HomeMy WebLinkAbout042-770-037COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT-rT ;. —3 1
ASSESSOR PARCEL NUMBER
SF1ATrACHED
ZONING
BUILDING PERMIT
OWNER,,
COMCAST COMMUNICATIONS
TELEPHONE
SO. Fr, OCC. BUILDING VALUATION
. OWNERS MAILING ADDRESS
4350 PELL DR SACRAL= CA 95818
CONTRACTOR'S NAMETELEPHONE
WESTCOAST COMMUNICATIONS
CONTRACTOR'S MAIUNG ADDRESS
140 M=S ST CHICO CA 9599,q
CONSTRUCTION LENDER
LENDER'S MNUNG ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Permit Fee
$
Plan Checking Fee
$
BUILDING ADDRESS
SEE ATTACHED
Energy Plan Checking Fee
$
$
PERMIT FEE S
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: PLACE CATV POWE12 SUPPLY
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G I W @20.00
PERMIT FEE $
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 'O oa LE::
8 23.00 184.0
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencingwith Section 7000 of Division 3 of the Business and Professions Code,
)
and my license is I II force and effect. •/�/� /
License Class C ^ ( 0 Lic. No. / (g 7 1 to
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' c mpensa ' rovisions of section 3700 of the Labor Code, I shall
forth c mply h se provisions.
X Date ��� �5 �3
_
Signature of Applicant - ❑ Owner 14 Contractor ❑ Agent
An OSHA permit is required for excavations ver 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A 46.00NEW
CONST. DWELLINGOCCUP. SO
OR ADDNS. ( a ACC. BLOS. 3.5aFT:
NEW CONST. MULTI.OUTLET
NON-RESID. C @7.50
POWER APPARATUS
a SINGLE ovrLET CIR.
Ex. OCCu OUTLET OR FIXTURES BgAL @ 1.50
F D ANS. OR
Ex. Occup. ounETs PPLEsID. EA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $204.00
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FET: S
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
coNsr. TYPE TOTAL FEE $ 204.00
HAZ.
D. FEES IMP
FLOOD
CDF
PARCEL
pD
HO
LSSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ONzz
the applicable provisions
Resolutions to do work
been paid.
Date
ate
Receipt No.
WHITE-D.D.S.-B. . C RY-ASSESS R PI S CTO DENROD-APPLICANT
128',
272'
9M
BELL RD
@25 r
LIG DROP
250* — 243'
00
LIG DROP
�70
LIG DROP
':3255 1 3225
3251 3245 LOCATION:
CH23-P0I FIELD
APN: 042-770-037,,,i�-
0
k�
ADJ 3225 BELL :Rb 0\, %.
(0 c o m c a s t communications PROPOSED CATV
KGOM OFnM- 4X0 PELL M- SAMMEW0. CA 95&% POLE MOUNTED POWER SUPPLY
I CH23—POI
O
LIG DROP
25
LD
E
S
NONE I
DATE: I
•` t
.,•�•y L1 P � /J
`i
l 1 V
,r t
•` 1
N.
.i t •t
N.
®25 -
'i` �•i K.'
N.
, i UG DROP `t
O
i �0- it
it
f� J i
t it volN
J PA iP `i
N.
y C'J i , UG DROP
'Fo1
UG DROP
`y .t1t h
\,
tt 0000 ,i
N,
\. N.
l
` ,• N.
yt 'y_y t // rO
i•, i.t � t .yam
N.
i UG DROP
26' ' i'i
i 1
'i
n 273' i 250' 243'
�* 272' •
BELL RD
N.
` t
3-1.57(0)
'h `t
'y t
t a
"3255 R 32'25 t
L -CATION
3281 I 3251 32'45N.
:,
FIELD t
APN : 042-770-037...r it� ��o r `:
ADJ 3225 BELL :RD
5 /
� + •:..t Jr ,.err
f r O�.
N,,
fr Jr N ®25
LD
``
.` JJ i E �1
X / i 'iN .t s
PROJECT: SCALE:
NONE
��comcast communications PROPOSED CATV DATE: 6-27-03
REWOrL4 piilCE: 4350 DELL OR. SAL95=NENfO. CA 9S
POLE MOUNTED POWER SUPPLY APPROVED By
REVISION:
CH23—POI 0
I
-� INN `n o
t
� �
��
y
.1.
y
,`,
,.
'a...
.. t
..........
4 . ......
M
VN"A
L ATION SKETCH
E D
j.
L- -J
L ATIO
—4-
tb
L J
13 M
j i----)
+
4
•
0
I—J
CLL- 7
3 Of 7-
325 0
3,
s ez, V4 IL
+---FobP e -A -TV
PP49 -3e,-
C
communications
o.
C.c REGON& OMCE: 435*0 PM DR.. SACPMDffO, CA 95838
Maim.
COMCAST UPGRADE
LOACTM:
0 22- EL J_
FP
SYSTEkk NODE NL%Mt OM SUPPLY:
C9 1461 3 1 PO I -
DAM [SQVZ- DRMM NO I M 5--2- 6 -,0 -3 LAA It*.= -L -j-
4
...... ... .
...... ...... 4
4
33
....... ....
L
0
I—J
CLL- 7
3 Of 7-
325 0
3,
s ez, V4 IL
+---FobP e -A -TV
PP49 -3e,-
C
communications
o.
C.c REGON& OMCE: 435*0 PM DR.. SACPMDffO, CA 95838
Maim.
COMCAST UPGRADE
LOACTM:
0 22- EL J_
FP
SYSTEkk NODE NL%Mt OM SUPPLY:
C9 1461 3 1 PO I -
DAM [SQVZ- DRMM NO I M 5--2- 6 -,0 -3 LAA It*.= -L -j-
1
'.
C
�_
>; .
.,
�.�-�