Loading...
HomeMy WebLinkAbout078-280-021f�l��� �i�•-bir.sP• lo�a��4i- 3602---2*-- ELLIS BROADWAY 3031 Oro Bangor Hwy, Orovill Permit1329 -8 (r,.egire)SF 2 -,Q y_ 3 BROADWAY, A. 3031 Oro Bangor Hwy, Oroville cont; G & T Electric (elec sery & misc wiring/sf) -7 4 BROADWAY, 0`7 e/s Oro -Bangor Rd. 350' south of V7, (repairs) /O -/- 6� ' . f` BUTTE COUNTY DEVELOPMENT SERVICES Complainant: Address: Phone Number. Other Comments: Inspector must draw a plot plan with all building locations: Additional Comments from Inspector: 2 Ellis Broadway Permit #3291-86E COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS .. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO.r . ASSESSOR PARCEL NUMBER —r", 0,2 1 ZONING /7 A-- - BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS ` f."'rJ . CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 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 $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 - Each Trap -2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF-NDuplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I GJWJ 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other\71 Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penaltyof perjury p I y (Check One): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect.SINGLE License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) El I, as the owner, am exclusively contracting with licensed contract- ors.(Sec. 7044) El am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.a) OR ACDNS. ACC. BLDGS. +/zQsgft ,?3R NEW CONST R.MULTI-OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES e20e50e AL@30 IXED Ex. Occup. OUTLETS IPRESID IREA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 "�r,4 14JS' •`rT//1rx !-'- ✓i) Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shal I not employ any person in any manner so 'as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X � r_ = '`� Date //- _? �n Signature of Applicant — Owner ®� Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occu P. CONST.TYPc I I FLOOD PARCEL I I;T ND ISS Fj /// This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC _r B Y / y PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date J/ Receipt No. /_ - ,— / �- __ 7 WHITE-D.P.W.. YELLOW-ASeESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, talifornl4a 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. w ASSESSOR PARCEL NUMBER ZONING —tea — BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATI N OWNER'S MAILING ADDRESS CONTRACTOR'SNAME r TELEPHONE CONTRACTOR'S MAT—LING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10,00 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 $ BUILDING ADDRESS 30,31 Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SA Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home JSFG W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: o6Zin( 12 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.k 3Or OR ADDNS. ACC. BLDGS. 1/2Qsgit NEW CONSTR. MULTI -OUTLET 2,50 ea NON•RESID BRANCH CIRC ITS POWER APPARATUS e SINGLE OUTLET CIR. ) Ex. Occu 20050a Occup(OUTLETS OR FIXTURES eAL030 FIXED APLNS Ex. Occup. OUTLETS P(RESID IRE A.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 j/u ---1 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date -� Signature of Applicant — Own r Contractor ❑ Agent ❑ An OSHA permit is required for ex avotions over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occuP, CONST.TYPE JF1 PARCEL PD ND Is9u This permit is hereby issued under sions of the Butte County Code and/or"resolutions work indicated above for which DIRECTOR OF PUBLIC By P IT EXPIRES Date the applicable provi- to do fees have been paid. WORKS Date 4 ifs Receipt No. WNITC-D.P.W.. •EL LOW -A 8[990R, PINx•I NSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT,�OF. PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLIC,ATION DATA SHEET Permit No. OWNERG.CS �i�vf7>�i5'�- A. P. No. Proposed Building Use Building Inspector c - Date At time of permit application, I was advised the following data must be submitted prior to permit processing andJor issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate. /triplicate, signed by preparer of plans. • 3. Complete plans in duplicate./triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fee's Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen;s Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner[], Mail to owner 0 _15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . ! KPre-Inspection for �GE�%- Pre-Inng In request t9 — Required. Building nspector ote) 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. 22. When you issue the permit, process as follows: Mail to owner, Mail to contractor. Telephone and hold for pickup at—off ice, Deliver w/inspector.. Other Applicant ` ate Copy of plans sent Health Dept., Fire Dept., Other , Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: I Contractor, designer, owner, was advised of above required data by_phone--nail—counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW — Hours: 10:00 a.m. - 3:00, p.m. COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION 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 M nd materials for construction of the proposed property improvement (yes 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: I- r Name Address City Phone Contractors License No. O Sr3�S 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security -Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, 'Calitornia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. / ASSESSOR PARCEL NUMBER RBUILDING Z%N:NG , PERMIT OWNER '- TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS � CONTRACTOR'S NAME TELEPHONE CCINTRACTOR'S MA ING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee 000 Permit Fee ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan CheckirVe Penalty $ BUILDING ADDRESS 30,31Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME ---]PARCEL MAP Water piping 5,00 Each qas water heater or vent 5.00 USE OF STRUCTURE SA Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00. Mobile Home I S I G JW =4= 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other] Describe work: ��CZCJ/�C _ Penult Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1000V OR 0 AMP ORLESS10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADO'L 100 AMP 2.50 NEW CONST. / DWELLING occuP.e` , .3S OR ADDNS. C ACC, BLDGS. / h¢sq ft NEW CONSTR. MULT'-OUTLET NON-RESID BRANCH CIRC S 2.50 ea POWER APPARATUS 6) SINGLE OUTLET CIR- EX, OCCU OUTLETS OR FIXTURES 20101 p DALe3o FIXED ALINIS EX. OCCup. OUT ETS PIRESID 1REA.) 1 2.00 Temporary service 1 10.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): } ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3,00 Ventilation penult Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 ___Occul all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date ��—. Signature of Applicant — Owne'rJA Contractor ❑ Agent ❑ An OSHA permit is required for ex avations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ CONST.TYPEPL000 PARCEL PDJ No ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. C 1 WHITE-O.P.W.. YELLOW -A DEDDO., PIN. -INSPECTOR, GOLDENROD-AP►LI CANT Tem Reid Division of Environmental Health Jim Glander Building Inspection Division 7 County Center Drive Oroville, California 95965 Gentleman: I/We request an inspection of the property identified below for the purpose of obtaining financial assistance for home repairs under the County's Community Development Block Grant Rehabilitation Program. I/We understand that if this inspection uncovers health and safety. violations, we may be required to remedy these problems whether or not we receive financial assistance under this program. SIGNED: Owner 4 Property Address c' -- Phone rate Date COUNTY OF BUTTE'= -DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT :2 R0MTNfZ ASSESSOR PARCEL NUMBER 036-021-024 ZONING AR • BUILDING PERMIT OWNER A. BROADWAY T���53 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 3031 ORO BANGOR M CONTRACTOR'S NAME TELEPHONE. 533-4006 CONTRACTOR'S MAILING ADDRESS P.O.BOX 1804 OROVILLE Fireplace CONSTRUCTION LENDER j��•j �fADDRESS UNKNOWN Total Valuation . $ Filing Fee $ 10.00 LENDER'S MAILI NOG Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 3031 ORO BANGOR MAY Permit fee $ PLUMBING PERMIT Filing Fee 10.00 ( Each Trap 2.00 r Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP I Water piping 5.00 Each pas water heater or vent 5.00 USE OF STRUCTURE SF[N Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities [J Installation❑ Other ❑ Describe work: THSTAIL NFW SF.RVTCT, M19C WIRTNO Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 600V OR LESS Main service 100 AMP OR LESS 10.00 10.00 Main service EA. ADD -L too AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty p jy (check one): of perjury � 2-1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and] effect. License No. "�/R33� Classification. �-/CJ 1 Fli, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or'offered for sale. (Sec. 7044) { I, as the owner, am exclusively contracting with licensed contract- ❑ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason I NEW CONST. ( DWELLING OCCUP.d+\ OR ACDNS. ACC. BLDGS. '/zQsgft NEW CONSTR. RANCH CIRCUITS) NON•R ESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(ouTLETSORFIXTURES e20 0 50t AO30 FIXED APPLNS. Ex. OCCUp. OUTLETS ((RESID.IREA.� 2.00 Temporary service 1 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 • PH INSP Permit Fee ; 50.00 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I ( ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1p. --I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee ; Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 liab,' ties, judgments, costs, and expenses which may in any way accrue against 'd County in nsequence of the granting of this permit. 49017 - X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee ; Energy Inspection Fee $ occ CONST TYPE - TOTAL FEE $ 50.00 HAz. CLIA PARK I SCHL I FLD I CDF PAR PD ) HD • ISSUE This permit is hereby issued unser the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated abov7 for which fees have been paid. D) EC ORO P�ELIC WORKS / (% B � �'fr �/ Date y PERMIT EXPIRES Date Receipt No. 100781 50.00 WHITE-D.P.W., YELLOW-ASeE330M. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 036-021-024 ZONING AR BUILDING PERMIT OWNER A. BROADWAY TH�3 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 3031 ORO BANGOR HTWAY CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS P-0- BOX 1804 OROVILLE Fireplace NONE CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 3031 ORO BANGOR HTWAY Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑X Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W O.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities U Installation❑ Other ❑ Describe work: INSTAI T NEW SERVICE &SC WIRING _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eDOV OR LESS 100 AMP OR LESS 10.00 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): �i am licensed under provisions of Chapt. 9, Div. 3 of the BuSineSS and Professions Code and my license is in full force and effect. License No. 4,t71331 Classification. d—/L) El 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. I DWELLING OCCUP.N OR ACDNS. ` ACC. BLDGS. ,h¢sgft NEW CONSTR ULT' -OUTLET NO ESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS tr SINGLE OUTLET CIR. Ex. DCCUp�OUTLETS OR FIXTURES 200300 .200030 FIXED APLNS. Ex. Occup. OUTLETS P(RESID )REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 .00 PRE INSP 15.00 Permit Fee $ 50.00 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation insurance or a Certificate of Consent to Self -Insure. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liab' 'ties, judgments, costs, and expenses which may in any way accrue agai id County in onsequence of the granting of this permit. + X Date I cture of Applicant - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE - TOTAL FEE E 0 $ 50.00 HAz. cuA PARK HL FL PAR I HD. ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated abov for which fees have been paid. D EC R011 -11C WORKS Date rG. PERMIT EXPIRES Date Receipt No. lAfL781 rill. nnBy WHITE-D.P.W., YELLOW-ASDE330R, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. `A DDES39RCi EL NUMB R_ O� ZONING BUILDING PERMIT OW R TELEPHONE—,SQ. FT. OCC. BUILDING VALUATION WNER'S MAILING ADORES, ,3 03 / Ori " CON ACTO 'SNA E � %���< C_ TELEPHONE 0 CO RACTOR'S MAILING ADDRESS 0 l Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 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 $ BUILDING ADDR SS R ,' 1 Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFIff Duplex❑ Mobilehome❑ Other SPECI FV Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Q5 Installation[] Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service AMP OROR SLESS 10.00 10.00 0. Main service EA. ADD'L 100 AMP 2.50 _ CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason GOCCUP..) OR AODNST ( DWEACCLLING yS.zItsgft NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRCUITS) 2.SOea POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. OCCup(OUTLETS OR FIXTURES 20®50¢ 5AL(7 30 FIXED APNS Ex. OCCup. OUTLETS PRESID IKEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 5, N5 -5 O0 Permit Fee $ moo. 6✓ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling I Hood 3.00 I Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE — TOTAL FEE $ ,>O HAL CUA I PARK SCHL I FLO I CDF I PAR PO (, HD. ISSUE This permit is hereby issued unser sions of the Butte County. Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date �c Receipt No. �OQ 7 1 566 NHITE-D.P.W.. YELLOW -Ase Esso R. PINK -INSPECTOR. GOLDENROD -APPLICANT TENNANNT : [OCCUPIED HAS ELECTRICHAS GAS EEIFAS SANITATION FACILITIES E� HEATED -COOLED PERSON CONTACTED _IAAD; � OTHER COMMENTS: ACTIW RECOMMENDED: ISSUE 0 HOLD FOR I OTHER: BY DATE PRE -INSPECTION o.::. SER: _ �1� o a c cJGt DATE LOCATION: &mQvV;' �/D� i /, � A. P. # ` CONTRACTOR: 6 . cf T Clecf yr L ZONING /4 - (-e(r PRE -INSPECTION FOR: opct v y I DATE. TO INSPECTOR PERMIT HISTORY: NONE C( AS FOLLOWS: TYPE OF OCCUPANCY FIELD - INFORMATION BUILDING USAGE: TENNANNT : [OCCUPIED HAS ELECTRICHAS GAS EEIFAS SANITATION FACILITIES E� HEATED -COOLED PERSON CONTACTED _IAAD; � OTHER COMMENTS: ACTIW RECOMMENDED: ISSUE 0 HOLD FOR I OTHER: BY DATE