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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) - . 1 • ii e app , 5 r - M Y 07-200-010 4PERMIT#95-2063 BUTLER, Don . . _ `875 'Morseman, Chico -- Cont; Ely Roofing Inc. i Reroof/SF f� .Inv +.+xe. .+.. :a.. -,....+n ... ..-... fY'. :�.✓^-•Re..-IR..^-.• ... i - 1 - .: - .. � - — __.. __ _ + F f T i 4 `t A 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