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OMCAST COMM,
SEE ATTACHED, OROVILLE
Cont: WESTCOAST COMM
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PLACE CATV POWER SUPPLY
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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev.12/96) APPLICATION AND PERMIT =, `i 0,;:k
ASSESSOR PARCEL NUMBER
SEE ATTACHED
ZONING
BUILDING PERMIT
OWNER
COMCAST COMMUNICATIONS
TELEPHONE
SO, Fr, OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
4350 PELL DR SACRAMENTO CA 95838
CONTRACTOR'S NAME
WESTCOAST 343-2472
TELEPHONE
CONTRACTORS "UNG ADDRESS
140 UEYERS ST CHICO CA 95828
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BLII0AME MLLE LOCATIONS (SEE ATTACHED)
Ener Plan Checking Fee
—Energy 9
$
$
PERMIT FEE
$
LOT NO.
SUBDNISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ 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 ❑
Describe Work: PLACE CATV POWER SUPPLY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home ISI GI W1
920.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service zoos oA mss
IC 23.00 230.0
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 i in fu I force and effect. / n `J
License Class ' Lic. No. 7(p S 1 1 t p
OWNER -BUILDER DECLARATION
1 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
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 certifythat 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
forth ' comp it os provisions.
i - , -7 ^ 3
X Date 1. L [� _
Signature of Applicant - ❑ Owner Contractor ❑ Agent
An OSHA permit is required for excavations oyer 5'0" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO T000A 46.00
NEW CONST. DWELLING OCCUP. s0
OR ADONS. ( s ACC. BIOS. 3.5¢Fr:
ST. MULTI.OUTLET
NNEONW -RCONESID. 97.50
PowER APPARArus
8 SINGLE OUTI ET CIR.
Ex. Occup. CUTLET OR FIXTURES BAL Q x.30
Ex. Occup. OUTLETS RES10 CEA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE S 250.00
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE S
Mobile Home Installation Fee $
Energy Inspection Fee $
DCD
CONST. TYPE TOTAL FEE $ 250.00
HAZ.
1 D FEES IMP
I FLOOD
I CDF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicatedbove for which fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
a o2
o2-
dTe
Receipt No.
WHITE-D.D.S.-B. AS E NK ECTOR GOLDENROD -APPLICANT
oRpwLLsPOWER SUPPLY STATUS ,vaomm
�
��
49
OROVILLE
OR25
Pol
YES
AER
COUNTY I
PG&E
06&130-063
34 CANYON OR
50
OROVILLE
OR25
P02
NO
AER
COUNTY
PG&E
06"30-027
NORTH SIDE OF 244 CANYON DR
51
OROVILLE
OR26
Pol
NO
AER
COUNTY
PG&E
069-070-037
29 OAK HILL DR
52
OROVILLE
OR26
P02
YES
AER
COUNTY
PG&E
069490-021
2 HANGING TREE CT
62
OROVILLE
OR31
Pol
NO
AER
COUNTY
PG&E
069-320-027
27
E/O KELLY RIDGE RD 1 POLE SE OF GALAXY AVE
65
66
69
OROVILLE
OROVILLE
OROVILLE
OR33
OR34
OR36
Pol
P01
Pol
NO
NO
NO
AER
AER
AER
COUNTY
COUNTY.
COUNTY
PG&E
PG&E
PG&E
069-360-013
/0-
So 0.
o7z.
196 RIVERVIEW DR
3:0 HERITAGE RD
1 POLE 00 MINERS RANCH RD SOUTH ON MOUNT IDA RD
70 1
OROVILLE
OR36
I P02
NO
AER
COUNTY
PG&E
036-68U18 '
1420 MOUNT IDA RD
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