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HomeMy WebLinkAbout066-360-016A. P. RONALD A. FERGUSON 3 3/9 mi, off Skyway on W/S of Nimshew Rd. Magali Permit 2200-74P,E 311 r 311 r- �� C� �� �� If, COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — 5 le, California 95J65 �D A Telephone: 534-434-4541 U APPLICATION AND PERMIT _ -tio d prope y fo inspection purposes. X Date .7�_l' Signature of Per tee gent Receipt No. Z -e / 51 z ,ems., White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date ........................... BUILDING Owner �� USD SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address ' v�Oe�� Telephone No. Fireplace Contractor Al, 4q- Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty % Telephone No. Permit Fee $ $ uilding Address 3 3;� �� cS�C • Q�PLUMBING No.1 @ I FEE PERMIT FILING FEE $2.00 �a S ho�/,J Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 — ! Each gas water heater or vent 1.50 A. P. No. /-4/2.- Zoning & Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F4e<f W. Sa itation ire Dept. Fire Zone Use Permit Building sewer 5.00 &,go EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Improvements p ovements Lawn sprinkler system 2.00 �p�— ns ec'd Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE J$3.00 3.Q0 Main service incl. 1 meter "0 Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home ®, Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bal d10 Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump , 0 Mobil Home Facilities 5.00 �d Temp. Power Pole 5.00 License No. Classification Misc. wiring ®1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. 1:1 I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. f'41 I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 ws relati to uilding construction, and hereby TOTAL PERMIT FEE $ _ -tio d prope y fo inspection purposes. X Date .7�_l' Signature of Per tee gent Receipt No. Z -e / 51 z ,ems., White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date ...........................