HomeMy WebLinkAbout007-250-019007-250-019 99-0914
pavc1060 , Lois
]060 Eaton Road, Chico
Cow: Mike Lang
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007-2 en0191' - 99-091
Pavern; Lois
1060 Eaton Roads Chico
Contr: Mike Lang
Re roof "1�
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COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL PARCEL NUMBER
d -7- -450 „ Oil,
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SO, FT, OCC. BUILDING
LUATION
OWNER'S MAI NG ADDRESS % -
/,- ' --%, / .. /,7- 1
�) 0 y
CONTRACTOR'S NAME r
TELEPHONE
CONTRACTOR'S MAILING ADDRESS /
CONSTRUCTION LENDER -
7�7
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
0 0
ARCHITECT OR ENGINEER
LICENSE NO.
—Filing Fee $
20.00
Permit Fee $
Z3
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
1030 F_8 i0 9 e 106>0
Energy Plan Checking Fee $
�1I
PERMIT FEE $
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SFJM Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: �/h0/� GdMOV51lri;.4
Gas piping system 1- 5 outlets
15.00
Buildingsewer
15.00
Mobile Home S G W1
920.00
PERMIT FEE S
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service C00V..A OR LES9
aooA 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 in full orce and effect.
License Class Lic. No. J / ' `Jl�
OWN WILDER 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.
❑ 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
Main Service ( 200A TO 1000A J
46.00
NEW CONST. DWELLING OCCUP.
OR ADONS. ( a ACC. BLDS.
s°
3.5¢FT.
NEW CONS.
NON-RESIDT MULTI -OUTLET
@7.50
POWER APPARATUS
d SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES
BA2L Q 1.00
L Q .50
Ex. Occup.GUTELETS AE�s o.°�
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE S
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
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
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.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
f not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if 1 should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
J
X �%/,' _i /i' Date �_/ _
Signature -of Applicant - ❑ Owner ❑ 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 $
Energy Inspection Fee $
occ
CONST. TYPE �� I
TOTAL FEE $
......-
HAZ.
----
I D. FEES IMP
FLOOD
COF
PARCEL PD
._.-
HD
ISSUE
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.
By
PERMTIRES ON
Date
Receipt No. 2%61%Z+3
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 P RMIT NO.
(Rev.12/96) APPLICATION AND PERMIT G`C/q. 4 —
ASSESSOR PARCEL NUMBER 0-7 - 2570 �
ZONING
BUILDING PERMIT
OWNER r.
TELEPHONE
SO. FT. OCC. BUILDINNG-/� ALUATION
I �SQ �✓ V
OWNERS MAI NG DRESS
2,2:
CONTRACTOR'S NAM /
/
TELEPHONE '
r
CONTRACTORS 1U AD ESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
'
Total Valuation $ 90 D
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $ Z3
ARCHITECT OR ENGINEERS MAILING ADDRESS
-
Plan Checking Fee $
BUILDING ADDRESS 30 TO J R �J f % O
�d V ('/I` (Q
Energy Plan Checking Fee $
$
CH/to
-
PERMIT FEE s 413
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
SF.A Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
Each gas water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ y�Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: I\ e/SQ�r Ci�Mp SISI/�••)
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G W 920.00
PERMIT FEE S
ELECTRICAL PERMIT Fling Fee 20.00
Main Service %.',v, oa Liss 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter
(commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full orce and effect. •�� /��Q
License Class Lic. No. / ,<:e l �/
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 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
of one hundred dollars ($100) or less.)
I 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 Ith those provis' ns.
X ° Date
Signature of pp (cant - ❑ Owne Contractor ❑ Agent
An OSHA permit is required for exc v ons over 60" deep and demoltion or construction'
of structures over 3 stories in height.
Main Service ( 200A TO 1000A 46.00
NEW CONST. DWELLING OCCUP. SO
OR ADDNS. ( 8 ACC. BLOB. 3.5QFT,
NEIC9
NON-RESIDT MULTI -OUTLET
CIRCUITS 97,50
PowER APPARATUs
8 SINGLE OUTLET CIR.
20 Q 1.00
Ex. OCCUP. OUTLET OR FIXTURES sAL p .so
APPLISIS
Ex. Occup. OUTELETS (RESDOEA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wirino 23.00
PERMIT FEE S
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ CONST. TYPE 3 u 2
TOTAL FEE $ ,
HAZ. D IM FLOOD CDF PARCEL PD HD U
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.
By j4a x - e"ate
PE I XPIRES ON 5"- 5 - ZIP
Date
Receipt No. 14 9.6 16
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT