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HomeMy WebLinkAbout024-180-042V I ®rio P..-.24-18-42 .. ..... MARY E. ALEXANDER 3/4 mi. off s1s Evans R ji-M at 6 east'.cendp Gridley Permit 378-73P,E (utilities for mobile ehom) I 11 CN j COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive ,f— Oroville, California 95965�� 1 F- Telephone: 533-'1230;:Eztr259: 534-454.1 - , 'APPLICATION AND PERMIT dutrwnce representduves or the county or tsutte to enter upon me above-mentioned property for inspection purposes. .f X %/1 J7 -U -4-/ orl 1. Date . Signature' -of Permitee or Agent 7 vim" Receipt No. /D 4 / —1.2 White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work 'indicated above for which fees have been paid. (� DIRECTOR OF PUBLIC WORKS Date ? /- �/ Building Permit Expires Date- BUILDING Owner �}.`� �� =r� / SO. FT. OCC. BUILDING VALUATION Mailing Address (yfi ( 1'e Fireplace Contractor 0 Total Valuation C Mailing Address �SGc.�� Permit Fee ' Plan Checking Fee&/or Penalty •, Permit Fee $ $ , ;,,-• •i��. . Building Ad dress �f �f✓J, b /S- PLUMBING No. @ FEE PERMIT FILING FEE $2.00 ) DO i V;)-15 12 '4 p,S -X Each Trap 1.50 r Repair drainage or vent piping 1.50 Water piping 1.50 0 Each gas water heater or vent 1.50 n/ A. P. No. v�-�/ 7' -�-- !Zoning �-�w Gas piping system 1 - 5 outlets 1.50 /• ) C� Each additional outlet .50 Fire Zone Fire Dept. I \\ SanitationQV✓ Planning Building sewer 5.00, - UC) Plans V -111 -Fees Poe""W. C.� R/W Encroachment Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑l OTHER Q Permit Fee s' $ /(%°V $i //j 4§ ELECTRICAL No..; @ FEE PERMIT FILING FEE - - $3.00 COO Main service incl. 1 meter x�0 Additional meters, each -1.00 Sub -panel (12 or less) (more than 12) USE OF STRUCTURE Single Family ❑ Duplex ❑ Others ❑ Range, dryer or water heater 1.00 // ^� Oven, Cook -top or space heater 1.00 Light fixtures 0 • Receps., switches & fix outlets 11� CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter`9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Misc. wiring License No. Classification 1 IF — Mr am exempt from the Contractors License Laws of the State of California. Permit Fee , $ // Uv $ // UCJ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of t Workmen's Compensation Insurance. ,._ E%certify that in the performance of the work for which this ermit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE f PERMIT FILING FEE $3.00 Heating Cooling Ventilation Permit Fee $ $ 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 $tate Fee for Strpng Motion $0.07/$1000 Evaluation Instrumentation F rogram $ TOTAL PERMIT FEE dutrwnce representduves or the county or tsutte to enter upon me above-mentioned property for inspection purposes. .f X %/1 J7 -U -4-/ orl 1. Date . Signature' -of Permitee or Agent 7 vim" Receipt No. /D 4 / —1.2 White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work 'indicated above for which fees have been paid. (� DIRECTOR OF PUBLIC WORKS Date ? /- �/ Building Permit Expires Date- COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOR kV1 /? P �� 7 County Center Drive — groville, California 95965 10-7-3 Telephone! 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X a -$ignatu of Periitee or Age t / Receipt No. ! 0 -23 _ White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF -PUBLIC WORKS BY Date :z �y(, Building Permit Expires �"— �' BUILDING Owner SQ. FT. OCC. BUILDING VALUATION r Mailing Address Fireplace Contractor O Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Permit Fee $ $ q ,� Building Address ,/� O- PLUMBING No. @ FEE PERMIT FILING FEE $2.00 DJ —67_ Each Trap 1.50 Repair drainage or vent piping 1.50 ` y � � � G f Water piping 1.50 �� o Each gas water heater or vent 1.50 _ `� A. P. No. Zo ing —� Gas piping system 1 - 5 outlets 1.50 S Each additional outlet .50 Fire Zone Fire Dept. ``\\ Sanitation NPlanning Building sewer 5.00 G Plans Fees W. C. R/W Encroachment Lawn sprinkler system 2.00 NEW ADDITION ❑ OTHER Permit Fee $ (jA0$Z42GYJ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Ole Main service incl. 1 meter �O // ',t G PG 7�G �t4� 11917 Additional meters, each 1.00 USE OF STRUCTURE Single Family ❑ Duplex ❑ Others ❑ Sub -panel less) (m n l2) dryer r heater Range, dryer or water heater 1.00 Oven, Cook -top or space heater 1.00 Light fixtures IF Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F. A. Furn. Motor 1.00 Evap. cooler, gar. di sp. or D.W. 1.00 Air conditioner or heat pump Water pump Misc. wiring c f License No. Classification —0i am exempt from the Contractors License Laws of the State of California. Permit Fee $ da $ O WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I 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 the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Permit Fee $ $ 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 $tate Fee for Str ng Motion Instrumentation fgrogrom $0.07/$1000 Evaluation $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X a -$ignatu of Periitee or Age t / Receipt No. ! 0 -23 _ White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF -PUBLIC WORKS BY Date :z �y(, Building Permit Expires �"— �' DECLARATION REGARDING LOTS OR PARCELS I certify that as owner of the property acquired by deed in Volume B'L`� Page / %!> , Official Records of Butte County, (AP. a . O ��-;�rY v ), I am requesting permission to build or install ; •an additional living unit on this property. I will not divide the afore - ..]mentioned property for sale, lease, rent, or financing unless all ••--applicable -land -division-laws-and--map-:requirements -are'-complied -with. I am conversant with the present -zoning regulations affecting the aforementioned property, and declare that I shall not violate same, I .represent that the proposed use of the additional living unit is and that further I -shall -not•-change --this 'proposed -use -of -the--additional living unit unless and until -I receive written approval therefor from the County of Butte. I fully understand that pursuant -to Chapter 20 of the Butte County , Code and §11535 et seq of the Business and Professions Code that if I, j in the future, sell, lease, or finance the area on or adjacent to said _improvement without fully complying with the applicable laws and. ordinances, that I shall be -guilty of a misdemeanor and therefore, subject to the aforesaid penalties and -imprisonment pursuant to law. Further, -this state'nent -shall -be properly -acknowledged and recorded at the request. -County-_of...Butte. . .( t ,. :.. `r..Owner ress �' �1�83 ate ' STATS Or C�LZFOR.vIA � ss. .. - • - : -- —' COUNTY OF ".Butte On this 21st day of February 197. 3 , before me, Jack E. Stelle a Notary Public in and for the Counct %l o: State of California, residing therein, duly commissi oneE—and sworn, personally appeared !R Alex -odor known to me to be te�p rson whose name :a` cri5ed to t e wit in instrument and acknowledgea to me that— _&_Te executed the same. ' It; WIT:IF,SS WIIr.REOF I have hereunto set my hand .and affixed my -- official seal in -the -County of Butte the day and year in this certi n, QMCIAL SEAL h TACK E. �r11'TE' -z�-J p10TA0.Y PUIIUC - CALIFORt•11A 61,11T2, 0IJt4TY Air%'•' tity M• V!'r r, "•tC` `.^T. 24. IM _�j0 r y i'�il>r] C Jack E. Stel le M� tiOFF itere _ pet' Gfu �a-it h_ D as I l 7. ke I X i ° I d t fy t yy y I i o s , V - -_ - + 4 i x -S - - -- - - roe ba Ione I� b - Sri �r ° -= - '! he of a -en .I teilin I I ie t MIQI tE he _roa pe MEXIMU a _ ffi. eav = ov rhe i l (his` eta ' catio MU5 - ecifi iJ —_ I d it is unla vfult�-=- c - - p e_. i al er tion �. ==r — 1= th job _ al .itn� ke t o Sn me - y ion ec'tidl�s Shia 1 , ake_ ny .c_ angel °r w� � I I nt or ,PAR. � �� " ted �vi t In _ li - ---_-Wo'rk = County -a IE:—AII n Acc rdar ce Of8 GUa r Uni rm u*ildi Me ati n,al: i • li