HomeMy WebLinkAbout021-260-004O�
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021-260-004 PERMIT#98-1024
HUNZEKER, Ray
1293 Losser Ave., Gridley
Cont: Butte Roofing Co.
Reroof/SF�/.W/, 10/m/f 0
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D14-�2-;72
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021-260-004 PERMIT#98=1024,
' HUNZEKER, Ray '
y 1293 Losser Ave., Gridley,
Cont: Butte Roofing Co-
Reroof/SF
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COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIV ISI
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 � `PERM 1T O.
(Rev. 12/96) APPLICATION AND PERMIT ` 66W
ASSESSOR PARCEL NUMBER /
ZONING -e
BUILDIIqGPERMIT
OWN
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
-
O NEWS ADDRESS ��
•
RACTOR'S NAME
TELEPHONE
• ��
NTRACTOR'S MAILING ADDRESS %1
CONSTRUCTION LENDS
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR E I EER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
/ CfL%
ARCHITECT ORENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDR SS "'
AAA`
Energy Plan Checking Fee $
$
G
PERMIT FEE A
� Iv
LOT NO. ..
' sUBDNISio SNAME'y' 'r• •.T• ,. .• .---;,•-. .�.
'PARCE M ., .-n•.
_ _
T PLUMBING PERMIT' : ' 'Filirig
Fee -20.00
USEOFSTRUCTURE
SFSA. Duplex ❑ -Mobilehome ❑ 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 Y, Addition ❑ eml ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work:
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE S
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service zoonoa"ss
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 f rce and effect. ` ��
License Class Llc. No.
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 a _ ►.
Main Service TO I000A
46.00
WEE200A
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( a ACC. BLOC.
SO
3.5QFr:
NEW CONS . '_OUTLET
NON-RESID. CIRCUITS
7
@7.50
POWER APPARATUS
d SINGLE 011TLEU CIS.
Ex. Occup. OUTLET OR FI TURES
20 @ 100
BAL @ •50
Ex. Occup. ouT&D;7s ,.%.)0en
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE $
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' compensatio insurance arrier and policy number are:
Carrier
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Policy Number
(The above sections need not be competed 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
forth ith comply ith those provisions.
XfY _ Date /moi
Signa ure 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 /
$not
HAZ.
ETOTALFEE
D. FEESD
CDF
PARCEL
PD
HD
ISSU
a%
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.
t /
BY1411 / : e -' Date I = j, 0 .'•
PERMIT EXPIRES ON _o,
/ ate '
Receipt No. '1 /
WHITE-D.D.S.-B.D. y CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
r COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT O.
(Rev. 12/96) APPLICATION AND PERMIT 6,::,?
ASSESSOR PARCEL NUMBER
ZONING
BUILDIIIGPERMIT
OWN
TELEPHONE
7
SO. FT. OCC. BUILDING VALUATION
O NER'S ADDRESS ��
RACTOR'S NAME
TELEPHONE
F
NTRACTORS MAILING ADDRESS
CONSTRUCTION LEND
Fireplace
LENDER'S MAILING &DRESS
Total Valuation $
ARCHITECT ORE &% ER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ /; ev
ARCHITECT OR E GINEEWS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDR SS
Energy Plan Checking Fee
$
$
l
PERMIT FEE
$ d�
LOT NO.
SUBDNISION' NAME
PARCEL MAP
PLUMBING PERMITg
Flin Fee 20.00
USEOFSTRUCTURE
SF)A Duplex ❑ Mobilehome ❑ 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 X Addition Xemodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work:
Gas piping system i - 5 outlets
15.00
Building sewer15.00
Mobile Home S G W
920.00
PERMIT FEE
$
ELECTRICAL PERMIT
Filing Fee 20.00
800V OR LES9
Main Service p.A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
1 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 Nil force and effect.
License Class Lic. No. `'j���7
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
Main Service To
46. 00
COU000A
NEW CONST. DWELLING OCCUP.
WE
OR ADONS. ( a ACC. BLDS.
So
SO
3.5¢FT.
=REsloT rl-°... .
@7.50
POWER APPARATUS
a SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES
BAS @': o
XAPP.
Ex. Occup. ouTFILETED s REBLNsID. OER A
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
$
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 arrier a -%d policy number are:
Carrier`' �.�
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
.—,.G
Policy Number 7� C2!20z
(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
eorthith comply it those provisions.
X?1e�t--- ate
Signa 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.By
Mobile Home Installation Fee
777
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ Al
HAZ.
D. FEES
IMP
I FLOOD
I COF
I PARCEL I PO
HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
',(V,161Date
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
4�
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD-APPLICANT(bata