HomeMy WebLinkAbout066-370-040St
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BOB & DAVID WILSON
13647 Nimshew Rd , Magalia F1 p J
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- - , COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICAVON-AND PERMIT
PERMIT NO./
ASSESSOR PARCEL NUMBER
49 3-7 - _-5
ZONING
BUILDING PERMIT
OWNER
/} rte/ i. s
TELEPHONE
S0. FT. OCC. BUILDING VALUATION
-OWNER'S MAILING ADDRESS
/• 'T (. 4F/�rt - r' / --j, 6f/ t/2" '1
CONTRACTOR'S NAME
LlfP 'a_1>S �f'L
TELEPHONE
:7'--ZT�3
CONTRACTOR'S MAILING ADDRESS
/!�, 45. 6" , ; c, ✓
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee-
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
i :, �, 441� � �� � � ,� od � D
PLUMBING PERMIT
Filing Fee 10.00
✓�- � �` = < �>�L o. f� 7- _ ,.: . vim, 02 r,
Each Trap
2.00
Solar Water Heater
20.00
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 Q Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S G W
10.00 e
TYPE OF WORK
New F1 Add ition❑ Remodel❑ utilities Installation❑ Others❑-
Describe work: d 40,-,*�%* -
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
NEW CONST. DWELLING OCCUP.&`
OR ADDNS. ( ACC. BLDGS. /
1
220sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
Q 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. 3 1,13 /r 2 Classification e` / o
❑ 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)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR ULTI.OUTLET
NON-RESID BRANCH CIRC ITS
2,50 ea
NEW CONSTF POWER APPARATUS &'\
NON-RESID. (SINGLE OUTLET CIR. I
Ex. Occup(o OR FIXTURES
20e50e
9AL030
XED A
FIXED APP LNS, OR
EX. Occup. OUTLETS (RESID.) EA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$lJ� =-
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 _re_voked.,,,,
Heating
Cooling
`
Hood
3.00
Ventilation
permit Fee
$
Contractor
'a
I certifytthatzlihave�Fead,this applic^-ation and statethat the above information
is correct: I"agree.to'comply;togalI*County. Ordinances and State Laws relating
to building-construction,�land'hereby, authorize -"representatives of the Countyot
Butte to ent6- upon the[a6ove;mentioned property for'inspection purposes.
s
I also agree`Ito save indemnifyi and'k" '_ 6a�mless',tfie;County of Butte against
all liabilities;'judginents 0.c6' and"expenses which may in any way accrue
against said County.inj, nsequence of'the,gra-ting" fatliis permit.
" ^ � f � ,,; '�
X •'s'/ -i`' ��'^'` {'�y�y�rDate ' �� �p /-r 3
•: '.!�"' b+,+s ° art ,�y
Signature of Applicont I'OWner ❑� `Contractor [ T Agenr ❑
An OSHA r .. ti . : �4t .r 4W 4 t,., t
permit is required for'excavatlons over 5'0 'deep and demolition or Construct-
ion of structures'over 3 storlesdwheeig-�ht 1'C." '.w:;
Mobile Home Installation Fee
$
�J
TOTAL PERMIT FEE $ �_
OCCUP. GROUP
TYPE OF CONST.
JPARCrLJ PD
HD
SSUE
This permit is herebyissued under theapplicable rovi-
sions of the Butte Cunty Code and/or relutions to do
work indicated above for which fees have been paid.
DIRECTOR OF'PUBLIC WORKS
By J Date �_ f j -n�7 .
PERMIT EXPIRES Date
Receipt No
WHITE-D.P.W., YELLOW-ASSFSSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION IND PERMIT
PERMIT N %
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER
a 0 3 ` N /9.41L14 &'l 4,s OA/
TELEPHONE
'7—V ..- O /.2 j
$Q, FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
/3Gil-7 IV/A-r 5 /-b
CONTRACTOR'S NAME
e-�0
TELEPHONE
7i—
CONTRACTOR'S MAILING ADDRESS
'7 S 7
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
It, cf. 7 /`" S��s� /2-/)
PLUMBING'PERMIT
FilingFee 10.00
J T
Each Trap
2.00
Solar Water Heater
20.00
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
Mobi le Home I S I G I W
10.00 e
TYPE OF WORK
New ❑ Addition ❑ -Remodel[:] Utilities ❑ Installation❑ Other,
Describe work: &=&4 �� o o.
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
Main service 100 AMP OR00V OR LESS10.00
oda
Main service EA. ADD'L too AMP
2.50
NEW CONST. ( DWELLING OCCUP.&
OR ADDNS. ACC. BLDGS.
,
220sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
1 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. 3 `;3 /-T-Z Classification
❑ 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)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR ULTI.OUTLET 2,50 ea
NO N.RESID BRANCH CIRC ITS,
NEW CONSTR / POWER APPARATUS &')
NON.RESID. (SINGLE OUTLET CIR.
20®50e
Ex. Occup(o XTS OR FIXTURES SALO 30
FIXEEDD APPLNS. OR
EX. Occup. OUTLETS (RESID.) EA.1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
K 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
FilingFee 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 Countyot
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
against said County in onsequence of hgranting of this permit.
%� !LJ -1 !/� Date � �� 8 3
Signature of Applicant Owner ❑ Contractor X Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-IRECT
ion of structures over stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE OC>
oCCu P. GROUP
I TYPE OF CONST.
I
PARCEL
PD
HD
1 ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
A OF BLIC
BY
PERMIT XPIRES Dater%b
the applicable provi-
resolutions to do
fees have been paid.
WORKS
A
Date
'""�
�3t
Receipt NO. !� .5 7
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT