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Home My WebLink About079-290-013~ �� 013 ~� ~-�~�V.~�� HAZEL FULLMERContr: Mt Development26o mt. IdA, OrovilleU | -- -� � i � i � _ � _ / Y 6 Permit#293-84 Hazel Fullmer 260 Mt Ida, Oro 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 ,YI ( 1, t.r ZONING BUILDING PERMIT OWNER; -, i - TELEPHONE SQ. FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS '� h •:f I1 r ( I CONTRACTOR'S NAME , I i 1 1.� k, 1 .!; T71' .. TELEPHONE + CONTRACTOR'S MAILING ADDRESS t Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ i . �- ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee _ $ I � BUILDING ADDRESS 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 2 Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home JSJGJWJ I 110-OOeE_ TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe work: I -'�' 1� '+ I IV' I `� 1 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD -L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 21/20sgft CONTRACTORS LICENSE LAW 1 declare under 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 r License No. 14 // Classification 41, ❑ 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 CIRCUITS) NEW CONSTFL I POWER APPARATUS &' NON•R ESID. SINGLE OUTLET CIR. OR FIXTURES BAL030 Ex. Occu / BAL030 P\o A FIXED APP LNS, OR FIXED Ex. Occup. OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 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 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 pefmit. . / r X Date 1 Signature of Applicant — OwneC 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. PARCEL PD ND IssOE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC _ f PERMIT EXPIRES Date i the applicable provi- resolutions to do fees have been paid. WORKS Datel -- Receipt No. J WNITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovillej California 95965 -Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSORPARCEL NUMB 3 0 131 ZONING BUILDING PERMIT OWNS{�'� `j` I TELEPHONE SO. FT. OCC. BUILDING AL ATION OWN R'S MAILING ADDRESS CO 7 CTO 'S NAME Q,UQ_1 p o VV, elyAl!J ITELEPHONE ^� CPATRACTOR'S MAILING AIDDRESS Z) Q, Fireplace CONSTRUC TIO LENDER UNKNOWN Total Valuation $ Filing Fee $ 10'00 LENDER'S MAILING ADDRESS Permit Fee $ Sr ARCHITECT OR ENGINEERLICENSE NO. Plan Checking Fee Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee •10.00 Each Trap . 2.00 Solar Water Heater 20.00 D 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 2 Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00E TYPE OF WORK New ❑ Additi RemocJR1 ❑ Ut' ities ❑ stallation ❑ Other []� Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 ,NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 2t/20sq ft CONTRACTORS LICENSE LAW I declare der penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business(20e50e and Profession and my license is in full orce and effect. v License IVo 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 LE UTI.OUTLT 2.50 ea NON.RESID BRANCH CIRC ITS. NEW CONSTR. ( POWER APPARATUS &') NON-RESID. SINGLE OUTLET CIR. TS OR FIXTURES BAL®30 Ex. OccUP. FIXED Ex. OCCUp. OUTLETS P(RESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 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. 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 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 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 I bilities, judgm ts, c ts, and expenses which may in any way accrue ag t id County i copse uence of the granting of this per it. a L X Date' 1 d Signature of Appli r — Owne Contractor ❑ Agen An OSHA permit is required for a cc vations over 5'0" deep and demolition or construct- ion of structures over 3 stories in eight. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP 1. TYPE OF CONST, PARCEL PD NO ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. D EC R OF PUBLIC WORKS I BY DySattef 3�r (/` PERMIT EXPIRES ate _ 1 _ 3 �C] Receipt No. wcj WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT