HomeMy WebLinkAbout078-310-008310
"CURTIS LONG
-• 2525 V-6_Rd., Oroville
Permit#6714-79 ,E,M ele ser ch &
htg & AC) SF '
96-107 .00
Contr; Dpn„Eckelbprgerr 0
Permit.12Q6.6:_8.(ZB-(atucZ'/SF) -
CARTWRIGHT "'Alan..',. j�;' �• %
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2525 V-"6” R&`a 6' 11e'i�}i
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COUNTY OF BUTTE- DEPARTMENT OF WEVELOPMENT SERVICES - BUILDING DIVISION
7 CountyCenter Drive - Oroville, CalifornZ'a 95965 - Telephone (916) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT Y
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER
Alan Cartwright
TELEPHONE
533-7042
SQ. FT. OCC. BUILDING VALUATION
1800 Com 1060.00
OWNER'S MAILING ADDRESS
2525 V-6 Rd, Oroville, CA 95966
CONTRACTOR'S NAME
Ceor a Roofing
TELEPHONE
533-6393
CONTRACTOR'S MAILING ADDRESS
6810 Lincoln Blvd Oroville CA 95966
CONSTRUCTION LENDER
-
Fireplace
LENDER'S MAILING ADDRESS
'
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ 27.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESSv
2525 V-6 Rd, Oroville, CA 95966
Energy Plan Checking Fee
$
$
PERMIT FEE
$47000
LOT NO.
S UBDNIS ION'S NAME
PARCEL MAP
PLUMBING PERMIT
Filing'Fee 20.00
USEOFSTRUCTURE
SF 5 Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap.7.00
Solar or heapump water heater
23.00
Water piping
15.00
Each as water heater or vent.
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑
Describe work: Composition ShinQleB
Gas piping system i - 5 outleis
15.00
Building sewer
15.00
Mobile Home. S G :.W
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service zoos OR LEss
23.00
-
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class C--39 C-14 Lic. No. �( zat�6
OWNER -BUILDER DECLARATION
1L
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason: ''' , .
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project. '
❑ 1 am exempt under Sec. Business and Prof essionsCode for this
reason
Main Service'( 20- TO I000A
46.00
NEW CO DWELLING Occup -
OR
OR ADDNS. ( a ACC. BLOB.
3.52FT.
NEW CONST. MULTI.OUTLET
.NON-RESID. ANC I cul
@7.50
POWERSINGLE OUTLET APPARATUS
a CIR.
Ex. Occup. OUTLET OR FIXTURES
20 @ 1.00
BAL Q .s0
FIXED APPWS. OR
Ex. Occup. ourLErs RESIo. EA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
_
WORKERS' COMPENSATION DECLARATION.,,;-
I hereby affirm under penalty,of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section,3700 of:the'Labor Code, for the
x performance of the work for which this permit is issued:
O 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and •policy number are:
Carrier Legion Xns Co C/o Afferiean Patriot
Policy Numbe0l� -L VJJ I`V i V
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or lessJ."
❑ 1 certify that in the performance of the work for which this permit is issued, 1 shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
� /� /� / lam+
X' L ,6V,1 � �. �/' / _ Date C,' �� t / 7 Y
Signature' of Applicant - ❑,,Owner''❑ Contractor "El Agent
An OSHA° permit is required for excavations over 60" deep and demolition or construction
of structures over stories in height.
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEIE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
y / . VU
TOTAL FEE $
FEES
IMP
FLOOD
CDF
PARCEL
I PD
HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
�Q
By �C>-- �+
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
/ /��
//Date G, / l
Dale
Receipt No. 1��
WHITE-D.D.S.-B.D. -..,.CANARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE -DEPARTMENT OF DEVELQPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541„��/E,Ryll (Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCELNUMBERJ
ZONING
BUILDINGPERMIT
OWNER
Alan Cartwright
TELEPHONE
533-7042
SO. FT. OCC. BUILDING VALUATION
1800 comp 1080.00
OWNER'S MAILING ADDRESS
2525 V-6 Rd, Oroville, CA 95966
CONTRACTOR'S NAME
George Roofing
TELEPHONE '
533-6393
CONTRACTORS MAILING ADDRESS
6810 Lincoln Blvd Oroville CA 95966
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ 27.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
2525 V-6 Rd, Oroville, CA 95966
Energy Plan Checking Fee
$
$
PERMIT FEE
$ 47.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF [Y Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat;pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation )V Other ❑
Describe Work: Composition Shingles
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home ISI GI W1
920.00
PERMIT FEE
S
ELECTRICAL PERMIT
Fling Fee 20.00
800R LESS
Main Service 200A VOR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.POWER
License Class C—' 9 C-1 4 Lic. No. 4 5 2 2 h h
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
6 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier Legion Iris Co c/o American Patriot
Main Service 200A TO 1000A
46.00
NEW CONST. OW EWNG OCCUP.
OR ADDNS. ( 6 ACC. B.S.
SO
3.50FT.
NON-RESIDT MMUILCTI.OUTCLETuTs
@7,50
APPARATUS
8 SINGLE OUTLET CSR.
Ex. Occup. ourLEr OR FxruRES
e20 @ 1:00
Ex. Occup. OUTLEEDTs REESIo)EA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
$
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
Policy Number Cr1 U b J / U 19
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 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 workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation Provisions of section 3700 of the Labor Code, I shall
fo with co ply ith Vthevisions.
-Date �
Slgnatur o Xpplicant - ❑ 44Z, tractor " Agent
An OSHA ermit is required for exca er 60" deep and demolition or construction
of structures over 3 stories in hei t.
Mobile Home Installation Fee
$
Energy Inspection Fee $
Occ
CONST. TYPE47.00
TOTAL FEE $
HA2.
D. FEES IMP
I FLOOD
I CDF
PARCEL
I PD
HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES O
the applicable provisions
Resolutions to do work
been paid.
Date /, O
�/% J /7
Date
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATILIN AND PERMIT
PERMIT NO.
C 4 rg 4
ASSESSOR PARCEL NUMBER `
ZONING
BUILDING PERMIT
OWNER /
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
l •� !.1 ,F
�K
OWNER'S MAILING ADDRESS ,
,
CONTRACTOR'S NAME ••
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
J,
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
$ A
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS ^� I /
( C
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
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
SFQ' Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
O.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ®-
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service BOOV OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD -L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury
p y p I y (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 CONST. \ DWELLING OCCUP.tr\ +/z2sgft
OR ACDNS. ACC. BLDGS. I
NEW CONSTR. ULTI.OUTLET 2,50 ea
NON-RESID BRANCH CIRC ITS
POWER APPARATUS &)
SINGLE OUTLET CIR,
Ex. Occu zFIXED oeeoe
p OUTLETS OR FIXTURES SALO 30
RESID )EA.1 2.00
Ex. Occup. OUTLETS ( R
Temporary service 10.00
Mobile Home Facilities
15.00
Misc. �yirin 15.00
g
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.
O 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 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.
/<
X 1 Date
Signature of Applicant, Owner E 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 $
occuP.
CONST.T7PEJ
I
FLOOD
PARCEL
I PD
I
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 fees have beenaid.
T p
DIRECTOR OF PUBLIC WORKS
By . '�: : ��� "' iG: Date
Y •:� ✓ .'
PERMIT EXPIRES Date '
i �I f : y t`
Receipt No. )
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT 0.
ASSESSOR PA} — N�1�6§�R ,J
2�NING
BUILDING PERMIT
OWNER Lo \ N
, l
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING AD ESS
✓' v `
CONTR TOR'S NAMETELEPHONE
-�
CONTRACTOR'S MAILING ADDRESS
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 ADDRESSas a
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
_
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
FYARCEL MX`P
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
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
FiIin9 Fee 10.00
Main service 8001 OR LESS
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
❑ 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.tk ,
OR ACDNS. l ACC. BLDGS. h2sgft
NEW CONSTR. U TI.OUTLET 2,50 ea
NON-RESID BRANCH CIRCUITS)
(POWER APPARATUS e)
SINGLE OUTLET CIR.
EOccup OUTLETS OR FIXTURES e20 ®50c
ALO 30
FIXED APPLNS. ORx.
Ex. Occup. OUTLETS (RESID.) EA.1 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.
❑ 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.
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
FiIirig Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have rea is application and state that the above information
is correct. I agree to c mply t /all County Ordinances and State Laws relating
to building constructi r andhereby authorize representatives of the County of
Butte to enter in a abo mentioned property for inspection purposes.
1 also agre to av , in dmnify nikeep harmless the County of Butte against
all liabil' ies ju ts, co s, and expenses which may in any way accrue
against ai in con quence of th granting of this permit.
Date / —Z_ 2--
Sign ure of Applicant — wner Contractor ❑ Agent Elwork
An OSHA permit is Squired or excavations over 5'0" deep and demolition or construct-
ion of structures ova 3 star' s in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
occu P,
CONST.TYPe
I
I FLOOD
PARCEL 1
ND
I ISSUE
is permit is hereby issued under
Thins of the Butte County Code and/or
indicated above for which
OF PU
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
f have been paid.
I ;W;ORKS
/f
Receipt NO.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
Telephdne: 534*4541
APPLICATION AND PERMIT
auinorize representatives or ine c;ouniy or tsutte to enter upon the
above;mentioned property for inspection purposes.
CA
X-- . .. Date
Signature of Permi4e or Agent
Receipt No. z, U
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
e�i, {:'sL. F //i G�!l 4- 1 Date//
T �
Building permit expires Date �'
BUILDING
Owner �l
SO. FT. OCC. BUILDING VALUATION
Mailing Address G
Telephone No.
,/- ? 7y, f
Contractor �j l /f
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building Address
Plan Checking Fee &/or Penalty
Permit Fee
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
��`
A. P. No. 36 /tom- .- �J1
Zonin & Planning
Water piping 1.50
Each gas water heater or vent 1.50
Fees
&--I-.
Sani•tetion-•
FireDept.
FireZone
Use Permit
Gas piping system 1 -5 outlets 1.50
EOA
Parking
Plans
Parcel
Declaration
Parcel Map
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
Bldg. Plans Rec71" 1
Parcel App -oval
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ e ADDITION ❑ UTILITIES ❑ OTHER Q
-
Permit Fee $ -v Jl1
$ 5<
j6A,�," r
ELECTRICAL No -1 @ FEE
PERMIT FILING FEE J$3.00 3C U
Main service 0ov OR LESS r1
100 AMP OR LES
1 S 5.00 U
Single Family Q Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service OVER e00v25.00
100 AMP OR LESS
Main service EA. ADD•L 100 AMP 1.00
NEW OR ADDNS. ( ACC`BLDGS.LINGCCUP S) 22 sq ft
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:
NEW RESID. BRANCH CIR T
NON.CONS . ( BRANCH CIRCUITS) 2.50ea
NEW CONSTR. (POWER APPARATUS C
NON.RESID. (SINGLE OUTLET CIR.
Ex. Occup{OUTLETS OR FIXTIIRES) g L 1� 00
FIXED ALNS
Ex. Occup. (OUTLETS P(RESID.)REA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring
I am exempt from the Contractors License Laws of the State of Cal Ifomia.
Permit Fee $ 144 7 "s
/ `l i
MECHANICAL No. @ FEE
WORKMEN'S COMPENSATION INSURANCE
I 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 certificate of
Workmen's Compensation Insurance.
1 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 7'6
Cooling % y •O (�
Ventilation
Hood 2.00
Permit Fee $ l -
$ `
I certify that I have read this application and state that the above
information is correct. I agree to complyto all Count Ordinances
y
and State Laws relatingto building construction, and hereby
Land Development Fee
$
TOTAL PERMIT FEE
$
auinorize representatives or ine c;ouniy or tsutte to enter upon the
above;mentioned property for inspection purposes.
CA
X-- . .. Date
Signature of Permi4e or Agent
Receipt No. z, U
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
e�i, {:'sL. F //i G�!l 4- 1 Date//
T �
Building permit expires Date �'
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orroville, California 95965
Telephone: 534541
APPLICATION AND PERMIT
authorize representatives of t ounty of Butte to enter upon the
above- oned property for ns ction purposes.
Date - 3r-_) 1
Signature ofPermi ee or Age
Receipt No. d^^ 9
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
abovo14Ir which fees have been paid.
IR OR OF PUBLIC WORKS
11
B Date
Building per it expires Date _
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address s-
Telephone No.
Contractor
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building Address J -
Plan Checking Fee&/or Penalty
Permit Fee
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
A. P. No. j —��
Zoning 8 Planning
Water piping 1.50
Each gas water heater or vent 1.50
F s
S
FireDept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
Parcel
Declaration
Parcel Map
60' R/W
I Improvements
Each additional outlet .30
Building sewer 5.00
Bld ans e—
Parcel A proval
Plans Approval
Lawn sprinkler system 2.00
NEW F1 ADDITION ❑ UTILITIES ❑ OTHER
Permit Fee $
.$ b2
ELECTRICAL No. @ FEE
4 ALA,
PERMIT FILING FEE $3.00 . 0
Main service 100 AMP ORS -ESS 5.00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L too AMP 2.50
Main service OVER 25.00
100 AMPP OR LESS O
Main service EA. ADD'L 100 AMP 1.00
NEW CONS.OR ADDNST ACCLBLDGSCCUP. S) 22sgft
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
st le of:
y
NEW CONSTR -OUTLET
NON.RESID � BRANCH CIRCUITS/ 2.5Oea
NEW CON STR. (POWER APPARATUS 9
NON-RESID. SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTIIRES) Ig �@j
Ex. Occu FIXED APPLNS. OR
p• OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25 -1,S
1 am exempt from the Contractors License Laws of the State of Cal ifomia.
Permit Fee $ 2
$ /t7 z
MECHANICAL No. @ FEE
WORKMEN'S COMPENSATION INSURANCE
I 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 certificate of
Workmen's Compensation Insurance.
12 ft7 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 S. OZ
Heating Q(/ol Lf.d
Cooling -1) 7
Ventilation
+2.001
Hood
Permit Fee $
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
Land Development Fee
$
TOTAL PERMIT FEE
$
authorize representatives of t ounty of Butte to enter upon the
above- oned property for ns ction purposes.
Date - 3r-_) 1
Signature ofPermi ee or Age
Receipt No. d^^ 9
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
abovo14Ir which fees have been paid.
IR OR OF PUBLIC WORKS
11
B Date
Building per it expires Date _