIRC ITS NEW CONSTR POWER APPARATUS & NON.R ESID, (SINGLE OUTLET CIR. 50 @ asa Ex. Occup(OUTLETS OR FIXTURES BAL@10¢ FIXED APPLNS, OR Ex. Occup.(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 3.00 WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 0 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 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-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 which may in any way accrue against said County in consequence of the granting of this permit. X (,,(s.,c,Qi�n rii�%Y1p1i�,Ql..,.r ate 1` ),5 — E(V 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 het ht. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ 6.00 OCCUP, GROUP I TYPE OF CONST, I PARCEL PD HD ssuE This rmit is hereby issued under sion o the Butte Count Code and/or wo i dicated above for which DIR R OF P BLIC . I mi if a JlOt RMIT EXP/RES Date vi - the applicable to do resolutions to do fees have been paid. WORKS �h Date Is ^� Receipt No.A WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT