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HomeMy WebLinkAbout056-170-002- - - - �- - - -- - - - - - 56-17-02 1 KEITH CHARMIEY W/S Cohasset Rd; app'700'Sg��ohasset S Store, Cohasset %=i IIA Contr: Construction Concrete Forms,Chico Permit#613-83P(install solar wtr htr)SF 1 J ' • , I I a I1` � cflil�i^ 12 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Californi 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBERZONING -7 47 ' 1 BUILDING PERMIT OWNER cgTELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME , f it s TELEPHONE CO A TOR'S MAILING A D ESS p , //,5- ��C `� Fireplace CONSTRUCTION LENDER l')Zr UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS I Permit Fee $ ARCHITECT OR ENGINEER S LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 rey j iv/ s x T S/.1,4/t Each Trap 2.00 Solar Water Heater 20.00 tg 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&� Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home I S I G W 10.00e TYPE OF WORK New❑ AdditioLj:�- Reem^odel❑ Ut/ilities❑ Installation❑ Other Describe work: j�J{/'� �� S,��lifl /,�a,I� — Permit Fee $ (J (JU Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service &oov OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELING OR ADDNS. ( ACCLBLDGS.CCUP.&) 21/20sq ft CONTRACTORS LICENSE LAW 1 declar under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business yl force and effect. and Professions Code and my license is in full License No. ' ?+/ `� Classification'sC" • V,/ ❑ 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 NON-RESID. BRANCH CIRC ITS 2.50 ea NEW CONSTR. ( POWER APPARATUS &1 NON-RESID, SINGLE OUTLET CIR. Ex. Occup(ouTLETs OR FIXTURES aA @90Q 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 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. 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 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 liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. ,. X _' j' Date 3" '�" -= Signature of Applicant Owner.❑ Contractor ❑ AgentCc G�7('a11 1Zv `tio r c n 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 $ _7e), (i 7CCUP. GROUP I TYPE OF CONST, PARCEL P11 I No ISSUE This permit is hereby issued under sions of the Butte County Code and/or -work indicated above for which fees ISRECTOR OF PUBLIC By, / PERMIT jEXPIRES - Date/// the applicable provi- resolutions to do have been paid. WORKS Date ±� Receipt No. 7610 7,7 S J WHITE -D. P. W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - OrovilleACalifokia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT 3 ASSESSOR PARCEL NUMBER �— 67, ZONING BUILDING PERMIT OWNER / TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME S47Y TELEPHONE S= Z CON A T R'S MAILING A DRESS Fireplace CONSTRUCTION CONSTRUCTION LENDER £ UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER D LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUIL�V ADDRESS/,. f Gv .JD PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 f,, 00 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 Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition Remodel [:1Utilities [:1Installation❑ Other Describe work: �•Us'��f So%Gl! u Permit Fee $ Q Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service soov OR LESS 100 AMP OR LESS 10.00 -L— Main service EA, ADD'L 100 AMP 2.50 NEW CONST.(DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 1 2h0sgft CONTRACTORS LICENSE LAW I de la 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 effect. License No. '�/��J Classification..A. El 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) ❑ 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 NO BRANCH CIRC ITS NEW CONSTR. / POWER APPARATUS IN NON -R ESID. \SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES .0050t e 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 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. 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 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 County of 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, co ts, and expenses which may in any way accrue against id C my in c quence of the granting of this permit. _ 8 3 X Date Signature of Applicant — OwnepOfn Contractor ❑ Agent� V14 i An OSHA permit is required for excavations over 5'0" deep and demolition or construct -IRE ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ Q Q OCCUP. GROUP I TYPE OF CONST, I JPARCFLJ PD I HD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or ork indicated above for which TOR OF PUBL By &�V_Date PERMITto Z-- the applicable provi- resolutions to do fees have been paid. WORKS D 'rr (f� /IC Receipt No. (O 22,j WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT