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HomeMy WebLinkAbout026-050-00326-05-03 STANLEY WHEELER / 6760 Lincoln Blvd, Palermo Perm 01782-84E(ele ser` ch%SF)4P c f a 1 O A]pt C Permit#1782-84E Stanley Wheeler' 6760 Lincoln Blvd, P, 1 .f Permit#1782-84E Stanley Wheeler' 6760 Lincoln Blvd, P, ` COUNTY OF BUTTE - DEPARTMENT OF�PUBLIC WORKS r; PERIMIT 00. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER r` i '�� f 3 ZONING 7 BUILDING PERMIT OWNER,..- -` Afoe TELEPHONE h9 SQ. FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS TT CONTRACTOR'S NAME D ry y D � � 1 C_ 1 TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER ^ UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER ll LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESSSS Permit fee $ BUILDING ADDRESSv. PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20,00 - Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF P" Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home JSJGJWJ 110.00 e TYPE OF WORK New F]Addition ❑ Remodel [-IrUtilities ate.installation❑ Other Describe work: / �- ��'��%�� ry _ / Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 i; Main service EA, ADD'L 100 AMP 2.50 NEW CONST.(DWELLING OCCUP.& OR ADDNS. ACG. SLOGS. t 2/20sgft 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 m license is in full force and effect. y License No. Classification 0� 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. U TI -OUTLET 2,50 ea NON.RESID BRANCH CIRCUITS) NEW CONSTR. POWER APPARATUS &) NON.RESID. SINGLE OUTLET CIR. Z0980C Ex. Occup o X OR FIXTURES BAL@30 FIXED PPLNS, OR ` D A EX. Occup. OUT_ETS (RESID,) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 0Z) t VT P � n Permit Fee $ Contractor MECHANICAL PERMIT Filing 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. ❑ 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 $ 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 Countyot Butte 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 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 I NO I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By ✓I, . is 1 CF� PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. 7— WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF -PUBLIC WORKS PER WO. J r 7 Count Center Drive - Oroville California 95965 - Telephone 916/534-4541 % APPLICATION AN® PERMIT ASSESSOR PARCEL NUMBER ZONING o� _ -� BUILDING PERMIT OWNS TEL SQ. FT. OCC. BUILDING VALUATION QAJ V OWN 'S MILI NG A DR S in o,4- (/�) V CON R CTORSNA E TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ Permit fee $ BUILDING ADDRESS V J PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S I G I W 10.00e NEW CONST. DWELLING OCCUP.& OR AODNS. ACC. SLOGS. TYPE OF WORK New Addition❑ Remodel❑ tilities Ins allat' n❑ Other Rr Describe work: S _ 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. Classification [y 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 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. 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. 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 AP0110cant — 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. Receipt No.�j�,7i WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service BDOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR AODNS. ACC. SLOGS. t 2�20sq ft NEW CONSTR, U TI.OUTLET NON•RESID BRA CH CIRCUITS) 2,50 ea NEW CONSTR. (POWER APPARATUS &) NON•RESID. SINGLE OUTLET CIR. Ex. Occu p OUTLETS OR FIXTURES 20 ®a°e SAL®30 FIXED APLNS.Ex. Occup. OUTLETS P(RESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 JS, QZ) Permit Fee ` $ D Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor Mobile Home Installation Fee $ TOTAL PERMIT FEE $ SD,o a I OCCuP. GROUP I TYPE OF CONST. I JPARCELIPD I HD 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 wh' h fees have been paid. 4 DIRE R OF BLIC WORKS Y Date PERMIT EXPIRES Date __ 6 //JP`r ',A�3