HomeMy WebLinkAbout005-421-0315-421-31
AUDIE BEASLEY,,,
952 E 16th St., Chico
Cont :.Strattons Electric
(ele ser ch/SF) oarp
vy
IB
05-421-031 03-2899
EASLEY, BILLY
52 16TH ST, CHICO
Cont: LAYMAN, GARY
RE -ROOF +
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5-421-31
AUDIE BEASLEY,,,
952 E 16th St., Chico
Cont :.Strattons Electric
(ele ser ch/SF) oarp
vy
IB
05-421-031 03-2899
EASLEY, BILLY
52 16TH ST, CHICO
Cont: LAYMAN, GARY
RE -ROOF +
� Q
0
� Q
jlj5 Q
ft
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION �iT
7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7b4t-• I / / NO.
(Rev. 12/96) APPLICATION AND -PERMIT
ASSESSOR PARCEL NUMBER u n
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SO. Fr. QC`+ B D NG
TION
•OWNERS U ADDRESS. I.I f..
a
CONI CTOR'S I.JpME
Y ,I
TELEPHONE
TR
1!CONSTRU
TION LEND
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDINGADDRESS ^ / / �r�
Energy Plan Checking Fee $
PERMIT FEE $
- 00
LOT NO,
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
-
Solar or heat um water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel
/❑ Util" s ❑ Installation ❑ Other [3
ci►'!/I
Describe Work: I 4- - OL
�t�' �N' ► // �� I��
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
920.00
PERMIT FEE $
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 2o0A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is ip full force and effect.
License Class 47 '3 Z (.,6/ Lic. No./ -5,y 7
/ %7e. OWNER -BUILDER D CLARATI N
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain . a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
one hundred dollars ($100) or less.)
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
worker ' compensation provisions of section 3700 of the Labor Code, I shall
forth h comply ' h those provisio
X Date
Signature o icant - ❑ Owner ❑ Contractor ❑ Agent
p
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A 46.00NEW
CONST. OW EwNG Occup. so
OR ADDNS. 8 ACC. S.3.5¢FT.
FtDµpalpT MULTI.OUTLET 97.50
POWER APPARATUS
8 BINDLE OUTLET CIR.
OUTLET OR FOCTURES 20 @ 1'50
Ex. Occup. �,u @ .su
LNS
FIXEP.n1 5.00
Ex. Occup. ouT isR.,6.) FOR
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wirina 23.00
PERMIT FEE S
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE S
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TAL FEE $
HAZ.
D. FEES IMP
FLOOD
CDF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indics have been paid.
at bove for ich fee9//
By Dat
EXPI ES ON
I rDate
Receipt No.PERMIT
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
1
F
OFFICE COPY
Address
GAS
Meter By Date
ELECTRIC
Meter By Date �� 5
t
.Y.i
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-454
APPLICAT(DN pND PERMIT
ASSESSOR PARCEL NUMBER
ZONI
BUILDING PERMIT
OWNER
A
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS /
q5a CSf h 4f
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
,$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS j
i ryr �r I /•(li y � ��
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
tr:
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF r Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel [:1Utilities [:1Installation❑ Other
Describe work: A6%7 17--7 1 .ter 4- r. �c lUt e Fi ('_haA.&C
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service e00v OR LESS
100 AMP OR LESS
10.00
,t%_�
Main service EA. ADD'L 100 AMP
2.50
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 Coder and my license is in full force and effect.
License No. (Y � /-�.S 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)
❑ 1, 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 CONST. DWELLING OCCUP.ad ,
OR ADDNS. ( ACC. BLDGS. /20sgft
NEW CONSTR ULTI-OUTLET 2,50 ea
NON -RE SID BRANCH CIRC ITS
POWER APPARATUS
(SINGLE OUTLET CIR.
Ex. Occup( OR FIXTURES .030
Ex. OCCUp. OUTLETS (RESID )FIXED APPLNS. REAJ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring
g 15.00 15, 5 v
pry 7r AC,% ico
Permit 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.
� 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.
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 liabilities, judgments, costs, and expenses which may in any way accrue
against said.County,in con �quencer/of he granting of this permit.
Xo ' -'t
Signature of Applicant — Owner ❑ Contractor Z 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 $
Energy Inspection Fee $
TOTAL PERMIT FEE $ SO, C)c.2
OCCUP,
CONST.TYP!
IFLOODIPARCE:Ll
PD
ND
I ISS 1E.
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DlRECJ R OF PUBLIC
( }1
By t*,`>•
PER P T EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date 1 '�
�' -
Receipt No. -e i
WHITE-D.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
5 D S -c8
An
ASSESSOR PARCEL NUMBER
5-- 3
ZONI
BUILDING PERM
OWNER r
e
TELEPHONE
SQ. FT. OCC. BUILDING VALUATI
OWNER'S MAILING ADDRESS
/
CONTRACTOR'S NAMEGfrir
� *
TELEPHONE
_ 3.
CONT 'AC O 'S MAILING ADDRESS
d (, 'r>
Fireplace
CO 5 RUgTION LEN E `
in LI)S
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER''`S MAI NG ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
IEZ 1,0"C
LICNSE NO,
`f
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRE-S
Penalty
$
BUILDING ADDRESS F
qsa �
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2,00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5,00
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Instal lation❑ Other llR
Describe work: � r. IQe_ i', e. 'plc« �, �e�
"a.
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100V DR LESS
100 AMP OR LESS
10,00
,
Main service EA. ADO'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check One):
0 -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. "1— ^•.5-- 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)
❑ ossa the owner, am exclusively contracting with licensed contract- 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.dI ,
OR ADDNS. ( ACC. BLDGS. hQSgft
NEW CONSTR ULT' -OUTLET
NON.RESID BRANCH CIRC ITS 2.50 ea
POWER APPARATUS e\
(SINGLE OUTLET CIR. /
Ex. Occup(OUTLETS OR FIXTURES eAL@30
FIXED P
Ex. Occup. OUTLETS (RESINSR
D )EAJ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00 0
/ ,co
Permit Fee $ SO&Co
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
onsent 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.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
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 liabilaies, judgm t osts, an expenses which may in any way accrue
against said C ;InVtZ'ns quence f e granting of this permit.
X - - - Z,�/�
Signature of Applicant - Owner
g pp Contractor Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures ovep3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
occup.
CONST.TYPFJ
FLOOD
PARCEL
PD
I ND
I ISS
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIREC R OF PUBLIC
By.9-7K
PER EXPIRES Date
the applicable provi-
resolutions to do
fees have been aid.
p
WORKS
Date 0 X-1 Z "2--
j
9? - 17-- 1?b
Receipt No. Y O 2%- 7
WHITE-D.P.W., YELLOW-ASSE9sOR, PINK -INSPECTOR, GOLDENROD -APPLICANT