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Home My WebLink About017-170-075011-250-075 00-2963 THORNE, FRED 11955 BUTTE CREEK ISLAND RD, CHICO CONTR: BAIRD ROOFINGr REROOF W/CONI'tAQ X11 �� . r, , �~ � • !� � 1 � � .. _ E i �(- V 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 a ASSESSOR PARCEL NUMBER - ZOMNG BUILDING PERMIT OWNER��r/ / TELEPHONE % (:''f `M '� ) SO. FT, OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS. { -- / � ! V4 - ^ r li, ,Q CONE CTOR'S NAMETELEPHONE CONTRACTORS MAILING ADDRESS // i-,�,r lizzamAl, "/]/(0 CONSTRUCTION LENDER 1 Fireplace LENDER'S MPJUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ v ARCHITECT OR ENGINEERS MAILING ADDRESS I Plan Checking Fee $ BUILowGADOREss Energy Plan Checking Fee $ PERMIT FEE $ "7 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SFX 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: RA 't�� 1 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS Gi 020.00 PERMIT FEE $ 4 ELECTRICAL PERMIT Fling Fee 20.00 500V OR LE Main Service 200AORLESS 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. ! '. I License Class Lic. No. - / L'4[ OWNER -BUILDER DECLARATION � I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: i ❑ 1, 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 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a ACC. S.3.5¢FT: NEW CONS .MULTI.OUTLET NON-RESID. @7.50 POWER APPARATUS a SINGLE OUTLET CIR. ' .00 Ex. Occup. OUTLET OR FIXTURES BAL @ .50 FIXED APPLNS. OR Ex. Occup. ouT�rs REBID, EA 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. 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 and policy number are: Carrier if, 1- L-. Y.? U ✓ 1 i MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number T 7 1 1 K... (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 AoI o 1r. �,� L- X444 .�' Date r/ / 1( . Signature oft Applicant - ❑ Owner a Contractor ❑ Agent ! OSHA permit is required for excavations over 5'0" deep and demolition or construction structures over 3 stories in height.y Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE p TOTAL FEE $ HAZ. D. FEES IMP FLOOD CDF PARCEL I PD' I HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above. for whicli fees have been paid. ',^An , 1,�u, P4 3—Wof ('101(4 Date f ^ / PERMIT EXPIRES ON / 3 'f✓ / Date ReceiptNo. '5(1 S%�, - WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK-fNSPECTOR GOLDENROD -APPLICANT r � Z COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 ERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT e- 4WK9 ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER T LEPHONE v r SO. FT. OCC. BUILDING VALUATION 2 - . OWNERS MAADDRESS LE`fG CO7 S ME Q rV /n/c, C`o2 TS MAIUNO ADDRESS ! _ Corry CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ v ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS// a CJ � Energy Plan Checking Fee $ $ � PERMIT FEE $ IAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SFX Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Unities ❑ Installation ❑ Other ❑ Describe Work: Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service . , 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 '`1 full Orce and effect. License Class Lic. No. (,9,:31V60 OWNER -BUILDER DECARATION 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 Zoog To I000A 46.00 NEW CONST. DWelING OCCUP. S° OR ADDNS. ( D7 AC°, gLpS. 3.5QFT: NOµpESIDMULTI.O CIRCUITS @7,50 POWER APPARATUS S SINGLE OUTLET CIR. Ex QCCU OUTLET OR FixTURES a20 @ I:00 Ex. Occup. °mss Aa D.°� 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. -I� 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 and policy number are: Carrier /!1 L/ A if,�p.., MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ ZI16 Policy Number - Q S 7 7 7 Jl (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 AM Date Signature Applicant - ❑ Owner ontractor ❑ 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. TYPEp TOTAL FEE $ HAA. I D FEES IMP I FLOOD I CDF PARCEL I PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated ebo for wh' ees have been paid. "T ��V ; - I I I/ /6en,�e1 �-7f PERMIT EXPIRES ON ( — (, Dere Receipt No. 7 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK-rNSPECTOR GOLDENROD -APPLICANT