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COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
auulunce representatives or the county or tsutte to enter upon the
above-mentioned property for inspection purposes.
X
`Signature of Permitee or Agent
Date
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
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
' 4
Mailing Address
Telephone No.
Contractor
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building Address
Plan Checking Fee&/or Penalty
Permit Fee
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
A. P. No.
Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
Fees
W.C.
Sanitation
Fire Dept.
Fire Zone
I Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
I Parcel
Declaration
Parcel Ma P
60' R/W
Im rovements
P
Each additional outlet .30
Building sewer 5.00
Bldg. Plans Rec'd
Parcel Aroval
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑
Permit Fee $
$
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
600V OR LE
Main service 100 AMP ORSLESS 5.00
Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L 100 AMP 2.50
'.
Main service OVER 600v 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
OR ADDNSNEW T // %ACCDWELBL GS.LING CCUP. 4\ 20sgft
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:
i�
NEW RESID,CO N BRANCHMULTI.OCIRCUITS)
NON-RESID � BRANCH CIRCUITS 2.50ea
NEW CONSTR (POWER APPARATUS 9
NON-RESID. SINGLE OUTLET CIR.
Ex. Occup{OUTLETS OR FIXTURES 2UBAL@100
L@1
Ex. OCCU FIXED APPLNS. OR
P• OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$77
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
$
TOTAL PERMIT FEE
$
auulunce representatives or the county or tsutte to enter upon the
above-mentioned property for inspection purposes.
X
`Signature of Permitee or Agent
Date
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
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date
_V_
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
Owner ri'r'I O)V aL.. `; /M C
Mailing Address 2. co 13 ® v 7
CV/ V CA 2�0_t5 Tele hone N
Contractor JAJ A j -R
Mai I i ng Address
Telephone No.
Building Address ��f S� M11wh
PWO Q f 10S,(TC 1*& -1G 44N Z 4N6
C L�icCi
A. P. No. 'TMJ Zoning & Planning
F s Ae.1 *vrrttatfIIfti•J Fire Dept. Fir one Use Permit
EQA Parking I Parcel Parcel Ma 60' R/W Improvements
P ns Declaration P P
Parcel A proval Plans Approval
NEW In ADDITION ❑ UTILITIES ❑ OTHER ❑
Single Family ❑ Duplex ❑ Mobil Home ❑ Others
�-I CoT�Q S l(s A)
- 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:
License No. 22Z co 7 8 Classification
❑ I am exempt from the Contractors License Laws of the State of California.
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.
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.
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.
(1V2,VRMa:&4
XDate
$ignat -.—f Permitee or Ag t
ReZit No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
_ BUILDING
SQ. FT. I OCC. I BUILDING VALUATION
Fireplace
Total Valuation
Permit Fee
No. @
Plan Checking Fee &/or Penalty
PERMIT FILING FEE
Permit Fee
QC
PLUMBING
No.1 @ FEE
PERMIT FILING FEE
$3.00
Each Trap
1.50
Repair drainage or vent piping
1.50
Water piping
1.50
Each gas water heater or vent
1.50
Gas piping system 1 - 5 outlets
1.50
Each additional outlet
30
Building sewer
5.00
Lawn sprinkler system
2.00
Permit Fee
$
ELECTRICAL
No. @
FEE
PERMIT FILING FEE
$3.00
QC
Main service
600V OR LESS
100 AMP OR LESS
5.00
Main service
EA. ADD'L 100 AMP
2.50
Main service
OVER 6 00V25.00
100 AMP OR LESS
Main service
EA. AOD'L 100 AMP
1.00
OR ADDNST NEW CONS. // %ACC•BLDGS.CCUP.
61
ll\
20Sgft
NEW CONSTR.
NDN.RESID-
T
(MULTI -OUTLET
\ BRANCH CIRCUITS/
2.50ea
�/
tW
Ex. OCCUDIOUTLETS OR FIXT11RE5 BAL L9 IC
Ex. Occup. `GOUT LETS P(RESID )REA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 6.25
Permit Fee $ 6,
MECHANICAL No. @ F
PERMIT FILING FEE J$3.001
Heating
Cooling
Ventilation
Hood 1 1 2.00
Permit Fee $
Land Development Fee $
TOTAL PERMIT FEE is
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above which fees have been paid.
y'TECR OF PU LIC WORKS
B ta Date
Building permit xpires Date
• I
onrE APPLICATION FILED:
APPLICATION FOR ,CERTIFICATE
Local Official Date Stamp
OF ZONING COMPLIANCE All copies Here
Top portion only to be completed by'appl icant and submitted to appropriate y A
pl,�nning, zoning, or building inspection official in County or City 8f'
Applicant IAA //,-t/! � 1, � )
E
Address or P.O. Box City State I Zip Code
PROPOSED LOCATION OF ADVERTISING DISPLAY:
On lthe Aq t side of
(N.S.E.W.) State Route No. and/or Road or Street Name f
n it
f r
Feet/Miles of 6C,P6 1� %� U AME
(N.S.E.W.) r / Name of Nearest Cross Road, Over/Underpass
,l
SIZE AND TYPE OF CONSTRUCTION OF ADVERTISING DISPLAY: '
Panel: Height /7- Length I Square Footage
Uprights: Number �- Size !f Material -Pa`
Distance between panel and ground Total Height r 17 7�
IIIUm,jnated? Yes C& No ❑ V -Shaped ❑ Copy one side Q, Copy both sides ❑
(Check One) (Check One)
$2' AND A PLOT PLAN SHOWING LOCATION OF PARCEL ON WHICH ADVERTISING DISPLAY IS
PROPOSED AND THE PROPOSED SITE ON THE PARCEL MUST ACCOMPANY THIS APPLICATION.
DMO -M ODA -57A APPLICANT MUST NOT WRITE BELOW THIS LINE
1
CERTIFICATE OF ZONING COMPLIANCE
It is hereby certified that the above-described advertising
advertising display is in compliance with local zoning
regbla:ions._The display location is zoned F �" " r 1{f/' - .,A•.t,
c
Pertinent restrictions, if any:
h,% .:.
� - Signature of Local Official _ Date
DMO=M-ODA-57B -
NOTICE OF NONCOMPLIANCE MITH LOCAL ZONING REGULATIONS
The above-described advertising display does not comply with the following zoning regulations:
i
DMO -M -ODA -57C Signature'of Local Official Date
Local offic' ial instructions (see Article 5, Outdoor Advertising Act):
A. ORIGINAL — Give or mail to applicant when notification of zoning approval or denial is completed.
B: CANARY — Copy to be mailed within 7 days with zoning approval or denial to the OUTDOOR ADVERTISING SECTION,
1'i P.O. BOX 1499, SACRAMENTO, CALIF. 95807.
C7 PINK �I — This copy is for County or City use, to be maintained as long as deemed necessary.
D': GOLDENROD — Give date-stamped duplicate copy to applicant if zoning approval or denial cannot be made at time of presen-
tation.
NATIONAL ADVERTISING COM'PA.'/NY
6. CWPAW 2050 W. Fremont Street P.O. Box 1732 - Stockton, CA 95201 TEL, (209)466-5,021
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PASTER PANELS (EACH FACING)
800 M.A. FLUORESCENT FIXTURES (2-8'.
TUBS&) ;
.
1 - BALLAST (TRANSFORMER)
110 VOLT LINE ,
NO PLUG-IN OUTLETS
H,I GHNA
.
5 - 5% WATT INCANDESCENT BULBS
Vit.
NO TRANSFORMERS
fd
NO PLUG-IN OUTLETS
-
110 VOLT LINE — (ON BACK TO BACK
-
3 WIRE SERVICE 'ZZO VOLTS)
CITY ROTATE BULLETIN (EACH FACING)
t
4 —'400 WATT METALIC VAPOR BULBS �
S
4 TRANSFORMERS
220 VOLT tifi& Stir✓« 1,
NO PLUG-IN OUTLETS
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