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HomeMy WebLinkAbout005-466-0015-46f-01 CHARLOTTE DREW 2111 Laurel St, Chico / ��_. G� Contr: Butte RoofinR PErmit#2200-87B(reroof/SF) 4 Lrl) P u J , 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 ��.!/ �� r,�l % 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 ��� L�6� �,,g� ��Q s���n� 3°