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HomeMy WebLinkAbout066-370-040St 66-37f d BOB & DAVID WILSON 13647 Nimshew Rd , Magalia F1 p J -Contr:, Jeffords. Ele. j Permit��61-S4E(ele ser/SF) I M n !�✓r :r+'�►r..; �:.'Qw.•'YW,:1. ' .. .�j�,n-qrf�-Wiy.n..+��;,�.f '`/"F.+-ra.Yui.d"sly+v^""•tit..�'i.".r„�'+r.+`14�,:.-�.•w''^'*.v.-se...r .�. r �-r�-y •• _ t, y= le 416 • i r r r i r I L I - - , 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