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Home My WebLink About017-200-066I� f 011-060-066 02-120 PACIFIC BELL INALEG HONCYRUN RD.. 62 CONI`. ROBERT LEWIS ELL'C. PO1: POWER POLE C9 i 7-Zpo -066 CIA -011-060-066 02-1201 PACIFIC. BELL HONEYRUN RD., CHICO ERT LEWIS CONT: ROB ELEC. FOR POWER POLE 11 OFFICE COPY. Ad - dress GAS Mete B Pate ELECTRI Meter By �N Date 19 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION It 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 02-1201 ASSESSORPARCEUU l 060-066 1 ZONING BUILDING PERMIT OWNER PACIFIC BELL TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2543 CACTUS AVE, CHICO 95973 CONTRACTOR'S NAME ROBERT LEWIS 559-614-6024 TELEPHONE CONTRACTORS 1905 DRIVERVIEW DR. MAGERA CA 93637 CONSTRUCTION LENDER Fireplace _ LENDER'S MAILING ADDRESS Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS ' Plan Checking Fee $ BUILDING ADDRESS HONEYRUN RD Energy Plan Checking Fee $ $ AT THE 'Y' OF HONEYBUN AND CENTERV E PERMIT FEE $ IAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other COMMCIAL SPECIFY 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: ELEC FOR POWER POLE FOR PAC BELL BOX Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Main Service zo.A600V OR LEOR SS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is IR full force and effect.POWER License Class b Lie. No. la D 7 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, 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 Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) O 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.- Date 3 3 .' U Z Signature of Applicant'- ❑ Owner U Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction I of structures over 3 stories in height. Main Service TD rP7.50 W:o CCU000A NEW CONST. DWELLING OCCUP. OR ADDNS. 8 ACCS.9 NON -EW REBID. T. MULTI -OUTLET APPARATUS . SINGLE OUTLET CIR. OCCU OUTLETTU A @ 1.0 EJ(, OR FIXRES BL 0 FIX EX. Occup.ED APP ovrLErs R='.)o ER A 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ 43.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 43.00 HAZ. D. FEES IMP I FLOOD I COF PARCEL I PD HD UE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have r By i` ,• ` 1 PERMIT EXPIRES the applicable provisions Resolutions to do work been paid. Date �% t 7 Date Recei tNo. I'1 ;iS:i6U4/;i43.UU p 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 NO. (Rev. 12/96) APPLICATION AND PERMIT n9 -12n1 ASSESSOR PARCEL NUMBER ZONING 011-060-066 11R5 BUILDING PERMIT OWNER PACIFIC BELL TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAIUNG ADDRESS 2543 CACTUS AVE, CHICO 95973 CONTRACTOR'S NAMETELEPHONE ROBERT LEWIS 559-6 4-6024 CONTRACTORS MAIUNG ADDRESS 1905 RIVERVIEW DR MAGERA CA 93637 CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDINGADDRESS HONEYRUN RD Energy Plan Checking Fee $ $ AT THE 'Y' OF HONEYRUN AND RV PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other COMMERCIAL SpECIFv 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 ❑ Ufilities 6 Installation ❑ Other ❑ Describe Work: ELEC FOR POWER POLE FOR PAC BELL BOX Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I s I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200. OR LESS 23.00 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 isi full force and effect. ✓ License Class l fj Lic. No. 6 Z OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages astheir 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. ❑ I 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. ❑ 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 Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I 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 thos�islons. L /' X Date ./ - % 3 -` y .Z Signature of Applica - ❑ ner )V Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service zooA To ,000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( 8 ACC. S.3.5¢FT. ,p"R°�,pT MULTI.OUTLET @7.50 POWER APPARATUS SINGLE OUTLET CIR. .11N, 20 @ 1.00 Ex. OCCU OUTLET OR RES BAL @ .50 NS OR Ex. Occu ounErsFIXED APPLNS. REslo. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 43.00 HAZ. I D. FEES IMP I FLOOD I FFFT;Z7C9 PD I HD rE This permit is hereby issued under of the Butte County Code and/or indicated abnae for which fees have y PERMIT EXPIRE ON the applicable provisions Resolutions to do work been paid. Dateyy Dale ReceiptNo. M 353604/$43.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT