Loading...
HomeMy WebLinkAbout040-260-0624 40-26-62 J. ORVEL SAWYER 3970 xumholdt, Chico rermit##2551-80B (reroof) SF n •--- - --- - . -__ . �_.....__-----,_..:� 1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 �. APPLICATION AND PERMIT ROOM=�i% A%Vg PARCEL NU+BEFJ­-7 ZONINGS 11 BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS T CO NTRA�C•S AME TELEPPONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN _Fireplace Total Valuation $ 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 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAMEP ARC EL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK.,Permit New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instal Iation ❑ Other Describe work: AZ0/� — Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100 AMP OR00V OR LESS5.00 Main service EA. ADD'L too AMP 2.50 NEW CONST DWELINGOR ADDNS. ( ACCLBLDGS.CCUP,Q\ / 22 sq 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, 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 NON -RESIT R BRANCH CIRCTITS 2.50 ea NEW CONSTR. ( POWER APPARATUS $) NON -RESIT. SINGLE OUTLET CIR, Ex. Occup(OUTLETS OR FIXTURES 50@� BALetos FIXED APP LNS, OR Ex. Occup.(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 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. MECHANICAL PERMIT FiIingFee 3.00 Heating Cooling Hood 2.00 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, judgmen , costs, and expenses which may in any way accrue [;inst said County in nsequence of the granting of this permit. �-1 DiX� Date �— ature of Appli ant — Owner ontractor ❑ 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 $ Land Development Fee $ TOTAL PERMIT FEE $� Q� OCCUP, GROUP I TYPE OF CONST. PARCEL PD FHD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR F7PULICW By PEP61T EXPIRES Date the applicable provi- resolutions to do fees have been paid. RKS ate �0 eceipt No.:56�5�� HITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT F r r COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has-been applied for in your name"and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed propert improvement (yes or no) 2. I (have/have not) signed an application.for a building permit for•the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City. Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: l Property Owner �/ Social Securi number Date ti -- NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831- and 9831and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit.