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HomeMy WebLinkAbout026-223-006'J 026-223-006 00-0155 WHITE, MARVIN� 7735 FULTON, PALERMO CONTR: ARTIC AIRE HVAC 0 r x 1 026-223-006 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