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Home My WebLink About039-470-036r 039-47-0-036 97-2699 E,M JACOBS, Verg K. 3658 Rogers Ave, Chico (hvac/lessee Ht:g & AC) \-i rpt I- I z.-`/ 039-470-036 03-3661 WATDE, KENNETH 3658 RODGERS AVE, CHICO Cont: UNIVERSAL ROOFING REROOF 3( sem;, 9 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 _,.PERMIT MNo. (Rev. 12/96) APPLICATION AND PERMIT ASSESSORPARCELNUMBER q7a -024 ZONING BUILDINGPERMIT OWNER , I / ` /� G . ((//,/�Y/ TELEPHONE SQ. FT. OCC. BUILDING VALUATION 'VA . OWNERS IU SS 01 /S/� ,�' O :✓i. CONTRA N� E � TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ �G(% ARCHITECT OR ENGINEERS "UNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS VI/r �/ V' G Ih Energy Plan Checking Fee $ $ PERMIT FEE LOT NO. SUBDMSIONS NAME PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF OL/1plex ❑ 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 13Utilities ❑ Installation ❑ Other ❑ Describe Work: 3(/ �(�' �� Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 OVOR LESS Main Service 20.A 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,p�lpT' and my license is in full force and effect. License Class C-leiLic. No. �5�, OWNER -BUILDER DECLARATION 1 herebyaffirm under penalty of perjury that I am exempt from the Contractors License p nY p l N P 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. _I -am exempt under Sec. Business and Professions Code for this reason Main Service 200A To IOOOA 46.00 NEW CONST. DWELLING OCCUR) OR ADDNS. ( a ACC. BLDS. SO 3.5QFT. MULTI -OUTLET 97,50 POWER APp US BSINGLE OunET CIR. EX. OCCU OUTLET OR FIXTURES aq @'; 0 EX. OCCU PIXEO APPLNS. OR ounETs REBID. Ea 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 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 PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 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.) ❑ 1 certifythat in the performance of the work for which this permit is issued, I shall P p not employ any person in y anner so as to become subject to workers' compensation laws of C ' ornia, nd agree that 'rf I should become subject to the workers' compensa 'o �rovisio s of section 3700 of the Labor Code, I shall forthwith comply It dse pro ions. X _ Date l� ��'�3 Signature ppl- ant - wner AF -Contractor ❑ Agent An OSHA erml s required for excavations over 60" deep and demolition or construction structures over 3 stories in heig t. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 04 HAZ. D FEES IMP FLOOD CDF PARCEL pp HD ISSUE This permk ' ereby issued under of the County Code and/ indica d ova for which fe a By Ji(of PERMIT EXPIRES 0-)-0(/ ;;M06) th applicable provisions solutions to do work been paid. Date ' o Receipt No. WHITE-D.D.S.-B.D. A A SE OR PINK -INSPECTOR GOLDENROD -APPLICANT rs.a. ..yir-'Wr .c> �f�`C,s�ti IsEn�=.,.iti�:.ar:roar . . -c . > rnt"5i'_°`R%'.•'�f'_',nW'^sib''RA ' "l:S."r"s'��L`L 'v'M9r K^.'{`$�CR ytuzcxsFsw.�. wa.�� •a::...r ;.asv,. ;' .. :w'.^ .. 5 039-47-0-036 97-2699 E,M, •';-� JACOBS, Verg K. 3658 Rogers Ave, -Chico (hvac/Jessee Htg &.AC) r s j 1 • , OFFICE COPY Address a-58 1 GAS _n .i'� Meter By r Datef� ? ELECTRIC f Meter By , a e. COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NQ. (Rev. 12/96) APPLICATION -AND PERMIT �,~�``�� ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER VERG K. JAWBS T TZ7662 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILI�,)RESS,��T^ AVE !(( �j(aa CONTRACTOR'S NAME R SF, F TELEPHONE j f CONTRACTOR'S MAILING ADDRESS 3025 S01-UHGATE LN CONSTRUCTION LENDER [Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS ROGER Energy Plan Checking Fee $ $ CHICO PERMIT FEE S LOT NO. SUBDNIS ION'S NAME PARCEL MAP ' PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF O Duplex ❑ Mobilehome ❑ Other SPECIFY_ Each Trap 7.00 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 ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 13 Describe Work: HVAC Gas piping system 1 - 5 outlets 15.00115,00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ 3 ELECTRICAL PERMIT Filing Fee 20.00 Main Service loon oa LE S 23.00 LICENSED CONTRACTOR'S DECLARATION 1 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 �A�1d effect. ,/ /'� /� C ) / 1 LI � � .1 f� License Class f -'� l J Lic. No. " 11 ii (/' 17 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 46.00 WEL200A CCU000A NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BUDS. SO 3.50FT. rNio R S.ANCI O�CETS @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 Q I.00 aAL Q .00 Ex. Occup. ourEiFrs AEs o.oea 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring -- 23.00 • PERMIT FEE i �•� 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 polic number.arg: �'f'''00;; Carrier � -1,-7 -1 (' t 1 (�vs<1 CrJ` r'/a4-1 I&11 - Policy Number 9 LI ^I.► (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 700 of the Labor Code, I shall forthwith comply with those""provisions y l l 2 Date _�_ 1� _ Signature of Applicant - ❑ ° wner ', Contractor ❑ Agent An OSHA1(ermit is required for excavations over 60" deep and demolition or construction oFstructures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating 3.5 ton Cooling(1 Hood 6.50 Ventilation PERMIT FEE $ • Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 138.00 HAZ. I D. FES IMP I FLOOD CDF PARCEL I PD I 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. CC By l �.�4.t _ Date 17- 77 PERMIT EXPIRES ON I pate) Receipt No. 1�$286 $131!5. 1111 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754�Z7 LIQ• (Rev. 12/96) APPLICATION,! ANO PERMIT // 7 ASSESSOR PARCEL NUMBER 19-470-016 ZONING A -5-A-10 BUILDINGPERMIT V OWNER VERG K. JACOBS T4LP�LU62 SO. FT. OCC. BUILDING VALUATION OWNERS MAIU°1C33UEIAOGERS AVE CONTRACTORS NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS 3025 SOUTHGATE LN CONSTRUCTION LENDFA Fireplace LENDER'S MAILING ADDRESS Total Valuation is ARCHITECT OR ENGINEER LICENSE NO. FilingFee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checkin Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF [A 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 ❑ Other 1i Describe Work: HVAC Gas piping system 1 - 5 outlets 15.00 19.00 Building sewer 15.00 Mobile Home Is G W 920.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service A 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)41 foy e d effect. License Class Lic. No. ld �� 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 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. B... SO 3.50FT. NON•RESIDT ANCNEW CONS.I CUTLET CU @7.50 a soi ELR oPPARRATU a. Ex. Occup. OUTLET OR FIXTURES 20 (9 1'00 BAL O .50 Ex. Occup. OFIxUTE�OTs .,6.)O EA.RA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE t 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. 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' o pen ation insurance carrier and poli number Carrier Yo QP h CL/ l� Policy Number �!:I I, , !J: !4 7 (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' 'ompensation provisions of section 700 of the Labor Code, I shall forth it omply with tho rovisions 17 __ Date _�/ `7 Z_ ignature Appllca = ❑ caner Contractor ❑ Agent n OSH ermit is required for excavations over 60" deep and demolition or construction o ctures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 60.00 Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 138.00 HAZ. I D. FEES IMP I FLOOD FFFF[;;Z9 PD I HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have ByOil _Date PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been paid. Zr -�3PS7 Date Receipt No. 231286,$138.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (ReO:l219;�. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ` 21L'ftNG- BUILDING PERMIT OWNER; J TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAIUNOOR 2 Q c,— J{ ^ /� COM 'S NAME __ rr i TEL HONE CONTRACTORS MAKING ADDRESS .?2n 2 Ep ' CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MARINO ADDRESS Plan Checking Fee $ BUILOING ADDRESS n Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDNISK7N5 NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF M Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heatpump 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: V Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I GI W 1 1 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 00A 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: ❑ 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. ❑ 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 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.) 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 Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in heigly. Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP. So OR AODNS. ( & ACC. SLDS. 3.5¢FT. ESpMULTI-OU CIRCUITS 07.50 No RES'. POWER APPARATUS 8 SINGLE OUTLET CIR. EX. Occup.OUTLET OR FIXTURES e20 @ 1. 000 Ex. Occup. OPIx�E�Ra ) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.0,c10 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating — Cooling Hood 6.50 Ventilation PERMIT FEI_ $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE � FEE $ % 6 '06 HAz o FEES IMP Pt000 coP PARCEL PO HD ISSUE This permit is hereby Issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Data Receipt No. r WHITE-D.D.S.- .D. CANARY•A SESSOR PINK -INSPECTOR GOLDENROD -APPLICANT