HomeMy WebLinkAbout039-570-028I
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039-570-028 PtRMIT#95-0618,
GEElf' John,,.,,
3210Chicoliver Rd-.. " ,Chico
Cont Butte Roofing C
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039-570-028 PERMIT#95-0618
`Y GEER, John -
3210 Chico River Rd., Chico
Cont; Butte Roofing Co.
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COUNTY OF BUTTE- DEPARTMENT OF DEVrLOPk1ENT SERVICES -BUILDING DIVISION
7 -County Center Drive - Oroville*.-California 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATi6flAND PERMIT
ASSESSOR PARCELNU ER
ZONING
BUILDINGd6ERMIT
OWNER
EV /y
SO. FT. OCC. BUILDING VALUATION
OWNER'S MA DRESS
CO CTOR'S NA E . /
L-
TbLEPHONE
COM TOR'S MAILING ADDRESS '
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 20.00
LENDER'S MAILING ADDRE
Permit Fee
$
AFiCHRECT OR ENGINEER
LICENSE No.
Plan Checking Fee
$
Energy Plan, Checking Fee
$
ARCHITECT OR ENGINEER'S PAILINGIADDRESS
Penalty
$
BUR.DINGADDRESS
t L
PERMITFEE
$ S . U
AP,W1MBING,
PEIRMIT, .,;.,�-
:. -_.Filing Feel 20.00
Each Trap
7.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar Or heat pump water heater
23.00
Water piping
15.00
USEOFSTRUCTURE
SF)1� Duplex ❑ Mobilehome ❑ Other SPECIFY
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 [7
/1
Describe Work: S` ; it
J
Mobile Home S G W
920.00
PERMITFEE
$
Contractor
ELECTRICAL PERMIT
Filina Fee 20.00
Main ServiceIf00V OR LESS
( 200A OR LESS )
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 ,C�--� OTRl - Iric. No. 4- t/p lL �J
C — 71j 9 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.
0 1 am exe_ mpl under Sec. . Business and Professions. Code for this
reason
NEW CONST. DWELLING OCCUR
OR AOON ( a ACC. )
SO.
3.5¢ FT.
NEW CONST TLE
T. MULTI.OUTLEf
NON-RESID. BRANCH CIRCUITS )
@7.50
( 8 POWER APPARATUS )
SINGLE 011rLEr CIR.
Ext Occup. (OUTLET OR FUTURES 4
2U 3 1.00
e"� 5O
Ex. Occup. (ouT%°rs (RESID.i eA
5.00
Temporary Service
23.00
Mobile Home,, Facilities .
20.00
Misc. Wiring
23.00
PERMITFEE
$
Contractor w
'
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 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' compensate insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE
S
Contractor
Policy Num er
(The above sections need not be mpleted if the p6rrorit 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.
X,/vL LLO/ Date /
Siriature of Applicant - ❑ Owner ❑ ContractorQ Agef t %%%
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
Is
Energy Inspection Fee Is
occ
CONST. TYPE
I
TOTAL FEE $ S ,
HAZ.
I D. FEES
I IMP FLOOD
CDF PARCEL PD HD
ISSUE
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees have
By
PERMITEXPIRES ON
applicable provisions
Resolutions to do work
been paid.
Date C j
(Date)
Receipt No. /
WHITE-D.D.S. D. 'CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
• A
COUNTY OF BUTTE- DEPARTM Eli DL*/ELOPMENT SERVICES -BUILDING DIVISION
>Y+� 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT
ASSESSORPARC0.NU ER a�
ZONING
BUILDINERMIT
OWNERTOONEd,/y
/
L%
SQ.FT. OCC. BUILDING VALUATION
OWNER'S MA DRESS
/�
`/--(J'
T PHONE
J('
(/
CO TOR'S MAIUNG ADOROS
Fireplace
CONSTRUCTION LENDER
UNINOWN
Total Valuation $
Fling Fee
$ 20.00
LENDER'S MAILING ADDRE
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE No.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEERS MhIUNGADDRESS
Penalty
$
BUILDING ADDRESS
L
PERMITFEE
$
_
3�G
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:
�
Mobile Home S G W
@20.00
PERMITFEE
$
Contractor
ELECTRICAL PERMIT
Filino Fee 20:00
Main Service e00V OR LESS
( 200A OR LESS )
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. S / �1
License Class c_-�—'��.-„cl Lic. No. (o vy
(�' —3 9 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.
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
NEW CONST. DWELLING OCCUR
OR ADDNS. ( & ACC. BLDS. )
SO.
3.52 Fr.
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS )
97.50
( 8 POWER APPARATUS )
SINGLE OUTLET CIR.
Ex. Occup. (OUTLET OR FIXTURES)
20 @ 150
�L .50
Ex. Occup. (oFIXEt-Drs RESSORA)
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.
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' compensa ' i surance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE
$
'Contractor
Policy NumWer 2
(The above sections need not be dompleted if the p(erri 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 tho a provisions.
X Dete � '.�/ �
Si Lire of Applicant - Ef 5wngr ❑ Contractor A Age/t
Va
An OSHA permit is required for excavations over 5'0" ee and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ s` z
I
HAZ.
1 D. FEES
.IMP . FLOOD
CDF PARCEL
PO HD ISSUE
This permit is hereby issued under
in the Butte County Code and/or
indicated above for which fees have
`
By
PERMIT EXPIRES ON 13/96
the applicable provisions
Resolutions to'do work
been paid.
D to 3 $-
(Date)
Receipt No.
WHITE-D.D.S.-8.D. CANARY- SSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT