HomeMy WebLinkAbout079-270-019i
SAM RASPA, JR. •
141 Oro Bangor;-•Oroville•.� 1
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OFFICE COPY
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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
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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
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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