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COUNTY OF BUTTE' — DEPARTMENT OF PUBLIC WORKS
1 7 Qounty Center Drive O- Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
aumunce reNresentatives or the t ouniy or butte io enter upon the
above-mentioned property for inspection purposes.
X Date
Signature of Permitee or Agent
Receipt No.
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
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant I Building permit expires Date
Date
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor r . _'y f�
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee $
Building Address
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
l S '
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.
Zoning 8 Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fees
W.C'
Sanitation
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
I Parcel
Declaration
Parcel Ma P
60' R/W
Improvements
P
Lawn sprinkler system 2.00
Bldg. Plans Recd
Parcel Approval
Plans Approval
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER E]ELECTRICAL
No. @ FEE
PERMIT FILING FEE $3.00
Main service 1 10V OR SS.00
00 AMP OR LESS
Main service EA. ADD'L 100 AMP 2.50
Single Family ; Duplex ❑ Mobil Home ❑ Others ❑
OVER 600V
Main service 100 AMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONST.
OR ADDNS. ( ACCLBLDGS.CCUP. &) 22sgft
NEW CONSTR. (MULTI -OUTLET
NON•RESID. BRANCH CIRCUITS) 2.50ea
NEW CONST/POWER APPARATUS &)
NON•RESI D, (SINGLE OUTLET CIR.
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:
Ex. Occup(OUTLETS OR FIXTURES) @251'tOa
FIXED APPLNS. OR
Ex. Occup.(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ ,I -1
$
WORKMEN'S COMPENSATION INSURANCE
I 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. @ FEEPERMIT
FILING FEE J$3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
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
TOTAL PERMIT FEE
$
aumunce reNresentatives or the t ouniy or butte io enter upon the
above-mentioned property for inspection purposes.
X Date
Signature of Permitee or Agent
Receipt No.
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
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant I Building permit expires Date
Date
r
QQUNTY OF BUTTE' — DEPARTMENT OF PUBLIC WORKS
• 7 County Center DriveU�ville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
auinorize representatives of the county of tsutte to enter upon the
above-mentioned property for inspection purposes.
ate
Si oture of Permitee or Agent
Receipt No. 6 ZV
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.
DI C OR OF PUBLIC WORKS -7
BYr,&
Datei192_f17 /
R ermit expires Dae "02-f 7
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address J -toy ,
�' /`
Telephon o.
Fireplace
Contractor J A2 e 3e
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
lephone No. Te
Permit Fee $
Building Address
PLUMBING No.1 @ I FEE
PERMIT FILING FEE $3.00
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. fi — —
Zoning &Planning
Gas piping system 1 - 5 outlets 1.5U
Each additional outlet .30
F s
W
"ai-Latina
I Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
J ParcelParcel
Declaration
Ma P
60' R/W
Im rovements
P
Lawn sprinkler system 2.00
Parcel Approval
Plans Approval
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE 3.00 p0
�-
01 OR L
Main service 100 AMP ORSLESS 5.00 i0
Main service EA. ADO'L 100 AMP 2.50
Main service OVER a 25.00
100 AMP O OR LESS
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L 100 AMP 1.00
NEW LING O
OR ADDNST ( ACCLBLDGS.CCUP. &) 2¢sgft
NEW CONSTR. MULTI.OUTLET
NON-RESID. BRANCH CIRCUITS) 2.50ea
NEW CONST. POWER APPARATUS &)
NON- R
RESID. (SINGLE OUTLET CIR.
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
St le Of:
Y
Ex. Occup(OUTLETS OR FIXTURES) 50 BAL�
FIXED APP LNS. OR
Ex. Occu p.(ouT LETS IRESI D.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
/• I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ goo
$ OC
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
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 Laws relating to building construction, and hereby
TOTAL PERMIT FEE
$
auinorize representatives of the county of tsutte to enter upon the
above-mentioned property for inspection purposes.
ate
Si oture of Permitee or Agent
Receipt No. 6 ZV
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.
DI C OR OF PUBLIC WORKS -7
BYr,&
Datei192_f17 /
R ermit expires Dae "02-f 7