HomeMy WebLinkAbout016-210-010�1%7
048-710-010 498-2382
REED, TOM
3060 THORNTREE, CHICO
WOLFE ELECTFIAM6 101151�
NEW ELECT SUB PANEL
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048-1 -010, -,';-'#98-23
REED, TOM
' 3060 THORNTREE, CHICO ,.•` +
WOLFE ELECT. .
-NEW ELECT SUB PANEL
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COUNTY OF BUTTE -/DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 `iO��P�O"
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER,-74
UMBS ,.�' ... ,.` I
/V,
ZONING
BUILDING PERMIT
OWNER
Tip � -e c
TELEPHONE
B3 -3S,5
SO, FT, OCC. BUILDING VALUATION
. OWNERS MAILING ADD SS{,
�?58C►u[
CONTRACTOR'S NAME
I f C_ct
TELEPHONE
3�1� - W
CONTRACTORMAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDERS MAIUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Fee
$ 20.00
—Filing
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDINGADDRESS ..y`
Energy Plan Checking Fee
$
$
/
PERMIT FEE
$
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMITFlin
g Fee 20.00
USEOFSTRUCTURE �� JCC
SF ❑ Duplex ❑ Mobilehome 0 Other I')t.de_rrL SPECIFY Y J J
PEC
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
l
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: � L.�� �{1-�L-�---2�-Z.� 1 >�A- _l '
+ ii (n n It t (` l l �t-..� prr '1 IAC
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service ".A OR LESS
23.00 -;13.(l
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 e ' -/ n Lic. No. %��.7_ i % %
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
Main Service 20IA TO L000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADONS. ( a ACC. BLDs.
SO
3.50FT:
T.
NON -REBID. MULTI.OUTLET
@17.50 145.00
APPARATUS
8 SINGLE OLmET CIR.
Ex. Occup. OUTLET OR FIXTURES
BAL .50
Ex. Occup. Gini RES p,OEA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirina
23.00
PERMIT FEE
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one oflthe following declarations:
G] 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 permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier /rlL/)re-,Pet/i! -7 iii ,,..fr,
Policy Number ^/ -57, eJ c: --G / 4 44
(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 �-� -_ `_� _ - ' 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.
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
Z
CONST TYPE
TOTAL FEE $
HOZ.
D. FEES IMP
I FLOOD
I CDF
PARCEL
PD
HD
ISSUE
V
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
% (� j
By` �. t -._•C f
PERMIT EXPIRES ON
I
the applicable provisions
Resolutions to do work
been paid.
,
= Date 1 f Y ,
pate)
Receipt No. Z SC%
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
0
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 PERMITrC��
ASSESSORPARCELNU - 3-10 -010
ZONING
BUILDING PERMIT
OWNER1 1
1
TELEPHONE
601
3 3.70
SO. FT. OCC. BUILDING VALUATION
.OWNERS NG AD SS
1_
CONTRACTOR'S NA E
Ake FlQf --t
TELEPHONE
34'5' QR6Q
CONTRALTO MAILINQ ,/[—JADD ESS
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 $
BUILDING ADDRESS
C)(0o
Energy Plan Checking Fee $
O _.
$
PERMIT FEE $
LOT NO.
SUBDNISIONS NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome k 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 ❑ �Re�modell 13U61ities 13 Installation ❑ Other ❑
Describe Work:�+C�t w -- _�� QLbILd .Q__ ( /�-
Gas piping system 1- 5 outlets 15.00
Buildingsewer 15.00
Mobile Home I S I G I WT- @20.00
PERMIT FEE $
ELECTRICAL PERMIT Fling Fee 20.00
Main Service A OR LESS 23.00 23.M
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 r_6 Lic. No. SZ 9
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
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLING OCCUP. SO
OR ADDNS. ( a ACC. 9c 3.50';
No R D DT• MULTI -OUTLET @7 50 Aj (30
POWER APPARATUS
6 SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR PICTURES BAL @': 0
OR
Ex. Occup. oUr1EEDTSA ASID.) A. 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE S •�d
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 permit is issued.
My workers' compensation insurance carrier an policy number are:
Carrier rg( F/L` /9 �.c/ Mit
Policy Number 1^/.Tl) 14+ XMobile
(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 ❑ j e Date �� 4�-�g
of Applicant - O ner ❑ Contractor [3 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 FEL: $
Home Installation Fee $
Energy Inspection Fee $
cC
,2TOTAL
CO
FEE $ .Ob
�HAZ-IMP
nD.FEES
I FLOOD
I CDF
PARCEL
pD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the a County Code and/or Resolutions to do work
indicat d above for which fees have been paid.
By Date
G��
PERMIT EXPIRES ON
ate
Receipt No. 2 56-7:�/ 7:?--
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD.APPLICANT