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Home My WebLink About040-250-001HOWARD GRABAST 40-25-1 9260 Goodspeed, Durham Ak1d1 Contr: Wilson & Son Ent f ermit#2450-84r;E(relocate -e-le & 1,Fd uti for existing site) N 0 -"� -�- 1 .._ r C OFFICE COPY Address GAS ' Meter By Date ELECTRIC Meter By �l Date �� L L4 OFFICE COPY;. Address GAS Meter By 9-49P— Date ELECTRIC Meter By P Bete COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICAMN 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 ' • ' I 1 I 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 FiIingFee 10.00 Each Trap 2.00 Solar Water Heater 20.00 [� t 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 ❑ Mobi lehome ❑" Other SPECIFY Building sewer 5.00 Mobile Home ISI GJWJ 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: w r — • i 1 .t j r Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 r Main service EA. ADD'L 100 AMP 2.50 ] NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 2t/20sq ft 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! �•- r .- ❑ 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 CIRCUITS) NEW CONSTR. ( POWER APPARATUS &1 NON•RESID, SINGLE OUTLET CIR, / Ex. Occu zoesom P�o OR FIXTURES 9ALe 300 FIXED APPLNS FUTL TS (RES. OR EX. Occup. OUTLETS (RESTDJ EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 t J 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 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 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 HD SSUE 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 I w , COUNTY OF BUTTE - DEPf\RTMENT OF PUBLIC WORKS v 7 County Center Drive - Oroville, C61ifog4 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESS PARC NUMBER �/i^• ZD G3 BUILDING PERMIT OWNERA-_ 1 V. TELEPHONE SQ, FT. OCC. BUILDING VALUATION' OW E M I IN AD RESS CN R CTO SNAME V6 S <cS ras TELEPHONE I CONTRA TOR'S MAILING ADDRESS el- _ L 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 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 1 r Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater orent 5.00 Gas piping system 1 - 5 ouvtlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer 5.00 Mobile Home S Gl W 10.00eE jp,00 TYPE OF WORK New❑ Additio ❑ Remodel❑ Utilities[:] Installation ❑ Other Describe work: rode 7sa_e l C.C. s4pru Ic e `- ?(i S n Permit Fee $ 0-C) - ab Contractor ELECTRICAL PERMIT Filing Fee 10.00 800V OR LESS Main service 100 AMP OR LESS 10.00 0 Main service EA. ADD'L 100 AMP 2.50 NEW CONST.DWELLING OCc'", OR ADDNS. ( ACC. BLDGS. 21h�Sgft CONTRACTORS LICENSE LAW I declar nder penalty of perjury (check one): rL7Jf I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profess igns Code and my license is in full force el'-'-C'and effect. License No. ` 46Q -M' B— ]�_3<J ❑ 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 UTI.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea NEW CONST NON-RESIR. D. (POWER APPARATUSSINGLE OUTLET CIR.& zoes0e Ex. Occup(o FIXTURES BAL®30 FIXED A POR Ex. Occup. OUTLETS (RESID ILNS KEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 00 Misc. Wiring 15.00 , S i? d I I b n 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 Consent to Self -Insure. �f' 1 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. MECHANICAL PERMIT FiIingFee 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 County of 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 again t said County in consequenc of the granting of this permit. X" �.. - �� Date Signature of Applicant – Owner LJ Contractor ❑ Agent �r 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 HD IssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which E T R OF PUBLIC 1� BY PERMIT EXPIRES [Date 27773 the applicable provi- resolutions to do fees have been paid. WORKS Date _ Receipt No.� �4LI;/ WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT /4�4 �-L zo