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HomeMy WebLinkAbout039-210-074i 4520P � s 0P_ 2 s/s Fimple Rd. 2201 w of Hegan Lane, Chico (new single family)cL 039-210-074 PERPIITN95-2167 HOLDERBEIN, Roy / 3695 Hegar LN., Chico Roofing Cont; Baird Roofin Reroof/sF •fes 06y— c,) -IO --U'7 -.1 039-210-074 PERMIT#95-2167 HOLDE"EIR, Roy: -3695 Hegan Ln.Chic8. 0 Cont; Baird -Roofing Rdroof-/SF i x ��..-'.�:c�day�j�-R�,•ril+�e�w^'. ,..� -,,.�, 'T_.r� , . w -aO -^ -' -*-1 /57 -, COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIV7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-754PERMIT NO. 'APPLICAMN�AND PERMIT ASSESSORPARC NUMBER y�' l \� ZONIN _ a U BUILDY PERMIT OWNER L , •' TELEPHONE SQ. FT. OCC. ` BUILDING VALUATION OWNERS MAILING ADDRC • ^�30 36, /~•e o CONTRACTOR'S, E yr h392 TELEPHONE 3L_ CONTRACTORS MAILING ADDRESS ` (^ y14(n , Fireplace CONSTRUCTION LENDER UNXNOWN Total Valuation $ 0U. 00 Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $41,04) ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMITFEE $ , oo 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 SF)( 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:/ I� 19L'Y� W J �yYt.�t Mobile Home IS I G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filino Fee 20.00 Main Service OOOV OR LESS ( z00A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 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 IL No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, 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 NEW CONST. DWELLING OCCUR So. OR ADONS. ( d ACC. BIDS. ) 3.50 FT. - NEW CONST, MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES) 20 p 1.00 BAL 30 EX. Occup. ( OUTLEE°Ts RES D.)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. ❑ 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 MECHANICAL Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) fl 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 Code, I shall forthwith comply with those provisions. X r-�'S.c' �`{�Date _' Signaturerof Applicant Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in Mobile Home Installation Fee Is Energy Inspection Fee Is occTYPE TOTAL FEE $ .oU HAZ. I D. FEES I IMP I FLOOD CDF PARCEL I 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. By&LADate Y PERMITEXPIRESON 9 A ? i 9 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - 7 County Center Drive - Oroville,'California 95965 - Telephone APPLICATION AND PERMIT BUILDING DI/15a-- (916) 538-754 PERMIT NO.. ASSESSOR PARC NU B ^a) O _ �� BUILDI PERMIT OWNER TELEPHONE SO, �, C. BUILDING VALUATION OWNERS MAILINGADDfiS • ^�' /`•, O CONTRACTOR'S E9EP �� h TELHONE 3 CONTRACTOR MAWNG AXESS t �L /�1 Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation $ 1'90 0-00 LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 44 L ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS PERMITFEE $ , 0 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISION'S NAME PARCEL MAP Solar Or heat pump water heater 23,00 USEOFSTRUCTURE SFX 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: P, 2, —��(9C� VU I Mobile Home I S I GI W @20.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Serviceeo-vA oR LESS ( zooA oR LEss ) 1 23.00 Main Service ( 200A TO I000A ) 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 Lic. No. OWNER -BUILDER DECLARATION 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. i8 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 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 NEW CONST. DWELLING OCCURSO. OR ADDNS. ( 8 ACC. BLDS. ) 3.5¢ FT. NEW CONST. / MULTI.OUTLET NON-RESID. \ BRANCH CIRCUITS ) 97.50 ( 8 POWER APPARATUS SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL .50 Ex. Occup. OUTLEETS RES D.) EA ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) Y� 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 Code, I shall forthwith comply with those provisions. Zi X Date�� �✓ _ Signatur of Applicant - J!� Owner ❑ Contractor ❑ Agent 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 $ 0,3 TYPE TOTAL FEE $ oo HAZ. I D. FEES I IMP I 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. By Date (o s PERMITEXPIRESON (Date) ReceiptNo. 0"() WHITE•D.D.S.-E.D. CANARY -AS SSOR PINK -INSPECTOR GOLDENROD -APPLICANT