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
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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