HomeMy WebLinkAbout078-270-0359`70
AP -7,
OYD KLEIN 19,6107co'A-Al
31 Oro Bangor Hwy, Orovi Ile
P 7 9-7 no
Perini �di t /*,,- 8 5B(covered - rch, siding,
r�
f
remodel & windows(adTit-ion)
;vW1/fjJr/-P� AR 96 072 12 --
Permit 3718-75B
(add'l Sidi alum. w'f"hdows & orch
EeRoval)
LLOYD KLEIN
f�j'
Permit# 43675B itroof
sh�ck)
-94-0992B
TONICK, CHERYL'
3124 ORO BANGOR TWY, OROVILLE
CONT: CUSTOM BUILDING BY GEORGE
REROOF/.$F
4_i6 6om2-04!,2 PERMIT#95-2575
TONICK, Cheryl
3.124 Oro -Bangor Hwy, Oroville,
Cont; George Webb
Fnd/SF
996 94 L-"2 99-0188 B
HOLE, Donald R
3124 Oro Bangor Hwy,,Oroville
(demo outbuilding)
V _
4
4
' (036-07-2-012 99-0188 B
HOLE, Donald R
3124 Oro Bangor Hwy, Oroville "
(demo outbuilding)
, "j)r
t
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSF,S$OR PARC MBER
ZONING
BUILDING PERMIT
°W�NAL?) R HOLE340
TELEPHONE
`� —
SO. FT. OCC. BUILDING VALUATION
500
OwTF 'utTf9%! R ITWY, OROVILLB
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAJUNG ADDRESS
Total Valuation $ JUU
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
35-00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
""'ITWINO
BUIIQIWO BANGOR HWOR
INY, OVI=
Energy Plan Checking Fee
$
$
PERMIT FEE
S
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other 0TTMUILDING
SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IT,
Describe Work: DLM 20 R 25 OUT BUILDINC
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
1@120.00
PERMIT FEE
S
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service io.AoR.ss
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 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:
. 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 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 TG
46.
NEW CONST. DWELLING OUP.
EL CC
OR ADONS. ( & ACC. BLDS.
SO
so
3•50FT.
rLET
NON -R S o. ' MULTI
@7.50
PSOr APPARATUS
a sINGLE oLJTLEr cIR.
IXT
Ex. Occup. OUTLET OR FIXTURES
BAL Q 20 L.50
Ex. Occup. OFlxLJTIFis R D °EA,
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirina
23.00
PERMIT FEE
S
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
r O. 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 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 f ose provisions.
F
X L. _ A _ Date h � _
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Age
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ _45.00
NAZ.
D. FEES IMP
FLOOD
CDF
PARCEL
PD
HO
ISSUE
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.
By Date
PERMIT EXPIRES ON
/ ," (Da to)
Receipt No. ;1_10
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
N
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754y, P O•
(Rev. 12/96) APPLICATION AND PERMIT- ���
AS$�S�Qi, P?J'fL 2!!n 2
ZONING
BUILDING PERMIT
OwMNALD RL HOLLE
TE 533E 9340
SO. FT. OCC. BUILDING VALUATION
500
OWnrIU D` ANGOR HWY, OROVILLE
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filen Fee $
20.00
Permit Fee $
15 00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUIJTnDRRO BANGOR HWY, OROVILLE
l (,F
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobitehome ❑ Other OUTBUILDING
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 IX
Describe Work: DEMO 20 X 25 OUT BTTILDTNG;
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home ISI GI W1
920.00
PERMIT FEE $
ELECTRICAL PERMIT
Fling Fee 20.00
600VOR LES
Main Service 2o.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 is in full force and effect.POWER
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
it 4Z 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
Mein Service tow TO IOooA
46.00
NEW CONST. OWEWNG OCCUP.
OR ADDNS. ( 8 ACC. BLD..
SO
3.5ttFr.
No NEOSIIDDT MULTI -O%,1
97,50
APPARATUS
8 SINGLE OUTLET CI R.
EOOUTLET OR FIXTUREs
Ex. ccu
00
SAL @': o
Ex. Occup. ouTTEEis R D°Esa
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirina
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'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
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 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 oserovisions.
_
X Date -�z -i �
S ature of Applicant - Owner [3 Contractor ❑ Age t
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $
HAZ.
I D. FEES
IMP
I FLOOD
I CDF
PARCEL
I PO HO
ISSUE
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.
By -L— Date
PERMIT EX RES ON LO 103
ate
Receipt No. O
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
v<
C-<
CIN
Irl
4
7,
7
V�
Demolition Permits
Asbestos Notification Statement
Date ZZZ
AP#
Pursuant to section 19827.5 of the California Health and Safety Code, all
demolition permit applicants are required to fill out this form.
"19827.5: A demolition permit shall not be issued by any city, county,
city and county, or state and local agency which is authorized to issue
demolition permits as to any building or structure except upon the receipt
from the permit applicant of a copy of each written asbestos notification
regarding the building that has been required to be submitted to the United
States Environmental Protection Agency or to a designated state agency, or
both, pursuant to Part'61 of Title 40 of the Code of Federal Regulations,
or the successor to that part. The.permit may be issued without the applicant
submitting a copy of the written notification if the applicant declares that
the -notification is not applicable to the scheduled demolition project. The
permitting agency may require the applicant to make the declaration in writing,
or it may incorporate the applicant's response on the demolition permit appli-
cation."
Attached is a copy of my written asbestos notification to the United States
Environmental Protection Agency for the demolition project located at
Signature of Applicant
6R
I hereby declare that a written asbestos notification to the United States
Environmental Protection Agency is not applicable to this demolition project.
Signature ofApplica'nt'
2/19/91
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville. California 95965 • Telephone (530) 538-7541 pEFilrtlT NC
cRe�►.12�e1 APPLICATION AND PERMIT
BUILDING PERMIT
OWN",/ Tam-? " SO. FT. OCC. BUILDINq VAI 11A
�A Nc7 / � � .. /,74o/o— 1,:� '?? , d 3 4,rn
N
uw Aoaassa
/ Q U n /\D Rte. _ ..i
O
w
ov
ooMMACTolrs rwsi
48.00
raoNa
OR Awns. a ax.NEW euu
3.SCfeOr
nonanm ' �uu}ovru:T
W�–
so
aPws1 �=o
Ex. Occup. OVW OR forrwe
yu 01.00
Ex. Occup. ov 1�Ds Q a
5.00
ooNfRAC oe" rauwo �ooaas
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
ooNsrnucnoN uooa------------
MECHANICAL PERMIT
Fling Fee
Heating
Cooling
LEMBr:wasioAMV=
8.50
Ventilation
Fireplace
Total Valuation $
ucerce►a
Filin Fee
S
20.00
master ow 040DOms MAL=Acaess
Permit Fee
$
Plan Checkln Fee
$
suaoxo�oo�
Energy Plan Checkln Fw
i
�. c
PERMIT FEE
S
CDC
uffmm
PAWAMw'
PLUMBING PERMIT
Filing Fee
20.00
USEOFSTRUCTURE
Each Trap
7.00
�Olhsr
,J n
Solar or heat um water heater
23.00
SF 0 Duplex 0 Moblls#tans
r-
Water to
15.00
Each as water heater or vent
15.00
TYPE OF WORK
Gas piping r/stern 1 - 5 outlet
15.00
New 0 Addition 0 Rers al 0 tJO1Mss 0 Irmialadon 0 Other '
Building sewer
15.00
Describe, Work:
P
Mobile Home I S I G I W
020.00
PERMIT FEE
S
ELECTRICAL PERMIT
Fid 'Fee
20.00
Main Service u"'voa olwe
23.001
1
Main Service soap To 1oom
48.00
HM GUMT. owatw ooeua
OR Awns. a ax.NEW euu
3.SCfeOr
nonanm ' �uu}ovru:T
@7.50
so
aPws1 �=o
Ex. Occup. OVW OR forrwe
yu 01.00
Ex. Occup. ov 1�Ds Q a
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
_
MECHANICAL PERMIT
Fling Fee
Heating
Cooling
Hood
8.50
Ventilation
20.00 1
PERMIT FE1= I S
Mobile Home Instanatlon Fee i
Energy Inspection Fee L
oco CONS-. TfPE TOTAL FEE $ _73.5.0 6)
wkZ 10. FEE91 WP I P-000 I 00f I PAAM f0 10 —1
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.
By Date �—
Receipt No. PERMIT EXPIRES ON
' 6•
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541PERMIT NO.
)
APPLICATION A14D PERMIT r� r 5 -
ASSESSOR PARCEL NUMBER 036-072--012
ZONING AR
BUILDING PERMIT
OWNER CIIERYI. TONICn
TELEPHONE
SO. Fr. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS 3124 ORO BANGOR HWY, OROVILI F, 95966
CONTRACTOR'S NAME C,EORGE WEBB
T -9487
CONTRACTORS MAILING ADDRESG O BOX 766!7 OROVILLE, 95965
j''(J
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 20.00
LENDER'S MAILING ADDRESS
Permit Fee
$ .
ARCHITECT OR ENGINEER
LICENSE NO.
plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGMr�R ILING`AI)DRESS
Penalty
$
BUILDING ADDRESS,r f
s
PERMITFEE $ 53.00
4 `
I�'-
PLUMBINGPERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
y.
SUBDNISION'S NAME
PARCEL MAP
Solar or heat pump water heater
23.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.0-0
Building sewer
15.00
TYPE OF WORK I
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: 20' FOUNDATION
—
Mobile Home I S I G W 1 920.00
PERMITFEE $
Contractor
ELECTRICAL PERMIT Filina Fee 20.00
Main Service000V OR LESS
( z00A OR LESS )
23.00
Main Service ( 200A To 1000" )
46.00
LICENSED CONTRACTOR'S DECLARATION ' �
I hereby affirm under penalty of perjury that I am licensed under provisio of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Profe ions Code,
and my license is in fu I force and ffect. /
License Class ,� Lic. No.
OWNER -BUILDER ECL ARATION
I herebyaffirm under penalty of perjury that I am exem t from the Cont a ors License
p ty p J ry p
Law for the following reason: -
❑ I, as owner of the property, or my employees with wages as their solecopensation,
will do the work, and the structure is not intended or offered for sa
❑ I, as owner of the property, am exclusively contracting with license contractors
to construct the project. I
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUR
OR ( 8 ACC. BLDS. )
so.
3.5¢ FT.
CNS.
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS )
97.50
( POWER APPARATUS )
6 SINGLE OUTLET CIR.
Ex. Occup. (OUTLET OR FURORES )
.00
aAL Q 1.00
50
Ex. Occup. FIXED(RESID.) tR . OR
OUTLETS. )
5.00
y Temporary Service r
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE
$
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a, certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation'insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number 7Mobile
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
CEJ" 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 workers'
compensation laws of California, and agree that if I should become subject to the
workers' co pensation provisions of section 3700 of the Labor Code, I shall
forthwith; mply with those provisions.
X f �� Date //
—' =----= "--{—�s�--
Signature-6f'Applicant - ❑ Owner151eContractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICALPERMIT
Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE $
Contractor
Home Installation Fee $
Energy Inspection -Fee $
GCC
CONST. TYPE
TOTAL FEE $ 53.00
HAZ.
1 D. FEES
IMP I FLOOD
I CDF PARCEL
I PD HO
ISS LI
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees have
PERMITEXPIRESON
applicable provisions
Resolutions to do work
been paid.
Dat
(Date)
Receipt No. f3 /C
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISI
7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 PERMIT NO.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 036-072-012
ZONING AR
BU1LP4hGPERMIT
OWNER CHERYL TONICK
TELEPHONE
SQ, FT. Oc BUILDING VALUATION
1,400-00
OWNERS MAILING ADDRESS
3124 ORO BANGOR HWY, OROVILLE, 95966
CONTRACTOR'S NAME GEORGE WEBB
TELEPHONE
32 9487
CONTRACTORS MAILING ADDRETO BOX 766 OROVILLE, 95965
i
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee $ 20.00
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 $
BUILDINGADDRESS
'1194 ORO BAN12,121R. M�IY
PERMITFEE $ 53.00
PLUMBING PERMIT Fling Fee 20.00
Each Trap 7.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar or heat pump water heater 23.00
USEOFSTRUCTURE
SFV Duplex ❑ Mobilehome ❑ Other
SPECIFY
Water piping 15.00
Each gas water heater or vent 15.00
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: —20' FOUNDATION
Mobile Home ISI G1 W @20.00
PERMITFEE S
Contractor
ELECTRICAL PERMIT Filina Fee 20.'00
Main ServiceE00Y OR LESS
( 200A OR LESS ) 23.00
Main Service ( 200A TO I000A ) 46.00
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 f I force and ffect. 3 7 /
License Class Lic. No. J
OWNER -BUILDER ECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
0 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
NEW CONST. DWELLING OCCUR \ SO.
OR ADDNS. ( a ACC. BUDS. / 3.50FT.
NEW CONST. MULTI.OUTLET
NON-RESID. ( BRANCH CIRCUITS ) @7.50
( SIPOWER APPARATUS )
a NGLE OUTLET CIR.
Ex. Occup. (OUTLET OR FIXTURES) �L @x:50
Ex. Occup. (ouFIXED
TLETS(RES D.) EA ) 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMITFEE $
Contractor
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.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(rhe above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
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 workers'
compensation laws of California, and agree that if I should become subject to the
workers' co ensation provisions of section 3700 of the Labor Code, I shall
orthwith ply with se p�ns,
X Date &
nat o 1' an - ❑ Owner ontractor ❑ Agent
An HA per It is required for excavations over 60" deep and demolition or construction
of tructures over 3�sstories in height.
MECHANICAL PERMIT Filing Fee 20.00
9
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE $
Contractor
Mobile Home Installation Fee $
Energy Inspection Fee Is
occ
CONST. TYPE
TOTAL FEE $ 53.00
HA2.
I D. FEES
I IMP I
FLOOD
I CDF PARCEL I PD
HD
ISS
his 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.
L,`_ Date�1 95
PERMITEXPIRESON
I (Date)
Receipt No. D
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
1
i"PERMIT NO. 3718-75B
it SEE 1489-75 ALSO
,S
P 3G3-7 s'
E
M
.,MH UTIL.
PERMIT NO.
r PERMIT EXPIRES
7C
OWNERLloyd Klein
CONTR. B]�BX
LOCATION (A.P. 36-072-12 )
3124 Oro—Bangor Hwy., Oroville
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
CaVled PG&E
Te p. Gas Serv.
Called PG&E
JOB
FIINALED
(Date)
.(Signa rf)
Setback
Forms
Main Bldg.
Footings
Stemwal I
Slab
Piers
Garage
Footings
Stemwal I
Slab
Carport
Footings
Slab
Patio
Footings
Masonry Walls
Reinf. Steel
Bond Beam
Framing
Stucco
Mesh
Scratch
Brown
Finish
Interior Lath
Door Closer
DATE
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd)
PLUMBING
Firewall
Soil Piping
Parapets
1st Floor
Restroom Finish
2nd Floor
Windows
3rd Floor
Siding
To out
Roof Sheathing
Water Piping
Roofing
Sewer
Fdn. Vents
Fixtures
Garage Vents
Water Htr.
Prov. for physically
• handicapped
Heaters
Appliances
Conformance of ex.
structure
Gas Piping & Test
Temp. Gas
Final
Sanitation
FIREPLACE
Final
Footing
EL
Throat
Rough
Final
Fixtures
FIRE SPRINKLERS
Motors
Test
Water Htr.
MECHANICAL
Heating
Cooling
Ducts
Ventilation
Final
REMARKS OR CORRECTIONS
Subpanels
Grd. Fault Pri
Service
Temp. Pole
Undergroun
Permanent
Final
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS���
7 County Center Drive —` Orovi Ile, California 95965
Telephone: 534-4541 /
APPLICATION AND PERMITv/
BUILDING
Owner ��e> ,
Mailing Address 1 7 y 0R b64 r,
If I e .phone No.
Contractor 2 .
Mailing Address
Telephone No.
Building Address 3t Z y C)rzo %3A#q ao i, #Lk/
A. P. No. — I 2. Zoning & Planning
F W. . S ire Dept. Fire Zone Use Permit
EQA I Parking Plans I Declaration p p Parcel Parcel Ma I 60' R/W I Improvements
NEW ❑
— I Parcel
ADDITION ❑
d -duo!
proval I Plans Approval
UTILITIES ❑ OTHER
Single Family 25 Duplex ❑ Mobil Home ❑ Others ❑
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:
SQ. FT. OCC. I BUILDING VALUATION
'e Qoo -SOCA •-
Sr C06-114-1
Fi places13*&tFtoltic
Total Valuation
Permit Fee
Plan Checking Fee &/or Penalty
Permit Fee
PLUMBING
PERMIT FILING FEE
Each Trap
Repair drainage or vent piping
Water piping
Each gas water heater or vent
Gas piping system 1 - 5 outlets
Each additional outlet
Building sewer
Lawn sarinkler system
Permit Fee
ELECTRICAL
PERMIT FILING FEE
Main service incl. 1 meter
Additional meters, each
Sub -panel (12 or less) (more than 12)
Ranqe, Cook -top or Oven
Water Heater or Space Heater
Light fixtures
Receps., switches & fix outlets
Hood, Ex. Fan or F.A. Furn. Motor
Evap. cooler, gar, disp. or D.W.
Air conditioner or heat pump
Water pump
Mobil Home Facilities
Temp. Power Pole
FEE
$3.00
1.50
1.50
1.50
1.50
1.50
.30
5.00
2.00
Misc. wiring
License No. Classification
I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $
MECHANICAL No. @ FEE
WORKMEN'S COMPENSATION INSURANCE PERMIT FILING FEE J$3.00
1 am aware of the provisions of Section3700 of the California Labor Heating
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 Cooling
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this Ventilation
permit .is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of Hood 2.00
California. 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
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
Date
$i ,lure of
Permit./o; Agent
Receipt No. �w -
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
TOTAL PERMIT FEE $ 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.
7—.5r DIRECTOR OF PUBLIC WORKS
By 001 Date ` loo, Z
7�
Building permit expires Date 62, z
0
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC R �/� �_��
r ; 7 County Center Drive —r Orovi lie, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X nainna d ` Date
$ignatur of Permitee or Agent c'
Receipt No.-
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
TOTAL PERMIT FEE I $ , o
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 PUBLIC WORKS
By Date :::5 0 ` 7.l
�ilng permit expires Date 7
BUILDING
Owner 4
SQ. FT. OCC. BUILDING
VALUATION
,QC
Mailing Address
t one No
Fireplace
Contractor
Total Valuation
Mai I ing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
Building Address a
PLUMBING
No.
@ FEE
PERMIT FILING FEE
$3.00
0 ell
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. N .'
Zoning & Planning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet
30
F&
C.
Fire Dept.
Fire Zone
Use Permit
Building sewer
5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma p
60' R/W
Improvements
p
Lawn sprinkler system
2.00
gfW Pians an I
Parcel Approval
Plans Approval
Permit Fee
$
NEW ❑ ADDITION UTILITIES OTHER
ELECTRICAL
No.
@ FEE
ERMIT FILING FEE
$3.00
114; r
M a /ain
service incl. 1 meter
_e�>
r :'lld
Additional meters, each
1.00
Sub -panel (12 or less) (morethan 12)
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Range, Cook -top or Oven
1.00
Water Heater or Space Heater
1.00
Light fixtures
bg 2
9J ��
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
Misc. wiring
License No. Classification
%I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
MECHANICAL
No.
@ 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.
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
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X nainna d ` Date
$ignatur of Permitee or Agent c'
Receipt No.-
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
TOTAL PERMIT FEE I $ , o
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 PUBLIC WORKS
By Date :::5 0 ` 7.l
�ilng permit expires Date 7
ppp-
/
V � • b
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC
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 inspection purposes.
X XLDate pq C
Signature of Permite or Agent
Receipt No.
White-D.P.W. – Yellow -As essor – 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 0 UBLIC WOR/KIS
By Date
Building permit expires Date ......... :..................................�
BUILDING
Owner
M:Za,ZP
SQ. FT. OCC. BUILDING VALUATION
Z2!2
Mailing Addre
Telepho_e N
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee Q
Plan Checking Fee &/or Penalty
Telephone No.
permit Fee $
$
Building Address 3PLUMBING
No. @ FEE
PERMIT FILING FEE $2.00
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. _)_(0 — --/2--.
Z
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
j�esr
S n FireDept.
FireZone
Use Permit
Building sewer 5.00
Parking Parcel
Plans Declaration
Parcel Map
60' R/W
Improvements
Lawn sprinkler system 2.00
IF-
,fEQA� 11
"r g. atensPt— Recd
Parc pprovaI
Plans Approval
Permit Fee $
$
NEW ❑ ADDITION UTILITIES ❑ OTHER [VI
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 Duplex ❑ Mobil Home ❑ Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater 1.00
Light fixtures bal 010
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
License No. Classification
Misc. wiring
191 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
$ E�Ci
d
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X XLDate pq C
Signature of Permite or Agent
Receipt No.
White-D.P.W. – Yellow -As essor – 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 0 UBLIC WOR/KIS
By Date
Building permit expires Date ......... :..................................�
_ Y _
The Bldg. Setback shall)' be 5Ira-
i4i th6 sid6 property line _n d 59 ft. from
& cen e
thea Hine of the read,
rrnittng
,a maxi urn of a 2 ft. gave '��_Dvwha6g,,_,
L
�n
x
k e P"T' ;6�
M
.4' �N & Workmanship Shall Be in, rnt'e 2M
vx"" N :—All\ Mn ;�ecl Practices and
V Accor_,..ce -------
N;r �+he
ea-.useLl
04C
binq Worksp
of a qqjn nrex, .;hog! ��q
n achanica! Codes and
Buil I , Plum,
- v
n mr.ro e
the Nq+ional Elec-tr4Q,01
LoA
pians ,and specifications M, M be
& f A -times and If is unlawful to
$. et or alterations on same without
9
,sion from the Department of Pub-
runty of -Uffeil
Ir
a:.*"wx.-.--,,.,a•,.r1,J+Y"",:�.:�'�5:•�i7�.,''�.��i.".�tl�r ,'J4 N-`.�,,trc,'rl� K;,'--s::i.`,s+'C#"p!s;',�'`n7 '1,^r^e, `F:'°S.Ch ..+a'6:.�fFt�i 1r'. ti+,'., nr;....K:;-: •,,
036-0
72-012 .� 94-0992B
TONICK, CHERYL
38124 ,ORO BANGOR HWY
CONT: CUSTOM BUILDINGOBYOVGEO
( REROOF/SF RGE
i
;
1 T
COUNTY. OF BUTTE - DEPARTMENT OF'ftVEK1pMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75 PERMIT NO.
APPLICATION AND PERMIT``'
ASSESSOR PARC 63%07-2-012
ZONING
UILDING PERMIT
OWNER CHERYL TONICK
C
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
n /�
12 o n 72n
OWNER'S MAILING DR SS
2Mad1son Avenue Redwood City 94061
CONTRACTOR'S NAME
Custom Building by George �"
TELEPHONE
534-3689
CONTRACTOR'S MAJUNG ADDRESS
P 0 Box 5444 Oroville 95966
Fireplace
CONSTRUCTION UNDER
UNKNOWN
Total Valuation is
Filing Fee $
20.00
LENDER'S MAILING ADDRESS
Permit Fee $
21.M
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS 3
24 Oro Bangor Hwy, OrOVil le
PERMIT FEE $
41.00
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Each gas water heater or vent
15.00
USE OF STRUCTURE
XX
SF ❑ Duplex ❑ Mobilehome ❑ Other t
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G I W
@20.00
TYPE OF WORK
'R )
New ❑ Addition O Remodel 1:1 Utilities ❑ Installation ❑ Other ❑
Describe Work: Reroof With Comp
PERMIT FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ( B00V OR LESS )
200A OR LESS
23.00
Main Service ( 200A TO 1000A )
46.00
NEW CONST. DWELLING OCCUP.
OR ADONS. ( & ACC. BLDS. )
SO.
3.50 FT.
CONTRACTORS LICENSE LAW(
I dec are under penalty of perjury (check one)
I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full forceSd effect.
License No. Classification �j
❑ I, as the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044)
❑ 1 am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
-NON-RESID. ( BRANCH CIRCUITS 1
@7.50
POWER APPARATUS )
a SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
BA20 @ 1.0000
Ex. Occu FIXED APPLNS. OR
p' ( OUTLETS (RESID.) EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23,00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
9Jhis permit is for $100.00 (valuation) or less.
have placed on file with the County of Butte Dept. of Development Services,
,have
Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
O 1 shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
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 Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, jud ments, costs, and expenses which ay in any way accrue against said
Coun4", n co equence ofie ranting of t�tis� rmit.
X (-' Date 7 " ,9'�
Sign;tur 'of Xp4Tijan - ❑ Owner Contractor ❑ Agent
An OSHA permit is equired for xcavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
DCC
CONST. TYPE
TOTAL FEE $ 41.00
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 Reso rations to do work
indicated above for which fees have b en paid.
/
By ( J�X. / Date 4/21 /44
4/11/95
I PERMIT EXPIRES ON
/Date/
Receipt No. /V +
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF,;EV>EL`*�FMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75 1— PERMIT NO.
APPLICATION AND PERMIT �-
ASSESSOR PARCEL NUMBER
036-07-2-012
ZONING
BUILDING PERMIT
OWNER CHERYL TONICK
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
�
12 p `- 0 720
OWNER'S MAILING ADDRESS
2003 Madison Avenue Redwood Citv 94061
CONTRACTOR'S NAME
Custom Building by George
TELEPHONE
534-3689
CONTRACTOR'S MAILING ADDRESS
P 0 Box 5444 Oroville 95966
Fireplace
CONSTRUCTION LEN
NAD ER
UNKNOWN
Total Valuation Is
Filing Fee $
20.00
LENDER'S MAILING ADDRESS
Permit Fee $
21.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
3124 Oro Ban2or Hwy, Oroville
PERMIT FEE $
41.00
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15,00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF PDuplex ❑ Mobilehome ❑ Other
SPECIFY
Gas piping system 1 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
20.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities 1:1Installation ElOther CIXContractor
Describe Work: Reroof with comp
TI
PERMIT FEE J$
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ( e"ORLESS
200A oR LESS )
23.00
Main Service ( 200A TO IOOOA )
46.00
NEW CONST. DWELLING OCCUP.
OR ADONS. ( & ACC. BLDS. )
D.
3.50 SFT.
CONTRACTORS LICENSE LAW
I dare under penalty of perjury (check one)
I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force�nd effect.
License No. Classification ��
❑ I, as the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044)
❑ 1 am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI.OUTLET
-NON-RESID. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS )
& SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
B20 @ 1.000
Ex. Occu FIXED APPLNS. OR
p• ( OUTLETS IRESID.) EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
O This permit is for $100.00 (valuation) or less.
,><II have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
❑ 1 shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
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 Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, ju mems, costs d expenses whic may in any way accrue against said
Count in co sequence of a ranting of t is� rmit.
X t Date4L1_L_9!1
Signa a lica ❑ Owner Contractor ❑ Agent
An OSHA permit is required for xcavations over 5"O" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 41.00
HAZ-
D. FEES
IMP
FLOOD
CDF
PARCEL PD
HD
ISSU
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Res tions to do work
indicated ve for whic fees have n paid.
By Date 4/11/94
4/11/95
PERMIT EXPIRES ON
(Date)
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT