HomeMy WebLinkAbout040-640-012T7
040-640-012 02-21
CHAMBERS, BEV INALE
586 ENTLER AVE., CHICO
CONT: AIR -ART
HVAC
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040-640-012 02�2152
CHAMBERS, BEV
586 ENTLjfkAVE., CHICO
COP41: AIR -ART
HVAC
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COUNTY OF BUTTE - DEPARTMENT OF DEVELOOMENT SERVICES - BUILDING DIVISION -
7 County Center Drive - Oroville, California 95965 * Telephone (530) 538-7541 PERMIT NO
(Rev. 12/96) APPLICATION AND PERMIT - �� / -,j 54
ASSESSOR PARCEL NUMBER Z_
ZONING
BUILDINGPERMIT
OWNER
&V
TELEPHONE
e,,-, / - / u4 C
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
C,) �4 _1c t)
CONTRACTORS NAME
Ay. ;4,k r
TELEPHONE
CONTRICYRS "UNG ADDRESS
..30 /0 '- A* C
CONSTRUCTION LENDER
Fireplace
LENDERS MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NU.
Filing Fee
$ 20.00
Permit Fee
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDINGADDRESS S'9 6 /,,j
Energy Plan Checking Fee
$
,C Ay g
PERMIT FEE
$
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF,& Duplex 0 Mobilehome 0 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 0 Addition 0 Remodel 0 Utilities 0 Installation 0 OthW116—
Describe Work:
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I WT_
PERMIT FEE
$
ELECTRICAL PERMIT
Filing Fee 20.00
OOV OR LE:�S
Main Service a I,
( OA OF
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 C .10 &111( Lic. No. 115
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License.
Law for the following reason: 9
0 1, as owner of the property, or my employees with wages astheir sole compensation,
will do the work, and the structure is not intended or offered for sale.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
El I 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:
0 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 policy number are:
Carrier S-1AI E FJ 01D I
Policy Number ?32 0000 1-7 — 0Z.
(The above sections need not be completed 4 the permit is for work,of a valuation
of one hundred dollars ($100) or less.)
0 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
for1hwith com ply with those provisions.
1 .1 10, ta, OZ
V,4 t Date
Signatilre of Applicant ! 0 Owner a Contractor 0 Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A
46.00
NEW CONST. CC so
ADDNS.__ DW:,LIU NCG 10, S U P. 3.50FT.
—OR
NEW CONS T'_O Tr
=H CU, ,
97.50
POWELL APPARATUS
E OUTLET CIR
20 @ 1.00
Ex. Occup. OUTLET OR FIXTURES BAL @ .50
O.FIXED APPUNS OR.
Ex. Occup. tFIES,6.) E 5.00
Temporary Service 23.00
Mobile Home Facilities
20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Filing Fee 20,00
Heating / (_
Cooling Z
Hood 6.50
Ventilation
PERMIT FEt $ 6 0
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTALFEE$
HAZ. I D. FEES IMP FLOOD
�E�PMCEL
_J.�D
_JJSSUE,
This permit is hereby issued under the
of the Butte County Code and/or Resolutions
indicated above for which fees have
B y X
PERMIT EXPIRES ON
applicable provisions
to do work
been paid.
Date iL,
(Date)
ReceiptNo. 3,
WHITE-D.O.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROB -APPLICANT
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street - Chico, CA * (530) 891-2751
7 County Center Drive * Ciroville, CA 9 (530)'538-7541
CORRECTION NOTICE
CMAMN—,cof 00, "�' / g �'
OWNER PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice 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.
vf.')' 6--
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street. * Chico, CA * (530) 891-2751
7 County Center Drive * Oroville, CA 9 (530) 538-7541
CORRECTION NOTICE
CIZA ti, d
OWNER PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please conta_othis office immediately.
"0&41w
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 9 Telephone (530) 538-7541
(Rev. 12/96) APPLICATION AND PERMIT e03 -M
ejr'�'
ASSESSOR PARCEL NUMBER Y, 2-
ZONING
BUILDINGPERMIT
OWNER
to
SO. FT. OCC. BUILDING VALUATION
OWNERS MAlf ADDRESS
I-
iia 6 AJ
CONTRACTORS NAME
/V,I& Ak r
TELEPHONE
CONTFLtC�RS M
A5NG ADDRESS,
a C c 5A 2 46)
CONSTRUCTION LENDER
Fireplace
LENDERS MAILING ADDRESS 4
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDINGADDRESS S-63 6 e�q rleA-
Energy Plan Checking Fee
PERMIT FEE
$
LOT NO.
SUBDIVISIONS NAME
P . ARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SIX Duplex 0 Mobilehome 0 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 0 Addition 0 Remodel 0 Ublities 13 Installation 0 Othw,6�---
Describe Work: H,)4 C 1XV1 �eeA
Gas piping system I - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
920.00
PERMIT FEE
ELECTRICAL PERMIT
Filing Fee 20.00
800V OR LESS
Main Service .A 0. 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 C',16 -�J�( Lic. No. -�2)5 W2,
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
0 1, as owner of the property, ormy employeeswith wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUR
OR ADONS. ACC. BLDS.
so.
3.5itFT.
NEW CONST. OUTLET
NON-RESID. MULT11 CIRCUITS
97.50
POWE.RAP=US
. 0 CIR.
Ex. Occup. OuTLETORFIXTURES
20 @ 1.00
BAL @ .50
Ex. Occup. E
O.FIXED APPLNS ORA�
5.00
- Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
-
I
PERMIT FEE
$
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 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' corri pensa on insurance carrier and policy number are:
Carrier G'JjN-JF P3 /0
Policy Number 212 0000 1 -7
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
0 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 com* with those provisions.
.�A 0 0
X I :�M� Date 19 -13-oz
Signature of Applicant ! 0 Owner )k Contractor 0 Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEiE
Mobile Home Installation Fee IT
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $
HAZ.
I D. FEES IMP FLO��PMCEL PD HID
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees have
By
.7zAz
PERMIT EXPIRES ON Ce
applicable provisions
Resolutions to do work
been paid.
Date
A��tlo
A
'(D"(6)
Receipt No._ 0 -716�>
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT