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Home My WebLink About072-290-019N. a 72-29-19 I. LUND PARKER SIS Forbcotown Rd, 1.9 liii E Oro Qui�L�y Orovi l le ; n / /p Contr: Mauldin & Softs 3 Permit#1109-85P(gas water heater/SF) 5 19 N N �■ � --- I Phone (530) 521-0026 Fax (530) 343-3239 EMVIROHMEMTOL Mika Goodwin Sr. Geologist/Branch Manager 1026 Rimendlo Court Chico, CO 9506. E-mail mlkekrenv@aol.com Permit#1109-85P i i I. Lund Parker Forbestown Rd., Oro l�— p i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AN9 PERMIT ASSESSOR PARCEL_ NUMBER ZONING BUILDING PERMIT OWNER i 1 I• TELEPHONE SO. FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE r CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is 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 ! rl Permit fee $ BUILDING ADDRESS- PLUMBING PERMIT Filing Fee 10.00 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 STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home JSJGJWJ 10.00 e TYPE OF WORK New Add ition❑ Remodel❑ Utilities❑ Installation❑ Other F-1 Describe work: '' t ' r — _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUR.& OR ADONS. ACC. BLDGS. 2I/2Qsgft 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 ❑ 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 CTLETITS 2.50 ea NEw CONSTR. (POWER APPARATUS .&) NON -RES,D. 1 SINGLE OUTLET CIR. Ex. Occu zA @30 P�o OR FIXTURES .200500 A FIXED APPLNS. OR FIXED EX. OCCUp- OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. 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. ❑ 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 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 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 ❑ 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. -I 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 t BY r PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. J (� t .)} WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS' 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICAT.fON. AIND PERMIT PERMIT N q �J ASSESSOR PARCEL N MBER ZONING BUILDING PERMIT OWER J^ a� `NNjE..R'S TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWMAILING ADDRES G ONT A TOR' ^ TELEPHONE `J CON'TRACTOR'S MAILING ADDRESS 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 14 1110 Permit fee $ BUILDING ADORE(Tu c C� PLUMBING PERMIT FilingFee 10.00 Each Trap 2.00 Solar Water Heater 20.00 QV 1167 Water piping 5.00'., LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home I S1 G W 10-00ea TYPE OF WORK New ❑ AdditioeE� Remodel ❑ Ut'litie ❑ Installation Other Describe w k: — Permit Fee $ , Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR01 OR LESS10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( / DWELLING OCCUP,& OR ADDNS. ACC, BLDGS. 1 2/20sgit CONTRACTORS LICENSE LAW I deglare under penalty of perjury (Check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business Ix and Professions Code and my license is in full force and effect. / License No. �X� Classification —�.74 ❑ 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULNTCH CRC,-OUTILET 2.50 ea NON -RE BRAITS NEW CONSTR. / POWER APPARATUS .&) NON-RESID. (SINGLE OUTLET CIR. 2D@s0a Ex. Occup(o XD TS OR FIXTURES BAL@30Q FIXED APPLNS, OR EX. Occup. OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 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. ❑ 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 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 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 consequ a of the ranting of this permit. � �i X �� Date �b Signature of Applicant — Owner ❑ 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 HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which D TOR F PUBLIC BY PERMIT EXPIRES Da the applicable provi- resolutions to do fees have been paid. WORKS _ Date � -S �� Receipt No. �6�3 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT