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HomeMy WebLinkAbout021-170-018t °Permit #3200-82' . Violet Faria i vx, 4 { -.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 • r " 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 U L CBWpaK3 2 - igaz 18J9110111112111,2134, 8Jy11,¢11i1211X2'3415Pr J �g r