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Home My WebLink About078-010-041VELMA MASTELOTTO ' E./S;-Hwy .Hwy 70; 1000'°N- G' I ir' d, 0roville ontr;, . G & T Ele 9� Permit#2651-86E(ele/fuel disp stA) t f r �L i i • � e b q _M.�. � � .� ;.yVelma Mastelotto Permit #2651-86E o ' as 1 1 t; OFFICE COPY I � • Add ess t GA Da e Me Y r% ELECTRpate/` - i Meter By ck k1v r� r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING b, _i BUILDING PERMIT OWNER I r TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS y CONTRACTOR'S NAME + Ilrr TELEPHONE � CONTRACTOR'S.MAILING ADDRESS ! r' `/ �, i' �I I Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is 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 ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 0 % Each Trap 2.00 / 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 J _f SF ❑ Duplex❑ Mobilehome❑ Other ' / f. '(r: J'•+, - SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00 ea' TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 ! Main service EA. ADD'L 100 AMP 2.50 ; ff CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): F1 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. rf J4 Classification i I!) Fl 1, 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. ACC. BLOGS. f DWELLING OCCUR.&) , �20sgft OR ADDNS. ( NEW CONSTR. MULTI -OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS POWER APPARATUS e 6 (SINGLE OUTLET CIR. i {"r -It l Ex. Occup(OUTLETS OR FIXTURES 120 0t eAL@30 FIXED Ex. OCCUp. PR OUTLETS (RESID )EAJ 2.00 Temporary service 10.00 Mobile Home Facilities _ 15.00 Misc:—W'rrin 15.00 g -y f N 5 I r Permit Fee r $ S f' Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 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. Q 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 FiIingFee 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 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 all liabilities, judgments, costs, and expenses which may in any way accrue against said County�in consequence of the granting of this permit. X �� I'- '�� Date •r<. ��" G Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories height. Mobile Home Installation Fee $ Energy Inspection Fee $ P r TOTAL PERMIT FEE $ f, ____[7L000 occuP, CONST.T7 PARCEL I PD I HD I ISSUE' sols ofr the mit (Butte Cou tyherebued Code and/oe work indicated above for which DIRECTOR OF,PUBLIC or By, ��.�� - PERMIT EXPIRES Date resoppllutionsto do fees have been paid. WORKS Date _, - 0' /in �! % 1( Receipt No. r _ / WHITE -D. r. W.. YELLOW -A38 [3308, PINK -INSPECTOR, (.OLDEN ROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Califor�a 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT P R�� O. ASSE Jt PARS UMBE (/=J_ �I f� ( , ZO. TNG BUILDING PERMI SQ. FT. OCC. BUILDING VALUATION OW,IE VeL TELEP o E OWNER'S MAI LI G ADDRESS JtJJJA h COINT I T,OR'S NAME/^f� ^ ` ` V T HONE CO RACTOR AILING AD ES ��qq 01 r / �WV� Fireplace CONSTRUCTION DER UNKNOWN Total Valuation is 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 ADDRESS Penalty $ BUILD NG AD ESS /1 Permit fee $ PLUMBING PERMIT Filing Fee 10.00 1 � Each Trap 2.00 �/ 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 STRUCT E ( t SF [:] Duplex[] Mobilehome�� Other SPE Y Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00ea T E OF WOR New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: ' ` Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR11V OR LESS10.00 Main service EA. ADD'L too 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. y78335i C^I� 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) F1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.h 1h2sgft A CC.BLDGS. ) New CONST FL MULTI -OUTLET NO N.R ESID BRANCH CIRC ITS Z. .2.50 ea POWER APPARATUS e) SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 200506 DAL@3o FIXED APLNS. Ex. OCCUp. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 n9 - Ty, 0 15.00 IS, o 1/0.00 Permit ee $ 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 Consent to Self -Insure. 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. I also agree to save, indemnify and keep harmless the County of Butte against all liabilit' s, judgments, costs, and expenses which may in any way accrue against ai ounty ' c/qu;nce of the granting of this permit. %� Date454 Si ure of A licanr - Owner g pp Contractor ❑ 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 $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 7 OCCUP. CONST.TTPE IFL0001PARCELI PD I ND I 139UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE ,R OF ELIC By. PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been aid. p WORKS to Receipt No. WNITC-D.P.W.. YELLOW -ASS E990 R, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENTF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLFCA•LWORNIA 95965 - TELEPHONE: 916/534-4541 OWNER Proposed Building Use PERMIT APPIAVCATION DATA SHEET A f Permit No. #. A. P. No. Permit Fee Based Upon: Complete Contract Price DPW Valuation Building Inspector At time of permit application, I was advised the following data must be submitted prior to permit processing and/or Issuance: DATE RECEIVED APPROVED 1. All items.have been submitted. . . . . . . . . . . . 2., Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD ''Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . ... . . 9. Letter of signature authorization. . . . . . . . 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner0, Mail to ownerE]) 15. Improvements may be required.. . . . . . . Mobilehome Installation Data. . . . . . ec. request to Pre -Inspection for Required, guildirg Pre-Inspsp Inspector 18. Recorded copy of Agricultural Acknowledgment Statement . . . 19. Other When you issue the p .r * roc ss as follows: Mail to owner. Mail to contractor. Telephone �� and hold for pickup at office. Deliver w/inspector. Other IN�iy Applicant._ �/L�l Date7,4s �6 Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of appl{ication, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by Date Other: Copy—DPW