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HomeMy WebLinkAbout079-270-019i SAM RASPA, JR. • 141 Oro Bangor;-•Oroville•.� 1 fp ontr: Butte Electric r� ermit #1050-84E (ele ser ch g/MH)) 0 074q -x70-- 019 - A w Sam Rasps. ;�� l• _�Il ;1050-94E OFFICE COPY s Address GASDa Meter. /J� =fes ELECTRIC Meter By Datl _L—A • r" i �a r K COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT. NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSES OR PARCEL NUMBER /Cj�. Gp/� ZONING BUILDING PERMIT OWN r TELEPHONE SQ, FT. OCC. BUILDING vAlw*A�Tlqt OWNER'S MAILING ADDRESS CONT CT 'S NAME ELE�PHOy,E_ Wahl/�e�]� CO R OR's MAILIN RESS � Fireplace CONSTRUCTION LENDER KNOW Total Valuation $ 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 DDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 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[]MobilehomeJ4 Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New ❑ Addition ❑ emodel ❑ ilities Installation Other Describe work:— r► K 0 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 00 QQ��y��� 10.,vo Main service EA. ADD'L 100 AMP 2:50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 1 220sq ft CONTRACTORS LICENSE LAW I declare nder 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. 7 Classification `— IJ ❑ 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 / zo®s00 OR FIXTURES BAL®30 P\ouXED FIXED APPLNS. OR \ A EX. OCCUp. OUTLETS (RESID.) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 IS, 7)Z) Misc. Wiring 15.00 D 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 Consent to Self -Insure. �f' �J 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 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, c sts, and expenses which may in any way accrue against saW Counto quence of the granting of this permit. X - Date // �� — Owner ❑ Contractor � Signature of App_ic�./nl ant 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, PARCEL PD I ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC OF PU BY PERMIT EXPIRES Date the applicable provi- resolutions to do' fees have been paid. C WORKS f Date ` - Receipt No...J _ 7 3 9.3 WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT TO Building Department FROM: Environmental Health SUBJECT:. Sanitation Clearance MhIQ Owner LocatidfY A Plan Approved for: Sewage Disposal Water Supply Hold final for:, Final clearance O.K. for: Clearance for bedroom (mo:ilehome. NOTE *** Sanitarian Other Water Supply Water Supply _ r o Efate