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HomeMy WebLinkAbout035-224-009Rar Sys pP 27PEN .,�r�- � '�Fz"�,.{I ..w `� • t v't '�, � � y C'°'K �9'.��F p t� k'�`7'1Ye r� � tl �� ` •,�, ep�ki�t. k��� `c. shy '�.l d+s �qt"t�1'Yf 035-224-009 99-2308 ' MARQUEZ JOHN 1950 SUMMERS ST., OROVILLE • „ h CONT: CAAO�,w-,- REPLACE WALL HEATER/SF A101k r ' �r 6 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 - 01 ASSESSOR PARCEL NUMBER _n _G_ ZONING BUILDING PERMIT i/0 - OWNER .JQFT1'I ,?AP.(1 }77 TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 4115 Fh(YrT t CONT AWr'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS F1 R CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS in -,n o Energy Plan Checking Fee $ - $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE e SF 0 Duplex ❑ Mobilehome ❑ Other sPECIFv 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 11Installation ❑ Other ❑ Describe Work: GALL HFATFR P.FPLACEMM. Gas piping sy2tem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 600VMain Service 20 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. /' License Class �_ Lic. No.•� t '7 A Q 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 ADDNS.T. ( & ACC. BLDS. so 3.S¢FT. No1FR61D. MULTI -OUTLET 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES BA ':so LNS. R PRESID. OEA Ex. Occup.oLmErsFIXED A'(g.,6.)0& 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 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' com ensation insurance carrier and policy number are: Carrier _^S<A-f f CcUrylI/ / /L S Policy Number / ¢ s ? 'r—,L Z (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. X ` Date z/ G r'� Signature of Applica t - ❑ Owner ❑ Contractor ❑ Agent ' An,CSSHA 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 15.00 Cooling Hood 6.50 Ventilation PERMIT FEE $ J Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE } TOTAL FEE $ HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE X This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have ' PERMIT EXPIRES ON Li the applicable provisions Resolutions to do work been paid. Date 10/6/20M DW9 Receipt No. k� rf� 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, Califoynja 95965 • Telephone (530) 538-7541 P-EZRMIT o (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 035-22-4-009 ZONING 1 BUILDING PERMIT OWNER JOHN MAR UE TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS 4115 MOTH CONfR(¢jOfi'S TELEPHONE CONTRACTOR'S MAILING ADDRESS 9959 T)FT, ORO ORMTT.T.F. 9S965 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ f OROVILLE $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF [:� Duplex ❑ Mobilehome ❑ Other sPECIFv 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 ❑X Describe Work: WALL HEATER REPLACEMENT Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 600V 0Main Service 200AO'R 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.POWER License Class is Lic. No. Ci -7P_ (J/ 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: ❑ 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 S`��44r Camp //L_5 Policy Number f _S 2 -1 S "'L Z (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 omply with those provisions. , Date /' !9 _ Signa a of!pplica t - ❑ Owner ❑ Contractor ❑ Agent An,16SHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 2o0A TO 46.00 NEW CONST. DWELLING OCCUP. SO CCU OR ADDNS. ( 8 ACC. BLD S. 3.5¢T. rON-RNON=T,'CI CUTITS @7,50 APPARATUS 8 SINGLE OUTLET CIR. 20 Q 1.00 EX. Occup. OUTLET OR FIXTURES BAL @ .50 Ex. Occup. pFg galp°EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating 15-00 Cooling Hood 6.50 Ventilation PERMIT FEE $ 35.00 Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE 35.00 TOTAL FEE $ HAZ. p. FEES IMP I FLOOD I CDF PARCEL I PD I HD I ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have r PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date _ 10/6/2000 Dere Receipt NO. �2� ;3(? / WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT