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Home My WebLink About007-320-0373� IS 01-2919 320-037 EMFI SHEARTON MANAGGEMENT RSEMAN #4, CHICO 2930 MOO REPAIR-CC(CIIR7 d 3 1211 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 4 . MRry NO. (Rev. 12/96) APPLICATION AND PERMIT !( ASSESSOR PARCEL NUMBER w ^/^ ^I` — 3 ) -_V\ ZONING BUILDINGPERMIT y� OWNER 6 I h-p—I�V\^ � /n J 'v14 TELEPHONE SO.FT. OCC. BUILDING VALUATION W OWNERS 7 !'D0 SS —Y ✓.J�� v v !-l/ L Q CONTRACTOR'S NAME (S Q ^ _ _ / TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation b ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDINGADDRESS 2 3 0 M VA5 G"U�� v J (� '�/ I� or � Ener Plan Checking Fee b Energy 9 $ Ur' f PERMIT FEE $ 11 LOT No. SUBONSIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF /` Duplex ❑ Mobilehome ❑ Other SPT Each Trap 1 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: /a r /t— y Li Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W (9]20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 voLE Main Service 20 AOR 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 force and effect.POWER License Class 3 Lic. No. _73310 � ER-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 Main Service TD 46.00 NEW CONST. DWEW EL NG OCCUCUP. SO OR ADDNS. ( s ACC. BLDS. 3.5QFT: N. pal. MULTI.OUTLET @7.50 APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR POMRES BAS @ .5 OWN0 Ex. Occup..OPT(�S q� D,oEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 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. 59 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 insurancedrier end policy number are: Carrier Sta-ty- 'C r►� 'S'lti✓►W Policy Number A S7 2 h —OU (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 forthwfth comply with those provisions. S� Q,a fo)n X P &44 Date 3. 01 Signature of Applicant - ❑ Owner 15 Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FES S Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 7 V`— HAZ. D. PEEs IMP FLOOD COF PARCEL Po 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. BDate PERMIT EXPIRES ON Dafe ReceiptNo. 1,36%61 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 (530) 538-7541, PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT OF -I ASSESSOR PARCEL NUMBER O -) r •+ ZONING BUILDING PERMIT OWNER L 4Mf�� 4* TELEPHONE SO. OCC. BUILDING VALUATION �FT. /' �s - OWNERS MAIUNG DRESS `1 ( / / f) r LtJ y Ste' .,! N/ L O CONTRACTOR'S NAME V • A, r _-4N / e /M TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ SUIL.DINGADDRESS M &A J C,u,1� A -+ /�/ � Ener Plan Checking Fee $ Energy l,r ''' PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other ' SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 EachZ as water heater or vent 15.00 TYPE OF WORK f New ❑ Addition ❑ Remodel ❑ Ulilides ❑ Installation ❑ Othere , Describe Work: ST.) C (.I CA Gas i' in stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service '*.A 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 force and effect. License Class � Lic. No. 7 6 7 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 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. 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. My workers' compensation insurance carrier e�rjjd policy number are: Carrier r,f-+ +-E, r nt.7 �l.�,%c Policy Number / 1-z /, S '! ? /_ —,r?t _J (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 f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. tGr0 gta(, X wt- ,#x+- Date 3 r Signature of Applicant - O Owner El Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP. so OR ADDNS. a ACC. BUDS. 3.50 FT. µq�Ip ' MULTI.OUTLET @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. ` 1.00 Ex. Occup. OUTLET OR FIXTURES BAS ®'.50 Ex. Occup. OUTS RAID °� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE t MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEL= $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAz. -_.,-- D FEES 'IMP FLOOD CDP 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. Bye !' / ��-�- Date PERMIT EXPIRES ON I(Date) Receipt No i �6 S61 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT m 0 7- 326 035 070-320-0MANAGEMENT 37�.j 01-2918 SHEARTON A4;AkNA4G M:EN 0 9 0 M T7 M 0 S M GEMENT i E2 ,,-2930 MOOR R. p SEMAN44, CHICO STUCCO REPAIR STUCCO ON CARPORT lc �zQ' C�.9— To z (L�,ol 'tom U�"