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Home My WebLink About039-100-008039-4-0-008 00-]925 BUCKMA N F 941 LIBERTY CHICO CONTR: FOUR SEASO RE ROOF •0, 0 U .. - r _ ti E. r,,�,r, erF ... �.^'!!c`e-: rr. �,�3i: jCiT'"}K.aR�:� jr.s+www e - kms• -'r, 039-10-0-008 00-1925 BUCKMAN, DON 941 LIBERTY{iLANE,,CHICO CONTR: FOURiSEASONS RE ROOF r i • F a 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 m"Zfg5 ASSESSOR PARCEL NUMBER ~ /ao .... �^ ,5q_ c�J ZONING BUILDING PERMIT OWNER DO / TELEPHONE 3 SO. FT. OCC. BUILDING VALUATION OWNERS 7= ;h ;h /1 .fes--,, CONTRACTO 'S NAME FOUR S11ASON S IWOFING TELEPHONE c0NT,TiTOJRuMAMIADi os -ET RD., STS. 10i CgICO, CA 95973 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filin Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRES L Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Hee 20.00 USEOFSTRUCTURE SF ❑ 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 -❑ry Other ❑ Describe Work: .,. . ,�., ,., /r.�g1n 1,e / r,=W Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200. OR IESS 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. � y�OWNER-BUILDER DE LAR ION 1 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 46.00 CCU000A NEW CONST. DWELLMIG OCCUP. DWE200ALLING OR ADDNS. ( a ACC. BLDS. SO 3.50FT. NpryR�osID MULTI.OIJ UTLET 97,50 POWER APPARATUS 8 SINGLE 011nF'T CIR. EX. OCCU OLmETORFIXTURES � � ,.� BAL 50 Ex. Occup. aFucF EEDA Rswss oER. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 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'_corppensation insurance carrier and policy number are: Carrier kVUA14L44 Policy Number 6 (The above sections nee not be completed if the `ermit 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 provi ons. Q p� X i /-J Date / ,f/�J Signature of Applicant - Owner ❑ C6n6actor 9- gent An OSHA permit is required for excavations over 5'0" 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 $ . D FEES IMP I FLOOD I COF PARCEL PD I HD I ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have ./ By % [/ r PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date /J 0_ a o � f —M) -Q! Date Receipt No. WHITE-D.D.S.-B.D. CANA -ASS S OR 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 im=Z?2 ASSESSORi'ARCELNUMBER /tiDO U v ZONING BUILDING PERMIT OWNER TELEPHONE 3 v SO. FT. OCC. BUILDING VALUATION . OWNERS MA AD RESS 1 CONTRACTOR'S NAME FOUR SEASONS ROOFING TELEPHONE 895-0418 cONIT91bmAIff61ffAM;ET RD., STE. 10, CHICO, CA 95973 Ff J CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee BUT ' ,.,, O Y �,0 Plan Checking Fee BUILD $ ARCHITECT OR ENGINEERS MAILING ADDRESS BUILDING ADDRESJ� f/.� Energy Plan Checking Fee $ PERMIT FEE $ ADAM LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing ee 1 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 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 ❑ Describe Work: �� •75 � R ieeMP , Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 000OR LES Main Service 200AORLESS 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 „ 3 9 Lic. No. � OWNER -BUILDER DE L I N 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. ❑ 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 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 / Main Service 200A TO +000A 46.00 NEW CONST. DWELLING OCCUP. so OR ADDNS. ( & ACC. BUDS. 3.5¢FT. HON•RESID. MULTI -OUTLET 97,50 POWER APPARATUS 8 SINGLE OUTLET CIR. 20 o 100 Ex. Occu . OUTLET OR FIXTURES SAL @ .50 Ex. Occup. oFuT>Frs Ra D.°R 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections nee 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 shallTOTAL 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 provi 'ons. X _ �d� _ Date 8_� �/L� 7� Signature of Applicant - 121 Owner ❑ C n actor gent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE FEE $ , HA2. D. FEES IMP FLOOD CDF PARCEL PD 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 fees have been paid. _ a n By Dates—/6 V PERMIT EXPIRES ON Date Receipt No. WHITE-D.D.S.-B.D. CANA -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT