HomeMy WebLinkAbout072-600-027Mall B.-Chivrell +
w/s. Lumpkin'Rd: ap�p;.4pmi, no. 'of
Forbes_ town' Rd. `�7''`�"
Permit 4414-73P,E (util, for.MH) ,
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COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date
Signature of Permitee,or Agent G
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
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee&/or Penalty
Telephone No.
Permit Fee
$
$
Building Address
*'"�
PLUMBING
No.
@
FEE
PERMIT FILING FEE J$2.00
Each Trap 1.50
Repair drainage or vent piping
1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No.
Zoning & Planning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
Fees
W•C.
Sanitation
FireDept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
�rarroel
Declaration
Parcel Ma p
60' R/W
Improvements
p
Lawn sprinkler system 2.00
Bldg. Plans Recd
Parcel Approval
Plans Approval
Permit Fee
$'��
$ `
ELECTRICAL
No.1
@ I
FEE
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑
PERMIT FILING FEE $3.00
Main service incl. 1 meter
Additional meters, each
1.00
Sub -panel (12 or less) (more than 12)
Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixtures b�� 10
Receps., switches & fix outlets �T
lbla
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
Temp. Power Pole 5.00
Misc. wiring
License No. Classification
0 I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
$ 77;
MECHANICAL
No.
@
FEE
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section 3700 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 2.00
Permit Fee $
$
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
nnri Stats I num rointinn to hiii1dinn rnnctrur-tinn. and hereby
TOTAL PERMIT FEE
$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date
Signature of Permitee,or Agent G
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
COUNTY OF BUTTE — QEPARTMENT OF PUBLIC
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
WORK qi
- 3
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X ,��/L2X.1' VJ• oh.l DLate Zd
Signature of /Permitee r A nt
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 DateT54ZS
Suii*rg—permit expires Date
BUILDING
Owner _ /J
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
e ' Telephone No.
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
$
Building Address/
PLUMBING
No.
@
FEE
PERMIT FILING FEE $2.00
O`
l
Each Trap 1.50
Repair drainage or vent piping
1.50
Water piping 1.50
_.�r_u
Each gas water heater or vent 1.50
A. P. No. Z Z _
f �
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
Ff�
W S ire Dept.
Fire Zone
Use Pennit
Building sewer 5.00
EQA
I Parking
Plans
7psTtte arcel Ma
Deec1�xFFat o P
60' R/W
Improvements
P
Lawn sprinkler system 2.00
/
/Bldg. Plans Recd Parcel Approval
Plans Approval
Permit Fee
$
0,0 C)
NEW ❑ ADDITION ❑ UTILITIES. OTHER ❑
ELECTRICAL
No.
@
FEE
PERMIT FILING FEE $3.00
Main service incl. 1 meter
Additional meters, each
1.00
Single Family ❑ Duplex ❑ Mobil Ho,ej2r Others ❑
Sub -panel (12 or less) (more than 12)
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixtures pal a)10
Receps., switches & fix outlets
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 ,t 5.00
Temp. Power Pole 5.00
License No. Classification
Misc. wiring
Lam' am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
.z
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 certrificate of
orkmen's Compensation Insurance.
certify that in the performance of the work for which this
W.I'rm
pit 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.
@
FEEPERMIT
FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
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
TOTAL PERMIT FEE�—
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X ,��/L2X.1' VJ• oh.l DLate Zd
Signature of /Permitee r A nt
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 DateT54ZS
Suii*rg—permit expires Date
R/?a'Y
�., so C. R6'F
D6
04
o° a�
Wo
Goy
All utility connections shall be
�\ lowithin 4 ft, outside the rear
43 third section'of the mobile home
0 IV �y Y �, ; on the left (road) side of the m'
home. "a. home. o
This set, of plans and -.specifications MUST be -
Q y� } b sept on the job at"all times and it is unlawful to
�j� \
d 0\, make any changes or alterations on same without
written permisson from.- the Department of Public
® Works, County of Butte.
ECO
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DEPART
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