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AYNE JOHNSON
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Hilldale Avenue, Oroville
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Permit #2106-83
.Wayne Johnson
COUNTY OF BUTTE -(DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
`V
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SQ. FT. OCC.1 BUILDING VALUATION
OWN ERfS MAILING ADDRESS /
/cif. ,! 1 lei:Acl �C�aa. �i t�(Ji �! o
CONTR CTOR'S NAME
TELEPHONE.
CONTRACTOR'SMAILING ADDRESS. J
f, i /-i
Fireplace
CONSTRUCTION LENDER '•'" v "`
UNKNOWN
Total Valuation Is
Filing Fee
LENDER'S MAILING ADDRESS
$ 10.00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
rl ,'�� J� p
PLUMBING PERMIT
Filing Fee 10.00
I Each Trap
2.00
' J
f�r%iii / L
Repair drainage or vent piping
Water piping
5.00
LOT NO. SUBDIVISION NAME PARCEL MAP
Each gas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
� Duplex ❑ Mobi lehome ❑ Other
SF ❑f
"I SPECIFY
Building sewer
Lawn sprinkler system
5.00
/F / 1 t,
(Y /!:+
)
` TYPE OF WORK
Permit Fee
$ 2 b, i]r
New ❑ Addition❑ Remodel❑ Utilities ❑ Installation❑ Other ❑
Contractor
Describe work:, ��•'' �� f�/ � k", �%1 �* ��f
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OR0V OR LESS5.00
'
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. (DWELLING OCCUP.y)
OR ADDNS. l ACC. BLDGS.
20 sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
/'
I am licensed under provisions Of Chapt. 9, Div. 3 of the Business
/ Prof essi ons and my license is in full force and effect.
License No. ��/>��� Classification /�/
NEW CONSTR U I.OUTLET 2,50 ea
NON•RESID BRANCH CIRCUITS)
NEW CONSTR ( POWER APPARATUS 6)
NON-RESID. SINGLE OUTLET CIR.
Ex. Occup OUTLETS OR FIXTURES gAL�
and
FIXED APPLNS. OR
Ex. OCCup.�OUTLETS (RESID,) EA. 2.00
Temporary service
10.00
_���'!
El 1, as the owner, or my employees with wages as their sole compen-
Mobile Home Facilities
15.00
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)
Mi sc. Wiring
7.50
Permit Fee
$
❑ 1 am exempt under Sec. , Business and Professions Code
Contractor
for this reason
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
Heating
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.
Cooling
Hood
3.00
Ventilation
❑ 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
Permit Fee
S
Contractor
provisions or this permit shall be deemed revoked.
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 authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
Mobile Home Installation Fee
$
TOTAL PERMIT FEE
$ L)
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
OCCUP. CROUP
I TYPE of CONST.
JPARCELJ
PD
I ND
I ISSUE
against.said County in consequence of the granting of this permit.
« r.Ps
Xr � � �- 1 "� f t Date h
TThis permit is hereby issued under the applicable provi-
Jisions of the Butte County Code and/or resolutions to do
i Signature of Applicant— Owner ❑ ' 1
Contractor❑ Agent' Q`~
work indicated above for which
fees have been paid.
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
over 3 stories in height.
ion of structures o
DIRECTO F PUBLIC
By
PERMIT EXPIRES Date �
WORKS
�
_� 4 1
' Date _ y
ov
Receipt No. 1J LI i1
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 916/534-4541
APPLICATION AND PERMIT
PERM NO.�:
ASSESSOR P RCEL N� BE _ ' I��
ZONING
BUILDING PERMI
OWNER - - TE EPHONE
OWNER'S MAI NG ADDRESS "
3 vv/ `
CQ•NSR CTOR'S NAME
;o UU RA, TOR' AILING AD RESS
SQ..FT.- OCC. BUILDING VALUATION
I Fireplace"
CONSTRUCTION LE DER-
r. Y -
UNKNOWN
-
Total Valuation -�-.
Filing Fee
LENDER'S MAILING ADDRESS
Permit Fee
$ 10.00
$
ARCHITECT OR ENGINEER
a
LICENSE NO.
Plan Checking Fee
Penalty
$ - -
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS _-
=
Permit fee •
$
BUILDING ADDRESS -
/ G
PLUMBING PERMIT
Filing Fee 10.00
'
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water Heater or vent `
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
- SPECT FY
Building sewer
Lawn sprinkler system
5.00
?
;;2b �.
TYPE OF WORK
New ❑ Addition Remodel ❑ ,U • lities ❑ Installation n, Other ❑
Describe work:
_ -
Permit Fee
$ G
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 1111 OR LESS
100 AMP OR LESS
-
5.00
-
Main service EA. ADD'L 100 AMP
2;50 '
.NEW CONST. ( DWELLING OCCUP,
` i OR ADDNS, l ACC. BLDGS.
22 sq ft
i -
CONTRACTORS LICENSE LAW
-
I declare under penalty of perjury (check one): . .
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professip s Cod and my license is in f fore and effect.
L G �
License No D Classification
❑ 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
NEW CONSTR I.OUTLET 2.50 ea
.NON.RESID BRANCH CIRCUITS)
'NEW CONSTF POWER APPARATUS 6
NON.RESID. SINGLE OUTLET CIR.
51 0 231
Ex. Occup OUTLETS OR FIXTURES 100
UTLFIXETS (RESAPPLINIS, OR
EX. QCCUp.�OUTLETS (RESID) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring. 7.50
'Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
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.
❑ 1 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
Ventilations
Permit Fee
S
'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 County of
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 liabilities, judgments, costs, and expenses which may in any way accrue
again said Cou ty in on�;q/ nce of a granting of this permit.
7 �/4 Date `" 2
�, s-
S�'gnat�licant - Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and -demolition or construct-•
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
3CCUP. GROUP
TYPE,OF CONST.PARCEL
PD
NO
ISSUE
his permit is hereby issued under
Bions of the Butte County Code and/or
Nork indicated above for which
D TO F PUBLIC
BY I
--PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
~ 3-
Receipt No. * W L I l
WHITE=D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT