HomeMy WebLinkAbout028-400-005A oP . 28 46--S
LEO NA M. V GAMBLE 77YIj'�vli
s1s Bangor Park Rd. 12 mi. west Orovill
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STR Bangor Hwy:; Bangor• •
'kl�h Permit 651-73P E L ���4_?�
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(utilities for mobile home) }
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TYPE OF PERMIT NO. PLAN NO. DATE ISSUED TYPE OF PERMIT NO. PLAN NO. DATE ISSUED REMARKS
PERMIT PERMIT
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PERMIT DESIGNATION: B -BUILDING E -ELECTRICAL U -USE PERMIT HM -HOUSE MOVING
P -PLUMBING TV -RADIO -TV ANTENNA V -VARIANCE EP -ENCROACHMENT
DEPARTMENT OF T -TRAILER S/W-SIDEWALK NOTICE S -SIGN PERMIT D - DEMOLITION
BUILDING AND SAFETY 600.1
INSPECTION RECORD
BUILDING APPROVALS
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INSPECTION RECORD
BUILDING APPROVALS
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PERMIT NUMBERt
SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE
ROUGH -IN
GAS PRESSURE TEST
WATER PIPING
SEWER LINE
APPLIANCES 3 VENTS
FINAL
ELECTRICAL APPROVALS
PERMIT NUMBERt
DESIGNATION
SIG. DATE SIG. DATE
SIG. DATE SIG. DATE SIG. DATE
ROUGH -IN
FIXTURES & APPLIANCES
METERS
FINAL
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PERMIT NUMBERt
DESIGNATION
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COUNTY OF BUTTE — DEPARTMENT OF.PUBLIC WORKS
7 County Center Drive —, Oroville, California 95965
Telephone: 5V64-4541
APPLICATION AND PERMIT
f
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.Gas
y
Zoning & Planning
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
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 EJ Duplex L]MobilHome ❑ Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixtures 20 P25
bol__ 1c
Receps.,switches & fix outlets ZD(25
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
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.
❑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 $
$
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
TOTAL PERMIT FEE
$
dutnonce representatives or ine county or t:suiie to enter upon the
above-mentioned property for inspection purposes.
X
Date
Signature of Permitee or Agent
Rproint KIn
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
Date
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS f �!�%
7 County Center Drive — Oroville, California 95965 (% / /
TelepForr,: 5344541
APPLICATION AND PERMIT
authorize representatives of the county of Butte to enter upon the
above-mentioned property for inspection purposes.
X z _ O _Date
Signature of Pee�r�mitee orAgent
Receipt No./ (f 4.2 )`_q
White-D.P.W. — Yellow -Assessor — Pink-ldspector — 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 Date
ilding permit expires Da e Y"��/
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mai I i ng Address S'
�Q
Telephone No.
Fireplace
Contractor
Total Valuation
Mai I i ng Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
$
Building Address s'
PLUMBING
No.1
@
FEE
PERMIT FILING FEE $2.00
Ile
Each Trap 1.50
r
Repair drainage or vent piping
1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. — a Jr
3 '
Zon ng tanning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
Fees
W. C. ani tion
FireDept.
Fire Zone
Use Permit
Building sewer 5.00
-'I
EQA
Parking
Plans
Parcel
Declaration
Parcel Map
60' R/W
Improvements
Lawn sprinkler system 2.00
Bldg. Plans Recd
Parcel Approval
Plans Approval
Permit Fee
$
$ za OL
NEW ❑ ADDITION ❑ UTILITIES% OTHER ❑
ELECTRICAL
No.
@
FEE
PERMIT FILING FEE $3.00
CIO
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
99
Water Heater or Space Heater
1.00
Light fixturesbal_ � O
Receps., switches & fix outlets Z�23
3 0
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
u
Water pump S
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No. Classification
Misc. wiring
--• 2T—am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
/ 0
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.
�l 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.
X z _ O _Date
Signature of Pee�r�mitee orAgent
Receipt No./ (f 4.2 )`_q
White-D.P.W. — Yellow -Assessor — Pink-ldspector — 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 Date
ilding permit expires Da e Y"��/
- I his set of plans and specifications MUST be
onthe (ob at all times and it is, unlawful to
my changes or alterations on same withoui
wrifted parmisson from the Department of Public
Wor , County of Butte.
BUTTE COU
BUILDING DEPA MF -NT
APPROVED
\X �r
{
e fill utility connection shall be
located within 4 ft. outside the'rear
third section of them bile home
on the left (road) side ol the mobile
home.
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