HomeMy WebLinkAbout047-500-001rk
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(Steve Burton)
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
ASSES 0 PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER
WIWA;
TELEPHONE
S 0. FT. OCC. BUILDING VALUATION
OWNER's MAILING A:DDRE,SS
CONTFLACTOR' �NAM
kJ
ITELEPHONE
0 P5 ?,7 C,/,p
CONTRAC,TOR'S MAILING ADDRESS
—,I.z 4/ *._f4A".F'w �,/W/
Fireplace 7
CONSTRUCTION LENDER
r_
'UNKNOWN
I
Total Valuation $
Filing Fee
$ 10.00
—
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
d110141
LICENSE NO.
I
Plan Checking Fee
$
Penalty
$
—
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
AC
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LO I T .. NO.
SUBDPISION'NAMF-
PARCEL MAP
Each qas water fieate7r or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
- kJ
SFE:1 DuplexR MobilehomeF-1 'Other 41 lelllllwo (_
SPECIFY
Building sewer,
Lawn sprinkler system
5.00
-
TYPE OF WORK
New F1 AdditionE],Remodel[:] Utilitiesp InstallationR Other 1[A�
Describe work: (_;J 7X 1410,41 / 4,,,a4,4F _r
46V
Permit Fee
$
'Contractor
ELECTRICAL PERMIT
FilingFee 10.00
Main service 600V OR LESS
1100 AMR OR LESS
5.00
Main service EA. ADD -L 100 AMP
2.50
NEW CONST. I DWELLING OCCUP.011
OR ADDNS. 1, ACC. BLDGS. � - r
21: sq ft
CONTRACTORS LICENSE LAW
I declare,under penalty of perjury .(check one):
FVJ I am licensed under provisions of Chapt. 9, Di�.'3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
1, as the owner, or . my employe"es With wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
F� I am exempt under Sec.—, Business 'and Professions Code
for this reason
NEW CONSTRL(MULTI-OUITLETU 2.50 ea I
NO..RESD, BRANCH CIRC ITS)
NEW CONSTFL POWER APPARATUS.6)
NON RESID. (SINGLE OUTLET CIR
EX. Occup(OUTLETS OR FIXTURES 50 @ 251
__ - - ISAL@100
_U_R_
FIXED APPLNS 0
Ex. Occup.(OUTL ETS (-RESI'D.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee
$ o 0
Contractor
MECHANICAL PERMIT
Fi ing 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
Venti lation
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.
1 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 ,36id,County�Ifn'consej�uen6e,of the grinting of this permit.
Date
Signature of Applicant – OwnerEl Contractor 0 Agent El
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of str ctures over 3 stories in height.
Mobile Home Installation Fee
$
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OF CONST.
IPARCELI
P
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.
_,-,,-'DJRECTOFt OF PUBLIC WORKS
?Vlaw
By. Date I'/-
PERMIT EXPIRES��Datt 21
Receipt No. AVO AIA,
WHITE-DI.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDEN ROD-APPL I CANT
fe,� —.
--5sl P/
— 7-1
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-455/41
APPLICATION AND PERMIT
ASSES
,�"AR R
ZXONG
7-1-11
BUILDING PERMIT
Ll 47
4J
TELE11-1.111-
SQ.FT. OCC. BUILDING VALUATION
OrWNER'S MAILING A7DDREWS-
AM E
CON:r 4;6 00t/
EPHONE
CONTRACJTO S AILING ADDRESS
.,u ,� /,W/ �_ e
Fireplace
CONSTRUCTION LENDER
A10,41 E_
NKNOWN
r
Total Valuation 1$
Filing Fee
$ 10.00
-
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
1111197V
SE NO
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
PLUMBING PERMIT
FilingFee 10.00
w,
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
L61 NO. SUBO)00VISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STR C
SF [:1 DuplexF� MobilehomeF� Oth
SPECIFY
Building sewer
Lawn sprinkler system
5.00
.
TYPE OF WORK
NewF] AdditionE],Remodelo Utilitiesp InstallationE] Other [Zl-
Describe work: A7 �r // 6.71
Permit Fee
$
'contractor
ELECTRICAL PERMIT
FilingFee 10.00
Main service 6001 OR LESS
100 AMP OR LESS
5.00
Main service F -A. ADD'L 100 AMP
2.50
NEW CONST DWELLING OCCUP.5i)
OR ADDNS. ACC ' BLOGS.
20 sq ft
CONTRACTORS LICENSE LAW
I dlFlunder penalty of perjury (check one):
a m 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. =24ZQ16 — Classification ----25
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)
1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
I am exempt under Sec.—, Business and Professions Code
for this reason
N OE W CO N,STP-(MULTI-OUTLET 2.50 ea
N N -RE S � BRANCH CIRCUITS)
NEW CONSTR. (POWER APPARATUS.&)
NON-RESID. SINGLE OUTLET CIR a? L?, o
150 250
Ex. Occup(OUTLETS OR FIXTURES BA@L @ 100
(OFUIXED APPLNS. OR I
Ex. Occup. TLE TS (RESID.) EAJ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
1 1
Permit Fee $
Contractor
MECHANICAL PERMIT
Fi I ing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F� The permit is for $100.00 (valuation) or less.
ijg�I have placed on file with the County of Butte Building Department
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 beccme 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 1. 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 alsp-a t ave, indemnify and keep harmless the County of Butte against
all, ia i !etieieso Jsudgnnp��Jts, co I I and ex en��.which may in any way accrue
against W, -m ��en t n ing of this permit.
Ai �_-,.ount , 13
_J _,V _/_ d;-1
Date
Signature of Applicant OwnerH Contractor Agent 0
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of str ctures over 3 stories in height.
Mobile Home Installation Fee
$
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OF CONS7
I PARC El
I P
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
PERMIT EXP[F:rE.V=TQq'__ .�
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date,01-W—R /I
— 2 — ? Z- . I
Receipt No. - /V-40 Alg::�,
WHITE-D.P.W., YELLOW -ASSESSOR. PINK-INSPKCTOR. GOLDENROD-APPL I CANT
CIO
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V-4LLOMBROSA
ES- 37-6 -67
651
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