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071-050-080
;: FM- T I S- 3o :� ©« toL/-72C ! c le, COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center D%ive Oroville, California _95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the Oounty of butte to enter upon the above-mentioned property for inspection purposes. R ,/ / Signature of Permitee or Agent Date Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR _OF/_PUBLIC WORKS By 1 r i Date Building permit expires Date a BUILDING Owner ,� f : ;1 -� ;.ter r; 14 C, SQ. FT. OCC. BUILDING VALUATION Mailing Address }�� tr,=) y'-•� i ! Tel e_phone No. Contractor } 1. 1 �_•, ;� Mailing Address Fireplace Total Valuation Telephone No. Permit Fee aJ r- Building Address ! �� y -w�� f),7 rJ r PI an Checki ng Fee Vor Penal ty Permit Fee �.•y.Jj� r " �` _rr I I � 1� It C� PLUMBING No.1 @ I FEE PERMIT FILING FEE $3.00 Each Trap 1.50 �Lf Repair drainage or vent piping 1.50 I A. P. No. -- O .� - Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees WC: Sanitation- Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. •Plans Recd- I Parcel Approyal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ✓f permit Fee $ $ �ra.&l ca r Nk�N lro ELECTRICAL No. @ FEE t PERMIT FILING FEE $3.00 Q Main service 100 AMP OR00V OR L LESS5.00 001, Single Family ❑ Duplex ❑ Mobil Home ❑ Others Main service EA. ADD'L 100 AMP 2.50 r tlI� I Main service OVER 600V100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( DWELLING OCCUP. N) 2�sgft OR ADDNS. ACC. BLDGS. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW , MULTI -OUTLET NON.R.S,ESID(BRANCH CIRCUITS) 2.50ea NEW CONSTR /POWER APPARATUS 0 NON-RESID, \SINGLE OUTLET CIR. Ex. Occup (OUTLETS OR FIXTIIRES g L 1� 0f Ex. Occup. (OUTLETS P(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ / i, (lo $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I 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 the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood J 2.00 Permit Fee $ $ 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 Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the Oounty of butte to enter upon the above-mentioned property for inspection purposes. R ,/ / Signature of Permitee or Agent Date Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR _OF/_PUBLIC WORKS By 1 r i Date Building permit expires Date a COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — ^Orovill4, California 95965 *' `<;. Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for irl,spection purposes. ellow-Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. RE T FPUBLIC WORKS By Dat R 1i ^permit expires Ate c�h1p17", BUILDING Owner / SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address al Ell(i T.Ie ne No. r 76 Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee SIJD PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each TraD 1.50 �e Repair drainage or vent piping 1.50 A. P. No. �--- '� ® Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Parcel AEEroyal Plans Approval Lawn sprinkler system 2.00 NEW ❑. ADDITION ❑ UTILITIES [:]_OTHER Permit Fee $ $ ' ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600v OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others Main service EA. ADD'L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW CONST -(DWELING OR A.D.S. ACCLBLDGS.CCUP. ttl 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le of: %1 NEW RESID. BRANCHMULTI-OCIR T NON.CONST ` BRANCH CRCUITS/ 2.5.0ea NEWCONSTR. POWER APPARATUS 9 NON . RES 1 D, SINGLE OUTLET CIR. 254 Ex. OCCUD(OUTLETs OR FIXTIIRES g L 1 Ex. QCCU FIXED APPLNS. OR p•(OUTLETS (RESID.) EA� 2.00 Temporary service 10.00 0 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this L�permit is issued 1 shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for irl,spection purposes. ellow-Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. RE T FPUBLIC WORKS By Dat R 1i ^permit expires Ate c�h1p17",