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Home My WebLink About025-200-008025-200-008 01-2725 AQ DEL`LARKIN RANCH McSAUGHAN,.-Margo rie_' _ - 25-20-8 �I 202 ORD RANCH RD. GRIDLEY CONT: THE COZY STOVE & SPA --- ----- WOOD STOVE INSERT & LINER . 597-66B 176E 13�oP � E e/s Ord Ranch Rd., @ turn, Gridley contr: Tom Melton, Li`+Ze Oak �- r( ) /- 7 -los — ' U e icy i F _ � 1 f I 0 025-200-008 01-2725 DEL LARKIN RANCH 202 ORD RANCH RD. GRIDLEY CONT: THE COZY STOVE & SPA WOOD STOVE INSERT & LINE . � y R F .. a-t.w. s?,s� r I i }'N V.:. __ '•-RSic JC,i: i'-'.,' . :t .. .c.•- rw.� � .f -AF •_ 'Y -.t. ♦ �d1f:- . � y COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 96965 • Telephone (530) 538-754 , PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT c-2. 1 5 ASSESSOR cL1T ZONING BUILDINGPERMIT " �� l �ln ' � IvG r� �� T ENE SO. FT. OCC. BUILDING VALUATION O�++��!!ER MARJIrG ADD SS 2Jl viI1 K&I 6kollei4A -C 14 R NAME q S ' TES E G'�/�l)LF'')l - C TORS Al ADOR CONSTRUCTION LENDER - Fireplace LENDER'S MAIUNG ADDRESS 1 Total Valuation $ ARCHITECT OR ENGINEER UC�E NO O'(� I t Filing Fee $ 20.00 - Permit Fee $ ' ARCHITECT OR ENGINEERS MAILING ADDRESS _Pjan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LOTNO. VhDIVISIONS`NAMEN.:^ .e. .c .i-.-�;«.-..-.., - .«�:c- aARF�4 MR;P„. ., r< --" „rP1fuM8ING- PER -MIT, -Fillr>gfee. 20-00. Each Trap 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 ❑ Desccrriibe, orkt: j t t WLt �.� 'Jl-i-t c3 If�f` r Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W Q20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 800OR LESS Main Service 20.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 I fjQrce and effect. {//� ` �� y • License Class 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 I 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, fore performance of work for which this permit is issued. My workers' colMpesatigl5 Insurpnce carrier and policy number are: Carrier A 1 Policy Number — ► (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 pe pc@ in any manner so as to become subject to workers' compo tiidn,laws f G nia, and agre that if I should become subject to the worker ' Icdmpen o �prpv ions ction 3700 of the Labor Code, I shall fo, ithlcl'm ly, os d Ions. p X ~_ Date 1 1 _ Signature o Applicanti - ❑Owner ❑ Contractor ❑ Agent +. An OSHAmit is required for excavations over 60" deep and demolition of construction of structujj1es over 3 stories in h ight. Main Service 200A To t000A '46.00 NEW CONST. DWELLING OCCUP. s0 OR ADONS. ( a ACC: =R ID MULTI -OUTLET 97.50 POWFA APPARATUS SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FORURES BAS ®1.50 Ex. Occup.ouTlFIXt�s p,6.) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE _ MECH4kI16AL PERMIT Filing age ''20:00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ DCC CONST. TYPE TOTAL FEE $11 ' `O • HAZ. D. FEES IMP FLOOD CDF PARCEL Po ND ISSUI 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. , er 4 Date 1D—.PV- PERMIT EXPIRES ON Date Receipt No. % 19d2r1QQ WHITE-D.D.S.-B.D. CANA -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT y COUNTY OF BUTTE - DEPARTMENT GF DEkLOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT --rDI n ASS E$40RP =Em„ ^ /Wy \ ZONING i , BUILDING PERMIT N W kin C ��ant-►�c T I.EPHONE =53,31 SO. FT. OCC. BUILDING VALUATION GyK rU AD Ss v7d RE S NAMRUCTION L v ✓NE C T R5 I DR S I [.0 NSTA LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation ARCHITECT OR ENGINEER UC5 O. {"-/ Filing Fee $ 20.00 Permit Fee $ CJ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF 6 Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe ork:l I -� ^ / n ✓ WWI 5 �1 WI 1�'1�� C� i�CJ W Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 1@20.00 PERMIT FEE S r' ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2o0A 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 injuji fprce and effect. �/,1 1 (� " I License Class Lic. No. 5 m i 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 CCU000A NEW CONST. DWEWNG OCCUP. WEL ( . BL S. ORw 3.5QF°; corgi • MULTI NON•RESID. 1@7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. OUTLET OR FD=RES Ex. Occup.BAL , 00 p •50 Ex. Occup.. ouTLEEDTSA PZJ EA. 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. /��i I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for a performance of work for which this permit is issued. My workers' co a sati insu nce carrier and policy number are: Carrier Policy Number (The above sections need not be completed If the permit is for work of a valuation of one hundred dollars ($100) or less.) I ❑ 1 certify th t in the performance of the work for which this permit is issued, I shall note I y ny per in any manner so as to become subject to workers' com e u laws f nia, and agre that f I should become subject to the w e ' c p n r ions ection 3700 of the Labor Code, I shall f hwl c m ons. -. X Date 1 Signature Of App Ic - ❑ Owner ❑ Contractor ❑ Agent An OSHA ermft is required for excavations over 5'0" deep and demolition or construction of structu es over 3 stories in h ight. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $% s6 . D FEES IMP FLOOD COF PARCEL- pp 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. Date l��a PERMIT EXPIRES Date Receipt No. 3617 WHITE-D.D.S.-B.D. CANA Y -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Sent by: COZY STOVES AND SPA 9162232938 (Rev.t2/96) .v-cnssoan, 09/27/01 2:02PM Job 755 Page 1/1 .... ��_ COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • O►oville, California 95965 • Telephone (530) 538-7541 APPLICATION AND PERMIT iargNO BUILDING PERMIT IENDEr,Y: Nw!:1N3 nDDRES� -- nRC•rnEGr OA ENY/rEER '-- ' ARCWMCT OR •FW%Wjcos wwrai nnr�w.s; LOl NO. 1 ^+UNON61ON'9 k&ME PERMIT NO. r uswOME "" 50. FT, OCC, BUILDING VALUATION&d. _ ,:i —.. . _.__._...... -- — • Fire lace P........_. ._ti -. _ Total Valuation IS O USEOFSTRUCTURE SFO Duplex 0 Mobilahome O Other TYPE OF WORK New ❑ Additics', ❑ Remodel ❑ LANdes O Installation ❑ Other O LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally 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 I fyrce and effect. License Class 11 Lic. No. , _.. OWNER -BUILDER DECLARATION I hereby affirm under penahy of perjury that I am exempt from the Contractors License Law for the following Ivalon: ❑ I, as owner of the proporty, or my employees with wages as their sole compensation, will do the work. and the struchira 4c not intended or offered for sale. O 1, as owner of the property. am exclusively contracting with licensed contractors to construct the project. O 1 am exempt under Sec, Business and Professions Code for this mason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: O 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 wtlf maintain wcrkers' compensation Insurance, as required by Section 3700 of the Labor Code, for a performance of work for which this permit is issued. My workers co ase I, nce carrier and policy number are: Carrier Policy Number _ � _. (The above sections need not be completed if the permit is for worst of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California. and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Det -_O J1 ` Signature of Applicant - O owner ❑ Convector ❑ Agent An DSHA permil is required for excavations over 5'0' deep end domolition or construction of structures over 3 stories in height. Receipt No. WFgTE•D.D.S.•C.D. CANARY-ASaCsson VINN-INSPECTOR GOLDENROD -AP PuenNT Fee .. ........._$ 20.60 Permit Fee $ .&-D Plan-Checking_Fee $ �- Energy Plan Checking f=ee - • - ff - -� PERMIT FEE S _ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 _ Weser piping 16.00 — ............ Each gas water heater or vent _._.._ _._ 15...00 15.00 Gas piping_System 1 - 5 outiela Building sewer 15.00 .... Mobile Home S G Q20.00t I PERMIT FEE _ 6 ELECTRICAL PERMIT iFiling Filing Fee 20.00 Nov OilIE-8 INaln Service tow ora mss . 23.00 Main Service_..( 20 TO !--A _46.00 NEW COAST. DOWER APPARArus ._ ...__ a 9WWE OUTLET GR. _ EX, OCCUp. t 01mET CA FMTVRry ) r� ,so -FIXEDAMM 011 ......_— Ex. Occup• i o�?hYTs rAEsIDa EA,J 5.00: Temporary Service J 23.00 Mobile Home Facilities 20,00 Misc... Wiring.. 23.00 ' I PERMIT FEE ! _ MECHANICAL PERMIT Flltng Fee 20.00 Heating Cooling Hood 8.50 Ventilation — PERMIT FEE $ Mobile Home Installation Fee. $ Energy Inspection Fee $ occ-- " .. lc�wojNST�.Tijtool. EE $ GOF PARCEL 00 .0 i 6811E This permit Is hereby issued under the applicable provisions 01 the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Data ---.... — PERMIT EXPIRES ON NJ .rr s STATE P.O. BOX 807, SAU FRANCISCO,CA 94101-0807 COMPENSATION INSURANCE FUND CERTIFICATE. OF WORKERS' COMPENSATION INSURANCE POLICY NUMBER: 1248432 - 01 ISSUE DATE: 07-01-04 CERTIFICATE EXPIRES: 07-01-02 PASTERNAK CONSTRUCTION P 0 BOX 441 MC ARTHUR CA 95606 This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated. This policy is net subject to cancellation by the Fund except upon 30 days' advance written notice to the employer. We will also give you 30 days' advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policies listed herein. Notwithstanding any requirement, term, or condition of any contract or other document with respect to which this certificate of insurance may be issued or may pertain, the insurance afforded by the policies described herein is subject to all the terms, exclusions and conditions of such policies. PRESIDENT EMPLOYER'S LIABILITY LIMIT.. INCLUDING DEFENSE COSTS: $1,000,000.00 PER OCCURRENCE. ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 07/01/01 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. EMPLOYER THE COZY STOVE & SPA CO INC 2576 HARTNELL AVE REDDING CA 96002 LEGAL NAME THE COZY STOVE & SPA CO., INC. .. -0.0• THIS DOCUMENT HAS A BLUE PATTERNED BACKGROUND SciF 10265 (REV 2-95)