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HomeMy WebLinkAbout042-340-00506 42-35-5 C . LAYLAND er i, NOVAK, Robert { 1211Glenn Haven, Chico. I 1 Contr; Sierra'Roofing / 1 Permit��53-86B(reroof/SF) Oa-Way East--of Glenwood Chico i�2 x J I I r 1 I cn LM Iq -C-O ,ZX,v4q-1VD R Ilia - 9� I a - a S;77 e COUNTY OF BUTTE - DEPARTMENT;,OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovill ;, CalifQ*rnia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ,_y 4t S ' "' ZONING BUILDING PERMIT OWNER /-e?,/�4n� TELEPHONE X93_lSSD� SO. FT. OCC. BUILDING VALUATION OWNER'S MAILLII��7/ NG ADDRESS n f CON ,7RACTOR'S NAM�E/j- ""��� : - \4"Ir I :r L1 I d a s*',ic -rq r3 - K. ��i\ �� TELEPHONE _3 r6 -f f ' CONTRACTOR'S MAILING ADDRESS' %�/,7 ,mar-tf ;✓, 5 a /V_4 -,4 Fireplace CONSTRUCTION LENDER UNKNOWN j 9�r� Total VdlUatlOn $ .11S 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 $ _S S% 5-2! BUILDING ADDRESS � lie #1 PLUMBING PERMIT Filing Fee 10.00 t Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAMEPARCEL s MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF[Z Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe world -1_/ff Awl Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP 00V OR ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (DWELLING OCCUP.y) 20 sq ft OR ADDNS. ACC. BLDGS. 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. ..i �� 11 / C/ .... 7� - License No. C ` 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 NNEW ON.RESIDMULTI R BRANCH CIRCTITS 2.50 ea NEw CONSTPOWER APPARATUS e\ NON- RRESID. SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES 50@25 Ex. Occup. �OUTLETS FIXED P(RESID )LNS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 E� Misc. Wiring, 7.50 ... , r` Permit Fee, E $, Contractor a, 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 S 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. �( t- 2/ (� j�S 1 �. Date Signature of Applicant — OwnerIO, 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. F PARCEL PD HD SSUE 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 aid. p By. DIRECTO ",OF PUBLICIWORKS / r,, A r �;Date .. - PERMIT EXPIRES Date Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPAR MFNT OF PUBLIC WORKS P RMIT NO. 7 County Center Drive - Oroville, CAforniaTF95965 - Telephone 916/534-4541 s7-_� APPLICATION AND PERMIT Z ASSESSOR PARCEL NUMBER ,4�_ ZONING BUILDING PERMIT OWNER /--QQn� TELEPHONE �gD3 SO. FT. OCC. BUILDING VALU ION OWNER'S MAILLING ADD SS 8 /_ CO R CTOR'S.NAM TEL -PHONE — 3 YCII CO TRACTOR'S MAILING DRES A� S — Fireplace CONSTRUCTIOW LENDER UNKNOWN Total Valuation is 00 Filing Fee $, 10.00 LENDER'S 1. All ING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT.— ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRE S - all dL"Alz all— PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SFM Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti Iities ❑ Instal la ion ❑ Other ❑ Describe work: - Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR ORSLESS 5.00 Main service EA_ ADD'L 100 AMP 2'.50 NEW CONST. DWELLING OCCUP.5j) OR ADDNS. ACC. BLDGS. I 20 sq CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ry iRJ�YyI I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code an my license is in full force and effect. Q License No. Classification G --i 2 / ❑ 1, 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 I.Ou LET 2.50 ea NON.R ESID BRANCH CIRC ITS NEW NON -CRESONSTIR. ( POWER APPARATUS eI D. SINGLE OUTLET CIR• ::oozes Ex. OccupOUTLETS OR FIXTURES ggL@tOC FIXED APPLNS. OR EX. OCcup.�OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 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 shal I 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 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; judgments, costs, and expenses which may in any way accrue, against s id Co ty in co equence of the granting of this permit. mak':► X Date—.5'— Signature of Applicant — Ownerk Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or.'construct-IRE ion of structures over 3 stories in height. - Mobile Home Installation Fee $ TOTAL PERMIT FEE $ SZ� OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which OF PU BY�2 PER IT rXPIRES Date the applicable prove resolutions to do fees have been paid. I WORKS D to Receipt No. 57 WHITE-D.P.W.• YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT 6 i4 986 , � N� S3do4 h Ol) ! cnp-QNno deo 0