HomeMy WebLinkAbout026-050-00326-05-03
STANLEY WHEELER /
6760 Lincoln Blvd, Palermo
Perm 01782-84E(ele ser` ch%SF)4P c
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A]pt C
Permit#1782-84E
Stanley Wheeler'
6760 Lincoln Blvd, P,
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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
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