HomeMy WebLinkAbout030-410-03030-41-30
/
DONALD RILLING
1251 14th. St., Oroville -
Permit *885-76P(bldg sewer) SF
-
30-41-30
QW OWNER
1251 14th. St, Droville
Permit #719-79B(repair or replace
porch decking & rim mZOO er & sid-
ing & support)SF
30-41 0
NEW OWNER i __
MARGE SCHULTZ
Permit##3643-80B (repair porch)SF, -
�a
r
COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS'
7 County Center Drive - Oroville, California 95965 - Telephone 91.6/534-4541
APPLICATION AND PERMIT
PERMIT NO.
h �tX7 <,/
ASSESSOR PARCEL NUM'6ER 0-'
, 9-- Z/ /• {�
ZONING
5
- "`
BUILDING PER
OWdNEER/� �a '/ /
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
EST
U�
OWNER'S MAILING' ADDRESS (�j7j
CONTRACTOR'S NAME = - '-' - ".�'
VAIV f/
TELEPHONE
--
CONTRACTOR'SMAILING ADDRESS -
E
CONSTRUCTION LENDER "- - -'
°�
UNKNOWN
Fireplace
-
Total Valuation$
"760. QQ
'LENDER'S MAILING ADDRESS
Permit Fee
$ p�)
ARCHITECT OR ENGINEER -- ""-
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGI'NEER'S MAILING ADDRESS
Permit fee
$, pO
BUILD,IJNG�ADREss�
C.f {
PLUMBING. PERMIT
Filing Fee 3.00'
Each Trap
2.00
Repair drainage or vent piping
2.00
Water piping
LOT NO. -
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF ❑d/"Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
2.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Q-
Describe work: FIC-P1011e Q<<:? k'C P(_144 PoeeI4 DCC./ , -t Cy AA)PC
pp dd,,C�•- ,y /l ��++ 77yy ��(/// r`^ j��� �,J r �} p°�•
fii/��' /`7C�K. '.S• J�:✓//l/rtq ✓�l ! QR -1 ! OS�3 I-�}�
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00
Main service 600V OR LESS
100 AMP OR LESS
5.00
�•Y
0'r
Main service EA. AOD'L 100 AMP
2.50
NEW CONST.(DWELLING OCCUP.&
OR ADDNS. ACC, BLOGS"
20 sq ft
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
�y 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
NEWCONSTR.ULTI-OUTLET 2,50 ea
NO N.R ESID BRANCH CIRC ITS
R. POWER APT ARATUS &
NEW NON.0RES D. SINGLE OUTLET CIR
ONSTI ( ,
EX. Occup( OUTLETS OR FIXTURES eAL@1
BAL0C
FIXED APPLNS, OR
Ex. Occup.(OUTLETS (RESID,) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities
15.00
Misc. Wiring 6.25
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 3.00
WORKMEN'S COMPENSATION INSURANCE
1 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.
Heating
Cooling
Hood
2.00
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 alhCounty 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;'har"m,less 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.
i;
X '•y%'-� '°`"r"y Date —��
Signature off pplicant- 0wne1[' Contractors❑ 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
$
Land Development Fee $
TOTAL PERMIT •FEE $ CSU
OCCU P. GROUP
TYPE OF CONST.
PARCEL
PD
HD
SSUE
This permit is hereby issued under
sions of -the Butte County Code•and/or
work indicatedabove for which
OF PUBLIC
1% -
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date/' 1/6 Ito
'
Receipt No.-q(/7(,p
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT'
✓I '�4'+` f` I '':S' '` -:� " cy�u; �h'n.''g"n _ f,'d •lr�.0 '•`�,/!; )', ,� .� �� ai tF:.. "9�:'ti%�"i��'f -v 11111.,r I 1�-75iy".'i L7 t -
J e:
_.. COUNTY OF BUTTE DEPARTMENT, OF ,PUBLIC�WORKS .v,` 5 PER IT'jyo. h
7+County Center Drav,e - QroviIIe California 95965 ..Telephone 916,/.534-454:1.
wC, - s - -�
z APPLIC'AUONr'AryD: PERMIT
ASSES OR,RARC' L. NU ER-
ZONI G
"
< M• BUtLD.IN RMIT
.O-WNER,
TELEPHONE
01 S MAILI'N DRES
SQ" FT OCC " BUFLDING'-VALUATION
ACU �- TSO Oa
C O NT R'A,C TO R'S N AME ?;
yT EL-EPHON'E•..
x•14
-
CONTRACTOR S AILING,ADDRESS.•+. '• •� -
"CONSTRUCTION LENDER - t y,• UN KN�O.WN,
,
•LENDER'S MAILING:ADDRESS..
_ ' ��•Permit"F,ee'$.$,.00
Fireplace c
•TotalValuation , �J
QO-
.ARCHIT•EC T -OR ENGINEER •.-: ,. -, y: S;" F1 CENSE NO
,AR CHI TECT OR E GEER'S MAILING ADDRESS'
z_
'BUIL
'Plan CFeckirig-Fee -
Penalfy,' $
%"•
,Permit .fee n $ g•, p'0
D KESS x „y
�%�� F -
r
-
"-- PLUMBING PERMIT - FiiirtgFee 3:00
r .
Each Trap v
2.10Q..
'Repairidraina9e'orventpiping 200
-
h ,+ Q+Z(/`�/ / f—�}
.Water.pi'ping �•.. '
+h
LOT'NO. -'
"SUBDI,VISION NAME' - -
PARCEL MAP `
Each''gas water eater -or vent:.
'Gas piping,system-1 -`5 outlets
cIJSEOF'STRUCTURE -
r P
Iz. [!� Duplex❑ Mobilehome❑ Other } '
'SP,ECI FY
Building sewer_,
Lawn sprinkler system y r 2.'0
_
-' TYPE OF WORK .'�:
New❑^,.+Addition❑ :'Remodel0. Util,rtie"s❑ Installation Cl Other:
A Describe work:, R =`OQ' 'P-Epi-� ODe4f 'DE�IK/�� Art)
lP A4 M�MB�2+ 3S/D!AITI SUPI�O�% 'SOS%S OSµ
Perrnit'Fee` $ 'r
Contractor-,,. '
-�ELECTRICAL:.PERMITF .Filing Fee-.: 3 00- '
-OR LES
Main service io00o AMP ORSLESS• 5.00
t `--
Main servi EA; "ADD L.10O 5
ce AMP 2. 0
NEW _CONST.:( DWELLINGIOCCUP;&
'ADDNS.. %',ACC..B.LOGS. 20.
I ... ...
3 - CONTRACTORS LICENSE LAWN
-" - y •- _. +- -t -. (w'-.'
I' declare,under}penalty'of perjury (check one)-,, §
'
' ❑ I am.•Iicensed. under.`.prOVISIOnS of Chap't 94:Div. 3 - of the Business•.
and Professions Code and."my license Is in full force and, -effect '
License No: Classification ` yTemporary'service
. I as.tfie owner or.my employees ,with wages as their sole'compen
sation, ,will., do the work,and the structure isnot intended or offered
for sale. (Sec: 7044), �; c-
_ : -- . e >
' I, 'as the owner am•;exclasively ,contracting •with Ijcensed 'contract
ors'{Sec 7044) o
am,exempt`under, Sec': •,, Business'and•P.r"ofessions Code'
for this reason
NEW CONS.TIR U_ TI:QUTLET 2.50 e6
•NON-RESID' BRANCH CIRC I'fT S'
°N£WiCONSTR / POWER,APPARATUS6,.1
NON RESID:; ,\SINGLE OUTLET CIR.../
- Ex.:Occup{ OUTLETS OR FIXTURES 90 5,
BAL@10I `
-
�EX. OCCU FI XED APPLNS, OR
UP (RESID.),EA-:� Z.00
d 10.00 -
Mobfle-Home'Facilities 15'.001
Misc 'Wiring' 6 2�
,''P,ermit Fee;-, $
Contractor
s MECHANICAL PERMIT Filing Fee:-. 3•.00 °
WORKMEN'S COMPENSATION INSURANCE-'
1 declare under genalty,ofperjury, (check one):'
1`
peritifor 1000(v_aluaThe m0tion) or less.
k ❑1 have' placed onF.file with the County, of Butte. uilding: Department
a •-Certificate of, Workmen s Compensation Insurance .or a'Certificate
11 r sof Consent toSelf-Insure ".
shall not employ any 'person, any manner so as to become subject
.',-to the`W C.�Laws of California.
Notice •to Applicant If after:makIng Ah Is' statement, -should-you; become subject
forthwi-th.comply wi'such•
to,the W:`C 'prov.isions"6,f theLaborCode you must th
provisions or this pemii;t shall be deemed revoked +;
Heating 7 :•
Cool mg
Hood _ 2.06 ; ,
Ventilation
Perrnit'Fee ' $ ,
Contractor
r
,-I certify.,that I, have -road this;application and •state that the„above'.information`
is correct. l agree to comply-to--alLCounty,Ordinances'and State Laws,.relating
to building construction,. and' hereby..authori'ze represent at i vesi of, the'-Courity'ot
.Butte.to enter upon the;above-mentioned-property:for:inspection purposes.' ;'
I aiso'agree to, save,,indemnify and keep harmless the Courity,of Butte against
all-Fiabilittes ``judgments,.costs, and expenses which may. in any ,way accruer
againstsaid Count in c 'nse uence of.:the ran,tin ^of this` ermlt.
9 Y 9 9 9 P
'
;X Dafe`' '�G
L ;�..
Signature of pplicant — Own r Contractor ❑ .,,Agent'❑
. ;; r
A . 0 .
-.' $HA permit is-�equired br'excavations-over 5S0 deer..nd dem'olition'or'constru'ct-
ion of'structures,over'3 stories in height
'Mobile Home;Installatjon Fee "$
. Land Development Fee ' $ , •- z _ ,
TOTAL PERMIT FEE
OCCUP GRou?.
„'TYPE OF CONST
y
PARCEL
.. ,'
PD
MD
SSUE
This permit is hereby issued under the- applicable pcovi='
signs Butte County Code and/,.of-resolutions to do':
wor Indi ted ove .for ,which fees have, been aid..
_ P .
^ T R ®F PUBLIC WORKS . ,-
6
By Date/
PERMIT EXPIRES' Date. -.
Receipt No -
WHITE-O.P.W•, '7 ELLOW-ASSESSOR', P INK:I N SPECTOR. GOLDENROD”-APPLI'C ANT
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lot-s •r ._fib- i. k'.�Sj Ty. 3•. w . ,4
Temp. Power Pole
Called PG&E
Temp. Elea Serv.
Called PG&E
Temp. Gas Serv:
(.
Called PG&E
JOB
-
FINALED
(Date)
f
(Signature)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION' RECORD
BUILDING BUILDING (Cont'd) PLUMBING
Setback Firewall Soil Piping
Forms Parapets -1st Floor
Main Bldg. Restroom Finish 2nd Floor
Footings Windows 3rd Floor
Stemwall Siding To out
Slab Roof Sheathing Water Piping
Piers Roofing Sewer
Garage Fdn. Vents Fixtures
Footings Garage Vents Water Htr.
Stemwa l l Insulation Heaters
Slab handicar pehysically Appliances "
Carport Conformance of ex. Gas Piping & Test
Footings structure Temp. Gas
Slab Final Sanitation
Patio FIREPLACE Final
Footings Footing ELECTRICAL
Masonry Walls Throat Rou h
Relnf. Steel Final Fixtures
Bond Beam FIRE SPRINKLERS _ Motors
Framina Test Water Htr:
Stucco Final Subpanels
Mesh MECHANICAL Gird. Fault Prot.
Scratch Heating Service
Brown Cooling Temp. Pole
Finish Ducts Underground
Interior Lath Ventilation Permanent
Door Closer Final Final
MOBILEHOME UTILITIES ------------------ Elec- Service Elec. Pedestal
Water Piping Sewer Gas Piping
MQBILEHOME I - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
(NOTE: An entry must bemade on this form each time you visit the job site.)
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`BUILDING
Owner Or"
SO. FT: •- ,OCC. BUILD.ING.VALUATION
° --_
Mailing Address.
)�
i�_:V.: b.
Telephone No r
3
'
u
Contractor
Mailing Address "'
Fi eepl ace ,-
Total Valuation S Q
telephone`` -No
Permit Fee
Buildln Address.:,
g
Plan ChedkingFee&/or Penalty
Permit Fee,.
PLUMBING'. No. @ FEE
:. t. :: •.
=PERMLT:FPL''ING FEE " $3.00
Each" T rao: ' 1.50 .
-Repai7'drai.nage;
or vent piping 1.50.
', P. 0
"'-tonin .8 P ammng -�`.
Water piping1.50
Each -gas water heater or vent 1.50
F es
4NWA4@0&T
:F'ireD.ept
Fire Zone
Use Permit .
Gas pipi'ng'system 1- 5.0-utlets 1.50
Parking
EOA Pians
'_ Parcel
:Declaration
Parcel Map
60''R/W
-Improvements
Each additional outlet 30
Building:sewer 5.00
an d
Parcel ApproYal.
Plan's Ap''rovaI
Lawn'sprinkler system,: 2.00
NEW Q r ADDITION Q - UTILITIES.Q :OTHER
Permit Fee
-P��Gl+. D�GK/y
zELECTRhCAL . - . No.' @.: FEE
^/vT%/./V%$iJp00
ERMfT FILING FEE; ;. $3.00 .
Main service goOV-OR LESS
1.00 AMP OR LESS' 5.00,
Single Family„ Duplex Q , , Mobil Home ❑- :1- Others , •
Mahn service A. AD6'L-100 AMP 2.50
p'" n.,
w.�T�. :C.�d r / • -
OVER 000V
�Maln'SefVIC2 '100 OR LESS '25.00
_AMP
Main service EA. ADD'L-100-AMP 1,09
- - --
NEW CONS
OR ADDNST ( ACCLBL GS.LiNG CC UP. 4'1 :20sq ft
//++
_ CONTRACTORS LICENSE LAW:
- -
I am licensed -under the pr6yisions of -Chapter 9; Div. 3, of the.
State. of California Business &. Professions Code'.under the name-
styIe of: •. - -
'.,
NEW CONSTR.Mu TI. u L T
'NON.RESID ,t BRANCH CIRCUITSI 2.50ea ..
NEW CONSTR.-_(POWER APPARATUS 0. -
NON-RESID, SINGLE'OUTLET CIR.
4 50 FSO
Ex.00Cup(OUTLETS'OR FIXTIiRES ®
EXL OCCU //-FIXED•AP.PLNS. OR
p•IOUT.LETS•(RESID.) EA) .2.00
Temporary. service . 10.00
Mobile Home Facilities'''. -15.00
License No; Classification
Misc. Wiring 6:25
am exempt;froni the -Contractors License Laws of. the •State of -California
Permit Fee.'
WORKMEN'S COMPENSATIONINSURANCE
• -
I am aware of.:the provisions-ot Section3700 of the California Labor
Code.which requires every employer to be insured against liability,
for Workmen's' Compensation.. '
EI have placed on the the County of Butte a certificate of
W rkmen'•s.Compensation Insurance:.
certify ,that .in the performance of, the work for which this
permit is issued I shall not employ any. person in any..mannee
so as to become';siibject to. the Workmen's Compensation Laws'of :`
California.. - , . - L.`
MECHANICAL' • No' @ FEE
;
PERMIT.FI;LING FEE $3.00
Heating . s
Cooling
Ventilation.
food - 2.00
_ .,
Permit'Fee' $
$
d certify 'that [-have read ..this application and state .that the above
information 1scorrect. l -agree to comply to all-County'Ordinances
and State Laws _relating to building .constructi-on:; and, hereby..
•Land' Development Fee
s
TOTAL:PERMfT,fEE
$'
authorize- representatives of the .county, of Butte to enter uponithe;
above-mentioned property' -,for i pection.purposes. -
X - Date -7
Si�gk reof. P rmitee or, Agent
Receip No. !
White-D.P.W. = Yellow -Assessor - Pink --Inspector.- Goldenrod -Applicant
This mitis hereby;issued under the applicable provisions of
Ott County Code and/or:resolutions.to do_.wotk,indicated
above .f` whi -fees have been.paid.-
E "TO-R,$F PUBLIC WORKS
y Date
Bluilding permit expires Date
}_
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�--PESRMIT NO. '885-76P,. ,.
x
PERMIT EXPIRES 2/27/77
OWNER
DONALD RILLING
-CONTR.
oumer
.,_',LOCATION (A.P. 30-41-30
1251 14th.`St., Oroville
i
Temp. Power Pole
Called PG&
Temp. Elec. rv.
k
Called G&E"
Temp. s Serv.
C ed PG&E
j 3 0
INALED
(Date)
(Signature)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd)
PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding
To out
Slab
Roof Stfeathing
Water Pi in
Piers
Roofing
Sewer_
Garage
Fdn. Vents
Fixtures
Footings
Garage Vents
Water Htr.
Stemwall
Slab :
Prov. for physically
handicapped
Heaters
Appliances
Carport
Footings
Conformance of ex.
structure
Gas Piping & Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rough
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch'
Heating
Service
Brown
Cooling
Temp. Pole
' Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
DATE
REMARKS OR CORRECTIONS
lb '" �. (i4 : •.•=i•' '`t ^: YSf'.,�etl7,3r R1 If:AVf'•-^
;;7 TF7' y.. .: ,, r, ••q w i:.i . :r,,�rr^�: rrt�uirt lif t,.., i.r.,rl N„="r�'i:'a.
;,�f114 �'9 �,Sk r -'i
i ,:: ;�iU 1 ., T< �;•.�, '� �-
Date:
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Address: LI SC CC; .1 � 1,i' / jn I nS
. ..
r���� .jl
.. _
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A.P. No.: An — "`i "
Phone:`7 1 `•7
w... r
No. Units:
Applicant/Agent: ..l % A
x
Y
THERMALITO IRRIGATION DISTRICT,�.
410 GRAND
Fees:
/
Application $
AVENUE
Arrearage
Preliminary Review By <- - AAAA i i Date: \ — --�%
W
/f
CSA 26 7
O'ROYILLE, CALIFORNIA 95965_
.
SC -0 R
TELEPHONE 533-0740.
1st mo. S.C.
CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT
Service,Address:
Owner's Name: T% Q r Lt
Date:
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Address: LI SC CC; .1 � 1,i' / jn I nS
. ..
Acct. No: � 1 3.1 n.
.. _
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Y y
A.P. No.: An — "`i "
Phone:`7 1 `•7
w... r
No. Units:
Applicant/Agent: ..l % A
Agents, Proof: iJ�i4
Address:;..
Phone:.'
Fees:
/
Application $
Arrearage
Preliminary Review By <- - AAAA i i Date: \ — --�%
W
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CSA 26 7
Remarks: 1
.
SC -0 R
1st mo. S.C.
Other
Total Fees b�r
Collected By:
n
Field Review Dater
Date:
Remarks: I
MONTHLY SERVICE CHARGES WILL COMMENCE. AUTOMATICALLY
UPON:
►/ Date of TID approval of completeed building,sewer (early connection).
A
�0 30 days after date above,.or.on date of ID.P.W.,appro'val of completed building
sewer, which.ever comes
first' ("existing -construction", prior to. Mar. 5; 1974).
180 days after date -above, or on date of D.P.W. approval of completed building sewer, which ever comes
first ("new construction", after Mar. 5, 1.974):
DISTRIBUTION: WHITE - TID, YELLOW - APPLICANT, PINK - DPW, GOLDENROD- DPW to TID
COUNTY QF BUTTE DEPARTMENT. OF: PUBLIC WORKS
7 County Gentler Driwe O.roville, California 95965
Tel ephone:v�34-4541
.Y
APPLC1TI0N AND'PERMIT
aulnonce. represenia>iv the ounty or tsutte to enter upon•,me. This -permit ishereby issued under the applicable provisions of,,
'a boll = entioned er or insp ction. purposeIs.” the:eutte'Coun'ty Code.and7or'resolutions to do work; indicated
above for which fel been. paid:
7 D11REG}TOR,OF,PUBLIC WORKS.
x
'ba ~-�
Signature'of P661tee or.'AgenT Z�•rJ 6
�• by— �, Date' �,.
Receipt No:
oL z.
Wh,te-D:P.W.'— Yellow-Assessor='Pink'-In'specror.= Goldenrod-Applicana @ft111t @XPIC@S Date
BUILDING-
Owner
SQ..FT.. ;. OCC, . _. . BULLDING VALU�ITION "
,, • .
Mai I i ng Address '
hone No. -
24 7
Firepl ace -
Contractor
Total Valuation;'
Mailing Address '
Per mit_Fee '
Plan CheckingFeeVorPenal ty' '
Telephone No
Permit Fee $
Building Address �` �` �`'
r .
PL"UMBING No. @ FEE
.PERMIT FIL'ING.FEE `. $3.00 3.
.-Each 1.50
Repair drainage or vent piping, 1.50
.Water piping 1 50
Each,gas water, heater or vent 1.50:
X. P No
Zoning & Planning .:
.Gas' piping system'1 -5 outlets:.- 1.50 "
Each additional outlet 30
F
W ".
9arrfrtatlan';
: F:ireDept:
Fire—Zone".
Use Permit
Building.,sewer.:_ Z, ' 5,00 5r�
EQA
Parking
Plans
Parcel
.Declaration
ParceC�Map
60, R%W;.
, Improvements
•Lawn sp�iiikler system .. 2.00 '.
-" aW _ a'' 'a
Parcel Vol
,Plass-Approval.
Permit.Fee - $ $�• �
- o' OC,
NEW, ❑ „ ADDITION❑. :UTILITIES ❑, : ;OTHER.
'".
ELECTRICAL' No.. "@ FEE
;PERMIT'FILING'FEE •$3.00
av(�Q s�-�,
_
Main service 100GOOAMP OR LOR Ess; 5.00 "
100 .LESS
• ,. _
' o .• ''' •• ..
Main°service'' EA., ADD'L 10'0 AMP '2.50
.
Main: SerVICe• OVER .600V
100 AMP OR LESS 25.00
Single Family'.54'' Duplex.[], 'Mobil Home ❑ Others ❑
Main'serv.lce EA. ADD'•L 100 AMP 1.00
-. -
•• _
'
NEW CONST,'/DWELLING OCCUP,�&1
OR ADONIS. ACC. BLDGS. - 20'sgft
-
NEW ,C ONSTR. MULTI -OUTLET -
•NON-RESID.' (BRANCH CIRCUITS ?.50ea
'
-
"NON•RESID..'
NEW-CONS
EW CONSR
T. (POWER -APPARATUS F, -
SINGLE. OUTLET'CIR.
CONTRACTORS -LICENSE LAW*. .
' I •am licensed' under, the prov.isions.of Chapter 9;. D.Iv 3;;,of the "
State of Ca'Iifornia'.Busmess •& Professions Code under the name
styleof:
Ex. OCcup(OU.TLETS OR FIXTURES) ��
101
Ex. Occu FIXED APPLNS. OR
p' ( OUTLETS IRESIp.I EA) 2.00 '
Temporary service .10.00
Mobile Home Facilities: 15.00 .
License No. Classification, '
Misc. Wiring 6.25
am exernpt from the Contractors License Laws of the; State of California. ,
'Permit Fee $
$
WORKMEN'S ,COMPENSATION. INSURANCE...
I am aware of the provisions:of Section.3700`of the California Labor
Code•which'requires every employer to' Pe insured against liability
for Workmen's Compensation,
[3 (-,have placed oh'file withghe County of Butte'acertificate:of
Workmen's Compensation'Insurance.:;
certify ;that in the:,performance, of the -workfor-which this%: ,
permit is- issued L`shall:,not employ any person. -in any manner':
so as"'to"become subject"-to,the Workmen's Compensation ..Laws of ; .
California
MEGHANlCAL No.. '@ FEE .:
PERMIT'FIL wG FEE" $3.00
Heating
Cooling
Ventilation
Hood; 2.00
Permit Fee $
$
=lr'.cert ify that:I haye:read this•application and'.state that the above
". information:; is..correct:.l'agree to comply.to all County Ordinances
and. State Laws ,re'lating,.to^building„construction', and hereby
"
TOTAL PERMIT FEE '•
$ ' 6
aulnonce. represenia>iv the ounty or tsutte to enter upon•,me. This -permit ishereby issued under the applicable provisions of,,
'a boll = entioned er or insp ction. purposeIs.” the:eutte'Coun'ty Code.and7or'resolutions to do work; indicated
above for which fel been. paid:
7 D11REG}TOR,OF,PUBLIC WORKS.
x
'ba ~-�
Signature'of P661tee or.'AgenT Z�•rJ 6
�• by— �, Date' �,.
Receipt No:
oL z.
Wh,te-D:P.W.'— Yellow-Assessor='Pink'-In'specror.= Goldenrod-Applicana @ft111t @XPIC@S Date
♦ . yt 51
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