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