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079-310-004
07q- 001 eY ---------- ESSE ALEXANDERc BUTTE CONSTRUCTION Co. 0 Oakvale Ct, Oroville 1344-711 Ermit #1378-79B(1st. woodtove) 12 O-Zli F F7 le 4/ 'Oroville cont-rl*,--Holmes Mobile Home Serv., Oro. 20 Oakvale Ct Permit (new single#3 -79B(new -awnin,,family)_ -14 ,/SF) ge11 /24-7� MH rig 2ontr: Holme— Ser, B renewal/3727- 791 I;- -80B(1st-.r-enewa 791 B07-0058 �0 Q'3 079-310-004 MISCELLANEOUS 10> Plumbing MISC REPAIR: SHEETROCK, WATER 20 OAKVALE CT MCCARTIN, JAMES ROBERT & § TAC 11A 1`. t cr)I BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CARD MUST BE ON JOB SITE 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds Permit No: B07-0058 Issued: 01/10/2007 Address: 20 OAKVALE CT Area: OROVILLE Owner: MCCARTIN, JAMES RO]APN: 079-310-004 Applicant: HUNTER CONSTRUCTItMap Page: Permit Type: Plumbing Description: MISC REPAIR: SHEETROCK, WATER PIPE AREA 2 Flood Zone: None SRA Area: Yes Set Backs Front Setback: Side Setback: Rear Setback: Other Setback: Minimum Setback From Centerline of Street: 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 114 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 7Z Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Shower Pan/Tub Test 408' Fire Sprinkler Test 702 Fire Sprinkler Final 702 Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Pool Final 802 Mobile Home Final 802 i Fina.is Inspection Type IVR INSP DATE Do Not Insulate Until Above S gned Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Swimming Pools Setbacks 132 Pool Plumbing Test 504 , Gas Test 404 Pre-Gunute 506 Pool ElecBonding/Light Nitch 502 Pool Fencing/Alarms/Barriers 503 Pre -Plaster 507 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: Date of Manufacture: Model Name/Number: Serial Numbers: Length x Width: Insignia: Public Works Fina 538-7681 Fire Department/CDF 538-7111 Env. Health Final 538-7281 **PROJECT FINAL 801 *Project Final is a Certificate of Occupancy for TResidential Only) PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEARIZENEWAL 30 DAYS PRIOR TO EXPIRATION r� p CN BUTTE COUNTY ' DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT • ' A . . 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 20 OAKVALE CT Owner: e. Permit No: B07-0058 APN: 079-310-004 - r� MCCARTIN, JAMES ROBERT Issued Date: 01/10/2007 By KCG Permit type: MISCELLANEOUS 20 OAKVALE CT Subtype: Plumbing OROVILLE, CA 95966 Expiration Date: 01/10/2008 Description: MISC REPAIR: SHEETROCK, WA7 Occupancy: Zoning: AR Contractor ., Applicant: Square Footage: HUNTER CONSTRUCTION HUNTER CONSTRUCTION • Building Garage RemdUAddn 1205 FRENCH AVE 1205 FRENCH AVE GRIDLEY, CA 95948 GRIDLEY, CA 95948 Other Porch/Patio Total (530)682-3482 (530)682-3482 ' _ FEE INFORMATION Supplemental Inspection $219.96 Water Pipe Repair/Replacement $55.00 F Total Charged: $274.96 Fees Paid: $274.96 Balance Due: $0.00 Receipt No: B1465 LICENSED CON_ TR_ACTOR'S_DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License HUNTER CONSTRUCTION 783743 / B / 08/31/2008 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that 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 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) f ision 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full for and effect. 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 01/10/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: C nt rs Sig ature Date ❑ 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 Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does RKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE AND WILL the work himself or herself or through his or her own employees, provided that such improvements ❑I MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). — aI HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the c Contractor's License Law.). Carrier: Policy Number: Exp. Date: (This section need not be completed if the permit is for one is dollars ($100) or less.) ` I AM EXEMPT under Section B. & P.C. for this reason: I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS SUED, 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' X " r 01/lU/2007 compensation provisions of Section 00 of the Labor Code, I shall forthwith comply with those Owner's Signature Date pro s. ns. _ X0/2QQ7 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building S' nater Date : FAILUR TO SECUR WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, ARNIED construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal HUN TFi injury, including death, and property damage caused by, arising out of, or in any way connected with AND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, AGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the ATTORNEY'S FEES. use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I here y certify that I am the property owner or a t rized to a on the property owners behalf. CONSTRUCTION LENDING AGENCY Q7 'a I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there isconstruction lending agency for Na Of rmi a SIGN] t Date the performance of the work for which this permit is issued. (3097 civ. code) _ * . Owner�.6entractor OR: Agent for Owner Agent for Contractor - FILE COPY ' Lenders Address CityState IT 4 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 FAX #' (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.netldds "PLEASE PRINT CLEARLY" - - - APPLICANT INFORMATION OWNER INFORMATION Last Namen City ir4 Name J..3 i VU Mailing Address 2-0 0,4 City St Zi StateCPO ef Fax Phone E-mail Fax E-mail Class - - - APPLICANT INFORMATION CONTRACTOR Name City Address Zip City State St Zi Phone Fax Fax E-mail Address Li c. 9` 79.3 Class - - - APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City State Zip Phone Fax E-mail Stat License Number - - - APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail i APPLICANLUIP J I� For office us only: Zoning Flood Zone SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. 07 - BIN ./ " BIN # PROJECT LOCATION AP# 07 -310-001 Property Address - oakv le a. Ci 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. LENDING AGENCY Name Address Description or Scope of Work: t�n'or Sq FT- Living Garage Open Cov ❑ 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 REQUEST FOR REFUNDS . Rgfunds 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. Received by: Amount: �' I Bldg SRA Receipt #:6 LJ _ Sheriff 6J�-1`I�' SMIP JDate. 1 '1�0' Other L $ 27 Total f STemp. Power Pole Called PG&E Temp. Elec. Se � Called P E .. ( Temp. Gas erv. i' Calle PG&E JOB -3• L FIO ED d y (Date) (Signature COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECT41I0NSRECORD BUILDING BUILDING (Cont'd) + PLUMBING' Setback FIIrewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows ` .3rd Floor Stemwall Sidinq To out Slab Roof Sheathin6 Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Insulation Heaters Slab Prov. for ph sically Appliances Carport handicaped Conformance of ex. Gas Piping & Test' Footings ' structure I Temp. Gas Slab Final N Sanitation Patio FIREPLACE I Final Footings Footing M ELECTRICAL Masonry Walls Throat I Rough Reinf. Steel Final I Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating, Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water.Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS y (NOTE: An entry must, be made on this form each time you vis t the job site.) COUNTY OF BUTTE = '-E)EPARTMENT OF PUBLIC WORKS 7,County Center Drive — Oroville, California 95965 Telephone: 534=<,0,41 APPLICATION AND PERMIT aUUIUIICe relJresentGtIVV5 UI lne t.JUUnIy UI t5utte tv enter upon the above-mentioned property for ins ection purposes. X Date Signature of Permitee or Age Receipt No. �!!, / [-3 !:t White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date 6 — Zj , Zf' B ding permit expires Date BUILDING Owner �" SO. FT. OCC. BUILDING V LUATION r d � Mailing Address doom Telephone No. e Contractor Mailing Address Fireplace Total Valuation Tele ho e N rj — Permit Fee D Building Address Plan Checking Fee &/or Penalty Permit Fee -� hh �C© PLUMBING No. @ FEE - PERMIT FILING FEE $3.00 Each TraD 1,50 Repair drainage or vent piping 1.50 / f ��� `� A. P. No. (P Hing 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 F!�!�iHyy Fire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plan ec'd Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600v OR LESS 100 AMP OR LESS 5.00 Single Fam'ly Duplex Mobil Hom Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 6.0V 100 AMP OOR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 OR ADDNST %ACCLBLDGS.CCUP. Y) 22 sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of alifornia Business &Professions ode and a name sty 71 brki� AIL -A-1-L NEW CONSTR. MULTI-OUTL T NON.RESID BRANCH CIRCUITS) 12.50ea NEW CONSTR. POWER APPARATUS S NON• ( RESID. `SINGLE OUTLET CIR. Ex. Occup (OUTLETS OR FIXTI RESB L@; FIXED APPLNR S, OR EX. Occup.( (RESID.) EA) 2•�� Temporary service 10.00 Mobile Home Facilities 15.00 License No. �a 17 Classification " Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Wo kmen'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 I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ o aUUIUIICe relJresentGtIVV5 UI lne t.JUUnIy UI t5utte tv enter upon the above-mentioned property for ins ection purposes. X Date Signature of Permitee or Age Receipt No. �!!, / [-3 !:t White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date 6 — Zj , Zf' B ding permit expires Date C-OUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7.County Center Drive - Oroville, Calilbrnia 95965 - Telephone 916/534-454 �� APPLICATIONAMD PERMIT ASSES 'YPARC L NUMBER ZONING BUILDING PERMIT OWN TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING DDRE CONTR CTO 'S NAME �.c I c TEL PHONE 1 CO ACTOR' AILING D RE S Fireplace CONSTRUCTION NDEIR UNKNOW Total Valuation $ Filing Fee21 $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER 141 6�:nq LICENSE NO. Plan Checking 5ee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADD SS 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 qas water heater or vent 5,00 Gas piping system 1 - 5 outlets USEOF STRUCTURE SF [JDuplex❑ Mob ilehome Other SPECIFY Building sewer Lawn sprinkler system 5.00 + TYPE OF WORK New F1 Addition ❑ Re^m del Utilities❑ Insjaltai°n❑ Other ,Describe work: �)'�"` 9/►12i1.1��/ _ c3:7_%-79 ,,Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e10v OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2:50 NEW CONST. (DWELLING OCCUP.y). OR AODNS. ACC• BLDGS. 22 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in fu/l/l fo ce and effect. License No 2J �3 ) / y ( 3 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 CONSTR2.50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR. I POWER APPARATUS 6 NON.RESID. %SINGLE OUTLET CIR. go @ 25C Ex. Occup OUTLETS OR FIXTURES BAL@1 Ex. Occup. �OUT ETS FIXED P(RESID )REA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 4 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filirig 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 y� 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. 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 liabi / i s, j dgments, co ts, and expenses which may in any way accrue against a'd Co my in s e ce of the granting of this permit. �r X Date�2 –5 --& FU Signature Applicant — Owner ❑ ContractorA_ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures overstories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD I HD I ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. EC OR OF PUBLIC WORKS By � Date PERMIT EXPIRESto _—D-g—y. r/3 Receipt No. �7 ��s�,' WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 71 PEI� 1378-79B 3/15/80' PERMIT EXPIRES 6WlNiER JESSE ALEXANDER PON T R. -owner '4,,LOCATION (A.P. — 36-05-119 210 Oakvale Ct,_O.roville- '000 Temp Power Pole Called PG&E Temp'. Elec'. Serv.— Called PG& E Temp. Gas Serv..' Called PG&E JOB FINALED (Date) (Signature) COUNTY OF " BUTTE — DEPARTMEN M,;OF PUBLIC WORKS BUILDING INSPECTPON WORD - ORD -BUILDING BUILDING BUILDING (Cont.d) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwail Siding To out r Slab Roof Sheathl6g Water Piping_ Piers '� Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport p Footin s Prov. for ph sically handicaped Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam- FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts ; Underground Inteilor Lath Ventilation Permanent Door Closer Final Final MOBILEHOMEUTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you'visis the job site.) COUNTY OF BUTTE — D&PARTMENT OF PUBLIC WORKS 7 County Center Drive •.� , ,C,Qville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. is 'ML, I L. i. f'Y4Aq1f O/i/ Date Signature of9Permittepteeorr Agent Receipt No. _�/ gO `� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which f es have been paid. CTOR UBLIC WORKS Bye Date Or 9 permit expires Date /S BUILDING Owner A Mailin dress SQ. FT. OCC. BUILDING VALUATION � Telephone No._� Contractor it mle 1) Mailing Address Fireplace Q Total Valuation Telephone No. Permit Fee Building Address 26 Plan Checking Fee Vor Penalty Permit Fee _ PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trao 1.50 Repair drainage or vent piping 1.50 A. P. No. � – O — / As4Water Zoning & Planning piping 1.50 Each gas water heater or vent 1.50 Fj . Saa"atiew- FireDept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Parcel Ap proval Plans Approval Lawn sprinkler system 2.00 t_ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP OR0V OR LE LESS5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADO'L 100 AMP 2.50 Main service OVER 600V 25,00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST /DWELLING ACCBDGS COUP. S1 -.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 style of: NEW CONSTR. MULTI -OUTLET NON.RESID ( BRANCH CIRCUITS 2.50ea NEW CONSTR. (POWER APPARATUS .& NON•RESID. SINGLE OUTLET CIR. EX. OCCUD(OUTLETS OR FIXTIIRES [50BAL@10Q FIXED APPLNS. OR Ex. Occup.(0 TLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ . MECHANICAL No. @ 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 I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. is 'ML, I L. i. f'Y4Aq1f O/i/ Date Signature of9Permittepteeorr Agent Receipt No. _�/ gO `� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which f es have been paid. CTOR UBLIC WORKS Bye Date Or 9 permit expires Date /S