HomeMy WebLinkAbout030-170-061I
i
30-17-61
JACK C. SMITH
1055 10th St, Oroville CHASTAIN & Ellis 137--
(reroof &smoke det/SF) el^wi�7�'�$S-$3�j 30-17-61,' s
d 511
1143, 1119, 1055 10th Street
Thermalito
COMPLETE 9/7/62 i.
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Permit #3483-83
Jack C. Smith
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
/4 ,d' '
ASSESSOR PARCEL NUMBER
,
ZONING
BUILDING PERMIT
OWNER-
TELEPHONE
SO. FT. OCC, BUILDING VALUATION
OWNER'S MAILING jjADDRESS`/_+
tL
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
" 1/.,"f a
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
/�7-r / a
LICENSE NO.
Plan Checking Fee
$ ..-
Penalty
$
ARCHITECT OR ENGIN-EER'S MAILING ADDRESS
Permit fee
$ r nn
BUILDING ADDRESS 'y
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
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
SF ❑ Duplex ❑ Mobi lehome ❑ Other ��I� I� J`�
SPECIFY
Building sewer
5.00
'Mobile Home I S I G W
10.00 e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: 'IL�7 Qel y
Permit Fee
$
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. DWELING
OR ADDNS. ( ACCLBLOGS.CCUP.&)
21/20sgft
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 CONSTR MULTI -CUTLET 2.50 ea
NON-RESID BRANCH CIRC ITS.
NEW CONSTR ( POWER APPARATUS &.1
NON-RESID, SINGLE OUTLET CIR.
Ex. Occup(ouTLErs OR FIXTURES 20 9500
FIXED APPLN5. OR \
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
sof Consent to Self -Insure.
2 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 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 oonsequence of the granting of this permit.
�t [1
X �' '�/ ✓�^--fin roc Date �t t �� ^
} '
Signature of Applicant - Owner ❑ Contractor ❑ Agent ❑ /
An ,OSHA permit is required for excavations over 5'0" deep and demolition or construct -DIRECTOR
ion'of structures over 3 stories in height.
Mobile Home Installation Fee
$
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OF CONST.
PARCEL
PD
HD
ISSUE
This permit is hereby issued under
sions, of the Butte County Code and/or
work indicated above for which
OF PUBLIC
gyw�/ . ew t...-.
i - -- %i ._
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date/a_ /D-1'4
G'"
Receipt No. 6 7 --�
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, Clawornial5965 - Telephone 916/534-4541
APPLICATION ARD PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNERe /
Te_l-EPHONE
SQ. FT. OCC. BUILDING VALUATION
"'
OWNER'S MAILING ADS SS '
�'F-ity, 4 U
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 0
Flling Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ QPM
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
,$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ S
BUILDING ADDRESS
OSS �
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
QkD111 _,[ —
Water piping
5.00
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
SF ❑ Duplex❑ Mobilehome❑ Other ✓J' F
SPECIFY
Building sewer
5.00
Mobile Home S G W
10.00 e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: QM,. 3!%IOA�5
Permit Fee
$
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 ADONS. ( ACC. BLDGS.
/ 21/20sgft
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.
cense 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„ U TI -OUTLET
NON-RESID BRANCH CIRC ITS) 2.50 ea
NEW CONST R. // POWER APPARATUS &)
NON -RES ID, 1SINGLE OUTLET CIR.
Ex. Occu 20@50C
P�o OR FIXTURES 9AL®30
FIXED A
Ex. Occup. OUTLETS P(RESID.)LNS REA.) 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
Consent to Self -Insure.
�f'
u 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.
o save, indemnify an keep harmless the County of Butte against
I paidColity
al, judgmen costs, d expenses which may in any way accrue
ago ty i c sequen a of the granting of this permit.
%� Date
Siplicant — Owner ❑ Contractor ❑ Agent ❑
Anit is required for excavations over 5'0" deep and demolition or construct-
os over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ ��cS1p
OCCUP. GROUP
TYPE OF CONST.
PARCEL
PD
HD
ISSUE
This permit is hereby issued under
sio of the Butt County Code and/or
w 1- Indicated ove for which
DI CTOR OF PUBLIC
13y
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date��
Receipt No. D7�
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT