HomeMy WebLinkAbout072-350-008A.P. 7 35-8
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Orovi Ile, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
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above -men ioned property for inspection purposes.
Date
Signature of Permit /e or Agent
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 Date
Building permit expires Date ....... _..___�..�._a.o
BUILDING
Owner ,��
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Tel hone N
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
$
Building Address _
PLUMBING
No -I
@ I
FEE
PERMIT FILING FEE $2.00
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13 a .3
Each Trap 1.50
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610-11� 02®
Repair drainage or vent piping
1.50
Water piping 11.50-755—::9
Each gas water heater or vent 1.50
A. P. No. ��
/1/�.�
ni lanning
Gas piping system 1 - 5 outlets
1.50
,
Each additional outlet 30
Foes"
anitatio
Fire Dept.
Fire Zone
Use Permit
Building'sewer 5.00
.s
EQA Parking Parcel
Plans Declaration
Parcel Ma P
60' R/W
Improvements
P
Lawn sprinkler system 2.00
,iBI'g: Plans Recd
Parc Approval
Plans Approval
Permit Fee
$
,yo
$ Q
NEW ❑ ADDITION ❑ UTILITIES OTHER ❑
ELECTRICAL
No.
@ I
FEE
PERMIT FILING FEE $3.00
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Main service incl. 1 meter
Additional meters, each
1.00
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Sub -panel (12 or less) (more than 12)
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixturespaILO
Receps., switches & fix outlets 2U 22!5
hev
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:
Hood, Ex. Fan or F.A. Furn. Motor
1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
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Temp. Power Pole 5.00
License No. Classification
Misc. wiring
50 I am exempt from -the Contractors License Laws of the State of California.
Permit Fee
$
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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.
MECHANICAL
No.
@
FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
E2O
Hood
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
TOTAL PERMIT FEE
$
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above -men ioned property for inspection purposes.
Date
Signature of Permit /e or Agent
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 Date
Building permit expires Date ....... _..___�..�._a.o
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