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HomeMy WebLinkAbout078-380-043Ogg { MID VALLEY SAVINGS & LOAN' ' �' "', 287-69B r !ROBERT C . DROWN X3435 Oro �tf t Bangor Hwy 0ville — _._566-69P Permit#873-80B(wood stove) SF • 3435 Oro Bangor Hwy., Oroville ' - ' =- CONTR:. Deakins Const., 3055 Foothill Blvd. , Oro . Permit#4 0E- 6-81B (install wood (relocate esidence, remodel and install wood stove) 11 floor) i (� �./ e� - `7 O - ��- -'15/ 4(p .. �f8 4211`-90B z - McGAHA, Leonard'--� ' _ 3435 Oro Bangor Hwy, Oroville > t (wood burning st6ve)SF q 92-836Leonard:' L-3Bangor�Hw r' y;,Orovillectrical;wirin ii g�sf q�',� M."* .;, . . �. {_ i I • • • • Wia� r . r: �' T,'.Ti:,rC'u.rrn'�r„Tt�'!t.�:' ,. ^� c�►+":� '��t+t�.r3iS �'+stiiN.'LT.ae.Y,;;d s.•.�:"�'•1";''"+...: '..-_ . .. _ ._....-; ,y�.'x _ 36-112=56 92-836 �! MCGAH ' 3435 A, Leonard ' misc Oro Bangor HwYP'Oroville electrical wiring/sf f j • L tib. , �'.� �._ �._ •'` ^ . ` r • A ,IC COUNTY OF BUTTE - DEPAft-TMIENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916538-7541 APPLICATION AND PERMIT PERMIT NO. 1� � ASSESSOR PARCEL NUMBER 36-112-56 ZONING BUILDING PERMIT OWNER Leonard McGaha TELEPHONE 534-8665 SQ. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS 3435 Oro Bangor Hwy, Oroville CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS .j Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Feb $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS _ 3435 Ora Hwv n Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 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 N 15.00 Mobile Home 171 G JW ` @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remode1 ❑ Uti lities N Installation ❑ Other ❑ Describe work: Mlsc Wriing _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 ' Main service 200A OR LESS 18.50 Main service 20CATO IOOOAI 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) 1, as the owner, am exclusively contracting with licensed f contract- ' ors. (Sec. 7044) I am exempt under Sec. , Business and Professions Code for this reason _37.50 NEW CONST. DWELLING OCCUP.& 3.6$sq.ft. OR ADDNS. ACC. SLOGS. NEW CONSTR. MULTI -OUTLET @ 5 00 NON-RESID BRANCH CIRC ITS (POWER APPARATUS trl SINGLE OUTLET CIR. I Ex. 20 76 p ourLETs OR FIXTURES 46 Ex. Occup. bur ETS ((RESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00- Misc. INirin g 15-0015.00 Permit Fee $ 30,00-1 — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C.'laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 1 15.00 Heating Cooling g Hood 6.50 Ventilation , Permit Fee $ L 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 upo above entioned property for inspection purposes. I also agree t Inde i.fy and keep har I�ss the County of Butte against all liabi iti idgment OSt S;i nd 9 S which may In any Way aCCfUe agai County in o t ra ing of this permit. Date ature of Applicant — 'Owner ❑ Contractor C]AgentE] 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'S$ 30.00 HA2 DFEES IMP FLOOD CDF PARCEL PD HD ISSUE .' This permit is hereby issued under the applicable provi- sionsSig of the Butte County Code and/or resolutions to do work indicaXd above for which fees have been paid. + `DIfIE TOR_OF PUBLIC WORKS By +� DSte 'T'd-s'n. PERMIT EXPIRES Date T�— l� 110498 Receipt No. WNITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. Calitornla 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. �� ASSESSOR PARCEL NUMBER 35-112-5 ZONIN_O �. BUILDING PERMIT OWNER Leonard N1cGaha TELEPHONE 534-8665 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 3435 Oro Bangor Hwv, Oroville CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 0 Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 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❑ Mobilehori Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW @ 15.00 TYPE OF WORK New EJ Addition❑ Remodel❑ Utilities® Installation❑ Other ❑ Describe work: Misc Wriing Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 Main service 20CATo 1000A) 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 Code and my license Is In full force and effect.SINGLE License No. Classification JIY I, as the owner, or my employees with wages as their sole compen- sa_M,6n, will do the work,and the structure is not intended or offered r 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. OR ADCNS. l ( DWELLING OCCUPACC. BLDGS. / M 3.64 sq.ft. NEW Coi ULT' -OUTLET NON.RESID BRANCH CIRC ITS I @ 5.00 POWER APPARATUS b OUTLET CIR. EX. OCcU OUTLETS OR FIXTURES 20 760 p EX. OCCUp. FIXED APPLNS. OR OUTLETS'RESID.I EAJ I 3.00 Temporary service 15.00 Mobile me Facilities Home 15.00 Mise. H g 15.0015. 00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate / of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 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 upo above- entioned property for inspection purposes. I also agree t Inde y and keep har ss the County of Butte against all liabi 'ti dgment Ost nd eX es wh'ch may In any way accrue agai County in t ra ing of this permit. Date Si ature of Appl' ant — wner contractor ❑ Agent ❑ An OSHA permi• is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height.BLIC Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 30.00 HAZ DFEES IMP FLOOD CDF 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 Indic dab or which fees have been paid. WORKS ByAor�U to -2wm PERMIT EXPIRES Date Receipt No. 110498 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.'538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 036 - 2 — s6 ZONIN s BUILDING PERMIT OWNER Loo on a rA Mc -00a TELEPHONE 53Lf - 6 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 3 CONTRACTOR'S NAME TELEPHONE CON ACTOR'S MAILING ADDRESS 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�3��3s n-0Q� j //w '/ l/ Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 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 I G I W 615.001 TYPE OF WORK New ❑ Addition R model ❑ Utilities ❑ Installation i Other ❑ Describe w I, f Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS200A OR LESS 18.50 Main service 200A TO IOOOAI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El 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.&\ OR ADDNS. ACC. BLDGS. I 3.64sq.ft. NEW CONST L M1 ULTI-OUTLET NON-RES10 BRANCH CIRC ITS ^ 5.00 POWER APPARATUS e (SINGLE OUTLET C1R. Ex. Occup(OUTLETS OR FIXTURES 20 RAL_ 76d FIXED APL.Ns.❑ Ex. OCCUp. OUTLETS PRESIO IREA.1 3.00 Temporary service 15'.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 +1 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Coolin g Hood 6.50 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 against said County in consequence of the granting of this permit. X Date Si nature of Applicant - Owner g pp ❑ Contractor ❑ Agent ❑ An OSHA ons over 5'0" deep and demolition or construct- ion of structures toverr3gstories inheight. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE ; TOTAL FEE $ , HAz 0FEES IMP FLOOD I CDF I PARCEL I Po HD SSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date p I Oy �? 00 Receipt No. 1 V��78 30. WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive,,flroville, CA 95965 Phone: 916-538-7541 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 issued until this verification is received. 1. personally plan to provide the_ma:..r—labor and ma ials for construction of he proposed property improveme(t e�_o�no) 2. I (have/have not) ��% Gf� signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City -Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Sign Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541/f `? / /^�J• APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 36-112-56 OWNER ZONIN !�R BUILDING PERMIT V Leonard 1�1cGaha T°��5 5 S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 3435 Oro Bangor Hwy. Oroville 95965 CONTRACTOR'S NAME owner TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN none Fireplace A 1000 Total Valuation $ LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE No. none Filing Fee $ 10.00 Permit Fee Plan Checking Fee $ 7.50 $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ 63435NOro DBangor Hwy Oroville Permit fee $ 27.50 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 55,00 Each qas water heater or vent 5,00 USE OF STRUCTURE ° SF a Duplex[] Mobilehome0 - Other j - 'SPECIFY Gas piping system l - 5 outlets- 5.00 Building sewer 5.00 Mobile Home S I G I W O.00e TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities❑ Installation❑ Other Describe work: wood stove Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR1 OR LESS10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their Sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L 100 AMP 2,50 NEW CONST. DWELLING OCCUP.tr OR ADONS. ( ACC. BLDGS. _UL 21/4sgft NEW CONSTR r_ NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20@50t eAL@30 FIXED APPLNS, OR Ex. Occup. OUTLETS IRESI\ D,I EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. - I Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3,00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that'the above information is correct. I agree to comply,4o allCounty Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyof to enter upon the abov5rentioned property for inspection purposes.TOTAL 1 also agree to save,inde,ni y and keep harmless the County of Butte against all liabilities, judgments costs and expensgs which may in any way accrueHAZ against.said County in'0nsegt; ge.of ttte fPntirig of this permit. X - Vf � C —� � Date J i� / ,' 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 in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TYPEButte FEE $ 27.50 E_0CC____C_0NST CUA PARK SCHL FLD PAR PD HD Issu This permit is hereby issued under sions of the Butte County Code and/or work 'a ated above for which fees ` J A DIR � OF PUBLIC B PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS /Date .+ 4 ,3,stories Receipt No. J58 WHITE-D.P.W., YELLOW-ASSE330R, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT 0F 7 County Center Drive - Oroville. California 95965 - U PUBLIC WORKS Telephone: 916/ 538-7541 APPL'ICATIN AND PERMIT PERMIT NO ASSESSOR PARCEL NUMBER20NING 36-112-56 AR BUILDING PERMIT OWNER Leonard McGaha TEL 53%-8��PHO5 S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 3435 Oro Bangor Hwy. Oroville 95965 CONTRACTOR'S NAME owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace A 1000 CONSTRUCTION LENDER none UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. none Folin g Fee 10.00 Permit Fee Plan Checking Fee $ .50 $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDI3435NOroDRESS Bangor Hwy Oroville Permit fee $ 27.50 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 SFU Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe work: wood Stove Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1000V OR 0 AMPOR 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their Sole compen- s�ation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUPM OR ADDNS. ( ACC. BLDGS. / 2h¢sgft NEW CONSTR. ULTI.OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea (POWER APPARATUS e) SINGLE OUTLET CIR. Ex. OCCup(OUTLETS OR FIXTURES 20@30C B ALO 30 FIXED APPLNS. OR Ex. Occup. OUTLETS IRESID.I EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 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. AI shall not employ any person in any manner so as to become subjectHood 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. I Contractor MECHANICAL PERMIT FiIingFee 10.00' Heating Cooling 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 construc ion, and hereby authorize representatives of the Countyof Butte to enter n t e abov mentioned property for inspection purposes. I also agre o sa ,inde I and keep harmless the County of Butte against all Iiabil ' dgmen st i nd ens which may in any way accrue a rest aid County i e tin of this permit. 1Date 6 r Signature :1.App cant — eO" ner ❑ Contractor ❑ Agent ❑ An OSHA it is required For excavations over 5'0" deep and demolition or construct- ion of stru ures is rff3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 27.50 HAz I CUA PARK I SCHL I FLD I PAR PD HD Issu This permit is hereby issued under sions of the Butte County Code and/or work i ated above for which fees DI OF PU PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date /A—' Receipt No. WNITC-D.P.W., YELLOW -ASSESSOR, PINI( -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916,538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NU .., �ii1 zoN G BUILDING PERMIT ._ OWNER V1 a TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAI ING ADO ESS CO TRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace �d CON TRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENOER'S MAILING ADDRESS Permit Fee $ Q AR H TECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee gy g $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS _ u r r & / Permit tee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W O.00e TYPE OF WORK New❑ Addition❑ Re1m/od'el❑/ Utili ens❑ Ins�tlallation❑ Other Describe work: l�yd©<.i � tq i/C Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'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 Bushes$ and Professions Code and my license Is In full force and effect. License No. Classification F -1I, 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, 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.&` OR �z¢sgft NEW CONSTR. ULTI-OUTLET NON-R'ESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20@50t 5AL@30 FIXED APLNS EX. Occup. OUTLETS (RESID IRE A.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00Misc. 1lyirin 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. ❑ 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. Contractor MECHANICAL PERMIT FiIirig 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 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. Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE j� C TOTAL FEE $ Cid /r J HAz I CUA PARKSCHL FLD PAR PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT i OUNTY OF BUTTE'- Department of Public Works 7 County Center Drive, Oroville, CA 95965 OIMER_-BUILDER VERIFICATION Attention Property Owner: . An 'owner -builder" building permit has been applied your signature. Phone: 916=538_7541 for in your name and bearing Please complete and return this information at your -earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit . for the proposed wort. 3. I have contracted with the following person (firm) to provide the proposed construction: I Name Address f City Phone Contractors License Nr,_ r 4. �i plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address i City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: +I Name Address . Phone Type of Work Signed: Property 6m Social Security Number Date NOTE: This Owner -Builder Verification is sent'to you as 19832 of the California.Health and Safety Code. This verification must be completed and returned mitted to issue the permit. required by Sections 19831 and our office before we are per- J = OK 0 = Not OK Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except it's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -,Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 4, Wood Awn.; Posts-Beams-Rflrs.-Connec.-Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. J --- -- Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date ` Card -BI _ Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's 1, Zoning Requirements -Setbacks -Easements Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4, Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and. Electricity Tagged 9. Exits; Insp.-Sketch 8. Elec.; G•ounding; Equip. w/5' -Circulating Equip. -Pool Lghig. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date = OK = Not OK = Not Applicable RESIDENTIA = Not Ready L. (Single and Duplex) Date UNDERFLOOR Plates OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 48. 49. Property Line Firewall & Openings Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10.Water Pipe; Test -Anchors -Regulator -Service Test 11.Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except p's 14. Water Ht.; Vent -Access -Combustion Air 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. 19. Test Tub & Shower, 2nd Floor -Tub Access Gas Pipe; Size & Anchors 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails _ - 63. Fireplace or St,0.< Clear s -H 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Date Card -BI Date ELECTRICAL Permit OK except q's 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 72, Insulation -Foam -Looked in Attic E] Yes 24. 25. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen &Conductor Size 73. Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes 0 N 75, Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, 78. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 30. Clothes Closet Light -Shower Light 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B-1 Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except q's 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates _ 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic C -Bl ate Card -BI Date Card -BI -----.Date - Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except N's Comments at Final: 36. Sills; Proper Material & Anchors _ 37. 38. 39. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub _41. 42. 43. 44. -Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors oof Brac.-Truss-Shthng.-Ring. Cing. Joist-Rftr. Ties- rli _6 Fireplace Ties or T u rice Throat _ - 45. 46. 47. Attic Access; Size & RomexPratection-Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _ Garage Fire Protection Framing]J (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT MIT N0. / 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION ANDYERMIT ASS,�(o -A7S L -SMB N (/QBE/� ZONING UILDING PERMIT c D�wN T9LEVHONE �57/. SO. FT. OCC. BUILDING VALUATION OY45S /�J„LING ADDS J/N[,ELL��• CONTRACTOR'S NAME - TELEPHOLL l CONTRACTOR'S MAILING ADDRESS Fireplace 1 14 i ,000 -4 CONSTRUCTION LEND R - UNKNOWN Total Valuation$ Filing Fee . $ 10.00 LENDER'S MAILI G ADDRESS Permit Fee $ ARCHITECT OR ENGIN LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGIN ER'S MAILING ADDRESS Permit fee $ 25, O d Bur,�DRESsCAW PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each gas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex[] Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utiilitips ❑ Inst lati�onOther Describe work:_ �N (�/t��b�w�l Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service OOOV OR LESS 100 AMP OR LESS 5.00 - Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.N) OR ADDNS. ACG, BLDGS. 22 sq 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. 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 CONSTRTI-OUTLET NON-RESID BRANCH CIRCUITS) 2.50 ea, NEW CONSTR. /POWER APPARATUS &I NON-RESID. \SINGLE OUTLET CIR. / SO @ 2150 Ex. OcCUP ourLETs OR FIXTURES BAL@100 FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIiIng Fee 10.00 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. (IM 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. 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 Couniyot 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 again aid •ounty in ons uence of the nting of this permit. X Date fV Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required fora ovations over ST" deep and demolition or construct -I ion of structures over 3 sstto"riie's in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ �5r Od occuP. GROUP I TYPE of CONST. PARCEL PD I ND ssuE T .s ermit is hereby issued under ions of the Butte County Code and/or Aworkdicated b e for which CTOROF PUBLIC PERMIT EXPIRES Date /O— the applicable provi- resolutions to do fees have been paid. WORKS Date _V 92-- Receipt No. 5( WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 1 s 11ER141T 873-808 t PERMIT EXPIRES 2/22/81 1 111 )WNER" ROBERT C DROWN t CONTR. owner - 1 LOCATION (A.P. ,,36,-112-56 3435 Qo B ngor`Hwy, Oroville A v Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&.E JOB FINALED (Date) (Signature) Setback Forms Main Bldg. Footing: Stemwal Slab Piers Stemwa I I Slab Carport Footings Slab Patio Footings isonry Walla Reinf. Stee Brown Finish Interior Lath Door Closer MOBILEHOME Water Piping - COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS GUILDING INSPECTION R55CORD BUILDING BUILDING (Cont'd) PLUMBING Firewall Parapets Restroom Finish Windows Siding Roof Sheathing Roofing Fdn. Vents Garage Vents Insulation Prov. for physically handicaooed Conformance of ex. FIREPLACE Foot INKLERS Heating Cooling Ducts Ventilation Final ... Elec_ Service REMARKS OR CORRECTIONS Soil Piping 1st Floor 2nd Floor 3rd Floor To out .Water Piping Sewer Fixtures Water Htr. Heaters Appliances Gas Piping & Test Temo. Gas Final Fixtures Motors Water Htr. Subpanels Grd. Fault Pro Service Temp. Pole Underground Permanent Final Elec. Pedestal Gas Piping a1 (NOTE: An entry must be made on this form each time you visit the job site.) l. EL COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Tel ephorLp: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. x , Date Z Signature of Prnitee or Agent Receipt No. L) White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the to County Code and/or resolutions to do work indicated a e or w h feshave been paid. IR CT,OR OF PUBLIC WORKS Building permit expires Date BUILDING Owner49&xr- Gp r10T�l� SQ. FT. OCC. BUILDING VALUATIO Mai I ing Address 3c/3,5- Te ;p one No. 71Contractor 66U Cle7f, Mailing Address Fireplace,p t7 Total Valuation Telephone No. Permit Fee 00 Building Address ?l5— Dom, 6�►�Z- Planng Fee&/or Penalty Permit t Fee $ .pQ dl PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. Z �- S Zoning 9�`Pal ening Water piping 1.50 Each gas water heater or vent 1.50 Fdef- *'C. .$aRke+ion I Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel I Declaration I Parcel Map 1 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plans Recd Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ //'' '' W(i&O ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600v OR LESS 100 AMP OR LESS 5•�� Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 ER 60 Main service 10 0 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NE OR ADONST V ACCLBLDGS.LING CCUP. !i) 20 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 st le of: %r NEW CONSTR (MULTI-OUTL T NON-RESID, l BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS 8 NON•RESID. SINGLE OUTLET CIR. Ex. Occur)(OUTLETS OR FIXTIIRES) 5 L 12 Ex. CCU FIXED APPLNS. OR O p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification il Misc. Wiring 6.25 10 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 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. I 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 the Workmen's Compensation Laws of California. MECHANICAL N0.1 @ FEEPERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ �i �c authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. x , Date Z Signature of Prnitee or Agent Receipt No. L) White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the to County Code and/or resolutions to do work indicated a e or w h feshave been paid. IR CT,OR OF PUBLIC WORKS Building permit expires Date