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Home My WebLink About028-220-01028-22-10 Art Bruggeman SIS Millman Rd.,app.4 mi.W.of LaPorte Rd., Bangor Permit #125-82E(new elec.serv. & ya i� lightt-reel"acdesjtr,,pken pole) 10 1 .n �•: �" J�� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER VV�� Y r lJpne- i n TELEPHONE Q-Q.J 14 SQ. FT. OCC. BUILDING VALUATION OWN MI I G DDRESj�1 tJ � CONTRACTOR'SNAME 14 �r 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 ' G LICENSE NO. Plan Checking Fee $ Penalty $ . ' ARCHITECT OR ENGINEER'S MAILING ADDRESS --' Permit fee $ BUILDING ADDRESS '04f f it =1 ►�/ U 11�'tI-IL PLUMBING PERMIT Filing Fee 10.00 fes. Each Trap 2.00 Repair drainage or vent piping 5.00 (� 1. Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP V Each qas 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 ❑ Utilities �❑►�•• Installation❑ Other ❑ Describe work: 6a- f k1 � 1,0 C. 45l Y V 1 C1 P MI � - 1 a_ p �.t� P� t�k;0 \\\ r1117 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 600V OR LESS Main service 100 AMP OR LESS 5.00 - Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (DWELLING OCCUP,y) 20 sgft OR ADDNS. ACC. BLDGS. y 1 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F -1I 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 ❑� , 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. I.OUTLET 2.50 ea NON-RESID BRANCHCIRC TS NEW CONSTR, (POWER APPARATUS pit NON-RESID, SINGLE OUTLET CIR. i Ex. Occup OUTLETS OR FIXTURES a �� IXED APPLNS. OR Ex. OCCUp.�OUTLE TS (RESID,) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $, Contractor MECHANICAL PERMIT FiIingFee 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. ❑,...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 shal I be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee S 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. 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 �r� GAG.•` ••� fn r - - ----r--�w� Date Signature of Applicant — Pwner ❑ 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 $ OCCUP. GROUP I TYPE OF CONST. �° PARCEL PD ND 99UE 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 aid. p : DIRECTOR OF PUBLIC WORKS a Date PERMIT EXPIRES Date ��---� Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO 7 County Center Drive - Oroville, California a 95965 - Telephone 916/534-4541 �T— APPLICATION ANDiPERMIT y ASSESSOR PARCEL NUMBER — -- ZONING BU ING PERMIT OWN R TELEPHONE SO. FT, OCC. BUILDING VALUATION O NE 'S MAILING ADORES qq 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 $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDINGDDRES PLUMBING PERMIT Filing Fee 10.00 I ICY Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAMEPARC MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system5.00 TYPE OF WORK New ❑ AdditionRemodel Utilities F-1 instal lation❑ ther ❑ Describe work: C s 1 C e— Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service DOOV OR LESS 100 AMP OR LESS 5.00 D Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (DWELLING OCCUP.y) OR ADDNS. ACC. 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. �LI ense No. Classification 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 .Ou LET NON.R ESID BRANCH CIRC ITS 2,50 ea NEW CONSTR./POWER APPARATUS 6J NON.RESID, (SINGLE OUTLET CIR, EX. OCCUp OUTLETS OR FIXTURES_ BAL@1 IXED APPLNS. OR00 Ex. Occup.(OUT LETS (RESID,) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 1 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 FiIirig Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee S 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. 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 ZAX Signature of Applicant — 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 $ occuP. CROUP I TYPE OF CONST. I PARCEL PD I HD I ISSUE This permit is hereby issued under the applicable provi- si of the Butte County Code and/or resolutions to do ork I indicated above for which fees have been paid. RECTOR OF PUBLIC WORKS / Date / —Z/-8 ^/ PERMIT EXPIRES Date _ I -2I- 99 Receipt No. 'AEM WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT