HomeMy WebLinkAbout005-466-0015-46f-01
CHARLOTTE DREW
2111 Laurel St, Chico / ��_. G�
Contr: Butte RoofinR
PErmit#2200-87B(reroof/SF)
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATIOIN,.AND PERMIT tJ `///
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER
i , e is
TELEPHONE
I
SQ. FT. OCC. BUILDING VALUATION
OWNER'SMAILING ADDRESS
f w�r7r
d A—_ %fl
!B -�, f ( A LJ,
CONTRACTOR'S NAMES
�A,fA i k- -:- r Co
TELEPHONE
9 '91n
CONTRACTOR'S MAILING ADDR�ESS�S%
(?� u ��7 ( c Gr). tri �. �+ �S�i�
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
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$y'•
PLUMBING PERMIT
in9 Fee 10.00
,n I r
C
,Each:}Trap
Solar or heat pump water heater 20.00
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
P
SF,® Duplex ❑ Mobi lehome ❑ Other
SPECI FY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00 ea'
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑
Describe work: -uta -->+h ��r� -r-ti r P`�-- _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6101 OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
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.
/"��
License No. _ Classification
�
❑ I, 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 CONST. ( DWELLING oCCUP.&) YzQsgft
OR ADDNS. ACC. BLDGS.
NEW CONSTR. MULTI -OUTLET 2.50 ea
NON.RESID BRANCH CIRC ITS
(POWER APPARATUS a�
SINGLE OUTLET CIR.
Ex. Occup( OR FIXTURES 5AL030
BAL030
FIXED APPLNS. OR \
Ex. OCCUp. „O,UTLETS (RESID.) EA./ 2.00
Temporaryservice4 b _ 10.00
Mobile Home F,acilit'ies 15.00
Misc. Wiring i 15.00
°
Permit Fee $
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.
❑ I 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.
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
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 Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I 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.
, l �' j
7-1—f-7
X l' �`���-� Wim^ Date �"
Signature of Applicant — Owner F-1 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
$
Energy Inspection Fee $
TOTAL PERMIT -FEE $ If
Occup.
CON5T.TYPE
FLOOD
PARCEL
PD HD
sSUE
This permit is hereby issued under
sions of the Butte County. Code and/or
work indicated above for which
�DIRECTOR'OF PUBLIC
�6�
gy l •�l, .rl%
�
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
n
WORKS
/
Date ��.!/
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%
I 1,
Receipt No. k �f "� f,!
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLD ENROD-APP L I CANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7. County Center Drive - OroviIIe, California 95965 - Telephone: 916/538-7541
APPLICATIO.R AND PERMIT
1
P�,
E'RM I T NO.
22
ASSESSOR PARCEL NUMBER
�-- Ip -6 — ��
ZONING
BUILDING PERMIT
OWNER
r e-�
TELEPHONE
r
5O, FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
c �
D w 1
1 .3 o
A
CO 7R CTOR'-NAM � �
TELEPHONE 2
CTRACTOR'S MA A R�G c
Fireplace
CONSTRUC ION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10,00
LENDER'S MAILING AD RESS
Permit Fee
$ Oro
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MA ING ADDRESS '
Penalty
$
BUILDING ADDRESS
;Z
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF.DuplexMobilehomeOther,
�❑ ❑
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Horne S G W
10.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Ins allation❑ Other ❑
Describe work: -- _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service aoov OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check.one):
rA�
I XI 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.
License No./2,, la. Ges d Classification G"-3
❑ I, 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 CONST. (DWELLING OCCUP.N
OR ...NS.- ACC. BLDGS.
2+/z¢sgft
NEW CONSTR. MULTI -OUTLET 2,50 ea
NON-R-ESIO BRANCH CIRCUITS
( POWER APPARATUS 6)
SINGLE OUTLET CIR.
Ex. Occup OUTLETS OR FIXTURESSL030FIXED 2ALM\`
Ex. Occup. OUTLETS P(RESID )REA./ 2.00
Temporary service 10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee $
Contractor
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
5"r a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I 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
FiIIng Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
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 construct ion, :and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I 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 oo.seq ice of the granting of this permit.
�'/���
X �� iv ��--� _ Date, (
Signature of Applicant — Owner❑ 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
$
Energy Inspection Fee $
TOTAL PERMIT FEE $ 0-0
Oc Cu P.
CONST.TYPC
I
IFLOODIPARCELI
PD
I HD
ISSUE
This permit is hereby issued under.the
sions of the Butte County. Code and/or
work Tlied above for which
DIR OF PU
By
PERMIT EXPIRES Date
applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No. +
WNITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
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