HomeMy WebLinkAbout036-073-032CITY OF OROVILLE
BUILDING DEPARTMENT/CODE ENFORCEMENT/FIRE PROTECTION, PLANNING AND PREVENTION
1735 MONTGOMERY STREET • OROVILLE, CALIFORNIA 95965
PHONE NO.: (530) 538-2425 FAX NO.: (530) 538-2426
BUILDING PERMIT 0311-046
PERMIT NO.:
PERMIT APPLICATION (WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT)
PROJECT ADDRESS:
ASSESSOR PARCEL NO.:
4560 LOWER WYANDOTTE.RD
036073032
PROJECT DESCRIPTION
UPGRADE TO CABLE SERVICE - E ZONE
PERMIT CLASS (NEW, ADDITION, REMODEL):
COM / ADDITION
PROPERTY OWNER( ADDRESS:
TELEPHONE NO.: FAX NO.:
SHELDON, TIM6-THY R 4560 LOWER WYANDOTTE ROAD
OROVILLE
CA 95966
IC�Nz ADDRESS:
APp8MCAST
TELEPHONE NO.: FAX NO.:
C MCS COMMUNICATIONS 50 PELL DRIVE
SACRAMENTO
CA 95638 -
ARCHITECT, ENGINEER OR DESIGNER: ADDRESS:
TELEPHONE NO.: FAX NO.:
C C:L�AK 88NNEDCTION CORPORATIONADDRESS:
4 B STRIKER
TELEPHONE NO.: FAX NO.:
_ AVENUE
(916)567-0147
SACRAMENTO
CA 95834
UBC GROUP: UBC TYPE:
STORIES: PLAN NO.:
CENSUS NO./CENSUS DESCRIPTION:
BVD CODE: SEWER (EDUS):
UNITS PER BLDG.: NO. OF BLDGS:
0 0
TOTAL BLDG. TOTAL GARAGE: TOTAL PORCH:: TOTAL VALUE/YARDS: ZONING DISTRICT:
0 0 $ 0.00
AREA: AREA: AREA:
HE FOLLOWING PRELIMINARY FEES ARE SUBJECT
TO CHANGE PRIOR TO PERMIT ISSUANCE):
DESCRIPTION: ACCOUNT NO.: FEE:
PERMIT DETAIL:
ELECTRICAL PERMIT 001.4222.2990 $30.00
SERVICE 600V. >=200A I n, 15.00
PERMIT ISSUANCE I u, 15.00
RECEIPT
TOTAL FEES CHARGED: $30.00
RECEIPT #: CHECK #:
PAYMENTS RECEIVED: $0.00
PAY METHOD:
TOTAL BALANCE DUE: $0.00
TOTAL FEES PAID: $0.00
RECEIVED BY:
• THIS PERMIT BECOMES NULL AND VOID if work or construction authorized is not commenced within 180 days from date of issuance, or work is suspended or
abandoned or abandoned for a period of 180 days any time after work is commenced and verified by inspection.
{ ) (1 a) I certify that I am licensed under the State Contractor's License Law and my contractor's license is in full force and effect; Or
{ ) (lb) I certify that I am exempt from Business and Professions Code #7031.5 under: I )#7044-Owner/Builder, { ) #7048 -Price of labor and materials less than $300,
or { ) Other
{ ) (2a) I certify that I have on file with the City of Oroville Building Department a Certificate of Workers' Comp. Insurance: Insurer
Policy No. Exp. Date , or a Certificate of Consent to self -insure by the Director of Industrial Relations; Or
{ ) (2b) I certify that I am exempt under Labor Code #3800 because: { ) the permit is for work of $100 or less, or( ) that 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 workers' compensation laws of California.
I certify that I have read this application and declare under penalty of perjury that the information contained herein is true, correct and complete. I agree to comply with all
city and county ordinances and state laws relating to building construction, and hereby authorized representatives of this city to enter upon the above mentioned property for
inspection purposes. I am the owner of the structure(s) listed on this permit or I represent the owner and am acting with the owner's full knowledge and consent.
Signed by:
Date:
Issued by: Edi' ---- ---y - �n Date:
COPIES TO: FILE/ APPLICANT FINANCE
214. 1 iOURS NOTICE FOR INSPECTIONS INSPECTION RECORD CALL (530) 538-2425
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