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HomeMy WebLinkAbout027-110-01127-11-11 ANNA PRICHARD :�;;.: pp 2 'ml ResevoRd;Oo d Permit��1328-83B(reroof/SF) - � � _ • y 1 �µ' i o P ' 1 1 I 4 f f 4 t i i I f �E �f f �l C ,I � I • i i i N r- r- ..,si�':9{s.e.'Z�t__ '2i-1."�.cE;'-'-Yr'".f"may+.; a.:N.�d:+'i_i�«+,�;_'Fg^' ,/.•y.4"•';i..t.•!':#. ae;t .�•:3'r�' -•; Y'aF_v'"i-•i?s 4T Fxmit #1328-83B Anna Prichard i i y COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS. ', PERMIT NO. 7 County Center Drive - Oroviller California 95965 - Telephone 916/534-4541 APPLICATION -AND PERMIT R. ASSESSOR PARCEL NUMBER - ZONING BUILDING PERMIT OWNER - nom- i� xI r .Ari _�;r{ TELEPHONE Q. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDR+ 55 L � 111 t ,ice(] CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ r, ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ Bu1L5N �ADDR C4� , !� PLUMBING PERMIT Filing Fee 10.00 1�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 N""Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addition[:]_ Remodel ❑ .Utilities ❑ Installation ❑ Other ❑ Describe work: +' + t �`� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD•L 100 AMP 2.50 NEW CONST.(DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 1 2/20sgit CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business Professions Code and my license is in full force and effect. License No. Classification .(r 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( ULTI-OUTLET NON-RESID. BRANCH CIRC ITS 2.50 ea NEW CONSTR / POWER APPARATUS &) NON-RESID. (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 9A @3 0Q and FIXED APPLNS, OR Ex. OCCUp- OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 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 J of Consent to Self -Insure. Lrhl 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. 1 � � X ��i.ir. / 3.!/-i',1�.1i 1A 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 over3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST, PARCEL PD HD ISSUE This permit is hereby issued under Bions of the Butte County Code and/or work indicated above for which 11�E dT R O PUBLIC J By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS KXDateyj J / Receipt No. � It/ O'r7 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COIJgTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Calrnia`95965 - Telephone 916/534-4541 APPLICATIOfd ANS PERMIT PERMIT N i� ASSESSOR PARCEL NUMBER ZONING'BUILDING PERMIT OWNER n h -a- Vr 1 3 -a rd TELEPHONE f_3 -3 -0 U ,SQ, FT. OCC. BUILDING VALUATION OWN_ 'S jAI LING ADD SS CONTRACTOR'S NAME TELE HONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is " Filing Fee $ 10.00 L ENDE R'S,MAI LING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee - $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ K, UZI BUILDIN ADDREr,LJ S //^ /Jr r PLUMBING PERMIT Filing Fee 10.00 a r Each Trap 2.00 Solar Water Heater 20.00 -H- 3-a IaL 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 I� Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home I S1 G W" 4:r-_0�0:e TYPE OF WORK New ❑ AdditionE 411Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Y.0 0 — Permit Fee $ Contractor ' ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP -2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 21/ZQsgff CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F-1 I, am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my nlicese 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 ULTI-OUTLETH 2,50 ea NON.RESID. BRANCCIRC ITS NEW CONSTR. I POWER APPARATUS & NON-RESI D, %SINGLE OUTLET CIR. Ex. Occu 20@50C OR FIXTURES BAL®soC P�o XED A FIXED APPLNS, OR Ex. OCCUp. OUTLETS (RESID•) EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 ' 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. LrYhJ 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 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 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. r X� %� Date f Signature of Applicant — Owner Z 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 $ .5s n OCCUP. GROUP I TYPE O: CONST. PARCEL PD ND ssuE This permit is hereby, issued under sions of the Butte County Code and/or work indicated above for which E T WPUBLIC BY ' PERMIT EXPIRES Dat the applicable provi- resolutions to do fees have been paid. WORKS Date PL/- Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT '