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Home My WebLink About030-110-056d N n Ol N oao-r r o- os-ce 1505 fr-aKd 4w'l orou I - ((v -O'tT,p 03-3696 COMCAST COMM, SEE ATTACHED, OROVILLE Cont: WESTCOAST COMM PLACE CATV POWER SUPLY COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER SEE ATTACHED ZONING BUILDING PERMIT OWNER COMCAST COMMUNICATIONS TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 4350 PELL DR SACRAMENTO CA 95838 CONTRACTOR'S NAME WESTCOAST COMMUNICATIONS343-2473 TELEPHONE CONTRACTORS MAILING ADDRESS 140 MEYERS ST-CHICO CA 95828 CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Flln Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADD1LS OROVIUE LOCATIONS ( SEE ATTACHED Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: PLACE CATV POWER SUPPLY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W @20.00 PERMIT FEE _ ELECTRICAL PERMIT Fling Fee 20.00 80ORsLESs 2 Main Service 23.00 276.0 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license ' in full force and effect. ��yy %/ � License Class - L0 Lic. NO. 70-0 77 yo OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP.s0 OR ADDNS. ( a ACC. BUDS. 3.5¢FT. NOOI-gESID. T. BR MULTI.OUTLET @7.50 PO APPARATUS a SINGLE OUTLET CSR. Ex. Occup. OUTLET OR FDMAES 20 Q 1'00 BAL @ .SO Ex. Occup. ouriFrs RESIDPPUISOEa 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 29 .00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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 workers' compensation laws of California, and agree that if I should become subject to the workers' co pensation provisions of section 3700 of the Labor Code, I shall forthwit . o ply wi o ovisions. I— i - _ n , X Date y Signature ofpplica t - ❑ caner Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. am) MCP MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 296.00 HA2. D. FEES IMP I FLOOD I CDF I PARCEL 1 PD HD ISSUE 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. By ate PERMIT EXPIRES ON If n ---Receipt e No. WHITE-D.D.S.•B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT J FIRE DGE REPORT OWNER: Lep- arl-4srtse',-1 LOCATION: �&naAn, A. ory-e- , n m V �Ip CONTRACTOR: L3° DATE TO INSPECTOR: � / PERMIT HISTORY:(A, NONE Building Description: DATE: -pz lq� A.P. # _(`) SQ- / 10 -� ZONING: j t`- ) AS FOLLOWS: BUILDING INSPECTOR'S REPORT Commercial/Usage: Residential/# of Units:_ Currently Occupied Abandoned/Vacant Electric: / Yes—z No Electric currently On Off Condition of Electric Gas: Natural Propane None Currently On Offf Obvious Problems: Sanitation: Plumbing Working �U✓ Well Working Potable Water Obvious SewageProblems, Description of Damaged Estimate Valuation of Damaged Area: 16 1 Condition of Foundation: Y v 4— Mobile Home: Condition of Utilities: 6 Inspector: Date Sketch building on reverse and indicate area of damage. vtvu-7� r( --o Rub� ..", - ."Ii. DF/BUTTE COUNTY FIRE INCIDENT LOCI DATE 1 61221991 INCIDENT NUMBER 5609 REPORT TIM 1 04:37 LOCAL FIRE NUMBER 10466 STATE FIRE NUMBER 0 CASE NUMBER 0 LOCATION 11515 GRANDE AV X 16TH ST RP . CHERRY HONE NUMBER 5348860 COUNTY NOTIFICATIONS ❑ OES ❑ EMD ❑ WRA STATE WILDLAND FIRES STATE STRUCTURE FIRES STATE OTHER FIRE STATE MEDICAL AIDS STATE PSA/OTHER STATE HAZ MAT STATE ACRES LOGGED BYESTES RO PICKARD STATION # 63 MEDICS: OFFICER 12109 B 122B A9 AGENCYID BUT �3 LOCAL WILDLAND FIRES ❑ LOCAL ACRES LOCAL STRUCTURE FIRES RESIDENTIAL LOCAL OTHER FIRES LOCAL MEDICAL AIDS LOCAL PSA/OTHER: LOCAL HAZ MA INCIDENT NAME IGRAND START TIME: 0400 CAUSE UNDETERMINED LAND USE DOMESTIC ACRES: TYPE OF ACRES: DOLLAR DAMAGE1 160001 LOCAL TYPE $ DAMAGE: JALL OTHER SAVE 3000 DIAMOND #: 5.0 INJURIES/FATALITIES ❑ # CIVILIAN INJURIES: 0# CIVILIAN FATALITIES: � OF INJURIES: � FF FATALITIES �0 FC -40 ❑ DATE OF FC40 INC AGENCY INC M INC P# 0 FF -AX ---1 STATION 63 SE INITIALS TP