HomeMy WebLinkAbout073-350-01414
KURT RANFT
t W/S Roirinson Mill Rd app 1200'N of l
Blacktail Road, Forbestown area'
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovii1e,•Califorffia 95965 - Telephone 916/534-4541
.,I ---� - APPLICATION AND PERMIT
PERMIT N0.
- i
ASSES R PARCEL NUMBE
� � I _ N }
ZO ING
_
BUILDING PERMIT
O WNE
1`
.5'Q. FT. OCC. BUILDING VALUATION
OWNER' MAILING ADDRESS
Vin. i
CONTRACTOR'S NAME .^ 1k
U
TELEPHOA E
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
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
1) i
PLUMBING PERMIT
Filing Fee 10.00
-
r ��� .
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 STRUCTUREBuilding
SF ❑ Duplex ❑ Mobi lehome ❑ Other � �p
SPECIFY
sewer
5.00
Mobile Home S G W
10.00 e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ UtilitiesEl., Installation ❑ Other L --
Describe wor : ~ 1 '-- ! ?
IDA C4eAIQ t�+7N1 ("Qi ,
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100v OR LESS
100 AMP OR LESS
10.00 .o
' (
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ACDNS. ( ACC. BLDGS.
t
2h0sq ft
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
NEW CONSTR/MULTI.OUT LET
NON.RESID. `BRANCH CIRCUITS2.50 ea
NEW CONSTR. (POWER APPARATUS &�
NON-RESID. SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES EALO 30Q
FIXED APPLNS, OR
Ex. OCCUp- OUTLETS (RESID,) EA.� 2.00
Temporary service 10.00 /tj.�±J
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 Cal ifcrnia.
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 Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
al I Iia ities, judgments, costs, and expenses which may in any way accrue
again Braid Count in co s quence of t47e granting of this permit.
X � Date ,#
Signature of Applicant — Owner®, Co fracror ❑ 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 $ y
OCCUP. GROUP
I TYPE OF CONST.
PARCEL
PD HD
esuE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIREC� OF PUBLIC
'
By. �' �--� -
PE MIT EXPIRES Date
Fj
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
` '- •
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
'—�Countjt Center Drive - Oroville, C:lift,rniP996965 -Telephone 916/534-4541
APPLICATION AND PERMIT
ASSES R PARCEL NUt.AB
ZO TNG
BUILDING PERMIT
OWN E
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNE MAI NG ADDRESS
CONTRACTOR'SNAME ^
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER UNKNOWN
Fireplace
Total Valuation $
Filing Fee $ 10.00
Permit Fee $
Plan Checking Fee $
Penalty $
LENDER'S MAILING ADDRESS
ARCHITECT OR ENGINEER
LICENSE NO.
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee $
SUILDIN ADDRESS
PLUMBING PERMIT Fi ling
Fee 10.00
Each Trap
2.00
rg I
Solar '^later Heater T
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 L
SF ❑ Duplex ❑ Mobi lehome ❑ Other 1
SPECIFY
Building sewer
5.00
Mobi !e Home S G 1N 10.00
e
TYPE OF WORK
New❑ Addition❑ Remodel❑ Utilities Installation❑ Others
Describe wor
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee
10.0/0y��
J rb
t4ain service 100 AMP OR011 OR SLESS 10'00
.-
Main service EA. ADD'L 100 AIAP 2.50
-_
NEW CONST./ DWELLING OCCUP.&\ 2,/,(,sq ft
OR ADDNS. ( ACC. BLDGS. //
y R LI N LAW
V(a r
I decI e U er pen It Of r 1
❑ n r� en7e r v Ion of C 9, Div. 3 of the Business
P s' ns� mllnse s in full force and effect.
lF
License No. CIaSS ICatlOn _
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 RESID. (MUANCOUTLET
!ON -REST U, `BRANCH CIRCUI I'S 2.50 eaI
NEW CONSTR (POWER APPARATUS Fi)
NON -R ESID. SING: -F- OUTLFT CTR.
�20C�5oc
Ex. Occup(OuTLETS OR FIXTURES 8ALCs 30�
FIXED APP Lt•15. OR
Ex. OCCUp, OUTLETS IrESIDJ EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. (Wiring 15.00
_ —(
t° C_ - 1
Permit Fee t $
Contractor I
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. 1 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.
I also a ree to save indemnify and keep harmless the County of Butte against
all Iia ities, judgments costs, and expenses which may in any way accrue
again id Count I ns quence of granting of thiermit.
— W .— � 2
X Date
Signature of Applicant — Owner Cractor [DAgent ❑
on
An OSHA permit is required for exc vations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in he ght.
Mobile Heme Installation Fee $
TOTAL PERMIT FEE $
occuP.GROUP
TYPE OF CONST.
PARCEL
PD
ND
ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which tees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date_
PERMIT EXPIRES Date_ _
Receipt No. /nD 7j/
WHITE-O.P.W,. YELLOW-ASSE5SOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEV,RRTMENT.nF PUBLIC WORKS PERMIT N .
7 County Center Drive - Oroville, Ctrliforniaa95'965 - Telephone 916/534-4541
APPLICATION AND PERMIT
ASSES R PARCEL NUMB
_11_
ZO ING
BUILDING PERMIT
0 E
TELEPHONE
SQ. FT. OCC.1 BUILDING VALUATION
7OWNEI,-AMAII,�ING ADDRESS
CONTRACTOR'S NAME j
V Vk
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
$
Penalty
$
ARCHITECT OR ENGINEER'S MAIL[ NG. ADDRESS
Permit fee
$
BUILDIN ADDRESS
W S
PLUMBING PERMIT
.Filing Fee 10.00
o'r) MX-
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 STRUCTUR
SF ❑ Duplex❑ Mobilehome❑ Other �_
SPECIFY
Building sewer5.00
Mobile Home S G W
10.00e
TYPE OF WORK
New Addition❑ Remodel❑ Utilii'iesQ, Installation❑ Other
Describe wor —
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee, -10.00
J4- J 17 b
LESS
Main service 100 AMP OR LESS
10.00 Z6
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. // DWELLING OCCUP.&
OR ADDNS. l ACC. BLDGS.
2t/20sgtt
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
NEW CONSTR. MULTI -OUTLET 2,50 ea
NO .RES'..BRANCH CIRC ITS
NEWCONSTR. / POWER APPARATUS &)
NON • RES I D. \SINGLE OUTLET CIR.
Ex. Occu BAL@3m
RES BAL@30Q
P. FIXED ASPPLNS. OR
Ex. OCCUp. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00 Or�i;7
Mobile Home Facilities 15.00
isc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F-] 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 Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also a ree to save, indemnify and keep harmless the County of Butte against
all Iia ities, judgments osts, and expenses which may in any way accrue
again id Count I ns quence of granting of this permit.
X Date ^�
Signature of Applicant — Owner CN.n [I Agent ❑
An OSHA permit is required for excg�h-"ions over 5'0" deep and demolition or construct-
ion of structuress over 3 stories in he .
Mobile Home Installation Fee
$
TOTAL PERMIT FEE $
OCCUP. GROUP
TYPE OF CONST.
PARCEL
PD
NO
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECT R OF PUBLIC
BY
P IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been. paid.
WORKS
Date
& (—��
Receipt No. /0D 7fr
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT