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HomeMy WebLinkAbout043-682-01011 It 0000 ii i Ln ---- ------ 0 LOCATION: CH66-POI APN: 043-682-010 26 ROSE AVE N w E tj PROJECT: SME: NONE PROPOSED CATV DATE: comcast communications : %11:/- 08ZOZZ03 REGIOK& OFFIM* 4WO KU OR, SACPAMEMM CA MM POLE MOUNTED POWER SUPPLY APPROVED W REVISION: CH66-POI 0 95 2005 L-- --200 90 2027 k 2001 26fAVE pp, 9 �( P, xy, ALMOND ORCHARD 2065 0 k 11 It 0000 ii i Ln ---- ------ 0 LOCATION: CH66-POI APN: 043-682-010 26 ROSE AVE N w E tj PROJECT: SME: NONE PROPOSED CATV DATE: comcast communications : %11:/- 08ZOZZ03 REGIOK& OFFIM* 4WO KU OR, SACPAMEMM CA MM POLE MOUNTED POWER SUPPLY APPROVED W REVISION: CH66-POI 0 i7 LOCATION SKETCH 0� ro z 11 1-6(- L I NOTES: IlkEl PRdP. SkL —� j P&P. CA7 'if ti Nn , 1 rj _ : /a , to i i i i i CLASS 3 i f . i i : : r i r • i t• : : -i. C � C � � O ._. _ 1 W, i communications , i REGWNAL OFFICE: 4350 PELL OR_, SACRAMENTO, CA 95838 .... _ _ . _ COMCAST UPGRADE .. ....... . i7 LOCATION SKETCH 0� ro z 11 1-6(- L I NOTES: IlkEl PRdP. SkL —� j P&P. CA7 'if ti Nn to CLASS 3 _ r i r -i. C � C � � O ._. _ 1 W, i communications , i REGWNAL OFFICE: 4350 PELL OR_, SACRAMENTO, CA 95838 .... _ _ . _ COMCAST UPGRADE .. ....... . 1 SYSTEM: - NODE NUMBER POWER SUPPLY: �N IG o Lµ -b 6 POJ DATE: SCALE: DRAW NG NO REv (::096NTY ' -;,� E - DEPTMENT OF DEVELOPMENT SERVICES - BUILDIN n Center Driv. • Oroville, California 95965 • Telephone (530) 538- 75 11SION PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER SEE ATTACHED ZONING OWNER BUILDING PERMIT COMCAST COMMUNICATIO TELEPHONE SO. FT. OCC. BUILDING VALUATION - OWNERS MAILING ADDRESS D4350RPELL DR SA A 951831p, CONTRACTORS MAILING CONSTRUCTION LENDER LENDER'S MAILING ADDRESS [ARCHITECT OR ENGINEER Total Valuation $ LICENSE NO, Filing Fee $ 20.00 ARCHRECT OR ENGINEERS MAILING ADDRESS :Permit Fee $ BUILDINGADDRESSSEE ATTACHED Plan Checking Fee Energy Plan Checking Fee $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PERMIT FEE $ PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE Each Trap 7.00 SF ❑ Duplex ❑ Mobilehome ❑ Other Solar or heat Pump water heater 23.00 spECIFv Water piping 15.00 TYPE OF WORK Each gas water heater or vent 15.00 New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Gas Di in istem 1 - 5 outlets 15.00 PLACE CATV POWER SUPPLY Buildingsewer ? 15.00 Describe Work: Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT `' Fling Fee20.00 Main Service 2000A0A OR LESS OR LESS 1 23.00 230.0 2 LICENSED CONTRACTOR'S DECLARATION Main Service 200A TO 1000A I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter NEW CONST. 46.00 OR ADONS. °W�� ODS. SO 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, MULTI oLr�nEsr 3.5¢FT: and my license isLJfull fore and effect./J N coNs . --IrJ�� / I NON•RE51D. @7.50 License Class � � Lic. No. PowER APPARATUS OWNER -BUILDER DECLARATION a SINGLE OUTLET CIR EX. OCCLI . OUTLET OR FIXTURES 20 ® 1.00 I hereby affirm under penalty of perjury that I am exempt from the Contractors License Ex. Occu saL •50 Law for the following reason: FD�DAPp� °R ounETs RESID. EA 5.00 ❑ I, as owner of the property, or my employees with wages as their sole compensation, Temporary Service will do the work, and the structure is not intended or offered for sale. 23.00 ❑ I, as owner of the roe Mobile Home Facilities 20.00 property, rty, am exclusively contracting with licensed contractors Misc. Wiring to construct the project. 23.00 • ❑ I am exempt under Sec. reason Business and Professions Code for this WORKERS' COMPENSATION DECLARATION PERMIT FEE S I hereby affirm under penalty of perjury one of the following declarations: MECHANICAL PERMIT Fling Fee 20.00 ❑ 1 have and will maintain a certificate of consent to self -insure for workersHeating compensation, as provided for by section 3700 of the Labor Code, for the Cooling performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section Hood 6.50 3700 of the Labor Code, for the performance of work for which this permit is issued. Ventilation a workers' compensation insurance carrier and Policy number are: Carrier Policy Number PERMIT FEt $ (The above sections need not be completed if the permit is for work of a valuation Mobile Home Installation Fee $ of one hundred dollars ($100) or less.) Energy Inspection Fee $ ❑ 1 certify that in the performance of the work for which this permit is issued, I shall °C° CONST. TYPE not employ any person in any manner so as to become subject to workers' TOTAL FEE $250.00 compensation laws of California, and agree that if I should become subject to the " workers' compensation isions Of section 3700 Of the Labor Code, I shall D FEES IMP FLOOD COF pARCd Po HD E forth ' h Tom h revisions. This permit is hereby issued under the applicable provisions X Date _j-� of the Butte County Code and/or Resolutions to do work Applicant - ❑Owner Signature Of �� V indicated above for which fees have been paid. Contractor ❑Agent An OSHA permit is required for excavations over deep and demolition or construction of structures over 3 stories in height. 911111 0By Date ReceiptNo. WHITE-D.D.S.-B.D. AN Y -ASSES OR N - SPE OR oI Monn_woe PERMIT EXPIRES ON