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HomeMy WebLinkAbout030-350-056.' 30-'35-56. 3196-90B / . � ^ i i ^ ! � � . { � . , } / ` | , . � � / / . . � � . / | � � *y�` i��� 4 1%1 r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - TeWphone: 916/538-7541 APPLICATION'AND PERMIT [ PERMIT NO. _ ASSESSOR PARCEL N^MBE ZON G ' BUILDING PERMIT OWNER TELEPHONE .868-5473 SO. FT. OCC. BUILDING VALUATION 2 m 1320.00 OWNER'S MAILING ADDRESS 2 965 0 CONTR AGTOR'S NAME TELEPHONE /j � A CONTRACTOR'S MAILING ADDRESS t 1P.O. 'ROX 729 OROVITAE. CA, 95965 Fireplace'.- 1,.1� , ./ - CONSTRUCTION LENDER UNKNOWN Total aj"nation$ Z Filing Fee - $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 3.50 ARCHITECT OR ENGINEER LICENSE N0. Plan Checking Fee $ Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1539 KFKO -STREET, OROVT7,LF, CA, 15-965 Permit fee $ 33.50A 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 �faa USE OF STRUCTURE SFEJDuplex❑ Mobilehome❑ Other XX SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G WI 0.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other [N Describe work: RE—ROOF WITH COMPOSITION SHINGLES 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 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. 452266 C-39 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 CONST.(DWELLING OCCUP.& OR ADONIS. ACC. BLDGS. 2/20sgft NEW CONSTR. TI UL NO N.RESID BRANCH CIRC ITS' POWER APPARATUS Q" ( SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 90@030 EX. Occup. OUTLETS FIXED P(RESID IRE .) 2.00 Temporary service I 10.00 Mobile Home Facilities 1,_ 15.00 Wisc. Wiring 15.00 t Permit Fee $ 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 Filing Fee 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 County of Butte to enter upon the above-mentioned property for inspection purposes. 1 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 -Co ty in consequence of the granting of thispermit 9/7/90 X '�- I 1a �--�_ _ Date Sig/natu'-re o4 Applicant — Owner ❑ Contractor ❑ Agent ® An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories i height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE ' TOTAL FEE $ 33.50 HAz I CUA PARK scHL FLD I PAR PO HD IssuE This permit is hereby issued under sions of the Butte County Code and/or work i J ated above for which fees OI OF PU 1 Y PERMIT EXPIRES Date the appiicab'le provi- resolutions to do have been aid. p ORKS Dat Receipt No. WHITE-D.P.W.. YELLOW-ASSFSSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 APPLICATL4N AND PERMIT PERMIT NO. ASSESS PARCEL NUMBED VS ZON G BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION 1320.00.. OWNER'S MAILING ADDRESS 2047 HARDNFTT COURT OROVILLE 95965 CONTRACTOR'S NAMETELEPHONE 53-6393 CONTRACTOR'S MAILING ADDRESS _24_080VTT.T.F., C . 9 9 q 6 5 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 1320.00 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 23- 50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 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 ER Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 1 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ® Describe work: _ RE—ROOF WITH COMPOSITION SHINGLES- Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 OR L Main service 100 VAMP ORSLESS 10.00 Main service EA. ADO -L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ® I am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS and Professions Code and my license Is In full force and effect. 452266 C-39 License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and t'ne 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 CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. SLOGS. , 2/2Csgft NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS h (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 2AL@30 BAL030 Ex. Occup. OUED P TLETS IRESID 1REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 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 County of Butte to enter upon the above-mentioned property for inspection purposes. 1 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 againsts ty in consequence of the granting of this permit. X l. / Date 9/7/90 ��� Signature of Applicant — Owner ❑ Contractar ❑ Agent[E An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories i height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 33 .50 HAz CUA PARK SCHL ELD PAR PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work i ated above for which fees DI OFPU I Y PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. ORKS Dat Receipt No. WHITE-D.P.W.• YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT