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COUNTY OF BUTTE _ DEVARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X
Signature of Permitee or Agent
Date
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -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
Building permit expires Date
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mai I i ng Address
Telephone No.
Contractor
Mailing Address
Fireplace
Total Valuation
Telephone No.
-
Permit Fee
Building Address
Plan Checking Fee&/or Penalty
Permit Fee
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
A. P. No.
Zonin & Planning
Water piping 1.50
Each gas water heater or vent 1.50
Fees
W. C.
Sanitation
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
Parcel
Declaration
Parcel Map
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
Bldg. Plans Rec'd
Parcel AEErovol
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑
Permit Fee $
$
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 600V OR LESS
100 AMP OR LESS 5.00
Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service OVER 25.00
100 AMPP OR LESS O
Main service EA. ADD'L 100 AMP 1.00
NEW CONST,( OR ADDNS. ACCLBLDGS.LING CCUP. 4) 2¢Sgft
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:
NEW RESID. ( BRANCH CIR T
NON RESID. ` BRANCH CIRCUITS) 2.50ea
NEWCONSTR. POWER APPARATUS D
NON .RESID. _ SINGLE OUTLET CIR.
Ex. Occup{OUTLETS OR FIXTIIRES) B L�
FIXED APPLNS, OR
Ex. Occup.OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
MECHANICAL No. @ FEE
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.
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
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
Land Development Fee
$
TOTAL PERMIT FEE
$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X
Signature of Permitee or Agent
Date
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -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
Building permit expires Date
COUNTY OF BUTTE DEFr'ARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT c A
authorize representatives of the County of Butte to enter upon the
above -men ' e property or inspection purposes.
X Date
Signature of Permitee or Agent
eceipt No. 3311t
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -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.Q,F PUBLIC WORKS
BYDate l 7 LID -7 f+
(/iIding permit expires Date
BUILDING IVY
Owner Act
SQ. FT. OCC. BUILDING VAL ATION
Mailing Address I$0 _i-7smote
C) PA V ( LL s L
le hone NoV.
Te33-�58�
Contractor
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building Address�� p� �(f �� l��J�) S
Plan Checking Fee&/or Penalty
Permit Fee
,�,��
(Z S eNot R 9-o • AfPROX goo G OF
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
e��I O O�
A. P. No. o� i
Zoning &Planning
Water piping 1.50
Each gas water heater or vent 1.50
Fle/es I
VC.
-6&"t4 *en
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
Parcel
Declaration
Parcel Map 60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
81,10 Pleme Recd I
Parcel Approval
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
Permit Fee $
$
Q40(56 C)p S evVICp_e� l ReICATIod
ELECTRICAL No. @ FEE
POMP S el)(c(5
PERMIT FILING FEE $3.00 3.00
Main service 100°o AMP OR SL 0V OESS 5.00 95,W
Single Family ffi Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD•L 100 AMP 2.50 2 So
ovR LESS
Main service O100 AVERMeoP O 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. DWELLING
OR ADDNS. ACC. LDGS.CCUP. Y) 20sgft
CONTRACTORS LICENSE LAW
1 am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
le of:
style
NEW CONSTRES'D, MULT I-OUTL T
NON.RESID BRANCH CIRCUITS 12.50eal
NEW CONSTR. POWER APPARATUS 0
NON-RESID. SINGLE OUTLET CIR.
Ex. Occuo(OUTLETS OR FIXTIIRES) g L
Ex. QCCU FIXED APPLNS. OR
Occup. (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring t ALO no 6.25
W1 I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$ (ry
WORKMEN'S COMPENSATION INSURANCE
I 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. @ I FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
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
Land Development Fee
$
TOTAL PERMIT FEE
$ �(o 5
authorize representatives of the County of Butte to enter upon the
above -men ' e property or inspection purposes.
X Date
Signature of Permitee or Agent
eceipt No. 3311t
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -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.Q,F PUBLIC WORKS
BYDate l 7 LID -7 f+
(/iIding permit expires Date