HomeMy WebLinkAbout035-221-029;C
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035-22-1-029 #98-2132
W ATKINS,DW ANE
4909 VIRGINIA, OROVI LLE
CHRISTIANSEN ROOFING
PEROOF COMP. Fl y" al3d�9
035-221-029 #98-2516
FITZGERALD, MATT
4909 VIRGINIA, OROVILLE
SKYLINE ENTERPRISES
HVAC,,riA0L /D SO -9f _
F
0
i
035-22-1-029 #98-2132
WATKINS,DWANE
4909 VIRGINIA, OROVIILE
CMSTIANSEN ROOFING
RF.ROOF COMP.
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
ASSESSOR PARCEL NUMBER
n3c,99—i—mg
ZONING
VWT
BUILDING PERMIT
OwNERtJiJANE EJATKZNS
TELEPHONE'-
SQ. FT. OCC. BUILDING VALUATION
L S b
GwNE4s�, WI VIRMNIA ST, OROVILLE, .
7TO
CONTRAR'S NAMETELEPHONE
CONTRACTORS MAILING ADDRE S
/�+
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation Is
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
31,00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUIL%Sa 4ES�IRGINIA, OROVILLE
Energy Plan Checking Fee $
PERMIT FEE $
51.00
LOT NO.
SUBDNISIOWS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF qX Duplex ❑ Mobilehome ❑ Other
SPECIFY
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 If,
Describe Work: REROOF/CWP
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
a00VOR LESS
Main Service OA 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.
"t
License Class Lic. No. f„ �"/+f/
ER -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.
p 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" com ensation insurance carrier and' policy number are:
Carrier .0grr ,, » r
Policy Number _ �"'`� A' �..
(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 f I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
/117s,, Date Zoll 5►So"
Signature of Applicant - ❑ Owner W,06ntractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service 2 TO lOO
46.00so
Eo I
NEW CONST. DWEWNG OCCUP. SO
U
OR ADDNS. ( a ADC. Bins. 3.5QFT:
NON -RES DT MULTI -OUTLET @7.50
POWER APPARATUS
a swGLE OUTLET aR.
Ex. Occu OUTLET OR FIXTURES ani o
I:wOW
FIXLNS
Ex. Occup. ouTleiAPP
a°En
5.00
Temporary Service 23.00
Mobile Home Facilities
20.00
Misc. Wirina 23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE 51.000
I TOTAL FEE $
HAZ.
D. FEES 'IMP
FLOOD
CDF
PARCEL
Po
HD
.
TISSUE
xe
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.
/� %
13,`tet - (��C r/ t ...
y w �Y►'--Date
PERMIT EXPIRES ON
Date
Receipt No. 250586
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) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
gtr2GQ—_
ASSESSOR PARCEL NUMBER
035-22-1-029
ZONING
BUILDING PERMIT
°WNTWANE WATKINS
TEL.EPHON
SQ. FT. OCC. BUILDING VALUATION
1260
°WNE4t1M VnNIA ST, OROVILLE
CONE ,R'S NAME , n t
�r"S�iYa Ser/fes s
TELEPHONE
CONTRACTOR'S MAILING ADDTIE,_y^$y_
/o} jj�� I a5';�.
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation is
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
31.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDL}�J�JIjJ�{1 IETIRGINIA, OROVILLE
V
Energy Plan Checking Fee $
$
PERMIT FEE $
51.00
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF OX Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other [I
Describe Work: REROOF/CDMP
Gas piping system 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
"OOVOR LESS
Main Service 2o0A 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 ini force and effect. +,. /
License Class 3 Lic. No. S
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 To I
46.00so
WEE200A
NEW CONST. DWELLING OCCUP.
U
OR ADDNS.
3 5QS0.
FT.
NEW COLT. MUL�TI°-ou�TLS.
ET
NON•RESID. CU
97.50
OWER APPARATUS
8 PSINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES
20 Q 1.00
aAl_ p .so
FD ED APPUIS.. OR
Ex. Occup. Ers RLB
oL>tLIOEA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE S
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
rformance of the work for which this permit is issued.
A-11"'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' _�9Q9m ensation insurance carrier and policy number are:
-.772#7-leCarrier 72y�IL-
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.
C��_ Date �
X _ �Q U1�'J zp/��%�
Signature of Applicant - ❑ Owner 0,616ntractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 51.00
HAZ.
D. FEES IMP
I FLOOD
I CDF
PARCEL
I PD
I HD
UE
This permit is hereby issued under the applicable provisions
the Butte County Code and/or Resolutions to do work
indicated above for woieb fees have been paid.
in
P
By Date ` Q, °�q`
PERMIT EXPIRES ON ` �p '1
ate
Receipt No. 250566
WHITE-D.6.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) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 3.�_6 ,� ti
ZONING:^
BUILDINGPERMIT
OWNER /`� )
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
CONTRACTOR'S NAM � � / � _/� ,• (I"✓ TELEPHONE
{`//—/�� I•✓
CONTRACTORS MAILING ADDItEdS
CONSTRUCTION LENDER
Fireplace
LENDER'S LWLNO ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
Q�
ARCHITECT OR ENGINEERS WAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
Energy Plan Checking Fee S
a
- PERMIT FEE t
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome O Other
SPECIFY
Each Tr
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New O Addition ❑ Rernod5lIl❑ Utilities ❑ Installation O Other O
Describe Work:
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G I W
@20.00
PERMIT FEE t
ELECTRICAL PERMIT
FIIIng Fee 20.00
Main Service ow ORLESS
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 7000) of Division 3 of the Business and Professions Code,
and my license is in full force 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
I hereby affirm under penalty of perjury one of the following declarations:
O 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
Policy Number
(The above sections need not be completed tf 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
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
Signature of Applicant - ❑ Owner ❑ Contractor O Agent
An OSHA permit is required for excavations over 50' deep and demolition or construction
of structures over 3 stories in height
Main Service 200A TO IOWA 46.00
P.
NEIN CONST. owEwNG occuP. 3.5dF°:
OR ADONS• a ACC. OOT
NEW
NOWR61D_' MULTFOUn.ET @7.50 -
P0=AP
a srrmE 0LrnFr as
EX. Occup. ounEr OR FIXTURES BAL ® 'Z
Ex. Occup. n'r, •° 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE s
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 8.50
Ventilation
PERMIT FEt S
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONS r7TYPE�?
TAL FEE $not
HAZ
FLo00
COF
PARCEL
PO
HD
ISSUE
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
By Date
PERMIT EXPIRES ON
provisions
to do work
paid.
re
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
I
OFFICE COPY
Address
GAS
DLai
a
Meter By
ELECTRIC
Meter By
Date
(Rev. 12/96)
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County. Center Drive Oroville, California 95965 • Telephone (530) 53877541
- APPLICATION AND PERMIT
w,, _
PERMIT.
ASSESSOR PARCEL NUMBER 03S-221-•029
029
ZONING
OWNER FIi7(;LRALI), MATT
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
. OWNERS MAILING ADDRESS
4909 Virgins. Oroville
CONTRACTOR'S NAME
Skyline Pnterp:r:i.ses 1-80d
TELEPHONE
993-2773
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Fee $
20.00
—Filing
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
4909 Virginia, Oroville
Energy Plan Checking Fee $
$
I
PERMIT FEE S
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
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 ❑ Ubli6es ❑ Installation ❑ Other ❑
J"" HWAC
Describe Work:
'
Gas pipi6g system 1 -5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE $
35.0(
•.� I 1
ELECTRICAL PERMIT I
Fling Feel 20.00
"Main Service noon o LEss
23.00
LICENSED;CONTRACTOR'S DECLARATION
I hereby affirm under penalty'bf 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.POWER
License Class 2 0 Lic. No. � f c i -1
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, ami exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
000
Main Service zooA TO tCC
46.00
NEW CONST. i DWEWNOOCCUP.
OR ADONS., ( 8 ACC. BLDS.
SO
3.5QFT. 7. 51
N"ONR6o.* MULT I-OyrLET
@7,50
.UT.
8 BINDLE OUTLET CIR.
EX. Occup. OUTLET OR FIXTURES
BAL O I 0
Ex. Occup. ourLEEDrsA RESID.OEA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE :
27.50
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 `-A n A t: } sl. t,, A
Policy Number , -2 ri - ci rf. I k (,N i t f` "^
(The above sections need not be completed it 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'HAz.
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. '
ii �� � C
X ',�, ^ t` O`!�,._�: i� Date 1 l� " ' �I G
Signature of Applicant -• ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.B
MECHANICAL PERMIT Fling Fee 20.00
Heating Dual 3f),f)il
Cooling
Hood 6.50
Ventilation
PERMIT FEE $ 50.00
Mobile Home Installation Fee $
Energy Inspection Fee, s
occ
CONST.,TYPE- '
TOTAL FEE ,$ , 112.50
1
D FEES IMP
FLOOD
COF,
,
PARCELPD
HD
ISSUE_
V
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above fdr which fees have been paid.
-•
!/./i/f��.4Y___f Date
PERM T EXPIRES ON ;J) P- 9 A
Date
Receipt No. �7 10 -�
WHITE-D.D.S.-B.CANARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT �
ASSESSOR PARCEL NUMBER 035--221--029
ZONING
BUILDINGPERMIT
OWNER
FITZGERALn , !,-.,ATTSQ.
TELEPHONE
FT. OCC. BUILDING
VALUATION
.OWNERS MAILING ADDRESS
4909 Vir?ina Oroville
CONTRACTOR'S NAME
Skyline Enterprises ].-'80
TELEPHONE
993--2773
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
UCENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee $
BUILDINGADDRESS
4909 Jir�ir.ia, Oroville
Energy Plan Checking Fee $
$
PERMIT FEE S
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.0023.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat um water heater
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ • Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
;-'VACMobile
Describe Work:
Gas piping system 1 - 5 outlets
15.00 15 0
Building sewer
15.00
Home IS I GI
920.00
PERMIT FEE $
35.0(
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service 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 force and effect.FOWER
License Class C- 20 Lic. No. �4 9 fl I `t
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 TO
46.00
NST.SerWEE200A
NEW CONST. DWELLING OCC P.
CC
OR ADONS. & ACC. BLDS.
S°
3.5¢FT. 7. 5CI
NON-AE°SIID. MULTI -OUTLET
@7.50
APPARATUS
8 SINGLE OUTLET CIA.
Ex. Occup. OUTLET OR FDRURES
20 O I'50
BAL o .so
LYS °E
Ex. Occup. oLn>E� R D.
5.00
Temporgry TemporaryService
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE $
7_7.50
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' compo sation insuranQa carrier and policy number are:
Carrier 5-44-Ve FUN
Policy Number 2 Z 01 Pq$ ung 001(NL10"2
(rhe above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
111 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.
`� ,Ly�
X CA110 LJ l) Date C) --z �
Signature Pf Applicant - ❑ Owner ❑ Contractor B'Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT Fling Fee 20.00
Heating D ual 30-00
Cooling
Hood 6.50
Ventilation
PERMIT FEE $ 50.00
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 112.50
HAZ.
D. FEES IMP
I FLOOD
I CDF
PARCEL
PO
I HD
I ISSUE
This permit is hereby issued under the applicable provisions
of the Butte Coun Code and/or Resolutions to do work
indicated abover Which fees have been paid.
Date/6 _c"
PERMIT EXPIRES ON Z2
Date
ReceiptNo.-7Lb t0"&�n
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
�r
(Rev. 12/96)
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER 035 _ �;k,a^1` _=owNG
BUILDING PERMIT
OWNER f/inI I/� / -�7 P••,� � ,w
L i�/1I�% U
TELEYNON!
SO, Fr, OCC. BUILDING VALUATION
OWNERS MAUNG ADDRESS
S
CONTRACTOR'S
E
CONTRACTORS MAILING ADDRESS I
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHRECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee b
BUILDING ADDRESS
Energy Plan Checking Fee $
$
PERMIT FEE S
LOT NO.
SUBDNISIONIMAJ E
PARCEL. MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex O Mobilehome O Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New O Addition ❑ RemUtilities O Installation O Other O
Describe Work: TrL//
Gas piping system 1 - 5 outlets
15.00 ( 5
Buildingsewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE
ELECTRICAL PERMIT
Filin Fee 20.00
Main Service zODoo°VA oR t`Es�s
23.00
LICENSED CONTRACTOR'S DECLARATION
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 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:
O 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.
O 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
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.)
O 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
Signature of Applicant - O Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 50' deep and demolition or construction
of structures over 3 stories in height
Main Service 200A TO I—A 46.00
1
NEW CONST. DWELLING OCCUR 3.5¢so
OR ADS• b ACC. BLDS. zr
NEW CNST-OUTLIE
NONROEsIo.' RAWMULTNCIRCUT 97.50
POWER APPARATUS
a SNME OUTLET CIR
Ex. Occup. ounzr OR FLRUREB 200 '•0°
eAt. @ .so
Ex. Occup. OMOA V,o,oE. 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wirina 23.00
PERMIT FEE _ 645 U
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt: S
Mobile Home Installation Fee $
Energy Inspection Fee b
OCC
CONST. TYPE
/
TOTAL FEES C
o FEES
IMP
PLDOO
COF
PARCEL
PO
110
zSSUE
This permit is hereby Issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
By Date
PERMIT EXPIRES ON
I
provisions
to do work
paid.
la
ReceiptNo.
WHITE•D.O.S.•B. AN RY- SS S PINK -INSPECTOR GOLDENROD -APPLICANT
ntez-p�-ises
March 5, 1998
2611 Highland Hills Drive
El Dorado Hills, CA 95762
(916)933-2773(800)993-2773
fax (916)933-2779
To the City or County Building Department:
Chad Odell is authorized to obtain building (HVAC) permits for Skyline
Enterprises.
Yours truly,
M. M. Martin
Owner
Eu° Clyde E. Waldrop,Jr.;
> Comm. #1034718
Q ti NOTARY PUBLIC - CALIFORNIAN
L EL DORADO COUNTY 0
rF°n Comm Expires Aug. 3, 1998 -+