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HomeMy WebLinkAbout040-160-0129 014©- 11'-O- o , 040-160-012 PERMIT#95-0821 5-1GILL1IM-M 9589 L, Dale Omar / 9589 Lott Rd., Durham �q Cont; Bunge Electric I� ; Relocate Ele Ser/Sf �/3 } I t 5 040-160-012 PERMIT#95=0821 GILLEY, Dale Omar` 9589 Lott Rd., Durham Cont; Bunge Electric,- Relocate Ele Ser/Sf { ' { v5 I f i . } 1 OFFICE COPY Address GAS Meter By ELECTRIC"- Meter By _ Date COUNTY OF BUTTE -DEPARTMENT OFDEVE�OPMENTSERVICES -BUILDING DIV;ION 7 County Center Drive - Oroville, CAliforniaf95965 - Telephone (916) 538-7 1 PERMIT NO. APPLICATION AND PERMIT _ 0EC ASSESSOR PARCEL NUMBER 040-160-012 ZONING SRI BUIL G PERMIT OWNER DALE OMAR GILLEY TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CENTER33 COUNTY DR, CROVILLE CONTRACTOR'S NAME BUNGE ELECTRIC TELEPHONE 895-3413 CONTRACTOR'S MAILING ADDRESS 1824 011MA WAY, DURHAM 95938 Fireplace CONSTRUCTION LENDER UNIQJOWN Total Valuation $ LENDER'S MAILING ADDRESS Fling Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS • 9989 LMT RD., DITRHAMt PERMITFEE $ PLUMBINGPERMIT 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: METER RELOCATION TO ONE AREA ON PROPERTY FOR PG&E REQUEST Mobile Home I S I GI W @20.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filinq Fee 20.00 Main Service ( 2 20000A A OR IHSS OR LESS ) 3 23.00 69.00 Main Service ( 200A TO 1000A ) 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 �fo1rce and effect. �j License Class IT,.- _/40 Lic. No. -I O�D12 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. ❑ 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 I 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. 180,1 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 Al, -C14 A)e6r NEW CONST. DWELLING OCCUP. s0. OR ADDNS. ( & ACC. BLDS. ) 3.50 FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATOUTLETUS ) 8 SINGLE CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 Q 1.00 SAL so Ex. Occup. (OUTLETS (RESID.)EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 PERMITFEE $ 12, 00 Contractor MECHANICAL PERMIT Filing 9 Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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.) ❑ I 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 forth it comply with those provisions. `' q X�u/l? Date _7 L y- /� Signature o Applicant - ❑ Owner(/ MYContractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is OCC i CONST. TYPE TOTAL FEE $ 112.00 HAZ. D. FE FCOO tiw Cf) CE ISS 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. B /✓�V Date / 2Y t y PERMITEXPIRESON , (Date) Receipt No. ray 7y-7 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF D5VELOPMENT SERVICES -BUILDING DIVI ION 7 County Center Drive - Oroville%artifofnia 95965 - Telephone (916) 538-75 1 PERMIT NO. APPLICATION AND PERMIT " J.S=OBS ASSESSOR PARCEL NUMBER 040-160-012 ZONING SR1 BUILD G PERMIT OWNER DALE OMAR GILLEY TELEPHONE SO, FT, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS °• t 33 COUNTY CENTER DR, OROVILLE CONTRACTOR'S NAMELEPHONE BUNGE FLECTRTC 7895-3413 CONTRACTORS MAILING ADDRESS 1894 WTT-MA WAY, DURHAM 99938 Fireplace CONSTRUCTION LENDER UNIwOWN Total Valuation Is LENDER'S MAJUNG ADDRESS Fling Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 9589 I RD, D111RHAM PERMITFEE $ -01T PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar Or heat pump water heater 23,00 USEOFSTRUCTURE SF ]0 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: METER RELOCATION TO ONE AREA ON PROPERTY FOR PG&E REQUEST Mobile Home S I G W @20.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filino Fee 20:00 Main Service ( 200A oa mss ) 3 23.00 69.00 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 �-/� Lic. No. _ �OS/ii� !) 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. ❑ 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 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BIDS. ) SO. 3.50 FT. NEW CONST. MULTI -OUTLET NOWRESID. ( BRANCH CIRCUITS ) 97.50 ( OWER APPARATUS ) 8 PSINGLE OUTLET DIS. Ex. Occup. (OUTLET OR FIXTURES 20 0 1.00 BAL SO � EX. Occup. OUTLETS FIXED (RESID. OR) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE s 112-00 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. QUI 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_ Ale ek4 We sr MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE. S Contractor 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.) ❑ i I 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 forth it comply with those provisions. `/ X _ _ Date _4 Z���-- Signature o Applicant - ❑ Own_eP fiY_,�Contract_or ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $ 112.00 HA2. D. FEES IMP FLOOD OF PARCEL PD HD V This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have BY",44Date PERMITEXPIRESON applicable provisions Resolutions to do work been paid. "(/ AL A C, (Date) Receipt No. /�� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT - COUNTY OF BUTTE - °� BUILDING DIVISION DEPARTMENT OF DEVELOOWANT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE $ PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at ON \,the above address and should be corrected. Please notify 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: ; �o Fl �rLGL Q�2 fid Pj l�/ L ,Oi�tr G'�' t e tlU�., ti-�f{r( rr" •�A a`,1 t/N zti+"" Date�j ' l -1 Inspector REV 10/92 1 Date�j ' l -1 Inspector REV 10/92