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035-175-028
0$5-175- PERMIT#95-0100 LERNER, RAYMOND f 1968 JEFFERSON ST., COROVILLE CONT: CARVER WALBERG �lyf' REPAIR FIRE DAMAGE/SF rr-.—y ... �v'{y(s_w'S.2 _lr s—gi:�iY�•.•-dnj,�4�,-�.� y i R �j'ryw �� l m T S y i R �j'ryw �� l m COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Califotnie° 5, 965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION, jAND PERMIT %S -o 00 ASSESSOR PARCEL NUMBER a35-- ZONING �• BUILDING PERMIT fl OWNER RAYMOND TERM TELEPHONE 93-3-0746 SQ, FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 40%4 S A5 966 CONTR 2,100.00 CONTRACTOR'S NAME ' TELEPHONE 534-0123 CONTRACTOWS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 54.Oa ARCHITECT OR ENGINEER LICENSE N0. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1068- C T PERMIT FEE $ .t _ OROMIJE PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 i Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15,00 Each gas water heater or vent 15.00 USE OF STRUCTURE:Gas SF ❑°� Duplex ❑Mobilehome ❑ Other SPECIFY piping system 1 - 5 outlets 15.00 ~-Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK s�L j New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other`@ I Describework: REPAIR FIRE DAMAGE (RAFTERS i PERMIT FEE $ ;. Contractor ELECTRICAL PERMIT Filing Fee 20.00 F.iF.MIC} i 1111 OR LE Main Service ( 200AORLESS ) 23.00 Main Service I 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. So. OR ADDNS. ( & ACC. OLDS. I 3.50 FT. - I CONTRACTORS LICENSE LAW v { I declare under penalty of perjury (check one) i 8-I'am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No?'rl�%� � Classification �3 - ` ❑ I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason ' NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS / @7.50 I POW ER APPARATUS ' & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B20AL. @ 1.00 Ex. Occup.FIXED APPWS. OR ) ( OUTLETS (RESID.) EA. 5.00 Temporary Service 23.00' Mobile Home Facilities 20.00 Misc. Wiring 23.00 • WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ,01-h6ve placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. ' PERMIT FEE $ .3. Contractor „j MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation , PERMIT FEE . S ' Contractor ' I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date/ 7 `' Signature of Applicant - Cl 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. Mobile Home Installation Fee $ Energy Inspection Fee $ DCC CONST. TYPE TOTAL FEE $ D HAZ. 1 D. FEES I IMP I FLOOD I CDF PARCEL PD HD I 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. 511, _i&4+14.l�+�t, . t__Z' _Date// 1' 1— //y I % r o PERMIT EXPIRES ON ! ,/ ;? /Date) J Receipt No. 117.00 — 170983 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT L 1 � r COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISIO 7 County Center Drive - Oroville,(lftrnia 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 035-175-008 ZONING BUILDfNrG PERMIT OWNER RAYMOND TERNER TELEPHONE 533-0746 SO, FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 4054 MYERS ST DROVILTY, 95966 CONTR 2,100.00 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS - Filing Fee $ 20.00 Permit Fee $ 5 .00 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 1968 JEFFERSON ST PERMIT FEE $ 74.00 OROVILLE PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF OX Duplex O Mobilehome O Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G 1 W @20.00 TYPE OF WORK New O Addition ❑ Remodel CIUtilities O Installation CIOtheru Describework: REPAIR FIRE DAMAGE (RAFTERS & PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 ELECTRIC) OV OR LESS Main Service ( ZO'OA OnLESS ) 23.00 Main Service ( 200A To IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLOS. ) so. 3.501 FT. ' CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) Tama licensed under provisions of Chapter 9, Division 3 of the Business and Profession ode and my license is in full force and effect. License No. (L73 _Classification 73--t O 1, as the owner, or my employees with wages as their sole compensation, will To the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET •NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) a SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B20 @ 1.0 00 Ex. FIXED APPWS. OR Occup. OUTLETS ( ) EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. 44-1"' ve placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 43.00 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in co .quence of ranting of this permit. Date a — s 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 i eight.V16) I- Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEES 117.00 HAZ. 1 D. FEES I IMP I FLOOD I CDF PARCEL I 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 fe have been paid. ` to PERMIT EXPIRE/SON'— XPIR SON(Date) (Da te) Receipt No. 117.00 — e �W ,,0 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD APPLICANT