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WEINREBER, Herbert �l�.8"/-66B* 2051B 1 -
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230 Mt-. View Dr . , Oro . u�#
4-53-29 ,� �. w
n/s Mt. View 300' west of reenbank, 0rovil3
CONTR: Ladd 'Cons truction, 443 Oro Dam Blvd.,
(new, single family) Oroville �..
2051B
"ARE71�E GAS METER -x L rO -� o -G. s.
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WEINREBER, Herbert �l�.8"/-66B* 2051B 1 -
r X375 -66E* �25545P/SZ��
. v
� % - M
230 Mt-. View Dr . , Oro . u�#
4-53-29 ,� �. w
n/s Mt. View 300' west of reenbank, 0rovil3
CONTR: Ladd 'Cons truction, 443 Oro Dam Blvd.,
(new, single family) Oroville �..
2051B
"ARE71�E GAS METER -x L rO -� o -G. s.
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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538 4� - PERMIT T No.
(Rev. 12/96) APPLICATION AND PERMIT _-
ASSESSORPARt7jN MB — •� 50 .---
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ZONING
BUILDING PERMIT
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TELEPHONE
SO. FT. OCC. BUILDIINQNG VALUATION
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. OWNERS MAI f DRESS f
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C
RWACTOR'S NAME C
TELEPHONE
S33 —6.3 gg
CONTRACTO
Mo
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $
Q
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
•
Energy Plan Checking Fee
$
$
C
PERMIT FEE
S 5 ,00
LOT NO. SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF'k Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Ulilities ❑ Installation ❑ Other ❑
Describe Work: ^ Q�
Gas piping sy2tem 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
920.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service ODA OR IESS
23.00
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 full force and effect.
License Class C —.3 9 Lic. NO. y to
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 ADDNS. ( DW:
ACC. S.
SO
3.5¢FT.
NESIU T. MU LTI.OUTLET
@7,50
POWER APPARATUS
8 SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES
20 .00
BAL 1. 0
Ex. Occup. oFIXUTE,F;sA aD)0ER
a.A
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
$
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' c_ofnpensatiQrl insur►ce carrier and policy number are:
Carrier •1L�y��
Policy Number 69 — 04
(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 provisions of section 3700 of the Labor Code, I shall
o with comply with those provisions.
h
X a, C Date b— /e7 —e3 _
Sig re of Applicant - ❑ Owner ❑ ontractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or constructio
of structures over 3 stories in height.
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEES
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ or' Da
HAZ.
p. FEES
IMP
I FLOOD
CDF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By f
PERMIT EXPIRES ON
IpeTe
the applicable provisions
Resolutions to do work
been paid.
Date .�
Receipt No.'38-160z 1(5v.59
WHITE-D.D.S.-B.D. CANARY -AS ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT