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Home My WebLink About017-040-013I 1 � WL u,_;s� A> �� _". , AN II COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS _ PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER , rTELEPHONE e ' I t_ /�.. it / SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS ' Fireplace CONSTRUCTION LENDER . UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS '- Permit Fee $ ARCHITECT OR ENGINEER `1 ='t LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS ,•.7 . C'�C Chi! ( J �C � r � �/'C f , �>, PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 C [ , - ' lr •' '/ z' �' i ., Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome ❑ Other rLC - rf =' ' _- SPECIFY Building sewer 5.00 Mobile Home S I G I W 10-00e TYPE OF WORK New 0 Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: i ' %Gi- �' 7�/L�'� [ 7C'` l'i'G%L %+ 'Li 1� ' ,� r Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST DWELING OR ADDNS. ( ACCLBLDGS.CCUP.&) 21/20sgft 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 m license is in full force and effect. y 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 CONSTR ULT'.OUTLET 2.50 ea NON -REBID BRANCH CIRCUITS i NEW CONSTR. /POWER APPARATUS &\ NON-RESID. %SINGLE OUTLET CIR. / z0eSoe OR FIXTURES e Ex. Occup(o ALO 300 FIXEEDD AXPPLNS. OR Ex. Occup. OUTLETS (RESID.) EA,) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 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. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 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 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. X 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 $ TOTAL PERMIT FEE $ ll_- , !�4- OCCUP. GROUP I TYPE OF CONST. I IPARCEL17D I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC , By • ' - PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date r / Receipt No. " ' c WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICAY90N AND PERMIT PERMIT NO. ASSESSOR PAR/ELMB Ij t(/� U !%_ ZONING BUILDING PERMIT OWNER ��C 10#4J tl / c TE EPHONE SO. FT. OCC, BUILDING VALUATION O �Fi'S M IONG _ADD 5 S CONTRRTkCTOR'SN`(AME T LEPHONE CONTRACTOR'S MAILI G ADDRESS Fireplace CONSTRUCTION LEND UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING AD&RESS Permit Fee $ ARCHITECT OR ENGIN LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAIL NG ADDRESS Permit fee $ BUIL�IPPADD:gS O/ O%F �S cam✓(/%�ie. �GL� �� /Ace- PLUMBING PERMIT Filing Fee 10.00 - �GLv / Cg-1NJ�� / ` Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome ❑ Other Ar;a_ SPECIFY Building sewer 5.00 Mobile Home S I G I W 0.00 e TYPE OF WORK New [k Addition ❑ Remodel ❑ Utilitieess/Ej InstallationEl Other ElContractor Describe work:/�""�NCJ - ,OX -011-74X Jr1GD62 A04146aW Vj tIAC.-MaiL_ rn Permit Fee $ ELECTRICAL PERMIT Filing Fee 10.00 service 600 AMP ORSLESS 10.00 /A04 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. /( DWELLING OCCUP.& OR ADDNS. l ACC. BLDGS. 2/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business2Des0C and Professions Code and m license is in full force and effect. y 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 CONSTR. ULTI-OUTLET 2,50 ea !Z�S� NO N.RESID BRANCH CIRC ITS NEW CONSTR I POWER APPARATUS &� NON.RESID. %SINGLE OUTLET CIR. FIXTURES eALO 30 Ex. OCCup(oUTFIXED A POR LINIS R Ex. OCCUp. OUTLETS (RESID.)EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ . SCJ Contractor MECHANICAL PERMIT Filing Fee 10.00 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 shal I be deemed revoked. 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 ag�jnst id County i cor1sequen a of the granting of this permit. +� 1� _, 1 _,�� X Date I Sig Lure of Applicant — Owner Contractor ❑ Agent ❑ An SHA permit is required for excavations over 5'0" deep and demolition or construct- ion o 'structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 29, _G9 OCCUP. GROUP I TYPE DP CONST. PARCEL PD HD 98UE This ermit is hereby issued under sio f the Butte County Code and/or wo di ed ove for which R CTOFi OF PUBLIC B y PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 11-81 Receipt No. Jam' WHITE-D.P.W., YELLOW -ASSES OR, PINK -INSPECTOR, GOLDENROD -APPLICANT