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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 a, t,..'•v--v -cw :ae-•3 v. 'e�:.si.+. .:w-.. .. ... ;.ep�.w.- s..R.�.;• _,:M{;^v`.':'7!rii" a.0+,1.. '!� .a2+Y"r'vfiit''1',�I.t 036-073-018 96-2194 REED, JAAiES 4658 LOWER WYANDOTTE RD OROVILLE (REPAIR GAS LINE) SF 1 n 1` . OFFICE COPY Address GAS Meter DA ELE y Met Date 4 j n 1` . OFFICE COPY Address GAS Meter DA ELE y Met Date 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