HomeMy WebLinkAbout007-200-007„ 007-200 PERMIT#95-2063 HAUG, Glen 253,
-.BUTLER Don _ . a-• - _ - - -
2875 -Moiseman,t Chico i
Cont, --.Ely Roofing Inc
Reroof%SF app. 4 mi..off'Lassen on,Godman•Ave.,.Chico
(addition) -
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07-200-010 4PERMIT#95-2063
BUTLER, Don .
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`875 'Morseman, Chico
-- Cont; Ely Roofing Inc.
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COUNTY OF BUTTE- DEPARTMENTOF DVELOPMENT SERVICES -BUILDING D ISION
7 County Center Drive - Orovfile, C rfornia 95965 - Telephone (916) 538- 41 PERMIT NO.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
UU7-2U0—01U
ZONING
BUILDINGPERMIT
OWNER
uun Butler
TELEPHONESO.
698_6465
FT. OCC. BUILDING VALUATION
�{(� (� ry,
3 " O " 1 15 U
OWNERS MAILING ADDRESS
2875 morseman Chico CA 95973
CONTRACTOR'S NAME
ly Roofing Inc
TELEPHONE
3 3-7663
- -
CONTRACTOR'S MAILING ADDRESS
13291 Contractors Dr Chico CA 95973
Fireplace
CONSTRUCTION LENDER
UNW40WN
Total Valuation - $
Filing Fee
$ 20.00
LENDER'S MAILING ADDRESS
Permit Fee
$45.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty
$
BUILDINGADDRESS ;.
2675 vlorsefaan Chico
PERMITFEE
$
PLUMBINGPERMIT
Filing Fee 20.00
"LOTNO: "; S DN N M
Each Tra
oar or heat pump Water "ea er
7.00
J23.•00 -
USEOFSTRUCTURE `
SF 4 Duplex O Moblleh me ❑ Ot er
,.V f SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK,;,/
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other EX
Describe Work: remove & replace roofing, w/25 Yr
arch — 3U sqs
Mobile Home _J_q G W 1
920.00
�►.
�.,,..'�' PERMITFEE
$
Contractbr
ELECTRICAL PERMIT
Filina Fee 20.00
Main Service 000 OR LESS
( 2O0A OR LESS )
23.00'
Main Service ( 200A TO ,00OA )
46.00.
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 in u I force and effect.
icense Class L'- S C— 3 9 Lic. No. b 0 7 3 6 6
OWNER -BUILDER DECLARATION
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 tliis
reason . t ._ . - _ .- .1:. _ ;t ._ • . _.- - _ ~.. 4 -
WORKERS' COMPENSATION DECLARATION
I 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.
O I 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.
compe tlon inpce carrier and policy number are:
sa
My workers' uran
Carrier a �'a L e b u11
NEW CONST. DWELLING OCCUP.
OR ADON ( a ACC. BLDS. )
sO.
3.5Q Fr.
ST. MULTI -OUTLET
NEW CONST.
NON•RESID. ( BRANCH CIRCUITS )
97.50
( POWER APPARATUS )
a SINGLE OUTLET CIR.
Ex. Occup. (OUTLET OR FIXTURES)
SAL @ I. 000
L50
FIXED APPS. OR
EX. OCCU
p' ( OUTLETS (RESID.) EA)
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE
$
Cdri'trq.'
--M A'KII ALPERMIT
�.•-
Filin Fee 20.00
9
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE
$
Contractor
Policy Number M-146
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the.
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X//u/G�_J (�_ Date _ `_�7 —_
Signature of Applicant - ❑ Owner 4D Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
Is
Energy Inspection Fee$
occ
CONST. TYPE
TOTAL FEE $ 6 5. UO
HAZ.
I D. FEES
IMP
FLOOD
CDF
PARCEL
;PO HD
ISSUE
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees have
M aV12
fl I I -
PERMITEXPIRESON
applicable provisions
Resolutions to do work
been paid.
Date 7 /(� (—
V
(D e)
--
ReceiptNo. // '9S3�trp
WHITE-D.D.S.-B.O. C ARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
....•c9t1
11
y,
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDIN/DISION
7 .County Center Drive - Oroville, California 95965. - Telephone (916) 53--• PERMIT NO.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
007-200-010
ZONING
BUILDING PERMIT '
OWNER
Don Butler
TELEPHONE - •
898-8465
SQ. FT. OCC. BUILDING VALUATION
3000 1950
OWNERS MAILING ADDRESS
2875 iHorseman Chico CA 95973
CONTRACTOR'S NAME
Ely Roofing Inc
TELEPHONE
3.43-7663
CONTRACTORS MAILING ADDRESS -
13291 Contractors Dr Chico CA 95973
Fireplace
CONSTRUCTION LENDER
UNMOWN
Total Valuation $
Fling Fee $ 20,00
LENDER'S MAILING ADDRESS
Permit Fee $45.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $ "
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDINGADDRESS
2875 Horseman - Chico
PERMITFEE $
PLUMBINGPERMIT Filing Fee 20.00
Each Trap . - . 7.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar or heat pump water heater 23,00
USEOFSTRUCTURE
SF 11 Duplex ❑ Mobilehome ❑ Other
SPECIFY
Water piping 15.00
Each gas water heater or vent 15.00
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other EX
Describe Work: remove & replace roofing w/25 yr
arch - 30 s q s
Mobile Home I S I GI W I@20.00
PERMITFEE $
contractor
ELECTRICAL PERMIT Filina Fee 20:00
0*". g`l, � { . ,,7 F ri'"�p Y` t .. �-(� 4 t
'f"is if..E. N.r p:7''.:k a,�{.+-I`.+.t.�{'-�.r,!1• oFc7f;,;tLTFH.r 5L'.•Y,y. •. ; +.�57'i,.'1'�.: T r.�'., ,t Y_
Main Service OOOV OR LESS -
( 200A OR LESS ) 23.00.
-,,,Main, �Servlce 200A TO IOOOA
H . .>..,,. • (. ) 46.00
✓. :..z:..•.rvr. >d h 1 IH7r-n!{..4i'... ..k1ec Y'" -,.,. rl, . ,�1":.a F ?"i R.'s „<i" 2..,-I.* jY i h•�.;Gf �'1.,
-" LICENSED"CONTfiA'CTOR;_SIQECLARATION , j; �' gi , _� � t
I hereby affirm under penalty of perjury that I am licensed under provision's of" Chapter '
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class C-14 C — 3 9 Lic. No. 607386
OWNER -BUILDER DECLARATION
1 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
eNEW CONSTZLFy (..DWELLI G�OCCUPn nt•,",n SO.
. • x:3 5¢ FT.
, .,NEW CONST.,, i MULTI-OUTDLET „¢
-` "oN RESID. 4 F •,(• BRANCH CIRCUITS)
('POWERE APPARATUS .I ^: l
8 SINGLOUTLET CIR
Ex. Occup. (OUTLET OR FIXTURES) 20 @ I•50
�'L S°
Ex. Occup. (ouTLEEDTs RES D.�E0.) 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMITFEE $
Contractor
WORKERS' COMPENSATION DECLARATION
I 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.
[X I 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 State Fund
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE $
Contractor
Policy Number 5 3 8 —1 4 8
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 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 workers'
compensation laws of California, and agree that if.I should become subject to the1.
I _ _ workers' compensation provisions of section 3700 of the Labor Code, I shall
„ forthwith comply with thoserevisions.
-
Ix _ _ Date _ 8-22-95
Signatuk of Applicant - ❑ Owner 3] Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee Is 1
occ -
CONST. TYPE
TOTAL FEE $ 6 5. 00
HA2:
D: FEES
IMP" FLOOD ,
CDF
PARCEL
PD HD
ISSUE
This permit is hereby issued under the appli6able provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
2W/Qd
4��w
�(D e) Date " g
PERMITEXPIRESON .2
Receipt No.
WHITE-D.D.S.— C NARY-AAS'SESSOR PINK -INSPECTOR GOLDENROD -APPLICANT