HomeMy WebLinkAbout007-260-066007-260-066 PERMIT#95-2930
WILLIAMS, Sy
3440 Hackamore I Chico
Cont: Butte Roofing
Reroof/SF
4
007-260-066 PERMIT#95-2930
WILLIAMS,. Sy
3440:Hackamore Ln., Chico
Cont: Bufte'-R'
oofing
Reroof/SF
A
OVA
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 65965 - Telephone (916) 538-754 PERMIT NO.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER OO7
ZONING
BUIL PERMIT
OWNER / 1
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERSMAILINGADD ESS
' G r C4- c1
CONTRACTOR'S NAME
�,:4 co
TELEPHONE
.r3
. COV
_ x, -r 7 IWSKWUNG ADDRESS
Fireplace
CONSTRUCTION LENDER
UNMOWN
Total Valuation $
LENDER'S MPJUNG ADDRESS
Filing Fee $ 20,00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING kDRESS
Penalty $
BUILDING ADDRESS
PERMITFEE $ "CZ)
—.PLUMBING PERMIT, ... -. ,.,Filing Fewl 20X00
Each Trap 7.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar or heat pump water heater 23.00
USEOFSTRUCTURE
SF Duplex ❑ Mobilehome ❑ Other
SPECIFY
Water piping 15.00
Each gas water heater or vent 15.00
I In s
Gas -p- 9stem 1- 5 outlets 15.00
P Y
Building sewer 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 1 t L {' L �/
Describe Work:
Mobile Home I S I GI W 1 920.00
PERMITFEE $
Contractor
ELECTRICAL PERMIT Filing Fee 20:00
Main Service OOOV OR LESS
( 200A OR LESS ) 23.00
Main Service ( 200A TO I000A ) 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 I full force and effect.
License Class �_ 3 Lic. No. C, % (�
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: 86siness�and Professions Code for this _
reason
NEW CONST. DWELLING OCCUR \ s0.
OR ADONS. ( & ACC. BIDS. / 3.50 FT.
NEW CONST. MULTI -OUTLET
NOWRESID. ( BRANCH CIRCUITS ) 97.50
( POWER APPARATUS )
8 SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES) 20 Q 1.00
BAL .50
Ex. Occup. OUTLEEOrs RESID.OEA
( ) 5.00
Temporary S ice 23.00
Mobile Home lacilities 20.00
', Misc. Wiring 23.00
PERMITFEE $
Contractor
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.
C� 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" gompensation �insurance carrier Ln,d policy number are :
Carrier f , ( (i♦ L • ,,_ Q (4 -
4
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE $
Contractor
Policy Numb _ '7 - �? I
(The above sections ed 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 i.__ _r; i :. sa_�_..;." ._ %t '�'a<L=_ Date/—
Signature of Applicant - ❑ Owner ❑ Contractor Q 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 $
OCC
CONST. TYPE
TOTAL FEE $
HAZ
I D. FEES
I IMP I FLOOD
I COF
PARCEL PD HO
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.
!+
}\ �r '
BY 1 Date_
PERMITEXPIRESON
(Def
ReceiptNo. / d A
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
I
COUNTY OF BUTTE- DEPARTMENT QF DEVELOPMENT SERVICES -BUILDING DIVISIO
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 PERMIT NO.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBERQ
w
Of7ry `�
ZONING
BUI PERMIT
OWNER
JELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAIV AD E
COM OR'S NAM (/1� TELEPHONE 2
CO rR'S WNG ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDR S
i
Filing Fee $
20,00
Permit Fee $
, ITI,
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING DRESS
Penalty $
BUILDINGADDRESS
PERMITFEE $
n
[IXoy,_x—
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
Solar or heat pump water heater
23.00
USEOFSTRUCTURE
SF 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 ❑ Ufilities ❑ Installation Other Az -L-(1
C �
r
Describe Work:
Mobile Home IS I GI W
@20.00
PERMITFEE S
Contractor
ELECTRICAL PERMIT
Filinq Fee 20.00
Main Service000V OR LESS
( 200A OR LESS
23.00
Main Service ( 200A TO I000A )
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 isfi full forc and effect. �� ��
License Class Lic. No. �
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
NEW CONST. DWELLING OCCUP.
OR ( 8 C. BLDS. )
SO,
3.5¢ FT.
NEW CNS.
CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS )
@7.50
POWER APPARATUS
(8 SINGLE OUTLET CIR. /
Ex. Occup. ( OUTLET OR FIXTURES)
B20 @ I.00
EX. Occup. FIXED APPS. OR
p' ( OUTLETS (RESID.) EA)
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE $
Contractor
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.
l 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 worker om insurance carrie olicy mbar
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE S
-
Contractor
Policy Number
(rhe 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
forth ith comply with tho a provisions.
/ T
XV _ D to �` �_ �J _
Signature of Applicant - ❑ Owner ❑ 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 $
occ
coNsr. TYPE
1
TOTAL FEE $
HAZ.
I D. FEES
71 FLOOD
I 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
indicated above for which fees have been paid.
BM10JU'Le/Date 1t/ a2/ q
PERMITEXPIRESON �//�IM,
(Date)
Receipt No. f C) &/0--1 L
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT