HomeMy WebLinkAbout028-180-030c_
28 8 0 At -
Ilk
P.T. & T. CO
E/S inters Robinson Mill Rd & La
Porte Rd, Bangor area '
Contr: Superior Electric Co, Oro F }
Permit#4008-81E (e e, ser/micro
repeter station)
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 Pounty Crenter Drive - Oroville, California 95965 - Telephone 916/534-45.41
APPLICATION'AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
- - 4'
ZONING
,14 -
BUILDING PERMIT
OWNER
•
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
I
CONTRACTOR'S NAME
TELEPHONE -
CONTRACTOR'S MAILING ADDRESS
�� �;
- I- .,
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE No.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS .�"�
PLUMBING PERMIT
Filing Fee 10.00
I /
/Each Trap
2.00
4iepair drainage or vent piping
5.00
/r? G/,-,
. grter piping
LOT NO. SUBDIVISION NAMEPARCEL
MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF ❑ Duplex ❑ Mobilehome❑ Other -- /, ' , , •
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑� •Uti lities ❑ 1r §rtaI Iatio❑ Other ❑
Describe work: r f• -- x'�" / ' * 'r'�' , I
• / 1 ♦r �� I / ,
1 is
Permit Fee
$
Contractor
ELECTRICAL
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP ORSLESS
1,5.00 % L
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. / DWELLING OCCUP.N)
OR ADDNS. \ ACC. BLDGS.
20 sq
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
i1 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 /- if.
❑ 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 NON-NONBRANCH MULTI-OUTLET
2.50 ea
NEW CONSTR I POWER APPARATUS a\
NON-RESID. IL SINGLE OUTLET CIR. 1
50 @ 25¢
Ex. Occup(OUTLETS DR FIXTURES BAL@100
Ex. QCCUp.�OUT ETS FIXED P(RESID )REA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $ T S , L
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
S
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 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 r " • �, r �/
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 $ 5�
occUP. GROUP
I TYPE OF CONST.
-I
PARCEL
PD
NO
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
f/
By BY
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
I
Date I i
Receipt NO.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
i
V/ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 Coun.W Center Drive - Oroville, California 95965 - Telephone 916/53 541
" APPLICATION AND PERMIT
f� PERMIT NO.
7Zwei
ASSESSOR PARCEL NUMBER
ZS._ � �- 3 p
ZONI �'�
J'
'
BUILDING PERMIT
OWNERC'+
TELEPHONE
S0. FT. OCC. BUILDING VALUATION
OWNER'S MAILING/ADDRESS
CONTRA TORS NAME
S� e�-Cep M "6-e or- Co .
TELEPHONE
3 3-D g�
COyTRA T�O>R'S ILING/° DDRESS
�iUp v�o �r V 474-0-,.,
Fireplace
CONSTRUCTION LENDER
K.
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
�-�
Permit fee
$
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
f ,f ./ l Idj
c/J ai
Each Trap
2.00
•Repair drainage or vent piping
5.00
r piping
LOT NO.
SUBDIVISION NAME PARC MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTUR�
SF ❑ Duplex❑ Mobilehome❑ Other R. tet- �`'yc� ~�
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition ❑ Remo 1 ❑ tl litiek❑ I allatio ❑ O her ❑
Describe work:
e ,,a `a H
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 11n0.00
Main service 100 AMP ORSLESS
r®.00 / 69,0v
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. ( DWELLING OCCUP.y\
OR ADONS. ACC. BLDGS.
20 sq ft
CONTRACTORS LICENSE LAW
1 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.
a ` y
License No. B / /_Z 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 I.OUTLET 2,50 ea 0 v
NON.RESID BRANCH CIRC ITS
NEW CONSTR /POWER APPARATUS 61
NON.RESID, lSINGLE OUTLET CIR. /
so a 25C
Ex. Occup(OUTLETS OR FIXTURES BAL@1
IXED APPL S, OR
Ex. Occup.(OUT LETS (RESID.) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $ (j ,
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
roI 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
S
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.
�.
X e Date �fj— - a'I
Signature of Applicant — Owner ❑ Contractors Agent ❑
An OSHA permit is required for excavations over S l)" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee
$
c�G
TOTAL PERMIT FEE $ 2 ✓
OCCuP. GROUP
I TYPE OF CONST.
I
PARCEL
PD
ND
550E
This ermit is hereby issued under
si s f the Butte County Code and/or
rk dicated ov`e for which
DIR CTOR OF PUBLIC
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
(7
Date
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT