HomeMy WebLinkAbout035-222-03235-222-32
IVA SHEA
4787 Lincoln Blvd, Oroville
ontr -Rick Mauldin- 8
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COUNTY OF BUTTE - DEPARJMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916%534 4541
APPLICATION AND PERMIT 538--7541 40 1f
ASSESSOR - CEL. NUMBER
�s5-- 0 -- f3.
ZONING
BUILDING PERMIT
OWNER- i�/, � )_ r � +
1
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
99 �o V,
CONTELEP
RACTOR'S /SRI INAME � !.[./ ,�.
T: IY_ NE
R'AI ING AD;D ESS',
CONTRACTOLS M
)X_) ✓� ,, `,3,1�n U t /4
Fireplace
CONSTRUCTION LENDER
'�
UNKNOWN
Total Valuation $
FilingFee
$ 10.00
LENDER'S MAIL.'G ADD SS - /�
\ le\t
Permit Fee
$
ARCHI OR E. G NE R
`
LICENSE No.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER' MAILI G ADDRESS
f1
Penalty
$
BUILDING ADDRESS /N%Y
/
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
1")r4 a /e-
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 S. (jam
USE OF STRUCTURE
SF N Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00 ea
TYPE OF WORK
New ❑ Addition�Ih�)I� jR,emodel ❑ Uti-litiess❑ Installation❑ Other 54
Describe work: �" 1) a c* �l e r k+ � �) ke-, L04 r--
r Yf ►,, W 4— � /i 4 1-i-, V N/r P
Permit Fee
$ an. nr
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADO'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
Q +-I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions/Code and my license is in full force 1andd effect.
License Nw�/, 4/ Classification ( 7/7 {i �.J
❑ 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. r, Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.a`
OR ADDNS. ( ACC, BLDGS. /
1/20sq ft
NEW CONSTR MULTI -OUTLET
NO N.RESID BRANCH CIRC ITS
2,50 ea
(POWER APPARATUS &)
SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
eA 50
FIXED APLNS.
Ex. OCCUp. OUTLETS 1PRESID,)REA.1
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.
a 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
$ /6, /J
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 granting of this permi711g_7
�� ✓1 �'�
X Z Date � 01
Signature of Applicant — Owner ❑ Contracto K 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 $
Energy Inspection Fee ( $
TOTAL PERMIT FEE $ t�b.�(/
OCCUP.
CONST.TYPEJ
I
I FLOOD
PARCEL
PD
I ND
I 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 aid.
fir! p
/ DIRECTOR OF PUBLIC WORKS l
�1//, Date lI4/R/)
PERMIT EXPIRES Date
Receipt No.
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/M2t44X1
APPLICATION AND PERMIT 538-7541
PE MIT NO.
ASSESSPAR-CE)NjJ ER /�
ZONING
BUILDING PERMIT
owN
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER' ING A D ESS
1✓A&I r v'
C JOR' NAM / ,
JTE611
CON A R.'S MAI I G AD RES
} V e
Fireplace
CONSTRUCTION LEfNDE Z7
UNKNOWN
Total Valuation $
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
% /rn y
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
r
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each pas water heater or vent
5.00 1S
rrraaannn USE OF STRUCTURE
SFC Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00 ea
TYPE OF WORK
New ❑ Addition[;].�emodel ❑ itie 11stallation Other
Describ work: � gn
r
Permit Fee
$ 0170,00
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 Professi s Code and my license is in full force and effect.
` e--36 �,6
License No. Classification T
❑ 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.tr ,
OR ACDNS. ACG. BLOGS. ) 20sgft
NEW CONS" U TI -OUTLET 2.50 ea
NON•RESID BRANCH CIRC ITS
POWER APPARATUS tr
SINGLE OUTLET CIR. )
/
Ex, Occup\OUTLETS OR FIXTURES 20050C
SALO 30
Ex. Occup. our OUTLETS P(RESID )D APLNS.REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. 6Virin 15.00
9
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
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.
MECHA ICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
Permit Fee
$ 76, Q
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 a to save, indemnify and keep harmless the County of Butte against
all li Ili s, dgments, costs, and expenses which may in any way accrue
aga s iAs,,
�uty �inconselence of the granting of this pe mit.
Date 9
i arur of Applicant — Owner �y
g pp ❑ Contractor/] Agent ❑pAn OS A permit is required for excavations over S'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
OCCUP,
CONST.T;PE
FLOOD
PARCEL
Po
NO
ISSUE
This permit is her issued under
sions of the Butte County Code and/or
work Ic ted above f rywhic
OI OF
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
f. s have been aid.
WORKS
D to
Receipt No.
S
WHITE-D.P.W.. YELLOW-ASSESR, INR -INSPECTOR, GOLDENROD -APPLICANT