HomeMy WebLinkAbout078-310-02903-3691 I
COMCAST COMM, �� ✓�
SEE ATTACHED, OROVILLE
Cont: WESTCOAST COMM 3II10I0f
PLACE CATV POWER SUPPLY
BRIGHT Carol 1403-72.B
1400-72 E
Di310-0"L
2648 Oro Garden Ranch Rd,,-lrovi e
CONTR: Foot ill. Const., Palermo
(addition). io19/�z
1
NOTES RESIDENTIAL
PERMIT NO. '
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018 3 i.o Dx*2,9
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SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
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JOB FINALED
Signature r -�
�P COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMT NO.
(Rev.12/96) APPLICATION AND PERMIT 2 -�
/SSESSOf�QQ�L1�ulE8ER CHM
J +L� (.,��[�
ZONING
BUILDING PERMIT
OWNER RWKA CAS
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TELEPHONE
SO, FT, OCC. BUILDING VALUATION
°W"ERs M'Fa DR SACRAMENTO Ca -95838
`°"rRA`DEST OAST COWNICATIONS
T343-2473
`ONTRACTQi�SO IMEYERSs STREET CHICO CA 95928
CONSTRUCTION LENDER
LENDER'S MAIUNG ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
9 OROVILLE LOCATIONS/ SEE ATTACHED
'
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee j20.00
USEOFSTRUCTURE
SF ❑ 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 ❑ Other ❑
Describe Work: PLACE CATV POWER SUPPLY
Gas piping stem 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home S G W @20.00
PERMIT FEE $
ELECTRICAL PERMIT Fling Fee 20.00
Main Service '..A OR LESS 9 23.00 207.00
LICENSED CONTRACTOR'S DECLARATION
1 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 license6n in full force and effect. /— r� LQ
License Class — Lic. No. rl to 5 ! I
OWNER -BUILDER DECLARATION
1 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
Main Service 200A TO IODDA 46.00NEW
SO
CONST.DWEwNG ff.
OR ADONS. ( a ACC, f, 3.50Fr;
I1OµR61D ' BMULTI-OUTLET 97,50
APPARATUS
a PS..IE DunET da
Ex. Occup. OUTLET OR FDCRES 20 C& 1.00
NSAL @ .sD
Ex. Occup. ° TS (RES D.) OR.. 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE S 227.00
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.
❑ 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
Policy Number
(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 pro ' ions of section 3700 of the Labor Code, I shall
forthwit cc ply ' tho a isions.
X Date t ' Z I
Signature of Applicant - ❑ Owner Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or constructionyl
of structures over 3 stories in height.
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE 227.00
TOTAL FEE $
HnZ
D � IMP
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I CDF
PARCEL
PD
ND
ssUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated ove for which fees have been paid.
By D to V
PERMIT EXPIRES O
1e
Receipt No.
WHITE-D.D.S.-B.D. CANARY-ASSESSPR —PI(K-INSFIECTOR GOLDENROD -APPLICANT
tt'�)'S�tZ CTko OROVILLE POWER SUPPLY STATUS 10127/2003'
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036-310-170
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4461 SEACREST OR
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036-630-009
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T-16-61ZI4, 41XI
28
OROVILLE
OR15
P01
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PG&E
036430-032
109 GREENBANK AVE
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29 OROVILLE OR15 P02 NO AER COUNTY PG&E 036340-013 t2840 OROVILLE GARDEN RANCH RD
30
OROVILLE
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Pol
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PG&E
068-150-015
3948 HILLDALE AVE
33 OROVILLE OR17 P02 NO AER COUNTY PG&E 068343-015 -6742 HILUDALE AVE