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Home My WebLink About040-214-011I i 40-214-11 PAT PASINI�pQl ��D 2394 Durham S reet, Durham(�t.! Contr: Durham Electric Permit #1316-83E(ele ser ch/SF) y •I J m COUNTY OF BUTTE - DEPARTMEN>TiOF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATIONTAND PERMIT PERMIT NO. ASSESSOR PARCEL NU BEaRZO NG .- t BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC.1 BUILDING VALUATION OWNER'S MAILIN A R SS CO TRAC TOR'S NAME 1 TELEPHONE r CON'TRACTOR'S MAIL ..G ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER 214!! 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 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 SFL�buplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New ❑ Addition Remodel ❑ Uti Iities EJ installation ❑ Other Describe work: &L' � f&!t!r/lj!5: - Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 j r Main service EA. ADD'L 100 AMP 2.50 NEW CONST.// DWELLING OCCUP.& OR ADONS, ( ACC. BLDGS. t 2/20sgft CONTRACTORS LICENSE LAW I declare nder penalty of perjury (check One): .® I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code%annd my license is in full force and effect. License No. ��ww -� 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) ❑ 1, 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.jULTI-OUTLET NON-RESID `BRANCH CIRC ITS 2.50 ea NEW CONSTR POWER APPARATUS & NON-RESID. ( SINGLE OUTLET CIR. Ex. Occup(ouTLETs OR FIXTURES eA @g (t FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring �(/v� ' 15.00 , _ Permlt Fee $ a 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. ❑ 1 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 sai0-County ops g7Mnce of the granting of this permit. � � �_ L'j„ X ,� / Date C Signature of Applicant — Owner Contractor !'Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structuresover3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $/J r OCCUP. GROUP I TYPE OF CONST, PARCEL PD HD ISSU This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC r - By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS — Date `_i " Receipt No. U _P2 -l WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTM6N.T OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATIOIS AND PERMIT PERMIT N0. 'Yl AA Z ASSESSOR PARCEL NUMBER 41�_ ZO NG � / BUILDING PERMIT OWNER 4 t c TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING' A R SS C TRACT R'S NAME ITELEPHONE r V11, Alf A TOR'S MAIL ADDRESS /of�s�Z� _ �/� 4 Fireplace CONSTRUC ION LERITER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER 4244 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 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 uplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home TSTG W 10.00 e TYPE OF WORK New❑ Addition Remodel❑ Utilities❑ Installation❑ Other Describe work: �G1 ice(//G� Get/i�f Permit Fee $ ontractor 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. 2t/20sgft CONTRACTORS LICENSE LAW I declare der penalty of perjury (check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profession Code _andC_pr y license is in full) force and effect. License No. b �`-� Classification 61—/0 ❑ 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 NEWCONSTR ULTI.OUTLET 2,50 ea ESID BRANCH CIRCUITS _NO NEW CONSTR POWER APPARATUS & NON.R ES D. (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES gA ®S 0Q FIXED APPLNS, OR \ Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Mi sc. Wiring If/15.00. '' 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. � 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 liabili ' judgments, costs, and expenses which may in any way accrue against oun o nce of the granting of this permit. '�� Signature of Applicant – Owner LJControctor. 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. CROUP TYPE OF CONST, PARCEL PD HD ISSD This permit is hereby issued under sionse,5sions of the Butte County Code and/or work indicated above for which DIRE R OPU LIC BY 4' PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. S WORKS Dates Receipt No.��5 !OU WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT .. , . ,��.� -�►.� _ r=te- � ..-.. =c -..:,r. �,,� , � � � r ...,i..-Nr COUNTY OF BUTTE - DEPARTMENT OF'PUBLfC WORKS - BUILDING DIVISION ; E 7 COUNTY CENTER DRIVE - OROVILLE, d TO&A 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. OWNER -/-y//./T/.l// A. P. No. Proposed Burg—Use C7J>=-, GX Permit Fee Based Upon: Complete Contract Price DPW Valuation Ot er (Explain) Building Inspector Date At time of permit application, I was advise he following data.must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . . . . . . . ... . . . 2. Plot plans in duplicate./triplicate. . . . . . . . . . . . 3. Complete plans in duplicate./triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . 5. Plans with Energy Design Compliance Statement. ` 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. . . . . 8. Fees of $ . , . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style., classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . , . . , . . . . , , 16. Mobi lehome Installation Data. . . . . . . . 17. Pre -Inspection for ��'!/I uired,.Pre-Inspec. request to P q/ Building Ins ecr� ��°te>'. 18. Other !Q/ When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other r� Date —9--6 — Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance.- (For ssuance:(For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by By Plans checked by - Plans approved by Other Copy—DPW Telephone Mail Other Date Date Date