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HomeMy WebLinkAbout040-110-0060 a u,a COUNTY OF BUTTE — DEPARTMENT OF PUBLIC -WORKS 7 County Center Wive - ,, Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT auuwiice icNrcbentduveb o1 the t,ounty or tsutte to enter upon ine above-mentioned property for inspection purposes. X 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. DIRECTOR OF PUBLIC WORKS By Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Building permit expires Date Date BUILDING Owner SQ.FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee PI an Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $2.00 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.Gas Zoning 8 Planning 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 Im rovements P Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval I 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 20 10 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 $ $ 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. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 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 relating to building construction, and hereby TOTAL PERMIT FEE $ auuwiice icNrcbentduveb o1 the t,ounty or tsutte to enter upon ine above-mentioned property for inspection purposes. X 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. DIRECTOR OF PUBLIC WORKS By Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Building permit expires Date Date COUNTY OF BUTTE —-bEPARTMENT OF PUBLIC WORKS�I,(�,{/ -- 7 County Center Drive-'_Orovirle, California 95965 Telephone: 534-4541 APPLICATION. AND PERMIT inc V --y VI puuc lV climi upull Lim above-mentioned property for inspection purposes. X Date / ignature of Permiteeepe 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 Cotbnty Code and/or resolutions to do work indicated above for which fees have been paid. DIFECTOEJ OF/�IJBLIC WORKS Byg����G_./ Date permit expires Date.....�.:.�/...:.. 1 BUILDING Owner © SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor /^lA11,5r� /2jG Total Valuation Mailing Address/3 U //j/S U� Permit Fee Plan Checking Fee &/or Penalty Cl C v Telephone No. Permit Fee $ $ Building Address aMszo— 46�S a vozy PLUMBING. No.1 @ FEE PERMIT FILING FEE $2.00 ® O )• Z!�;—Q 0 S16 Each Trap 1.50 Aol w DE Repair drainage or vent piping 1.50 Water piping 1.50 O tz H 9 f71— Each gas water heater or vent 1.50 A. P. No. Q Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 FireDept. Fire Zone Use Permit Building sewer 5.00 ' EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements provements Lawn sprinkler system 2.00 Bldg. Plans Rec'd Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER g ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 51.100 Main service incl. 1 meter T, 00 Additional meters ch 1.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12**Tess) (morethanl2) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixturesbal aio 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 $ $ 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;Wor,1nen's Compensation. hve placed on file with the County of Butte a certificate of Wokmen'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. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 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 relating to building construction, and hereby TOTAL PERMIT FEE $ S_l inc V --y VI puuc lV climi upull Lim above-mentioned property for inspection purposes. X Date / ignature of Permiteeepe 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 Cotbnty Code and/or resolutions to do work indicated above for which fees have been paid. DIFECTOEJ OF/�IJBLIC WORKS Byg����G_./ Date permit expires Date.....�.:.�/...:.. 1