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HomeMy WebLinkAbout042-070-1663 I COITO 42-07-166 R-. SW cor Henshaw & Alamo, Chico Permit#2310-83B (seroof,/SF)_ I L' i i COUNTY OF BUT - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICI&TION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER Z0mi N -)G BUILDING PERMIT _ OWNER ((' TELE/PHONE L) SO. FT. OCA... BUILDING VALUATION Qe' 1r%ti OWNER'S MAILING ADDRESS, C k CONTRACTOR'S NAME .- pwiN/thII- _ ...... TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER .* )n&Vlk UNKNOWN Total Valuation $ —7-) I Filing Fee $ 10.00 LENDER'S MAILING ADDRESS - , ' Permit Fee — $ /I— ARCHITrE, CT OR ENGINEER ARCHITECT i \vv , 1v�' " LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS - r PLUMBING PERMITg Filin Fee 10.00 c 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 SFLI Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S I G I W J 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑% Utilities ❑ Installation❑ OtherX Describe work: — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 0Dv OR LESS 1 100 <MP OR LESS 10.00 Main service EA. AOD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ACDNS. ( ACG. BLDGS. Zth2sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury 4(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 u 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.( ULT' -OUTLET 2,50 ea NON-RESID BRCNCH CIRCUITS) NEW CONSTR. IPOWER APPARATUS &'� NON-RESID, SINGE OUTLET CIR. o OR FIXTURES eAl@30 Ex. Occup(BAL030 FIXED APP LNS. OR FIXED A Ex. OCCUp- OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Faci ities 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. ❑ 1 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. ,p X X rlllr^ a X_.�-•� e f �f-C- f ., Date f' Z Signature of Applicant - Owner.0 Contractor ❑ Agent Q 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 TYPLOF CONST. PARCEL `PD 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-24/r�, 1 j" ./ �'A Receipt No. (')c) () 6 1 WHITE-D.P.W•, YELLOW-ASSFSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTT=E - DEPARTMENT OF PUBLIC WORKS --� 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION4NOPERMIT • 4 PERMIT NO. ASSESSOR ^ARCEL NUMBER ,4 aL to ^ ' o ko- ZONING BUILDING PERMIT Ow TEL HONE 91, SQ. FT. OCC, BUILDING VAVUATION OW R'S MAILING ADDRE A� a CONTRACTOR'S �/NAME •0 )rtl ��l �/v TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation i $ Filing Fee $ 10.00 L NDER'S MAILING ADDRESS Permit Fee $ ARCkiI ETRE,NGINEER f/\V, LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 4�j �h S W T 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)6 Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORKPermit New ❑ Addition ❑ Remodel ElUti lities ❑ Installation ❑ Otherx" Describe work: — Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eDDV 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. / I 2/20sq 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 21 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) ❑ 1, 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. ULT. -OUTLET NO N.RESID BRANCH CIRC ITS 2,50 ea NEW CONSTPOWER APPARATUS &' NON.R RESID. (SINGLE OUTLET CIR. Ex. Occ Up(OUTLETS OR FIXTURES 20050a 13AL030 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 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. 2001 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 1 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 per it. %�a.C.�+� l� Date 7 Signature of Applicant — Owner Contractor ❑ Agent El An OSHA permit is required for excavations over 5'0" deep and demolition or construct -R ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ a S- OCCUP. GROUP I TYPE OF CONST. PARCEL PO I HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees TOR OF PUBLIC BY PER EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS at Receipt No.� 6 P. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT