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Home My WebLink About039-100-024I GAS Meter By-- ELECTRIC y=ELECTRIC Meter By_ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER '- U _ 1 ZONING -0 41_ n BUILDING PERMIT OWNER ` - II )) 1 . TELEPHONE SO. FT. OCL`, BUILDING VALUATION OWNER'S ,tMAILING ADDRESS R (/ r CONTRACTOR'S NAMEr, .T. / TELEPHONE CONTRACT OR'S MAILING ADDRESS/ ` t .; I • ' i.. 1 ` � �' �� ./r : srC., ' i . � nom_ Fireplace CONSTRUCTION LENDER —1_t UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER l LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS } . _ iL %tL G�' d1Y� �. I/. PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 ' Water piping 5.00 LOT NO. SUBDI VISION NAME PARCEL MAP Each qas water heater or vent Gas piping system 1 - 5 outlets USE OF STRUCTURE SF0 Duplex❑ Mobilehome❑ Other SPECIFY Building sewer JOO Mobile Home S G W 1 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Fl .1, Describe work: i, I A' - (., .•(,;'..Iyw' .. %/�;�-jJ `� / �ItCi Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 7%1 I Main service EA. ADD'L 100 AMP 2.50 l •' NEW CONST. / DWELLING OCCUP.& OR ADDNS. \ ACC. BLDGS. 21/20sgIt 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 m license is in full force and effect. y �/ -1 License No.�-/n'a�'%�!; 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 CON5TR. ULTI.OUTLET 2.50 ea NON.RESID BRANCH CIRCUITS) NEW CONSTR /POWER APPARATUS &'� NON.R ESID. %SINGLE OUTLET CIR. OR FIXTURES ewL930 Ex. Occu / zo-030 P%o FIXED APPLNS. OR FIXED Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 1'"1 _ Permit Fee f $ 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. .41 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 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 permit. {,`% / I 4��-- Date ,/ /r4 X ' '�'!^-"�" - --r- 5igo lure oF_Applicant -Yi OWner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures orv)err33 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. I PARCEL PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which A DIRECTOR OF PUBLIC By .��. .:/`7f/1 PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date .X i (} 'I/ L1�7 "r 1 'f" / ,� %/� / / ( !y" •I Receipt No. - � WHITE-D.P.W., YELLOW-ASS[SSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION,AND PERMIT PERMIT NO. ASS ESSO P RCEF UMBER Et6 — 01 Z NG BUILDING PERMIT OWNER 61 TELEPHONE $Q, FT. OCC. BUILDING VALUATION OWNER'S ILING ADDR S CONTRA T R'S NA E� A �� --f iji./`/Cv r �i a�✓/Vt L EP10NE CONTRAC OR•S MAI N RESS 3 wy�, Fireplace CONSTFFUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEERS MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 V Q c n7jzo Each Trap 2.00 Solar Water Heater 20.00 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 V Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S1 GJWJ 10.00 e TYPE OF WORK New ❑ Addition Remodel❑ Utilities ❑ In 11 ion❑ Otherm, Describe work: p C� ! rob 0` 9 Anti l — 206 Q�w�p - c Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR00V OLESS� 10.00 6,00 Main service EA, ADD'L too AMP 2.50 ,5 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 2I/2dsq ft CONTRACT LICENSE LAW I declare under penalty of perjury (ch6ck one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and ProfessiWs Cod and my license is in full orce and effect. G /, Za License No. %�' ��i77_� 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 NON.RESID R BRANCH TLETlrS 2.50 ea NEW CONSTR. ( POWER APPARATUS W NON -RES ID, SINGLE OUTLET CIR. ) i0®aoa Ex. Occup(OUTLETS OR FIXTURES BAL030 EX. OCCUp- OUTLETS FIXED P(RESID )REA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 .u-• — 5-40 Permit Fee Jr$ 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. Ip1 19 1 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 Venti lation 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. I also agree to save, indemnify and keep harmless the County of Butte against all (a 'lilies, judgments, costs, and expenses which may in any way accrue agai t id C u ty in co e e ,e of the granting of this permiit. %� Date l Signa pplicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures overstories in h ht. Mobile Home Installation Fee $ ++// TOTAL PERMIT FEE $ Y%, to OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for whi h ` DIR OR OF BLIC /h By l PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS _ Dat 'C l3 Receipt No. / �' !c. WHITE-D.P.W., YE LOW -ASS SOR, PINK -INSPECTOR, GOLDENROD-APPLI NT