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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
ASSESSOR PARCEL NUMBER
SEE ATTACHED
ZONING
BUILDING PERMIT
OWNER
COMCAST COMMUNICATIONS
TELEPHONE
SO, Fr, OCC. BUILDING VALUATION
OWNER'S MAULING ADDRESS
4350 PELL DR SACRAMENTO CA 95838
CONTRACTOR'S NAME
WESTCOAST 343-2472
TELEPHONE
CONTRACTORS MAILING ADDRESS
140 WMS ST CHICO CA 95828
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Permit Fee
$
Plan Checking Fee
$
"LIU ANE5 7ILLE LOCATIONS (SEE ATTACHED)
Ener Plan Checking Fee
sv s
$
$
PERMIT FEE
$
LOT NO.
SUBDNISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Fling 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 gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: PLACE CATV POWER SiTPPT.Y
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home FTJ GT W
@20.00
PERMIT FEE
S
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 20 A OR LESS
1C 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 force and effect.
License Class 0 Lic. No. r// D s �p
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
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADONS. ( a ACC. BLDs.
SD
3.5¢x:
NE"EW COS MULTI -OUTLET
@7,50
POWER APPARATUS
a S NGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES
BAL @': Q
D IPP
Ex. Occup. GurELETS (RREws o.DEA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
$ 250.00
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
Fling 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.)
❑ 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 rovisions of section 3700 of the Labor Code, I shall
forth compl it os provisions.
i+ _ , �7 _ �p
X Date I. L. L✓ _
Signature of Applicant - ❑ Owner Contractor ❑ Agent
An OSHA permit is required for excavations oyer 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 $ 250.00
HAz.
D. FEES I
IMP
I FLOOD
I COF
I PARCEL
I PD
HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated bove for which fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
JI, o2 ewe
oa ,1
dte
Receipt No.
WHITE-D.D.S.-B. AS E NK ECTOR GOLDENROD -APPLICANT
OROVILLE POWER SUPPLY STATUS 1115/2003
1 OF I
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49
OROVILLE
OR25
Pol
YES
AER
COUNTY
PG&E
068-130-063
34 CANYON DR . . . . . . . . . .
50
OROVILLE
OR25
P02
NO
AER
COUNTY
PG&E
068-030-027
NORTH SIDE OF 244 CANYON DR
51
OROVILLE
OR26
Poll
NO
AER
COUNTY
PG&E
069-070-037
29 OAK HILL DR
52
OROVILLE
OR26
P02
YES
AER
COUNTY
PG&E
069-090-021
3ANGING TREE CT
62
OROVILLE
OR31
P01
NO
AER
COUNTY
PG&E
069-320-027
0"E10 KELLY RIDGE RD 1 POLE SE OF GALAXY AVE
64
OROVILLE
OR32
POI
NO
AER
COUNTY
PG&E
069400-079
-64 SOLANA OR
(d
65
66
69
OROVILLE
OROVILLE
OROVILLE
OR33
OR34
OR36
Pol
Pol
P01
NO
NO
NO
AER
AER
AER
COUNTY
COUNTY.
COUNTY
PG&E
PG&E
PG&E
069360-013
07Z- 696 p
198_ERVIEWDR
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OROVILLE
OR36
PO2
NO
AER I
COUNTY
PG&E
036-680-018 k
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