HomeMy WebLinkAbout043-690-0630 45 -G40 - cko3--42�3
GEORGE MCKILOP.
NIS Oak Park.A�e, 400'E Rose Ave, Chico
Contr: Hinkle Roofing
Permit#2538-84B�reroof & smoke det/SF)
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APP ' O
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COUNTY OF BUTTE - DTao
MENT OF PUBLIC WORKS PERMIT NO. 1
7.Colinty Center Drive - Orovilleia 95965 - Telephone 916/534;4541.
APPLICOONAD PERMIT
ASSESSOR PARCEL NUMBER
� a - :D�.
ZONING
BUILDING PERMIT
OWNER V•
t `t"1 01) r 0 o. �� - k t � h
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
� ^
OWNER'S MAILING ,ADDRESS
1--�t °). N : 4hj- / n
CONTRACTOR'S NAME `
TELEPHONE
CONTRACTOR'S LING ADDRESS /
`/
Fireplace
CONSTRUCTION LENDER -
1
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ NSrnf)
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
�J `Q I '
Each Trap
2.00
Solar Water Heater
20.00
�pj-�
CJil1� C1)
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 2 Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S I G I W
10.00 e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑�
Describe work: <� `� RQ� �`+� c v ' �/►-A �ii ' L_
�,• ���w\ S uj) ' QC Ate,
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 10_ OR LESS
1000AMP OR LESS
10.00
!� } C�..i,�� l
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ACC. BLDGS.
2tlz0sq 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. ��r� %/r� Classification '74p'
❑ 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)
F -1I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR ULTI.OUTLET 2.50 ea
NON.RESID BRANCH CIRC ITS
NEW CONSTR. POWER APPARATUS &)
NON -RES,D. SINGLE OUTLET CIR, /
Ex. Occu 20e50t
P�ouTLETs OR FIXTURES SALO 300
FIXED APPLNS. OR ``
Ex. Occup. OUTLETS (RESID.) EA./ 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.
Oil' 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.
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 incons/e'q�uenc%e�of the granting of this permit.
X lis i��ru' !/L/ Date J/�i��`�7
Signature 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 $
OCCUP. GROUP
I TYPE OF CONST,
I
PARCEL PD
HD
I ISSUE'
,�/
This permit is hereby issued under
work indicated above for which
DIRECTOR OF PUBLIC
BY.'`„---
X --
PERMIT EXPIRES Date
the applicable provi-
fees have been Paid.
WORKS
Date
Receipt No. '/
WHITE-D.P.W.• YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, Cali,1brnia 95965 - Telephone 916/534-4541
APPL• ICAT NAND PERMIT
PERMIT 0.
�zv.
,AA
ASSESSOR ARCEL NUMBER fZONING
BUILDING PERMIT
OWNE
TELEPHONE
S0. FT. OCC. BUILDING VALU,TIO
OW ER' AILING DRE S
-�
r C' -
CON KCTqR'EjN M ITELEPHONE
� L4Vl IP Ila I
T A R'S MAILING ADDRESS
S� 3,S—
Fireplace
CONSTRUCTION fENDER
UNKNOWN
Total Valuation $
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
$
BUILDING ADDRE S ►
V
PLUMBING PERMIT
Filing Fee 10.00
�S
�
Each Trap
2.00
Solar Water Heater
20.00
III, CZ
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 2 Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S G W
10.00 e
TYPE OF WORK
New F1 Addition Remodel❑ utiiitiea In tallation❑ Other
Describe work: d —
S` F ! p
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OROOV OR LESS10.00
r
Main service EA. ADD'L 100 AMP
2.50
NEW CONST.// DWELLING OCCUP.&
OR ADDNS, l ACC. BLDGS.
2/20sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
F-1 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. �� U'�2 �" 3�
,�- 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 CO ID R- BRANCH CIRCTITS 2.50 ea
NEw -CONSTR POWER APPARATUS &
NON R ESID. SINGLE OUTLET CIR.
Ex. Occu / OR FIXTURES
P\o
20@50*
&AL®so
FIXED A
Ex. Occup. OUTLETS P(RESID )LNS REA.) 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.
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.
F1 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.
MECHANICAL PERMIT
FiIingFee 10.00
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, cost and expenses which may in any way accrue
agains said oun copse ce f the granting of thispermit.
%� Date`
Signature of Applicant — Owner El Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ D
OCCUP. GROUP
TYPE OF CONST.
PARCEL
PD
HD
1550
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIREC R OF PUBLIC
BY
P MIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
r
Date ?—I fir
r337stories
Receipt No.—, 0�
WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT