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HomeMy WebLinkAbout078-310-008310 "CURTIS LONG -• 2525 V-6_Rd., Oroville Permit#6714-79 ,E,M ele ser ch & htg & AC) SF ' 96-107 .00 Contr; Dpn„Eckelbprgerr 0 Permit.12Q6.6:_8.(ZB-(atucZ'/SF) - CARTWRIGHT "'Alan..',. j�;' �• % 1: 2525 V-"6” R&`a 6' 11e'i�}i (.reroof/SF) GeorgeY`Roo:fing 130. 1 4. 31 �e�0� • res / � 0-19--310 — oo w ' r P • , t •1 'Cl.'�.�''`.a,�'lgYe`Fras"r�. ��IC-`�.j1�'�_ll�;�^�'. �.r�4n'3�':7tJ�"+':�i:;�na�d9:'r�t#.�f. �t'.:,,��,x'.M Jt'�:.'t• :��`"^.,�. ,.r'"eys a��i"':.�.y. ��t ;�L.s.s; ;;j- � y.....,. ._ _� y _, {_. • _ +r - 1 ^-ep�.•....ra; .�. . r15:tA�.%7+`'+r�iv"ivL^SR��S�'OIY-,'$-.T•L.�r�'C "R:.N4,.d ��, �"�!'�{►�j"r= �+v'�' -`s=1 y r COUNTY OF BUTTE- DEPARTMENT OF WEVELOPMENT SERVICES - BUILDING DIVISION 7 CountyCenter Drive - Oroville, CalifornZ'a 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT Y ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER Alan Cartwright TELEPHONE 533-7042 SQ. FT. OCC. BUILDING VALUATION 1800 Com 1060.00 OWNER'S MAILING ADDRESS 2525 V-6 Rd, Oroville, CA 95966 CONTRACTOR'S NAME Ceor a Roofing TELEPHONE 533-6393 CONTRACTOR'S MAILING ADDRESS 6810 Lincoln Blvd Oroville CA 95966 CONSTRUCTION LENDER - Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 27.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESSv 2525 V-6 Rd, Oroville, CA 95966 Energy Plan Checking Fee $ $ PERMIT FEE $47000 LOT NO. S UBDNIS ION'S NAME PARCEL MAP PLUMBING PERMIT Filing'Fee 20.00 USEOFSTRUCTURE SF 5 Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap.7.00 Solar or heapump 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 ❑ Describe work: Composition ShinQleB Gas piping system i - 5 outleis 15.00 Building sewer 15.00 Mobile Home. S G :.W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoos OR LEss 23.00 - LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class C--39 C-14 Lic. No. �( zat�6 OWNER -BUILDER DECLARATION 1L 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 Prof essionsCode for this reason Main Service'( 20- TO I000A 46.00 NEW CO DWELLING Occup - OR OR ADDNS. ( a ACC. BLOB. 3.52FT. NEW CONST. MULTI.OUTLET .NON-RESID. ANC I cul @7.50 POWERSINGLE OUTLET APPARATUS a CIR. Ex. Occup. OUTLET OR FIXTURES 20 @ 1.00 BAL Q .s0 FIXED APPWS. OR Ex. Occup. ourLErs RESIo. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ 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 x performance of the work for which this permit is issued: O 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 Legion Xns Co C/o Afferiean Patriot Policy Numbe0l� -L VJJ I`V i V (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or lessJ." ❑ 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. � /� /� / lam+ X' L ,6V,1 � �. �/' / _ Date C,' �� t / 7 Y Signature' of Applicant - ❑,,Owner''❑ Contractor "El Agent An OSHA° permit is required for excavations over 60" deep and demolition or construction of structures over stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEIE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE y / . VU TOTAL FEE $ FEES IMP FLOOD CDF PARCEL I PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have �Q By �C>-- �+ PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. / /�� //Date G, / l Dale Receipt No. 1�� WHITE-D.D.S.-B.D. -..,.CANARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELQPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541„��/E,Ryll (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCELNUMBERJ ZONING BUILDINGPERMIT OWNER Alan Cartwright TELEPHONE 533-7042 SO. FT. OCC. BUILDING VALUATION 1800 comp 1080.00 OWNER'S MAILING ADDRESS 2525 V-6 Rd, Oroville, CA 95966 CONTRACTOR'S NAME George Roofing TELEPHONE ' 533-6393 CONTRACTORS MAILING ADDRESS 6810 Lincoln Blvd Oroville CA 95966 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 27.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 2525 V-6 Rd, Oroville, CA 95966 Energy Plan Checking Fee $ $ PERMIT FEE $ 47.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF [Y Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 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 )V Other ❑ Describe Work: Composition Shingles Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 800R LESS Main Service 200A VOR 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 C—' 9 C-1 4 Lic. No. 4 5 2 2 h h 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. 6 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 Legion Iris Co c/o American Patriot Main Service 200A TO 1000A 46.00 NEW CONST. OW EWNG OCCUP. OR ADDNS. ( 6 ACC. B.S. SO 3.50FT. NON-RESIDT MMUILCTI.OUTCLETuTs @7,50 APPARATUS 8 SINGLE OUTLET CSR. Ex. Occup. ourLEr OR FxruRES e20 @ 1:00 Ex. Occup. OUTLEEDTs REESIo)EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number Cr1 U b J / U 19 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation Provisions of section 3700 of the Labor Code, I shall fo with co ply ith Vthevisions. -Date � Slgnatur o Xpplicant - ❑ 44Z, tractor " Agent An OSHA ermit is required for exca er 60" deep and demolition or construction of structures over 3 stories in hei t. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE47.00 TOTAL FEE $ HA2. D. FEES IMP I FLOOD I CDF PARCEL I PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES O the applicable provisions Resolutions to do work been paid. Date /, O �/% J /7 Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATILIN AND PERMIT PERMIT NO. C 4 rg 4 ASSESSOR PARCEL NUMBER ` ZONING BUILDING PERMIT OWNER / TELEPHONE SO. FT. OCC. BUILDING VALUATION l •� !.1 ,F �K OWNER'S MAILING ADDRESS , , CONTRACTOR'S NAME •• TELEPHONE CONTRACTOR'S MAILING ADDRESS J, 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 $ A ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ^� I / ( C 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 SFQ' Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W O.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ®- Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service BOOV 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 p y 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. 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.tr\ +/z2sgft OR ACDNS. ACC. BLDGS. I NEW CONSTR. ULTI.OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS POWER APPARATUS &) SINGLE OUTLET CIR, Ex. Occu zFIXED oeeoe p OUTLETS OR FIXTURES SALO 30 RESID )EA.1 2.00 Ex. Occup. OUTLETS ( R Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �yirin 15.00 g 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. O 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 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 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 1 Date Signature of Applicant, Owner E 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 $ occuP. CONST.T7PEJ I FLOOD PARCEL I PD I ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have beenaid. T p DIRECTOR OF PUBLIC WORKS By . '�: : ��� "' iG: Date Y •:� ✓ .' PERMIT EXPIRES Date ' i �I f : y t` Receipt No. ) WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT 0. ASSESSOR PA} — N�1�6§�R ,J 2�NING BUILDING PERMIT OWNER Lo \ N , l TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING AD ESS ✓' v ` CONTR TOR'S NAMETELEPHONE -� 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 ADDRESSas a Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 _ Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME FYARCEL MX`P Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system.1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00 ea TYPE OF WORK New ❑ Addition ❑. Remodel ❑ Utilities ❑ Installation❑ Other Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT FiIin9 Fee 10.00 Main service 8001 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.tk , OR ACDNS. l ACC. BLDGS. h2sgft NEW CONSTR. U TI.OUTLET 2,50 ea NON-RESID BRANCH CIRCUITS) (POWER APPARATUS e) SINGLE OUTLET CIR. EOccup OUTLETS OR FIXTURES e20 ®50c ALO 30 FIXED APPLNS. ORx. Ex. Occup. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 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 FiIirig Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have rea is application and state that the above information is correct. I agree to c mply t /all County Ordinances and State Laws relating to building constructi r andhereby authorize representatives of the County of Butte to enter in a abo mentioned property for inspection purposes. 1 also agre to av , in dmnify nikeep harmless the County of Butte against all liabil' ies ju ts, co s, and expenses which may in any way accrue against ai in con quence of th granting of this permit. Date / —Z_ 2-- Sign ure of Applicant — wner Contractor ❑ Agent Elwork An OSHA permit is Squired or excavations over 5'0" deep and demolition or construct- ion of structures ova 3 star' s in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occu P, CONST.TYPe I I FLOOD PARCEL 1 ND I ISSUE is permit is hereby issued under Thins of the Butte County Code and/or indicated above for which OF PU PERMIT EXPIRES Date the applicable provi- resolutions to do f have been paid. I ;W;ORKS /f Receipt NO. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephdne: 534*4541 APPLICATION AND PERMIT auinorize representatives or ine c;ouniy or tsutte to enter upon the above;mentioned property for inspection purposes. CA X-- . .. Date Signature of Permi4e or Agent Receipt No. z, U White-D.P.W. - Yellow -Assessor - 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 OF PUBLIC WORKS e�i, {:'sL. F //i G�!l 4- 1 Date// T � Building permit expires Date �' BUILDING Owner �l SO. FT. OCC. BUILDING VALUATION Mailing Address G Telephone No. ,/- ? 7y, f Contractor �j l /f Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee &/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 ��` A. P. No. 36 /tom- .- �J1 Zonin & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees &--I-. Sani•tetion-• FireDept. FireZone Use Permit Gas piping system 1 -5 outlets 1.50 EOA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plans Rec71" 1 Parcel App -oval Plans Approval Lawn sprinkler system 2.00 NEW ❑ e ADDITION ❑ UTILITIES ❑ OTHER Q - Permit Fee $ -v Jl1 $ 5< j6A,�," r ELECTRICAL No -1 @ FEE PERMIT FILING FEE J$3.00 3C U Main service 0ov OR LESS r1 100 AMP OR LES 1 S 5.00 U Single Family Q Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER e00v25.00 100 AMP OR LESS Main service EA. ADD•L 100 AMP 1.00 NEW OR ADDNS. ( ACC`BLDGS.LINGCCUP S) 22 sq ft 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: NEW RESID. BRANCH CIR T NON.CONS . ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS C NON.RESID. (SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTIIRES) g L 1� 00 FIXED ALNS Ex. Occup. (OUTLETS P(RESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring I am exempt from the Contractors License Laws of the State of Cal Ifomia. Permit Fee $ 144 7 "s / `l i MECHANICAL No. @ 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. 1 certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating 7'6 Cooling % y •O (� Ventilation Hood 2.00 Permit Fee $ l - $ ` I certify that I have read this application and state that the above information is correct. I agree to complyto all Count Ordinances y and State Laws relatingto building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ auinorize representatives or ine c;ouniy or tsutte to enter upon the above;mentioned property for inspection purposes. CA X-- . .. Date Signature of Permi4e or Agent Receipt No. z, U White-D.P.W. - Yellow -Assessor - 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 OF PUBLIC WORKS e�i, {:'sL. F //i G�!l 4- 1 Date// T � Building permit expires Date �' COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orroville, California 95965 Telephone: 534541 APPLICATION AND PERMIT authorize representatives of t ounty of Butte to enter upon the above- oned property for ns ction purposes. Date - 3r-_) 1 Signature ofPermi ee or Age Receipt No. d^^ 9 White-D.P.W. - Yellow -Assessor - 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 abovo14Ir which fees have been paid. IR OR OF PUBLIC WORKS 11 B Date Building per it expires Date _ BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address s- Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address J - Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. j —�� Zoning 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 F s S FireDept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W I Improvements Each additional outlet .30 Building sewer 5.00 Bld ans e— Parcel A proval Plans Approval Lawn sprinkler system 2.00 NEW F1 ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ .$ b2 ELECTRICAL No. @ FEE 4 ALA, PERMIT FILING FEE $3.00 . 0 Main service 100 AMP ORS -ESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L too AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW CONS.OR ADDNST ACCLBLDGSCCUP. S) 22sgft 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 st le of: y NEW CONSTR -OUTLET NON.RESID � BRANCH CIRCUITS/ 2.5Oea NEW CON STR. (POWER APPARATUS 9 NON-RESID. SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTIIRES) Ig �@j Ex. Occu FIXED APPLNS. OR p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 -1,S 1 am exempt from the Contractors License Laws of the State of Cal ifomia. Permit Fee $ 2 $ /t7 z MECHANICAL No. @ 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. 12 ft7 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 S. OZ Heating Q(/ol Lf.d Cooling -1) 7 Ventilation +2.001 Hood 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 Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of t ounty of Butte to enter upon the above- oned property for ns ction purposes. Date - 3r-_) 1 Signature ofPermi ee or Age Receipt No. d^^ 9 White-D.P.W. - Yellow -Assessor - 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 abovo14Ir which fees have been paid. IR OR OF PUBLIC WORKS 11 B Date Building per it expires Date _