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Home My WebLink About068-120-048BOB BUSKIRK . 68-12-48 63`Ulen'Dr;"ORoville�� f �" Contr: No State Rfg PErmit#1635-87B(reroof/SF) D � -yy v�• Ff �_ �-- _ _ CSI ��-.� - r------ �' � � �� s COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS. PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541•' APPLICATION AND PERMIT ASSESSOR PA fj.EL NUM �R/ - LS ZONING BUILDING PERMIT OWNER/ utl ; rig TELEPHONE SO. FT. OCC. BUILDING VALUATION - r� OWNER'S MAILINGLING ADDRESS A6 (1'^ 1-C, I JrX! - - CONTRACTOR'S NAME 11t- A , TELEPHONE CONTRACTOR'S MAILING ADDRESS -2 -Z C _11 % Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSZ NO. Plan Checking Fee , Energy Plan Checking Fee $A$.. ARCHITECT OR ENGINEER'S MAILING ADDRESS .� Penalty BUILDING ADDRESS C ,' !$ $ Permit fee _ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF K Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S_J G JW I 1 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti sties ❑ In talla/1tion Other D Describe work: <- �� N �/ `' Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 V OR Main service 1000 AMP ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check.one): a I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions C de a d my license Is In full force and effect. 1 License No. Classification �� 1CUP. ❑ 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) ❑ I am exempt under Sec. , Business and Professions Code for this reason OR ADDNS. ( ACCLBLDGS.CCUP.!!1) 2/20sgft NEW CONSTR. ULTI.OUTLET NON.RESID BRANCH CIRC ITS 2.SOea POWER APPARATUS &) (SINGLE OUTLET CIR, toasos Ex. Occup(OUTLETS OR FIXTURES eAL930 FIXED APPLN5. OR 1 2. EX. OCOUTLETS (REST 00 D.EA. 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. [�I.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 FiIingFee 10.00 Heating Cooling Hood 3.00 I Ventilation permit Fee $ Contractor Mobile Home Installation 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 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 liabiliti.iW, judgments, costs, and ex enses which may in any way accrue against s " County in cons quence of a granting of This permit. / X / Dale .f ZQ Signature of A rant — Owner E) Contractor ❑ Ayent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct-DIR ion of structures over 3 stories in height. Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYP! I 177ARCELI PD ND 39UE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. ibt'T 19 OF PUS C WORKS y �vw /� / Date - - PERMIT EXPIRES Date Receipt No. _ WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NOS ASS VS4Zk PA LiNUfd�ZONING'` 00 s BUILDING PERMIT OWNWJ TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWN 0 MAItLINGe,ESS ZNTRA C TOR' S NAME EPHONE [(r7//3OVfyy66 COFNTRACTOR' M (LING ADDRESS •2�Q r Fireplace CONSTRUCTION LENDZR UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFPDuplex❑ Mobilehome❑ Other ((lllSPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW I 0.00ea TYPE OF WORK New ❑ Addition ❑ Remo el ❑ Utties ❑ In/gt`� ion Other Describe work: ✓10 D `U/ L�yIQ. Penult Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 800V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check.one): M,-1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions [CfJdee my license is in full force. and effect. License No. V L Classification �� / ❑ 1, 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) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. (DWELLING oCCU1.ad yzQsgft OR ADDNS. ACC. BLDGS. l NEW CONSTR. MULTI -OUTLET 2,50 ea NON.RESID BRANCH CIRCUITS) POWER APPARATUS tr SINGLE OUTLET CIR. I 0050t Ex. OCCUp(OUTLETS OR FIXTURES eA 030 FIXED APPLN5. OR Ex. OCCUp. OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Z. Permit Fee $ Contractor 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 revoked. MECHANICAL PERMIT Filing Fee 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 liabiliti , judgments, costs, and expenses which may in any way accrue against County in cons ue ce of a granting of this permit. X Date J_ loll Signature of A icant — Owner Contractor ❑ Agent F-1 An OSHA p rmit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in h fight. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occuP. CONST.TYPE I IFLOODIPARCEL.1 PD ND ISSUE This permit is hereby issued under sions of the Butte County.Code and/or work in ted above for which (' DI OF PU PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date A0 Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT