HomeMy WebLinkAbout042-350-024Y
:23C524 TARISH, Harold y 5687B
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1248 Glen Haven Dr, Chi54 6E
Contr: R&A Bldrs, Chic2-35-2 �4Rprmit #4-84B (reroof &et/SF� 1248 Glenn Haven Dr., Chico
4.
CONTR: Gordon Halone, 2730 Madera Lane, ��_
(new single family)
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COITNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.,
7 County Center Drive - Oroville, raliforr?.ia 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
ASSESSOR ARCEL NUMBERZONING
U
BUILDING PERMIT
OWNER —7 ,
-r
TELEPHONE
SQ, FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
1.0 y y '
CONTRACTOR'S NAME
r
'TELEPHONE
77
CONTRACTOR'S MAILING ADDRESS /
r7� moi• f .1N % t/};T -+T
Fireplace
CONSTRUCTION LENDER
UNKNO W--
C.
Total Valuation is
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER //��
c
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
y'
ALS
Water piping
5.00
LOT NO.SUBDI VISION NAME
PARCEL MAP
Each qas water heater or vent
5,00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF ❑c.Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S I G I W
10.00 e
TYPE OF WORK
New ❑ AdditionQ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: �� �'� �" 4%J K, o
1/n r?/ P O) Pte. h
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
00V OR
Main service 100 AMP ORSLESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. / DWELLING OCCUP.&
OR ADDNS. ( ACC. BLDGS.
21/20sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
F-1 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. 7e 757--G Classification J?
❑ 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
NEWCONSTRMULTI-OUTLET 2,50 ea
NON -RESID BRANCH CIRC ITS
NEW CONSTR POWER APPARATUS &)
NON.RESID. ( SINGLE OUTLET CIR,
20e50C
Ex. Occup(o OR FIXTURES eAL030Q
1TLETS
FIXED APP LNS, OR
EX. Occup. OUTLETS (RESID.) EAJ 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.
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 :o 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 liatilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date '- -� — y
Signotu�f Applicant — Owner El Contractor ❑'— Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of s'ructures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
occuP. GROUP
I TYPE OF CONST.
JPARCFLJ
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.
DIRECTORrOF PUBLIC WORKS
/,
( / 4
B 1 ` !'ti) V,
y ". ( A /INA Date
1J
PERMIT EXPIRES Date I -
Receipt No. `) V l
WHITE -D P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DERE RT.MENT OF PUBLIC WORKS
7 County Center Drive - Oroville, (A*foroia 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
i'
PERMIT
ASSESSOR PARCEL N BER
^—
ZONING
BUILDING PERMIT
OWNER.4 f
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNE MAILING DRESS
CA
ON ACTOR'S N E
S
TELEPHO
— Z
CONTRA TOR'S AILING AD RESS
F i replace
CONSTRUCTION LENDER
UNKNOW
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 30,00
ARCHITECT OR ENGINEER-
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDR SS
Permit fee
$c/0100
BUILDING ADDS
'}•it•
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO. SUBDIVISION NAME
ISARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SFB/ Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S G W
10.00 e
TYPE OF WORK
New❑ Additio Remodl❑ Util•tiie�es❑ Insta lation Other
Describe work: �(�l\ Lia I /ISI r`�.�P_S
;:2m„'D QA Pya 0 r
i1
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
�e%kms
Main service EA. ADD'L 100 AMP
2.50
NEW CONST.(DWELLING OCCUP.&
OR ADDNS. ACC. BLDGS.
t
ZhQSq 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 m license is in full force and effect.
y
License No. �tG7�'�L' 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 ULTI-OUTLET 2.50 ea
NON.RESID BRANCH CIRC TS.
WER APPARATUS & 11
NEW CONSTR./POSINGLE OUTLET CIR. 1
NON-RESID. (
20e50e
Ex. Occup(o OR FIXTURES BAL®30
PTS
FIXED
Ex. OCCUp. OUTLETS (RESID.)REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
FilingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100..00 (valuation) or less.
j�ji-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
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
again sa d Count in copse u e of granting of this permit. Lr
X Date ® 7Z
Sig a 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 $ Inn
O
occuP. GROUP I
TYPE OF CONST.
PARCEL
PD
HD
IssuE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
IRE O OF PUBLIC
By
PERMIT EXPIRES D
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Daa �3 �
Date
_ v
°—
Receipt No.
WHITE-D.P.W.. YELLOW-ASSFSSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT