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�s AP 35-223-08
[BARBARA COLEBURN _
4994 Lincoln Blvd., Oroville ®�
CONTR: Bill LaGrone, Orovill
Permit# 1892'-75P;E,M(install dual pal
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COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICAVON A11D PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
'.+
Signature of Permitee or Agent
Date
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
By -
DIRECTOR OF PUBLIC WORKS
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date
Date
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
PI an Checki ng Fee &/or Penal ty
Telephone No.
Permit Fee
Building Address
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
!'
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No.
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fees
W.C.
Sanitation
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma p
60' R/W
Improvements
p
Lawn sprinkler system 2.00
Bldg. Plans Recd I
Parcel Approval
Plans Approval
Permit Fee $ '
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 `
Main service incl. 1 meter
Additional meters, each 1.00
Sub -panel (12 or less) (more than 12)
Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater 1.00
Light fixtures b0((�1
Receps., switches & fix outlets
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Hood, Ex. Fan or F.A. Furn. Motor 1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No. Classification
Misc. wiring
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
MECHANICAL No. @ FEE
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
❑I certify that in the performance of the work for which this
permit ,is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 1 2.001,'
Permit Fee $ -
$
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 relatinq to buildinq construction, and hereby
TOTAL PERMIT FEE
$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
'.+
Signature of Permitee or Agent
Date
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
By -
DIRECTOR OF PUBLIC WORKS
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date
Date
COUNTY OF BUTTE — DEPARI°MENT OF PUBLIC WORKS — `��
7 County Center Drive — OroviIle, California 95965
Telephone: 534-4541
APPLICAT[ON AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for -inspection purposes.
X— :Z /0-9
-tt'�5` Date '�
SignotVfe
/of Permitee or Agent
Receipt No.
White-D.P.W. -Yellow-Assessor,= Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated'
above for which fees have been paid.
D'ECTOR 0 PUBLIC WORKS
By Dafe S
-Buinl"g-permit expires Date/`�, 7
BUILDING
Owner D U
SQ. FT. OCC. BUILDING VALUATION
Mai I i ng Address
'
Telephone No.
Fireplace
Contractor 1A CIP.011er 1S'-
otal Valuation
Mailing Address S U 9 S O R 0
Permit Fee •
Plan Checking Fee &/or Penalty
Telephone No.
~
Permit Fee
/
Building Address �� �/
PLUMBING
No.
@
FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping
1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. �- ��
Zoning & Planning
Gas piping system 1 - 5 outlets
1.50
% S Q
Each additional outlet .30
anitation
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma p
60' R/W
Improvements
p ovements
Lawn sprinkler system 2.00
Bldg. Plans Recd
Parcel Approval
Plans Approvol
Permit Fee
$
S�
NEW ❑ ADDITION ❑ UTILITIES ❑ -OTHER ®
ELECTRICAL
No.
@
FEE
PERMIT FILING FEE $3.00
3.00
L U —
Main service incl. 1 meter
Additional meters, each
1.00
Sub -panel (12 or less) (morethan 12)
Single Family ® Duplex ❑ Mobil Home ❑ Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixtures 'e20P2
Receps., switches & fix outlets
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:' S � � �
Hood, Ex. Fan or.F.A. Furn. Motor
1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air c io r or heat pump
QQ
Water pump
Mobil Home Facilities 5.00
Gc9
Temp. Power Pole 5.00
License No. -:2-32-2a I Classification 6�— Z D
Misc. wiring
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$ t pCj
MECHANICAL
No.
@
FEE
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
certify that in' the performance of the work for which this
ermit .is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
PERMIT FILING FEE
$3,00 3r,4!590
Heating O
Coolin _'5-0
Ventilation
Hood 2.00 Z: 00
Permit Fee $ / 70 S-
$ 7 Sf
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
TOTAL PERMIT FEE
�i
authorize representatives of the County of Butte to enter upon the
above-mentioned property for -inspection purposes.
X— :Z /0-9
-tt'�5` Date '�
SignotVfe
/of Permitee or Agent
Receipt No.
White-D.P.W. -Yellow-Assessor,= Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated'
above for which fees have been paid.
D'ECTOR 0 PUBLIC WORKS
By Dafe S
-Buinl"g-permit expires Date/`�, 7