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HomeMy WebLinkAbout078-260-0370'-7 03"7 ig +1 00-0023 ROBERTS, BETTY 4820 L. WYANDOTEE, OROVILLE CONTR: HEAL PLUMBING GAS METER F1,V46 313/100 00-0622 ROBERTS, Betty 4820 Lower Wyandotte, Oroville� Cntr: CAA of B.C. Wall Heater G�N�L 3/3//00 '�""'niYw`++tt>,�'a.A••k•'L'J„i;:.N.'.s',�!79'•�t"t�5�':tL::?i3'+�,!i�+�q��,.:.�.xZ�,..�fii:r''/T'�.oyEp!4iTae'' =t .s• --__,;.r ,.. s.: A 0360$1-014 ' 00-0023 ROBERTS, BETTY 4820 L. WYANDOTEE, OROVILLE CONTR: REAL PLUMBING GAS METER iF COPY D at�� I mate - 7 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSCbRIiQJdCQ�Q1,UH,B§fir l`JJ,,�� JJ ll.,�l'i} jj L� ZONING BUILDING PERMIT OWNER �rrl~rY TELEPHONE SO. FT. OCC. BUILDING VALUATION DWNFA'S0I26 i°c` 'R WYANDO'I"IT ROW, OROVILLF CONTRAC1V PEAL P11MM, M, �5 Te345N 2142 CONTRACTORSMAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING M25S LOWER WYANIX}'t'I'F RD, nRCT�ILLF Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF [R Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other M Describe Work: =�TFATO Gas piping system 1 - 5 outlets 15.0015.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ 35.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service ' A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I 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 Professions Code, and my license I full force and effect. r� License Class J Lic. No. �7 3 1 1� 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 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. 8 ACC. BLD S. SO 3.5QFT, , r.= MULTI.OUTLET @7.50 POWER AFPARATUS 8 SINGLE CIS. R FUTURES Ex. Occup. OUTLET OR FD(TUREs 20@ 1.00 BAL @ w Ex. Occu . °Flx�e A o) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE s WORKERS' COMPENSATION DECLARATION I 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. I/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' coApenpatipn insuranc arrier d policy number are: Carrier Policy Number,'– -4 If AJ '7 L, / - 7n (The above sections need not be completed if the 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' cogrpensation laws of California, and agree that if I should become subject to the w rk s' compensation provisions of section 3700 of the Labor Code, I shall f rth ith comply with ose rovi i s. X Date o CW _ Si at a of Applicant - ❑ Owner ❑ ConVactor ❑ Agen An OSHA permit is required for excavations over 5'0" deep and demoli on or construction of structures over 3 stories in height. 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 HAZ. D. FEES IMP I FLOOD I CDF PARCEL FD HD I ISSUE This permit is,hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for w. ch fees have been paid. t gate PERMIT EXPIRES ON eta Receipt No. V } WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO. (Rev.12/96) i - - f* APPLICATION AND PERMIT a- M al ASSESS06!ffE'i J BT -014 ZONING BUILDING PERMIT OWNER BETTY Y ROBERTS BET TELEPHONE SO. FT. OCC. BUILDING VALUATION °WNIS'M!ffl LffftR WYANDOTTE ROAD, OROVILLE co" TRfft HEAL PLUMBING TELEPHO 345N 2142 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING4M" , LOWER 14YANDOTTE RDOROVILLE LU Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF R Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ UBlities ❑ Installation ❑ Other J] Describe Work: GAS ETERnF�prTION Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 Mobile Home I S I G I W n920.00 PERMIT FEE $ 35.00 ELECTRICAL PERMIT Fling Fee 20.00 V LE Main Service . k OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I 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 Professions Code, and my license I f f fce and effect. Q License Class �o Lic. No. / S 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 Main Service 200A TO 1000A 46.00 NEW CONST. DWEWNO OCCUCUP. SO OR ADDNS. ( DV; ACC. BLDS. 3.5QFT. Er @7,50 NON-RE°SIDT' MULTI.NMI. POWER APPAR U a SINGLE °VTLEr SIR. 0 .00 EX. Occup. OUTLET OR FIXTURES BAL @ I. 0 PP Ex. Occup. O FIXEDS IRRM.°.11. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ 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' �ompensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I 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' co en eti n insurance,carrier gqd policy number are: Carrier �0•��JL�, I Policy Numbe , IA/ -- 1) J\ (The above sections need not be completed if the 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' CID ensation laws of California, and agree that if I should become subject to the w rk rs' compensation provisions of section 3700 of the Labor Code, I shall f rth ith comply withihoserov' i s. X ate 1 Z�bO Sig ia@—re of Applicant - ❑ Owner ❑ Contractor ❑ Agen An OSHA permit is required for excavations over 60" deep and demoli on or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEIE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 35.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for w 'ch fees have been paid. / �� 0 y / ate 6 / PERMIT EXPIRES ON l —� ate Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION y 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. w Al HIP\■ ■A ALT1/►aI A lLgA 0%9-9%0 ■IT (Rev.12/96) 1 Arm NIIVIVANDPERRAIII ASSESSORPARCELNUMDB 3 g' mNN° BUILDING PERMIT OWNER TRAVWNE SO. FT. OCC. BUILDING VALUATION OWNEAa MAL AD Co C O0NrRACr0RT MUM ADDRESS CONBTFAJCTLON UNDER LPrDEAa MUNG ADORM Fireplace Total Valuation S ARCMRECT OR EMNM UCEME NO• Flin Fee $ 20.00 Permit Fee $ AACMff T OR ENMEERa MAUNG ADDRESS Pian Checking Fee $ SULDNe ADDRESS Energy Plan Checking Fee S S PERMIT FEE i LAT NO. SUBDIVIBDMS NUE PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF O Duplex 0 Mobilehome O Other ePecwr Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New O Addition O Remodel O W4ties O Installation Describe Work: I7 Other O Gas piping system 1 - 5 outlets 15.00 � 6 — Building sewer 15.00 Mobile Home I S G IW (920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Feel 20.00 Main Service :"oo'vi, on Liss 23.00 -- Main Service 2"► TD 1000A 48.00 NM CONST. DwELLNo OCCUP. 3.52so. OR ADONS. i ACC. BLDG. NON•T. RESID. MULTI-OUTLETRANCH CIRCUM (97.SO POWER APPAAATU8 i SNOLE OURET CIR. Ex. Occup. OVnZr OR WMES a .'00 BAL .SO Ex. Occup. OV JA o. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 2000. Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee b- occ corsT. TYPE TOTAL FEE $ NA2. D. FEES IMP 11000 1 COF PARCEL PO NO 16SUE -;�f 5-6 3 z{ 3 S� This permit is hereby Issued under the applicable provisions of the Butte County Code end/or' Resolutions to do work indicated above for which fees have been paid. By PERMIT EXPIRES ON Date 9 036-081-014 00-0622 ROBERTS, Betty .4820 Lower Wyandotte, Oroville .. .. ,-. ,.•m,--a,-.'+�eyr.�, ..ss; .., �s�.•lOo�vv�l�SaA6''iilyR�f+mS':'��?'•�!F�f!oRi;� �rra':'.. ,:.�w .. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SE'RVICgS - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538 -7r -Al PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT nP0901 ,. ASSESSORWNERI_OI4 ZONING BUILDING PERMIT OWNER B�„�„ R��F'R,I T i l SO. FT. - OCC. BUILDING VALUATION OWNERS %niODffftR WYANI) M,, OROVILLF COWRACTQij¢ Mf6f, COUNTY TELEPHONE CONTRACT 6#Y ti 3M, ffH AVF STIJIT 2, OROVILLF CONSTRUCTION LENDER NOW Fireplace LENDER'S MAILING ADDRESS - Nf)vv Total Valuation $ ARCHITECT OR ENGINEER - LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT��S[J¢�NEERS MAILING ADDRESS , ■lJlIC Plan Checking Fee $ BUILDING ADDRESS E Energy Plan Checking Fee $ $ PERMIT FEE $ LOT No. SUBDIVISION'S NAME PARCEL MAP n PLUMBING PERMIT Fling Fee 20.00 Each Trap J 7.00 USEOFSTRUCTURE SF IT Duplex ❑ Mobilehome ❑ Other sPECIFv Solar or heat pump water heater 23.00 Water piping15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other EX Describe Work: WALL "ATR Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoO, OR LESS 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 Professions Code, and my license is in full force end effect. License Class - I Lic. No. r j a � 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 I 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. ©/f 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' compensgtion insurance carrier and, policy number are: Carrier J. / A o 11,4 � .4 ,4 ~� �f� Ju � f Main Service zooA T o 46.00 NEW CONST. DWELLING OCCUP. SO CC 3.5¢FT: OR ADONS. ( a P. NON-RESIp.' MULTI -OUTLET �a 7,50 PGWER APPARATUS 8 SINGLE OUTLET CIR. 200 100 Ex. Occup. OUTLET ORFDTTURES BAL 50 Ex. Occup. oFurE�°TS ES OR 5.00 R Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00. Heating Cooling Hood 6.50 Ventilation PERMIT FEE s 35.00 Policy Number /_,,a ? :T -,2.'I_ (The,above sections need not be completed if the permit is for work of a valuation I` of one hundred dollars ($100) or less.) 0`". 1 certify that in the performance a work for which this permit is issued, I shall note loy ny person in any m n r_ sQ_ t6 becoTr+ subject to workers' comp ws f Cal'rfoinie a ree t'rf I should b come subject to the workers' compensa bili' prAuigjo�s o sec n 3700 of the bor Code, Ishan forthwith comply with those provisibn;� X 4 Date Sigj _ture of ppli arit__1❑ Owner Co ac or ❑ Agora An OSHA permit is required for,,excavation deep and den%II 'on or construction of structures over stories in height. ;' Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE 3 5.W ` ,. TOTAL FEE $ .` J 00 HA2- D. FEES IMP ��: _ ,. FLOOD CDF .PARCEL' PD HD SSUE This permit is hereby. issued under the applicable provisions t e.06 Code and/or Resolp ons to do work indicate above fdr whic fdesJhav_e beentpaid. y (".':;&l ti ate PERMIT EXPIRE S(ON,' i � 7�./ ra � ReceiptNo.-' WHITE-D.D.S.-B.D. C A SOR K- SEC AOR GO ENROD-APPLICANT J COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.12/�) `� APPLICATION AND PERMIT OD- OCv;?� ASSESSORP,pRE',ELNMER1-014 ZONING BUILDING PERMIT OWNER BETTY ROBERTS 33 2007 SO. FT. OCC. BUILDING VALUATION OWNER'S Tnd"MWR WYANDOTTE, OROVILLE CO NTRACTZX06F BUTTE COUNTY TELEPHONE "NT'T0�'6 nCM 5TH AVE SUITE 2, OROVILLE CONSTRUCTION LENDER NONE Fireplace LENDER'S MAIUNG ADDRESS NONE Total Valuation Is ARCHITECT OR ENGINEER NnNE LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCH1TECT.jaij���J�Q#V4EERS MAIUNG ADDRESS 1�Jj Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing 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 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑X Describe Work: WALL HEATER Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W1 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 "00OR LE Main Service .1V1 OR 23.00 LICENSED CONTRACTOR'S DECLARATION I 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 Professions Code, and my license is in full force and effect.��TT License Class g — I Lic. No. l 9 01..0 I b 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 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP.SO OR ( a ACC. BLos. 3.50x; ,CON S MULTI -OUTLET NPN q °. DT H CIRCUITS @7,50 POER APPARATUS & SINGLE OUTLET CIR. Ex. OCCU OUTLET OR FIXTURES SA20 L@ 1'00 � Ex. Occup. oIFIT�IEEDTS�610.°EA .@ 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ 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 pftAormance of the work for which this permit is issued. have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permitis issued. My workers' ompens on Ins"up rice carrier and polic umber ar Carrier '4/6 AIAALtiA �b!/ MECHANICAL PERMIT Fling Fee 20.00 Heating 15.0" Cooling Hood 6.50 Ventilation PERMIT FEt S 35.00 Policy Number /So23$2'Z— (The above sections need not be completed if the 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 I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwit omply with those provisions. X D�4�ate S ure of App ant - ❑ Owner 11 Contractor ❑ A t An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 35.00 HAZ. I D. FEES IMP I FLOOD I COF PARCEL I PD I Ho I ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicate above for which fees have been 1 y Pate PERMIT EXPIRESON � ID provisions to do work paid. n 11 to Receipt No. WHITE-D.D.S.-B.D. CA -NARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TTS i'ZoQ E7ZTS TELEPHONE S33 -goo? SQ. FT. OCC. BUILDING VALUATION owNERs wNG AD ss .Cou.Fr �4 VDor7)— CONTRACTOR'S NAM `nAA � 13 1C C � TELEPHONE CONTRACTORS MAILING ADDRES a G o ue s rre , ZnavaLje CONSTRUCTION LENDER W tI tv T - Fireplace LENDER'S MAILING ADDRESS No N G Total Valuation $ ARCHITECT OR ENGINEER MuNrG LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS ot•IF- Plan Checking Fee $ BUILDINGADOR SS Energy Plan Checking Fee $ t^jfLOvll- \t= ca - 9 J- 4 G - PERMIT FEE $ LOT NO. 7SUBDMISIDNS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation K Other ❑ Describe Work: .7N- %ALCed &UA1,L �-�Q �e a0 VL'D -jh-0L - AL &- Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200.,OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I 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 Professions Code, and my license is in full force and effect. / License Class to/ 7a o %3 - [ 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 ,Performance of the work for which this permit is issued. C3" I 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' compepsation insurance carr and policy number are: Carrier 4/ti4d /� '��' A01-47"t—PERMIT Policy Number -S ZZ_ (The above sections need not be completed if the 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 I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ 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 ,000A 46.00 NEW CONST. OWEWNG OCCUP. SO .50SO OR ADDNS. ( a ACc. Bins. 3.5¢FT: NONEW R.'. MULTI.OUTLET @7.50 POWER APPARATUS a SINGLE OUTLET CR. OUTLET OR FDCTUREs Ex. Occup. BAL O +.50 Ex. Occup. OFUTIEEDTSA R6 16.ES 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating (7 Cooling Hood 6.50 Ventilation FES $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ , HAZ. D. FEES IMP FLOOD CDF PARCEL PO HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT