HomeMy WebLinkAbout039-470-056039-470-056 01-1594 'Q ,
WATJE, KATHY
3658 RODGERS AVE. CHICO,��
CONT: SUBURBAN PROPANE n11
GAS H2O HTR, DRYER, STOVE I
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OFFICE COPY
Address
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ELECTRIC
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COUNTY OF BUTTE.- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • OroAlle, Cadi!ornia 95965 • Telephone (530) 538-75 PERMIT NG.
(Rev.12/96) APPLICATION AND PERMIT _
AS S ESSOR PARCEL NUMBER ZONING
'3 � • y % - ,�� BUILDING PERMIT
o NE (`�,�v� T E�7 SO. FT. OCC. BUILDING VALUATION
o uNG ss �1 7
OilS NAME TELEPHONE
• V � l4•
CO TOR LINO RES
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS Fireplace
$
ARCHITECT OR ENGINEER LICENSE NO. Total Valuation
Filing Fee *FEE$ 20.00
ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee
BUILDING ADDRESS / ,(�
Plan CheckingFee
0 r.7 /��s �...�� Energy Plan Checking Fee
PERMI
LAT NO. SUBDNISION'S NAME PARGEL MAP
PLUMBING PERMIT Filing Feel 20.00
USEOFSTRUCTURE Each Trap 7.00
Solar or heat pump water heater 23.00
SF ❑ Duplex ❑ Mobilehome ❑ Other Water piping 15.00
SPECIFY
TYPE OF WORK Each gas water heater or vent 15.00 j
Gas piping system 1 - 5 outlets 15.0
New ❑ Addition ❑ /pjRemo�del ❑ Utilities ❑ Installation E3 Other ❑ Buildingsewer 15.00
(__.
Describe Work: 1' E w1fre_-_ ��"%i. Mobile Home S G W b 20.00
1�titi&1, Srt,uL,
PERMIT FEE S
ELECTRICAL PERMIT Filing Fee 20.00
Main Service w0A OR LESS
zooA OR LESS 23.00
LICENSED CONTRACTOR'S DECLARATION Main Service tow To 1000A 46.00
NEW CONST. DWOCCUP.
EWNG SO
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter OR ADDNS. ( 6, , eLns. 3.50F
9 (commencing with Section 7000) of Division 3 of the Business and Professions
Code, AESID ' MULT1-0IfTLET
.0and my license Wfull force aod et. 975FowFELAPmPAATsLicense Class 3 (Lic. No.
% a' SING10
c,P
OWNER -BUILDER DECLARATION Ex. Occup. OUTLET OR FocruREs BZ
20 p 1.00
I hereby affirm under penalty of perjury that I am exempt from the Contractors License Ex. Occup. oiFIXED
Ts R6o.ORRA 5.00
Law for the following reason: Temporary Service
❑ I, as owner of the property, or my employees with wages as their sole compensation, 23.00
will do the work, and the structure is not intended or offered for sale. Mobile Home Facilities 20.00
❑ 1, as owner of the property, am exclusively contracting with licensed contractors Misc. Wiring23.00
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason PERMIT FEE $
WORKERS' COMPENSATION DECLARATION MECHANICAL PERMIT Fling Fee 20.00
1 hereby affirm 'under penalty of perjury one of the following. declarations: Heating
❑ 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 Cooling
performance of the work foi which this permit is issued. Hood 6.50
❑ 1 have and will maintain workers' compensation insurance, as required by Section Ventilation
3700 of the Labor Code, for the performance of work forwhich this permit is issued.
My worker ' compensa ' n insurance i 'er and Policy number arra:
Carrier , Q17g, rig 4(1 v �� �� PERMIT FES 1 $
Policy Numbe C Val nel IN /,p � Mobile Home Installation Fee $
(The above sections need not be completed N the permit is for work of a valuation Energy Inspection Fee $
of one hundred dollars ($100) or less.)
— — — — � Mb J
❑ 1 certify that in the performance of the work for which this permit is issued, I shall occ CONST. TYPE TOTAL FEE $
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 "^Z' D. FEES IMP FLOOD cDF p ISSUE
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply ith those provisions. This permit is hereby issued under the applicable provisions
lof the Butte County Code and/or Resolutions to do work
X Date _ indicated. above for which fees have been paid.
Signature of Ap lic t - ❑Owner Contractor ❑Agent � &70of OSHA permit r quires for exca tions over 5'0"deep and demolition or construction/"` of structures over 3 stories in heig By Date_
Receipt No. �- PERMIT EXPIRES ON Z%
WHITE-D.O.S.-B.U. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD- A.PPLICAN7
Data
-'"., i-- •x ;.�,�. -rr • ��-•.c--..,w:,-..._..� ....-r- _x a,.�.v:..Asa•.;Ya..,'.n..s.�.'.x:.;L.�..:.a'a�.�r,.y�r,...c..y�:r-.�,. _ ^.r�, _ _ :...-. :,r��+.:. ,
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, Calitbrnia 95965 • Telephone (530) 538-7541. PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT t " Iq
I, ASSESSOR PARCEL NUMBER i) �- �_/� -
J 7
ZONING
BUILDINGPERMIT
OWNERcty ; 1
t! ,1 ��.��4 i
TE�L�E,PPHOONEr� f1j.�'
SO. FT. OCC. BUILDING VALUATION
.OWNERS MAILING ADDRESS •.r�
CONTRACTOR'S NAME It}j l
+
TELEPHONE
CONTRACTORS MAILING ADDRESS I 1
CONSTRUCTION LENDER
Fireplace
LENDERS MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
FilingFee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDINGADDRESS 3 / �`���
�+ `./
Energy Plan Checking Fee $
�Ax&
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
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 ❑Remrrodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: L 1� -1 tnioof Hex
jat9' evt. _ V
Gas piping system 1 - 5 outlets r
1 5.00
Building sewer
15.00
Mobile Home I S I G I W
920.00
PERMIT FEE $
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service zo.A 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. J
License Class L% ' , , (f Lic. No. / -f f ��
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
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 T u1,e., . '(r i i .F I f• I
Policy Numbed
(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 0 1 should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
��� `�- Date 1/LA7`
/ /� ry7A/
Signature of Applicant - ❑Owner Contractor ❑ Agent
An OSHA permit is required for exca tions over 5'0" deep and demolition or construction
structures over 3 stories in heig
Main Service 200A TO 1000A
46.00
NEW CONST. DWEWOCCUP. So
OR ADDNS. 8 ACc.NG BLDS. 3.5QFT.
NEW
REOSIU MULTI.OUTLET
97.50
P
8 SIOWER APPARATUS
NGLE OUTLET CIR.
Ex. Occup. OUTLET OR FD(TURES BAL Q 1.5500
FIXED APPLNs. OR
Ex. Occup. ounETs RESID.)
5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE S
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 7
A.
D. FEES IMP
FLOODCOF
.----
-- -
PARCEL,
`
_PD_
HD,
JSS�E
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.
t�74�,�/�-
��
B !J�of
y -�ate�,�
PERMIT EXPIRES ON 6� � "J
/ Date
Receipt No. J Y -7 2P� 'VW00
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 (530) 538-754 1 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER c� �/
ZONING
BUILDING PERMIT
( �
O NE a+_
T E(�G
7
SQ. FT. OCC. BUILDING VALUATION
.O ER RUNG S� et—s Cn CCL
A
CO CTO S NAME /�••�
TELEPHONE
ChCO TORS LINO RES
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Film Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDINGADDRESS % 9 �� p ��s ��
e U
Energy Plan Checking Fee $
$
y�G
PERMIT FEE _
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 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 ❑ jRemo�del ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: L 1� E ff f/�-
ro 0e,
Gas piping stem 1 - 5 outlets 15.00 S
Buildingsewer 15.00
Mobile Home I S I G I W @20.00
PERMIT FEE S �
ELECTRICAL PERMIT Fling Fee 20.00
OOOVOR LE
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,
and my licenseAin in full force and effect. n �/
License Class el .20 03& Lic. No. % a' a / �p /
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
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 worker ' compensatign insurance ler and,olicy number are:
Carrier l i/1� �D✓JC�t_a C-l4SGta�7Z/
Policy Numbe f 368
(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
/rthwith comply Ith those provisions.
IIof
X Date _
Signature of Aplic t - ❑ Owner ontractor ❑ Agent O�4
An OSHA permit i quired for exca tions over 5'0" deep and demolition or construction
of structures over 3 stories in heig
Main Service PDA TO IDOOA 46.00
NEW CONST. DWELLING OCCUP. So
OR ADDNS. ( a ACC. Bins. 3.50FT;
NON -RES DT MULTRANCI.OUTLET @7,50
POWER APPARATUS
8 SINGLE OUTLET CIR.
EX. OCCLI OUTLET ORFDCTUREs 20''0°
BAL p .so
LNS
Ex. Occup. ourtEEDTSA RES D.OEA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wirina 23.00
PERMIT FEE $
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC CONST. TYPE
TOTAL FEE $
HAZ.
D FEES IMP FLOOD CDF p ISSUE
This permit is hereby issued under the applicable provisions
the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By � Date 6174
PERMIT EXPIRES ON 6 f-%.D.S.•B.
Date
rRec7eiptNo. �!
CA ARY•ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT