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HomeMy WebLinkAbout078-230-028U I '3� O aS WYNOKA HOMESkP 56-56��/ /�?S t +t 1 U '3� O aS WYNOKA HOMESkP 56-56��/ /�?S a I,as Plumas Ave., lot 6g, ro Permit# 2[,,96-75B(new SF) I ' i/a� - - CONTR: 4 Gridley Plbg. P rmit# 3119-75P(for 24.96-75) - - /d /-//ps 5(3-56=20! CO R: CONTR: Huggitt Elec, Oroville Permit# 4406-75E(for 2/,96-75) AP 36 56 Permit 4356-75M (Mech. for 2496-75) contra Sweems AC Oro vil e B08-0898 f MISCELLANEOUS 078-230-028 Re -Roof REROOF W/COQ, (I 1) 2330 LAS PLUMAS AVE HARVEY HENRY W ,R &, U 0 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION(IVR)#: (530) 538-4365 OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 2330 LAS PLUMAS AVE Owner: Permit No: B08-0898 APN: 078-230-028 HARVEY HENRY W JR &, Issued Date: 05/15/2008 By KEJ Permit type: MISCELLANEOUS 2330 LAS PLUMAS AVE Subtype: Re -Roof OROVILLE, CA 95966 Expiration Date: 05/15/2009 Description: REROOF W/COMP (11) (530) 533-8242 Occupancy: Zoning: RI Contractor Applicant: Square Footage: G & R ROOFING G & R ROOFING Building Garage Remdl/Addn 2587 NORD AVENUE 2587 NORD AVENUE CHICO, CA 95973 �CHICO, CA 95973 Other Porch/Patio Total (530)894-6537 (530)894-6537 FEE INFORMATION DBMSC Re -Roofing $119.00 Total Charged: $119.00 Fees Paid: $119.00 Balance Due: $0.00 Receipt No: B7361 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License G & R ROOFING 877008 / C39 / 04/30/2008 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 om (cmenc' with Se . n 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) s in full f and elle of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 05/15/2008 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's Signature Date ❑ 1, 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 WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or perfo nce of the work for which this permit is issued. improve for the purpose of sale.). HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, by ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED as required CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the State Fund 713-0004266 10/01/2008 Carrier: Policy Number: Exp. Date: Contractors License Law.). (This section need not be competed if the permit is or once con rimed dollars ($100) or less.) ❑ I AM EXEMPT under Section B. & P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California, and agree that if I should become subject to the workers' X 05/15/2008 co nsation pr i ions of Section 3700 of the Labor Code, I shall forthwith comply with those Owners Signature Date P, X ] 05/15/2008 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Sidhitde Date WARNING: FAILURE TO SECLI/WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. WARNING: FAILURE TO SECU WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnity, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused arising out of, in any way connected with HUNDRED THOUSAND DOLLARS $100,000 , IN ADDITION TO THE COST OF COMPENSATION, ( ) t is the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the a DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND yof any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte use5tnp ATTORNEY'S FEES. Cohe above mentioned property for inspection purposes. I hereby certify that I am the Prr am authorized to a the property owners behalf. UcJ F} 1�1 05/15/2008 CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Wme of Permi a IGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) OwnerContractor OR; E]Agent for Owner FJA en for Contractor FILE COPY Lenders Address City State Zip .` BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES PERMIT BUILDING PERMIT APPLICATION" NO. OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds BIN # PLEASE PRINT CLEARLY "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. OWNER INFORMATION Last Name r / a First Name0DV 0 Mailing Address Z _V 3 Lc�,s l u � tali City© O `� State —A Zip 7 D v !TS5O 53 � ,� Fax E it CONTRACTOR Name 6 0 X Q G Address 1, \ CityCA At C F, > State 6A "p1'59;73 P 89 —A. P 5,5o 3�5-7 -mail Lic. # 8) ,>Og Class G . � APPLICANT INFORMATION ARCHITECT/ENGINEER Name Cityo roo f , ` 6 1 Address Zips! City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name &,4 W, V Address��� Cityo roo f , ` 6 1 State „ /I �7�� Zips! �1--3:? 3 � ®) Fax -mail APPLICANT SIGNATURE t X PROJECT LOCATION AP# Property Xffdreh city i`0'iJZAl6- G' r WORKER'S COMPENSATION Policy Number -Too o Vz 6 - Carrier v If hiring anyone other than licensed contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK. r ez,>4,W S T- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy Il (Note previous use): For office use only: Zoning Flood Zone SRA I Yes I No Occ. Type Const. :1 PERMIT NO. 296-75R i P E M MH UTIL. PERMIT NO. PERMIT EXPIRES —5-7(o OWNER WYnoka Homes CONTR. LOCATION (A.P. 36-56-28 ) Las Plumas Ave., lot 68, Oroville ;a l .a i 4 p a J 1 yTemp. Power Pole t Called PG&E v Y Temp. Elec. Serv. % Z Called PG&E _.r Temp. Gas Serv. Called PG&E JOB FINALED (Date) x� (Signal e) I r� a THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT REGULA- TIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: Street Lot Number Tract No. EXTERIOR WALLS � ,, Manufacturer Thickness/Type �� �� /� e'y1 R Value / CEILINGS Batts: Manufacturer Thickness / R Value Blown: Manufacturer _/ Thickness <�� No. Bags Wt./Bag Sq. Ft. Covered R Value , FLOORS Manufacturer Thickness/Type R Valu,- SLAB alue SLAB ON GRADE Manufacturer Thickness/Type R Value Width of Insulation --dnches FOUNDATION WALLS Manufacturer Thickness/Type R Value GINER NP,< LICENSE No. , S BY �. ®. Box 16 — DATE T - 2517S INSLII.A CON C ' a�►il'o, Co i H�Q,�IeVJ- §3WWkATION CO. LICENSE No. 215 925 BY TITLE/ DATE-- / ��r_ DATE REMARKS OR CORRECTIONS 9 / 7 `/� 0 a /5709 d9f�ii r -7 CC G/ -Stir e7 _- Z COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall - 4 Soil Piping 7- Forms _ Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows - // 7j 3rd Floor Stemwall Sidino To out / - Slab Roof Sheathing / Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures 7�S Footings Garage Vents , Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances - Carport Footings Conformance of ex. j� structure I Gas Piping & Test Z 7 Temp. Gas 2. — Slab Final 1 I Sanitation Patio FIREPLACE M Final -'7 Footin Footing ELECTRICAL Masonry Walls - Throat Rough ' Reinf. Steel Final Fixtures - Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Sub anels Mesh "Z- % MECHANICAL Grd. Fault Prot. Scratch i Heating Service 4 -"7•J Brown - Z 2_ Cooling Z - 7 Temp. Pole Finish Z - y Ducts Underground Interior Lath e, 011,rd,a ko Ventilation Permanent Door Closer % j. - 6 - -Z Final y 4 Final DATE REMARKS OR CORRECTIONS 9 / 7 `/� COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 r APPLICATION AND PERMIT11_*1' S135 6 - 2j- authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. x Date F X?_ Signature of itee or Agent Receipt No.� White-D.P.W. - Yello r — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. ECTO i0F PUBLIC WORKS Pp By _ Date 21,111, J iruffiRWpermit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION ' Mailing Add( ss Telephone No. Fireplace Contractor� Total Valuation Mailing Address ao Permit Fee Plan Checking Fee &/or Penalty Telephone3 (7 Permit Fee Building Address G/� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 310,kj,Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. - �— Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe4s- 1p4,18 -Sran tea I Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma p 60' R/W Improvements p Lawn sprinkler system 2.00 g. a Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® ELECTRICAL No. @ FEE PERMIT FILING FEE J$3.00 Main service incl. 1 meter ,P,Aft— 7 Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 20d2 Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: / 5- 1tf� Hood, Ex. Fan or F. A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. -� 51";U Classification 2-'D Misc. wiring ❑ 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. j� I have placed on file with the County of Butte a certificate of y� Workmen's Compensation Insurance. ❑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 the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 3,00 Heating -Z) /71 OQ Cooling /14e7400 C 3 100 Ventilation Hood 2.00 n� Permit Fee $ r $ �- 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 TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. x Date F X?_ Signature of itee or Agent Receipt No.� White-D.P.W. - Yello r — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. ECTO i0F PUBLIC WORKS Pp By _ Date 21,111, J iruffiRWpermit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 11/ 7 County Center Drive— Ofovi Ile, California 95965 `—� Telephone: 534-4541 / APPLICATION AND PERMIT ps/ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X_A_ 1 �(�}rlGQ/ Z_V-k l E Date Zg ,,��%4 ,Nnature of Permitee or Agent Re�eipf No. 3, 15FV —7 White-D.P.W. _ Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS �j By +� Date O u�J Building permit• ;2 9V BUILDING Owner O SQ. FT. OCC. BUILDING VALUATION Mailing Address D6 Te hone No. Fireplace Contractor v L � Total Valuation Mailing Address Q v Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Ay Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 cP� Each gas water heater or vent 1.50 A. P. No. (O 'r ,r� `� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Im movements p Lawn sprinkler system 2.00 Bfdt�-Rhna-RVt-ad I Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 ,f%0 A— Q , Main service incl. 1 meter 7, O� Additional meters, ch 1.00 Sub -panel (12o ess) (more than 12) Single Family Duplex ❑ Mobil Home ❑ Others ❑ Ran e, Cook -top or Oven 1.00 !io Water Heater or Space Heater 1.00 Light fixturesZ�y01 �2 3, Da Rea ., swit s & fix "et / CONTRACTORS LICENSE LAW 1 am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of.: / r / &:3 g / 4,/,[� / a� L/7- Hoodd, Ex. Fan or F.A. Furn. Motor 1.00 iew EyTp. cooler, gar. disp. or D.W. / 1.00 , p4 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. 5rD Zp Classification b Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $,7D is WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Wo en's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit ,is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X_A_ 1 �(�}rlGQ/ Z_V-k l E Date Zg ,,��%4 ,Nnature of Permitee or Agent Re�eipf No. 3, 15FV —7 White-D.P.W. _ Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS �j By +� Date O u�J Building permit• ;2 9V I/ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORK 7 County Center Drive. . , Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspectio urposes. P-� Date —7S / Signature of Permitee or Agent Receipt No.-,,/ 72<5;5 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Co sand/or resolutions to do work indicated above for w h f s have een paid. CT OF PUBLIC WORKS By Date 7� �uild ng permit expires -Date BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor 6-2AJDLEY RYM&UaTotal Valuation Mailing Address L Permit Fee Plan Checking Fee &/or Penalty 6 B D zes� 2---)r Permit Fee Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 010 `/ / 2.1 3AQ 19t LAS Ly S (/ Each Trap a' 1.50 )-2,0 C) ® Repair drainage or vent piping 1.50 Water piping 1.50 %, 5 0 Each gas water heater or vent j 1.50 ), JPO A. P. No. —,56^-2 EB Zoning & Planning Gas piping system 1 - 5 outlets 1.50 ), Each additional outlet .30 SaffRe"n FireDept. Fire Zone Use Permit Building sewer / 5.00 p(� EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Im rovements p Lawn sprinkler system 2.00 B ans ec'd I Parcel Approval Plans Approval Permit Fee $ SQ,.$2_4 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 UU9BjAk Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) - Single Family ® Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures601%210 Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions o Chapter 9, Div. 3, of the State of California BusiooA & Pro ns Code under the name style of tv Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 -� License No,��� 7��^� Classification �'3j� Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ave placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit ,is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $4 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspectio urposes. P-� Date —7S / Signature of Permitee or Agent Receipt No.-,,/ 72<5;5 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Co sand/or resolutions to do work indicated above for w h f s have een paid. CT OF PUBLIC WORKS By Date 7� �uild ng permit expires -Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC W RKS 7 County Center Drive . OroviIle, California 95965 QS Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned operty for in n purposes. X $ignatu a of Permitee or Agent -7 Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF UBLIC WORKS BY Datero —.5 71 ?ilding permit expires Date '�s� BUILDING Owner ifrir. WC SQ. FT. OCC. BUILDING VALUATION Mailing Address 0 Telephone No. Fireplace Contractor Total Valuation Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Z Building Address�, PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. 3 C� "- 5 to _ Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F W. . S,6Afln FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel a P 60' R/W ImprovementsLawn sprinkler system 2.00 g�,9nse c'd Par Approval PI pproval Permit Fee $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) - Single Family [9 Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bol%2150 Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar, disp. or D.W. 1.00 Air conditioner_ or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 r License No. �1l 7.1W� Classification Misc. wiring ❑ 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of � Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit ,is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned operty for in n purposes. X $ignatu a of Permitee or Agent -7 Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF UBLIC WORKS BY Datero —.5 71 ?ilding permit expires Date '�s�