HomeMy WebLinkAbout030-181-0241 r
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030-181-024 02-0444
FOWLER, FRANK & NELLIE
1117 12n' ST. OROVILLE ' A(�
CONT: ARTIC AIRE ' �'I6. �z
REPLACE HVAC UNIT
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030-181-024 102=0444
FOWLER, FRANK & NELLIE
1117 12TH ST. OROVILLE
CONT: ARTIC AIRE
REPLACE HVAC UNIT
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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES —BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541' IT NO.
(Rev. 12/96) APPLICATION AND PERMIT '. .
ASSESSOR PARCEL NUMBER 034-181-024
ZONING
BUILDING PERMIT,
OWNER Frank & Nellie Fowler
TELEPHONE
534_0626
SO. FT. OCC. BUILDING VALUATION
.OWNEFi511UNG V 1ZLh Street, Oroville CA 95965
CO RACTOR'S NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
0V'/PL+ AQL11
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
UCENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
1117 12th Street
Energy Plan Checking Fee $
$
Oroville CA 95965
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF;O Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater
23.00
Water piping'
15.00
Each as water heater or vent
15.00
TYPE OF WORK e�
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other O
Describe Work: replace WAC
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
Fling Fee' 20.00'
Main Service loon oa mss
23.00 "
LICENSED CONTRACTOR'S DECLARATION
1 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 14� 13
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'
compensation, as provided for by section. 3700 of the Labor Code, for the
M/erformance 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 t ty,ty.�^yi r V r IM,
Main Service zooA TO I000A
46.00
NEW CONST. DWELLING OCCUP. SO
OR ADDNS. ( a ACC. Bins. 3.5¢Fr:
NEW REBID. T. MULTI -OUTLET @7,50
POWER APPARATU
S
a SINGLE oun ET aR.
EX. Occup. OUTLET OR FIXTURES BAL @ .50
FIXED APPLNS. OR
Ex. Occup. 5.00
ouTLETs R=6. EA
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Filing Fee 20.00
Heating 15.00
Cooli6 �''
1 •
,
Hood 6.50
Ventilation
PERMIT FEE $ 0.OQ
Policy Number MX, -f in. SZ`-,Ok - q_2
(The above sections need not tie 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.
G�
X --'� �j .,........ _ Date 's_
Signature of Applicant - ❑ Owner ❑ Contractor PA'gent
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 I $
occ
CONST. TYPE
: TQTAL.FEE $
HAZ.
D. FEES IMP
ROOD
COF
PARCEL
Po
HD
SSUE
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.
f�
B Da a t�
PERMIT EXPIRES ON
Dafe
Receipt No.
WHITE•D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
i
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County -Center Drive • Oroville, California 95965 • Telephone (530) 538-754 No.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 030-181-024
ZONING
BUILDING PERMIT
OWNER
Frank & Nellie Fowler
TELEPHONE
534-0626
SO. FT. OCC. BUILDING VALUATION
. OWNER'S MAILING ADDRESS
1117 12th Street Oroville CA 95965
CO Oz_
'�
TTELEPHONE
CONTRACCTOOWSMAIUNG ADDRESSM`L'A o _
Lg 1
CONSTRUCTION LENDER
LENDER'S MAIUNG ADDRESS
ARCHITECT OR ENGINEER LICENSE NO.
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
BUILDINGADDRESS 11.7 12th Street_._"
Fireplace _
Total Valuation $
Filing Fee $
20.00
Permit Fee $
Plan Checking Fee $
Energy Plan Checking Fee $
$
Oroville GA 95965
PERMIT FEE $
LOT NO.
SUBDNISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat um water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
yy
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other
Describe Work: re7.da e HVAC
Gas piping stem 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
a00VOR LESS
Main Service 200A 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 ' in full force and effect. �4A ��
License Class - - GZO •C2 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:
❑ I 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.
M1011 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 ��
(rhe 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 c�, "�QOL
Signa ure of Applicant - ❑ Owner ❑ Contractor gent
An OSHA permit is required for excavations over 60" deep and demolition or construction&�&.zllk71�
of structures over 3 stories in height.
IF
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLING OCCUP. 3.5,so
( CC.
ORw
corgi . Mu IO
faDN RESID. c
@7.50
POWER APPARATUS
a SINGLE OUTLET CIR.
Fes, OCCU CUTLET CA FIXTURES B20 O 1:00
Ex. Occup. O�ED APPLNS
R p,OEA 5.00
CF.,
Temporary Service 23.00
Mobile Home Facilities
20.00
Misc. Wirina 23.00
PERMIT FEE S
MECHANICAL PERMIT Fling Fee 20.00
Heating 15.00
Cooling 15.00
Hood 6.50
Ventilation
PERMIT FEE $ 50.00
Mobile Home Installation Fee $
Mobile
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $
HAZ.
D. FEES IMP
I FLOOD
I CDF
PARCEL
PD
I 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.
B Da V
PERMIT EXPIRES ON 3
I I Date
Receipt No. oa
WHITE-D.D.S.-B.D. CANA -A S S R PINK -INSPECTOR GOLDENROD -APPLICANT