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HomeMy WebLinkAbout073-170-047Ll 7 ' 73-17-1W FOOTHILL FIRE PROTECTION ASSOCIATION IN 400' off S/S Oro Forbestown Rd, opposite Sunset Hill Lookout Rd, Forbestown Area Permit#1968-85E(ele ser for existinf radio repeater, sta P).49/NIg Lwnj����� �-� � -. ., nom. ..-..w.�..--w�.re..i.r�. ��...�4:w�. �n .w �. . .. 1 � r • , j , « • i 1968-85E Foothill Fire Prot. Ass( Forbestown Rd, OFFICE COPY Address GAS - Meter. By Date ELECTRIC '' e Meter By - � Date "6 . N j , « COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS . 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. i ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER , \ �-TELEPHONE Vi ..,.1 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME / TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER +�_ NV i` UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER l LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS f"' I Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 • ` �, �� _ -� t� �� ti r ) ., �� Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Du lex Mobilehome Other��. p ❑ ❑ I SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New [_1 Addition ❑ RemodelUtilities[:] dnstallation❑_.Other E-' r - Describe work: - C.? c, x i FJ I .. 11I n E� rl>1y �� r t Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 `I ~h1 .j •7 �, 1 6OOV OR LESS Main service 100 AMP OR LESS 10.00 � ) Main service EA, ADD'L 100 AMP 2.50 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 ❑\,EX. , 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) ❑ 1, 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 CONST. DWELLING OCCUPM OR ADDNS, ACC. SLOGS. , /20sq ft NEW CONSTF ULTI.OUTLET G NON.RESID aRANCH CIRC ITS ._. 2.50 ea (4:?�• ' POWER APPARATUS 6) SINGLE OUTLET CIR. Ex. OCCup(OUTLETS OR FIXTURES 20050t eALa30 OCCUp. OUTLETS ((RESID ) FIXED APPLNS. REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 9 Permit Fee $ 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. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g 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 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. XI ` 1, / `/, Signature of Applicant — Owner El i Contractor E]Agent [Q 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 $ Energy Inspection Fee $ TOTAL PERMIT FEE occuP, CONST.TYPEJ FLOOD PARCEL I PD HD SsuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOF dF PUBLIC 1 J By .� PERMIT EXPIRES Date/ the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. o C. WHITE-D.P.W., YELLOW-ASSE330R, PINK -INSPECTOR. GOLDENROD -APPLICANT "'NN -�N V, Y,/" J�co -loll I t It �O Al 'N NJ NN, ;a VA/l o WE -CO jB' co'. N N, ' o , vvY' 0 0 1 0 N1 A L `� O::R,E. S,T"�'" - -.,� rrF° \ � � � ! � ; � ,o ri � W � � � � � . 1 n' A q L wo \NlID 3000 LAJ "z (A 0 "N LA NN N\ T�s: -- N, O&Z u 5 Lple" Ol /C. x uj INN, CID ------------ �600 cm j N, N, a vo& 0 am N .. �.•.. T�..................... �... : Q ' i :r:'• ... : ... m D A O o N 0° 39'48"E_--, 17 ::W X.::1 �':::::::::::::: :.::::::::::::::::::: :;........................'; i(J:•:':•:•:::::''•:':'::::..:.::. n a �o ,a O \ O .::: :.... i' ::::::::::::.:::::::::::::.'.:.:.: :... .. � 1279.11' ... ,�' N 0° 26'00�l`N.42 1367 _q-q 1281.98 1Z-po: m' ItO1`�1�:!W rTi '^ NJ N �m \9 \ >: 1�N 1 N 00 25'19" W 399.96 2420' `� \ � 1 . N .. �.•.. T�..................... �... : Q ' i :r:'• ... : ... A O o 17 ::W X.::1 �':::::::::::::: :.::::::::::::::::::: :;........................'; i(J:•:':•:•:::::''•:':'::::..:.::. ' .::: :.... i' ::::::::::::.:::::::::::::.'.:.:.: :... .. ... S Oo 25'04 E 399 1T 0 O M-11• A V COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PE MITr ASSESSOR P RCEL UMBER ri Jr j , I I ZONING • BUILDING PERMIT o 2X9 R DWU%1\r TELEPHONE SQ. FT. OCC. BUILDING VALUATION NER'S MAILING ADDRESS f 1 CONTRACTORSNAME TELEPHONE CONTRACTOR'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 $ ' Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADD ESS Penalty $ BUILDI G ADDRESS _�� r� Lf &C1 Permit fee $ PLUMBING PERMIT Filing Fee 10.00 LN Each Trap 2.00 J — Y Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRU URE SF ❑ Duplex.❑ Mobilehome❑ Other �,2[_�aa- SPECI FY Gas piping system 1 - 5 outlets 1.5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑ Installation IOther Describe work: - ,r Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Brr I�M, Main service 10Dv OR LESS 100 AMP OR LESS 10.00 Main service EA. AOD'L 100 AMP 2.50 CONTRACTORS LICENkAfAW 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. 1 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 NEW CONST. DWELLING OCCUP.ty� 1b0sgft OR ADDNS. ACC. BLDGS. NEW CONSTR. MULTI -OUTLET ea NON.RESID BRANCH CIRC ITS POWER APPARATUS e� SINGLE OUTLET CIR. Occu / U200e0c Ex.p\OTLETS OR FIXTURES BAL030 ' Ex. Occup. our OUTLETS (RR ESID IEAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 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 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. 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 agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue aga�ai ty in con a uence of the granting of this permit. X Date<ak Signature of Applicant – Owner C tractor ❑ Ag.dqZ An OSHA permit isrequired for excavations over 5'0" deep and demolition Or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ Occup. CONST.TYPE T7LOODI PARCEL I PD I ND I ISSUE This permitis hereby issued under sions of the Butte County Code and/or work indicated above for which F PUBLIC By PERMIT EXPIRES Dat the applicable provi- resolutions to do . fees have been paid. WORKS Date Receipt No. �IL (Pp 9 WHITE-D.P.W., YELLOW-ASSr3SOR, PINK -INSPECTOR, GOLDEN ROD-APPL I CANT �.:1L�.i�l•�, '` _ X7�:;:.iTti �::!: ..:•!Y 1 v !:� t:Y'D.f'� ..� ..::...... 4 , .'k' r .. Citi 1�� ':�•.,�Y'r.:� 1.:3 _T. 19 N. R. 6 E. , M.D.B. a M.OD .10 ., .. �o. N p`IlN F� AES OR U.S. GOVT 3: ice'/i I O 0 40' N_ \ \ ; N 89° 35' 32" E _ N 89° 35'32" E 400.00' 0 l~ i 152.42' z; , EASEMENT`+ PLUMAS 4T.' 'FOREST 144 ACRES (V' alv7�n�r�A::::: ....:. :::::::::.. G.UY ::LaNE� .--T-?............ ...... ..... in cv O O .: