HomeMy WebLinkAbout028-020-03028-02-30
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E end dirt rd, at NE cor Ahart Rd, Honc
Permit#4110-80E(fp-le ser ch & relocate
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!� COUNTY, OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 [;ounty Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICAI SON AND PERMIT
ASS SS O R.PARCEL NUMBER
—
ZO ING
.�
BUILDING PERMIT
OWNERS
p ►' Y
3 LEPH31q
'S
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS '-
,11 / 115 c,
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
UNKNOWN
Fireplace
Total Valuation Is
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDI,NG ADDRESS
R a
PLUMBING PERMIT
Filing Fee 3.00
/ r�
r p " T �l
Each Trap
2.00
Repair drainage or vent piping
2.00
r
��• t��
Water piping
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF ® Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
2.00
TYPE OF WORK
New❑ Addition C
❑ Remodel Utilities [:1 InstallationC Other F1
Describe work: R)pc! S/f^, (D �f1c'� n t?ar
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00
Main service 100 AMP ORV OR LESS5.00
Main service ADD'L 100 AMP
2.50NEW
//EA.
OR ADDNST l ACCLBLOGS.LING CCUP.&)
20sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
F-1NON•R
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
❑ 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 2.50 ea
NON.RESID. BRANCH CIRCUITS)
NEW CONSTR.POWER APPARATUS (&
ESID. SINGLE OUTLET CIR.
50 @ as
Ex. Occup(OUTLETS OR FIXTURES BAL@10Q
FIXED APPLNS. OR
Ex. Occu_ OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 6.25
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIingFee 3.00
WORKMEN'S COMPENSATION INSURANCE
1 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
2.00
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.
1 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.
Zr` C
X %�4 ` � , Date �" '-
Signature of Applicant — Owner iX 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
$
Land Development Fee $
TOTAL PERMIT FEE $
OCcUP. GROUP
I TYPE OF CONST,
F
PARCEL
PO
ND
ssuE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By �• U Date�r� r
'�—' v
PERMIT EXPIRES Date ``. �— ^�
Receipt No. 94
WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD-APPL I CANT
C OUNTY OF BUTTE DEPARTMENT OF PUBLIC WORIKS PERMIT N
7 Coupty Center Drive - Orovillg,-Califgrnia 95965 - Telephone 916/534-4541 12/Z/
APPLICATION AND PERMIT
AS S OWARCEL NUMBER I
S!C -0 ZL- -
BUILDING PERMIT
Owrier
TELEPHONE
A �0-r-t -74 �g '931,V
SQ.FT_ OCC., BUILDING VALUAT ION
.
0 NE NG ADDRESS r
01vullte Cv, 9-.( FQI�,
CONTRACTOR'SNAME TELEPHONE
CONTRACTO�R'S MAILING ADDRESS
CONSTRUCTION LEN I DER ]UNKNOWN
Fireplace
Total Valuation $
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR E�JGINEER
E NO.-
17s—
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILVrADDRE S
exl � b % r R cl Y -1i
PLUM61NG PERMIT
FilingFee 3.00
i0a
Each Trap
2.00
Repair drainage or vent piping
2.00
Water piping
LOT NO.
SU.BDIVISION NAME
ARCE L FliAP
1P
Each qas water heater- or vent
2.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF FrDuplexF-1 Mobilehorne[] Other
SPECIFY
Building sewer
Lawn sprinkler system
2.00
TYPE OF WORK
New.F] -Additiono R enrode I D Utilit InstallationD Other
T__ I el
Describe work:
Permit Fee
$
Contractor
. ELECTRICAL PERMIT
FilingFee 3.00
600V OR LESS
service 100 AMP OR LESS
5.00
Main service EA. ADD -L 100 AMP
2.50
NEW CONST. ( DWELLING OCCUP.&)
OR 1ADDNS. ACC.BLDGS.
20 sq ft
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 license is -in full force'and effect.
I
License No. Classification
1, as the owner, or my employee's with wages as their sole conrpen_�
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
F1 I am exempt under Sec. Business and Professions Code
for this reason
-N-EW CONSTR UL '_OU LET
NON-RESIDBRATC. CTIR C, [TsL__ 2.50ea
NEW , CONISTR (POWER APPARATUS,&)
NON.RES 0. SINGLE OUTLET CIR
_EX4
OCCUP( OUTLETS OR FIXTURES 50 @ 25o
BAL@110�
FIXED APPLNS. OR
Ex. Occup.(OUTLETS (RESID.) EA.) 2.00
Temporary service
10.00
Mobile Home Facilities 15.00
Misc. Wiring 6.25
L
Permit Fee, $
Contractor
MECHANICAL PERMIT
Fi I ing Fee 3.00
WORKMEN'S COMPENSATION INSURANCE.
I de�l are under penalty of perjury (check one):
The permit. is for $100.00 (valuation) or less.
E] I have placed on file with the County of Butte Building bepartment
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
2.00
Ventilation
I . -
I I
Permit Fee
$
Contractor
1 certify that.1 have read this application and state that the above information
is correct..l agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to e ' nter upon the above, -mentioned property for inspection purposes.
1 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 . d County in co equen e of,the granting of this permit.
X gai
-C 5/1— *
Date 0
Signature of Applicant Owner Contractor El Agent F-1
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 $
Land Development Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
TYPE 01' CONST,
I PARCELI
PO
I 1ID
I ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated' above for -which
0
01,��EEC 0 OF PUBLIC
By
PERMIT EXPIRES dAte k�_rll_pl
I
the applicable provi-
resolutions to do
fees have be6n paid.
WORKS
nat,(\ go,
I
Receipt No. 3 9Z
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDEWROD-APPL I CANT