HomeMy WebLinkAbout021-170-018t
°Permit #3200-82' .
Violet Faria
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-.COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - PERMIT NO. _
7 County Center Drive - Oroville, falifornia 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
009 , ,, y
ZONING
BUILDING PERMIT
OWNER
•
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TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
CONTRACTOR 7167—E
27 X
TELEPHONE
IS
CONTRACTOR'S MAILING ADDRESS 47,
-
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
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS ,
PLUMBING PERMIT
Filing Fee 10.00
C/
Each Trap
2.00
Repair drainage or vent piping
5.00
1�
Water piping
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Each qas water heater or vent
5,00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF 9 Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work: r( xtn r.•
Permit Fee
$
Contractor
:'ELECTRICAL PERMIT
Filing Fee 10.00
001 OR L
Main service 1100 AMP OR SLESS
5.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. ( DWELLING OCCUP.01)
OR ADDNS. ACG. BLDGS.
2¢ sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑NON-RESID.
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.
r r
License No. � -� rr n'1_3 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. MULTI -OUTLET 2,50 ea
NON.RESID BRANCH CIRCUITS)
NEW CONSTR. (POWER APPARATUS 6
(SINGLE OUTLET CIR, )
Ex. OCCUp OUTLETS OP. FIXTURES BALei
Ex. Occup. UTLETS (FESID)I- A.) 2.00
�pR
Temporary service 10.00
Mobile Home Facilities
15.00
Misc. Wiring 7.50
"L -
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIirig 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.
0 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
S
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 County of
Butte to enter upon the above-mentioned property for inspection purposes.
1 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.
g
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OF CONST,
PARCEL
PO
HD
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
r `^ , / •
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
',
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COU[VTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, Califoriij� 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER 1
L `c , -
D—
OWN'R /
F
Ft a
ZONING
BUILDING PERMIT
TELEPHONE
SO. FT. OCC. VALUATION
rBUILDING
`
OW ER'S M® NG ADDRESS
CONTRACTOR'S NAME
r .. 6&)-_,3" 9
TELEPHONE
.•-y 6,6
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
X
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT•OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
,S,0,4 •fA wes t-c_orl)ee of � �e�f � ass�r
PLUMBING PERMIT
Filing Fee 10.00
47
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SFS Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work: Code- a,,d P'EJlJc; e,
`
�® �00V
Cf x%,i �H % ") . u 1` LLY7 C. C-- Q P/I I e' /'�
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
OR LESS
Main service 100 S
00 AMP OR LESS
5.00
Main service EA- ADD'L 100 AMP
2.50
NEW CONST. ( DWELLING OCCUP.y\
OR ADDNS. ACG. BLDGS.
I 2�sgft
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, 259073 r iA
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
NNEW ON.RESID CONSTR. BRANCH ciRLCTITS 2.50 ea
NEw CONST R. POWER APPARATUS e
NON.RESI D. (SINGLE OUTLET CIR. Jr
50@250
Ex. OCCUp OUTLETS OR FIXTURES BAL@1
Ex. Occup.(O FIXED PLNS R
UTLETS (RESID•)EA. 2.00'
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50 O
--
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte BuildingDepartment
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
S
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 County of
Butte to enter upon the above-mentioned property for inspection purposes.
1 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 con uence of the granting of this permit.
X Date i • a6
Sign V re 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 $
OCCUP. GROUP
I TYPE OF CONST.
PARCEL
PD
HD
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
1 OF PUBLIC
O� BY j''�
PERMIT EXPIRES ate /IQ
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
7�
Receipt NO. �
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY
SEPT OF pOF
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