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HomeMy WebLinkAbout016-210-010�1%7 048-710-010 498-2382 REED, TOM 3060 THORNTREE, CHICO WOLFE ELECTFIAM6 101151� NEW ELECT SUB PANEL 4 F-0 E r F\ .. �_.. .,fi..�..R—� �v a.,�—BELs�a. .. ---,- -. " .__,�. a .-,--a,�... s ,...--� c.,.f,� --rte—�. ;�:r ypr�7.s16Q �r�Y-'��.y.-v • r ,..y�:.,'..y,�_c . 1 V � 048-1 -010, -,';-'#98-23 REED, TOM ' 3060 THORNTREE, CHICO ­,.•` + WOLFE ELECT. . -NEW ELECT SUB PANEL t r 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