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COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California -95965
Telephone: 534-4541
APPLICATION AND PERMIT
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autnorize representatives or the county or tsutte to enter upon the
above-mentioned property for inspection purposes.
X
Signature of Permitee or Agent
Date
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
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By
Building permit expires Date
Date
BUILDING
Owner r,
SQ. FT. OCC. BUILDING VALUATION
Mailing Address�-
Telephone No.
t
Contractor
Mailing Address � _- � -
Fireplace
Total Valuation
Telephone No.
--
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. - t
Zonin 8 Planning
Water piping 1.50
Each gas -water heater or vent 1.50
Fees
W.C.
I Sanitation.
Fire Dept.
FireZone
Use Permit
Gas piping system 1 -5 outlets 1.50
EQA
Parking
Plans
I Parcel
Declaration
Parcel Map
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
Bldg. Plans Recd I
Parcel Approval
Plans Approval
Lawn sprinkler system 2.00
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
Permit Fee $
$
•r'�'��'
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 100 AMP OR00V OR SL=SS5.00
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service EA. ADD -L 100 AMP 2.50
Main service OVER e00v 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW
OR ADDNST %ACCLBLDGS.OCC up- S) 20sgft
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
St le of:
y -
SR MULTI -OUTLET
NEW CONT
NON -REBID BRANCH CIRCUITS) 2.50ea
NEW C ONST R (POWER APPARATUS .&
NON-RESID. `SINGLE OUTLET CIR.
Ex. Occup{OUTLETS OR FIXTIIRES BAL ,
x. CCU // FIXED APPLNS. OR
EQ2.00
p..IOUTLETS (RESID.) EA)
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
I 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.
r -1I 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.
MECHANICAL No.1 @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
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
Land Development Fee$
Il
TOTAL PERMIT FEE
$
autnorize representatives or the county or tsutte to enter upon the
above-mentioned property for inspection purposes.
X
Signature of Permitee or Agent
Date
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
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By
Building permit expires Date
Date
COUNTY OF(.13UTTE — DEPARTMENT OF PUBLIC WORKS
at 7 County Center•Drive - Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
wUu— — IGI—QVII—L vca UI I IV VUUIIIY UI OUll6 lU QIItVI UVUII LIIV
above-mentioned property for inspection purposes.
Date
Signa re of/Permiitee or Agent
�1
Receipt No. / -7 7 a 7
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
above for which fees have been paid.
DIRECTOR Df-PIRBLIC WORKS
BY Date
Bulking permit expires Date S �3 ' 7
BUILDING
Owner11 Tom"'A®
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
R
� Q V l �
o.
C
TL3ho e too/
Contractor �+piT ,�i' G -
Mailing Address- d .S;,err.,,_ p 0- —
Fireplace
Total Valuation
Tel hone No.
p�
Permit Fee
Building AddressPlan
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.
Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
Fees
6e-�
FireDept.
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
BI d
Parcel A roval
Plans Approval •
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
Permit Fee $
$
-41
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
V OR L
Main service 100 AMP ORSLESS 5.00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD•L 100 AMP 2.50
'
Main service OVER soov 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW
OR ADDNST % ACCLBLDGS.LING CCUP. 4') 20sgft
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: /OUTLETS
TL T
NEW CONSTR. BRANCH CIRCUITS)
NON-RESID BRANCH CIRCUITS) 2.50ea
NEW ER5NSTR. (POWER APPARATUS.a,
NON-RESID. SINGLE OUTLET CIR.
Ex. Occuo(OUTLETS OR FIXTIiRES -50 L 1
Ex. Occup.( FIXED APPLNS. OR
(RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
LicenseNo.Z3 7Z-2 Z Classification
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit 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.
lecertify 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.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00DQ
Heating
Cooling
i
Ventilation • tt•= " '
Hood 2.00
Permit Fee $ s
$ 1
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County OrdinancesTOTAL
and State Laws relating to building construction, and hereby
Land Development Fee
$
PERMIT FEE
$
wUu— — IGI—QVII—L vca UI I IV VUUIIIY UI OUll6 lU QIItVI UVUII LIIV
above-mentioned property for inspection purposes.
Date
Signa re of/Permiitee or Agent
�1
Receipt No. / -7 7 a 7
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
above for which fees have been paid.
DIRECTOR Df-PIRBLIC WORKS
BY Date
Bulking permit expires Date S �3 ' 7
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