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HomeMy WebLinkAbout078-220-056FAILURE TO FINAL FIREPLACE INSERT 4/23/93 Xa'!i ah C"So�lJq �TATTIE -SEARS 10 Rosita Way, ORoville Contr: George Roofing PErmit #1283-88B(reroof/SF) 6 91-,4 2 3.5— . SEARS, BOYD I' CONTR : OWNER 10 ROS I TA WAY, OROV I LE FIREPLACE INSERT/SF I Dp 1A L; 56 � � _ --- - , . - 1 G� a o �� 1 !�� � i A � � o o � VIOLATION CHECK LIST A.P. # -3� — 55 - 5 Address , /0 , �� , OA-&V�L 9- )Fiv S - Owner 62� /410-� z -t7` / Owner's Addre s ,a-r-� Owner's Phone No. 5f 3 —8 3 go Supervisoral District Tenant's Name Phone No. Type of Violation in Detail with Code Section Priority No. P -3 Specific Plot Plan with C/V Noted _yes no Penalties Required 1st. Notice Sent q112 J72nd. Notice Sent ate Date Comments and/or Determination 4-b� / s r f�S/�j a - 111A 114�� Disposition For Citation Citation Date) (Date) Department Recommendation to Court Court Action 11 Notice of Violation Recorded (Date iL 1t 036-55-0-056- 91-4235' .SEARS, BOYD CONTR: OWNER 10 ROSITA WAY, OROVILE FIREPLACE INSERT/SF 'a - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ✓ 7 County Center Drive - Orovlllo, California 66068 - Telephone: 916,'538.7541 .� APPLICATION AND PERMIT PERMIT NO. 91-4235 36-55-56, BUILDING PERMIT Boyd -Sears 533-8340 30. FT. 000. BUILDING VALUATION WN 10 Rosita WaX. Oroville 95966 N M O W nee -- Owner TELE HONG[ CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 1 $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 30.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS t 10 Rosita Way, 0roville I Permit fee $ 45.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 { t 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 Building sewer 1 E Mobile Home S G W @ 15.00 TYPE OF WORK { NewAddition[-- Remodel❑ Utilities [I Installation❑ Qther}Q Describe work: type A fireplac a insert # _ ' Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 18.50 200A OR LESS Main service 200A TO 1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BUSlness and Professions Code and my license is in full force and effect. License No. Classification I 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) ❑ 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.&\ 3.64 sq. OR ADDNS. ( ACC. BLDGS. // ft. NEw CONSTR ULTI.OUT LET NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS & (SINGLE OUTLET CIR. 764 Ex. Occup(OUTLETS OR FIXTURES AL. 454 .P FIXED AP Ex. Occup. OUTLETS (RESID A.) I 3.00 )RE Temporary service 15.00 Mobile Home Facilities 15.00 Misc. byirin 9 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. �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 15.00 Heating Coolin g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in'conse ue ,of the granting of this permit. r 1 X Date ( ir ' " Signature of Applicant — Owner Contractor ❑ Agent ❑ t. An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height.DIRECTO- Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE ,S 45.00 HAz I DFEES I IMP I FLOOD CDF PARCEL PD HD Is This permit is hereby issued under the applicable provi- sions of t utte County Code and/or resolutions to do A A , work ied abode'fpr which flees Piave been paid. )• t70PI, (OF PUBLIC WORKS ff By 1 /1 ,F,�f�Z/P71 Date PERMIT -EXPIRES Date Il) Z/14) 100) _ - 10:3535 Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT • COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE ER 701 A routine inspection indicates that the following violations of Butte County Ordinanceg exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. C u l _�—t-7!//e /42. /ii/ Date t✓ Sk f lt-- Inspector r REV 11/91 l 1 A' A 9 o� A Hattie Sears 10' Rosita tiay ` -" Oroville, CA 95966 RE: Building Code'Violation' 10 Rosita May, Oroville Dear Ms. Sears: April 27, 1993 A.P. #: 036-55-0-056 This is a courtesy notice to notify you that you are in violation of the Butte County Code, as follows, at the above referenced location: Failure to obtain final" -inspection prior to use and permit expiration for fireplace insert. Since permits and inspections are required for the above work, apply for the required permits to make corrections and complete project and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to' proceed. ' This field authorization cannot be made until the existing work is inspected and approved. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty 30) days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have questions concerning this matter, please contact David Purvis or Bill Barron in this office at the address or telephone number listed above. JFG:dms cc: Assessor Yours very truly, David Purvis Manager, Building Inspection COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/536-7541 APPLICATION AND PERMIT PERMIT NO. 91-4235 ASSESSOR PARCEL NUMBER 36-55-56 ZONING + ' BUILDING PERMIT OWNER Boyd Sears TELEPHONE 533-8340 S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 10 Rosita Way, Oroville 95966 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 1,500 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 30.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 10 Rosita Way,Oroville Permit fee $ 45.00 PLUMBING PERMIT FiiingFee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL 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 ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: type A fireplac e insert _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200V OR LESS 00A OR LESS 18.50 Main service 200A TO IOOOA) 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 .Jo. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUPM OR ADDNS. ( ACC. BLDG S. _37.50 3.64sq.ft. NEW CONSTRULTI.OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS s (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 76 20 46 FIXED APPLN R NS. O Ex. Occup. OUTLETS (RESID.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 9 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 f Consent to Self -Insure. 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 1 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Cou y i onse ue f the granting of this permit. %� Date Iq r signature of licant — 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 Ener Inspection Fee $ 9Y P occ CONST TYPE TOTAL FEE $ 45.00 I HAz I DFEES IMP I FLOOD I CDF I PARCEL PD HD IS This permit is hereby issued under the sions of t utte County Code and/or work I IC ed ab f which DIRE FAfi UB By XP PER T "VIRES Date applicable provi- solutions to do s ave been paid. RKS Date b1101? I Receipt No. 103535 WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT _ 1 t^. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET �� Permit No. OWNER A.o. 1 — Proposed Building Use �l`f fi ��5� Building Inspec ��;�_Date/� At�7t mit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED .l items havebeen submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... ` 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspect Otor her c/� Applicant Date 1;__1601 Copy of ! .az-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---nail—counter by .date Contractor, designer, owner, was advised of above required data by—phone —mal l_counter by date Plans checked by Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916,'538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR P E NUM RZONING lj 6 BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S ILIN;, f / CNTR CTORJS NC(A//E TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ (], Uv ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 6� Permit fee $ 61 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 ❑ Remodel ❑ Utilities ❑ Installation[] Other Describe work: / / �/ ��%2 ��� _ 1N -Sr—_X-7– Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 18.50 200A OR LESS Main service 200A TO t000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑NON•R 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. ClassificationRAL. '❑ 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.>c� 3.64 sq.ft. DR ACDNS. \ACC. I -OUT NEW RES,., ULTI.OUTLET @ 5.00 ESID BRANCH CIRC ITS POWER APPARATUS a SINGLE OUTLET CIR. Ex, OCCUp(OUTLETS OR FIXTURES20 76d 0 4544 FIXED APLNS. Ex. Occup. OUTLETS IPRESIO.IREAJ 1 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. Wiring 9 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. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate ^f Consent to Serf -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 15.00 Heating Cooling Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Si natuA Applicant re of 9 pp – 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 $ , a� !. HAz 7ES IMP I FLOoo I CDP I PARCEL PD 1 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._ l n3s5 .MITE-D.P-W„ YELLOW-A3e[330R, PINx•IN9P[CTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: _ An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. '4. ,I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Security Numbe Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. V Permit#1283-8f HATTIE SEARS 10 Rosita Way, Or( /z-1411 -7 1 /L111-', 1w rr��:,�ti .,►/, �...�,�-� � � w � p�� �, cam,,.., 5 � � f'� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION - AND PERMIT PERMIT NO. , ASSESSOR PARCEL NUMBERZONING BUILDING PERMIT OWLNER TELEPHONE S0. FT. OCC. BUILDING VALUATION OWNER'S MAI (/V , t CfO.NTT,RACTOR'S NAME, TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER/w NKN UOWN Total Valuation $ ;0_1025 LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ,-2��a ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ ,E..' , Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS An /t0/ A A-016 <'j 7.4 124041 Permit fee $ 4�d0 PLUMBING PERMIT Filing Fee 10.00 1iQ 'i 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 rr�eff USE OF STRUCTURE A SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel[ -]Utilities [:1Installation❑ Other E]Permit Describe work: nn 01/1, Kc, Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1000V OR 0 AMP ORLESS10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): f I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professtjon�s(Code and/ my license is in full force a d effect. License No. 7 1�,��0 -. j�rj' ❑ 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) 6 ❑ 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 OC CUP.s , OR ACDNS. (ACC. BLDGS. /zQsgft NEW CONSTR MULTI -OUTLET LET NO N.RESID BRANCH CRC" RC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES .200501 Classification Ex. OCCUp. OUTLETS (FIXED PRESID )REA.� 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. bVirin 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. ❑ 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 becomesubject 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue againnss%tos`aid County in consequence of the granting of this permit. Z1Q' X +!w��✓7/ �XL Date , 2S —�O Signature of Applicant Owner ❑ Contractor Q Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 storiesin height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ c,25, 00 occuP. CONST.TYPc IFL0001PARCELI PD ND S9UE 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. /L..5 / 1/ WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT v COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PER N0. 7 County Center Drive - Oroviile, California 95965 - Telephone 916/534-4541 APPLICATIOPANCI TERMIT ASSESSOR PAR NUMB ZONING BUILDING PERMIT o 4 T LEPHONE S3-7— D SQ. FT. OCC. BUILDING VALUATION -7 -6 o 0 OWNER'S MAI G ADD=RESS /6.51 i�vi/ CO RACTOR'S NAME ) TELEPHONE CON ACT 's MAILING ADDRESS � JO x 9 U1 . P Fireplace CONSTRUCTION LENDE UNKNOWN Total Valuation Is /00 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 ADD ss 2 7W 11246;1 Permit fee $ 15,60,610 PLUMBING PERMIT FiIingFee 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 SFA Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home JSJGJWJ 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel Utilities ❑ Installation❑ Other ❑ Describe work:f GL 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 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 Professio s, Code a/nd my license is in full orce and effect. D � �— . 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.N OR ACDNS. ( ACC. SLOGS. , /20sgft NEW CONSTR. MULTI -OUTLET NON.RESIO BRANCH CIRC ITS 2.50 ea POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES eA 0 o Ex. Occup. OUTLETS 4RESID.)FIXED APPLNS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 - Misc. byirin 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. Tvi I have placed on file with the County of Butte Building Department �l 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify4and keep harmless the County of Butte against , and expenses which may in any way accrue all liabil'Llis, judgm „ts�Sueince agains aou of the granting of this permit. X ��ZS ��� Date Signature of Appl'cwner❑ Contractor � Agent Elwork an — O 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 $ ca?$, OU OCCUP. CONST.TYPEJ FLOOD PARCEL PD ND ssuE This permit is hereby issued under sions of the Butte County Code and/or indicated above for which ECT UBLI BY PE T XPIRES Date the applicable provi- resolutions to do fees have been paid. RKS at l,) — Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT