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Home My WebLink About021-132-026} � a � F 1 - • ='sr � ., M n.! ter.. kne` d. w 1 i � F 1 - • ='sr � ., M n.! ter.. kne` N 'IF F T, _ - - 02 1.-'l k; .PERMIT#95-2998 f R VANN, ' Francis � r .• jj ►, 526 Social Ha11 Rd iGridley'� - - - - Corit George- Roofing Reroof/SF f .��n ; M ' ! .j }-;•,. iK..__ I '�.._. i - �'..y^ •� .. _ 1':Ifif" ;! - . r .T _:. � . I ,.N i � � � ., � 7 i { • J' � 1 R �... � ti • - � -- t � ,. � / � � r `, fs�. �/✓ a r �% /lam _, ,� '� � : ~t t •� t ' • ,� .. ;_�_l.-err . ..y.. , .'�'• ,M.. ''��"� ��,�R, f�•. -��i. . �•'�~•liS • I .i ' . ;f{EEy'.:niR.4--•. ry COUNTY OFBUTTE - DEPARTMENT OFDEVELOPMENT SERVICES - BUILDING DIVISIOMt 7 County t nter Drive - Oroville, California_P5965 - Telephone (916) 538-7541 - PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER f — O ZONI BUILDING ERMIT OW R /.f s / T NE G c• _ �7 SO. FT. OCC. BUILDING VALUATION OWNS MAILING ADDRESS CONTRACTOR'S NAME • ' 1 TELEPHONE - �3 CONTRACTORS MAI ADDRESS lj Fireplace CONSTRUCTION LENDER OWN Tu Total Valuation $ LENDER'S MAILING ADDRESS .. Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINNG'ADDRESS/f C ` 14L�ffl Rd. Ca s' irl& PERMITFEE $ r PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 ater SOIar or heat pump water h '23.00 LOTNO, i 'SUBDNISIONSNAME -' - - AROEL MAP' 'r USEOFSTRUCTURE SFX Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel r❑rrUtilities ❑ Installation ❑ Other ❑ Describe Work: !/+ - 6 ! -!- Mobile Home S G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20.'00 Main Service eoov oR -ss ( 2ooA oR -ss ) 23.00 Main Service ( 200A TO t000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION �- J heftby 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. l / / License Class C- ;� q Lic. No. ry��Li(/ OWNER -BUILDER DECLARATION 1 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. _.._a Business and Professions Code for this reason NEW CONST. DWELLING OCCUR SO. OR ADONS. ( a ACC. ) 3.SQ Fr. NEW CONST. MULTI-OUTLEUTLE T NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 3 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) 2U @ 1.50 BAL so Ex. Occup. OUTLETS ((RRESIoj � ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor_ �. _`' - 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 ,jcarrier and policy number are: Carrier -�Lf%� f1��1 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor �� Pglicy Number/ e 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 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 arthwith comply with those provisions. X »� �i _ Date �� ` J Signature of Applicant - ❑ Owner ❑ Contractor ❑ 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 TOTAL FEE $not HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL PD 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 which fees have been paid. l ' ey`/j: -i Date r PERMITEXPIRESON (Date) i-- Receipt No. MnQ WHITE-D.D.S.• .D. CANA -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEV-PLOPMENT SERVICES -BUILDING DIVISIO 7 County Center Drive - Orovilld;oCalifornia 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 1 ® F.s ZONi BUILDIN ERMIT atWRfir/ S TELEPHONE % SO. FT. OCC. BUILDING VALUATION MOW 5 MAILING ADDRESS ` f O O S-71 O CO RACTOR'S NAM r Dd it TELEPHONE / -!off C=I MAI ADDRESS L 01LG" 0 /7' Fireplace CONSTRUCTION LENDER UNRNOWN Total Valuation $ Fling Fee $ 20,00 LENDER'S MOILING ADDRESS Permit Fee $ ��' •� ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ' ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRES�•-�j tC d L% Vie- PERMITFEE $ �"� •— PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar Or heat pump water heater 23.00 USE OF STRUCTURE SFX Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel nn❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 7,e,?" -6Jy- Mobile Home IS I GI W1 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.'00 Main ServiceE00v OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 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, end my license is in full fort and effect. % License Class C-- 3 Lic. NO. "7'J „C,G�Y 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 NEW CONST. DWELLING OCCUP. DR AooNs. ( a ACC. ) SO. 3.Sa Fr. NEW CONST. MULTI.OUTLET UTLE NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) a SINGLE OUTLET US EX. Occup. ( OUTLET OR FD(TURES ) 20 Q 1.00 &°L 90 EX. OCCUp. ( OUTLETSE(R D.)EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor 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' gotnpensatio insurance arrier and policy number are: Carrier S% -rel-, / G� MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE S Contractor Policy Number -c (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 with comply with thos provisions.' j �^ Date /_d �/_`�J Signature of Applicant - ❑ Owner ❑ Contractor ❑ 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 Is Occ CONST. TYPE TOTAL FEE $ %55�%A'o, HAZ. 1 0. FEES I IMP I FLOOD I CDF PARCEL I PO HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have BY PERMITEXPIRESON /,-L/4//,;,(,WHITE-D.D.S.• applicable provisions Resolutions to do work been paid. _Date $- (Date) Receipt No. .D. CANA -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT