HomeMy WebLinkAbout078-310-035I
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SERRAO'; 'PA'UL,l NE Y' 6
,CONTR : JOHNSON A;I $
} rV2695'ORO GARDEN; RANCH AReROVILL
w.WALL .FURNACE/SFR:
xn��'`IIi7 nZA . ' u" . LCCYYY r'� • 4 S
SPENCER, Jackie
2695 Oro Garden'Ranch lZo id, Oroville
Coritr: Mike Hurst Electric .. "
� Vpgrade electric services '
i ,t . IZ �:
03-3326
SERRAO, PAULINE
2695 ORO GARDEN RANCH
OROVILLE of
RE
,
RE ROOF W/COMP
In
0
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�,,,n, .,.,. �y`--�,. „ Et..� .s.,(-• sx y.-+ �.- -w 7„ *'►p*ae.-4^=, h; rt�,rl—'=i^-4T1'-�o-iLy--';lr r
036-102-034 03-3326
�t SERRAO; PAULINE
2695 ORO GARDEN RANCH RD,
OROVILLE
Cont: OWNER
RE ROOF W/COMP +
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMI`r NO.
(Rev. 12/96) APPLICATION AND PERMIT''�r =-
ASSESSOR PARCEL NUMBER 036-102-034
ZONING
BU I LDI NG P ER M IT
OWNER
PAULINE SE
TELEPHONE
SO. Fr- OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
PO 'i 2792 , OPMIUE 95965
•
00
CONTRACTOR'S NAME
OWA�R
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $ 9W.
00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ 23.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDINGADDRESS
Energy Plan Checking Fee
$
$
PERMIT FEE
S 43.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF Q' Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
-
Solar or heat um 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 +0
Describe Work: W/00W
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G W
920.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service z�o.A0.UE
23.00
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
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
Q 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
Main Service
46.00
WE NG CCU000A
NEW CONST. DWELLING OCCUP.
OR ADDNS. a Acc. BLos.
SO
3.5¢Fr:
INON,gESID. ' MULTI.OUTLET
CIR..50
@71H
POWER APPARATUS
a SINGLE OVrLEr CIR.
EX. Occup. OUTLET OR FIXTURES
BAL O 1.50
Ex. Occup. GUIx .aET .GE.
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
$
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
O I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' comperisation 'provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
/ ev
X'r ;, ;', .... ,SLG;'. %.r, Date i/ 'f /� J
of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in eight.
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
-'Energy
Inspection Fee $
GCC
CONST. TYPE
TOTAL FEE $ 43.00
HAZ.
I D. FEES IMP
I FLOOD
CDF
PARCEL
I PO
HD
ISSUE
This permit is hereby'issued under
of the Butte County Code and/or
indicated above for which fees have
COOSignature
By
PERMIT EXPIRESON
the applicable provisions
Resolutions to do work
been paid.
Date / L 3
1 `v
Dale
Receipt No /Sey 'y,_ l, P li
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
P7.11
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND"PERMIT (2-3. '
ASSESSOR PARCEL NUMBER 036-102-034
ZONING
BUILDING PERMIT
OWNER
PAULINE SERRAO
TELEPHONE
533-580315
SO. FT, OCC. BUILDING VALUATION
. OWNERS MAILNG ADDRESS
PO BOX 27 2
S 900.00
CONTRACT7OOR'SS pNAME
OWN l�
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAULING ADDRESS
Fireplace
Total Valuation $ 900.00
ARCHITECT OR ENGINEER
LICENSE NO.
Flin Fee $
20.00
Permit Fee $
23.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
?695 ORO CARDEN RANCH RD, ngmT IF$
Energy Plan Checking Fee $
PERMIT FEE S
43.00
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF CX 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 ❑ Other 7
Describe Work: REROOF WCOMP
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home ISI GI W1
@20.00
PERMIT FEE S
ELECTRICAL PERMIT
Fling Fee 20.00
600VOR LE
Main Service zo.A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.P
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 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
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLINGOCCUP.
OR ADDNS. ( & ACC. BUDS.
SO
3.50FT.
NON-RESID MULTI.O,.LET
@7,50
OWER APPARATUS
a SINGLE OUTLET CIR.
Ex. Occup. OUTLETOR FIXTURES
BAS @'; 0
Ex. Occup. DUTLEEDTS I'M.) E
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE S
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred, dollars ($100) or less.)
(A 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
with comply with those provisions.
/ �r
X Date 16! � cf/03
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 fight.
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 43. 00
HAz.
D. FEES IMP
I FLOOD
I COF
PARCEL
I PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicate above or which fees have been paid.
y Date (i
PERMIT EXPIR O
Date
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
II
i
.
L.
O.B.- I
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.
I personally plan to provide the major labor and materials for construction of the proposed
,property improvement: YES Ek NO 13.
I' HAVE Jq HAVE NOT 0 signed an application for a building permit for the proposed work.
I have contracted with the following person (firm) to provide the proposed construction:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
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.
I will provide some of the work but.1 have contracted (hired) the following persons to provide
the work indicated:
NAME ADDRESS PHONE, TYPE OF WORK
SIGNED:
PROPERTYO
NOTE: This Owner -Builder Ver Ration is required by Section 19831 and 19832 of the
California Health and Safety Code. This verij7cation must be completed and
returned to our office before we are permitted to issue the permit
OVER
OWNER BUILDER INFORMATION
Dear Property Owner.
An application for a budding 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 "owner4xiilder" you are the responsible party of record on such
a permit Building perm 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:
♦ 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.
♦ 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.
♦ There may be financial risks far you if you do not carry out these obligations, and these risks are especially serious
with respect to workm's compensation insurance.
♦ For more specific infnmmation 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 time 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 "owner builder" 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.
IMeI
C. Vi ira, C.B.O.
Building Inspection
NOTE:. T leis Owner -Builder &fomwdon is required by Seddon 19830 of the Caiifornfa Health msd Safety Code
f,.. -. .... ,, � ,�R �.. .1., .. —�--., vE:t :7 _ :ujl�,....y....._--..,.e,...-,.. ;� .,�.- �r�: xrl,�'-ai.:.:.r.:rg,..:::. � .�„ .�r�cf.�-,k�i .cy
r -. ,
�
1
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
+County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 �n,,�►� NO.
(Rev.12/96) ,V APPLICATION�AND PERMIT 99'f �.
ASSESSOR PARCEL NUMBER 036-402-034
ZONING AR
BUILDING PERMIT
OWNER SIM� JACKIE
pEj1
TELEPHONE
533-4675
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS 2695 ORO GARDER RANCH ROAD
CONTRACTOR'S NAME
MIKE HURST ELECTRIC
TELEPHONE
589-5330
CONTRACTORS MAILING ADDU OAKCREST DRIVE
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation Is
ARCHITECT OR ENGINEER
LICENSE NO.
Film Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
2695 _ORO GARDEN RA14-M ROAD, MYTTLE
Energy Plan Checking Fee $
PERMIT FEE $
LOT NO.
SUBDIVISIONS MIME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF Q Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: UPGRADE RLP,C'TRTf SFRVT('R AND Ann OR
CURCM
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE $
ELECTRICAL PERMIT
Filing Fee 20.00
600V OR LESS
Main Service 20.AORLESS
23.00 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
(commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect. %
LIC. NO.
License Class ,j 21 9'4 �
OWNUILDER DECLARATION
ER-B
1 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.)
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.
/ p�
X rat ¢ _,q,�^�_ Date 7� Y-95
Signature of Applicant - ❑'Owner [KContractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLW OCCUP. SO
OR ADONS. ( & ACC. BLDS. 3.5¢FT.
NST.9
OWI ID, MULTI.OUTLET @7.50
rNOOBRANCH
POWER APPARATUS
a sINGLE ouTLET CIR.
Ex. Occup. OUTLET OR FDCrURES
SAL 1.00
.50 5,00
FIXED APPLNS. OR
Ex. Occup. ouTLErs RESID. EA
5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
M INSPECTION
PERMIT FEE S (W)
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEPE $
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $ 58.00
HA2.
D. FEES IMP
I FLOOD
I CDF
PARCEL
PD
I HD
I ISSU
y�
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.
-
t .
By NL/�'+: Iii! � Date
tri -?
PERMIT EXPIRES ON -- /U
Date
�v.�itii ycAv.vLA
Receipt No.
WHITE-D.D.S.•B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
L____J0
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 AbIr
0.
(Rev.12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER036-102-034
AR ZONING
BUILDING PERMIT
OWNER SPENCER, JACKIE
TELEPHONE
533-4675
SQ. FT. OCC. BUILDING VALUATION
. OWNER'S MAILING ADDRESS 2695 ORO GARDER - RANCH ROAD
CONTRACTOR'S NAME
MIKE HURST ELECTRIC
TELEPNE
589- 5330
CONTRACTORS MAILING ADDREflS OAKCREST DRIVE
J.J
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Fee $ 20.00
—Filing
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
26
Energy Plan Checking Fee $
$
PERMIT FEE $
IAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
USEOFSTRUCTURE
SF IR Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater 23.00
Water piping 15.00
Each gas water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities b Installation ❑ Other ❑
Describe Work: TTPi RAT)F ELECTRIC 4FRUT F AANN ATln m
C_ g.
CURCUIT
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home S G W @20.00
PERMIT FEE $
ELECTRICAL PERMIT Filing Fee 20.00
Main Service 200AORLESSS S 23.00 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 hiss in full force and effect. -.
License Class 4.—I V 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
Main Service 200A TO tOooA 46.00
NEW CONST. DWELLING OCCUP. SO
OR ADDNS. ( 8 ACC. S.3.50FT.
TLIFT
NONNEW RES, ID T.MULTI.00IRCVr 97,50
POWER APPA US
a SINGLE OUTLEr CIR.
EX. OCCU . OUTLET OR FIXTURES BAL @ I.� nn
Ex. Occup. ° q�IO.°� 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PRE INSPECTION 3.00
PERMIT FEE $
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
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. �+ �'%
X Date Y_
Signature Applicant - ❑Owner Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction2
of structures over 3 stories in height.
Mobile Home Installation Fee I $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 68.00
HAz.
1 D FEES IMP
I FLOOD
I CDF
PARCEL
PD
HD
5SU
This permit is hereby issued under the applicable provisions
ofthe Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By , ate' /
PERMIT EXPIRES ON 52
De
rReceipt No. 2 5147 8.00
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. Cdlifomla 95965 • Telephone (530) 538-7541 — PERMIT NC
(Rev.12/96) APPLICATION AND PERMIT
--
61z
BUILDING PERMIT
01MNa" J `�S
��6 ��
SO. FT. OCC. BUILDIN4 VALUATION
ower, rum ADCOMS
`4 S �
��. Iri
I
IS89- 3-3o
,5- , no 77-7 e -A /I ve—
corsTeucTroN unoor
EF.,,lace
LOWU, MAP04 A00K1111
--T1
Total Valuation =
wrc"FMCrOREMNM
_ ameNo.Flinn
Fee i 20.00
AACWMcr 0R oaa+mr, wuw0 ADOMS
Permit Fee i
Checking Fee i
wawa �DDs Q
wnp
/nPlan
�
Energy Plan Checking Fee i
i
PERMIT FEE _
rorty.
•ue0"10" we
r""cn MAP
PLUMBING PERMIT Filing Fee 20.00
USEOF8TRUCTURE
SF Duplex O Mobilehome O Other
t°BC�
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 WFlnet'alladon
New O Addition O Remodel O LXft a O Other O
Describe Work: 66,9 nl �,a� �Ll _ Q�fn �,,�C�_
Gas piping tem 1 - 5 outlets 15.00
Building sower 15.00
Mobs Home IS I G W @20.00
PERMIT FEE S
l
ELECTRICAL PERMIT Filing Fee 20.00
Main Service =A ooir trE s 23.00 1LZ of
Main Service 2-A To loo- 48.00
►aw co►a . OF= occur. 9.St
04 A00141111.a AflC. eu».
wwnmro.' M14713 n @7.50
rower Avvanaru
as
Ex. Occup. ovnar an nxninrs
Ex. Occu .ov7,M, am a 5.00 �
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
3, 00
PERMIT FEE
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 8.50
Ventilation
PERMIT FEt !
Mobile Home Installation Fee =
Energy Inspection Fee 8
000 TOTAL FEES O�
"A- 1 0. KIM I MAPR=0 I COO' pfd r0 r0 "LIE
This permit Is hereby Issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By Date
PERMIT EXPIRES ON —
ReceiptNc.2—
wuic.n_—
4
J PRE -INSPECTION
OWNER: V . Pvt- ea.— T DATE -� �'
LOCATION :2— A. P. # V
CONTRACTOR: G --S' ZONING
PRE -INSPECTION FOR :
DATE TO INSPECT(
-------------------------------------------- --- -----
PERMIT HI STORY : NONE AS FOLLOWS
TYPE OF OCCUPANCY
FIELD•- INFORMATION
BUILDING USAGE:
TENNANT:
OCCUPIED D 'HAS ELECTRIC Q HAS GAS HAS SANITATION FACILITIES
HEATED -COOLED PERSON.CONTACTED
OTHER COMMENTS:
ACTION RECOMMENDED:
ISSUE HOLD FOR
OTHER:
BY DATE
rl
OWNER: -,J-
PRE -INSPECTION
DATE_ 2 Y j' J
�p nn
LOCATION: 2_4 9S ot ,., /� � , -A. P.
CONTRACTOR : " L_ ZONING A—`
--------- _-_-=_____=______=___=_==____--___________
PRE-INSPECTION FOR:
DATE TO INSPECTOR_
PERMIT HI STORY : � NONE AS FOLIJOWS :_G�� ZZ/`//f
TYPE OF'OCCUPANCY
BUILDING USAGE:
TENNANT:_ L
OCCUPIED
HEATED -COOLED
OTHER COMMENTS:
FIELD - INFORMATION
ELECTRIC �S GAS S SANITATION FACILITIES
ED PERSON CONTACTED
ACTION R COMMENDED:
ISSUE HOLD FOR
OTHER:
BY 4G� DATE_
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville; California 95965 • Telephone (530) 538-7541 PERMIT I
(Rev.IM6) APPLICATION AND PERMIT
~11pwaFAMMw3�^
03c
2010e /,
BUILDING PERMIT
5--33 —96 ?S'
SO. FT. OCC. BUILDING VALUATION
owls, r,awo �Dorlae
«M 1. rx-^S
�eC n I c_
- 533
0 , u"00
C077"'C r cs-7
&11 V e—
OOMTIUCTYOM LfJOOI
L&CUM woa>ro Aooede
Fireplace
Total Valuation =
"x�CF OR lraou�71
_
3S
Firing Fee
t
20.c
Permit Fee
i
AACW CT ow 04MO 1, WAAJW AD
Plan Checking Fee
i
.uaoae,loorrse 6' s'
Energy Plan Checking -Fee
i
PERMIT FEE S
LOT NIX
eunowecrrewue
PMcn "'r
PLUMBING PERMIT
Hing Fee 20A
USEOFSTRUCTURE
SF Duplex O Mobilehome O Other
erecter
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 WOR
Nov O Addition O Remodel O UOlatlse ff O Other O
Describe Work: [moo ri' dL _ S' ��^ , i C�
Gas piping tem 1 - 5 outlets
15.00
Building sower
15.00
Mobile Home ISIGIWI
@20.00
PERMIT FEE _
l
ELECTRICAL PERMIT
-FiUng Fee 20.t
Main Service =9:=
23.00 ;LZ
Main Service soon To wom 46.00
NEW Met
on ADONS. owFstl+O �' 3.501—T.
wr.ntsro. '-uuwuru:r @7.50
rower alrnanru
as
Ouncr oil mmotp >o • 1.00
Ex. Occup. ew .w
Ex. Occup. ovneTs aro a 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE = S
MECHANICAL PERMIT Firing Fee 20.1
Heating
Cooling
Hood 8.50
Ventilation
PERMIT FEt i
Mobile Home Instaaatlon Fee =
= -
Energy Inspection Feear
«`
oonsT. TYPE 71,731:7
TOTAL FEE $ T9
NAZ
O. fE0 W►
11A00
OOf
MJICEI
r0
1
This permit is hereby Issued under the appricable provisic
of the Butte County Code and/or Resolutions to do WI
indicated above for which fees have been paid.
By
Receipt No. Z�� I PERMIT EXPIRES ON
....
u.wre n nn ♦POI ir�uT
Date
ii+3ilry �,r`y cr'`"''`�s,=K"l'•t`F$lc,+,r3;�sYw[:..,+srYg4•Err`;�.. at:,wt:i�sxJ't �C,asroei.rsru..rwwr ...
t
rt
t
COUNTY -OF BUTTE - DEPART3MENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive- Oroville, California 95965 : Telephone: 916/538-7541
APPLICATION 4"R PERMIT
SSESSO, PARCEL NUMBER r
30-102-34
ZONIjJG 'T
, R'' .
- BUILDING PERMIT
OWNER-
PAU]J SSttxAO
TELEPHONE`S
S0. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
P.O. BOR 2792 ORON =
CONTRACTOR'SNAME
M AIR
CONTRACTOR'S MAILING ADDRESS
5390 Z. PM FRJM 93727
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
Filing Fee
$ 15.00
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
2695 0x0 QRW W= RD OROyny
Permit fee
$
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
1 5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S G W
@ 15.00
TYPE OF WORK
New Addition❑ Remodel❑ Utilities❑ Installation❑ Other ❑
Describe work: INSTALL W NAM IMAM _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
t
Main service 600V OR LESS
200A OR LESS
18.50
Main service 200A TO 1000AI
37.50
CONTRACTORS LICENSE LAW
i
I declare under penalty of perjury (Check One):
I am licensed under provisions of Chapt. 9, Div. 3 of the jBusiness
and Professions Code and my license is in full f rce and /effect.
License .JO. 1"`( 5��� Classification (i /y
❑ 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.Ed)
OR ADONS. ACC. BLDGS. I
3.6q sq.it .
NEW CON5TR ULT' -OUTLET
NON-RESID BRANCH CIRC ITS
@ 5.00
l:
POWER APPARATUS It
(SINGLE OUTLET CIR. )
Ex. Occup(OUTLETS OR FIXTURESFIXED
20 76
EX. DCCUp. p
OUTLETS IRESID IREA.)
3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
9
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.
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.
❑ 1 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 1 15.0.0
Heating WALL frum.
VOW
Cooling
g
Hood
6.50
Ventilation
peirnit 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.
I also agree to save, indemnify and keep harmless the County of Butte againslt
all liabilities, judgments, costs, and exp n es which may in any way accrue
against County in cons gtre e of'rant ing of this permit.
XDate —2
All&
si tore of A licant - owner
pp ❑ Contractor ❑ Agen
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 S
Energy Inspection,Fee. $
occ
CONST TYPE
TOTAL FEES 24 OO
•
HAz
1 DFEES I
IMP
I FLOOD
I CDF
PARCEL
PD
HD
Iss
This permit is hereby issued under the
sions of t e Butte County Code and/or
sons
work ' • di ted abo for whit f
DIRK OF PU l -
By
PER T E PIR Date
applicable:f prove
resolutions to do
s have been paid.
to ORKS
D I
Receipt No. 109730
WHITE-D.P.W.. YELLOW-ASSE330R, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, Cal fornia_65965 - Telephone: 916/538-7541.
APPLICATION AND PERMIT
SSESSO_R PARCEL NUMBER
36-102-34
ZONING
A R
BUILDING PERMIT
OWNER PAULINE SERRAO
TELEPHONE
SO. FT. OCC. BUILDING VALk461J2Iq
OWNER'S MAILING ADDRESS
P.O. BOX 2792 OROVILLE
CONTRACTOR'S NAME
JOHNSON AIR (209)
TELEPHONE
255-0403
CONTRACTOR'S MAILING ADDRESS
5390 E. PINE FRESNO 93727
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
)
Filing Fee
$ 15.00
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 ADDRESS2ORO GARDEN RANCH RD OROVILLE
695
permit tee
$
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
7
PARCEL MAP
Water piping
7.00
Each pas water heater or vent
7.00
USE OF STRUCTURE
SF ® Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S I G I W I
@ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work: INSTALL NEW WALL FURNACE
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600V OR LESS
200A OR LESS
18.50
Main service 200A TO IOOOA)
37.50
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
('and my license is in full f�frce and ff�ejct.SINGLE
�JCode
License No. Y"�`5 0 Classification 4V G �j
El1, 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.g)\
OR ACDNS. ACC. BLDGS. II
364sgft
NEW
NON-RESID CONSTMU LT'_OUTLE,R BRANCH CIRCUITS
@ 5.00
POWER APPARATUS e
OUTLET CIR, /
Ex. OCcup(OUTLETS OR FIXTURES
20 6
FIXED APLN.
Ex. OCCup. OUTLETS P(RESID.)REA.)
3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
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 subjectLHd
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subjectit
to theW. C. provisions of the Labor Code, you must forthwith comply with suchprovisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 15.00
Heating WALL FURNACE
9.00
Cooling
6.50
ilation
Fee
$ 24.00
ractor
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.
i also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and exp es which may in any way accrue
against s ' County in conse a of t ranting of this permit.
X Date �—�� ��
Si Lure of Applicant — Owner
g pp ❑ Contractor ❑ Agen�
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 S
Energy Inspection Fee $
OCC
CONST TYPE
TOTAL FEE
$ 24.00
HAz
OFEES
IMP
FLOOD
CDF
PARCEL
PD
HD
ISSU
j
This permit is hereby issued under the
sions of t e Butte County Code and/or
`^fork i di ted abo for whic fe
DIR OF PU 1
ByDate
PER T EXPIRE Date
applicable pro% i -
resolutions to do
shave been paid.
ORKS
Receipt No. 109730
WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
_
COUNTY OF BUTTE - DEPARTMENT'DF;"PIIJBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPU�,TION DATA SHEET
Permit No.
OWNER ��(/I,
d! (2— S e K(r6i d A. P. No.
'I-,)6 -(O _3c�
Proposed Building Use _SJ__ ACK W AUCNttC,<ZBuilding Inspector
Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or 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.
Hazardous Material Form ..........................................
6.
Energy Design Compliance and supporting documentation .........
7.
Statement of Intent for Non -Heated and AC Buildings ..............
8.
Engineered truss details and layout in duplicate (required prior to plan check)
9.
Mobilehome installation data including manufacturer's installation
instructions.......................................................
10.
Fees of $ ........................
11.
Chico Urban Area fees paid .......................................
12.
Park fees paid ....................................................
13.
School District fees paid ..............
14.
Sanitation approval from Health Department
15.
City of Chico plumbing permit .....................................
16.
Plot plan and business license approval from City of
(see City for other requirements)
17.
Planning approval for (A) Use: (B) Parking: ......
18.
Improvements may be required. Contact Land Development Section DPW
19.
Driveway permit (construction approval required prior to occupancy)
20.
Pre -Inspection for required Pre-Inspec. request to
Building Inspector
(Date)
21.
�2.
Contractor's license information (No., Name Style, Classifications ..
Certificate of Workmans Compensation Insurance ..................
23.
Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
24.
Recorded copy of Agricultural Acknowledgment Statement .........
25.
Letter of signature authorization ...................................
26.
27.
When
you issue the per it, process as follows: Mail to owner.
Mail to contractor.
_L,e�--Telephone.2o9 _255-og03 and hold for pickup at -QRZ office.
Deliver w/inspector.
Other
Applicant
Date D 9�
Copy of Hdz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date . By
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:
Contractor, designer, owner, was advised of above required data by_phone---- inail_counter by .date
Contractor, designer, owner, was advised of above required data by—phone —mai l—counter by date
Plans checked
Sets of plans on hold in
Copy—DPW
Date Plans approved by
File cabinet AP folder
Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Orovlllet Callforrila 95965 - Telephone. 916.'538-7541
APPLICATION AND PERMIT
ASSES OR, PARCEL NUMBER
lorl- 2,!J
2:O
BUILDING PERMIT
OWNTELEPHONE
a(J /i1 e 2 QCi
SO. FT, OCC. BUILDING VALUATION
OWNER'S ,AILING ADDRE55 95���
sor, 072 Z 7 5
CONTRACTOR'SNAME
n►som A I: {, ,2
TELEPHONE
asS- 0 4163
I
I
CONTRACTOR'S MAILING ADORESS
S.3 L E • PJ C 6wo CA 01377
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 15.00
LENDER'S MAILING ADDRESS
Permit Fee
$ I
ARCHITECT OR ENGINEER -
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING oko ADDRESS ,_ ^
S C J
Permit fee
$
PLUMBING PERMIT
Filing Fee 15.00
_
Lt�L
Each Trap
5.001
_
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
7.00 i
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECI FY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.001
Mobile Home I S I G JW1@
15.00
TYPE OF WORK
New Addition RemodelE Utilities❑ Installation[ Other
Describe work: ZN.�ttt�l �t,J U•3 ft�k J;�UrMAtE
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00 ,
Main service 600V OR LESS
200A OR LESS
18.50
Main service 200A TO IOCOA,
37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):.JEW
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 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)
�1 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.r1
ADONs. ACC. aLDGS. ) I
3.6Esq.ft.1
_OR
CONST- '*1 ULTI.OU' I—
VON.PESID. EIRA.".C:.1 CIRCL ITS
@ 5.00
jPOWER APPARAT;JS s)
`SINGL= OUTLET CIR.
/
Ex. OCC::O( ^ TLETS OR FIXTURES
u
1 20 766
A na
P:<EG APP LNS. OR
Ex. Occup. O,:TL=-S RESiC.) EA.)
1 3.001
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
Contractor
—
WORKMEN'S COMPENSATION INSURANCE
I dec;are under penalty of perjury (check one):
LI The permit is for S100.00 (valuation) or less.
G 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.
u I shall not employ any person in any manner so as to become subjec
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subjectZ
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 15.00
Heating WAff V/'4/
Cooling
I Hood
6.50
I Ventilation
Permit Fee
�� �O
$ ,�
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
Si nature of Applicant - OWner r �+
q pp (� Contractor C Agent U
An OSHAwork
over 5'0" deep and demolition or eDnsrrvet-
perm.s required for height.
on of structures over stories In hal gift.
Mobile Home Installation Fee S
Energy Inspection Fee $'
occ CONST TYPE :
TOTAL FEESL
I 1rrATEESI IMM FLOOD cDF I PARCEL PO
I
HD s
This permit is hereby issued under
sions of the Butte County Code and/or
indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXP!RES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date
b ° 7
Receipt No. I
.v N,YE-D.P.W.. YELLOW-ASSE550R, P.411 SPr.CYOR. :OLDENROO-APPLICANT
1