HomeMy WebLinkAbout039-190-004039-190-004 PERMIT#96-0559
ALLISON, Carol
10661 Lone Pine, Chico
Cont: Four Seasons Roofing Kw�Reroof/SF
. -.1— A r't , .. I � I
�'X039-190-004P , ERMIT#96-0559
)ALLISON, Carol
10661 Lohe Pine- 'Chico
Cont:Four Seasons Roofing
Reroof/SF
4
COUNTY OF BUTTE - DEPARTMENT OF DOELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 05965 - Telephone (916) 538-7541,0/PERMIT O.
APPLICATION AND PERMIT 7b ns,
439-I�090 004
ZONING 0
BUILDING PERMIT
OWNER
CAROL ALZISON
TELEPHONE
SQ. Fr. OCC. BUILDING VALUATION
[ SO 240
OWNERS MAILING ADDRESS
10661 LANE PINE CHICO
CONTRACTOR'S NAME
FOUR SEASONS
TELEPHONE
CONTRACtOR'S MAILING ADDRESS
R ,'
Fireplace
CONSTRUCTION LENDER UNIwoWN
LENDER'S MAILING ADDRESS,
Total Valuation Is
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
10661 IANE PINE Cf1I�
PERMITFEE
$ 35.00
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO. SUBDIVISION'S NAME
PARCEL MAP
Solar or heat pump water heater
23.00
USEOFSTRUCTURE
SFTO Duplex ❑ Mobilehome ❑ Other
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: REROOF
Mobile Home S G W
@20.00
PERMITFEE
_
Contractor
ELECTRICAL PERMIT
Filina Fee 20.00
Main Service E00V OR LESS
( 200A OR LESS )
23.00
Main Service ( 200A TO t000A )
46.00
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 G3�1 Lic. No. 6P 0��
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
NEW CONST. DWELLING OCCURSO.
OR NS. ( 8 ACC. BLDS. )
3.5Q FT.
NEW CCONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS )
97.50
POWER APPARATUS
(a SINGLE OUTLET CIR. )
Ex. Occup. ( OUTLET OR FIXTURES)
20 @ 1.00
BAL so
Ex. Occup. (ouTLETSFIXED (RESD.)EA )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE
s
Contractor
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.
I 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 -q_iL...�
MECHANICAL PERMIT
Filing Fee 20.00
9
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE
$
Contractor
Policy Number a'4-7-- -7 Q.— 000 S.-4
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ I 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 Co, I shall
forthwith comply with those provisions.
X "" '_ Date 7.
Signature of Appy t - ❑ Owner ❑ Contractor Agen
An OSHA permit is required for excavations over 5'0"dee and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee Is
Occ
CONST. TYPE
TOTAL FEE $
HAZ.
1 O. FEES
I IMP I
FLOOD
I CDF PARCEL PO HD
ISSUE
This permit is hereby issued under the
of the Butte County Code and/or
indicated indicated above for which fees have
By 0"• r ".r
PERMITEXPIRESON
I
applicable provisions
Resolutions to do work
been paid.
l
Date
(Date)
Receipt No. 01 177
WHITE-D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE- DEPARTMENT49F.D8VELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroviite, California 95965 - Telephone (916) 538-7541 PERMIT O.
APPLICATION AND PERMIT 16-' r)`SW
ASSESSOR PARCEL NUMBER
039-190-004
ZONING
A10
BUILDING PERMIT
OWNER
CAROL ALLISON
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
4 SQ 240
OWNERS MAILING ADDRESS
10661 LONE PINE CHICO
CONTRACTOR'S NAME
FOUR SEASONS
TELEPHONE
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Fling Fee
$ 20.00
LENDER'S MAJUNG ADDRESS
Permit Fee
$ 15.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty
$
BUILDINGADDRESS
10661 E PINE CHICO
PERMITFEE
$ 35.00
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
LAT NO.
SUBDNISION'S NAME
PARCEL MAP
Solar Or heat pump water heater
23.00
Water piping
15.00
USEOFSTRUCTURE
SF)p Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: REROOF
Mobile Home S G Ew7
920.00
PERMITFEE
S
Contractor
ELECTRICAL PERMIT
Filina Fee 20:00
00V OR LESS
Main Service 6
( 200A OR LESS )
23.00
Main Service ( 200A TO IaooA )
46.00
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.
�j,, �—q
License Class G'3�i Lic. No. �7-/ 0 3
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
NEW CONST. OWELLING OCCUP.
OR NS. ( 8 ACC. BLAS. )
Q.
3.51t FT.
NEW CONST. MULTI -OUTLET
C
NON-RESID. ( BRANCH CIRCUITS )
97.50
( POWER APPARATUS )
8 SINGLE OUTLET CIR.
Ex. Occup. (ouTLJ T OR FIXTURES )
zo p I.00
BAL .eO
Ex. Occup. ( OUFIXED TLETS(RESID.)EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE
$
Contractor
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.
I 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 i5ol y
MECHANICAL PERMIT
Filing Fee 20.00
9
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE
$
Contractor
Policy Number 174-- o0a zr.--es
(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?indicated
Signature of Appf - ❑ Owner ❑ ContractorAn OSHA permit is required for excavations over 50" dee�and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
is
Energy Inspection Fee Is
occ
CONST. TYPE
TOTAL FEE $ -15
HAZ.
1 D. FEES
I IMP
I FLOOD
CDF
PARCEL PO HO
I ISSUE
This permit is hereby issued under the
of the Butte County Code and/or
above for which fees have
BY
PE MITEXPIRESON
applicable provisions
Resolutions to do work
been paid.
Date
%tel
(Date)
Receipt No. 1111717
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT