HomeMy WebLinkAbout078-270-048wad TRITIN GRIFFIN
4658 Lower Wyandotte Ave, Orovill
Permit #7176-78E(ele ser ch) SF
6-21 1
REED; James i� ®,6
4658 Lower Wyandotte Road, Orovill
(repair gas line)SF
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036-073-018 96-2194
REED, JAAiES
4658 LOWER WYANDOTTE RD OROVILLE
(REPAIR GAS LINE) SF
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Address
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COUNTY OF BUTTE- DEPARTMENT OF D''-EVELOPM ENT SERVICES -BUILDING DIVISION
7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-75412
38-7541 /,PERMIT NO.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER In 036--073-018
ZONING
BUILDINGPERMIT
OWNER JAMES REED
T°LEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS "58 1nM 19ryANg
CONTRACTORS NAME OWIM
T- 5678
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
Fling Fee
$ 20.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty
$
BUILDINGADDRESS 4658 LOWER WYANDOTTE
PERMITFEE
$
PLUMBINGPERMIT
Filing Fee 20.00
OROVIM I
Each Trap
7.00
LOT NO. SUBDrv510N'S NAME
PARCEL MAP
Solar Or heat pump water heater
23.00
Water piping
15.00
USEOFSTRUCTURE '
SF 0 Duplex ❑ Mobilehome ❑ Other f
SPECIFY
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
i 5.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work:. REPAIR GAS LINT
—
i
Mobile Home I S I G1 W
@20.00
PERMITFEE
g
Contractor
ELECTRICAL PERMIT
Filina Fee 20.00
Main Service EOOV OR LESS
( 200A OR LESS )
23.00
Main Service ( 200A TO 1000A )
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 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:
JEr 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
OR ADONS. ( a ACC.
s0.
3.5Q FT.
NEW CONST. / MULTI-OUTLEUTLE T
NON-RESID. ( BRANCH CIRCUITS )
@7.50
POWER APPARATUS
(a SINGLE OUTLET CIR. )
Ex. Occup. (OUTLET OR FIXTURES)
BAIL @ 150
Ex. Occup. (oFIXEECTs PES D.OR
5.00
Temporary Service
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
MECHANICAL PERMIT
Filing Fee 20.00
9
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE
$
Contractor
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.)
P"'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 those provisions.
/` C
X .f ' \ � C Date —�' (/'� � 1(r
Signature of Appl"ant -owner ❑ Contractor ❑ Agent
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 Is
occ
CONST. TYPE
TOTAL FEE $ 35.00
HAZ.
I D. FEES
I IMP I FLOOD
I CDF
PARCEL
I PO HD
SU
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees have
B y
PERMITEXPIRESON
applicable provisions
Resolutions to do work
been paid.
�j
Date (` f� t r
(Date)
Receipt No. 206370
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE- DEPARTMENT OVDEVILOPMENT SERVICES -BUILDING DIVISION
7 -County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541W7�t
APPLICATION AND PERMIT a, -,::2?
ASSESSOR PARCEL NUMBER 15$ 036-073-018
ZONING
BUILDINGPERMIT
OWNER JAMES REED
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS 4658 LOWER WYANDOTTE
CONTRACTOR'S NAME
OWNER
T
534-5673
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
Fling Fee $ 20.00
LENDER'S MAILING ADDRESS
Permit Fee $
ARCHITECT OR ENGINEER
UCENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty $
BUILDING ADDRESS 4658 LO!t1ER WYANDOTTE
PERMITFEE $
PLUMBING PERMIT Filing Fee 20.00
OROVILLE
Each Trap 7.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar or heat pump water heater 23.00
Water piping 15.00
USEOFSTRUCTURE
SF 0 Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each gas water heater or vent 15.00
Gas piping system 1 - 5 outlets 15.00 15.0
Building sewer 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: REPAIR GAS LINE
—
Mobile Home I S I G W I @20.00
PERMITFEE $ 35,00
Contractor
ELECTRICAL PERMIT Filinq Fee 20:00
Main Service OOOV OR LESS
( zooA OR ESS ) 23.00
Main Service ( 200A TO I000A ) 46.00
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 and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
1 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 OCCUP. s0.
DR ADONs. ( a ACC. ) 3.52 F7.
NEW CONST. MULTI-OUTLEUTLE T
NON-RESID. ( BRANCH CIRCUITS ) @7.50
(aPs NG E APPARAOUTLET WERT IC R. )
Ex. Occup. (ourET OR FUTURES) BAL 0 .50
Ex. Occup. IFIXEE.
Drs (AESIDOR 5.00
Temporary Service 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
MECHANICAL PERMIT Filing Fee 20.00
9
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE $
Contractor
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.)
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 pr isions.
X Date i' i
q(
= `---
Signature of Appl' a t - wner ❑ Contractor ❑ Agent
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 Is
occ
CONST. TYPE
TOTAL FEE $ 35.00
HAZ.
I D. FEES
I IMP
I FLOOD
I CDF
PARCEL
I PD HD
ISSU
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.
99
PERMITEXPIRESON
(Date) 7
Receipt No. 206370
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
11
I
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your
signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit will
be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of the
proposed property improvement: YES NO[ ].
2. I HAVE[]" HAVE NOT[ ] signed an application for a building permit for the
proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S 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: CONTRACTOR'S LICENSE NO.
5. I will provide some of the work but I have contracted (hired) the following persons to
provide'the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTY OWNER: -
SOCIAL SECURITY NUMBER: 4'� - oC9
DATE:
NOTE: This owner -Builder Verification is required by Section 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.
OVER
J-."\,
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of
property improvements specified.
For your protection, you should be aware that as "owner -builder" you are the responsible party of record
on such a permit. Building permits are not required to be signed by property owners unless they are personally
performing their own work. If your work is being performed by someone other than yourself, you may protect
yourself from possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a
business license from the city or county. They are also required by law to put their license number on all permits
for which they apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you
should be aware of the following information for your benefit and protection:
0 If you employ or otherwise engage any persons other than your immediate family, and the work (including
materials and other costs) is $300 or more for the entire project, and such persons are not licensed as
contractors or subcontractors, then you may be an employer.
0 If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially
serious with respect to worker's compensation insurance.
0 For more specific information about your obligations under Federal Law, contract -the Internal Revenue
Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your
obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to
perform their work personally or through their own employees, without a licensed contractor or subcontractor, only
under limited conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder"
building permit, erroneously implying that the property owner is providing his or her own labor and material
personally. Building permits are not required to be signed by property owners unless they are performing their own
work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License
Board in your community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm
that you are aware of these matters. The building permit will not be issued until the verification is returned.
Sipc I ;
Micha 4 1 C. Viei a, C.B.O.
Manager, Building Inspection
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
OVER
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 RMI NO.
APPLICATION AND PERMIT 4 P
ASSESSOR PARCELNUMBER
043-150-008
ZONING
BUILDING PERMIT
OWNER
JOHN LITTLE
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
641 W 45H AV
CONTRACTOR'S NAME
MD PLUMBING
TELEPHONE
345-7456
CONTRACTORS MAILING ADDRESS
PO BOX 7661, CHIGO
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 ENGINEERS MAILING ADDRESS
Penalty $
BUILDINGADDRESS
641 W 4TH AVE
PERMITFEE $
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
Solar or heat pump water heater 23.00
Water piping 15.00
USEOFSTRUCTURE
SF CC Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each gas water heater or vent 15.00
Gas piping system 1 - 5 outlets 15.00 15.00
Building sewer 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Y]
Describe Work: GAS LINE CHANGE TO TWO METERS
Mobile Home I S I GI W I @20.00
PERMITFEE $ 35.00
Contractor
ELECTRICAL PERMIT Filinq Fee 20.'00
Main Service000v OR LESS
( 200A OR LESS ) 23.00
Main Service ( 200A TO 1000A ) 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 injull force and effect. ��
License Class �J Lic. No. I I I
OWNER -BUILDER DECLARATION
1 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
NEW CONST. DWELLING OCCUP.SO.
OR N ( a ACC. ) 3.5¢ FT.
NEW CONSS T. MULTI-OUUTLETLE T
C
NON-RESID. ( BRANCH CIRCUITS ) 97.50
WER
(a SIINGLE OUTLETT IR. )
Ex. Occup. (OUTLET OR FIXTURES) BAL 0 1 50
Ex. Occup. FIXED
OUTLETS IS . OR ) 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMITFEE S
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.
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.
Caworker ' co p�nsation insurance carrier and policynumber are:
rrier 41 ,n/If� -? _
Policy Number �" b ZK
(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 visions of section 3700 of the Labor Code, I shall
forthwimomplywith t s provision .
d7/
X to �((e _
Signature o Applicant - ❑ Owner ontractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT Filing Fee 20.00
9
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE $
Contractor
Mobile Home Installation Fee is
Energy Inspection Fee is
occ
CONST. TYPE
TOTAL FEE $ 35.00
HAZ.
1 0. FEES
I IMP
I 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 f which fees have been paid.
B Date a �J
PERMITEXPIRESON �� �4 / /
I (Date)
Receipt No.
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 (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT
ASSESSORPARCELNUMBER 0
ZONING
BUILDING PERMIT
OWNER_ / CG
(�—
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
Com/ (•( V
COM R' NAME (� i (M Jj _
IY l 1Q.
TEL0*IONE
Zq S` / T
CO TORS MAILINGLAMORESS
NAJ
Fireplace
CONSTRUCTION LENOER
UNKNOWN
Total Valuation Is
Fling Fee
$ 20.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty
$
BUILDING ADDRESS ! f _ r - , `7 v�
PERMITFEE
$
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
1 7.00
LOT NO.
SUBDNISIONS NAME
PARCEL MAP
Solar or heat pump water heater
23.00
Water piping
15.00
USEOFSTRUCTURE
SF Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00 i
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other B�—
�� ��
Describe Work: 9--�� � '�'�' �1ContractorC) J';J
Mobile Home IS I G1 W
@20.00
PERMITFEE
$
;20.
ELECTRICAL PERMIT
Filin Fee0
Main Service 000V OR LESS
( 200A OR LESS )
23.00
Main Service ( 200A TO 1000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
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:
❑ 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.
❑ 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.)
❑ 1 certify that in the performance of the work for which this permit is issued, 1 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.
NEW CONST. DWELLING OCCUR
OR ADONS. ( 8 ACC. BLDS. )
SO.
3.50 FT.
NEW CONST. MULTI -OUTLET
BRANC1 CIRCUITS ) 97.50
NON -REBID. (
POWER APPARATUS
OWER
(a SINGLE OUTLET CII, )
Ex. Occup. (OUTLET OR FIXTURES) 20 @' 00
SAL
EX. Occup. ( OUxTLETS (PD.) E0.) 5.00
Temporary Service 23.00'
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMITFEE $
Contractor
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE S
Contractor
Mobile Home Installation Fee Is
Energy Inspection Fee Is
OCC
CONST. TYPE
TOTAL FEE $
HAZ.
I D. FEES
I IMP FLOOD
I CDF PARCEL PD HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
II
PERMITEXPIRESON
I
the applicable provisions
Resolutions to do work
been paid.
Date
(Date)
Receipt No. IV 61)(0b
—ITC_n n c - f.ANARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
• ���� 79
I�Iym/bgrm
,-. L-
11
-�y j
Owner —4%k a 4:T
Mailing Address C411�1
Contractor OV-4-
Mailing
1.4.MaiIing Address
Building Address 4 C
COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS
7 County Center DrivN — Croville, California 95965
Telephone: 534-4541 '
APPLICATION AND PERMIT
4-0,
f (� Telephone No.
Telephone No.
A. P. No. 3C,-v?73 —/9 Zonin & Planning
`Fels WAC. -Santtatron Fire Dept. Fire Zone Use Permit
EQA Parking Parcel parcel Ma 60' R/W Improvements
Plans Declaration P p ovements
—816g,-PbWs•Rec4,d Parcel A proval Plans Approval
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
v1L_e_ /'
Single Family 0 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:
License No. Classification
_ BUILDING
SQ. FT.7 OCC. I BUILDING VALUATION
Fireplace
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 sprinkler system
Permit Fee
ELECTRICAL
PERMIT FILING FEE
Main service
600V OR LESS
100 AMP OR LESS
Main service
EA. ADD'L 100 AMP
Main service
OVER
100 AMPP OR LESS
Main service
EA. ADD'L 100 AMP
NEW CONST.
OR ADDNS. `
DWELLING OCCUP. S
ACG. BLDGS.
NEW CONSTR.
NnN RFSID-
(MULTI.OUTL T
1 BRANCH CIRCUITS
@ FEE
$3.00 1.00
5.00 S o p
2.50
25.00
1.00
EX. OCCUD(OUTLETS OR FIXTIIRES1 gqLi@ OQI
FIXED APPLNS. OR
EX. OCCUP•(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring f 6.25
I am exempt from the Contractors License Laws of the State of California. Permit 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.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
0 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.
I certify that 1 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 �Ir-�� .� �� ..,��'�. Date
SignatureLof Permitee or\Agent
Receipt No. %k yk
White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant
MECHANICAL Iw. 1- 1 rtt
PERMIT FILING FEE J$3.00
Heating
Cooling
Ventilation
Hood 1 1 2.00
Permit Fee $
Land Development Fee $
TOTAL PERMIT FEE is Iq
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.
y�
DIRECTOR OFT UBLIC WORKS
/1-1-1 --
Building permit expires Date
COUNTY OF BUTTE �- DEPARTMENT OF PUBLIC WOR
7 County Center Drive — Orville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
Owner
Mailing Address 14
�Jt'OU
Contractor
Mailing Address
Building Address
Telephone No.
Telephone No.
A. P. No. 3 4 Zoning & Planning
�¢s _9antt� Fire Dept. Fire Zone Use Permit
EQAIParking I Parcel Parcel Ma 60' R/W I Improvements
Plans Declaration P p ovements
Parcel Appioyal I Plans Approval
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER El
_.0
Single Family NJ 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:
License No.
1 am exempt from the Contractors License Laws of the State of California. Permit Fee
WORKMEN'S COMPENSATION INSURANCE MECHANICAL
PERMIT FILING FEE
I am aware of the provisions of Section3700 of the California Labor Heatina
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.
Classification
_ BUILDING 11-1
SO. FT7 OCC. I BUILDING VALUATION
Fireplace
Total Valuation It—
Permit Fee
Plan Checking Fee &/or Penalty
Permit Fee
PLUMBING
PERMIT FILING FEE
Each TraD
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 sprinkler system
Permit Fee
ELECTRICAL
PERMIT FILING FEE
Main service
500V OR LESS
100 AMP OR LESS
Main service
EA. ADD'L 100 AMP
Main service
OVER s
100 AMP OR LESS
Main service
EA. ADD'L 100 AMP
NEW CONST. (
OR ADDNS.
DWELLING OCCUP. S
ACC. BLDGS.
NEW CONSTR.
Nn N.RESin_
(MULTI -OUTLET
BRANCH CIRCUITS
EX. OCCUD(OUTLETS OR FIXTIIRES
EX. OCCU p.(
FIXED APPLNS. OR
P•\OUTLETS (RESID.) EA)
Temporary service
Mobile Home Facilities
Misc. Wirinq
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 �- Date
Signature o Permitee o gent
Receipt No.
White-D.P.W. — Yellow -Assessor/ Pink -Inspector — Goldenrod -Applicant
Cooling
FEE
$3.00
1.50
1.50
1.50
1.50
.30
5.00
2.00
$
@ FEE
$3.00 3. Z
5.00 , p O
2.50
25.00
1.00
t¢sq ft
2.50ea
0 @ 25¢
IAL @1
2.00
10.00
15.00
6.25
$
@ FEE
$3.00
Ventilation
Hood 1 1 2.00
Permit Fee $ $
Land Development Fee $
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.
DIRECT 0 IC WORKS
BY r Date / Z —/ •(` 7�
wilding permit expires Date Z— 14'7 S