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041-110-094 PERMIT#97-1903
MEYERS, Richard %
3503 Dry Creek Rdrovillel�9,
Cont: Reliance Propane Service'
Gas Line & Stove/SF
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,. 041-110=094 PERMIT#97-1903'
MEYERS, Richard:;,
3503 Dry Creek Rd.,.Oroville
`rte Dont: Reliance Propane'Serv'ce
?Gas Line & Stove/SF
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COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIVISIO
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
ZONING
BUILDIIIG PERMIT
OWNE
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILINGAPDRESS
i2A CAO I
CO RACTOR'S NAME f I TELEPHONE
G 44 ice VI,C. 1�
CONTRACTOR'S MAILING ADDRESS
N
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
--
Energy Plan Checking Fee $
$
PERMIT FEE. $
LOT NO.
SUBDIVISION'S 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 gas water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work:le SP'1 -S OIS a)S-1-A LL
AA -PERMIT
Gas piping system 1- 5 outlets 15.00
Building sewer 15.00
Mobile Home S G W @20.00
FEE $ 5.5 --
ELECTRICAL PERMIT Filing Fee 20.00
Main Service zoos oa mss 23.00
LICENSED CONTRACTOR'S DECLARATION
1 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. ' t
License Class 0 Lic. No. %�� y �j /'Q
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.
❑ 1, 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
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLING OCCUP. SO
OR ADDNS. ( a Acc. sLos. 3.5QFr.
NON-RE.IDT R UCH CUTLEH IRCUITS @7.50
POWER APPARATUS
a SINGLE oUfLEr CIR.
Ex. Occup. OUTLET OR FIXTURE z0 p I.5
BAL @ .500
Ex. Occup. oUTLEEDTS (RESIU.0EA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
pERMIT,FEE 1$ G
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.
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 7 T l
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
forthwith comply with those provisions.
X 1` ;: f .'i_C� Date ,>�
Sign76re of Applicant = ❑ Owner °'Contractor ❑ 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 S
Cooling
Hood 6.50
Ventilation
PERMIT FEE $ _55—
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $
HAZ.
I D. FEE IMP
I FLOOD
CDF
PARCEL
PD
HD
ISSUE
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.
+
By /111 i ria G Date
PERMIT EXPIRES ON'
i % Defe
r7_
Receipt No. -„�/i/ `
WHITE•D.D.S.-B.O.' CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
I.
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISIO
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
(Rev. 12'/96) APPLICATION AND PERMIT
ASSESSORPAR a.PBBER 1 /,(�
-/7 //—V — D ,
ZONING
BUILDI G PERMIT
OWN
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
150;5 O DRESS V, s9l�s_
C LRACTOR'S NAME
LL
TELEPHONE '
CONTRACTOR'S MAILING DRESS
ss s6
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
Energy Plan Checking Fee $
$
PERMIT FEE t
LOT NO.SUBDIVISION'S
-
NAME
PARCEL MAP
PLUMBING PERMIT
Fling 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 gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: 'ZAP(/e Sal !4 is-MV4_= //_Si"' t e_
Gas piping system t - 5 outlets
15.00 S
Building sewer
15.00
Mobile Home I S I G I W
920.00
PERMIT FEE
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service Zoon oa .ss
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 f l force and effect.2�
License Class Lic. No. `%3 �!/ �
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
Main Service 200A TO ,000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( 8 ACC. BUDS,
SO
3.5¢FT.
NON•RESIDT RANCI QUT.ET
07.50
POWER APPARATUS
8 SINGLE OUTLET CIR.
OUTLET OR FIXTURES
Ex. Occup.sAL
20 @ I.50
@ .so
Ex. Occup. aims RE`".SID.OEA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE S
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 i4'T�
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.)
❑ 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
work s' compensation rovisions of section 3700 of the Labor Code, I shall
fort co I ith t evisions.
—�
X Date --
Signature of Applica ❑ Owner O Contractor ❑ Age t
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 /16-
Cooling -
Hood
6.50
Ventilation
PERMIT FEE $ 3�—
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ -�
2.A.
D. FEES IMP
FLOOD
CDF
pARCEU p0
HD
ISSU
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.
By n Date
PE MIT EXPIRES ONHITE-D.D.S.-B.D.
ae
eceipt No.
F
CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
/