HomeMy WebLinkAbout033-121-01033-121-10 .
G.. H. GILBERT
157 Acacia, Oroville
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Permit#1959-83M(remove- &'•"replace AC urS'it
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Permit#1959-83
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, Califor^ia 95965 - Telephone 916/534-4541
APPLICATION AiJD PERMIT
ASSESSOR PARCEL NUMBER
3? - ►a I -- ) -,
ZONING
BUILDING PERMIT
OWNER /-11'
i� ry r '
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS'
CONTRACTOR' NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
C'ONSTROCTI-01T LENDER
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 ADDRESSr� I I
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
0 ro
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 ❑ Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
5.00
Mobile Home I S I G JW I
10.00e
TYPE OF WORK
New ❑ Addition Remodel ❑ Utilities [IInstallati n ElOther ElContractor
Describ work: (. %V
Permit Fee
$
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 500V OR LESS
100 AMP OR LESS
10.00
'
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ACC. BLDGS.
2th¢sgit
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
F1I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full • ce and effect.
License No.4_116, �74 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 ULTI-OUTLET 2,50 ea
NON-RESID BRANCH CIRC ITS )
--
NEW CONSTR. ( POWER APPARATUS &'1
NON-RESID. SINGLE OUTLET CIR. /
20e50Q
Ex. Occup(o OR FIXTURES eALB 30Q
FIXED A
Ex. OCCUp. OUTLETS P(RESLN ID.)REA.) 2.00
Temporary service 10.00
Mobile Home Facilities
15.00
Misc. Wiring 15.00
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 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 laid County/!n consequenc of the granting of this permit.
X rY1� l t r) -
Date
Signature of Applicant — Owner Contractor ❑ Agent F1work
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,
I
PARCEL
PD
HD
550E
This permit is hereby issued under
sions of the Butte County Code and/or
indicated above for which
OF PUBLIC
By �
t
PERMIT EXPIRES ate
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date 'Al' -,
/ _
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
73
COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, Ca;ifornia 95965 - Telephone 916/534-4541
APPLICATIAN.A11D PERMIT
72
PERMIT NO.
ASSESSOR PARCEL NUMBER
3*3 1 —1 0
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC, BUILDING VALUA ON
OWNER'S MAILING ADDRESS
COtA�R' AME
TELEPHONE
TRACTOR'S MAILING ADDRESS
t F
Fireplace
C NSTR CTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
B'r1
LICENSE NO.
Plan Checking Fee
.$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
�
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Q '___D
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 ❑ Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S I G I W
10-00e
TYPE OF WORK
New Addition Remodel❑ Utilitie ❑ Installati n❑ the ❑
Describ ork: -
A • • � �.
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ( ACC. BLDGS.
2t 0sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Cc a and m license is in full {{{yypryryryce and effect.
Z y �2 d
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. ULTI.OUTLET 2,50 ea
NO N.RESID BRANCH CIRC ITS
NEW CONSTR. ( POWER APPARATUS &')
NON-RESID. SINGLE OUTLET CIR. /
20080C
Ex. Occup(ourLETs OR FIXTURES BAL®30
FIXED APPLNS. OR
EX. Occup. OUTLETS (RESID.) EAJ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring
15.00
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
A Q
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.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabil' ies, judgments, costs, and expenses which may in any way accrue
against Id C ty n consequenc of the granting of this permit.
X Date — .-�
— 'O.n.rl5k Contractor ❑ Agent ❑
Signature of Appli:.nl"
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
PO
HD
ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
C O OF PUBLIC WORKS
By—DateC_�'�
PERMIT EXPIRES ate r
Receipt No.T)n -7 c,'-,
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT