HomeMy WebLinkAbout079-240-033RAYMOND A, MAXWELL &.1/✓�/� v
�aJ Lower Wyandotte,OrovilleII
Permit#1324-85E (ele ser for ex. MH site)
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RAYMOND MAXWELL
6220 Lower Wyandotte
Oroville -
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OFFICE COPY /y
i Address
Date----'
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TFIGpate
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
- 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
ZONING
,/
BUILDING PERMIT
OWNER / i 7
TELEPHONE
SQ. FT. OCC, BUILDING VALUATION
OWNER's MA,LING ADDRESS 1 '
CONTRACTOR'S NAME
TELEPHONE
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
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
t �
PLUMBING PERMITg
Filin Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
( r -
Water piping
5.00
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF ❑ Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home I S I G W
110-00e
TYPE OF WORK
New ❑ Addition ❑ 1 Remodel [:1Utilities [IInstallation ❑ Other Q
Describe work: t —
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00 ,
1:
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ACC. BLDGS.
1
2/20sgft
CONTRACTORS LICENSE LAW
I declare uncer penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and m license is in full force and effect.
y
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 an exempt under Sec. , Business and Professions Code
for this reason
NEW CON5TR ULTI.OUTLET 2,50 ea
N ON.RESID BRANCH CIRCUITS)
NEW CONSTR POWER APPARATUS &�
NON-RESID. SINGLE OUTLET CIR.
Ex. OccuP(o 20@50m
OR FIXTURES BAL®30
FIXED AXED A PP LNS. OR
Ex. Occup. OUTLETS (RESID.) EA,� 1 2.00
Temporary service 10.00
Mobile Home Facilities
15.00
Misc. Wiring 15.00
'
Permit Fee $
Contractor r
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
$
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 Date r�This
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 $
OCcuP. GROUP
I TYPE OF CONST.
-I
PARCEL
PD
�'J
permit is hereby issued under
of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicapsions
resolutions tSignature
fees have been
WORKS
Date -
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE= DEPARTMENT OF'PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, C,alifornia,95965 - Telephone 916/534-4541
APPLICATION A"0,PERMIT 0 f -f
ASS OR PARCEL NUMBER
I ZO I G
BUILDING PERMIT
OWN /
TELEPHONE
SO. FT. OCC. BUILDING VALUA I N
OWNS 'S M ILING ADD SS II^^
V! 0
CON 'S NAME
TELEPHONE
CO A TOR'S MAILING ADDRESS
Fireplace
CONST UCTION LENDER
MAILING
UNKNOWN
Total Valuation Is
Filing Fee
$ 10,00
LE DER'S ADDRESS
Permit Fee
$
ARCHIT CT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
PLUMBING PERMIT
FiIingFee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
SUBDIVISION NAMEPARCEL
MAP
Each qas water heater or vent
5,00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF ❑ Duplex ❑ Mobi lehome9 Other
SPECIFY
Building sewer
5.00
Mobile Home I S I G JW I
10-00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti 'les ❑ Installatit, Other (
Describe work: �� r. >J C —
CJ
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OR00V OR LESS10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP,&
OR ADDNS. ( ACC. BLDGS.
t
2/20sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check one):
❑ 1 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 CONSTR. ULTI.OUTLET 2,50 ea
NON-RESID BRANCH CIRC ITS
NEW CONSTR. POWER APPARATUS &
NON-RESID. SINGLE OUTLET CIR.
Ex. Occu 200500
p�OUTLETS OR FIXTURES BAL®30
FIXED APPLNS. OR
EX. OCCUp. OUTLETS (RESID.) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
,
acs
Pe mit 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.
® 1 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 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 Ii bilities, judgments, costs, and expenses which may in any way accrue
age' s said County in consequence of the granting of this permit.
Date �/
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 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCCuP. GROUP
I TYPE OF CONST.
PARCEL
PD
HD
ISS E
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIR "C OR OF PUBLIC
BY
P MIT EXPIRES
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date.��/o–d�-f
Receipt No C390,h
tun
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT