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Home My WebLink About078-310-0404 a 4 i i� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovilie, Cali'ornia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER r ' ZONING BUILDING PERMIT OWNER - TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS f Fireplace Total Valuation Is CONSTRUCTION LENDER * ' UNKNOWN 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 tr ' - Ir It PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 1 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobllehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New F-1 Add ition❑ Remodel❑ Utilities❑ Installation❑ Other[:]-- r: Describe work: ' ' Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 0011 OR LESS 100 AMP OR LESS 5.00 , %i Main service EA. ADD'L 100 AMP 2.50 NEW CONST'( DWELLING OCCUP.81 OR ADDNS. ACC. BLDGS. / 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El 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 U LET 2.50 ea N-RESID BRANCH CIRC TS _No NEW CONSTR I POWER APPARATUS & NON-RESID. %SINGLE OUTLET CIR. 50 (OUTLETSOR FIXTURES BALei IXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 " 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 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 S 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. 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. i Signature of Applicant — Owner ❑ Contractor 0 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 $ OCCUP. GROUP I TYPE OF CONST, I PARCEL PD I HD ISSUE , This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY PERMIT EXPIRES Date 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 WOR PERMIT NO. 7 County Center Drive - Orpville, California 95965 -Telephone 916/ 4-4541 - ' APPLICATION AND PERMIT lAll ASSESSOR PEL NUMBEWR U/_ T ZONING BUILDING PERMIT ill TELEPHONE SO. FT. OCC. BUILDING VALUA ION OWNER'S MAILING ADDRESS X714 OR'$ _NAME I TELEPHONE CMNT CTO�LIN�ADQ[iEy�yC/•/ /�3',r/"— U/(`/� Fireplace ONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADD SS . Permit Fee $ A ARCHITECT OR ENGINE LICENSE No. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDI A,DDYSS PLUMBING PERMIT Filing Fee 10.00 Each Trap 1 2.00 Repair drainage or vent piping 5.00 ® 011MLC Water piping LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets -- � USE OF STRUCTURE SF U2 Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ U i I' ies ❑ Installation ❑ Other Describe work: El✓L� G Permit Fee $ ontractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS Main service EA_ ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.51) OR ADDNS, l ACC. BLDGS. 2¢ sq 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 Professio s C e d my license is in full forr(ce and effect. License No:3 Classification C:/ 6 ❑ 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 I -OUTLET 2.50 ea NON-RESID BRANCH CIRC TS NEW CONSTR. /POWER APPARATUS S1 NON-RESID. \SINGLE OUTLET CIR. I Ex. Occup OUTLETS OR FIXTURES_ a �� 00 (FIXED APPLN5, OR Ex. Occup. OUTLETS (RESID,) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 , �O Permit Fee $ 'L ,SD 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. V I shall not employ any person in any manner so as to become subject r ` 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 1 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 a ai st said Cou t I cons uenc;�f the granting of this permit. g /� l,_ n �GJ/�) g g X , y Date �"�l%^$� 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 in height. Mobile Home Installation Fee $ �� TOTAL PERMIT FEE $ 2 5 , OCCUP. GROUP I TYPE OF CONST, PARCEL PDfJ HD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OR PUBLIC By. PERMIT EXPIRES Date the applicable to do resolutions to do fees have been paid. WORKS i Date �"/1A_1?15A 1142=d?i Receipt No. SS gg Z� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT rf,.i�.►.ie+1_afs✓wt:*.'i'c ,-"sa.+rCi>+r.+.«ii'crr.»..:�+.^,,�:r.r.°+.--w•==ern-::,.r W, .,. a!4,�'*`!,+w�.e•�,E.... i-""r'�:'^"� y' O COUNTY OF BUTTE - DEPARTMENT OF PUBLIC.WORKS BUILDING DIVISION v 7 COUNTY CENTER DRIVE - OROVIL•�_E,tCAI IFORNIA 95965 - TELEPH9ONE: 916/534-4541 r.,r%•' � PERMIT.APPLICATION DATA SHEET �. Permit No. / OWNER %/� / L N7J1�AJ 7- i A. P. No. Proposed B u d'i ngUse Permit Fee Based1U on: Complete Contract Price DPW Valuation Other (Explain) Building Inspec-t r '�`-� Date > �� 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. State Energy Forms No. 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 owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 1 . Pre -Ins -Mobilehome Installation . . . . ta. 017Pre-Inspection for / S/G� Required. . . Pre-Ins9ec. request to ��Z,&L S (Date) p q Building Inspector 18. Other �( Whentyou,issue the permit, process as follows:^•—Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicaht Date i 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 application, 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 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville`C4rnia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR P R EL NUMB R+.;• ZONING BUILDING PERMIT OW, - TELEPHONE SO. FT. OCC. - BUILDING VALUATION OWNER'S MAILING ADDRESS - C NTRA TOR• NAME TELEPHONE CONT CTJ' A LIN ADQ.�i E�$ O� /� ,`� o/(`/ �/// Fireplace ONSTRUCTION LENDER - UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADD SS Permit Fee $ ARCHITECT OR ENGINE E LICENSE NO. Plan Checking Fee $ Penalty $' ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDIMt.ADDYSS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 ® G vILL Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF LIQ Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑l' ies ❑ Installation ❑ Other Describe work: Permit Fee $ ontractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1 S 00 AMP -OR Q Main service EA. ADD'L 100 AMP 2.50 NEW CONST. /DWELLING OCCUP.EI) OR ADDNS. t ACG. B.LDGS. 22 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): DO I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code d m license is in full force and effect. y License No. I304 Classification F] 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 CONSTR. TI -OUTLET 2.50 ea NON-RESID. BRANCH CIRC ITS NEW CONSTR. ( POWER APPARATUS &I NO -R E51 D. SINGLE OUTLET CIR. 50@2sr. Ex. Occup OUTLETS OR FIXTURES 8AL@100 Ex. Occup.(ouTLETSP(RESID )OUTLETS 2.00 Mobile Home Facilities 15.00 Misc. Miring 7.50 , SO Permit Fee $ Z SU Contractor MECHANICAL PERMIT FiIingFee 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 ora Certificate of Consent to Self -Insure. fpi 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 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� st said Cou ty i cons uence f the granting of this permit. X T ��C4y Inn Date �� - /r%— cb �- Signature of Applicant — Owner ❑ Contractor�]Agent An OSHA permit is required for excavations over 5/0" .8 p and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ S-7, e-71 OCCUP. GROUP J TYPE OF CONST. PARCEL 1.11ND ISSVE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions. to do fees have been paid. WORKS Date Receipt No. SK95 Z, WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLOCHROe-APPLICANT