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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 0 I 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 1w,4 N