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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) , r 1 , z � N l y. 1w I ( YI + � 1 • o t C1 v —,.-•-------moi �� - . a i _ .. _ 1� N Cfll O l 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 uNT`( . � g�'o � � 9 �'� ° � a�. � • eu� MENS DEPART P �p �O� .LK0rell