HomeMy WebLinkAbout078-320-045t
no
Q .•� '�' � '.ri•3� f�� � i �mr:.t. •"'": `" �' ,�:5^,fry t` t ,;.t,.(- � a 4�:. -
Q.
71
03616 6fi5 00-21.19
WEEMS,BEN F/NAe-
96 INGLEWOOD
96INGLEWOOD RD. OROVTLLE
, r
CONTR: MARA77_O, JIM
SERVICES CHANGE (ELEC.) '
. r,
836-499-4.5 00-2138 _
BUD WEEMS
96 INGLE WOOD RD. OROVILLE t
CONTR: CONNELLY'S PRO. SER.
RE-STUCCOF/�qG _
. /o
I
1
I ,
s
.
t a
t
no
Q .•� '�' � '.ri•3� f�� � i �mr:.t. •"'": `" �' ,�:5^,fry t` t ,;.t,.(- � a 4�:. -
Q.
71
03616 6fi5 00-21.19
WEEMS,BEN F/NAe-
96 INGLEWOOD
96INGLEWOOD RD. OROVTLLE
, r
CONTR: MARA77_O, JIM
SERVICES CHANGE (ELEC.) '
. r,
836-499-4.5 00-2138 _
BUD WEEMS
96 INGLE WOOD RD. OROVILLE t
CONTR: CONNELLY'S PRO. SER.
RE-STUCCOF/�qG _
. /o
I
1
I ,
•
t .
,r.�-, i�..- .�:1✓�:ryu:s.Y�... ,�; ;�:J*ygi0. Ylxe.
w
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT �
AS bQiC-E N�
ZONING
BUILDING PERMIT
Ow�E,p,� WEEM
JJjl9
TELEPHONE
SO. Fr. OCC. BUILDING VALUATION
Owj3�Ujs
CO RACTOR'S NAME
(6OIINEILY' S PROFESSIONAL SERVICES
TELEPHONE
533-1516
cG 4 DREBBIE AVE, OROVIUE 95466
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
3600.00
ARCHITECT OR ENGINEER
LICENSE NO.
Fee
$ 20.00
—Filing
Permit Fee
$ 63.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
96 INMEWOOD RD OROVIZ
Energy Plan Checking Fee
$
$
PERMIT FEE
$ 83.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑Z 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 q
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other f
Describe Work: RE-MCCO
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
Ca 0.00
PERMIT FEE
$
ELECTRICAL PERMIT
Filing Fee 20.00
8000 R LESS
Main Service 200AORLESS
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 4q_I Lic. NO. R7 D
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
Main Service I 00 -OA
TONG
46.00
WEE200A
NEW CONST. DWEWOCCUP. CU
OR ADDNS. ( 6 ACC. BUDS.
SO
3.5¢FT.
' I.OUTLET
rNj .ESIDTMULT
97.50
POWER APPARATUS
a SINGLE OUREr CIR.
�(• Occup. OUTLET OR FIXTURES
X20 @ 'ao
Ex. Occup. OFvr. A.,6 LNS°EA
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 insuran�e carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
Policy Number1
(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
forthwith comply with those provisions.
� 1.1
X �;_r'.L�i✓/ Date r` ` ` _
•Signature of Applicant -- OdOwner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction;
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 83.00
HAZ.
D. FEES IMP
I FLOOD
I COF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By �� I'_.:__ -L r . 'u' _ - Date
PERMIT EXPIRES ON'
/' Date
Receipt No. co
WHITE-D.D.S.-B.S. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIV ON
7 County Center Drive *Oroville�,eCalifornia 95965 * Telephone (530) 538- 41 PERMIT o.
(Rev. 12/96) AP P LI CM 1 I ON AND P ER M 19
ASS61gR PyRgEhNU�18
[4F[4F(t�� UU
ZONING
B • ILDING PERMIT
OWNER TELEPHONE
BUD WEEMS
SO. FT. OCC. BUILDING VALUATION
. OWNERS MAILING ADDRESS
96 INGLEWOOD
CONTRACTOR'S NAME TELEPHONE
CONNELLY'S PROFESSIONAL SERVICES 533-1516
CONTRACTORS MAWNG ADDRESS
5490 DEBBIE AVE, OROVILLE 95966 I
CONSTRUCTION LENDER
LENDER'S MAIUNG ADDRESS !:Fireplace
i
Total Valuation $
3600.00
ARCHITECT OR ENGINEER LICENSE NO.
Film Fee
$ 20.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Permit Fee
$ 63.00
Plan Checking Fee
$
BUILDING ADDRESS
96 INGLEWOOD RD OROVILLE
Energy Plan Checking Fee
$
$
PERMIT FEE
$ 83.00
LOT NO. SUBDIVISION'S NAME PARCEL MAP
I
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
r
Solar or heat pump water heater
23.00
SF OX Duplex ❑ Mobilehome O Other
Water piping
15.00
SPECIFY
Each gas water heater or vent
15.00
TYPE OF WORK
�
Gas piping system f- 5 outlets
1 5.00
y
New O Addition ❑ Remodel ❑ Unities ❑ Installation ❑ Other L'T
Building sewer
15.00
RE—STUCCO
Mobile Home I S I G W
@20.00
Describe Work:
PERMIT FEE
S
ELECTRICAL PERMIT
Filing Fee 20.00
R LESS
Main Service 200A OR LESS
23.00
Main Service 200A To I 000
46.00
LICENSED CONTRACTOR'S DECLARATION
NEW CONST. DWELLING OCCUR
SO
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
OR ADONS. ( a ACC. MDS.
3.5¢FT.
,mµp IDT MULTI.OUTLET
@7,50
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect. / O `r Z
/
POWER APPARATUS
a sINOLE OUTLET CSI R.
License Class 6_1z Lic. No. (V ✓ l
20 @ r.
OWNER -BUILDER DECLARATION
EX. Occup. OUTLET OR FIXTURES
.00
BAL 0
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Ex. Occup. ou�TELErs AEsID°FRa
5.00
Temporary Service
23.00
Law for the following reason:
O 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.
Mobile Home Facilities
20.00
Misc. Wiring
23.00
O I, as owner of the property, am exclusively contracting with licensed contractors
EE
to construct the project.
O 1 am exempt under Sec. Business and Professions Code for this
reason
PERMIT FEE
S
WORKERS' COMPENSATION DECLARATION
MECHANICAL PERMIT
Fling Fee 20.00
Heating
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'
Cooling
compensation, as provided for by section 3700 of the Labor Code, for the
Hood
6.50
performance of the work for which this permit is issued.
Ventilation
❑ 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 insuranc�ee carrier and policy number are:
PERMIT FEE
$
Carrier S' f"-r—.� 9
Mobile Home Installation Fee
I $
Policy Number //— 72
(The above sections need not be completed if the permit is for work of a valuation
Energy Inspection Fee
$
of one hundred dollars ($100) or less.)
OCC
CONST. TYPE
TOTAL FEE $ 83.00
❑ 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'
2.AZ.TD.
FEES IMP
I FLOOD
I CDF
PARCEL
PD
I HD
I ISSUE
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
This permit is hereby issued under the applicable provisions
forthwith comply with those provisions.
?_ �
of the Butte County Code and/or
Resolutions to do work
Date 00
indicated above for which fees have been paid.
gnature of Applicant - ❑ caner ❑Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
Date
of structures over 3 stories in height.
y 4111 (
PERMIT EXPIRES O
n '
Dae
ReceiptNo. r= �$83.00
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
I . .
(Rev. 12/96)
COrUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (536) 538-7541
APPLICATION AND PERMIT
PERMIT NO
ASSESSOR PARCEL NUMBER _
9 (/(`---
�O V ,J
ZONING
BUILDING PERMIT
W
OWNER
��cA ee
TELEPHONE
SO, FT, OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
6 6
I
CONTRACTOR'S NOME / LS
O llli✓l PeOfi
TELEPHONE
i
COMRACTOR9 MARIN'ln)^ ADDRESs Q 't
/�)'' �1`J P
CONSTRUCTION LENDER
HFirelace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Flln Fee $ 20.00
Permit Fee $ �/ J
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
Energy Plan Checking Fee $
PERMIT FEE $ S-1 U
LOT 140.
SUBDIVISIONS NOME
PARCEL MAP
PLUMBING PERMIT Fling Feel 20.00 j
USEOFSTRUCTURE
SF Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00 !1
Solar or heat pump water heater 23.00
Water piping 15.00
Each oas water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ 1.161 -ides ❑ Installation ❑
Describe Work:
Other
Gas piping system 1 - 5 outlets 15.00 -
Building sewer 15.00
Mobile Home S G W 020.00
PERMIT FEE $
ELECTRICAL PERMIT Fling Fee 20.00 ,
Main Service 2�oo�oaLEss 23.00
RECEIPT #
SRA $
SHERRIF $
TOTAL $
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR
•
GOLDEN ROO-APPLICANT
Main Service 200A TO 1000A 46.00 {
NEW CONST. DWELLING OCCUR 35¢so.
OR ADONS. ( & ACC. , '
SU)S. FT.NEW
CONST.
NON -RES 0. MULTI.OUTLET COi7.50
POWER APPARATUS
8 SINGLE OUTLET CIR,
0
2 20 O 1.00
EX. OCCU OUTLET OR FO(TURES B .0
Ex. Occup. o, .PPLNS °EA 5.00 .
Temporary Service 23.00 [
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE S i
MECHANICAL PERMIT Fling Fee 20.00
Heating i
Cooling!
Hood 6.50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $'
occ
coNsr. TYPE=TOTAL
FEE $
HA Z.
1 D. FEES
IMP
I FLOOD
I COF
PARCEL
PO
HD
ssUE
This permit is hereby issued under the applicable provisions j
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By Date
PERMIT EXPIRES ON
ate
�'�J",�4-. r�Y+_�lri",$1. .��.. a �4N'`d., 1Y� '.,JT:h1?t.�ef�p r y. _;f.NJ^:.�itiY:'.., itc�15 h `t:�:ww-•=wrtic:-...: n..w«Y,,pge, "G$ad7'�hr9A✓.t2� �yct�i �'r.3� mslf'ic}`z �..f".__=i�i#�tar4'�`u. '.
� x ;--Ais7 ut��N`'. .. +'rr„ty5^. '. k�a ..✓.'�-v�. 1,.., `•wn.."+sY`• '' ','?� •, Wit.
- 636-440-045 1, t 00-2119
i { WEEMS, BEN i
96 INGLEWOOD RD. OROVILLE
CONTR: MARAZZO, JIM
SERVICES CHANGE (ELEC.)
Aq
"* OFFICE COPY
Address
GAS .
Meter By— Date
ELECTRIC
Meter By Date
y
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 40 - 4&-q
ASSESSOR PARCEL NUMBER
036-440-045
ZONING
A -
BUILDING PERMIT
OWNER
eems. ben
TELEPHONE
532-1259
SQ. FT. OCC. BUILDING VALUATION
OWNERS MAIUNG ADDRESS
96 T2GLEWOOD R 95960
CONTRACTOR'S NAME
MARAZZOo JIM1599-5567
TELEPHONE
CONTRACTORSSS
MAILINGPLUMAS DR OROVILLE 95966
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS ,
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Flinn Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
SAMP
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
USEOFSTRUCTURE t
_
SF ❑ 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 ❑I Utilities'❑ -Installation ❑ Other ❑
Describe Work: SQCVECAR ChBTPP
I I _
Gas piping stem 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home S G W @20.00
PERMIT FEE S
ELECTRICAL PERMIT Fling Fee 20.00
s
Main Service 20..OR LESS 23.00
' 7
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. L� i 1
License Class f L• LIC. NO. t
OWNER -BUILDER DECLARATIONI t
I hereby affirm under penalty of perjury that I am exempt from the Contractors license
Law for the following reason:
❑ 1, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service '200A TO 1000A 46.00
NEW CONST. owElLING OCCUP. SO
OR ADONS. ( & ACC. Blas. 3.50FT.
rNjpµpESlp. MULTI -OUTLET @7,50
POWER APPARATUS
8 SINGLE OUTLET CIR.
AL I. 0
Ex. OCCU OUTLET OR FIXTURE BPP
Ex. Occup. oFIXUT>Frs RESID.OE0. 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
6 �e 4 I
PERMIT FEE $ V 4), LJ
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE S
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.)
fJ 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.
1of
X I+ - t�t►' ' �' Date �- b
Signature of Applicantl`j ❑ Owner O Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $
HAZ.
D. FEES
IMP
FLOOD
CDF
PARCEL
PD
HD
SSUE
This permit is hereby issued under the applicable provisions
the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
/� fit / i
By .�V 9/Date ! /// (J l!
� Az;
PERMIT EXPIRES ON !/
' Date "
Receipt No. 302686
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
0
COt1NTY 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 40 —"�z
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER
Weems. ben
TELEPHONE
532-125
SO. FT. OCC. BUILDING VALUATION
. OWNER'S MAILING ADDRESS
96 INGLEWOOD
CONTRACTOR'S NAME
MARAZZO JIM
TELEPHONE
589-556-7—
CONTRACTORS MAILING ADDRESS
299 PLUMAS DR. GROVILLE 95966
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation Is
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDINGADDRESS
Energy Plan Checking Fee
$
PERMIT FEE
$
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
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: S P ry i c P s ch a n R P
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE
S
ELECTRICAL PERMIT
Fling Fee 20.00
500VOR LE
Main Service 200A OR LESS
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 (-16 Lic. No. to c. F/
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
Main Service 200A TO 1000A
46.00
NEW CONST. DW %NG OOCUP.
OR ADONS. ( a ACC. BLDS.
so
3.5Q�:
rNio RES DT MULTI.OU CLET
@7.50
POWER APPARATUS
a SINGLE OUTLET CI R.
EX. Occup. OUTLET OR FDTTURES
BAL @ 1.00
50
Ex. Occu . OFIXED
UCSRa OR E.,
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
P1
3, &D
IPERMIT FEE
$
19
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
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.)
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 g 3 - v
Sign IfVU r6 of ApplicantV ❑ OwnerContractor ❑ Agent
An O A permit is requir d for excava Ions over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $
I.A
p. FEES IMP
I FLOOD
CDF
PARCEL
PD
FID
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees av
y
PERMIT EXPIRES O
fate
the applicable provisions
Resolutions to do work
been paid.
Q r
Date / V
Receipt No. 302686
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 a Oroville, California 95965 • Telephone (536) 538-7541 PERMIT NO
(Rev.12/96) - APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER / zoNGZ
BUILDING PERMIT
OWNER
LEPHONE
W
SQ Fr. OCC. BUILDING VALUATION
OWNERS ADDRE
CONfM�C�TQTR'S E
V
TELEPHONE
CONTRAC S
ORES
CONSTRUCTION LEND
-
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Flan Fee
$ 20.00
Permit Fee
$ j
ARCHITECT OR ENGINEERS
"UNG ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
Energy Plan Checking Fee
$
PERMIT FEE
$ !
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00 '
SF O Duplex O
USEOFSTRUCTURE
Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00 I
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilipes O Installation O Other ❑
Describe Work:
Gas piping system 1.- 5 outlets
15.00 j
Building sewer
15.00
Mobile Home I S I G W
(9?20.00
PERMIT FEE
S
ELECTRICAL PERMIT
Fling Fee 0.00
Main Service z�oaL O . S
23.00—
Receipt No.
RECEIPT #
SRA $
SHERRIF $
TOTAL $
Main Service 200A TO 1000A 46.00 Ae
NEW CONST. DWEIUNG OCCUP. 3,5¢SO.
OR ADONS. ( d ACC. BIAS. FT.
NEW CONST. MULTI.OIlTLET 1
NON-RESID. @7.50
POWER APPARATUS
8 SWGLE 011rLtT CIA. j
EX. OCCU OUTLET OR FO(TURES zo ®1'00
BAL 0 .SO
Ex. Occup. 0=0SA..6.)OE, 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Mit . Wiring 23.00
ERMIT FEE S
MECHANICAL PERMIT Fling Fee V20.0
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt S
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE TOTAL FEE $
HA2.
D. FEES IMP
I FLOOD
I CDF
PARCEL
HD
ISSUE
✓ 1
This permit is hereby Issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
the applicable provisions I
Resolutions to do work
been paid.
Date
Date
WHITE-O.D.S.-8.0. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD•APPLICANT
.. PRE -INSPECTION REPORT
•
CONTRACTOR:
PRE -
i a ••
DATE: -
. A. -P. #- C � SSD � O VS�
ZONING:. +
DATE TO INSPECTOR: PERMIT M-STORY;K0NE ( ) AS FOLLOWS:
BUILDING INSPECTOR'S REPORT
Building Description:
Commercial/Usage:
Residential/# of Units: #
Currently Occupied
Abandoned/Vacant
Electric:
E
Yes No Electric currently Or!. Off
Condition of Electric
Gas:
a
Natural Propane None ` + Currently On,. Off
Obvious Problems:
Sanitation: 4
Plumbing Working
'Well Working .Potable Water
Obvious SewageProblems
Comments:
A CT
JONRECOMMENDED: ISSUE: HOLD FO R
'~ COUNTY OF BUTTE - DEPARTMENT ,OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT r
(Rev.12/96) APPLICATION AND PERMIT
ASSESSOR PARCELNUMBEA
D0N"O
BUILDING PERMIT
OWNER
"E .r rcy
�V O'��
SO. FT. OCC. BUILDING VALUATION
OWNERS ADOi1E
COM W9
TELEPWNE
CONTR=
ORES I
CONSTRUCTLONLEND
LENDER'S MAILING_ADDRESS -
Fire lace
Total Valuation $
ARCHITECT OR ENXLNEER
LICENSE NO.
Filing Fee $ 20.0
Permit Fee $
ARCHITECT OR ENOWEERS
MAIUNO ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
�
Energy Plan Checking Fee $
S
PERMIT FEE $
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.0
SF ❑ Duplex ❑
USEOFSTRUCTURE
Mobilehome ❑ Other
SPECIFYEach
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
gas water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Ubliaes ❑ Installation ❑ Other ❑
Describe Work:
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G I W 020.00
PERMIT FEE $
ELECTRICAL PERMIT Fling Fee 0.0
Main Service z. OR LL s 23.00
Receipt No.
WHITE-D.D.S.-8.0.
-
RECEIPT # ��� �
SRA $
SHERRIF $
P%
TOTAL $
CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
Main Service 200A TO 1000A 46.00
NEW CONST. DWELIJNO OCCUP. 35¢so.
.
OR ADONS. ( 6 ACC. BLDS. M
NEW CONST. MULTI -OUTLET
NON-AESIO. 97.50
POWER APPARATUS
6 SWOLE OUTLET CIA.
SAL .0
EX. Occup. OUTLET OR FIXTURES @ .50
Ex. Occup. o,sED A 6 °� 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Mis . Wiring 23.00
ERMIT FEE $ C
MECHANICAL PERMIT Fling Fee 20.0
Heating
Cooling
Hood 6.50
ventilation
PERMIT FEt $
Mobile Home Installation Fee $.
Energy Inspection Fee $
occ
coNsr. nPE TOTAL FEE $
HA2.
D. FEES IMP
FLOOD
66F
PARCEL
AD
I ISE
This permit is hereby issued under the applicable provision
of the Butte County Code and/or Resolutions to do wor
indicated above for which fees have been paid.
By Date
PERMIT EXPIRES ON
eta
Le --
I