HomeMy WebLinkAbout031-282-036031-282-036 PERMIT#97-1755
HENDERSON, Earl
665 Thermalito Ave., Oroville
Cont: Chico Builders
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031-282-036 PERMIT#97-1755
HENDERSON, Earl
665 Thermalito Ave.,•Oroville
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COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION-,`
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 t7 PE MIT NO.
(Rev. 12/96) APPLICATIONAND PERMIT /"
ASSESSOR PARCEL NUMBER lJ
31-282_ ^36
ZONING
BUILDIpd PERMIT
OWNER
EARL HENJDMON
TELEPHONE
SO. Fr. OCC. BUILDING VALUATION
16 l l W 960.00
OWNER'S MAILING ADDRESS
665 TfiERt•i0LIT0 AVE OF,OVILLE, 95965
CONTRACTOR'S NAME
CHICO BUILDERS
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
3143 P40R5F''>AN AVE CITICO, 95973
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation is 960„00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $ 25.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
665 THER . ITO AVE
Energy Plan Checking Fee $
$
OROVILLE
PERMIT FEE $ •
LOT NO.
SUBDIVISION'S NAME
PAIICEI MAP
;PLUMBING PERMIT Filing 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: REROOF W/M-,T
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 Filing Fee 20.00
Main Service zoos os mss 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.(, Z -7POWER
License Class 63 Lic. No. 1/ b 6�
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
in Service 200A TO IDDDA 46.00
fvlNEW
CONST. DWELLING OCCUR SO
OR ADDNS. ( a C. BLDS. 3.5¢FT;
NON-HESID. MULTI-OUTLET11 CIRCUITS 97,50
APPARATUS
8 SINGLE OUTLET CIR.
OUTLET OR FIXTURES 20 @ 1.00
Ex. Occup.BAL @ .so
Ex. Occup. ouTrs REuslooea 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wirino 23.00
PERMIT FEE $
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.
❑ 1 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
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
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.) '
I 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.
01 G�of
_ n __ Date 7_
gnature of Applicant - Ower 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 $ 45.00
HA2.
I D. FEES
IMP
I FLOOD
CDF
PARCEL
I PO
HD
ISSUE
This permit is hereby issued under the applicable provisions
the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By �L�h r-._ _. Date 7
PERMIT EXPIRES ON
pate
Receipt No. 2 A 9
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
10
I—
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISIO
7 County Center Drive - Oroville, California 9565 -Telephone (916) 538-7541 �y PE MIT NO.
(Rev. 12/96) APPLICATION AND PERMIT / f `r
ASSESSOR PARCEL NUMBER
31-282-036
ZONING
AR
BUILDI PERMIT
OWNER
EARL HENDERSON
TELEPHONE
SO. FT. OCC. BUILDING
VALUATION
OWNERS MAILING ADDRESS
665 THERMOLITO AVE OROVILLE, 95965
16 SQ comp 960.00
CONTRACTOR'S NAME
CHICO BUILDERS
TELEPHONE '
CONTRACTOR'S MAILING ADDRESS
3143 MORSEMAN AVE CHICO, 95973
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
'
Fireplace
Total Valuation Is 900.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
25.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
665 THEEWITO AVE
Energy Plan Checking Fee $
OROVILLE
$
PERMIT FEE _
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
29.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: _�T�I.ROC)F W[(',nMp
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
920.00
PERMIT FEE S
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service '.00.,v, OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
(commencing with Section of Division of the Business and Professions Code,
( g 7000 ) 3
and my license is in full force and effect.f
License Class 421> 3 �Z Z Lic. No. L
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
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADONS. ( a ACC. BLDS.
SO
3.50FT.
NEW CONST. BRANCH CIRCUITS
NON-RES1CIRC
97.50
POWER APPARATUS
8 SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES
s0 p ,.00
BAL Q .50
Ex. Occup. OUTLETS REESIo)EA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirind
23.00
PERMIT FEE $
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.
❑ 1 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
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
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.)
I 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 o1 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.
��
Date / 1
1(�,g3n4ktu�re of Applicant - Owner F4Contractor ❑ Agent
An OSHA permit is required for excavE(tions 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 $ 45.00
HAZ. D. FEES IMP
I FLOOD
I COF
PARCEL
I 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.
By- 01—
PERMIT EXPIF ES ON
Dere
ReceiptNo.2�CJ¢$D
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT