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HomeMy WebLinkAbout078-230-0460 WARREN GREENWALD �► 5381 Crestridge Dr, Oroville Contr: Waible AC, Oro g lmisoj Permit#3765-80E,M(replace htg & cooling �LysteIOSF ontr : Mauldin & Sons plumbing ,F/y/v Permit#1262-83P(replace water heater)SF yPermit��2795-83B.(-rer316 repair " p porch/c� 01 is ENGINEERED WOOD PRODUCTS 1986B I7e 1849P-I1622P © �- vents 2 j `7g 0-0 Cre-.v a w Lot -#106, Las Plumas Park, Oroville (plan 61 �. (new, single family) �3 ASDL. �n AwAmo.� �' �.I c+' G, ����_� Y+ _� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLIGKTIUW AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT9 Filin Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition [:1 Remodel ❑ Utilities ❑ Installation E] Other ❑ Describe work: — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100 AMP ORV OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.&\ OR ADDNS. ACC. BLDGS. I 20sgft 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) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI.OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR. /POWER APPARATUS &1 NON -R ESID, SINGLE OUTLET CTR. / ESID.CUP( Ex. O OUTLETS OR FIXTURES 50 @ � OR FI. BAL@IOS FITOR Ex. Occup.(OUTLETS (RESID.) EA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 3.00 WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 2.00 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 ❑ 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 $ Land Development Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date,—' � ) ' Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION -AND 'PERMIT PERM?1TO. OA ASSESS -Pt -L NUMBER ✓BUILDING 5(o ZO�Iy,G PERMIT OWNER mg+�/liEC- d LD TELEPHONE SO. FT. OCC. BUILDING VALUATION OWN R'S MAILING ADDRESS CONTRACTOR'S NAME /4/ TELEPHONE 1'33-�iz� CONTRACTOR'S0� G A% D RESS vice. �vD. C NSTRUCTION LENDE UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS D,e PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping L T NO. ®�D SUBDIVISION NAME PAEk- &4S pL-V l�,4s !"AEA— MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF [� Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Instal ation❑ Other Describe work: e_&PL�%3'C6 `7 rmit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 600v OR LESS 100 AMP OR LESS 5•00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. OR ADDNS. ( DWEACCLBLOGS.OCC UP.&) 20sgft 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 Professi n Code and m license is in fI ,I ore and effect. �� y jam' � 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 CONSTR. MULTI -OUTLET 2,50 ea NO N.RESI D, BRANCH CIRC ITS NEW CONSTR. /POWER APPARATUS &1 NON-RESID. %SINGLE OUTLET CIR. / SO@25C Ex. Occup(o OR FIXTURES BA 0S FIXED TS (RES. OR IXED APPLNS .0 Ex. Occup.(ouT LETS (RESID,) EA,) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 � Z Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 3.00 WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ® I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating T0,000 OQJ Cooling 3T_ 00 Hood 2.00 Ventilation 1W. Permit Fee $GPO 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 agains ounty ' consequence of the granting of this permit. X Date /7-19'?/ �() Si ature of Applicant — Owner El Contractor W Agent n 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 $ Land Development Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP TYPE OF CONST, I 1PARCIZI-1714.1 ISSUE This ermit is hereby issued under sio s f the Butte County Code and/or w rk ndi t d above for which .� ECTOR OF PUBLIC PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS I, Date 7—/ -0 7^2-7WT_ Receipt No. -31� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 3765-80 y. 2795-83 W. Greenwald COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICKTION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBEER// 1�i ZONING BUILDING PERMIT OWNER /_V t r ley TELEPHONE SQ. FT. OCC, BUILDING VALUATION 11 �' l __ ' OWNER'S MAILING _ADDRESS f . %• 1 CONTRACTOR'S NAME - r+ TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER `' AlFiling UNKNOWN Total Valuation $ Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 2.OF), ARCHITECT OR ENGINEER ) // ')'� P LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS � 1 (7 � ` � f � 1 PLUMBING PERMIT Filin Fee 10.00 9 Each Trap 2.00 - Solar Water Heater 20.00 l r Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF D" Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 W Mobile Home S G 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities❑ ,` Installation❑ Other Q Describe work: �� Y k1 �) r )A �^ + Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 ' \� _ Main service EA. ADD -L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. Zth�Sgft (� CONTRACTORS LICENSE LAW I declare under penal ty''Of perjury (check one): El 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) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW.CONSTR ULTI.OUTLET 2,50 ea NONR ESID BRANCH CIRC ITS NEW CONSTR. (POWER APPARATUS W NON-RESID. SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES SAL030 FIXED APPLNS. OR EX. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 *ORKMEN'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. OI shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner EJ 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 $ `i. �� TOTAL PERMIT FEE $ A OCCUP. GROUP I TYPE OF CO.ST.-F I PARCEL I PD HD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date t / Receipt No. � � � WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND'PERMIT PE MIT 5-4 ASSESSOR PARC NUlBEji4' //YY//��__ ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING V LUATION OWNER'S MAILING DRES$ 3 32 P e -- CONTRACTOR'S NAM lo V TELEPHONE 3-- ;Z z CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ , ARCHITECT OR ENGINEER ALM LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 r� Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SFEEKDuplexFl Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home JSJGJWJ In! TYPE OF WORK New ❑ Addition ❑ Remodel [�i U ' 'ties ❑ Installatlgn Other Describe work: IP �(1-� '`�' 11 [l W N T_—V1 �tMain 12— Permit Fee $ Contractor ELECTRICAL PERMIT FflingFee 10.00 service e0ov OR LESS ES 100 AMP OR LS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 2Ihdsgft ONTRACTORS LICENSE LAW 1 declare under pe 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) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. U TI -OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEW -CONSTFL /SINGLE OUTLET CIR. POWER APPARATUS &) NON RESID. Ex. OCCUp(OUTLETS OR FIXTURES BAL@30 FIXED APPLNS. OR EX. OCCUp- OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 ORKMEN'S COMPENSATION INSURANCE I declare and natty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgmen s, costs, and expenses which may in any way accrue against said County in onse ence of the granting of this permit. Q C Date �'�fio- 3 Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which CTA OF PUBLIC By ° PERMIT EXPIRES ate the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. 1 80 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Deyartment of Public Works 7 County Center Drive, Oroville, CA. 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-534-4541 An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit No building permit will be issued until this verif ication.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 av /have not) perm t for the proposed work. signed an application for a building 3. I have contracted with the following person (firm) to provide the proposed construction: Name fJ O N 2 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 S igned : Property Owner Social Security number Date .9— /(b 'S 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 permitted to issue the permit. S Y-s� � / �� V CLi COUNTY OF BUTTE - DEPARTMENT OF PU,BLIC WORKS PERMIT NO. 7 County Center Drive - Oroville; California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER .16 , 56 _ q& ZONING BUILDING PERMIT OWN iR� 71,!„A, ` C7,e6_, A ne /GA/�' TELEPHONE SO. FT. OCC. BUILDING VALUATION MMAILI(/ERR',NGADDRESS OWNER'S CON/'.[/% L01 E PL Uti/�✓ " TELu HiyS"/ C 7.T R„A TOR'S MAILING ADDRESS �WU/�L /LJIENN,DER S Fireplace CONSTRUCTION UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINE LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING, ADDRESS w����C PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 _ fJiWV�GG[.! Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 6,00 Gas piping system 1 - 5 outlets 5.00 r� USE OF STRUCTURE SF I�O Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition ❑ RRemodel ❑ Utilities ❑ Installation ❑ Other Q -'Contractor Describe work: lZ -- Pt 1460 01)-5 Permit Fee $ s f?T7 ELECTRICAL PERMIT Filing Fee 10.00 Main service 100v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. // DWELLING OCCUP.& OR ADDNS, l ACC. SLOGS. 2t/20sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): I am licensed under provisions Of Chapt. 9, Div. 3 of the BUSIne$S jjk4 and Professions Code and my license IS In full force and effect. License No. :wry � Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI.OUTLET 2.50 ea NON•RESID BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS & NON•R ESID. SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 9 ®80Q A FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Fr Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabiliti-es, judgments, costs, and expenses which may in any way accrue against saiCounty,in.consequence of the granting of this per 11 X f•` '�'�// f/ S •� _ Date 4 g�ture o: Applicant - Owner ❑ ContractoroR—Agent Elwor`k An OSHA permit is required for excavations over 5'0” deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ occuP. GROUP I TYPE OF CONST. PARCEL PO I D I ISSUE This permit is hereby issued under sions-of the Butte County Code and/or iridicat above for which ECTOR OF PUBLIC B�yv* �riw"r � PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date JC -.3.& Receipt No. �2 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California195965 - Telephone 916/534-4541 APPLICATIGI AND PERMIT PERMIT NO. I ]/(1'�`j\ U ASSE✓=A✓��=NR ZONING BUILDING PERMIT OrA1 C ^/ /� TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S M/AIFF//LLI�II)NG ADDRESS / //M oldCO/7R)IJ/I/ (7�,(, / OR'S MAI ADDR-ED'S p� 5'� 4 /2A V1Z& Fireplace CONSTRUCTION LENDERUNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING A DRESS Permit Fee $ ARCHITECT OR ENGINE LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS ,539 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 OOt) Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF Ia-- Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home FS7 G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: 2CPLC �/— Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10ov OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.., OR ADDNS. ( ACC. BLOGS. t 2/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): i�" I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. y License No. � �+AL)� Classification 6-16 ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR.( ULTI-OUTLET 2,50 ea MON-RESD BRANCH CIRCUITS) NEW CONSTR.POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. Ex. Occup(o OR FIXTURES eALmsoa zAL030 FIXED APPLNS. OR FIXED A EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabi ' judgments, costs, and expenses which may in any way accrue agai s unty ' consequence f the granting of this perm't. 1 Date s 3 i ature Applicant — Owner ❑ Contractor�,gent ❑ An OSH permit is required for excavations over 5'0" deep and demolition or construct -TOR ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST, PARCEL PD HD ISSUE This permit is hereby issued under sio the Butte County Code and/or wWicove for which OF PUBLIC IPERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. �.4 �B WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT