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HomeMy WebLinkAbout072-240-012j F E01 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) //5 /7 i ' 0 N N �t � �� �� Permit#193-85E John Pryor -—; y } ' Forbestown Rd.` •. ' i �:I f 4� f _ /yam ! 1 - t OFFICE COPY ! j Address GA , Me y Date_ ,y ECTRI 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