Loading...
HomeMy WebLinkAbout028-180-032~} 28-18-32 M_ i UPHAM CEMETERY DISTRICT L E/S Upham Rd, z �miw Se Robinson ill Rd, Upham area F1►W sp�� • ,. (ele/ser wel )Permit.#1480 85 l 6 � o ,t r it - , ` , l 4 • ` � 4 i� Q i , i; �-_ ®�� COUNTY OF BUTTE - DEPARTMENT OF, UBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 959 - Te, phone 916/534-4541 APPLICATION AND PEIr IT ASSES PARCE NUMB r ZONING \ BUILDING PERMIT OWNERTEL alvyq" eover a DiS%2/C 6 7 f Z4E HON6 7 SO\. ~T OCC. BUILDING VALUATION � OWNER'S MAILING ADDRESS bA PO2 E 5-8. /3A&20 , e4 CONTRACTOR'S NAMEE TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDE UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINE LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUIL/DING ADDRESS E /D G1DRESS %ZA .fPF12oX • �2 (,�/. S' OF PLUMBING PERMIT Filing Fee 10.00 L�/ SU,cJ A-1/LL 2A i Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 _0-0 LOT NO. i SUBDIVISION NAME - PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCT��U��/R/rrE--�� �� SF ❑ Duplex❑ Mobilehome❑ Other Gt/C L ���!JP' I SPECIFY Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New'EAddition❑ Remodel❑ Utilities❑ Installation❑ Other — Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service so0V OR LESS 100 AMP OR LESS 10,00 D. Main service EA. ADO'L 100 AMP 2.50 NEW CONST. // DWELLING OCCUP.b` OR ADDNS, l ACC. BLDGS. J 21/20sq It \11ONTRACTORS 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 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. (Seca 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Nw CONSTR U TI.OUTLET 2,50 ea NO N•R FS D BRANCH CIRCUITS NEw CONSTR. POWER APPARATUS 6 NON-RESID, SINGLE OUTLET CIR, Ex. Occu / 200e0e P\OUTLETS OR FIXTURES eAL980 Ex. Occup. OUTLETSED P(RESID•)REAJ 2.00 Temporary service 10.00 Mobile Home Fac'lities 15.00 yy –ig 15.00 ij W HP .on 2.OU Permit Fee $ 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. i ❑ 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. 1116 1 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 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 ��i Date Sig azure of Applicant — Owner Contractor ❑ Agent `� An OSHA permit is required for excavations over 5'0" deep and demolition or construct- height. ion of structures over 3ppstC1rie),s Mobile Home Installation Fee $ TOTAL PERMIT FEE $ oCCUP. GROUP I TYPE OF CONST. PARCEL PO ND 199UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date ytin Receipt No._S�(ly�T WHITE-D.P.W., YELLOW-ASSt3SO , PINK -INSPECTOR, GOLDENROD -APPLICANT -. �. a .. �. • :• •,i;;.' Cit .G, ... �.. Y ,.. .y '. } � y .. s r I1 k J r OFFICE COPY } Address ' GAS, 1 i Meter BY Date ' ELECTRIC r ` Meter BY tSfr�ale i r � COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, CqJyfornia-,95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER / TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER 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 ` Each Trap 2.00 Solar Water Heater 20.00 { f Water piping 5.00 LOT NO.SUBDIVISION NAME I r" 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 / L SPECIFY Building sewer 5.00 Mobile Home I S I G JW I I 110-00ee_ TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV OR LESS10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 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 my license 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 CON5TR ULTI.OUTLET 2,50 ea NON-RES,.BRANCH CIRC ITS NEW CONSTR. (POWER APPARATUS &1 NON-RESID. SINGLE OUTLET CIR. / 20@50e Ex. Occup(o Ts OR FIXTURES SAL®30 FIXED PR 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 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 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 Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ r, _ 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 $ r, w� r TOTAL PERMIT FEE $ f OCCuP. GROUP I TYPE OF CONST. I PARCEL PD HD IsSuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By — PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date ' - Receipt No. '� � ' ' WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS �V/ 7 County Center Drive - Oroville California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. / �O_Y6 ASSES PAR CUMBl . J — ZONING BUILDING PERMIT ��,/� y C /E772 D/�•/�G 6 LFHZ g6 �f SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS �_ /�O ' /n'a �/ / O/`' E J - R' 13 !N/ � V ' CONTRACTOR'S NAMEPJAI E TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDE UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINE LICENSE No. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILPING ADDRESS / E�' GlP/!`ikJ FA, A X• 2 Ll/. OF PLUMBING PERMIT Filing Fee 10.00 �✓ �(/ Each Trap 2.00 Solar Water Heater 20.00 e0 / Water piping 5.00 S,p-0 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 Other c -u- A/ SF ❑ Duplex ❑ Mobi lehome ❑ lN 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: [�( �G%4(/�CG e �- Permit Fee $ S, 0-0 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, l ACC. BLDGS. 21h2sgft 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 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 exclusive) contractingwith licensed contract- ors. (Sec. 7044) y ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR MRI-OUTLT 2,50 ea NON-RESID BRANCH CIRCETS NEW CONSTPOWER APPARATUS &) NON- RRESID. (SINGLE OUTLET CIR. 20@50C Ex. Occup(o OR FIXTURES BAL®30 FIXED APLNS. Ex. OCCUp. OUTLETS P(RESID )REA.1 2.00 Temporary service 10.00 Mobile Home FaUities 15.00 _ s fr4tsssrLu+'�- 15.00on 71V //P 91,06) Permit Fee $ ,0-0 Contractor 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. MECHANICAL PERMIT FiIingFee 10.00 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. %� �� �/� Date ^ Sig attire of Applicant — Owner Contractor ❑ Agent IDCIJT An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 33 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ occuP. GROUP I TYPE OF CONST. I PARCEL PD I ND 1550E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DLEC R OF PUBLIC By P IT.EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Dates L3 -?A Receipt Receipt No. C � WHITE-D.P.W., YELLOW-ASSFSSO , PINK -INSPECTOR, GOLDENROD -APPLICANT