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Home My WebLink About024-170-040' A. CiAmft 24-17-40/~�o ~- it m I W;qh(j l ` ° I "gr �m I< < D r 75- I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL,-NUMBE q - / /- ZONING BUILDING PERMIT OWNER /:1 TELEPHONE SO. FT. OCC.1 BUILDING VALUATION OWN 'S MAI LI-N►G�ADDR ES ry t J rte_ l QX7 T 1 - CONTRACTOR'SNAME A ITELEPHONit f CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER , UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER 3-y-, LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets S,o0 �/ USE OF STRUCTURE SF L Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition& Remodel ❑ Utilities Instal Other [J, Describe work: 1�Jt�i� j �J C (�►yw. a� Permit Fee $ /S,00 -Contractor ELECTRICAL PERMIT Filing Fee 10.00 01V R Main service 100 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 DWELLING OCCUP.) NEW CONST. ( y OR ADDNS. \ ACC. BLDGS. 2� sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the Bus Iness f and Professions Code and my license is in full force and effect. 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 I-Ou LET 2,50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR /POWER APPARATUS 6 NON.RESID. (SINGLE OUTLET CIR. EX. OCCUp OUTLETS OR FIXTURES B AL@1 IXED APPLNS, OR Ex. Occup.�OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 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. O 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 /(1 ,(�( 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 County of 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 Q 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 $ 1 0110Butte occu P. GROUP I TYPE OF CONST. PARCEL PD I ND I ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. //� DIREC OR OF PUBLIC WORKS / By. L"= '-: °� Date Z 1 yq _� PERMIT EXPIRES Date , `• - Receipt No. �nl / WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. • 7 County Center Drive - Oroville, California 95965 - Telephone 916/5 41 • APPLICATION"AND PERMIT A SS EW tj A R Cf Icy MBE "'1 ZONING ••// U BUILDING PERMIT OWNER TEL PHONE SO. FT. OCC. BUILDING VALUATION OWN 'S MAILING DR 5: r C NTRACTOR'S N ME T E5 L—E PH ON CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER �+ V Y` UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS , Permit Fee $ ARCHITECT OR ENGINEER N LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING A D�S �� S PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO.SUBDI VISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets S 0® --� USE OF STRUCTURE SF L� Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New❑ AdditipmO Rmodel❑ Util'ties Installation❑ Other Describe work:tia C=�!e ` 111 ... CY ffffffYYY� III \\\S a"�. JA ►\ �� _ IA Z°'�✓� Q,..�'7-,�r. Permit Fee $ /_C100 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP 11 OR ORSLESS 5.00 'III.J Main service EA. ADD'L 100 AMP 2.50 a NEW CONST. DWELLING OCCUP.5J) OR ADDNS. ACC. BLDGS. 20 sq CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElI 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. Classification Q 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 '-OUTLET BRAN2.50 ea New.CONRE s R. (POWERCAPPARATUS dI NON -RESID. SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES s �� 00 IXED APPLNS. OR EX. Occup.�OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 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 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 agains aid County in conseque ee of the granting of this p rmit X r Date y p� Signature Applicant — Owner VY ontractor ❑ 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 $ 1_5 , �� OCCUP. GROUP I TYPE OF CONST. PARCEL Po I NO I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIEC PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No.K17 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT