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022-240;115 02-0335
WEBSTER, WARREN
789 JUSTESON, GRIDLEY
CONT: ARTIC AIRE
REPLACE HVAC
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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION,"
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT
(Rev. 12/96) APPLICATION AND PERMIT r'A '1
ASSESSOR PARCEL NUMBER
-
ZONING
A—%
BUILDING PERMIT
OWNER
WARM WEBSTER
TELEPHONE
846-5288
SO. FT. OCC. BUILDING VALUATION
X" MAILING ADDRESS
789 JUSTESON GRIMMS CA 95948
CONTRACTOR'S NAME
ARTIC AIRF
TELEPHONE
CONTRACTORS MAIUNG ADDRESS
2350 PARK AMVUE ClIIOU, CA 95928
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
UCENSE NO.
Filin Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
JyIi NGPDoJR lSS.___ , GRIDLEY, CA 95948
JV
2253 JJ ��ii �i�i'' "v�,��
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
Each Trap 1 7.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
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: RM ACIM HVAC UNIT
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 ."Ao' 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 !'. 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:
❑ 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.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service TO I 46.00so
W:L200A
NEW CONST. OWEWNG OCCUP. SO
U
OR ADDNS. ( a ACC. BLnS. 3.5¢FT_
T. 0.OUTLET 97,50
NONEW RE°SID. MU LT
POWER APPARATUS
a swoLE ounEr cIR.
20 @ I'00
Ex. Occup. OUTLET OR FVTURES SAL @ .so
Ex. Occup. o xuT E°S AEs,° °F�a 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE S
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 i • ' \ h i %-
Policy Number It 'Nr i 1 t;.
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
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 - ❑Owner ❑Contractor ❑Agent
OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in heigh
MECHANICAL PERMIT Filing Fee 20.00
Heating �•
Cooling j 15.00
Hood 6.50
Ventilation
PERMIT FEE $ S(1
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE 50.00
HAZ.
D. FEES IMP I FLOOD CDF PARCEL I PO HD
5S
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indl ated a e fo whi fees have been paid.
911414?An
By Date
PERMIT EXPIRES ON /J
Date
Receipt No.
WHITE-D.D.S.-B.D. CANA -AS SOR PINK-!SPECTOR GOLDENROD -APPLICANT
r
r COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 .PERMIT
(Rev. 12/96) APPLICATION AND PERMIT OA-19-�`�
ASSESSOR PARCEL NUMBER
022-240-119
ZONING
A-5
BUILDING PERMIT
OWNER
WARREN WEBSTER
TELEPHONE
846-5288
SO. FT. OCC. BUILDING VALUATION
/b8IIA'S MAIUNG ADDRESS
789 JUSTESON GRIDLEY CA 95948
CONTRACTOR'S NAME
ARTIC AIRF
TELEPHONE
CONTRACTORS "UNG ADDRESS
2350 PARK AVENUE. CHICO CA 95928
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
NIL ING ADDRESS
JUSTESON, GRID= CA 95948
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 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: RRPT ACTNC; J BAC UNIT
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
Fling Fee 20.00
800R LE
Main Service 2oOA 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. "Q /
License Class '� - C. `D C'z 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:
❑ 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 herebyaffirm under penalty of perjury one of the following declarations:
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 '�� U
Policy Number A W& 2!V— 10
(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 d I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
}� `O�
X Date Z
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 heigh
Main Service TO
46.00so
CCU000A
W:U200A
NEW CONST. DWELLING OCCUP. SO
OR ADDNS. 8 ACC. S.3.52FT.
Np CONST.,., MULTI -OUTLET 97.50
POWER APPARATUS
a SINGLE OUTLET cIR.
Ex. Occup. OUTLET OR FDCTURES
20 @ 100
BAL @ ,SD
Ex. Occup. OFUTLEEDTs RE�SID °Ew 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating 1 15.00
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $ 50.00
]�AZ,D.EES
IMP FLOOD CDF PARCEL pD HD
ISS
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
in ated e e fo whi fees have been paid.
/l
By D to
PERMIT EXPIRES ON r�
Daf
�1
Receipt No. V -"
WHITE-D.D.S.-B.D. CANARY -AS SOR PINK9SPECTOR GOLDENROD -APPLICANT
'• COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive- • Oroville, California 95965 • Telephone (530) 538-754MIT
IRev.12/96) APPLICATION AND PERMIT"�
ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT
OWNER "E SO. FT. OCC. BUILDING VALUATION
16
OWNER'S MAISS
CONTRAC 'S NAME J / I TELEPHONE�"�/��„iy!�
CONSTRUCTION LENDER -
PERMIT FEE
S
ELECTRICAL
LENDER'S MAILING ADDRESS
Fireplace
Main Service
800V Oil UE
200" OR LESS
Total Valuation is
Main Service
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$
20.00
Permit BeF
$
3•5¢SO.
FT,
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS 7X 4
Energy Plan Checking Fee
$
$
PERMIT FEE $
LOT NO. SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
I SPECIFY
Each Trap
1
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 ❑ Addition ❑emodel ❑ tilities ❑ , Installation ❑ Oth ❑
Describe Work:
Gas piping system 1 - 5 outlets
15.00
Buildingsewer
15.00
Mobile Home S G W
@20.00
"PERAIT FEE PA10
SRA
SHERIFF
OTM
AMOVNT RECEIVED
s
•aE(;QMrr Whim -5D7�
” TO tE IVi' =NTO tOMKlTER
ReceiptNo.
j WHITE-D.D.S.-B.0.
CANARY -ASSESSOR PINK -INSPECTOR G
ICANT
EX. OCCU . OUTLET OR FIXTURES
PERMIT FEE
S
ELECTRICAL
PERMIT
Fling Feel 20.00
Main Service
800V Oil UE
200" OR LESS
23.00
Main Service
200A TO 1000A
46.00
NEW CONST.
(
DWELLING OCCUP.
OR ADDNS.
6 ACC. BLDS.
3•5¢SO.
FT,
NEW CONST.
NON-RESIn.
MULTI.OUTLEf
wueuru r�or�irrc
r
1=� 7.50
EX. OCCU . OUTLET OR FIXTURES
Ex. OCCU ouEPPNS0"
EA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirino
23.001
PERMIT FEE S
MECHANICAL PERMIT Fling Fee 20.00
Heating —
Coolingi
Hood 6.50
Ventilation
PERMIT FEE $ CA11.1
Mobile Home Installation Fee $
Energy Inspection Fee $
occ CONST. TYPE TOTAL FEE $
HAZ. I D. FEES I IMP CDF PARCEL
This permit is hereby issued binder 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 EXPIRES ON