HomeMy WebLinkAbout042-010-059-----------------
-91-19
01-19
:JACK POWELL
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3682..B:ay. Avenue, - Chico-. -
Contr: Richard Terrano
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATIQN AND PERMIT
PERMIT N0.
ASSESSOR PARCEL NUMBER'
,V
ZONING -
BUILDING P RMIT
OWNER
A*1
TELEPHONE
SQ.FT. OCC, BUILDING VALUATION
M/AILING ADDRESS
OWNER'S /.-,,AV.)
I
CONTRACTOt R'S NAME _//
TELEPHONE /
CONTRACTOR'S MAILING ADDRESS
0 L,(' !: f 7 '�.�
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 ADDRESSPLUMBING
ff
/� j,7 %� V/'� /f� .
PERMIT Filin Fee 10.00
9
Each Trap 2.00
Solar Water Heater 20.00
('41r
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 1 5.00
Mobile Home ISI G W 10.00 e
TYPE OF WORK
New F1 Add ition❑ Remodel❑ Utilities❑ Installation[] Other❑'
Describe work: ^-� r �+ f /.'T
If, -,r, wI %U r!E
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 10.00
Main service 10ov OR LESS 10.00
100 AMP OR LESS
Main service EA. AOD'L 100 AMP 2.50
NEW CONST. DWELLING OCCUP.& I
OR ADDNS. ACC. BLDGS. 2h0sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check One):
F7 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 MULTI -OUTLET 2,50 ea
NON•RESID BRANCH CIRCUIT S
IRC ITS
NEW CONSTR- POWER APPARATUS &)
NON.RESID/. SINGLE OUTLET CIR,
EX. OCCUp\OUTLETS OR FIXTURES aALOg OQ
FIXED APP LNS, 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 FiIingFee 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
HD
ISSUE
This permit is hereby issued under the applicable provi-
sions 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
PERMIT EXPIRES Date
Receipt No. -
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
V COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION kND PERMIT v
ASSESSOR PARCEL NUMBER
=
ZOJ•IING
BUILDING PERMIT
OWNER
TELEPHONE
.SQ. FT. DCC. BUILDING VALUATION
OWNER'S MAILING A DRESS
L 6�
CONTRACTOR' NA E TELEPHONE
CONT R TORS MAIL NG ADDRESS
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
$51
BUILDING ADDRESS
Q7 G-
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 clas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ PAobi lehome❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S I G I W
10.00 e '
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑Cl Utilities ❑ Installation ❑ OtherW
Describe work: �L -�» /��fi� _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100v OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST.(DWELLING OCCUP.&
OR ACDNS. ACC. BLDGS.
1
2/20sgft '
CONTRACTORS LICENSE LAW
I de la under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Coe nd my license is in full force and effect.
f,� %�
(cense No. 4. Classification 13
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
NON -RESIT R BRANCH CIRCTITS2.50 ea
NEW CONSTR. / POWER APPARATUS 11)NON-RESIO. %SINGLE OUTLET CIR.
z0®s0t
Ex. Occup(o XED TS OR FIXTURES BAL9300
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
f Consent to Self -Insure.
LIQ ' 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 _
$ r
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 -men ned property for inspection purposes.
I also a ree to save, indemnif and/keep harmless the County of Butte against
Ia I I ' s, judgments, c sts and expenses which may in any way accrue
against sCounty in co a nce of the granting of this permit.
(%7, ^ 8—�
X Date
Signature of Applican – Owner Contractor Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures oyer 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCLuP. GROUP
TYPE OF CONST.
PARCEL
PU
HD
ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
ByDate
.PERMIT E RES Date----?'— �
Z
Receipt No.
WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT