HomeMy WebLinkAbout040-170-14740-17-147 (4
~ ALBERT ; VOGEL
1904 Vista, Durham7
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Contr: Tri -County Electric, Durham },
Permit #1091-84E (ele ser chg/SF)
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541,
APPLICATO D PERMIT
ASSES50R PARCEL NUMBER
14
ZONING
BUILDING BUILDING P
RMIT
OWNER "'
TELEPHONE
SQ. FT. OCC, BUILDING VALUATION
OWNER'S MAILING ADDRESS _
CONTRACTOR'S NAME
"T�l - t'n_�J1 i7-S� 60T /
TELEPHONE
%��- S`elnl
CONTRACTOR'S MAILING ADDRESS
q6 U���r�tr)'r
Fireplace
CONSTRUCTION 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 ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS��
C/7 4 CJI ST P/L. / 1,) tJ r1%_ iF 0/,),.
PLUMBING PERMIT
Filin 9 Fee 10.00
.
Each Trap
2.00
Solar Water Heater
20.00
1, 9,4y, Ii?! �
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❑ Duplex❑ Mobilehome❑ Other SPECIFY
Building sewer
5.00
Mobile Home S I G I W
R10.00 e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other 0
Describe work: �"" _ /''%� - ti c �� !//r'/' /' �,���-?l
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service ;O°°V OR 0 AMP ORLESS10.00
1("'),uo
L
CE COPY
I declare un
�' I al Address 3 of the Business
ands' I force and effect.
1 t ���
Lid
❑I, + GAS '_ their sole compen-
sat Meter By X. Date intended or offered
for1i ELECTRI
❑ I, i Meter By Date licensed contract-
❑ 1 ar J Professions Code
for this reason
Main service EA. ADD'L too AMP
2.50 -7,<0
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ( ACC. BLDGS. 2th¢sq ft
NEW CONSTR. MULTI -OUTLET
NON-RES,D BRANCH CIRC ITS 2.50 ea
NEW CONSTR. POWER APPARATUS &'
NON-RESID. (SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES BAL SOS
BAL®s°a
Ex. Occup. OUTLETS ED P(RESID )LNS REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00 < rah
Permit Fee $ 47 C:1
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. -
0� 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 shal I be deemed revoked.
Heating
L `
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
1 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.
X �� �_ / -����� )1/ • / Date Al / s �l �rU
Signa u e 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 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ 5-2,47<D
OCCUP. GROUP
TYPE OF CONST.
PARCEL P7
ND
I ISSUE,
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
-
BY '•�--"--�
�. --
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
I
Date - f 7-� �
�
Receipt No. � `�
WHITE-D.P.W.. YELLOW-ASSFSSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION %ND PERMIT
PERMIT NO.
w
ASSESSOR PARCEL NUMBER
1:0r
Z NTNG
BUILDING PERMIT
OWN R
TELEPHONE
S0. FT. OCC. BUILDING VALUAT
OWNER'S MAILING /ADDRESS
CONTRACTOR'S NAME��{��J �/ L^,/ ELLEPHONE�
I /
CONTRACTOR'S MAILING ADDRESS
�j ('
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS ,� /
PLUMBING PERMIT
Filin Fee 10.00
9
D ' °
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)4J Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home I S I G I W
--[10.00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other
Describe work: C4ZEL�- 2 S E;V Z <2C=: 9AJ6A.) 25
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00 ���
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&`
OR ADDNS. ACC. BLDGS. /
t
2h0sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
[-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.
( q x Y e/�
License No.���`v +—� 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 CONST R., ULT' -OUTLET 2.50 ea
NON.RESID BRANCH CIRC ITS.
NEW CONSTR. POWER APPARATUS &'\
NON -R ESID. SINGLE OUTLET CIR. /
Ex. Occup(20®g0`
o Ts OR FIXTURES BAL®30
FIXED APPLES. OR
FIXED
EX. OCCUp. OUTLETS (R ESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00 ,e;
�%`1 h91 50
Permit Fee $ S -Z, Q
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
Consent to Self -Insure.
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 s County i quence of the granting of this per it.
X Date ,j
Signature of Applicant — wne Contractor ❑ Agent N
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories/ in height.
Mobile Home Installation Fee
$
TOTAL PERMIT FEE $ S'Z,Sd
OCCUP. GROUP
I TYPE OF CONST.
PARCEL
PD
NO
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIREO OF PUBLIC
BY
P IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date� .17-4?S(_
L—(7 �v
Receipt No.�`7`7`
WHITE-O.P.W., YELLOW-ASSFS OR, PINK -INSPECTOR, GOLDENROD -APPLICANT