HomeMy WebLinkAbout026-260-012- - -
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Permit#2307-84B'
Pedro Cuevas
339 Lone Tree Rd, Oro
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, Cal'ii#ornia 95965 - Telephone 916/534-4541
APPLOTIOWAND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
4
ZONING
BUILDING PERMIT
O WNER�� J
•Y�
-ADDRESS'-
TELEPHONE
.SQ. FT. OCC, BUILDING VALUATION
OWNER'S MAILING -�
1-7
CONTRACTOR'S NAME, '-
r
,A) n. ,
TELEPHONE
CONTRAC'TOR'S MA'ILI'NG A-DDRE$S `
a..l�., ll IAA rN �1 �—�.
Fireplace
CONSTRUCTION LENDER
UNKNOWN '�-�
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ tc' A -.
ARCHITECT OR ENGINEER f �X7
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS '^'`
Permit fee
$
BUILDING DDRESS r_
'R Q
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF D"Duplex ❑ Mobilehome❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S G W
10.00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other /
Describe work:
�u w
Ii A. INA (t � ROR
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 60AOR MP 000 LESS 10.00
�y
JJ
Main service EA. ADD•L 100 AMP
2.50
NEW CONST. DWELLING OCCUR.&
OR ADDNS. ACC, BLDGS.
2t/20sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check One):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Bus Iness
and Professions LCode �and my license is in full force and effect.
License No.UUX /A ` 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 CONSTR (MULTI -OUTLET 2,50 ea
NON•RESI D. BRANCH CIRCUITS)
NEW CONSTR POWER APPARATUS &)
NON.RESI D. SINGLE OUTLET CIR.
EX. OCCup(OUTLETS OR FIXTURES eA ®30
FIXED APPLNS. OR
EX. OCCUp. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing 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.
OSI 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 Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agreelto 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 consequenfce of the granting of this permit.
�i l�
X ✓ �.r�-.,. •'� t �/^ Date %--?" y
Signature of Appli am -J 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
$
TOTAL PERMIT FEE $ 4} .� 'D17
OCCUP. GROUP
TYPE,OF CONST.
IPARCELI-PD
HD
IssOE
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.
\DIR CTOR II OF PUBLIC WORKS
QV
By rt! Date I kV
N�
PERMIT EXPIRES ate A
D„„'
Receipt No. h .ham• 1�
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California `965 - Telephone 916/534-4541
APPLICATION ANb PERMIT
PERMIT NO.
�Q
ASSES R ARL NUMBER
ZONING
BUILDING PERMIT
OWNEt2
TELEPHONE
S0. FT. OCC, BUILDING VALUATION/
OWNER'S M(LIN=$!e DDRES �f
c/ C \
CONT CT 'S
TE PHONE
C 0 Nr RA C TOR'S MArL 1 G DRE S
S� S 1
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ '
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$^�
BUILDING ADDRESS
PLUMBING PERMIT
Filin 9 Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO. SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S FGTW7
10.00 e
TYPE OF WORK
New ❑ Additi Remodel Ut' I; 'es ❑ Instal ation ❑ Other
Descri a work:
I
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 OR LESS
100 OROR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADONS. ACC. BLDGS.
21/20sq 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. YrA //S Classification C' .32
❑ 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 CONSTR ULTI.OUTLET 2.50 ea
NON•RESID BRANCH CIRC ITS
NEW CONSTR. POWER APPARATUS &
NON.RESI D. SINGLE OUTLET CIR.
Ex. Occu zo®soe
p.OUTL OR FIXTURES BAL®30
A
FIXED APPLNS. OR
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.
shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree o save, indemnify a keep harmless the County of Butte against
all liabili ' s, judgments, cost d exp ns which may in any way accrue
against 'd County in conse a of e . anting of this permit.
�_ 23_ 1 C(
%� Date C -J
Signature of Appl'cant — Owner❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-IRE^,W
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
TYPE OF CONST.
PARCEL
PD
HD
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
OF PUBLIC
PERMIT EXPI S D to /_
the applicable provi-
resolutions to do
fees have been paid.
WORKS
�1
ate Date —oC
r�
Receipt No. -A-960 0D
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT