HomeMy WebLinkAbout026-223-006'J
026-223-006 00-0155
WHITE, MARVIN�
7735 FULTON, PALERMO
CONTR: ARTIC AIRE
HVAC
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026-223-006 00-0155
WHITE, MARVIN
7735 FULTON, PALERMO
CONTR: ARTIC AIRE
HVAC
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541PE MIT NO.
(Rev. 12/96) APPLICATION AND PERMIT 1j
ASSESSOR PARCEL NUMBER
0 -F— 7
i�
ZONING
BUILDING PERMIT
°=11N %HITS
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
7735 Cam-;
CONCRACTOR' NAME
/•1 111RAC #{f
TELEPHONE
CONTRACTORS MAILING ADDRESS
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
$
BUII.AING_ADDRESS +
�l.s� FU►.TGiti
Energy Plan Checking Fee
$
$
PERMIT FEE
$
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
sPECFY
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 Work: UVAC
Gas piping stem t - 5 outlets
15.00 15 ,0,0
Building sewer
15.00
Mobile Home I S I IS I W
920.00
PERMIT FEE
$ ; 001
ELECTRICAL PERMIT
Fling Fee 20.00
OOOVOR LE
Main Service zo.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 full force and effect.
License Class - D Lic. No. .23
OWNER -BUILDER DECLARATION
I herebyaffirm under penalty of perjury that I am exem t from the Contractors License
p tY P J rY .,. P
Law for the following reason: I
❑ 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 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.
IV 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' compensation insurance carrier and policy number are:
Carrier I it;1..,-'}., M4. r
Main Service 200A TO 1000.A
46.00NEW
CONST. DWELLING OCCUR
OR ADONS. ( 8 ACC. S.
SO
3.5¢FT,
NONp61D. MULTI.OUTLET
97,50
OWER APPARATUS
8 PSINGLE OUTLET CIR.
Ex. OCCU OUTLET OR FDCrURES
20 Q 1.00
BAL Q .50
Ex. Occup. OUTLETS RES p °EA.
p•
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
$ 4�•
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
Policy Numberj�r-. 7,--)J_2
(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'
compensag�oon 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
fo "wit i mply with those provisions.
/7
XDate Date oZ ! r r7
Sig—njFure pf Applicant - ❑ Owner ❑ Contractor QlAgent
An OSHA permit is required for excavations over 5'0" deep and demolition or constructionB
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $ 5U. GU
occ
CONST. TYPE TOTAL FEE $128.00 NXW
HAZ.
p, FEES IMP
I FLOOD
I CDF
I PARCEL
I PD
HD
I ISSUE
L/
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
/I�'ate
J
PERMIT EXPIRES ON /
the applicable provisions
Resolutions to do work
been paid.
J �+1 U
) -
•7 D I
Date
Receipt No. a95 / it +
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION ANDPERMIT
i
ASSESSOR PARCEL NUMBER
026-223-
ZONING
BUILDING PERMIT
11IN WHITE
TELEPHONE
95968
SO. FT. OCC. BUILDING VALUATION
.OWNERS MAILING ADDRESS
7735 FULTON AVE, PALERMO
AappCT " ueuF
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
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 $
T�G. FULTON
Energy Plan Checking Fee $
$
PERMIT FEE $
LAT 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 as water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ UBlities ❑ Installation ❑ Other ❑
Describe Work: HVAC
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G I W @20.00
PERMIT FEE $
ELECTRICAL PERMIT I Fling Feel 20.00
Main Service '.oA 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 isin full force and effect. f , /.�{
License Class (_ -- � 0 Lic. NO. 2- % 9 / J
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 bpi 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 L 16" Al Lac_
Main Service 200A To 1000A 46.00
NEW CONST. DWELLING OCCUP. so
OR ADDNS. a ACC. S.3.5QFT;
NOWREOSID. T. MULTI -OUTLET RANCH CIRCUITS 97,50
POWER APPARATUS
a SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES 2L (1.50
BAL Q .SO
LNS
Ex. Occup. ouTIFTs RES D.OEA 5.00
Temporary Service 1 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00 ,3.00
PERMIT FEE s 43.00
MECHANICAL PERMIT Fling Fee 20.00
Heating 30.00
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Policy Number J ,2 C_- ;2 r) Eo 0
(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'
compensa n laws of California, and agree that if I should become subject to the
workers' mpensation provisions of section 3700 of the Labor Code, I shall
wit mpiy with those provisions.
r�
X Date
Sign ure bf plicant - ❑ Owner ❑ Contractor Agent
An OSHA permit is required for excavations over 60" deep and demolition or constructionA
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $ 50.00
occ
CONST. TYPE
TOTAL FEE $128.00 SSNE
HAZ.
I D. FEES IMP
I FLOODCDF
PARCEL
Po
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 `O 0
to d4
PERMIT EXPIRES ON ( �''` —�
I Date
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
-t;r, 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT .h,0 -4%�
ASSESSOR PARCEL NUMBEAD . �� _._► /+
ZONING
BUILDING PERMIT
OWNER M y) 1 V iA V i r , W , ( �
TILET
S q p.
D
Sp, FT, OCC. BUILDING VALUATION
S V
OWNERMAILING ADDRESS ` FI ,L 7-00— ,A �T � `?�.
CONTRACTOR'S E l „yr '^ ry
TELEPHONE
330
CONTRACTORS WAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation S
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Permit Fee $
Plan Checking Fee $
BUI DWGADDRESS '193 5
Energy Plan Checking Fee $
a
PERMIT FEE S
IAT No.
SUBDNISIONSAM
NE
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF uplex ❑ 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 ❑ Re-mod/el ❑ Ufilities ❑ Installation 13 Other ❑
Describe Work: �F �� /J
�I
Gas -piping -system - 1, - 5 outlets
15.00
Buildingsewer
15.00
bile Home I S I G I W
@20.00
PERMIT FEE $
--
ELECTRICAL PERMIT
Fling Feel 20.00
Main Service 200AORLESS s
23.00
C-2_ %
�� —}v�'' � ( -�i��
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLINGOCCUP. 3.5QS0.
OR ADONS. ( 8 ACC. BL)S. FT.
NEW ONS .MULTI.OUTLFT
NON-RESID. @7.50
F)r APPARATUS
b BINDLE oUnFT CIR.
Ex. Occup. oLmEr OR FORUREs zo O 1.00
BALI .50
APP• Ex. Occup. OUTLETS R=.DEA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECH CAL PERW Fling Fee 20.00
Heating
Coolin
Hood 6.50
Ventilation
PERMIT FEI: $
Mobile Home Installation Fee $
Energy Inspection Fee S
DCD
coNST. �� TOTAL FEE $ f °
HAZ
D. FEES IMP
I FLOOD
I CDF
PARCEL
PO
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.
By Date
PERMIT EXPIRES ON
to