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HomeMy WebLinkAbout030-470-002.. _i it _ � �'+� 7 1'� .ry 7 .. e • 4 �i� . ._ .�. ^'/�/ Hehtrom L132 t ll .�/� v � -• .. - .• `" �". ; • ; ', ,, Fr 18th, SOrolk ye•,f Permit #4537` 81P i� c '6 I w. x S 3f • ' r i rr _ ir _., �....�.._�,.. _�sr.-.,--N-.. :�..rr�- .�,------��. �,_.,.�__ .,.. ,-,.-,ate--�... ti:.,�-..--..,�'""'--' ._ ._�, ��, .�..� -- ... � _ �- � �, i � 3 � 18 � S;� ., �- ��✓�� r ��f' /111 � c���'. ,Yf COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT_ NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION XND'PERMIT - ASSESSOR PARCEL NUMB;ER�, 30 G % - `� ZONING BUILDING PERMIT OWNER 4 PHON//E SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS _ CONTRACTOR'S NAME ! !/�' TELEPHONE CONTRACTOR'S MAILING ADDRESS - CONSTRUCTION LENDEI9il-0- UNKNOWN ' Firenlace Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINE -ER, LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILD%.AO GESS / 7',h 57.. PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets / 10 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome�Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ /Re odeeII F1 Uti lities Installation ❑ Other l Describe work: /� '"` N, /1 S E/e-V Permit Fee $ 00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP 00V OR ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.51 OR ADDNS. ACC. BLDGS. / 2� Sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F1 I am licensed under provisions of Chapt. 9, Div. 3 of the Business50 and Professions Code and m license is in full force and effect. y License No. Classification Q 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 I-Ou LET 2,50 ea NON-RESID BRANCH CIRCUITS) NEW CONSTR / POWER APPARATUS 6 NON-RESID. %SINGLE OUTLET CIR. @ 25C EX. Occup(OUTLETS OR FIXTURES 100 Ex. Occup.(OUTLETS (RESID.)REA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 1 ' Permit Fee $ Contractor MECHANICAL PERMIT FiIirig 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 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 3.00 Ventilation Permit Fee S 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. 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 consequence of the granting of this permit. //// X 1i�-2+-�`JG,�f".���h�� Date %�-��� /X� Signature of Applicant — Owner ElContractor ElAgent❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures overstories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ :7-0 00 OCCUP. GROUP I TYPE OF CONST. PARCEL PD 1 ND 1 ISSUE This permit is hereby issued under sions-of the Butte County Code and/or work indicate above for which DIRECTOR OF PUBLIC / By ;.� '� PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date c33 Receipt NO. 5 G' / 406 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT V l COUNTY OF BUT -TE -DEPARTMENT OF PUBLIC WORKS PERMIT N0� 7 County Cente,' Drive - Oroville, California 95965 - Telephone 916/534-4 1 APPLICATION AND PERMIT ASSESS9� PAR L UM R - �5O — ZO NG" � BUILDING PERMIT /AILIIy�A ///3 SQ. FT. OCC. BUILDING VALUATION Z ES 0,eev1GL04JJ9J S7 CONTRACTORS NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace C ONSTRUC.TION LEND UNKNOWN Total Valuation $ Flling Fee 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGIN R LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENG NEER'S MAILING ADDRESS Permit fee $ BUILD%%j L D ESS Z ST PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 -5 outlets .� USE OF STRUCTURE SF ❑ Duplez❑ Mobilehomeg---O-ther SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New Addition❑ /Redel p, tilities �1 sootallation❑O,,trrerR Describe work: /� �'"' L �J ��i�Vl Permit Fee $ Bpd Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP 01V OR ORSLESS 5.00 Main service EA. ADD•L 100 AMP 2.50 NEW -CONST. /DWELLING OCCUP.M\ OR ADDNS. \ ACC. BLDGS. / 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El 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 T -OUTLET 2,50 ea NON.RESID BRANCH CIRCUITS NEW CONSTR. POWER APPARATUS NON -RESID. ( 6 SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES_ a �� FIXED APPLNS. OR Ex. Occup.(ouTLETS (RESID.I EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 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 of Consent to Self -Insure. \ 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 Venti lation permit Fee $ Contractor 1 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 consequence of the granting of this permit. X Datesi Signature o pplicont — Owner ElContractor ElAgent 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 $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD ISSUE This permit is hereby issued under f the Butte County Code and/or w rk di to above for which ECTOR OF PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 2-11-�r K /Z —//_�+ Receipt No. 5 8 70 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT