HomeMy WebLinkAbout065-290-02165-29--2t
ERNEST BROOKSHIRE FT"-�
14792 Wildlife Dr, Magalia
Contr: Bills Htg & AC 47 1 '3 IT! 7
PErmit#2595-87B(remove & replace Type
>f,Iue. &,woodstove)
13
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N /
7 County Center Drive - Oroville, Cali$rnia 95965 - Telephone: 916/538-7541 _ V
APPLICATION AM.PERMIT O
ASSESSOR PARCEL NUMBER
(J('�' L
ZONING
,
BUILDING PERMIT -\
OWNR
r I
r LEPHONE
SO. FT. OCC. BUILDING VALUATION
OWN? 'S MAILINGADDRESS'
L, `
CON AC 'S ME T E HONE
L. l
CONT A TOR'SMAIL N AD R S
NG
Fireplace
L7
CONSTRUCTION LENDEr
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.E
LEND ' RMAILING ADDRESS
Permit Fee
$ D
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHI EC R ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS_ 1
1
Permit fee
w
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCT E
jE 1112
SF ❑ Duplex❑ Mobilehome❑ Other_T SPECIFY
Gas piping system 1 - 5 outlets
9 Y
5.00
Building sewer
5.00
H0.60pa,
Mobile Home S I G I W
TYPE OF WORK
New ❑ Addition Remodel ElUtilities ❑ Installation❑ Other
Describe work:
A7,14
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS 100
AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury
p y p 1 y (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. �C9Jr� Classification_
Fl 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
NEW CONST. DWELLING CCCUP.yd ,
OR ADDNS. ( ACC. BLOGS. /2Osgft
NEW CONSTR. ULTI.OUTLET
NON-RESID BRANCH CIRC ITS 2.50 ea
POWER APPARATUS &)
(SINGLE OUTLET CIR. )
Ex. ccup(OUTLETS OR FIXTURES
EO8AL030
ALO
Ex. OCCUp. OUTLETS PFIXED APLNS. R
RESIO )EA.) 1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. �yirin 15.00
g
Permit Fee $
Contractor
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.
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..) 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
agai said County in consequence of the granting of this p�e�rmit,./ p
X T0. Date ,i `� " 0 7
Signature of Appli ant — 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 $
Energy Inspection Fee $
TOTAL PERMIT FEE $
occ
CON9T.TYPE
I
IFLOODIPARCELI
PD
ND
99UE
This permit is hereby issued under
sions of the Butte County. Code and/or
work indicated above for which
IRECTOR OF PUBLIC
PER _ XF4f1 Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date�� 7
Receipt
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF • PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
.SSESSC+R PARCEL NUMBER
_
- S-- L
ZONING
I BUILDING PERMIT
owN R :. ;�,' • .•'L', •(•�-
_
�i
T LEPHONE
G
S0. FT. OCC. BUILDING VALUATION
-_
OWNER'S MAILING ADDRESS - - +• — -
,
CON AC 'S ME :. i 1 ( .TI E HONE
1
._�.
,
CONT A TOR'S M -A I QTNICT A RL—ISS »
if - '•
Fireplace
j
:ONSTRUCTION LENDE
UNKNOWN.'J'
C
Total Valuation $ % 0 i
Filing Fee
10.01)
LEND R' MAILING ADDRESS
Permit Fee
$ 5z>
ARCHITECT OR ENGINEER , ••
/11-
-LICENSE N.D.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHIT`ECT OR ENGINEER'S MAILING,AO,DRESS
Penalty
$
BUILDING ADDRESS
/ �✓ 7 1 / /*�I.
Permit fee
$
PLUMBING PERMIT
Filing -Fee -. 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO,.
'SU'BDIVISION NAME
PARCEL MAP
'Water piping•
.5. 00
Each qas water heater or vent
5.00
" USE OF ST '6C
!
SF ❑ Duplex❑ Mobilehome❑ Other ��
SPECIFY
i * !'t
Gas piping system 1 - 5 outlet's
5.00
Building sewer
Mobile Home S' G W
5.00
O.00ea
TYPE OF WORK
New❑._Addition _.Remodel❑ _UtiIities'Installation[] Other
Describe work: /- -
n -
��—�
PermitF.ee
$( ;
Contractor
-ELECTRICAL. PERMIT
Filing Fee 10.00
b ie00V
OR LESS -
Main service 100 AMP OR LESS
10.0
'Main service EA,:ADD'L 100 AMP
2.50
sEONTRAGTOF�S LICENSE LAW`
I declare under penalty of perjury (check.one)s
I am licensed, under provi si'ons of Chapt. 9, Div. 3 of the Business
7—` and Professions Code and my license Is In full force and effect.
Classification _(C — ba 0
Licerise •No. S 73- 4—Classification /
❑ 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
f _tor 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
•-N'E 1W CONST.,, D•WE,LLING O(:,C•UP.a ,
OR ADDNS: ( ACC. BLDGS. h2Sgit
NEw CONSTR TI.OUTLET
NON•R ESID BRANCH CIRC ITS 2.50 ea
•( POWER APPARATUS 61
SINGLE OUTLET CIR, 1
Ex. Occup(OUTLE"TS OR FIXTURES eL9 30 2ALO30
FIXED APPLNS. OR
Ex. Occup. OUTLETS IRESIO.I EA.) 2.00
Temporary service, 1,0.00
Mobile Home Facilities 15.00
Misc. byirin g
15.00
Permit Fee $
_
"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
i 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.
Contractor
MECHANICAL PERMIT
Filing Fee 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 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, costs, and expenses which may in any way accrue
agai said County in consequence of the granting of this permit.
/ y �7
X t Date ,i r " 0 /
Signature of Appli ant - 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 $
Energy Inspection Fee $
TOTAL PERMIT FEE $ 7. 4
OCCUP.
CON3T.TIPC
I
I F(.000
PARCEL
PD
No
I 13911E
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.
(RECTOR OF PUBLIC WORKS
B �,, , Date 7
PERRII�X;UR Date
sceipt No. 2.? / %V
���-
'•C.P.'.+., y[L'LO W-A3eC33 A. PINK -INSPECTOR, CCTOR. GOLDCN ROD -APPLICANT
.. o
'`�S,-v�s;.�F'w'4X�✓'•3��}`�yv*'�.j�,i.;rt`.�>ii•�w:�t'�.:.r,,,tvy:•1s*,..,,�.:yr�,,�r�...,::r�"'.�'•i"'C'f'* z �""�.`?
.lam t
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville CalArnja 95965 -Telephone: 916/538-7541
APPLICATION AND P.ERMITN
PERMIT
�NO.
ASSESS R PARCEL NUMBER .. ; t `
-�
ZONING I
BUILDING PERMIT
OWNER
7 -7-
TELEPHONE
Fzz n.
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING d DDRESS - ` ,
/ ra� ` f
CONT AC TOFj!'S NAME � �. J� -,' ^'
sit
�iPHONE ,
CONTRA 'T_0R•,S/-MAILING ADDRESS
'�7'1 riG/G t.' G,
Fireplace
e-)
CONSTRUCTION LENDEW
ff �:.'
UNKNOWN
Total Valuation $ 0 )
--Fil-ing Fee
$ 10.00
LENDER'S MAILING ADDRESS '
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE No.
Plan Plan
$
Energy Plan Checking Fee
$
E
ARCHITECT OR NGINEER'S MAILING ADDRESS
r
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00 r
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME d' PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCT
SF ❑ Duplex❑ Mobilehome❑ Other ��YYhIy t /i ���/r-�
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00 ea
TYPE OF WORK
New ❑ Addition Remodel ❑ Uti Iities ❑ Instal lation❑y Other
Describe work: U lot/ . / _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
00V OR L
Main service 100 AMP ORSLESS
10.00
Main service EA. ADD'L 100 AMP
2.50
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. ����� Classification ^ d
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) 1.ra.
❑ I am exempt under Sec. (Business and Professions Code
for this reason - t I
NEW CONST. DWELLING OCCUP.. ( �20sgft
OR ADDNS. ACC. BLDGS. ,
NEW CONSTRMULTI-OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS
POWER APPARATUS &) t
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 20®SOQ
e ALO 30
Ex. Occup. OUTLETS FIXED P(RESID.IRE A.) 1 2.00
Temporary service 10.00 _.
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENS'A'�TION INSURANCE
I declare under penalty of perjury,'(check one):
❑ The permit is for $100.00 (valuation) or less. ''I
I have placed on file with the County of Butte Building Department
a Certificate of Workmeri'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 saidQC�ounty`%in consequence of the granting of this permit.
/ p
X� f �t l t� -1 1 Itw x.t.n=.t.-. Date If `J p 7
_
Signature of Appli, ant - Owner ❑ Contractor Agent ❑ t
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 $
Energy Inspection Fee $
TOTAL PERMIT FEE $
OCCUP,
CONST.TYP!
I
FLOOD
PARCEL
PD
I ND
I ISSUE
This permit is hereby issued under the applicable provi-
sions of the But County. Code and/or resolutions to do
work indicated above for which fees have been aid.
p
�/f DIRECTOR OF PUBLIC WORKS
By�.' �./.w Date T- 0 '7
r -r - -
PERMIT EXP_I-RES Date ✓� 1 C^
Y P N- N r
Receipt No. 3 / L✓
WHIT!-D.P.W.. TFLLOW-ASSC350R, PINK-INSPCCTOR, GOLDENROD -APPLICANT
cl
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