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COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
Date
- Signature of Permiteesorr Agent
Receipt No.
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
abov46'for which fees have been paid.
/ �' IRECTOR OF PUB_ LIC WORKS
B � l Date `� - tU10-vul- IV
r r
Building permit expires Dae 4 ��`
BUILDING
Owner / /
-�i ' (t �' �/' . + �• !/' '�•'i'7 L -✓
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Contractor
Mailing Address . l i /� `r Cl , //{
/ J���:.' Uui ��
Fireplace
Total Valuation
z ��
Tel phone No.
j
Permit Fee
Building Address ' c- /
-
Plan Checking Fee&/or Penalty
Permit Fee
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
// ��.%•CF�
Repair drainage or vent piping 1.50
A. P. No.0
Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1,50
Frees I
W.C.
Sani-tation-
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
Parcel
Declaration
Parcel Map
60' R/W
Improvements
'Each additional outlet .30
Building sewer 5.00
Bldg-P+Fon-s-Re—eld^ I
Parcel A rova=
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ _ ADDITION ❑ UTILITIES ❑ OTHER
Permit Fee $
ELECTRICAL No. @ FEE
E lug` _ c..
PERMIT FILING FEE $3.00
Main service 0V OR LIE
100 AMP ORSLESS 5.00 j •�(�
Single Family,Q'" Duplex ❑ Mobil Home Others ❑
Main service EA. ADD'L 100 AMP 2.50
OVE
Main service 100 R AMP aoovOR LESS 25,00
10
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. ( DWELING
OR ADONIS. ACCLBLDGS.CCUP. 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
--� /,�
style of: !''
T
NEW CONSTR BRANCH CIRCUITS
NON.CRESID,ONST � BRANCH CIRCUITS 2.50ea
NEWCONSTR. POWEFr APPARATUS 0
NON . RES ID.SINGLE OUTLET CIR,
Ex. OCCUl)(OUTLETS OR FIXTIIRES) 6 L2;
FIXED APPLNS, OR
Ex. OCCup.�OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. � �-/ Classification
Misc. Wiring 6.25 ell',' ><
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ /4 t
$
MECHANICAL No. @ FEE
WORKMEN'S COMPENSATION INSURANCE
1 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.
❑-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
Heating
'
Cooling
Ventilation
Hood 2.00
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
$ / t
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
Date
- Signature of Permiteesorr Agent
Receipt No.
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
abov46'for which fees have been paid.
/ �' IRECTOR OF PUB_ LIC WORKS
B � l Date `� - tU10-vul- IV
r r
Building permit expires Dae 4 ��`
V COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 —�
Telephony'.'534-4541
APPLICATION AND PERMIT
Cood
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATI
Mai I i ng Address
Telephone No.
w
Contractor Ile
Mailing Address�A� ,Q, G
/�
Fireplace
Total Valuation
Tele hone N
S oil At
, _Nq
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. �G! r !D�^
Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
twi
6G4
S
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 -5 outlets 1.50
EQA
Parking
Plans
Parcel
Declaration
Parcel Map
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
Bldg-,
Panel Approval
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER t4
Permit Fee $
$
4d
ELECTRICAL No. @ FEE
`�j�AG► �_� t
PERMIT FILING FEE $3.00
Main service 600V OR LESS
100 AMP OR LESS 5.00 e0
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD•L 100 AMP 2.50
Main service OVER 25.00
100 AMPP OR LESS O
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. / DWELLING OCCUP. Y) 20Sq ft
OR ADDNS. % ACC. BLDGS.
CONTRACTORS LICENSE LAW
1 am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Profession Code under the name
style of:
NEW RESID. BRANCH CIRCU
RESID. (BRANCH CIRCUITS)TLET 2.50ea
..NON
NEW CONSTR.. POWER APPARATUS a
NON-RESID. SINGLE OUTLET CIR.
Ex. OCCUO(OUTLETS OR FIXTIIRES) B L�;
FIXED APPLNS. OR
Ex. Occup.(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification e-)
Misc. Wiring 6.25 ^ L
❑ 1 am exempt from the Contractors License Laws of the State of California.
Permit Fee $ ZJ
MECHANICAL No. @ FEE
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
I
PERMIT FILING FEE
Heating
e which requires every emp oyer to be Insured against I(ablllty
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
23y. certify that in the performance of the work for which this
U 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.
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. /A�
Dat I V
Signature of Permitee or Agent
Receipt No.h
White-D.P.W. — Ye ow -Assessor — Pink -Inspector — Goldenrod -Applicant
Coo I i
Ventilation
Hood 1 1 2.00
Permit Fee $ $
Land Development Fee $
TOTAL PERMIT FEE $
This permit is hereby issued under the applicable provisions of
the B to County Code and/or resolutions to do work indicated
abo r which fes have been paid.
IR R OF UBLIC WORKS
Date
Building pe it expires Da e C-('""�i`'O /