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HomeMy WebLinkAbout078-220-047ft ESay, Orovilleamatic Solar8-85P(solar wtr htr/SF) ORDON#93-1908B (REROOF/SF) �lgctI KEN MATTOX, 1, I B08-0574 078-220-047 MISCELLANEOUS Re -Roof REROOF W/COMP (28 SQ) .DRYROT,1 28 ROSITA WAY YATES GORDON WM & CH 0 97 1 , ! 036-55-0-047 93-1908 B' YATES, GORDON. 28 ROSITA WAY, OROVILLE CONTR: KEN MATTOX REROOF/SF COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Telephone: 916.'538-7541 APPLICATION AN6 PERMIT - / P NQ � ^ Qc_ (. C!� ASSESSOR PARCEL NUMBER 036-550-047 ZONING R-1 1 BUILDING PERMIT OWNER Gorden Yates TELEPHONE 534-5660 SO. FT. OCC(. BUILDING VALUATION 26 60 1,560.00 OWNER'S MAILING ADDRESS 28 Rosita Way, Oraville 0,5966 CONTRACTOR'S NAME Ren Mattox Alladin R'oofin TELEPHONE 533-2934 CONTRACTOR'S MAILING ADDRESS 11595 Piller Peak Rd., Orovillt' Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is 1,560.00 LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ 31.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 46.571 PLUMBING PERMIT Filing Fee 15.00 28 R a Way- Oraville 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 9 Duplex❑ 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;_ Remodelf�– Utilities❑ InstallationC Other] Describe work: Feroo w/Comp. Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 20CATO t000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): Hyl IAF!'I 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.SINGLE License Ao. ` ?!�= / Classification r, ❑ 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 ADDNS. ( ACC. BLDGS. I 3.6Qsq.ft. NEW CONSTR MULTI -OUTLET NO N.RESID BRANCH CIRCUITS @ 5•00 POWER APPARATUS e OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 7611 FIXED APPLNS. R Ex. Occup. OUT LE ((RESID.)EA.) I 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. �yirin 9 15.00 4— Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. (�f I shall not employ any person in any manner so as to become subjec'Hood to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subjec' to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g 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 s id County in cons ence of the granting of this permit. r. j - Date 1;- 'r si nat a of Applicant — owner g pp ❑ Contractor 4i 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 S Energy Inspection Fee $ occ CONST TYPE TA TOL FEE $ 46.50 HAz 1 0FEES I IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby Issued under the P Y � sions of the. tte Cou y Code and/or / work ind' a d ov for which fees nJk6- R OF PUBLIC By !�= i �._ PERMIT EXPIRES Date applicableprovi- PP � resolutions to do have been paid. WORKS /[/// // ate (Ji ` I"1n 143294 Receipt No. WHITE-O.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT,OF PUBLIC W 1<S PERMIT N�®� `. 7 County Center Drive - Oroville, 4Cal�� is 95965 - Telephone: 91 .'538-7 41 6/ APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 036-550-047 ZONING R-1 BUILDING PERMIT OWNER Gorden Yates TELEPHONE 534-6660 SQ. FT. OCC. BUILDING VALUA ION 26 @ 60 1 560.00 OWNER'S MAILING ADDRESS 28 Rosita Way, Oroville 95966 CONTRACTOR'S NAME Ken Mattox Alladin Roofing)533-2934 TELEPHONE CONTRACTOR'S MAILING ADDRESS 11595 Miller Peak Rd., Oroville Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 1,560.0 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 31.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $46.50 PLUMBING PERMIT Filing Fee 15.00 28 Rasita Way, Oroville Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME i PARCEL MAP I Water piping 7.00 Each pas water heater or vent 7.00 USE OF STRUCTURE SF [X 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 New ❑ Addition Lj Remodel ❑ Utilities ❑ Installation[] Other Describe work: Reroof w/Comp. _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600v OR LESS 18.50 200A OR LESS Main service 200ATO10o0A1 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,.fO.��lTt/.3% Classification `3y ❑ 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) ElI, as the owner, am exclusively contracting with licensed contract -Mobile ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason _37.50 NEW CONST.(DWELLING OCCUP.&` 3.54 sq.ft. OR ADONS. ACC. BLOGS. / NEW CONSTRULTI-OUTLET NON•RESID BRANCH CIRCUITS) @ 5.00 (POWER APPARATUS a) (PO OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 20 @ 760 FIXED Ex. Occup. OUTLETS (RESID )REA.) I 3.00 Temporary service 1 15.00 Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. j 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 subjectPermit to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 1 15.00 Heating Cooling Hood 6.50 Ventilation 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 s id Younty in cons ence of the granting of this permit. p a't) X vz Date ��lo '-�J Sig no re of A licant – owner PP ❑ 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 S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAz I DFEES IMP FLOOD F I PARCEL PD HD IssuE This permit is hereby issued under the applicable rovi- P Y PP P sions of the tte o ty Code and/or resolutions to do work ind' a ed for which fees have been paid. D R OF PUBLIC WOR S BY ate a143 PEAMIT EXPIRES Date Z ,v Receipt No. 143294 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTYOF BUTTE - DEPARTMENTOF,DEI�OP\MENTSERVI6ES-UILDINGDIVISION 7COUNTYCENTERDRIVE - OROVILLE, CLI&OplKVIA95965 -TELEPHONE (916) 538-7541 K OWNER Cr Proposed Building Use PERMIT APPLICATION DATA SHEET 0- do �/ -/14 Building Inspector A. P No &,� - O - i� Date At time of pe it 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). ......... Ire-Inspectio� � . 20. Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner . ........... 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. When you issue the permit, process as follows: Mail to ow, r. Mail to contractor. Telephone and hold for pickup at - office. Deliver with inspector. Other 1094ZDA4 _ Parcel Creation Acreage Applicant Date o Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date 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 7 County Center Drive - Oroville, California 95965 - Telephone: 916 '538-7541 APPLICA'"ION-AND PERMIT PERMIT NO. ASSESSOR PARCEL N��ER� _ S ZONItt � '� BUILDING PERMIT OWNE __e TrLEPHO E S0. FT. CC. BUILDING VALUATION NERS MAILING ADDRESS OW�%© O M1, t a- CO T ACTOR'SNAME TELEPHONE _33 - 93 CONTRACTOR'S°MAILII DDR S / ' QQ C Cl QUt r (e Fireplace O NSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 3 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS �O �� / �' ' rr Ej Permit fee $ PLUMBING PERMIT Filing Fee 15.00 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 I G I W @ 15.00 TYPE OF WORK New ❑ Addition a R/er9p e -i (/_D Utilities ❑ Installation [ Other ❑ Describe work: /,1C� (— WOE Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 6200v OR LESS 18.50 20OA OR LESS Main service 200A TO 1000A1 37.50 CONTRACTORS LICENSE LAW " I declare under penalty of perjury (check one): F -1I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 17I, 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) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.&) 3.6Q sq.ft. OR ACDNS. ACC. SLOGS. II NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 (POWER APPARATUS el SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 760 FIXED APPLNS. OR \ Ex. Occup. OUTLETS IRESID.I EA.) 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): ❑ 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. ❑ 1 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 I 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 a Inst all liabilities, judgments, costs, and expenses which may if way ccrue against said County in consequence of the granting of this pe X Date Signature of Applicant — Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ MA2 OFEES IMP FL000 COF PAR EL 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 above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. WHITE-D.P.W.. YELLOW-A3SE3SOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Gordan Yates Permit #1108-85 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 959E5 - Telephone 916/534-4541 Y APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER I l�^y ` r TELEPHONE S:t - SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE _! CONTRACTOR'S MAILING ADDRESS I %a +i1 1. C j J I r f Fireplace CONSTRUCTION LENDER J -- UNKNOWN Total Valuation Is Filing LENDER'S MAILING ADDRESS Fee Permit Fee $ 10,00 $ ARCHITECT OR ENGINEER LICENSE NO. ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee Penalty Permit fee $ $ $ BUILDING ADDRESS •. f PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installations Other ❑ Describe work: %'r 1 ' J — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 2�120sgit 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 No. ' Classification r ❑ 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 -RES,D. SINGLE OUTLET CIR. Ex. Occu zO@soQ P�o OR FIXTURES BAL030Q FIXED A PLNS Ex. Occup. EOOUTLETS (RESID IK p' 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 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 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. t — X 4' L' J Date i " ' Signature of Applicant — Owner El 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 $ TOTAL PERMIT FEE $ i OCCUP. GROUP I TYPE OF CONST. PARCEL P= This permit is herebyissued under sions of the Butte Cunty Code and/or work indicated above for which DIRECTOR OF PUBLIC . f, By PERMIT EXPIRES Date thea applicable Provi- resolutions to do fees have been paid. WORKS Date Receipt No. l� WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT //off-�s� S- 3 - � 5 J-�/�� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION -AND PERMIT PERMIT NO. S ASSZ50R PCCEL NUMBER — O Jv,^'BUILDING ZONING PERMIT OWNER TELEPHO E r 0 �z" .533- 3 OWNE 5 MAI IN ADDRESS as i 7-,A W df-oJ' L -L t SQ. FT. OCC. BUILDING V iQ . CONTRACTOR'S NAME TE EPHONE wi;ffi C_ CONTRACTOR'SMAI LI`JG ADORE S ICJ G� . //," /%011 5 Eire L(L� — Fireplace 12r�1A CONSTLEaaaaDER UNKNOWN LENDER'S MAILING ADDRESS Total Valuation $ Filing Fee Permit Fee $ 10.00 $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar Water Heater 20.00 JO.0 Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home ISI G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallationZ Other ❑ Describe work: _ SOL r!LS�/1 f�C�2 Permit Fee $ 130. 00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 NEW CONST. DWELLING OCCUPM OR ADDNS. ACC. BLDGS. 2IhQSgft 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 a ect. License No. 34A Cv 45 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 NON-RESID R BRAN' -H CIRCTITS 2.50 ea NEw CONST R. ( POWER APPARATUS &) NON .RESID. \ SINGLE OUTLET CIR. Ex. Occup(o XTS OR FIXTURES 20@509 DAL@30 IED PLNS Ex. Occup. OUTLETS IRESIR D )EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑/ 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 subjec- to the W. C. laws of California. Notice to Applicant: if after making this statement, should you become subjec 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 10.00 Heating Cooling Hood 3.00 Ventilation �f Permit Fee $ Contractor 1 certify that -I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree t save, 'ndemnify and keoe less the County of Butte against all liabilities judgn is osts, and as which may in any way accrue against s id ounty c ce ofnting of this permit. y_/O!_O� X Date i� DD Signature of App Dant — Owner ❑ Contractor ❑ Agent P4. 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 $' TOTAL PERMIT FEE $ I nn OCCUP. GROUP TYPE OF CONST. PARCEL PO No Is E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which /DIREVCTOF PU LIC BY P I XPIRE Date the applicable provi- resolutions to do fees have been paid. WORKS Da e Receipt No. �• WHITE-D.P.W., YELLOW•A59E55011, PI INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION -AND PERMIT PERMIT NO. S ASSF�SOR PCEL NUMBER O _ `J/1 M ZONING BUILDING PERMIT OWNER v �z'E TELEPH0E x.33- SO. FT. OCC. BUILDING V L-l�A i0iV OWNE S MAI INq ADORE ss DDRESS s Qff CONTRACTOR'S NAME s e r%l g n� TELEPHONE ' Qp/ CONTRACTOR'S MAILI G ADDRE S Fireplace CONST IA'LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO.. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS W% PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 _Q Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF.eDuplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home I S I G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti I i t i e s ❑ Instt�al lationZ Other ❑ Describe work: sce-. a me fti'7£2 _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service io°o AMP ORV OR LESS10.00 Main service EA. ADD -L too AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 21/4sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business20@SOS and Professions Code and my license is in full force and a ect. License No. li C0 45 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 NO N.RES'D BRANCH CIRC ITS 2,50 ea NEWCONSTR. (POWER APPARATUS & NON . RES I D. (SINGLE OUTLET CIR. Ex. Occup(o OR FIXTURES BAL@30C FIXED A PLN R OCCUp. Ex. OUTLETS RESID )EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑/ The permit is for $100.00 (valuation) or less. tom( I have placed on file with the County of Butte Building Department Q� 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 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. less the County of Butte against I also agree t save, 'ndemnify and keeDeg all liabilities judg is osts, and s which may in any way accrue against s id ounty c ce of nting of this permit. X �1 Date Signature of App (cant — Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ � on OCCUP. GROUP TYPE OF CONST. PARCEL PD No Is E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO F PU LIC By z�2Receipt P I X P I R E Date the applicable provi- resolutions to do fees have been paid. WORKS 1 Da e No. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT