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011-110-002 01-3089
HASLE, JOHN & AMY
11851 BUTTE CREEK ISL, CHICQ
CONT: MERXLEY CONS Pvv°
OIL BURNING HEATE*
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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.
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D. FEES IMP
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I FLOOD
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CDF
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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