The URL can be used to link to this page

Home My WebLink About078-380-008RUTH GRIFFIN%aq �. � g-3g�--ooh �-�• - - 2568 Oak Kno)17 ll Wa ,�,rovi 1�I" f Permit#3679-84E(ele ser ch & clean up/SF 05-2168 GRIFFIN, RUTH nn al 2566 OAK KNOWLL WAY, OROVILLE V CONT: OWNER. t Q DEMO ' ..�I B08-1009. 078-380-008 MISCELLANEOUS Demolition DEMO OF SF (1088) 2566 OAK KNOLL WAY GRIFFIN RUTH M REVOCABLE TRUST RESIDENTIAL SFD-Mobile'Home PFS _ NEW MH, PERM FND (1890) REPLACI nn 2566 OAK KNOLL WAY' V RUTH M. . G FIN REV TIR�USJ/ E P O� I 1 1 ' 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CARD MUST BE ON JOB SITE 24 Hour Inspection Lin- (IVR) :(530) 538-4365 Office: (530) 538-7541 Fax: (530) 538-2140 Website for Online Permits/Renewal Pavments: www.bu*ttecountv.net/dds Permit No: B08-1366 Issued: 09/10/2008 Address: 2566 OAK KNOLL WAY Area: OROVILLE Owner: RUTH M. GRIFFIN REV TRUST Applicant: REDLINE INSTALLATIONS INC Permit Type: SFD-Mobile Home PFS APN: 078-380-008 Description: NEW MH, CHATTEL (1890) REPLACING 2 + AREA 1 Flood Zone: None SRA Area: Yes SETBACKS for Zoning. AG. SRA. PW Front: Ultimate R/W from CL: 30 Rear: SRA: Side: AG: Other: Total Setback from Centerline of Road:+30 ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 1.14 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test House 404 Gas Test Yard 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab.Until Above Signed Holdowns/Straps 122 Shearwall/B.W.P.-Interior 135 Shearwall/B.W.P.-Exterior 135 Roof Nail/Drag Trusses 129 Do Not Install Siding/Stucco or Roofing Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Shower Pan/Tub Test 408 Fire Sprinkler Test 702 Fire Sprinkler Final 702 Inspection Type IVR I MSP DATE Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Stucco Lath 142 Stucc §t—u—q r OFFICE COPY Bldg Permit: Address: _ Setb Pool Gas Pre-' GAS By: _ Electric By: �/-' k Date/% / Date: o- V Pool Pool Pre - Manufactured Homes Setbacks 132 Blocking/Underpining 612 Tiedown/Foundation System 611 Site Utilities/Trench Insp. 137 Gas Test Yard 404 Manometer Test 605 Continuity Test 602 Skirting/Steps/Landings 610 Coach Info Manufactures Name: N Date of Manufacture: — 10 — 6 1? Model Name/Number: Serial Numbers:;4 (13 o3 2- i Length x Width: Insignia: a p Fineils i Building Fina 802 Public Works Fin Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Pool Final 802 Mobile Home Final 802 a 538-7681 a 538-7681 f� r Project Final is a Certificate oI occupancy lor (Resicrential Only) PERMITS BECOME NULL AND VOID 1 YEAR FROM TIIE DATE OF ISSI`ANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION S Inspector Copy N RESI DEN.TI:A L' BUI G D/NG' EG0J4D PARCEL L, lv .i / /1:� /� d ADDRESS SHEET G_. OF-•3ll/ \ SHEETS. DFSCR/PTION OF ROIL DING CIL :rSS@SHAPE CONSTRUCTION STRUCTURAL EXTERIOR ROOF LIGHTING AIR CONDITION ROOM AND FINISH DETAIL Light _ Frame ,� Stucco on F/of 141 Pilch Wirin(j Neofing: Cooling: ROOMS FLOORS FLOOR FINISH TRIM INTERIOR FINISH Ivo//s Cei/in s Sub-Slondard „"xb • "- lr d%. c -:/ii• /r;�ii ,.. Gob/c X.T. Conduif Forced Refrig. B I 2 Molerio/ Grode ARCHITEG'TURE r 'X St,ndord Sheathing — — Sidin "x Nip /q R B X. Cob/e Grovity A/mos All Above -Standard Block Shed �4 Fixlures C/eoning /tumid ! Stories Jpeciol _ Bag, T-17-86. Cul Up FewCheop Olin/ Zone A.. Ent. Nall TYPE Br,ck Shing/es Dormers Av . �( Mediu» / f/aorun 1✓o//07. Living / .i'� fit•' / , f rL, USE OES/GN FOUNDATION Adobe SSohes 4ani Spedio% Dining Single rete Floor.loisl: B&B, T. 0 G. Gullers Radiant Double Reinforced PLUMBING Bed 1' _ Duplex Brick Z^d: "x - Brick Shingle Poor Good r2 r• r Bed Aporlment Wood Sub Floor Slone Shoke Oil Burner F/a1-001/11 I Piers ConcreleFloor WINDOWS rile FixluresA1.-B.ru.. _ Motel Syw CC V X D.N. f Cosemeal Tile Trim _ fti'erlleolerM.-577 U. ^ { Melo/Josh Composition /i Fireplace KitchenlnsuloledCeilins Units LJL,ghll jHeovylnsuloled Wol/s Screens Compo. Shin le GasE/ecf. DrairiBd. Molerio% Lgih: Ft. Splash: CONSTRUCTION RECORD EFFEC. YEAR APPR. YEAR NORMAL % GOOD RATINls (E, G, A, F, P) BATH DETAIL PermiFor Amounf Dole Age Remain Table Life Cond Arch. Atfr. Func. F/on con- Stora e50oce Work- form: upb'd lose/ ship FI• N0, FINISH FIX TURES No. Floors Wo/Is lyc. _ Lo.IT&bl Type Grade _ V. _SHOWER 0. T. 5D.1 Finish C" ; r e?ej- ft�•�T *0 1. q/040 �- Ir� ! , j �r0 7f SPECIAL FEATURES C% { �^ �0 !� /r BookCoses eui/l-in Beds Ilene fionBlinds Shu/lers b r _ comrUTATIOM - Unit J� Cep Cxl'r Area ctt -7p\ Unit Cast Cost Unit Cost Cost Unit Co sI Cost Unit Cost Cost Unit Cost Cost Unit Co &I, Cost Unll Cost Cost Unit Cost Cant tOTnL J L5 HORMAL "; GOOD " -- R C.L.11.D. ffj*J44i�4 z) i rTUU I L;rTg a Structure Found Cons. Ext Roof Floor' Int Size, etc. 3 155,i- _7�,C_4,a aa iq., COMPUTATIONS Remarks: 3 jmc. 3 155,i- _7�,C_4,a Remarks: 3 jmc. I BUTTE COUNTY' } DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 LICENSED CONTRACTORS 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 : License Number: Date: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): 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 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3,o Te Business andT ssionsQCoode'' Dater Owner: T f �k,� -- . IVORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I 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 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy 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 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. Date: O Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor, code, interest, and attorney's fees. PERMIT NO. BPO52168 Issued Date: 08/12/2005 APN: 036-111-004-000 Site Address: 2566 OAK KNOLL WAY ORO Map Index: Description: demo house Owner: GRIFFIN RUTH 2568 OAK KNOLL WAY OROVILLE, CA 95966 Applicant: GRIFFIN RUTH 2568 OAK KNOLL WAY OROVILLE, CA 95966 Contractor: License #: Architect: Engineer: Total Square Ft: Valuation: Census Code: 0 S. F. $0.00 ,,--I ,v CONSTRUCTION LENDING AGENCY This per is her issued and a applicabl , prov' ions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions to work ind' ove for vihic P fe5e have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) By. Date: Name: PERMIT EXPIRES ON: Address: (Date)_ ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. [hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. L T / //1 Print Name: / \,QT/U /t L t`Y ��'�,4/ Signature: �r i Date: ( N Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor o r 0 -RA;— D -if n1-1r-fld nn 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER CONTRACTOR Last Name First e I Address 9 lZip City O DVIZ_ / State -o Ci Zipkj�37� Phone 3 Q(�— U Fax Fax E-mail Planner —APPLICANT SIGNATURE X For office use only: CONTRACTOR Name L /1 /1 `�� (fit Address lZip City No State Flip Phone S3 Fax E-mail Planner Lic. # Class —APPLICANT SIGNATURE X For office use only: ARCHITECT/ENGINEER Name L /1 /1 `�� (fit Address lZip City No State Zip Phone S3 Fax E-mail Planner State License Number —APPLICANT SIGNATURE X For office use only: APPLICANT NAME Name &72 i:'a'5-(0 L /1 /1 `�� (fit Address a �j � o� lZip v[� City No State 9� _q al Phone ? J S3 Fax E-mail Planner —APPLICANT SIGNATURE X For office use only: Zoning Property Address/ ,2_ ,T AtIo W Flood Zone Cross Street SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. z/ BIN # LOCATION Property Address/ ,2_ ,T AtIo W City r v Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. I� LENDING AGENCY Name Address Description or Scope of Work: Dc- Ino -" 'o / ,5— Sq. rootage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Recei ed b� Amount: !��5Bldg SRA Receipt #: Sheriff I� SMIP Date: O Other Total K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 2-24-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538.7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION K TORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 a Permit #3671-84' �6 . �/I —0� Ruth Griffin 2568 Oak Knoll Way, Oro COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION ~BIND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER l Cf r,( TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS CONTRACTOR'S NAMETELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER p UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER �J � co LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS V Y /`J J ll�✓ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 n Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF 0/Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home ISI GJWJ 10.00 e TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities❑ Installation❑ Other Describe work: �) P rS /C-7 I lP%aI1. 1_j }:N \\ �_ � Q� nno S h/1) r rN 40(� C 00 i V f f1 C2 f Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1100V OR LESS 100 AMP OR LESS 10.00 I _ Main service EA. ADD•L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 2th Qsq ft 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. I License No. Classification Q if 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). QI,.•as-the owner,•am exclusively contracting with licensed contract- ors:,(Sec. 7044), . ❑ I'am exempt under Sec. Business and Professions Code ' h }` • for this reason NEW CONSTR. MULTI -OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR POWER APPARATUS & NON -RESID. SINGLE OUTLET CIR. Ex. Occup20®50a TS OR FIXTURES BAL@3o . FIXED FIXED APP LNS, OR EX. QCCUp. OUTLETS (RESID,) EA•1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 /,- _ -K P ^ - I Permit Fee ) $ Contractor 'WORKMEN'S COMPENSATION INSURANCE I de4'clare'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: f 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. "application MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this 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 expenses which may in any way accrue[__� against said County in consequence of the granting of this permit. %� ' �' 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 $ pV TOTAL PERMIT FEE $ .---- OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD 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 been paid. DIRECTOR OF PUBLIC WORKS ( 1 k ('(/ By \ \ `t Jt �. "'lI Dated( ' PERMIT EXPIRES Date �'- '• '•� Receipt No. -A ' % (n V_ WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT JCOUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATIA "AN15 PERMIT PERMIT NO. ASSESSSR ARCi /� i TMB6 ZONING BUILDING PERMIT OWN i' TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNE 'S AI IN ADDRESS at KvInIA W m 0 r CONTRACTOR'SNAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING AD s 0 C C PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S I G I W 10.00 e TYPE OF WORK New Addition Remodelp Utilities❑ Installation❑ Other De5r,ribe work: S S v Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.0010 IDD Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLOGS. 2t/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ElNON•RESID. I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and ef 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 NON-RESID BRANCH CIRCITS 2.50 ea CON5TR U TI.OUTLET NEWCONSTR POWER APPARATUS & SINGLE OUTLET CIR. Ex. Occu 20®60Q /fect. p\OUTLETS OR FIXTURES 13 L®30 FIXED APP LHS, OR ` Ex. OCCUp. OUTLETS (RESID.) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 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. ❑ 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 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. 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 again aid Coun�innseque q�e� of this permit.X Date 7d Signature Of Applicant — Owner Canrrocror ❑ 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 $ 0 . TOTAL PERMIT FEE $ .�— OCCUP, GROUP I TYPE OF CONST. PARCEL PD I NO I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DEC O F PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date — ' LL� Receipt No. .8 -7(o 7— WHITE-D.P.W.• YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT