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Home My WebLink About018-010-052()11-010-0-52 99-2841 GOOLSBY, MARIANN 90 CENTENIAL AVE., CrjjCO CONTR: MCCELLAND A ' C INSTALL NEW HVAC )C/,()fi &V/ -0/0 pf COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING'DIVISION f . -- 7 County Center Drive * Oroville, California 95965 * Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER enlo — 0 ZONING BUILDINGPERMIT (//' OWNER /Wo � , 't A J1,110 TELEPHONE 311 SQ. FT. OCC. BUILDING VALUATION OWNERS MAIUNG ADDRESS J 9/_ ee ,, rxl; r 1, 9 -J:q/ coNTRAcr&S NAME A,41 e e 4 TELEPHONE CONTRACTORS MAILING ADDRESS 4, P, CONSTRUCT10N LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER UCENS E Nu. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS Energy Plan Checking Fee $ $ t -i e PERMIT FEE $ LOT NO. SUBDIVISIONS NAME T�ARCE MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF V<plex 0 Mobilehome 13 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 0 Addition 11 Remodel 13 Ublities 0 Installation 00-10ther 0 Describe Work: _Z7 to ge J A.$ o, 44. 1 Gas piping system 1 - 5 outlets 15.00 *42, Building sewer 15.00 Mobile Home I S I G @)20.00 PERMIT FEE $ ELECTRICAL PERMIT Fil[ing Fee 20-00 ( aO.OV OR UESSSS Main Service . 'OR LE 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 I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 0 1, as owner of the property, or my empioyees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ID 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. 0 1 am exempt under Sec. Business and Professions Code for this reason Main Service ( 200A TO 1000A 46.00 NEW CONST. P. OR ADDNS. (_DTL.UW.19CSU 0. 3.50FT. NEW CONST, LTI-OUTLET NON-FIESID =1. CIRCUITS g7.50 P,30,N1.E.RAPUA.RATUS IR. Ex. Occup. OUTLET OR FDCTURES 20 @ 1.00 SAL @ .50 ..FIXED APPLNS OR, Ex. Occup. E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 0-1c PERMIT FEE $ 4J 14. &-0 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 0 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. 0 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, forthe performance of workforwhich this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Pee 20.00 Heating e /of 0.0' 0 0 1 140- Cooling Hood 6.50 Ventilation PERMIT FEIE $ 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.) .0 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 Signature of Applicant - 0 Owner "D Contractor 0 Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTALFEE$ OV FLOOD I CDF I PARCEL P0 HD I ISSUE 60, This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date .7 V PERMIT EXPIREVON .10 41 P 0 I (Da te) ReceiptNo. C&041714 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD-APPUCANT I/ 41 011 -OM -052 99-2843 GOOLSBY, MARIANN 1 90 CENTENIAL AVE., CHICO CONTR: MCCELLAND A.C. INSTALL NEW FIVAC \1 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 4qV-,494V:6 . "001 - ASSESSOR PARCEL NUMBER ZONING BUILDINGPERMIT OWNER omdo" VA -.V 49dp 4015 14 TELEPHONE 3t) 2—s-990 SO. FT. Occ. BUILDING VALUATION OWNER'S MAILING ADMESS J t AvL 11i C 0 CONTRACTOR'S NAME TEEEPHONE 4 CONTRACTOR� MAILING ADDRESS /_ . 0 _r� CONSTRUCTION LENDER Fireplace UENDER'S MAJUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NU. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ e- o PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF 1p/eDuplex 0 Mobilehome 0 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 0 Addition 0 Remodel 0 Ublifies 0 Installation 9 --*Other 0 Describe Work: Gas piping system I - 5 outlets 15.00 J,9;'_wv Building sewer 15.00 Mobile Home I S I G I W 02 O_.00] PERMIT FEE ELECTRICAL PERMIT Filing Fee 20.00 v LE Main Service ( '..A .R L.:: ) 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 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 0 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. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. 0 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: 0 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. 0 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.) 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 with comply with th a prov . sions. X 7/1-?" 41, A Date �ignature'SrAp ' nt - IfOwnet -11 Ckintractor [3 Agent/ AnOSHApermiti required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWEUJragCUP- so. OR ADDNS. 3.50FT. NEW CONST MULTI - NON.RESID. 97.50 POMAP.PARATUS 0 1. CIR. Ex. Occup. ( OUTLET OR FIXTLIRES 20 @ 1.00 BAL @ .50 Ex. Occup. ( . ED A '(g='.)0E, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Z /0 11�. Cooling Hood 6.50 Ventilation PERMIT FEt $ 0_0 Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTALFEE$ HAZ. I D. FEES IMP I FLOOD I CDF PARCEL PD] HD I ISS This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT FYP'RF 17- 0 l (Da te) Receipt No. CRY6,63 4 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT I/