HomeMy WebLinkAbout028-210-033b
28-21-33
Tobias & Reva Kaufman
W/S Darby Rd., app.6000'S.of LaPorte
Bangor l6
Permit 78P E(ut/��(]L///� MH)
/ / • ' A �
SUPPORT STRUCTURE REQ.
COMPACTION TEST REQ.
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28-21-33
Tobias & Reva Kaufman
W/S Darby Rd., app.6000'S.of LaPorte
Bangor l6
Permit 78P E(ut/��(]L///� MH)
/ / • ' A �
SUPPORT STRUCTURE REQ.
COMPACTION TEST REQ.
0
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COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
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above-mentioned property for inspection purposes.
X42���Date 76/ d
Signature of Permite or AgI01
Receipt No. 1 77a d
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
Building permit expires Date
Date
0
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address Cil-L10X0_0
Scr 6 6k6
Telephone No.
--P
Contractor
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building AddressGt ��� ���
Plan Checking Fee&/or Penalty
Permit Fee
S ®�729
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00 3 co
Each Trap 1.50
Zs[1ln9 Sipfificatioe Onl�� o' ort
Repair drainage or vent piping 1.50
_
A. P. No.
��
in
Water piping 1.50 b� 8
�
Each gas water heater or vent 1.50
fte<s
W G' Sanitation
FireDept.
FireZone
Use Permit
Gas piping system 1 - 5 outlets 1.50 (�
EQA
Parking
Plans
Parcel
Declaration
Parcel p
60' R/W
Improvements
Each additional outlet 30
Building sewer 5.00
��
Bldg. af7rns Rec'd
PargerApprovol
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES OTHER ❑
Permit Fee $
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Single Family ❑ Duplex ❑ Mobil Home ® Others ❑
Main service 100v OR LESS 0
AMP LESS VV
Main service EEA. ADD -L 100 AMP 2 2.
A.50OVER
sm SQ. FT. MINIMUM
EOI3 MOBILES
6.
Main service 00 AMP OR LESS 25.00
Main servlce EA. ADD'L 100 AMP 1.00
NEW CONSDWELING
OR ADDNST ( ACCLBLOGS.CCUP. !) 22 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 Y le Of:
TLET
NEW CONSTR BRANCH CIRCU
NON-RESID. BRANCH CIRCUITS) 2.50ea
NEW CONSTR (POWER APPARATUS 8
NON-RESID. SINGLE OUTLET CIR.
Ex. OCCUD(OUTLETS OR FIXT11RES 5 L�
FIXED APPLNS. OR
Ex. Occup.(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
efte :1 OP
I 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 I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No @ FEE
PERMIT FILING FEE $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
$ 6<
TOT AL PERMIT FEE
$
.- ...r'...,..I�w....� u,o vvun,y v� vuuc iu cmul uNun ulc
above-mentioned property for inspection purposes.
X42���Date 76/ d
Signature of Permite or AgI01
Receipt No. 1 77a d
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
Building permit expires Date
Date
0