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HomeMy WebLinkAbout022-240-115` F022-�240-.115 02-0335 w�uo'EoO CONT: ARTIC AH -IR 0� ' 13 JL 022-240;115 02-0335 WEBSTER, WARREN 789 JUSTESON, GRIDLEY CONT: ARTIC AIRE REPLACE HVAC T'L- 1 1 T'L- 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