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HomeMy WebLinkAbout068-350-02068-3520 CARL S. BOLT t 50 Mountain View Drive, Orovill Contr : Terry Fahey Permit#1157-85E(ele ser ch,F r r- P Cavy N E ^ 1 t L 1 14i •• r 1156-85E alpti _ ele ser ch o ;CARL S . BOLT 50, -Mountain View Dr., Oro , i OFFICE COPY r Address S� Mt' V�rw GAS t Meter y :'Date 1 j ELECTRI l//1 Meter By °r Date Ii - r • � . i ti J f . J/e i i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California -Q5965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR' PARCEL NUMBER ZONING BUILDING PERMIT OWNER I t i I I TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS ! l ' CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS / I, I - Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS f PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: ? i - = + '• ^ ' — ' I Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 600V OR LESS Main service 100 AMP OR LESS 10,00 /� r Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 2/20sgft 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 Professions Code and my license is in full force and effect. License No. ��•��'� �/ Classification ,�- ❑ 1, as the owner, cr 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 MULTI -DUET 2,50 ea NO N.RESID BRANCH CIRC ITS NEW CONSTR POWER APPARATUS .&) NON-RESID. SINGLE OUTLET CIR. Ex. Occu SAL@30 P�o OR FIXTURES aALe3oQ FIXED A FIXED APPLNS, OR EX. OCCUp- OUTLETS (RESID,) EA,) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 ,c r Permit Fee 1 $ r. ' Contractor MECHANICAL PERMIT Filing Fee 10.00 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. 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. 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 County of Butte to enter upon the above-mentioned property for inspection purposes. 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 against said County in consequence of the granting of this permit. X l ' - Date �' �,r Signature of A liccnt — Owner `' g pp ❑ 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 $ ; OCCUP. GROUP I TYPE OF CONST.PARCEL PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC ' By I PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been aid. P WORKS Date T ) / Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovil.le,'Califor is 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT N 1 ASSESSPAR E UM E f - -�� ZONING BUILDING PERMIT OwN Bel TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWN R•S MAIL[ ADD SS O CO CTOR'S AME err TELEPHONE 5-/ CONTRACTO S M ING ADD S I d U(L re / e_ Fireplace CON UCTION LEND UNKNOWN Total Valuation is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARC ECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS a � a JA)� ,�EO 140 1A 11Each PLUMBING PERMIT Filing Fee 10.00 Trap 2.00 Solar Water Heater 20.00 Orlel Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF 0 Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ umit [:1Installation Other F1Contractor Describe work: �''� r i C- — Permit Fee $ ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV OR LESS -10.00 1. Main service EA. ADD'L 100 AMP 2:50 NEW CONST.(DWELLING OCCUP.& OR ADDNS. ACC.BLDGS. I 2/20sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profession Code and my license is in full force and effect. ?1�1License No. Classification — ❑ I, as the own r, 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) El I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044)io ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI.OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS NON-RESID. (IN) OUTLET CIR. 20@50C Ex. Occup(OUTLETS OR FIXTURES BAL®ao FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 'sc. Wiring 15.00 ,(?Q C;- IZS /5-. 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. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notl a 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. I also agree to save, indemni and keep harmless the County of Butte against all liabilities, gments, sts, n a penses which may in any way accrue against s my in co e o e granting of this permit. X Date Signature of A lic nr _7' Owner 9 ppConiractor� Agent An OSHA permit i r uired for excavations over 5' eep and demolition or construct- ion of structures o/er'3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ t OCCUP, GROUP TYPE OF CONST. PARCEL PD HD 1550E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE O OF PUBLIC By PERW T EXPIRES Date the applicable provi- resolutions to do fees have been aid. p WORKS Date �- �- 3?j Lf,Z�_ - Receipt No. . � S �� U WHITE-D.P.W., YE�-ASSFSSOR• PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPAR_rM. NT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESPAR E UM3 6 — ZONING BUILDING PERMIT OWN TELEPHONE SO. FT. OCC.1 BUILDING VALUATION OWN R'S MAIL ADDR S `OJA ,e r, c. CO CTOR'S AME TELEPHONE CONTRACTOFrS74,ING ADDS U(s �® 1 Fireplace oOK 10 CONIVUCTION LENDW UNKNOWN Total Valuation Is Filing Fee 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARC ECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS _ Permit fee $ BUILDING ADDRESS A/J /`'/ � c PLUMBING PERMIT Fili Fee 10.00 n9 Each Trap 2.00 Solar Water Heater 20.00 �� I^ U Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF X Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utiliti ❑ Installation Other ❑ Describe work: L` r` 0 -- Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service jp0 AOR S MP ORLESS 10.00 f Main service EA. ADD'L too AMP 2:50 NEW CONST. DWELLING OCCUP.&) OR ADDNS. ( ACC. BLDGS. I 2/20sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profession Code an my license is in full force and effect. License No. Classification _ ❑ I, as the own r, 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 MULTIOUTLET 2.SOea NON•R ESID BRANCH CIRC ITS NEW CONSTR. (POWER APPARATUS & NON•RESI D. (SINGLE OUTLET CIR. Ex. Occup(ouTLETs OR FIXTURES ewLee30 FIXED APPLNS. OR Ex.Cc OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 sc. Wiring 15.00 _ Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 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. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notl a 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. 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. I also agree to save, indemni and keep harmless the County of Butte against all liabilities gments, sts, nd a penses which may in any way accrue against s ' �t' co e o e granting of this permit. X Date Signature f Applic nt — Owner❑ Controctor pp Agent An OSHA permit i required for excavations over 5'0" eep and demolition or construct- ion of structures over 3 storiesinheight. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP TYPE OF CONST. JPARcrLJ PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date— the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. 41�6 aie�=