Loading...
HomeMy WebLinkAbout078-220-054g "map_ Q SUE MORRIS 14 Rosita Way, Oroville Con.tr__:_ :North,. Stgte..Roof.ing. , Permit#2356-86B(reroof/SF) �6-aZrr % 4066-90B,E SPARKS, Susan 14 Rosita.Way, Oroville Contr: John Wheeler Const (repair fire damage/sf) �J) 02-195(I!AL SPARKS, SUE ED14 ROSITA, OROVILLE� .0 CONT: BEN SPARKS C/O SHOWER PAN 0 5'I :n.�_L'i'•.-•.�. • �:M ��...-wr$, �.-�3�.c•os:+�srt: •' `�s�:,�.n ai?' f�f."-='•ti :..-;«:r-rx-���m� r,m� ens:*: �. oma. I 036w550-054 M-1955 SPARKS, SUE 14 ROSITA, OROVILLE CONT: BEN SPARKS C/O SHOWER PANS s k COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7.`41 PERMIT' fVp. (Rev. 12/96) APPLICATION AND PERMIT U2-1955 ASSESSOR PARCEL NUMBER 036-550-054 ZONING 1 BUILDING PERMIT OWNER SUE SPAUS TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 14 S VTLLF 95966 CONTRACTOR'S NAME BEN SPARKS TELEPHONE 1589-0784 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF 4 Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.001S•� Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other] Describe Work: CHANGE OUT SHOWER PAN Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE $ • ELECTRICAL PERMIT Filing Fee 20.00 Main Service 20.*AORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profes�i6' Code, and my license is in full force and effect. /-� � License Class Lic. No. r r ez OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and poh�y number are: Carrier Policy Number :z Z '= l t cr -- (The above sections need not'be completed iftfie. mit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fo with comply with thos provisions. X � ...r--- ���%• -'' Date �T .' C►.•�''' Si nate of Applicant - wner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO IOooA 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a Acc. Bins. 3.5¢FT: NON RE NS T.MULTI-OUTLET CIRCUITS @7,50 POWER APPARATUS 8 SINGLE OUTLET Clq. 20 @ 1.00 EX. Occup. OUTLET OR FIXTURES BAL @ .50 FIXI Ex. Occup. OUTLEETS (RES.) EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 35.00 FEES IMP I FLOOD I CDF PARCEL I PD I HO UE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated ab rve for which fees have been paid. B t� :r 1.: Date V� 1 PERMIT EXPIRES ON a� —7 - -" Date Receipt No. • WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ri (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMEN— SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 959657 • Telephone (530) 538-7M1 1955 APPLICATION AND PERMIT PERMIT N0. ASSESSOR PARCEL NUMBER 036-550-054 ZONING BUILDING PERMIT OWNER SUE SPARKS TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 14 OROVILLE 95966 CONTRACTOR'S NAME BEN SPARKS TELEPHONE 589-0784 CONTRACTORS MAILING ADDRESS HILL,60 AMBUSH CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. ARCHITECT OR ENGINEERS MAILING ADDRESS Filing Fee Permit Fee Plan Checking Fee $ 20.00 $ $ BUILDING ADDRESS Energy Plan Checking Fee I PERMIT FEE $ $ S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF 4 Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other] Describe Work: CHANGE OUT SHOWER PAN Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I s I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 E00Y OR LESS Main Service 20.AORLPSS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of hapter 9 (commencing with Section 7000) of Division 3 of the Business and Profes, ons Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the �C performance of the work for which this permit is issued. r 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workerslp�ie_QsationAsurance carrier and y number are: Carrier Policy Number Z - — (The above sections need not be completed Me permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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 workers' compensation laws of California, and agree that if 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fo with comply with thosf provisions. / X -� � Date i r_V Slgnatur of Applicant - Q40wner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service TO 46.00 W:U200A NEW CONST. DWEWNG OCCUP. CCU OR ADDNS. ( a ACC. S. SO 3.5¢FT_ µp°�,pT' MUITI.OUTLET 97,50 OWERLE APPARATImFTUS PSINGOCIR. 6ourLETORFaruREs 20 @'.0° Ex. Occup.BAL @_.50 Ex. Occup. OfluXT>Frs RESID.OE. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 35.00 HAZ. D. FEES IMP FLOOD CDF PARCEL I PD I HD UE This permit is hereby issued under of the Butte County Code and/or indicated a ve for which fees have B PERMIT EXPIRES the applicable provisions Resolutions to do work been paid. Date Date Receipt No. 00 WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Permit#2356-86 Sue Morris 14 Rosita Way COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT A _ ASSESSOR PCEL ZONING BUILDING PERMIT OWNE J TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNE 'S MAILIN DDRF�S_� CONTA TOR'S N -t IME 60VD rSt TELEPHONE COj�T�:ACT R'S M I G ADDRESS ®/f"i),[ _ Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee .$ Energy Plan Checking Fee ` $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 SOV Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF W Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00ea TYPE OF WORK New ❑ Addition ❑ R del ❑ tl lities ❑ InI`a,�io ❑ Other K Describe work: VICf ��i � Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR011 OR LESS10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty I y (check one): of perjury am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions d a my license is in full for a and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.a , oR ADONS. ACC. BLDGS. 2/20sq ft New CONSTR ULTI.OU7 LET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS .&) SINGLE OUTLET CIR. Ex. Occu / 2AL030 p(O OR FIXTURES eAL030 IXED A Ex. Occup. OUT ETS P(R ESI D.)LNS RE A.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin 15.00 g Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. �Nhave 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. Contractor MECHANICAL PERMIT FiIingFee 10.00 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilitie judgments, costs and expenses which may in any way accrue against s County in conse of a ranting of this permit. %� �' Date i--���C, Signature of V011cant — 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 $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP, CONST.TYPEJ FLOOD PARCEL I PD ND 390E 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. ?DIRE C F PUB ORKS A1 91 B '� Date PERMI EXPIRES Date Receipt No. WNITE-O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT -..��. �[ "A7Ki': v:'•''ig !". ^'�:wf .• -'r- . -. . :.T.Si;y}•:rv'� :.. .,bi..'TS�R:�.;y:i y. �,. � -�;"; :i+ � .,.. ,Y .. - Cw� `r.. -t ..-.+. • - + ar-•.r .✓N � 's -.'•Cy ,$�"` r•""r •: Y ' .)at�,'•.A'ti^'•jr'�L�'.I>:.'n' 36--55-54 4066-90B,E `! SPARKS, Susan i 14 Rosita Way, Oroville Contr: John Wheeler Const } (repair fire damage/sf) ` r 07 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroviller 6alifornim 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PTNO jn66_(4 ASSESSOR PARCEL NUMBER 036-550-054 ZONING R1 BUILDING PERMIT / OWNER SUSAN SPARKS TELEPHONE 533-7235 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 14 ROSITA WAY OROVILLE 95965 C ONTRACTOR'S NAME JOHN WHEELER CONST TELEPHONE 534-5449 CONTRACTOR'S MAILING ADDRESS 5078 LARKIN RD, OROVILLE 95965 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is 4800.00 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 50.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 14 ROSITA WAY, OROVILLE Permit fee $ 60.50 • PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF El Duplex❑ Mobilehome❑ Other FIRE DAMAGE REPAIR SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ® Describe work: REPLACING 6 RAFTERS & SIDING AREA 20 X 10 ELECT — 1 LIGHT, 1 PLUG Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1001 OR 0 AMP ORLESS10.00 Main service EA. ADD'L 100 AMP 2.50 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 y Code and my license is in full force and effect. _ License No.rG/9 Classification—� 1�-,f7 -� 1, 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) F -1I, 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.& OR ACDNS. ( ACC. BLDGS. / 2h¢sq ft NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CRC ITS 2.50 ea /POWER APPAIRATUS s) (SINGLE OUTLET CIR. Ex. OCCUp(CUTLETS OR FIXTURES 20®80C eALO 30 FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ 5• 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 FiIingFee 10.00 Heating Cooling g 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. X j/ / C,O i`�-- Date rl [� Signature of Applicant — Owne. Contractor. Agent ❑ An OSHA permit is required For excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST TYPE TOTAL FEE $ E 85.50 HAZ cuA PARK SCHL PAR PD Ho Issu This permit is hereby issued under sions of the Butte County Code and/or work Icated above for which fees DV16R OF P LIC %!/7' PERMIT EXPIRES Date the applicable ovi- resolutions to do have been aid. p WORKS Date I1 Receipt No. 84602 WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERM T N9, 7 County Center Drive - Orovile, California 95965 - Telephone: 916/538-7541 �—n APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 036-550-054 VONT G ti R1 BUILDING PERMIT OWNER SUSOWNER'S SPARKS TELEPHONE 533-7235 SQ. FT. OCC.1 BUILDING VALUATION VALUE 480-0-T.70-9- 80 .014 14ROSITA WAY OROVILLE 95965 CONTRACTOR'S NAME JOHN WHEELER CONST TELEPHONE 534-5449 CONTRACTOR'S MAILING ADDRESS 5078 LARKIN RD OROVILLE 95965 Fireplace CONSTRUCTION LENDER UNKNOWN C Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 50.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 14 ROSITA WAY OROVILLE Permit fee $ 60.50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF (1] Duplex❑ Mobilehome❑ Other FIRE DAMAGE REPAIR SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home ISIG W 10.00e TYPE OF WORK New❑ Addition [I Remodel❑ Utilities❑ Installation❑ Other® Describe work: REPLACING 6 RAFTERS & STDTN T AREA 20 X 10 ELECT - 1 LIGHT, 1 PLUG Permit Fee $ 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 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. p License No. S , L2— Classification ,, Y,4 Y.y.A sc. T 1, as the Owner, Or my employees with wages as their sole compen- ation, 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 LIN OCCUP.E\ OR ADDNST (DWELG S./ 2+/z2sgft NEW CONSTR.ULTI.OUTLET NO N.R ESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. ) EX. Occup( OUTLETS OR FIXTURES P� 200500 eALvao FIXED APPLES. OR Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 15-90 Permit Fee $ 25.00 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. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g 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 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 agai Id County in cofsequence of the granting of this permit. r�r X7 �� Date Signature of Applicant — Owne Contractor Agent ❑ An OSHA permit isrequired 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 FEE $ 85.50 HAZ I CUA PARK I SCHL I FLO I PAR PD HD Issu s permit is This Hereby issued under sions of the Butte County Code and/or work icated above for which DI OF P PERMIT EXPIRES Date the applicable p resolutions to do s have been paid. WORKS n Date 1 ho Receipt No. 84602 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT PRE -INSPECTION i OWNER: �, cc -J �>11�1,2fc� S . DATE // — Z6— %16 LOCATION: / �f (n S / ��9 (-,j A.P. # 3 2( STD- CONTRACTOR: ,i a �� P�y U,rx.� Cos ZONING. ----------------- PRE-INSPECTION FOR: DATE TO INSPECTOR 7-27• 7'0 PERMIT HISTORY: E NONE VL AS FOLLOWS: 2— TYPE TYPE OF OCCUPANCY ----------------- FIELD -'INFORMATION BUILDING USAGE: TENNANT: CCUPIEDHAS ELECTRIC F=-�, GASS ,SANITATION FACILITIES FATED -COOLED PERSON CONTACTED OTHER COMMENTS: 12 ly "-5 st/ ti CYP , )A- l t7Z w 2 'TO ZACTIO RECOMMENDED: U 1JSUE Q 'Alvawx HOLD FOR BY DATE COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oro hale, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 03 ZONING BUILDING PERMIT - OWNER TELEPHONE3� 7O0••CC�� SQ. FT. OCC. BUILDING VALUATION r—- OO OWNER S MAILING A ES _ / d CONTRACTOR'S NA E T LEPHONE CONTRACTOR'S MAILING A KESS �, �� Fireplace CONSTRUCTION LENDER UN NOWN Total Valuation $ Y 7, o L9p f.� Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER- LICENSE NO. Plan Checking Fee $ ' Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit tee $ PLUMBING PERMIT Filing Fee 10.00 /�- ✓ Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME - [PARCEL MAP ,Water piping ' " 5.00 Each gas water heater or vent 5.00 USE OF STRUCTURE SF_,ET" Duplex❑ Mobilehome❑ Other/✓���rl� /�L=%(' SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S*J G JW 1 10-00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other,5r Describe work: _�r f�i9<Y�G 6\ 2.0 v /� tLr-cid— L— Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS100 AMP OR LESS 10.00 Main service EA. ADD•L 100 AMP 2.50 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 No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec.. 7044)' -. - " �' Eli, as the owner, am exclusively contracting with licensed contract- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.DWELLING OCCUP.h OR AOONS. ( ACC. BLDGS. / , �20sgft WCOCONSTR. MULTI -OUTLET BRANCH CIRCITSPOWER 2,50 ea APPARATUS &) (SINGLE OUTLET CIR. Ex. OCCUP( OR FIXTURES 20 0 50t 2ALOBo DAL@30 FIXED APPLNS. Ex. OCCUp. OUTLETS RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. bYirin g 15.00 Permit Fee $ 2 S, d Q 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. Contractor MECHANICAL PERMIT Filing Fee 10.00 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. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ i 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 FEE $ Op S S HA2 t7A PARK scHL FLo I PAR PD I Ho I ISSUE This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. WHITE-D.P.W., YELLOW-A33E330R, PINK -INSPECTOR, GOLD ENROO-APPLICANT