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HomeMy WebLinkAbout039-100-004MONTANELLI, Rmbert 156-728 118-72P - 039-100.004 - 2E 03-0260 e/s LibertyLn. , 10- NEVINS, MARIANNE Chico 1000 S. of Chico River 769 LIBERTY LN., CHICO CONTR: Da CONT: AIR ART tc Duncan, Glenn'n/ INSTALL NEW FURNACE, BASFMFNT remodel kitchen &bath) - , -a 00� V" COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754131 /ti IT gn (Rev. 12/96) APPLICATION AND PERMIT G (J V Q1 ASSESSOR PARCEL N zO�N -1 O BUILDING PERMIT OWNER • • TELEPHONE �� S� a SO. FT. OCC. BUILDING VALUATION OWNERMORES ORES • /'1 CO OFMS NAM Y TELEP ONE att c0 T MAILING R S �1T J{J • CONSTRUCTION DER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —FilingFee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ Plan CheckingFee $ BUILDING ADDRESS Energy Plan Checking Fee $ • $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE Each Trap 7.00 Solar or heat um water heater 23.00 SFX Duplex ❑ Mobilehome ❑ Other Water piping 15.00 SPECIFY Each as water heater or vent 15.00 TYPE OF WORK Gas piping system 1 - 5 outlets 15.00 New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Buildingsewer 15.00 Describe Work: Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200AORLESS 23.00 Q1 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.C License Class 2 Lic. No. �J 3d 2- 07OWNER-BUILDER DECLARATION 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. ❑ 1, 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: ❑ 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 5-( j! ruujp Policy Number Z-77-- Oo! O!n-7 - OZ (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 fort t com with ose provisions. X Date ("Zq-O Signature of ApplicantV0' ❑ Owner KContractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Main Service TO ioaoA 46.00so NEW CONST. DWELLING UP. SO N:o OR ADDNS. a Acc. BLDS. 3.50F ,. RESIpT' MULTI.OUTLET 97,50 POWER APPARATUS a SINGLE OVILET CIR. @ I'50 Ex. Occup. OUTLET OR FIXTURES BAL @ .so FIX1 Ex. Occu . DuT�is IR .) 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 l 15,00 Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ -3 UAL T. TYPE TOTAL FEE $ 3S, HA2. p, FE MP FLOOD CDF PARCEL PD HD IS This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicate above for which fees have been paid. ��11 TT�� By Date /-c � 9- W PERMIT EXPIRES ON -6y-Qy Date Receipt No. 9 35, .0a WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT •� '� ,< .. �iSmt #� 039"100004000 r FEeet#, Name NEUINSuMARIANNE ROSEETAL €� 33, �i:E,�Status®ateh�, ''' O.N �€ rE 4"ddrl M^TANELLI ALMAE LES' E ��' f,��T�axOQ1 BUSINESS�O�JNE^RSHIP�m, T�R�A 062 003'' � � ddr28031 IIBERTYLANE' i `Situs 769LIilk' �T�YLN'CHIC®.`' NOR Q-2 ECHICOCA 95928 9551 a 4E € ER�� � � ��f, h,�� l� � `' f� n,{ Byas�etDyt 4 r a: , - h�€ � ` �(Q��`� �� � � � �, fern - h -�. 0� MUM 5067 a€ - ��: fE s 51 853 ft i f,. R tr �Frh� E^E Ea�' 111l�1975� A,, � L,fs, and. AgPres xtuUres Etal r . . f,E, r �r�re Comments`E x x t 3910000400 CONVERTED x09/08/,8.8 f:; C eaten D'oc# kf Current D oc# �-: .f �k 1912FI39501'00 �n i ,:v.3'xuecYL� r: F"R.4�.. Arn,1....1iBOndS.F.� 2002R ©01€9886 :: M Date, 4I1812Q02��. f �x s � ,€ Growin Hu s ' s 7,,y p 9 4 h� EPEE. I F€ h of; a A,otal L&I k F�R s� .?rf N iiX �js ^,�5. Jag ''ff 9� sMHPP E u .E €flEE _ P FIag2 f ��,F ,'IjjeE -m-.._-:,�:...._T....._� �� !f l �'Yi?��E�'�i�r<h. 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