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Home My WebLink About021-132-005T 021-132-005 C-3-0867 COOPER, STEVEN st, 1291 DEWGRIDLEYfig S Cont: ARTIC AIRE C/O SPLIT COOLING ONLY j4 V COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-753..1 PER!n��,I..T.,,,, NO. (Rev. 12/96) APPLICATION AND PERMIT _(,1 & I ASSESSOR PARCEL NUMBER 021-132-005 A-5 ZONING BUILDING PERMIT OWNER COOPER STEVEN TELEPHONE 866-0616 SO. FT, OCC. BUILDING VALUATION . OWNERS MAIUNG ADDRESS 1291 DERSNUP GRIDEEY CA 95948 CONTRACTOR'S NAME ARTIC AIRE TELEPHONE 895-3330 CONTRACTORS MAIUNG ADDRESS 2350 PARK AVE. CHICO CA 95928 CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1291 D Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 - Solar or heat um 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: CHANGE OUT SPLIT SYSMI COOLING 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 600VMain Service A 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 k -j - a r_0 CZ Lic. No. 23 'y \ 3 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 Crformance of the work for which this permit is issued. ave 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 a d policy number are: Carrier " 1 .Mie v Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. S. SO 3.5Q T. NOµq °SID. uLT,, or' �q 7.50 POWER APPARATUS a SINGLE OUTLET CIR. EX. Occup. OUTLET OR FIXTURES .00 BAL @ �. 0 Ex. Occup. °exurLEE°TSA RAID °En 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 5 5.00 Hood 6.50 Ventilation PERMIT FEt $ 45.00 Policy Number "S, M- 4 S-aCl (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 tAQa , eZ -0003 Signature of Applicant - ❑ Owner ❑ Contractor gent 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 is Occ CONST. TYPE TOTAL FEE $45.00 HAz. D FEES IMP FLOOD CDF PARCEL PD HD ISSU This permit is hereby issued under the of the Butte County Code and/or in ' ated ab for whit fees have By PERMIT EXPIRES ON 3-27 applicable provisions Resolutions to do work been paid. Date 3-27-03 4 Date ReceiptNo. 375841 $ 45.00 I WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUT TE - DEPARTMENT OF DEVELOPMENT SERVICES - BUELDMG DIVISION 7 County Center Driva m. Oroville, California 95965 & Telaphons (530) 538-1541,,E .S - e�;1 ANO. • s; , _ - IIaZIle7� Kim w ow v r ...— • , natL� � etaotvs mess oxo atm oa Banc- ltMM A'�➢A3S aaam+caoa�s /� - BIAS JGDLS L%M USEOFS TRUC M TYPE OF WORK I Xa=— n 1-4-+ * PskmxT FEE ?4daD $ SPA $ 5« $ AMWW P-1R=V—Eb $ rrrep�n� i FiTmg Fee 20.Do Tata) Valuation 7.DD Mmp Fee S 20.00 Pw-mh Fes 15.06 Pier chaff Fas 1 S.DD r. WRY Pian Chang Fee S • �i I 1 S.DD P=-PmrT FF--- s PLt36 BMM 'PERMT FiTmg Fee 20.Do Trap 7.DD or heat pmp water heater 2 s: D D a1*0 15.06 wet3t hubs — vent 1 S.DD -S =Acis I 15.DD ra saxoar I I 1 S.DD FIs 2D.DD maTOIN" .-=-OZMM jmnwcdtF=U=)BE i d, Er. Oz -mm • en�zs fRsaa m grM op AMS.DD Tem SaWce ZLDD l bbse H=q Facmas MDD MDD PE�IlfT Fra s Fes 120.DD 6,50 P RMT roc S 5 rThWmpw=id Home n Fee 3��59L e.-6an FeeMM t wi�� aT,�L FEE $ _ u � d F� 00 F=b =F PARS PO t� L-stF TO 4IIl`�= �rj'1/) is hereby Issued under the sppRable provsnns utte County Coie andiar Fie=iu = b do work h►:kmlrad above for ww=h fees have been paid. 3y Date om n :eaTT FEeRNT e'XPT�ES ON - . Job Name: `P QIP Job Address:_ ` Phone Number: - City & Zip Code: Type Of Job: Change Out Type Of Equipment: Package Unit Heat Only Heat Pump Split Systerr Equipment Size: BTU Cooling:_� BTU Heating: Type Of Permit Required: Mechanical Location: Roof Closet Notes: Permits To Be Pulled Permit Informatior4 Cut — In Move Unit Split S ste A/C Only Heat Pump Package Unit G Plumbing Electrical Attic Ground Artic Aire 2350 Park Avenue Lic. B -C20 -C2 #234913 Chico, CA 95928 Worker's Compensation: (530)895-3330 Lumberman Mutual Fax- (530)892-9930 . #5BA165241-00 Job Name: `P QIP Job Address:_ ` Phone Number: - City & Zip Code: Type Of Job: Change Out Type Of Equipment: Package Unit Heat Only Heat Pump Split Systerr Equipment Size: BTU Cooling:_� BTU Heating: Type Of Permit Required: Mechanical Location: Roof Closet Notes: Permits To Be Pulled Permit Informatior4 Cut — In Move Unit Split S ste A/C Only Heat Pump Package Unit G Plumbing Electrical Attic Ground Hall Basement