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HomeMy WebLinkAbout006-660-0351/ S L S L BUTTE COUNTY INTERDEPARTMENTAL CORRESPONDENCE DELIVER TO LAST PERSON NAMED DATE I NAME I DEPT. 11 DATE I NAME I DEPT. Y 3 \4. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS,3�/�3 E _%--�_ 7 County Center Drive - Oroville, California 95965 Telephone: 533-1230, Ext. 259 APPLICATION.AND PERMIT r —`. BUILDING Owner7� , ^-^ �� t SQ. FT. OCC. BUILDING VALUATION /_L-- '-- Mailin Address Q �. I -c" h Fireplace Contractor 7 �' a Total Valuation Mailing Address- Permit Fee Plan Checking Fee &/or Penalty • Permit Fee Building Addre s=/C- w '�f PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00)vt✓ , /1 �,/ ��, / a /�,, , Each Trap 1.�0 _ r `� �Y r t l Repair drainage or vent piping 1.50 Water piping 1.5�, .i Each gas water heater or vent 1.50 A. P. No:,(�._ / Zoni g -Z Gas piping system 1 - 5 outlets 1.5Q, J additional outlet , .50 Fire Zone .001/Each ' Fire Dept. �—-.Saad a io r% Planning se e Building r.Z` ,, ,,, 5,00' R r Plans �- Fees Wt,C. - R/W — Encroachment Lawn sprinkler system 2.00 NEW ❑ ADDITION 1:17 OTHER ❑ Permit Fee �� "•�� ELECTRICAL No. @ FEE PERMIT FI4ING FEE $3. 0 Main service incl. 1 meter > Additional meters, each 1._66 USE OF STRUCTURE Single Family,❑ Duplex ❑ Others ❑ Sub -panel (92 or less) (more than 12) Range, dryer or water heater 1.00 Oven, Cook -top or space heater 1.00 Light fixtures bo I VU Receps., switches & fix outlets 20 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 `) W. SG Misc. wiring) '6 License No. Classification O I am exempt from the Contractors License Laws of the State of California. v Permit Fee 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. El I certify that in the performance of the work for which this i/ 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 - Permit Fee I certifythat I have read this application and state that the above pp 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 ahnvc_,.,or,r�n., o.r ., �. f— State Fee for srr�rg Motion $0.07/$1000 Evaluation Instrumentation rogram TOTAL PERMIT FEE 7 e•� $_ l This permit is hereby issued under the applicable provisions of -01 "Date Signature of Permitee or Agent i Receipt No. / _� �_ _ White-D.P.W. — Pink-Inspec or _ Goldenrod -Assessor — Yellow -Applicant the tsutte county code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS 13 y�./�e�Yi Date�Z�7Z v Building Permit Expires Date, �'� OUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORK 7 County Center Drive — Orovi Ile, California 95965 Telephone: 533-1230, Ext. 259 APPLICATION AND PERMIT Cqi**�am exempt from the Contractors License Laws of the State of Cali fomia. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 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. 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 prop for inspect' purposes. Date Signature Permi ee or Agent Receipt No. White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant Permit Fee , MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heatino Cooling Ventilation Permit Fee $ $ $$tate Fee for StrD ng Motion 0:07/$1000 Evaluation In siru men t ation Program $ $ TOTAL PERMIT FEE ,s 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 % �' 7 Building Permit Expires Date/ 7� _ BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address ~ 7" (O Fireplace Contractor Total Valuation Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty Permit Fee $ $ Building Address s49-11 0 0 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 A. P. No.r- Zoning —� Gas piping system 1 - 5 outlets 1.50 Each additional outlet .50 Fire Zone Fire Dept.PIa ng ding sewer ' 5.00 Plans Fees � W. C. R/W Encroachment Lawn sprinkler system 2.00 ; NEW ❑ ADDITION OTHER ❑ Permit Fee $ $ , c ELECTRICAL No. @ FEE PERMIT FILING FEE $100 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) USE OF STRUCTURE Single Family Duplex ❑ Others ❑ Range, dryer or water heater 1.00 Oven, Cook -top or space heater 1.00 Light fixtures Fig Receps., switches & fix outlets 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 , Misc. wiring ro Licen a No. Classification Cqi**�am exempt from the Contractors License Laws of the State of Cali fomia. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 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. 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 prop for inspect' purposes. Date Signature Permi ee or Agent Receipt No. White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant Permit Fee , MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heatino Cooling Ventilation Permit Fee $ $ $$tate Fee for StrD ng Motion 0:07/$1000 Evaluation In siru men t ation Program $ $ TOTAL PERMIT FEE ,s 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 % �' 7 Building Permit Expires Date/ 7� _