HomeMy WebLinkAbout066-460-0010
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A.P.
HENRY CROFOOT
STRE w/s Skyway, so. of Canyon View School AK I5 William J. 627-71B r
Magalia loo -(c =0/ -- "694-71P--
COhTR: Frank Kline, Magalia 670-71E
_(demolition)
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4� w�s Skyway app. 700 I o , of Pentz
,. Lfir�iJ"J "~rfamily),
Rdc�, _i�11P�arca
suee.�066'460OOj'PERMLor BLOCK IT#95`-289(new single family)
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MOLVIG,. Finn.t , v'. /��,
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yrrr'".129 +Skyt.,.wa•y- , Magy. a,
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TYPE OF PERMIT NO. PLAN NO. DATE ISS •. l s
PERMIT C36ont :aSierra,Refrigeration;:r:Htg &SAC
,.New HVAC/SF :. O
-066-460-001. `✓PERMIT#97 y6 T
.MOLVIG; .Finn`&Brgitt
`13629 Skyway, Magalia e! „.�.---
Cont y JerryCoo er + P 4 .-:;
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PERMIT DESIGNATION:
DEPARTMENT OF
BUILDING AND SAFETY
JWP Akww l��a�i
B -BUILDING E -ELECTRICAL U -USE PERMIT
P -PLUMBING TV -RADIO -TV ANTENNA V -VARIANCE
T -TRAILER S/W-SIDEWALK NOTICE S- SIGN PERMIT
HM -HOUSE MOVING
EP -ENCROACHMENT .
D - DEMOLITION 600. 1
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INSPECTION RECORD
BUILDING APPROVALS
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PERMIT NUMBERf
SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE
ROUGH -IN
GAS PRESSURE TEST
WATER PIPING
SEWER LINE
APPLIANCES & VENTS
FINAL
ELECTRICAL A PPROV A LC
PERMIT NUMBERt
SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE
ROUGH -IN
FIXTURES & APPLIANCES
METERS
FINAL
PERMIT NUMBERs
DESIGNATION SIG. DATE
• <, �� 066-460=001 `. '� r PERMIT#95-2891•:"`
',MOLVIG, Fi.nii
,j�' • ••13629' Skyway,Magalja•
Cont: Sierra, kefrigeration`,4 Htg`& AC 3:
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COUNTY OF BUTTE - DEPARTMENT OF DEVEL"OPMINT SERVICES -BUILDING DIVISI
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 PERMIT NO.
APPLICATION AND PERMIT
ASS ARCELN MB
s6SSORP6- o--001
ZONING'
BUILDING PERMIT
OWNER ^7 -
i
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS '
1 &z-1 r �?
CONTRACTOR'S NAME J
f t
TELEPHONE
C NTRACTORS MAILING ADDRESS I
r• ` S (%
Fireplace
CONSTRUCTION LENDER UNIWOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Fling Fee $
20,00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Pian Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty $
BUILDING ADDRESS
PERMITFEE $
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDNISIONSNAME
PARCEL MAP
Solar or heat pump water heater
23.00
USE OF STRUCTURE
SF [B' Duplex ❑ Mobilehome ❑ Other
&/
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
1 5.00 pn
Building sewer
15.00
TYPE OF WORK
/
New ❑ Addition ❑ Remodel ❑ Unities ❑ Installation ❑ Other [B�
) r / / c
Describe Work: G�
W� tii V/
Mobile Home ISI GI W
@20.00
PERMITFEE _
V p
Contractor
ELECTRICAL PERMIT
Filinq Fee 20.00
Main Service a OR LESS
( 2ooA OR LESS )
23.00
Main Service ( 200A TO I000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby af'irm under penalty of perjury that I am licensed under provisions of Chapter
9 (comwith Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
� p
License Class C -f � G_�' Lic. No. yS.1 '3 7 �
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason: I
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( a ACC. BLDS. )
SO.
3.50 FT.
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS )
97.50,
( POWER APPARATOUTLET sUS )
SINGLEmencing
a
Ex. Occup. ( OUTLET OR FIXTURES )
20 @ 1.00
BAL .50
Ex. Occup. FIXED (RE ISIS of eA) 1
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE $
, 00
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
'[ I have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensationsi surance carrier and policy number are:
Carrier 1%44 �-r4'lv�.
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
00
Hood
6.50
Ventilation
PERMITFEE $
0.0o
Contractor
Policy Number /r o n 22"? - 9 y
(rhe above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 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 workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X/ tiliE_��-,G.i�n Date _�f"� �'-c/ S^
Signature of Applicant - ❑ Owner Vii; Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee Is
OCC
CONST. TYPE
TOTAL FEE $ /10,00
HAZ.
I D. FEES
I IMP I FLOOD
I CDF PARCEL
I PD HD
ISSUE
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.
BY _ ��' Date // AS -
/ l i
PERMITEXPIRESON
I(Date)
ReceiptNo.-S
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
r
, V
COUNTY OF BUTTE- DEPARTMENT..OF DEVELOPMENT SERVICES - BUILDING DIVISI
7 County Center Drive - Oroville„ Calla ornia 95965 - Telephone (916) 538-754 PERMIT NO.
APPLICATION AND PERMIT -'�
ASS SSORP C0.N s
ZONING
R -r I
BUILDING PERMIT
OWNER n
TELEPHONE
SO, FT, OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
13621
CONTRACTOR'S NAME
r I-` E ro_ -�
TELEPHONE
-7-.
ZC NTRACTORS MAILING ADDRESS i
RCIS9 6 01
Fireplace
CONSTRUCTION LENDER UNMOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 20,00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty
$
BUILDING ADDRESS tj LOO, it
PERMITFEE $
]�
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar Or heat pump water heater
23.00
/ USEOFSTRUCTURE
SF IB' Duplex ❑ Mobilehome ❑ Other
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00 l 00
Building sewer
15.00
TYPE OF WORK
/
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other
Describe Work: ��L HVdr-
—New
w H d
Mobile HomeS G W @20.00
PERMITFEE $ 00
Contractor
ELECTRICAL PERMIT Filina Fee 20:00
Main Serviceeoov oRoR LEss LEN
( zooA )
23.00
Main Service ( 200A TO IooeA )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license Pis in full force and effect.
iC�' Lic. NO.
License Class IV 5.2 i 7
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUR.s0.
OR ADDNS. ( a ACC. BLDS. )
3.50 FT.
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS )
97.50
( POWER APPARATUS )
8 SINGLE OUTLET CIS.
Ex. Occup. ( OUTLET OR FLXTURES)
20
BAL Q I.5o
Ex. Occup. ouTLEt-Drs (a sE Io.�eA.
( )
' 5.00 5. UO
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE
$ 06
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
7^ I have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' co pensation surance carrier and policy number are:
Carrier �7 Qom,
MECHANICAL PERMIT
Filing Fee 20.00
Heating
IS, C76
Cooling
5.00
Hood
6.50
Ventilation
PERMITFEE
$ 06
Contractor
Policy Number (Qpt7'L2 7 �� �f
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 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 workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comp) ithth a provisions.
X 10C_ Date ��/ i�� S~--
Signature of Apppot'- ❑ Owner ' Contractor ❑ Agent
'
An OSHA permit is required for excavations over 50" deep and demolition or construction
of structures over3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 00 0 U
HAZ.
I D. FEES
I IMP
FLOOD
I CDF PARCEL I POHD
ISSUE
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees have
BY
PERMITEXP ESONHITE•D.D.S.-B.D.
applicable provisions
Resolutions to do work
been paid.
Date /
Die)
eceipt No. /[,A:T /s
F
CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
nlie
X�
5.tl!h
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, Calithrnia 8,5965 - Telephone (916) 538-7541 PERMIT o.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER + U[ ` ^
ZONING
BUILDINGPERMIT
OWNER
r I,1 I R4 jTF� 1�1G
TELEPHONE'
X71, �1l L
I,
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
3 Zai
CONTRACTOR'S NAME(
ME( �
T�I,�PHONE��O/
CONTRACTOR'S MAIUN6 ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT 09 ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $ . �7
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS r(�- lel
—Ck11`iIT
Energy Plan Checking Fee $
U'O
PERMIT FEE $ -N • f�,�
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
USEOFSTRUCTURE
SF a, Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
Each gas water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ `Utilities ❑ Installation ❑ Other ❑
Describe Work: /�� �U��
Gas piping system 1 - 5 outlets 15.00
Building sewer 1 15.00
Mobile Home I S I G I W 920.00
PERMIT FEE $
ELECTRICAL PERMIT Filing Fee 20.00
OOOV OR LESS
Main Service 20.A OR LESS 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.PowEPPARATUS
License Class LIC. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
Will do the work, and the structure is not intended or offered for sale.
Q` I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service TO I 46.00
WEL200A
NEW CONST. DWELLING OCCUP. SO
U
OR ADDNS. ( a ACC. sLOS. 3.5QFT,
=.C.�D MAULTI.OUTLET 97.50
a SINGLR AE OLlrLET CIR.
.00
Ex. Occup. OUTLET OR FIXTURES a4L @ I. 0
Ex. Occup. ouXTLEtT. AEs o.) E 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring23.00
PERMIT FEE S
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
O. 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 workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
tt yy _ -•
X i f (( t l j` ' �1 Date _i f _�_/
Signature of Applicant - O`Owner�❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
9CC
i1.
CONST. TYPE
TOTAL FEE $ 3 �`�
HAZ.
D. FEES
IMP
FLOOD
CDF
PARCEL PD HD
ISSUE,
v
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.
y" `
By / Date
PERMIT EXPIRES ON
Date
Receipt No. LiZ E, /I
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE -DEPARTMENT OF;DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville,; Califotnia 95965 - Telephone (916) 538-7541 PERMIT o.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER &_ "/ _ ®� r -
zON�G
BUILDING RMIT
OWNER I �! O J!G
TELEPHONE �`Z
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS6 13i 5) � 0 C
CONTRACTS R'S NAME r
Coo
T LEPHONE
i7
CONTRACTORS MAIUPf ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation Is
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ az)
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESSq w
Dk>"11 JV'LA
Energy Plan Checking Fee
$
(�
Old %�� �' ��
PERMIT FEE
S S- Cn
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF J Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat''pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel �❑ Utilities ❑ Installation ❑ Other VT
Describe Work: /� L /ice✓
Gas piping system 1 - 5 outlets
15.00
Buildingsewer
15.00
Mobile Home S G I W 1
@20.00
PERMIT FEE
S
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service z*.A oR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.PDWELL
License Class LIC. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ 1, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADONS. ( & ACC. BLDS.
SO
3.5¢FT:
NON -R SD. NEW NST_ STI -OUTLET
11
97,50
APPARATUS
8 SINGLE OUTLET CI R.
Ex. Occup. OUTLET OR FIXTURES
Q 1.00
BA20 .00
R.
Ex. Occup. OFIUTIFTS A o of
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirina
23.00
PERMIT FEE
S
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
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 workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwitNcomply with those provisions.
rr
X L Date 01 1
Signature o Applicant - Ownw� ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
occ CONST. TYPE
_ \),� TOTAL FEE $
HA2. D. FES IMP FLOOD CDF PARCEL Po HD SU
This permit is hereby issued under the
of the Butte CountyCode and/or Resolutions
indicated above for which fees have
By
PE IT EXPIRES ON
1 7011
applicable provisions
to do work
been paid.
1 y
Date ) X
Q
Receipt No. 7-Z r I
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
1
PERMIT NUMBER - B .2996-72B
P
_4 E
;i
js PERMIT EXPIRES
10wNER Henry Crofoot
1,CONTR: Frank Kline
i LOCATION (A.P. 57-32-34
w/s Skyway, So. of Canyon View School,
Magalia
It
8,
m
Zoning --
Foundation
Rgh. Plumbing
Rein. 'Steel
Framing
Wtr. Htr.
Firewall
ELECTRIC
Temporary
Final
DATE
COUNTY OF BUTTE
Department of Public Works
BUILDING INSP.CCTIO-N RECORD
Setback
Forms
Piers & Girders
Fireplace
Bond Beam
Lath & Plaster—
laster_Gas
GasPiping & Test
Found. Vents
Plmg. Topout
Rough Elec.
Furnace
Kitchen Vent
Garage Vents
Sanitation & Water
GAS
BUILDING
Temporary
Cert. of Occup. _
Final
Final
REMARKS OR CORRECTIONS
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Djive . Oroville, California 95965 l l
Telephone: 533-12$0, Ext. 259
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the This permit is hereby issued under the applicable provisions of
above-mentioned property for inspection purposes. the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
P DIRECTOR OF PUBLIC WORKS.
X :�=--� .&P Date '-2-S
Signature of Permitee or Agent By Date k %
Receipt No. Zo C) o 3 kt
Building Permit Expires Date e
White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant
BUILDING
Owner
SO. FT. OCC. BUILDING VALUATION
Mailing Address
Fireplace
Contractor
Total Valuation
Mailing Address r
Permit Fee
Plan Checking Fee&/or Penalty
Permit Fee $
Building Address
PLUMBING No. @ FEE
PERMIT FILING FEE $2.00
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. _ — L
Zoning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .50
Fire Zone
Fire Dept.
Sanitation —
Planning
Building sewer 5.00
Plans `�
Fees W. C.
R/W
I Encroachment
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ OTHER
Permit Fee $
$
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service incl. 1 meter
Additional meters, each 1.00
Sub -panel (12 or less) (more than 12)
USE OF STRUCTURE . Single Family 9Duplex ❑ Others ❑
Range, dryer or water heater 1.00
Oven, Cook -top or space heater 1.00
Light fixtures
Receps., switches & fix outlets EM
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
Misc. wiring
License No. Classification
I 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.
❑ I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
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
Permit Fee $
$
I certify that I haye read this application and state that the above
y Y pp
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
(State Fee for n r g Motion $0.07/$1000 Evaluation
nate Fee fo S program
$
TOTAL PERMIT FEE
$
authorize representatives of the County of Butte to enter upon the This permit is hereby issued under the applicable provisions of
above-mentioned property for inspection purposes. the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
P DIRECTOR OF PUBLIC WORKS.
X :�=--� .&P Date '-2-S
Signature of Permitee or Agent By Date k %
Receipt No. Zo C) o 3 kt
Building Permit Expires Date e
White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant