HomeMy WebLinkAbout030-211-033`30-211-33 1112-89B n
RIDER, James & LAFORGIAS,%Caryl �Q
848 18th St,'ORoville /
ContR: Franks Dozer Service
(demolish/SF)
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville. Caifornia9,il5965 - Telephone: 916/538-7541
APPLICATIN AND PERMIT
PERMIT NO.
ASSESSOR PRCEL NUMBER (
— / 3 I
ZONING
BUILDING PERMIT
.I) -
OWNER ) TELEPHONE
SO. FT: OCC. BUILDING VALUATION
„E L•r�"• J
OWNER'S MAILING ADDRESS _ V
.
CO,N TR AC TO JR'S NAME C r TELEPHONE
CONTRACTOR'S MAILING epDRESS
Fireplacet�1f
CONSTRUCTION LENDER UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $ 10.00
I
Permit Fee 1-7 $
ARCHITECT OR ENGINEER LICENSE NO.
Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS y
J
Permit fee $
PLUMBING PERMIT Filing Fee 10.00
�I
Each Trap 2,00
Solar
or heat pump water heater 20.00
LOT NO.
SUBDIVISION NAME
PARC
-_L MAP
Water piping 5,00
Each qas water heater or vent 5,00
USE OF STRUCTURE I
Gas piping system 1 - 5 outlets 5.00
SFI Duplex❑ Mobilehome❑ Other
Building sewer 5.00
SPECIFY
Mobile Home S I G I W 0.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ i ther [iQ
Permit Fee $
Describe work:
Contractor
ELECTRICAL PERMIT Filing Fee 10.00
-
Main service 1000V OR 0 AMP ORLESS10.00.
Main service EA. ADD'L 100 AMP 2.50
CONTRACTORS LICENSE LAW
NEW CONST. DWELLING OCCUP.a` ,
OR ADDNS. ( ACC. BLOGS. / /20sq ft
I declare under penalty of perjury (check one):
NEW CONSTR.U TI.OUT LET
2.50 ea
I am licensed under provisions of Chapt. 9, Div. 3 of th Business
NON.RESID .BRANCH CIRC ITS
/POWER APPARATUS el
and Professions Code and my. license is in full force ad effect.
(SINGLE OUTLET CIR. /
License No. 3.7.c� Classification (
EX. OCCUp OUTLETS OR FIXTURES 20 050
301
h
❑ 1, as the owner, or my employees with wages as their sol compen-
FIXED APPLNS. OR
Ex. OCCUp. OUTLETS (RESID.) EA.) 2.00
sation, will do the work,and the structure is not intendedr offered
Temporary service 10.00
for sale. (Sec. 7044) 11
Mobile Home Facilities 15.00
❑ I, as the owner, am exclusively.contracting with license(contract-
Misc. Wiring
ors. (Sec. 7044) .f
!�
15.00
❑ I am exempt under Sec. , Business and Profesns Code
for this reason
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
MECHANICAL PERMIT Filing Fee 10.00
❑ The permit is for $100.00 (valuation) or less.
Heating
afP l have placed on file with the County of Butte Building Cpartment
a Certificate of Workmen's Compensation Insurance or a ,�
Cooling
rtificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to beco? subject
Hood 3,00
to the W. C.,laws of Californ.ia.'',
Ventilation
Notice to Applicant: It,after making this statement,. should you becoa subject
Permit Fee, `N
$
to the W. C. provisions of�the'Labor Code, you must forthwith comply ith such
,
provisions or this permit shall beideemed revoked. M
Contractor
I certify that (have read this application and state that the above formation
Mobile Home Installation Fee $
is correct. I agree to comply to all County.Ordinances and State Lai relating
Energy Inspection Fee •- $: ,,
to building construct ion, ;and hereby'authori'zetrepresentatives of the.ountyot
Butte to enter upon the above-mentioned property for inspection purples.
TOTAL PERMIT FEE�'� tl
I also agree to save, indemnify and keep harmless the County of Butagainst
OCCUP. CONST.TYP! SCHOOL FLOOD PARCEL PD ND s9uE
all liabilities, judgments, costs,and expenses which may in any iy accrue
,
I
against said County. in consequence of -,,the granting of this permit.
I{
This permit is hereby issued under the applicable provi-
X T.�z/`"""-° Date
'❑
sions of the..Butte County Code and/or resolutions to do
. 4 W `
Signature of Applicant — Owner ❑ 'contractor Agent ❑
demolition
work indicated above for which fees have been aid.
�--- �
DIRE(�TO+OF
pAn
OSHA permit is required for excavations over 5'0" deep and construct-
ion of structures over 3 stories in height.
PUBOCAWORKS
7
n c
p f l �/
Recei t NO. /l
I�
By' 7 D to 1
f
PER EXPIRES
WHIT!-D.P.W.. YlLLOW-AseE`.ISeR. PINK -INSPECTOR. GOLDENROD -APPLICANT M
Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AD PERMIT
PERMIT NO,
ASS SOR P�RCEL�NUMBER
ZONING
BUILDING PERMIT
OWNER 1
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
O ER'S MAI LI G A RES
�3 d
C RA TO SN
TELEPHONE
CONTRACTOR'S MAILING RESS
Fireplace
CONSTRUCTION LENDER
UNKNOWNTotal
Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 10.00
Permit Fee / -
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee 7.
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF % Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home Is
10.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other 1'
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP ORSLESS
10.00
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check One):
1 am licensed under provisions of Chapt. 9, Div. 3 of the Bushes$
and Professions Code and my license Is In full force and effect.
Q
No. 2/ „ 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
Main service EA. ADD'L 100 AMP
2.50
NEW OR AODNS. CONST. ( ACC. BLDGS. / DWELLING OCCUP.81 ,
4sgIt
NEW CONSTR. MULTI -OUTLET 2.50 ea NON.RESID BRANCH CIRCUITS
POWER APPARATUS e
SINGLE OUTLET CIR.
OUTLETS OR FIXTURES
Ex. OCCU 2,01150,License
p SALO 30
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESI0.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring
g 15.00
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
mW 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.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
9
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 County of
Butte to enter upon the above-mentioned property for inspection purposes.
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
Signature of Applican — Owner El 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 $
Energy Inspection Fee $
TOTAL PERMIT
Occup.
CONST77
JSC.00L I FLOOD
PARCEL
I PD
I ND I ISSUE
This permit is hereby issued under
Bions of utte County Code and/or
work i scat d above fo which
DIRE F PU
B
P MIT EXPIRES Date
the applicable provi-
resolutions to do
f have been paid.
I ORKS
D to
Receipt No.
WHITE-D.P.W.. •ELLOW-ASS93 OR. PINK -INSPECTOR. GOLDENROD -APPLICANT