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Home My WebLink About041-240-013` A.P. /1-2!g-13 0-4 - ALMA & DELBERT FORBES 4" -ow- l app. 1 mi. off e/s regon Gulch Permit 439-73P,E (utilities with,t e -except on... f, gas for mobile home) i u - N i U t i JV � 0 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center DAve — -•Oroville, California 95965 Telephone: 533-1230, -Ext. 259 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date _ Signature of Permitee or Agent Receipt No. White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Building Permit Expires Date BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mai I i ng Address Fireplace Contractor Total Valuation Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty Permit Fee $ $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 � Repair drainage or vent piping 1.50 Water piping 1.50 ""- Each gas water heater or vent 1.50 A. P. No. .- Zoning' 9 Gas piping system 1 - 5 outlets 1.50 Each additional outlet .50 Fire Zone Fire Dept. Sanitation Planning Building sewer 5.00 Plans Fees W. C. R; Encroachment Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ OTHER ❑ Permit Fee $ $ � ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Y Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) USE OF STRUCTURE Single Family ❑ Duplex ❑ Others ❑ Range, dryer or water heater 1.00 Oven, Cook -top or space heater 1.00 Light fixtures Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. FanorF.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Misc. wiring y, License No. Classification ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ MECHANICAL No. @ FEE ` WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. j I certify that in the performance of the work for which this ❑ permit is issued I shall not employ any person in any manner • so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Fee $ $ 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 $Permit InStfumenta�iontr oq on; an $0.07/$1000 Evaluation $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date _ Signature of Permitee or Agent Receipt No. White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Building Permit Expires Date Owner Mailing Address Contractor Mai I i ng Address Building Address Tys" A. P. No. .i % " v — 4 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive ice- . Ordiiille, California 95965 Telephone: A23Ek23McRxk22k 534-4541 APPLICATION AND PERMIT Fire Zone I Fire Dept. Plans &""— Fees Z�TW. C. e NEW ❑ ADDITION lanni R/W I Encroachment OTHER V BUILDING SO. FT. T OCC. BUILDING VALUATION 6 Fireplace Total Valuation Permit Fee PI an Checking Fee &/or Penalty Permit Fee PLUMBING Al -PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system &`t( &f/& USE OF STRUCTURE . Single Family ❑ Duplex ❑ Others ❑ L � / CONTRACTORS LICENSE LAW ` I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: License No. Classification I am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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. -le X Date S Signature ofermitee_or Agep� Receipt No. •[//��' /) le _ White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant Permit Fee ELECTRICAL PERMIT FILING FEE Main service incl. 1 meter Additional meters, each Sub -panel (12 or less) (more than 12) Range, dryer or water heater Oven, Cook -top or space heater Light fixtures Receps., switches & fix outlets Hood, Ex. Fan or F.A. Furn. Motor Evap. cooler, gar. disp. or D.W. Air conditioner or heat pump Water pump Misc. wiuna $2.00 1.50 1.50 1.50 1.50 1.50 50 5.00 2.00 rrrr FEE Permit Fee $ /, $ , MECHANICAL No. @ I FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Permit Fee $ $ ,Sn;tatet rumenFee tation rogrom for Strpng Motion $0.07 /$ 1000 Evaluation $ I TOTAL PERMIT FEE $ /5, c� O This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF UBLIC WORKS BY � Date �� Z�'-7�i3 Building Permit Expires — '7�— `/ rMs set of plans and specifications MUST be ;sept on the job at all times and it is unlawful to malce any charges or alterations on same without written p:;r misson from the Department of Public Works, County of Butte. s and location of build Septic - t;c sy stub out to be as per ir,g drain DePt• 4te- Eiutte County quirements. b1 T1 All- .-uti!itY connections shall be locar ed wiithin 4 ft. outside the rear th,i?-d section of the mobile home on the left (road) side of the mobile borne. BUTTE COUNTY BUILDING DET kRTIMEN 1 APPROVED r.X- /� �T. �: Q�'t� �� Z�`��-� � ��'�s�