The URL can be used to link to this page

Home My WebLink About035-480-028COUNTY OF BUTTE - DEPART;MENT-OF PUBLIC WORKS PERMIT -L - 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 .APPLICAT N AND PERMIT , _, ,ASSESS R PAR/CEL NUM ER� •" R� �` ZONING :..P.r.. BUILDING PERMIT OWN R CTE -1Z /0je D�9 ti a L HONE 8 - 280 Ir SQ. FT. OCC. BUILDING VALUATION O.ER S 5ILIJV CTA DRESS NNAJC'+ CONTRA CTOR(''S E-�� TELEPHONE . CONTRACTOR'S MAILING ADDRESS ' Fireplace CONSTRUCTION LENDER i' UNKNOWN Total V$IU$tlOn $ Filing Fee $ 10.00 LENDER'S MAILING KD15RESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. - Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUI ING ADDRESS / lf% PLUMBING PERMIT Filing Fee 10.00 �Y • �� A17 Gv 70 � /'/QG�F%� Each Trap 2.00 Repair drainage or vent piping 5.00 � / / //C— //[=/6 �. (1l/®i°?%%�� L�%1V �,eOI�/CLEF- Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome[/Other ILEI.%- SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New❑ Addition[-] 'Remodep Utilitiesinstallation❑ Other 62 q Describe work:ELECTRICAL Permit Fee $ /S Contractor PERMIT Filing Fee 10.00 Main service 100V OR 00 AMP ORSL ESS 5.00 SO0 Main service EA_ ADD'L 100 AMP 2:50 NEW CONST. ( DWELLING OCCUP.y\ OR ADDNS, ACC. BLDGS. 2¢ sgft CONTRACTORS LICENSE LAW I declareunder penalty of perjury (check one): F1I am licensed under provisions of Chapt. 9, Div. 3 of the Business Professions Code and my license is in full force and effect. License No. •' Classification 0 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 NON.ROON,S ES D.R' MUBRANCH C.IRCTITS 2.50 ea NEWCONSTR. / POWER APPARATUS eJ NON -RESID. (SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES B so @ 215Cand PP_ (RESID )KA. 2E.00 Ex. Occup.(OUT TL2 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring P 7.50 ; OU Permit Fee $ 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. a I shall not employ any person in -any manner so as to become subject to the W. C. laws of Cali ornia. 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 TT - 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 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 ai,d County in conseque a of the granting of this permit. X y "Yl� Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5:0" deep and demolition or construct- ion of structures over 3 st ries in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 31r0a OCCUP. GROUP I TYPE OF CONST. I PARCEL Pb I ND I, ISSUE This ermit is hereby issued under sio s f the Butte County Code and/or w rk: mdic ted bove for which D) CTOR OF PUBLIC ��.��✓VG—� PERMIT EXPIRES Date the applicable provi7. resolutions to do fees have een paid. WORKS Da &� 3 6 ry Receipt No: 6 11s� WHITE-D.P.W'.,,YELLOW-ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: OWNER -BUILDER VERIFICATION 916-534-4541 Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your. earliest opportunity to avoid unnecessary delay in processing and issuing your build-• ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. • r 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are. permitted to issue the permit.