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Permit#185-83E
William Ellis
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
r 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER r
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
S0. FT. OCC, BUILDING VALUATION
OWNER'S MAILING ADDRESS
%/
CONTRACTOR'S NAME
Y1 h
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
Q
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
AJ P
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
r
Water piping
5.00
LOT NO.
SUBDIVISION NAMEPARCEL
MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
�USE OF STRUCTURE
SF �/ _Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home JSJGJWJ
10.00 e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti I' ies ❑ Installation ❑ Other
Describe work: s, —
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
00 1�
10. 0,
Main service EA. ADO'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ( ACC. BLDGS.
2/2 Osq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
F -1I 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)
[L]' 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 MULTI -OUTLET 2.50 ea
NON-RESID. BRANCH CIRC ITS
NEw CONSTR. (POWER APPARATUS &)
NON RES,D. SINGLE OUTLET CIR. /
Ex. OCCUp(OUTLETS OR FIXTURES SALe5300
FIXED APPLNS. OR
Ex. OCCUp. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00 42P95 -
'
Permit Fee $ 5�,/11
Contractor
MECHANICAL PERMIT
Filing 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.
FA -,l - 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
$
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 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 bran ng of this permit.
I I 1� �� 2//„ � Z
X L�-.�� � .n ,) . -r..,. Date �`
Signature of Applicant — Owner [9— Controc or ❑ 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
$
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OF CONST,
PARCEL
PD
I HD
I ISSUE
This permit is hereby issued under
sions of)the Butte County Code and/or
work indicated above for which
y; DIREi�C/T,O'R/OF PUBLIC
��7�(y /dGrf/�Y
By `�
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS i�r�
/—GT " d�
Dal
c
Receipt No. 76� 9 V
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO
ASSESSOR PARCEL N MBER
_
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC, BUILDING VALUATION
OWNER'S MAILING ADDRESS.
10 1IF-D -BLAtte Ave_
CO A O 'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
h
LICENSE No.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
_
$
BUILDING ADDRESS
ia��
PLUMBING PERMIT
Filing
Fee 10.00IO&D
Each Trap
2.00
Solar Water Heater
20.00
r`
Water piping
5.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent -
5.00
Gas piping system 1 - 5 outlets
5.00
,--, USE OF STRUCTURE
SF Lr Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S G W
10.006
TYPE OF WORK
New ❑ Addition ❑ R Imodel ❑ Uti I' ies ❑ Installation ❑ Other
Describe work: —
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6001 OR LESS
t00 AMP OR LESS
10-00Ot
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ( ACC. BLDGS.
2�/2 0sgft
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 m 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 MULTI -OUTLET 2,50 ea
NON-RESID BRANCH CIRC ITS
NEW CONSTR POWER APPARATUS &\
NON.RESID, SINGLE OUTLET CIR. /
Ex. Occu 206506
P/OUTLETS OR FIXTURES \SALG30t
FIXED APPLNS, OR
Ex. OCCUp. OUTLETS (RESID,) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
fNl r
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.
�— 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
$
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 anyway accrue
against said County in conseq n f the r ing of this permit.
/%
X - v`/ a Date ` 8 Z'
Signature of Applicant — Owner [g' Contras or ElAgent1:1wUklNtefa
An OSHA permit is required for excavations over S'0" deep and demolition or construct-
ion of structures over 3 in height.
Mobile Home Installation Fee
$
`
TOTAL PERMIT FEE $ �d
OCCUP. GROUP
I TYPE of CONST.
PARCEL
PD
HD
ISSUE
Thi pe it is hereby issued under
sio s of e utte County Code and/or
for which
OR OF PUBLIC
BY
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
,tostorriie�s
Receipt No. �b� 7
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
Inter=Departm�e. a , em.drandum-
UN��`.
TO: Dave Purvis, Building Department
FROM: Steve Brown, County Fire Warden
SUBJECT: Palm Crest .Village, Phase 1, AP# 3o-b/� — ftc L
DATE: July 7 , -1993
14 L-
After installation of the fire hydrant at the corner of Mountain
Vista Drive and Crest Drive, Thermalito, building may proceed on
lots 67 thru 71, 103, 104, 123, 124, and 125. Additional fire
hydrants must,be installed-prior to beginning work on any more
lots. Phase l.will requirea total of 3 fire hydrants. If there
are any questions please,contactiTed Crawford at.538-7994.
Steve Brown
County Fire Warden
By: Ted Crawf rd
Fire Protection
} . Officer
cc: T. Crawford
D. Dyer
palmcres.mem