HomeMy WebLinkAbout007-200-050007-200-050 #98-1841
SILVER, AL
750 E. LASSEN AVE. CHICO
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ELECT SERVICE UPGRADE
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SIL,VER, AL
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750'E. LASSEN AVE. ?CHICO
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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 �� PERMIT No.
���
(Rev. 12/96) APPLICATION AND PERMIT �-I �'.,
ASSESSOR PARCEL NUMBER 007-
7-
ZONING
BUILDING PERMIT
OWNER At, S v �...-
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
. OWNERS MAILING ADDRESS
J r• Z-4 5.5-,P /� J 1 t// v J GO i "fS -G
CONTRACTOR'S NAME
LJ,, V"J !:� 6.1. WI
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDINGADDRESS�J �� '
Energy Plan Checking Fee
$
C., `//C Z:>
PERMIT FEE
$ ~
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF O.. Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater
23.00 _
Water piping
Each as water heater or vent
15.00.
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Ublities ❑ Installation ❑ Other,E7
Describe Work: e.1, C&A c � �� �f 1•��� �-
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G W
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Filing Fee 20.00
000V OR LESS
Main Service 2001 OR LESS
23.00 4.5
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 full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ [,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.
0/1, 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 I
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations: it
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Gide, 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
of one hundred dollars ($100) or less.)
; 0 1,16tify 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 f I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply,with those provisions.,
.''',/ -
/� ��% `-Date ,
X z/
Signatur"e of Applicant - ❑ Owner O'Contractor 0 Agent
An.OSHA permit is required for excavations over 5'0" deep and demolition or construction
�of structures over 3 stories in height.
,'Receipti4o. �� � "��
Main Service 200A TO 1000A
46.00
NEW CONST. pwELLNG OCCUP. SO
OR ADDNS. ( a ACc. BLAs. 3.5Q�:
T.
NONON.apSIIDD. MULTI.OUTLET 97,50
POWER APPARATUS
8 SINGLE OLlRET CIR.
.00
EX. OCCU OUTLET OR FIXTURES.50
BAL 1
Ex. Occup. oUTi s .Eg�jp El 5.00 '
Temporary Service 23.00
Mobile Home Facilities
20.00
Misc. Wiring23.00
PERMIT FEE _
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee I $
7' Energy Inspection Fee $
OCC
CONST. TYPE r ,
TOTAL FEE $ t�/
--
_._-„-,
HAZ.
,.,
p. FEES IMP
FLOOD
CDF
PARCEL
PD 'HD
ISSUE,
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This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
/ j 2 —
By /i..�
P MIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date f .�� =•'
(Date)"
WHITE-D.D.S.-B.D. ' CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
I/
COUNTY OF BUTTE I
T BUILDING DIVISION '
-- DEPARTMENT OF DEVELOPMENT SERVICES
s'. 411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
Slt vee
ra _
OWNER PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
A7
r
.��_�U d
to
Date Inspecr
REV 10/92 w a
i
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
• 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 IT No.
g_
(Rev. 1'2/96) APPLICATION AND PERMIT
l
O �/ 7 ` Zoo—
ASSESSOR PARCEL NUMBER 007—O' � 1
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS ADDRESS _ 5d_5,
1,5—c> )f , ,r SS *_J CW, 4, CAL Zk
CONTRACTOR'S NANI/.
U1
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS ' S eV
Energy Plan Checking Fee $
V yI G CC>
PERMIT FEE $
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
SF Duplex D Mobilehome ❑ Other
SPECIFY
Each Trap 7.00
Solar or heat um water heater 23.00
Water piping 15.00
Each as water heater or vent 15.00.
TYPE OF WORK /
New ❑ Addition ❑ Remodel 13 Utilities ❑ Installation ❑ Other a
Describe Work: �(,C rn 1 C ( &4 J I G J
Gas piping stem 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G I W @20.00
PERMIT FEE S
ELECTRICAL PERMIT Fling Fee 20.00
600v OR LESS
Main Service 200A OR LESS 23.00 i
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 full force and effect.POWER
License Class Lic. No.
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,
I o 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:
❑ I 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 permitis issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed 0 the permit is for work of a valuation
Of hundred dollars ($100) or less.)
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' compe on provisions of section 3700 of the Labor Code, I shall
fo Ofith comp) ith those o
j�
Xate^Z L/"
a a of Applicant - ❑ Owner ❑Contractor �ent
HA permit is required for excavations over 5'0" d p and demolition or construction
ructures over 3 stories in height.
pReceiptNo.
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLING OCCUP. SO
OR ADDNS. ( 6 ACC. BLAS. 3.5QFT:
NON.RE°,SID T. MULTI -OUTLET 97,50
APPAPATUs
8 SINGLE OUTLET CI R.
20 O 1.00
OUTLET OR FIXTURES
Ex. Occu 6AL @ .so
Ex. Occup. DUTLEEDTS pp .°E 5.00
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 FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ CONST. TYPE
TOTAL FEE $
HAZ. D. FEES IMP FLOOD CDF PARCELp0 HD FjSUE
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.
n
_!L_ �� ��
By Datte, / r�
PERMIT EXPIRES ONE-D.D.S.-B.D.CANARY-ASSESSOR
PINK -INSPECTOR GOLDENROD -APPLICANT
/