HomeMy WebLinkAbout035-224-009Rar Sys pP 27PEN
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035-224-009 99-2308 '
MARQUEZ JOHN
1950 SUMMERS ST., OROVILLE • „ h
CONT: CAAO�,w-,-
REPLACE WALL HEATER/SF
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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