HomeMy WebLinkAbout068-350-02068-3520
CARL S. BOLT t
50 Mountain View Drive, Orovill
Contr : Terry Fahey
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50, -Mountain View Dr., Oro ,
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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�=