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/ Perit# 1725-75E,M(install heat & AC)
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COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS s
I County Center Drive Oroville, California 95965
Telephone: 5344541
APPLICATION AND PERMIT i
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X
Date
Signature of Permitee or Agent
r
Rcrci nt
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.
DIRECTOR OF PUBLIC WORKS
By Date
Building permit expires Date
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mai I i ng Address
Telephone No.
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee&/or Penalty
Telephone No.
Permit Fee
Building Address
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
>
3a0 f= g� F_ e s
Repair drainage or vent piping 1.50
Water piping 1.50
/� t�
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
Flans
Parcel
Declaration
Parcel Ma p
60' R/W
Imp rovements
p
Lawn sprinkler system 2.00
Bldg. Plans Recd I
Parcel Approval I
Plans Approval
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No -1 @ FEE
PERMIT FILING FEE $3.00
-
Main service incl. 1 meter
Additional meters, each 1.00
Sub -panel (12 or.less) (morethanl2)
Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater 1.00
Light fixtures b 010 25
Recaps., switches & fix outlets 120
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 heatipump 1 (:
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No. f 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
1 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 J$3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$ f
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 buildino construction. and hereby
TOTAL PERMIT FEE
$ .'
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X
Date
Signature of Permitee or Agent
r
Rcrci nt
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.
DIRECTOR OF PUBLIC WORKS
By Date
Building permit expires Date
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Orovi Ile, California 95965
telephone: 534-4541
APPLICATION AND PERMIT
autnorrze represermatives of the county of butte to enter upon the
above-mentione operty for in ectpurposes.
X Date s
$ignatur f ermitee or Agent
Receipt No.
White-D.P.W. — Yel ow -Assess — 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,IRECTOR OF PUBLIC WORKS ,
Building permit expires Date
BUILDING
Owner
SQ. FT. OCC. BUILDING
VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor 457
Total Valuation
Mailing Address lft/L�
Permit Fee
Plan Checking Fee&/or Penalty
a
T lephone No.
Permit Fee
Building Address y�
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 .80
Sanitation 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
F Parcel Approval
Plans Approval
Permit Fee
$
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL
No.
@
FEE
PERMIT FILING FEE ,$3.00
100
/ /j/
Main service incl. 1 meter
Additional meters, each
1.00
Sub -panel (12 ordse•s) (more than 12)/,
,
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixturesbora
Rec s., switches & fix outlets 20 P25
1.:R6
CONTRACTORS LICENSE LAW
1 am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style : /
C� c-
Hood, Ex. n or F.A. Furn. Motor
1.00
r D Q
Evap.cooler, gar. disp.orD.W, •1.00
Air conditioner or hea ump37`
Water pump
Mobil Home Facilities 5.00
'
Temp. Power Pole 5.00
License N Classification U
Misc. wiring
rT-
❑ 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.
have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
E]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
S,00
Heating 0/1?
' 00
Cooling
Ventilation
Hood 2.00
Permit Fee $
$ ! Te
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
$
77
autnorrze represermatives of the county of butte to enter upon the
above-mentione operty for in ectpurposes.
X Date s
$ignatur f ermitee or Agent
Receipt No.
White-D.P.W. — Yel ow -Assess — 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,IRECTOR OF PUBLIC WORKS ,
Building permit expires Date