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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