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Home My WebLink About017-200-060. . -v m I : It y . i ` i ...... ...... 4 LJ Iry 130 ? r f { , . �.i..... .._ .._ _... _ _:.1.... ' ..:.ice . � _i �` • : .. ._ � �_�... ...... _.._ ._ __...._ ......_ __.� ._..._ _.�..._.._. _...._.�_._.__. _......_....__.... _........ _................_._...._....r.........._....._.._ _ _ z.31-1 pt - P se do4: — Dire • 1 I i .. , I _ n 4 � ru\ ° o _ nzm#•IF T to � �7 � .(� � .. (J 1 � W Q : �N � 0 0 1. r _ C y � E�•j --1 mo r 5+ i T G. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT_ ASSESSOR PARCEL NUMBER VARIOUS SEE ATTACHED ZONING BUILDING PERMIT OWN COMCAST COMMUNICATIONS TELEPHONE OWN S y 9AJM*0M 95838 WESTCOAST ICATIONS SO. FT, OCC. BUILDING VALUATION CONTRACTOR'S NAME 5301-34.3-2473 TELEPHONE CONTRACTORS MAIUNG ADDRESS 140 MEYERS ST CHICO 95973 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Permit Fee $ Plan Checking Fee $ BUILDING ADDRESS SEE ATTACHED Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ublibes ❑ Installation ❑ Other ❑ Describe Work: P A , . CATV ROM S 1PPT.Y Each as water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer ' 15.00 Mobile Home ISI GI WT___ @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Feel 20.00 Main Service 'DDA OR LESS 23.001 253.0 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commeONS with Section 7000) of Division 3 of the Business and Professions Code, and my license is i -,full fo ce nd effect. i'� �'7 License Class G Lic. No. h S / 1 � ^OWNER -BUILDER DECLARATION I herebyaffirm under penalty of perjury that I am exempt from the Contractors License P hY P 1 rY P Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO IDDDA F 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 3 ACC. BIDS, SO 3.5QFT; ncing NON-RCSID @7.50 POWER APPARATUS 8 SINOIE OUTLET CIR Ex. Occup. OUTLET OR FDLTURES gqL @ I.5 Ex. OCCU FIXED APPLAIS. OR ouTLETs RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ 273.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI: $ Policy Number (The above sections need not be completed ifthe permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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 workers' compensation laws of California, and agree that if I should become subject to the workers' cc pensatio visions of section 3700 of the Labor Code, I shall forthw' o ply w, provisions. /n- t t D� X Date / J Signature of Applicant - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excav tions over 60" deep and demolition or construction structures over 3 stories in heig Mobile Home Installation Fee is Energy Inspection Fee I $ occ '0Nsr. TYPE TOTAL FEE $ 273.00 HAZ. D. FEES IMP FLOOD COF PARCEL I PD I HD ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been [ By (� Date PERMIT EXPIRES ON provisions to do work paid. J� 0-7of a Receipt No.v� �. WHITE•D.D.S.-B.D. CANARY -A ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT MOUNTAIN HILLSIDE WITH TREES LOCATION: CH28-P03 APN: ? ADJ 1010 HONEY RUN RD ,HONEY RUN RD 976 211' 178' 1045 ley 250' ' I ! 1010 1010-A ; ,t i 1042 �� << c o m c a s t communications POLE MOUNTED POWER SUPPLY CH28—PO3 7-2-