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Home My WebLink About079-330-013[)-7q- 3-30-0/3- JOHN 3d--013 JOHN SEICHTER ,_ w n �I�/ 1043 Mt, Ida, Oroville / Contr: Pryor Contr V J f _ Permit#1329`86B(repair fire damage/gar) Contr: Mike Hurst 91'9 ermit#1464-86E -ele. r ch & -m_isc wir/,_. in garage) A (0/)a/8J_ f .R R [)-7q- 3-30-0/3- JOHN 3d--013 JOHN SEICHTER ,_ w n �I�/ 1043 Mt, Ida, Oroville / Contr: Pryor Contr V J f _ Permit#1329`86B(repair fire damage/gar) Contr: Mike Hurst 91'9 ermit#1464-86E -ele. r ch & -m_isc wir/,_. in garage) A (0/)a/8J_ Permit#1464"86E John Seichter 1043 Mt, Ida, Oro OFFICE COPY Address GAS Meter By ELECTRIC Meter By DatZ�,� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER. TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME .. TELEPHONE CONTRACTOR'S MAILING ADDRESS - Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 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 Permit fee $ 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 I G I W 1 110.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Ci Other ❑ Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'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 BuslnesS 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.S+) yzQsgft OR ADDNS, ACC. BLDGS. NEW CONSTR. ULTI.OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS &) SINGLE OUTLET CIR. ) 20050* EOc Ex. cu Occup(OUTLETS OR FIXTURES eAL030 FIXED APPLNS. K Ex. Occup. OUTLETS (RESID )EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑. 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 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 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. 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 against said County in consequence of the granting of this permit. X 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 $ TOTAL PERMIT FEE $ OCCUP, CONST.TYPC I I FLOOD PARCEL I PD ro I ISSuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WNITC-D.P.W.. YELLOW-ASSCS30R, PINK -INSPECTOR, GOLDENROD -APPLICANT ,COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751- . 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 . 0. CORRECTION NOTICE A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION 2ND PERMIT PERMIT NO. ASSESSOR PARC L UMBE t r , ZONING BUILDING PERMIT OWN �l TELEPHONE SQ. FT. OCC. BUILDING VALUATION OW MAILING ADD SS r t CONTR O NAME TELEPHONE CONTRAC O 'S AILIVG O RE S q 1(. Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 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 it) 4�,3 dl Permit fee $ PLUMBING PERMIT Filing Fee 10.00 --k Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MA Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF i -'t Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel tilities ❑ I Ilation❑ Ot r1k Describe work: `ELECTRICAL S III Permit Fee $ Contractor PERMIT Filing Fee 10.00 OF- Main service 8001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'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 BuslneSS and Professions C e a d my license IS In full force and effect. 3 6 —/v 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 OR ADDNS. ACG. BLDGS. CONST. DWELLING OCCUP.5d , �20sq ft NEW CONSTFMULTI-OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS /POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES .AL@30 ewL030 Ex. Occup. ou LETS (RESID )ED APPLNS KEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 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 FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation penTlt 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 agai t said ounty ' onseque ce of the granting of this permit. ` ' X Date 6 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 $ TOTAL PERMIT FEE $ O Occup. CONST.TYP! IFLIOODIPARCrLi PD I No I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work Indic d above for ich IRECT UB B P IT PIKES Date the applicable provi- resolutions to do f have been paid. ORKS Date _ Receipt No. WNIT!-D.P.W., YELLOW-ASSCSSO , PINK -INSPECTOR, GOLDENROD -APPLICANT 1329-86B JOHN SEICHTER 1043 Mt. Ida Rd. Oroville 0 f COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 35965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER t ,}— TELEPHONE SO. FT.. OCC. BUILDING VALUATION �, �, •� I OWNER'S MAILING ADDRESS - CONTRACTOR'S NAME / I k. TELEPHONE +' CONTRACTOR'S MAILING ADDRESS /• -' %7 r i I, f J (l;'11 J - >/ ^- Fireplace CONSTRUCTION LENDER NKNOWN f Total Valuation Is FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ; ARCHITECT OR ENGINEER ,d/� `✓!/ LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS P 41 �i I Permit fee $ !7` ,) r PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 r ��✓ - 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 [:1 Duplex❑ Mobilehome❑ Other ✓t:a SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 1 1 110.OOea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ J 1 Describe work: + + s` / j tel , ;_ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10ov OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD -L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): a I am licensed under provisions of Chapt. 9, Div. 3 of the Buslne$$ and Professions Code and my license is in full force and effect. License No. Classification Fl 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 NEW CONST. DWELLING OCCUP.6� , OR ADDNS. ( ACC. BLDGS. ) /20sq ft NEW CONSTR. MULTI -OUTLET 2.50 ea NON.RESIO BRANCH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES .AL@30@500 FIXED PR EX. Occup. OUTLETS (RESID )EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 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 County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date I Signature of Applicant — Owner ElContractor EJAgentF-1p 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 $ I TOTAL PERMIT FEE $ OCCUP. CONST.TYPC I FLOOD PARCEL PD ND ssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been aid. WORKS Date Receipt No. f s 1I111` WHITE-D.P.W., YELLOW-ASSE330R, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS/ PERMIT NO. 7 County Center Drive - Oroville, Califarnia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT � ASSESSO ARCUMBER —b _2,9 ZONING BUILDING PER OWN TELEPHONE S FT. OCC. BUILDING VALUATION Co YLT OWNF�R'S MAILING A SS CON/J /C1 OR'S NAM ��1 / 7 TELEPHONE _/ CONT AC OR'S MA ING A R SS Fireplace CONST CTION L:FNDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHIT CT OR ENGINEER LICENSE NO. Plan Checking Fee ,$' Energy Plan Checking Fee $ ARCHITECT O ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Penult fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 1 2.00 leo ly I ML 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 (n SF ❑ Duplex❑ Mobilehome❑ Other v� SPEC v Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00ea TYPE OF WORK New ❑ Addition ❑ emodel ❑ Uti flies ❑ Instal I on ❑ Other ❑ Describe wor E ✓^ t1rC� �Y ° Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 00 600V OR LESS Main service 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): RT 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. Q License No.272 2 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.ad` OR ACDNS. \ ACC. SLOGS. / 2,/20sgft NEW CONSTR. MULTI -OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS POWER APPARATUS e) SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES .0a50 2ALO30 FIXED APPLNS. EX. OCCUp. R OUTLETS ((RESID,)EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 19 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. 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 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 agai st said Co n in consequence of the granting of this permit. X Date S� 2 4 ig arUre of Applic — Owner El Caneraetor� Agent OSHA permit isequired for excavations over 5'0" deep and demolition or construct- _ of structures over 3 stories in height. �.A Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occUP, CONST.TTPc I I FLOOD PARCEL I PD I HD 1 17 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIR TOR OF UBLIC U By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date —07A -A46 o Receipt NO. WHIT!-D.P.W., YELLOW-A98E990R, OINK -INSPECTOR. GOLDENROD -APPLICANT p � 1 COUNTY OF BUTTE - DEPARTMEN,T_OF PUBLIC WORKS - BUILDING DDIVIS)ION �7,GOlAlNTY CENTER DRIVE - OROVILLE,'CA'LIFORNIA 95965 - TELEPHONE: 916/5r 34�-4541 PERMIT APPLICATION DATA SHEET Permit No. OWNER Proposed Building Use Permit Fee Based Upon �_ 1' r, Complete Contract Price R41 DPW Valuation Building Inspector Ln, "d.- '-amu '! nate 21�! `7%--f L--- (L At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2.. Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. .I . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . 16. Mobilehome Installation Data. 0� 17. Pre -Inspection for � r ��' �N •� ara . ired.• Pre-Inspec. request to e p Building Inspector 18. Record y ur Ac no e menY State ente i prior o occ anc 19. Other �Rgf4fi ( onAlructic�n approval r qu red p up y When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at—office- X—Deliver w/inspector. Other A Applicant Date Copy of plans sent Health Dept., Fire Dept., U_Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: x:00- 3:30 ,- (Contractor, Designer, Plans checked by. Plans approved by Other Copy–DPW wised of above required data by By Telephone Mail Other Date Date Date �� ;� f 7 RC COUNTY OF BUTTE - DEPARTME'. 7 County Center Drive - Oroville, C€Slitdrnia" APPLICATION AND ZONING T IF PUBLIC WORKS 965 X,`Telephone 916/534-4541 ►1ER IT r PERMIT NO. BUILDING PERMIT FT. - OCC. I BUILDING VALUATION CON f_C-1 OR—SN AM Permit Fee TELEPHONE �- Contractor Describe work: CONT AC OR'5 MA ING A R SS CONST t,J C'TION L NDE f MAILING )�� L UNKNOWN Fireplace c Main service 100V OR LESS 100 AMP OR LESS Total Valuation $ �n 1 / C C Filing Fee $ 10•00 LENDER'S ADDRESS ( NEW CONST. ( DWELLING OCCUP.h\ OR ADDNS. 1 ACC. BLDGS. / Zyx lCsq ft Permit Fee $ 2.50 ea ARCHIT CT OR ENGINEER POWER APPARATUS .&) SINGLE OUTLET CIR. LICENSE NO. Plan Checking Fee $ zAL030 eAt®30 Energy Plan Checking Fee - Penalty_- _ _ Permit fee $ $ $ , •, I ARCHITECT O ENGINEER'S MAILING ADDRESS BUILDING ADDRESS 10.00 sation, will do the work,and the structure is not intended or offered PLUMBING PERMIT Filing Fee 10.00 --- -- - - 15.00 — - '--_ -" Each Trap - - -- - Solar or heat pump water heater 15.00 2.00 20.00 �rn _ Water piping 5.00 LOT NO. SUBDIVISION NAME for this reason PARCEL MAP Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other ns� C SPECT v Gas piping system 1 5 outlets I declare under penalty of perjury (check one): 5.00 Building sewer iS 5.00 Mobile Home GW 10.00 ea TYPE OF WORK a Certificate of Workmen's Compensation Insurance or a Certificate Cooling New❑ Addition emodel❑ Utilities❑ Installon[, Other❑ 't Permit Fee $ �- Contractor Describe work: ✓, �e F, 1 ELECTRICAL PERMIT Filing Fee 10.00 c Main service 100V OR LESS 100 AMP OR LESS 10.00 �n 1 / C C Main service EA. AOD'L 100 AMP 2.50 CONTR ORS LICENSE LAW NEW CONST. ( DWELLING OCCUP.h\ OR ADDNS. 1 ACC. BLDGS. / Zyx lCsq ft I declare under penalty of pe Ury (C NtW CONSTR ULTi.OUTLET NO N.P. ESI 0. .BRANCH CIRC ITS 2.50 ea fy[I I am licensed and r provis s o Chapt. 9, Div. 3 the Business license is in force and effect. POWER APPARATUS .&) SINGLE OUTLET CIR. and Professions de and my Ex. Occup(ouTLETs OR FIXTURES zAL030 eAt®30 „. License No. � J2 ion � FIXED APPLNS. OR Ex. Occup. OUTLETS IRESID.) EA.) 2.00 ❑ I, as the owner, or my employees with wages as their sole compen- 10.00 sation, will do the work,and the structure is not intended or offered Temporary service for sale. (Sec. 7044) Mobile Home Facilities 15.00 ❑ I, as the owner, am exclusively contracting with licensed contract- Misc. Wiring 15.00 ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code Permit Fee $ for this reason Contractor WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT Filing Fee 10.00 I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. Heating ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate Cooling of Consent to Self -Insure. 14 I shall not employ any person in any manner so as to become subject Hood 3.00 to the W. C. laws of California. Ventilation Notice to Applicant: If after making this statement, should you become subject Permit Fee $ to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor Mobile Home Installation 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 Energy Inspection Fee to building construction, and hereby authorize representatives of the Countyot TOTAL PERMIT FEE j $ 7 Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnity and keep harmless the County of Butte against occuP, coN ST. TTPE FLOOD PARCEL I PD ND ISSUE all liabilities, judgments, costs, and expenses which may in any way accrue agaunst said Coun in consequence of the granting of this permit. This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do i ❑ Contractor Agent work indicated above for which fees have been paid. ig ature of Applic — Owner DIRECTOR OF PUBLIC WORKS A OSHA permit is required for excavations over 5'0" deep and demolition or construct- i of structures over 3 stories in height. By Date Receipt No. L PERMIT EXPIRES Date W f119'C-C.►. W., OPh F.Bt$:AS5CVS0"- IN-10SPECTOR, GOLDENROD-APPLI CANT