HomeMy WebLinkAbout042-070-04342-.07-43
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2409 Guynn
Contr: Hinkle Roofing, Gerber
Permit#474-85B(remove & replace shake
roof/SF)
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, galifomma 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT '
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
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
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
SUBDIVISION NAMEPARCEL
MAP
Each qas water heater or vent
5,00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
5.00
Mobile Home ISI GJWJ
10.00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 0
Describe work: ' ''� ') f ) �' ' t —
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
600V OR LESS
Main service 100 AMP OR LESS
10.00
Main service EA. ADD•L 100 AMP
2.50
NEW CONST.(DWELLING OCCUP.&
OR ADDNS. ACC, BLDGS.
1
2h0sgft
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 m license is in full force and effect.
y
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 CONSTRLTI-OUTLET
NON-RESID BRUANCH CIRC ITS
2,50 ea
NEW NON -CONRES D.
D, (POWER
.
OUTLET CIRPOWER APPARATUS .&)
20e50C
Ex. OCCUp(OUTLETS OR FIXTURES 9AL9300
FIXED APPLNS, OR
Ex. OCCUp. OUTLETS (RESID.) EA.) 1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
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.
❑ 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 ND
I ISSUE
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
JCOUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT -NO /
ASSESSOR PWVL NU ER
`t.--- BER
ZONING
PERMIT
OWNER
I S
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRE
Q_t-f AA) e
co
r
CONT A TOR'S NAME
TELEPHONE
ONTRAC OR'S AI ING ADDRESS
r _ `-'S
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$ r
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
u !A hh
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 Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
5.00
Mobile Home JSJGJWJ
10.00ea
TYPE OF WORK
New❑ Additio Remodel❑ Utilities❑ Installation❑ Other
Describe work: 1" ,ce_ S
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. DWELING
OR ADDNS. ( ACCLBL GS.CCUP.&)
21/20sgft
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 and my license is in full force a 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
NNE ON-RESID R BRANCH TLCETITS 2.50 ea
NEW CONSTR. POWER APPARATUS &)
NON-RES,D. (SINGLE OUTLET CIR,
Ex 20®50e
OR FIXTURES eAL®ao
. Occup(o XED
A
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
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
�ve 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 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 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, cost , and expenses which may in any way accrue
agai said Cou y i onse enc the granting of this perm' .
X Date
Signature of Applicant — Owner ❑ Contractor � ent t
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,
I PARCEL
PD
I 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.
RE T PUBLIC WORKS
Date
By �_�
PERMIT EXPIRES Dat
Receipt No. � a �� �
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT