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Home My WebLink About028-230-032i A.P. 28-23-32' W. E. ROMINGER NIS Los Verjeles Rd., 1.5 mi. E. of LaPorte Rd . , Bangor - 11-g--.-73 Permit 4103-73P,E (ut lities for MH, except gas) i J 3N COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS '7 County Center Drive — Oroville, Califorrrra 95965" Telephone: 534-4541 APPLICATION AND PERMIT a* authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Q Signature of Permitee or Agent Date Receipt No. 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. By DIRECTOR OF PUBLIC WORKS Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address , Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No.Zoni n)i ng &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W. C. Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans 'Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures2602 al d10 Rm Receps., switches & fix outlets , in 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: Hood, Ex. FanorF.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring ❑ 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. ❑1 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 TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Q Signature of Permitee or Agent Date Receipt No. 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. By DIRECTOR OF PUBLIC WORKS Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORK 1_? 7 County Center Drive — OroviIIe, California 95965 2 Telephone: 534-4541 V APPLICATION AND PERMIT QUMorize repreSenLatlVCS u' Me Gouniy of Butie to enter upon the above-mentioned property for inspection purposes. r Signature of Pq'teee-or��Agent „ Receipt No. / 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 ftBLIC WORKS BY Date d -7 -72 - Building permit expires Date -------- -- BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Addy's / - / ' Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address s ' PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 �i^ �,�-3 A. P. No. �J ti Zani Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F' s I lef Sa Fire Dept. Fire Zone L Use Permit Building sewer V1 5.00 -3,,00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im provements Lawn sprinkler system 2.00 /Bldg. Plans Recd Parcel' pproval Plan pproval Permit Fee $ ,J is NEW ❑ ADDITION ❑ UTILITIES ® OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE e ,w Main service incl. 1 meter V Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ Sub -panel (12 or less) (morethan12) Range, Cook -top or Oven 1.00 �n� vi Water Heater or Space Heater 1.00 Light fixtures 20 yal__ bio Zo7a25 Receps., switches & fix outletsb. 6 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 �, Q-0 Temp. Power Pole 5.00 License No. Classification Misc. wiring I'I am exempt from the Contractors License Laws of the State of California. Permit Fee , 0 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 Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. J I certify that in the performance of the work for which this J 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. 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 MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE $ QUMorize repreSenLatlVCS u' Me Gouniy of Butie to enter upon the above-mentioned property for inspection purposes. r Signature of Pq'teee-or��Agent „ Receipt No. / 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 ftBLIC WORKS BY Date d -7 -72 - Building permit expires Date -------- -- Septic system__ _ _ _ d �ub-ecrt to be as per Butte County Health—Dept.—Re- quirements. All utility connections shall be — —located - with in -4-f t: -outside -the -rear third section of the mobile . home —on -the •lefHroad)-side-of-the -mobile home. J chis set of plans and specifications MUST be - e`pt on the iob :at all -times and`it-is unlaw#ul-to - make any changes or alterations on same without written permisson from the Department of Public _ Works,_County of Butte. Icl t hio 0 .Fn'. Jlli . 01' tflf,!q iD t t e;l!l L W;xv,strill i't " url. fir, If, Jbi tiro no fil", jo�-f Yl 'UjAde 11-1 �-rl, I rv- ot.' in% -.j