Loading...
HomeMy WebLinkAbout078-200-011TERRY PERES 5672 Farley, Oroville Contr: Waibel INC. Permit#585-79E(re�pair fire dam- aged wiring) SF4, contr: Granlund Const., Oroville Permit #541-82B(repair storm damaged roof/SF) 011 tl'f 19, 541-82B PERMIT NO. PERMIT EXPIRES OWNER Judy Peres k CONTR. Granlund Const., Oroville ASSESSOR PARCEL 36-37-11 LOCATION 5672 Farley, Oroville t Temp. Power Pole Called PG&E t Temp. Elec. Service 3 Called PG&E i Temp. Gas Service Cal led PG&E JOB FINALED (Date) Signature 5 u�3 V = OK 0 = Not OK - = Not Applicable MOBILEHOMES MISCELLANEOUS = Not Ready z Date MOBILEHOME UTILITIES (Plans) OK except k's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except p's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4, Wood Awn.; Posts-Beams-Rftrs:-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except k's 1. Zoning Requirements -Setbacks -Easements Date _ POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes- Enc losures- Pane lboards-Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date O"It Card BI Date Card -BI Date Card B -I Date Card -BI Date ji Card -BI Date Card -BI Date = OK = Not OK = Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR Plans OK except N's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except p's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. 62. Elec. Trim & Subpanel; Breaker Sizes -Labels Stairs & Rails 19. Gas Pipe; Size & Anchors 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Date Card -BI Date ELECTRICAL Permit OK except p's 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68: A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. 23. Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 72. Insulation -Foam -Looked in Attic E] Yes 73. Guard Rails &Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen &Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes []No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes 0 N 28. Service -Riser Conductors & Ground -Main Disconnect 76. 77, Stucco; Brown -Finish A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 29. Equip. Clearances; Panels-Motors-Mech. Equip. 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepi.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. 82. 83. Ventilation throughout House Glass Protection Corrections from Previous Inspections Card B -I Date Date Card -BI Date MECHANICAL (Permit) OK except k's 31. A.C. Ducts; Insulation & Support 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/0 to Grade -HD Approval _ 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86. Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date - Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING(Plans) 36. OK except q's Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. 43. 44. _ Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat _ _ 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Windows or Exiting Doors -Sill Hgt. & Dimensions _ 47. _Bdrm. Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT _PERMIT NO. V` ASSESSOR PARCEL NUMBER r ;,_ . 1_-� rj — I / ZONING BUILDING PERMIT OWNER �_7j,4, J ` TELEPHONE SO. FT. OCC. BUILDING VALUATION /MA.t�* OWNEERR''rS MAA�ILIING ADDRESSS ..•� () 7. r. 0q r CONTRACTOR'S NAME n I C:,, I-� tA 1 tl tf,- [ ��n� c j 4- TELEPHONE CONTRACTOR'S MAILING ADDRESS' \V`T-- Q Fireplace 1 CONSTRUCTION LENDER - Q NK UNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee .$ R.6Q ARCHITECT OR ENGINEER f3iy1 Q. LICENSE NO. Plan Checking FeeAPF fw yd $ r Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ ` S7. ©n BUILDING ADDRESS -„,... OA� PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑4 ” Duplex ❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition.[] Remodel ❑ Utilities ❑ Installation❑ Other 21^ Describe work: xVo I f T V^ a/►'\—moo a C Q� 1.� ���'+' MMMAAA R 1� 7 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR 100 AMP ORLESS5.00 1 ' Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.y, OR ADDNS. ACC. BLDGS. 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business50 and Professions Code and my license is in full fQrce and effect. License No. L!/ � 1 � � 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 TI -OUTLET 2,50 ea NON.R ESID BRANCH CIRC ITS NEW CONSTR. I POWER APPARATUS 6� NON-RESID. %SINGLE OUTLET CIR. @ as¢ OUTLETS OR FIXTURES BAL@1 Ex. OccupFIXEDP R Ex. Occup. OUTLETS IRESID )EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to`nter upon the above-mentioned property for inspection purposes. 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 agal;nst,said.C6urftjAn consequence of thegranting of this permit. XV��� _�/ _ .r�f �.....�� Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- iory'rof structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCcu P. GROUP I TYPE OF CONST. I PARCEL PD I ND I 19SUE 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 aid. ' ^ p DIRECTOR; OF PUBLIC WORKS p By �� !�` ^^' P�Date - � � o PERMIT EXPIRES Date Y Receipt No. /w WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Pe� COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Driver — Oroville, California 95965 _ Telephone: 534-4541 ( �� - APPLICATION AND PERMIT autnorize representatives of the county of tsutte to enter upon the above-mentioned property for inspection purposes. `.) Date Signature of Permitee or Agent 177 Receipt No. / t �- -; � `' 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 Y I By r - Date __1I Building permit expires Date BUILDING Owner �� : + � r ,� :. 5 SQ. FT. OCC. BUILDING VALUATION >> Mailing Address G ?� �._4Rk r11 r (�.. Telephone No. Contractor i ;g,,; rl AG C'. //VL Mai Iin 9 Address / 7�: f7 �J:.'+�-F f�,.,�� /?��i/'/ Fireplace Total Valuation .+ �- Cr_� Telephone No. 7g Permit Fee Building AddressPlan 7t;? ' 4 Al RLQ ' �� Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Q i2c�U, t.r— Repair drainage or vent piping 1.50 A. P. No. Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees W.CI Sanitation Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plans Recd I Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 0 permit Fee $ ELECTRICAL No. @ FEE �1�Q PERMIT FILING FEE $3.00OR L Main service 10000 AMP ORSLESS 5.00 Single Family ® Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 OVER Main service OVER 25.00 AMPP OR LESS O Main service// EA. ADD'L 100 AMP 1.00 NEW LING OR ADDNST l ACCDWE•BLDGS.CCUP. 51 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: •� LiAy f- N c' .� 1L� TLET NEW CONSTR. BRANCH CIRCUITS) NON-RESID, ( BRANCH CIRCUITS) 2.50ea NEWCONSTR./POWER APPARATUS 8 NON -RESID, (SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTI IBES g L 259 ,� FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. — • �%y 3 Classification �) - 1 L) (?1 - D 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. ElI certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ - autnorize representatives of the county of tsutte to enter upon the above-mentioned property for inspection purposes. `.) Date Signature of Permitee or Agent 177 Receipt No. / t �- -; � `' 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 Y I By r - Date __1I Building permit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-454.1 • - APPLICATION AND PERMIT Owner �� Y r 12 a 5 Mailing Address SG %a /-AR4a > u Contractor WA1, e_ .4 Mai I i ng Address / 70 © 1941'11Se A o1�0.3 e L CAS, Building Address Sl 7,2 Telephone No. Tele hone No. S'3�3-%/ 2X d I� A.P.No. 4 �-3 7-1 f I Zoning & Planning FVs I W --C. I -31rtitaEien I Fire Dept. re Zone Use Permit EQA I Parking I Parcel Parcel Ma I 60' R/W I Improvements Plans Declaration P fdg-Plans-Rerc'd I Parcel Approval I Plans Approval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 0 0 e 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: VA/aa /, 4e, 'tie - License No.2 G 77513 Classification C_-7-0 6 --ID I am exempt from the Contractors License Laws of the State of California. 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. 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. 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 Q�, Date Signature of Permitee or gent Receipt No. / r `e -> 3 7 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 1. _ BUILDING v SQ. FT. I OCC. I BUILDING VALUATION Fireplace Total Valuation ELECTRICAL Permit Fee PERMIT FILING FEE Plan Checking Fee &/or Penalty Main service Permit Fee 5.00 PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Building sewer 5.00 Lawn sprinkler system 2.00 Permit Fee $ ELECTRICAL No. @ J FEE PERMIT FILING FEE $3.00 C)I Main service 8000V OR 0 AMP ORSL=SS 5.00 Main service EA. ADD -L 100 AMP 2.50 Main service OVER 600V too AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 OR ADDNS. %ACCLBLDGS.CCUP. s1 22sgft NEW CONSTR. NON.RESID. (MULTI -OUTLET BRANCH CIRCUITS)l 12.50eal NON-RESID. %SINGLE OUTLET CIR. Ex. OCcup(OUTLETSOR FIXTIIRES50@25C BAL01 EX. Occup. (FIXED APPLNS. OR OUTLETS (RESID.) EAJ 2•�� Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ MECHANICAL EEF$3@00 PERMIT FILING FEE Heating Cooling Ventilation Hood 1 2.00 Permit Fee $ $ Land Development Fee $ TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above. for whic es have n aid. ZPD ECT® OP BLIC WORKS Date 171it expires Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/53 4541 APPLICATION AND PERMIT PE IT NO /—� ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNS -TELEPHONE S SQ. FT. OCC.1 BUILDING VALUATION OWN 'S MA I ADD ES 2 CTOR'S N ME CokCO TELEPHONE CO R CT AILIN DR S Fireplace 5 RUCTION LENDER - UNKNOWN Total Valuation Is Filing Fee • $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ otcov ARCHITECT OR ENGINEER "AlARCHITECT LICENSE No. Plan Checking Feel/pt—RW$ r Penalty $ OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS .►. PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets ,--/ USE OF STRUCTURE SF I� Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Additiop.Q Remodel ❑ Utilities ❑ Installation❑ Other De cribe work: r ti�ELECTRICAL Permit Fee $ Contractor PERMIT Filing Fee 10.00 Main service 100 AMP OR00V OR LESS5.00 Main service EA. ADD'L too AMP 2.50 NEW CONST. ( DWELLING OCCUP,N) OR ADDNS, l ACC. BLDGS. 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 Professions Code and my license is in full rce and effect. License No. Classification ❑ I, as the owner, or my mployees 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 I MU LT'_OUTLET2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR. /POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES s @� FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee S 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 n the above-mentioned property for inspection purposes. to s ve, indemnify and keep harmless the County of Butte against es, ants, costs, and expenses which may in any way accrue u In conseq ence of the anting of this permit. ��_� Date Applicant — Owner ❑ onrracrar ❑ Agent ❑ rmit is required for excavations over 5'0" deep and demolition or construct- PSHApermit res over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCU P. GROUP TYPE of CONST, PARCEL PD No 9911E 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. IR O F PUBLIC WORKS BY /l� Date 2 ��� PERMIT EXPIRES Dat 1 r ] Receipt No. 1 /� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT