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HomeMy WebLinkAbout040-213-01340-213-13 DURHAM RECREATION & PARK DIST ' a W/S Midway, 350'N Dur Dayton, Durham ` Contr: Agri Ele Permit#'572-85E(ele ser for lawn sprink ' ler timers) Rn(�1 i,I[ pZ Y Y � x l i I ` i i I .. .wi. .� .. „� , .- ..-, .. . 'j •�•Y17.�+'i �T+�,%�y'�i'��'.r..9' {•:�;}'71c:^+�"'S+"'� �"'rti ys"'=',F!4+i�`�.7T7". ^.a`>T`l`aFii. r`w-r -•w _ ... w/.�. /� `�, I OFFICE COPY Address GAS Date Meter By ,J ELECTRIC ('1 Date d Meter BY ' 1� COUNTY OF BUTTE - DEPA.RTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICAT16N AND PERMIT ' PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS - CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS r • ",i / , f /�0 • Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER •OR LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS /•� + PLUMBING PERMIT FiIingFee 10.00 / . 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 �'r-- ' • + SF ❑ Duplex❑ Mobilehome❑ Other - SPECIFY Building sewer 5.00 Mobile Home S GW 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: r • • J Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00V 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. 1 2/20sgff 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 my license is in full force and effect. License No. 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 CONSTR ULTI.OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR. / POWER APPARATUS & NON-RESID. %SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES ;0 500 300 FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 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. ❑ 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 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 Date Signature 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 $ OCcUP. GROUP I TYPE of CONST. PARCEL PD I NO I 1550E 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 Date Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DERARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER o . �1,3 ZONING BUILDING PERMIT OWNE TELEPHONE,/ SQ. FT. OCC. BUILDING VALUATION OWNILIN A DRESS AliW/ v[ CONTR TOR'S NAME TTELEPHONE • _3 CON R' (LING ADDRESS `(� p C� j� Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LE ER'S MAILING ADDRESS Permit Fee $ ARCH] CT OR ENGINEER We�� LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 GAra 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 STRUCT 4E j/,/A.& ✓� Jai GIS✓� SF ❑ Duplex ❑ Mobi lehome ❑ 0th SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ I tallatI n ❑ Other Describe work: �fG% Sf�1'l//LF 74�Le%,-/ Permit Fee $ —contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service BOOV OR LESS ce 100 AMP OR LESS 10.00 O 0 Main service EA. ADD'L too AMP 2.50 V NEW CONST.// DWELLING OCCUP.& OR ADDNS. l ACC. BLDGS. 2/20sq It CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check One): r_1 I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ 1, 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 CONSTR. U TI.OUTLET e NO N.RESID BRANCH CIRC ITS 2.50 ea NEW -CONSTR POWER APPARATUS & NON RESID. SINGLE OUTLET CIR. Ex / zoesoe . Occu P\OUTLETS OR FIXTURES BAL®30 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor 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. 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 shal I be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 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 i bilities, judgments, costs, and expenses which may in any way accrue again said C ty in cons_eguence of the granting of this perm't. %� Date Signature of Applic nt — 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 c) OCCUP. GROUP TYPE OF CONST. PARCEL PD NDr Issu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO OF PUBLIC BY PE IT EXPIRES Date _ the applicable provi- resolutions to do fees have been paid. WORKS Datetee`-���/� �rta— / IC7 Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT