HomeMy WebLinkAbout028-440-046028-440-0 q6 01-0982
HARCOURT, CLAUDIA
CONT: BETTER BUILDERS
SHED ELEC / TEMP ELEC 4 -'_
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028-440-0,-+--, 01-0982
HARCOURT, CLAUDIA
CONT: BETTER BUILDERS
SHED ELEC / TEMP ELEC 4 BP# 00-2367
OFFICE COPY
Address
GAS
Meter By Date
ELECTRIC
Meter By Dat
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 AND PERMIT !%�1
ASSESSOR PARCEL NUMBER 028-""32
2� ao 4 03
ZONING
A-
BUILDING PERMIT
OWNER A}
aAM
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
. OWNERS MAIUNG ADDRESS
P.O. BOX 594 BANGOR CA 95914
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
ORO AU CA 95966
Energy Plan Checking Fee $
114(50,0
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 ❑ Remodei ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: E- FOR 6X6 SM & 3*T ELEC FOR BP
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G W
Q20.00
PERMIT FEE $
EELECTRICAL
PERMIT
Fling Fee 20.00
Main Service . ' 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. r
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
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'
c hipensation, as provided for by section 3700 of the Labor Code, for the
erformance of the work for which this permit is issued.
CQ 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
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP. SO
OR AODNS. ( & ACC. SUDS. 3.5¢FT:
CONSTl' MULTI-OLm ET 97.50
OWER APPARATUS
8 SINGLE OLmFT CIR.
.00
EX. Occup. OUTLET OR FIXTURES BAL @ 1.50
FIXED APPLNS. OR
Ex. Occup.. ouTLETs RESIO. Ea 5.00 5.00
Temporary Service 23=23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating
—Cooling
Hood 6.50
Ventilation
PERMIT FEt $
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 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 1% ' _
Signature of Applicant - El Owner ❑ Contractor Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $ 48.00
HAZ.
D. FEES IMP
FLOOD
CDF
PARCEL
PD
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.
- ✓. r "�-
ByI��1 ./-.;ir Date 5•1-2001
PERMIT EXPIRES ON 5-1-2002
pate)
ReceiptNo. 324287
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) 538-7 )_oqk-5, PERMIT NO.
(Rev.1 jiF36) q4p APPLICATION AND PERMIT C
ASSESSORPARCELNUMBER028-440—
ZONING _
BUILDINGPERMIT
OWNER T ��7�T� T���
CLAUDIA HAR679-1624
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
P.O. BOX 594 BANGOR CA 95914
CONTRACTOR'S NAME
BEITEK-BUTIDERLS
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
$
BUILDING ADDRESS
7245 ORO BANGOR HWY. OROVILLE CA 95966
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: EL.E. FOR 6X6 SHED & TEMP ELEC FOR $P
#00--2-3--67—
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home IS I GI W
920.00
PERMIT FEE
S
ELECTRICAL PERMIT
Fling Feel 20.00
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 orce and effect.
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
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 hVe and will maintain a certificate of consent to self -insure for workers'
c,pmpensation, 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 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
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 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 wit ose provisions.
�/ ^�
X ate
Signature of Applicant - ❑ Owner ❑Contractor Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Main Service tow TO I000A
46.00
NEW CONST. DWELLING OCCUR SO
OR ADDNS. 6 AGC;
T.
No ID, MULTI.Ot7TLET @7,50
POWER APPARATUS
a SINGLE aurLEr cIR.
.00
EX. Occup. OUTLET OR FIXTURES BAL 20 0 I.S0
FIXED -
Ex. Occup..RUTS R D °RF 5.005.00
Temporary Service 23.00 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEI: $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 48.00
HAz.
D. FEES IMP
I FL0OD
CDF
PARCEL
Po
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code a esolutions to do work
een paid.
Date 5-1-2001
z3z;1W
PERMIT EXPIRES ON 5-1-2002
Data
Receipt No. 324287
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
05/01/2001 09:20 FAX 5303426625 COAST GAS CHICO Qol
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2469 VALINE LANE CHICO, CALIFORNIA 95928
(916) 342-6736 FAX: (916) 342625
1-800-8736673