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HomeMy WebLinkAbout017-180-002. .............. .................... 011-110-002 01-3089 HASLE, JOHN & AMY 11851 BUTTE CREEK ISL, CHICQ CONT: MERXLEY CONS Pvv° OIL BURNING HEATE* �P3��wj�'n'.'=�Tf�ia+�i+�'rtit�'=""�''41i �r3'., . �; . Y• _ . i•.ti'i!:''�� 1 i 011-110-002' 01-3089 HASLI✓ .JOHN & AMY 11851 BUTTE CREEK ISL, CHICO CONT: MERKLEY CONST OIL BURNING HEATER COUNTY OF BUTTE,DEPARTMENT OF DEVELOPMENT SERVICES -•BUIL ING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER f ZONINQG FRG BUILDING PERMIT OWNER JIM & *fY Haste TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'SID art, 1B1� CA 95M I jl CONTRACThQR�'S+ GlzWt=t TELEPHONE 897-M CONT—W1";& Am. 9 cucoo CA 95M CONSTRUCTION LENDER t LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS JL051 Nitte OCeek Energy Plan Checking Fee $ $ PERMIT FEE $ • LOT NO. SUBDNISIOWS NAMEPARCEL MAP I PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF $,1 Duplex ❑ Mobilehome ❑ Other SPECIFY t Each Trap7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 • TYPE OF WORK r New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Q I Describe Work: install oil buminfc heater twk & tank support Gas i in system 1 - 5 outlets 1 5.00 Buildin sewer 15.00 Mobile Home I S I G I W @20.00 oil piping Atoo PERMIT FEE $ • Mwtw #97.2 ELECTRICAL PERMIT Filing Fee 20.00 Main Service 2DOA 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. 6/ZO P F 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. ❑ 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 ` ^r•t.��; ��.��?�^.,p Main Service TO 46.00 DWE200ALLING CCU000A 3.50 so NEW CONST. DWELLHJG OCCUP. SO OR ADDNS. ( & ACC. BLDS. 3.5¢FT; NON.RESID. BRANCH CIRCUITS MULTI -OUTLET @7,50 POWER APPARATUS & SINGLE OUTLET CIR. EX. OCCU OUTLET OR FDCTURES B20 OkL @ 1.00 0 FIXED APPLNS. OR Ex. Occup. 5.00 OUTLETS REslO. EA Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating • Cooling Hood 6.50 Ventilation PERMIT FEE $ •00 Policy Number 1T:.7 <='' - w t: J (The above sections need not be completed 4 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 should become subject to the workers' compensation • provisiorA; of section 3700 of the Labor Code, I shall forthwith comply with those provisions. J _ X , , .. - t ' : , Date J " - '- : ''.T) l 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 CONST. TYPE TOTAL FEE $ 2-1.3.0 HAZ. �... D. FEES IMP �, r,,,, I FLOOD ,,,....�...••- CDF I PARCELPD •.••.., ., 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 whichlfees have been paid. r } r/� By l ./-✓f!!!!!!!! / �..-? �JJ(111111Lj. Date PERMIT EXPIRES ON (08 1&) Receipt No. �.`i�i�-`r{n !'�i'+ j �� �Y 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 Ro. (Rev. 12/96) APPLICATION AND PERMITS ASSESSOR PARCEL NUMBER 011-1110-009 ZONING FR -5 BUILDING PERMIT OWNER JOHN &AMY Hasle345-6405 TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S 1 Iy1P,ILIff%tte Creek Island Chico CA 95928 CONTRACR'S E r iey Construction TELEPHONE 897-0655 CONTRACTORS MAILING ADDRESS 527 Madrone Ave. Chico CA 95926 CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS 11851 Butte Cr Energy Plan Checking Fee $ $ PERMIT FEE S 43. LOT NO. S UBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF g Duplex ❑ Mobilehome ❑ Other SPECIFY 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 ❑ UBlities ❑ Installation ❑ Other IN Describe Work: install oil burning heater tank & tank support Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W Ca20.00 oil piping 15.00 15.00 PERMIT FEE S 35-00 Master #97-24 ELECTRICAL PERMIT Fling Fee 20.00 Main Service q 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. >� � OWNER -BUILDER DECLARATION y 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. ❑ 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 permitis issued. policy number are: ! My workers' compensation insurance carrier 2&0Q/4)q Carrier SrAlE FUND &0Q/N4 Policy Number P10S-2S:7 Q/ (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 Date i2–ZCiZ7(i Signature o Applicant - ❑ ner ❑ Contractor [4Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service To , 46.00so WEE200A NEW CONST. DWEWNG OCCUP. SO U OR AOONS. ( a ACC. BLOS. 3.52FT: NEW NO RES D. 'ITSMULTI-OUTLET 97,50 POWER APPARATUS 8 SINGLE OUTLET CIR. 209 1-00 Ex. Occup. OUTLET OR FDRURES BAL Q .50 Ex. Occup. OFlxLITiEis A p) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirino 1 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating 1 15.00 Cooling Hood 6.50 Ventilation PERMIT FEE $ 11000 35.00 Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 113.00 HAZ. D. FEES IMP FLOOD COF I PARCEL I PD I HD I ISSU This permit is hereby issued under the of the Butte County Code and/or indic d ab v for which Ifees have By PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. Date D e Receipt No. WHITE-D.D S. -_11.D. CANARY -ASSESS PINK-INSP OR GOLDENROD -APPLICANT I / Proposed Tank Existing House 11851 Butte Cr Hand Chico, CA 95928 .W Owners Drive —J✓ S 0"� . Butte Creek Hand Road