HomeMy WebLinkAbout039-370-032039-370-032. i; 3-2376
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RUBIDA; EVE.:,r�
1289 STANLEY AVEC CHICO
Cont: MCD AIR
HVAC & GAS PIPING .`°" '
R n.: RCS
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES! G DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone' (530) 53&7541 �5 _ PERMIT NO.
(Rev. 12/96) APPLICATIbN AND PERMIT
ASSESSOR PARCEL NUMBERZONING
75 -k 1- 3 '7 0- 3 Z
BUILDING PERMIT
OWNERTELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS - I
Z A �� i G
CONTRACTOR'S NAME I TELEPHONE
+t Cit, M o
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checkin Fee $
BUILDING ADDRESS In ..
2 � �Ta�,1 _� p t
Energy Plan Checking Fee $
$
PERMIT FEE $
Lor No. .-.--
-sueDlwsloNSNAME- • .:.- - . y- -
1�6RCEL M'P
PLUMBING PERMIT" 'Filing Fee 20.00
Trap 7.00
USEOFSTRUCTURE
SF� Duplex ❑ Mobilehome ❑ Other
SPECIFY
—Each
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 ❑ Remodei t1i Ulilities ❑ Installation ❑ Other ❑
Describe Work: �`>T Q I I
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home S G W @20.00
PERMIT FEE $ 'L,4
ELECTRICAL PERMIT Fling Fee 20.00
Main Service 200A 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.
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 To 46.00so
CCU000A
NEW CONST. OWELLMIG OCCUP. SO
DWE200ALLING
OR ADONIS. & ACC. BUDS. 3.50FT.
NON-HESID. ' MULTI.OUTLET @7,50
8PBINDLEOWER APOUTLET PARATUS
CIR.
OUTLET
Ex. OCCU BALFIXL o
Ex. Occup. OUTLETS(Ro .DFA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wirina 23.00
PERMIT FEE .t. _�__.1�,_
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.
UJ/ 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 !. TXFE
Policy Number I I - 51LI
(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.
,,/ t
X!! _ Date �� �Z �(i
Signature of cant - ❑ Owner ❑ Contractor b Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over)3 stories in height.
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling 1 1
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ Wee
HA2.
D. FEES IMP
I FLOOD
I COF
I 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.
—7
�ILU� Date
( -� 214 /3
PERMIT EXPIRES ON
Date
Receipt No. C� �..� _
WHITE-D.D.S.-B.D. CANARY-ASSESROR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE
BUII,,DING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street - Chico, CA - (530) 891-2751
7 County Center Drive - Oroville, CA - (530) 53877541
CORRECTION NOTICE
a3��
OWNER PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
COON
TY OF BUTTE - DEPARTMENT F DEVELOPMENT SERVICES - BUILDING DIVISION r
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMITNO.-
(Rev.12/96) ' APPLICATION AND -PERMIT
ASSESSOR PARCEL NUMBER s �� o)C
ZONING _
BUILDINGPERMIT
OWNER
HONE
SO. FT. OCC. BUILDING VALUATION
.OWNER'S MAILING ADDRESS - of a
i_& ul
CONTRACT R'S NAME ` TELEPHONE
Ae
�• .'. t I t 5 t..'' �'. ''t,.+ •n 7 h -. ^+. 1 1 t t! dy 7' li:
CONTRACTORS MAILING ADDRESS.•: - =" a'= #.,, ,'.c] 1 1, tt^., 5.3 [.i}, Ory y
(J290kLA'� lL,�. (,-.ti T.:,. `'�„ [ I,J ..,. •.l�`.� v �4
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 $
BUILDINGADDRESS I-6alb
g Sri:�N 1
�
tc.�
Energy Plan Checking Fee $
$
PERMIT FEE $
w LOT NO., , y„
-SUBDIVISIONS, -�
PARCEL MAP__`-��
-- "' PLUMBING PERMIT= Filing Fee 20.00
USEOFSTRUCTURE
SF Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00
Solar oi� 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 ❑ Installation ❑ Other ❑
Describe World'-
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home S G W @20.00
PERMIT FEE S
ELECTRICAL PERMIT Fling Fee 20.00
Main Service mon oA 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. 4
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
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
rformance 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' y compensation insurance carrier and policy number are:
Carrier ``JTi}TE D
Policy Number '1 I -Z,5 -L4
(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 Kworkers'
;c pensation laws of Calrfornla,Annd agree:that rf i should become sublect'to the L
rkers'• Com hsation r�provlslons,of sectlonF3700 of the Lebor Code �I shalh
} }, i ,++ ! 2 3 •..y
rth11
withco h�those provisions ty�;tµ 1. _fir
01
X to �'Z7i-��
Ig ture of cant - ❑ Owner ❑Contractor P Agent
An OSHA permit is required for excava 'ons over 60" deep and demolition or construction
of structures ove 3 stori in height.
Main Service TO 46.
W:L200A
CCU000A
NEW CONST. DWELLING OCCUP. SO
so
OR ADDNS. ( 8 ACC. BLOB. 3.5¢FT,
µq10 MULTI.OUTLE1 97,50
BRANC
POWER APPARArus
8 SINGLE OurLET CIR.
OUTLET OR FIXTURES 20 @ I'50
Ex. Occup.BP.L @ so
pE 5.00
Ex. Occup. oFlx�E�°rs �)
Temporary Service 23.00
Mobile Home Facilities 20.00 Aa
Misc. Wiring 23.00
- , PERMIT FEE $
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 $
HAZ. p. FEES IMP FLOOD CDF PARCEL PD HD ISSUE
S7 � Sar- ;4 =s• tib;* ° � X"„
t,• r i, .,
T}ils permitils hereby Issued underahe applicable provisions
of'the Butte County"Code' and/or Resolutions to do work
indicated above for which fees have been paid.
S
(/ o�
Date
PERMIT EXPIRES ON
(Datel
Receipt No.
WHITE-D.D.S.-B.D. CANA Y -ASSES OR P K -I PECTOR GOLDENROD -APPLICANT