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068-130-038
�~\\yam\ . . ��: .y� /��A . ..���.... . §�1 �... »� � <» �. ? \ %� �}� � / � . �� z . � �13w 2' : � � . : .\ � � /�� :. .. ..�w:y«+ w. ��� :� :�«�«w,©©§��� �/\�\»\\\\�\\\� /\/�\�\�����\ . . .: �y� � . . ..�� . � � � � . , �. � � � . .. y - � � .�� � . �� � �� ?2\yx:\\\d\\<� � � \������ \�� NOTES RESIDENTIAL PERMIT NO. 03-3692 'CoN.cAST COMM, S;;E ATTACHED, C Cont: WESTCOAST COMM PLACE CATV POWER SUPPLY 660-.13G— 138 i5o Wa�vd BIv4. i 11 SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB.-FINALED Signature CHECKED BY 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 ASS Jr•r• ",9t!ftD ZONING BUILDINGPERMIT OWNS GOMCAST COMMUNICATIONS TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 4350 PELL DR SACRAN)ENM CA 95838 CONTRACTOR'S NAME WESTCOAST COMMUNICATIONS/ VCI TELEPHONE CONTRACTORS MAILING ADDRESS 140 MEYERS ST CHICO CA 95928 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 10 OR Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY 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: PLACE CATV POWER SUPPLY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I s I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT I Fling Fee 20.00 °00Y OR LESS Main Service 200A OR LESS 1 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 is in fullsi force and effect. t'� ..s� /'� License Class C - 6 Lic. No. / o� 1 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 WORKERS' COMPENSATION DECLARATION I 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 I000A 46.00 NEW CONST. DWEwNG OCCUP. OR ADDNS. ( a ACC. BLD S. SO 3.5¢FT. rNioµaEo-sloT MULTI-OIUTLET . @7,50 POWER APPARATUS a SINGLE OUTLET CI0. Ex. Occup. CUTLET OR FDITURES 20 (PI 00 SAL 9 .50 FIAPPLNS. . OR Ex. Occup. ounETs RESIDEA 5,00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE s 250.00 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S 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.) ❑ 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' compensatio rovisions of section 3700 of the Labor Code, I shall fort it Com w' se provisions. ff y� X _ Date 6 l Z r ' Signature o Applicant - ❑ Owner )K Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 250.00 HAZ. D. FEES IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees ha y P IT EXPIRES ON o the applicable provisions Resolutions to do work a been paid. f Date Date Receipt No. WHITE-D.D.S.-B. RY- S E O PINK -INSPECTOR GOLDENROD -APPLICANT OROMLLE POWER SUPPLY STATUS 10127r2= 10171 C'( WAIMME 34 OROVILLE OR18 P01 NO AER COUNTY PG&E g- M-0)7_ 2538 OROVILLE OUINCY HWY�� �j� - - 35 OROVILLE OR20 P01 NO AER COUNTY PG&E 068-130-138 150 WARD BLVD 39 40 OROVILLE OROVILLE OR20 OR21 P02 P01 NO NO AER AER COUNTY COUNTY PG&E PG&E 068-030-048 0683604362 354L StB OR 270 OAKVALE AVE OZ L7? 4.1 t1 aj y�G l 41 OROVILLE OR22 P01 NO AER COUNTY PG&E - ADJ 360 MT IDA RD 43 OROVILLE OR22 P02 NO AER COUNTY PG&E 036-130-057 243 MT IDA RD/ - 44 OROVILLE OR23 P01 NO AER COUNTY PG&E 036-670-M 1020 MT IDA RD �t/f 1j jj l GC 45 OROVILLE OR23 P02 NO AER COUNTY PG&E 036.050-157 835 MT IDA RD 46 OROVILLE OR24 P01 YES AER COUNTY PG&E 069-430-091 180 SKYLINE BLVD 47 OROVILLE OR24 P02 NO AER COUNTY PG&E 069470-069 240 SKYLINE BLVD L7