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Home My WebLink About030-140-0210�3`'~^'... FCOQAST COMIV,SEE ATTACHED, 06ROVIILLECont: WESTCOASTPLACE CATV POWER SUPPLY � ^ � ~ 122.9- Feather Ave.. oy-ill=-70013� I'[0.1 11n k- w" 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 PERMIT2 1�,�' ASSESSOR PARCEL NUMBER SEE ATTACHED ZONING BUILDING PERMIT OWNER COMCAST COMMUNICATIONS TELEPHONE SO, FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 4350 PELL DR SACRAMM CA 95838 CONTRACTOR'S NAME WESTCOAST COMMUNICATIONS 343-2 73 TELEPHONE CONTRACTORS MAILING ADDRESS 140 MEYERS ST CHICO CA 95828 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 10 OROVILLE LOCATIONS SEE ATTACHED Energy Pian Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling 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 gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: PLACE CATV POWER S(TPPT.Y Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service .0A oR LESS 0 23.00 230.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 herebyaffirm under penalty of perjury that I am exempt from the Contractors License P nY P 1 rY P 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, OR ADDNS. ( a ACC. BUDS. SO 3.5¢Fr: (commencing NON-pESID. ' MULTI.OUTLET @7.50 POWER APPARATUS & SINGLE OUTLET CIA. EX. Occup. OUTLET OR FIXTURES :0050 en @' 50 Ex. Occup. FlXED APPLNS. OR oUTXETB RESID. R 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 250.00 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' compensatio visions of section 3700 of the Labor Code, I shall fo r1 comp r i e provisions. il_ i r� , n3 X Date l I L� _ Signa ure of Applicant - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 250.00 HA2. D.1E ES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or d bove for which fees have ?RMITEXPIRES O v Ile the applicable provisions Resolutions to do work been paid. Dater 10q Receipt No. WHITE-D.D.S.-B.D. CA A -ASS S OR PINIXONSPECTUR GOLDENROD -APPLICANT I