HomeMy WebLinkAbout072-240-012j
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N PRYOR 72-24-12 PRYOR9 John H.` _ 825-72 P
Forbes town..Rd,, across- rom Little...
Oak Road, Oroville - ,a
Contr; Pryor Coin
�S! n/s Forbestown Rd. 3/$'mi. east of Hurl to
Permit#193-85E(ele ser ch SF & shop) (utilities for mobile home)
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Permit#193-85E
John Pryor -—;
y } ' Forbestown Rd.`
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OFFICE COPY !
j Address
GA ,
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Meter By Date -2J7
OFFICE COPY
Address
GAS
Meter Date.
ELECTRIC
Meter By Date -
COUNTY OF BUTTE - DERARTMENTTOF'PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
J "_ ..
ZONING
BUILDING PERMIT
OWNER
!
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
CONTRACTOR'S NAME 7
t ( n f
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
( 4- 1 1 -i -1) r I _) < J T ! )
Fireplace
CONSTRUCTION LENDER
UNKNOWN
V
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 1 l
r't � � � '•? 1 >r1 � J. - \ '` x i to �\ � �l C.' f r, " -
PLUMBING PERMIT
FiIingFee 10.00
t
Each Trap
2.00
Solar Water Heater
20.00
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 e� STRUCTUREt
SF ❑ Duplex ❑ Mobi lehome ❑ Other V r F I ') I-�
SPECIFY f
Building sewer
5.00
Mobile Home S I G I W
10.00 e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Q
Describe work: to Ay, a V -1 }
t V C c e-)+ d
Permit Fee
$
Contractor
ELECTRICAL PERMIT
_Filing Fee 10.00
Main service 100 AMP 001 OR ORSLESS
�� 10.00
U I r �-� '7 ( -> iL?i L�
Main service EA. ADD'L too AMP
f 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 effept.
License No. 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
NON.RESID R BRANCH CIRCUITS)
2.50 ea
NEw CONSTR. ( POWER APPARATUS &)
NON.RESID. (POWER
OUTLET CIR.
200500
Ex. Occup(ouTLETs OR FIXTURES BAL®30
Ex. OCCUp. OUTLETS P(RESID )REA.) 1 2.00
Temporary service 10.00
Mobile Home Facilities
15.00
Misc. Wiring 15.00 /1 r) J
-4-' ( —.. ^ `�.
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.
❑ 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
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
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 Countyot
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
against said County in consequence of the granting of this permit.
X-- Date
Signature of Applicant — Owner❑ Contractor Q Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construcv-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
TYPE OF CONST.
PARCEL
PD
XD
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
r
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT
I`OF�PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
- APPLICATION AND PERMIT
PERMIT NOV
9 49
ASSESSOR PARCEL NUMBER
a _ 2
ZONING -
BUILDING PERMIT
OWNE�
o b r
TELEPHONE
,SQ, FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
_S
CONT C OR'S NAME
TELEPHONE
CONT CT R•S MAYL, ARES r
Fireplace
CONSTRUCTION LENDER
UNKNo�yr.,
✓
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
$
BUILDIN A DRESS
�% S f s s
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
O
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 STRUCT RE—Building
SF Duplex❑ Mobilehome❑ Other S
SPECIFY
sewer
5.00
Mobile Home S G W
10.00 e
TYPE OF WORK
New❑ Additicno RemodelpUtilities❑ Installation❑ O er
Describe work: �,
rn �0 7t,�� s V
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
'Main service e00v OR LESS
100 AMP OR LESS
10.00 Q
QQ
r ?ge X V IC Y S
Main service EA. ADD -L. 100 AMP
2-.50
NEW CONST. DWELLING OCCUR.&
OR ADDNS. ACC. BLOGS.
I Z
2/Qsgft
CONTRACTORS LICENSE LAW
I declareder penalty of perjury (check One):
JZJ I am licensed under provisions of Chapt. 9, Div. 3 of the BUS Ines$
and Professio s ode and my license is in ful force and effect.
License No' Classification 7�
❑ 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. ULTI.OUTLET 2.50 ea
No N.RESID BRANCH CIRC ITS
NEW CONSTR. POWER APPARATUS &
NON.RESID/. SINGLE OUTLET CIR.
EX. Occup\OUTLETS OR FIXTURES eA ®30
FIXED APPLNS. OR
EX. OCCUp. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
MiRc. Wiring 15.00
Try 'X K$ �S
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
Consent to Self -Insure.
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
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.
1 also a to ve, emnify and keep harmless the County of Butte against
all liabi iti s, iu gment , c sts, and expenses which may in any way accrue
aga st s id Coun in ns quence of the granting of this permit.
i �- �) �G
D to
Signature of Applicant — Owner ❑ Contractor Agent ❑
An OSHA permit is required or 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
TYPE OF CON5T.
PARCEL
PD
No
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
Work indicated above for which
RETO A�UL'CrWORKS
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
ate J - r�
Receipt No. _ . 0 6
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT