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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 �oa G(5 -7Z 1 ./ Ile , vl OFFICE COPY Address GAS Meter By �te,51 ELECTRIC Meter BY .Date 11 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