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HomeMy WebLinkAbout030-181-0241 r � 1 030-181-024 02-0444 FOWLER, FRANK & NELLIE 1117 12n' ST. OROVILLE ' A(� CONT: ARTIC AIRE ' �'I6. �z REPLACE HVAC UNIT i 030-181-024 102=0444 FOWLER, FRANK & NELLIE 1117 12TH ST. OROVILLE CONT: ARTIC AIRE REPLACE HVAC UNIT Al jv v iTL-- y �� 4. 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