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HomeMy WebLinkAbout041-410-019i �y 041-410-019 99-2711 BRITSCHGI, Walter 648-69g — 538-69P HURU, PETER 3803 ECHO MOUNTAIN, OROVII,LI - ECONTR:SUBURBAN 4c� PROPANCE GAS LINE TO HEATER off w/s Clark Rd. at Egho Mt. Dr.,Clear Creek ( new single family) 141 Iq �y.��.-q.- ...r�.,;..�n•P,.a."sr7+Way'.r;`.'�.y..Y,,,+awm•^'!''ab;tR�..�'+►Carse°�wX:.rensp�y�++M,ro�4l:'�Cs y+f^:+�'K....--s,.....���. •-.. T..-.....�—�,.,.y:r--•f �-�. j t a t j OFFICE COPY Address I GAS Meter BDate 7 E a` � Meter �— �-- t i t .. ,.... -.i, �. ,�,._. r..., -E" �.st+s}w«y. �*'.py'r'�`vK'�'.rrv.S*1:.,+'�i�a+'+'�'n'.►^R-�'rysse7'+�+.�^ a.�wt "'r"-�-"�"`..^ �""' i"i'7^yc.,. .,�. _-.__"'. COUNTY OF BUTTE' DEPARTMENT OF 16EVELbPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER, / %% 00 TELEPHONE TELE/PHONE !f !1 SO FT OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 2909 1.61, CONTRACTOR'S NAME ` tai � r /� /) l� l �if3 �, TELEPHONE -3 CONTRACTORS MAILING ADDRESS ' /-/l ,, / )o/.p l � A. 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 $ f U PERMIT FEE $ IAT NO. SUBDIVISIONS NAME PARCEL MAP j PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SFV 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 ❑ Remodel ❑ Utilities ❑ Installation ❑ Other [3 Describe Work: i`11 �� f if -) r, Gas piping stem 1 - 5 outlets e' 15.00 .00 Building sewer 15.00 Mobile Home I S G W 920.00 PERMIT FEE S 5, ELECTRICAL PERMIT Fling Fee 20.00 R LES Main Service 200, 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 license • in full force and effect. License Class Lic. No. r�o* . J 7 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. ❑ 1, 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. ❑ 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-�-+�5 Main Service 200, TO lOooA 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. a ACC. Blas. SO 3.5QFT. NON-REOSID. MULTI -OUTLET @7.50 POWER APPARATUS a SINGLE OUTLET CIR. EX. OCCU OUTLET OR FDTTUREs BAL @ .50 Ex. Occu o.ED pa D °,',, 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 1 .30 1 `S OD Cooling Hood 6.50 Ventilation PERMIT FEE $ ! J-ai Policy Numller r• �! f'C'7 Y (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I ❑ 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. - ' f Xf.�/1 r°<;✓�� �( (i!t Date �/ 7Gf� _ Signature of Applicant - ❑ Owner 1KContractor ❑ Agent r 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 $ OCC c.QWT.TYPE ,TOTAL FEE $ Q 400 r 9A—Z— �.. D. FE IMP ,... FLOOD �- CDF PARCEL -- PD 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 �QIV,XV�/�: Date41 PERMIT EXPIRES ON //- . 6 ' d Q00 Date Receipt No. y 0. on WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Nl- Ul- 0T COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT,NO• (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUM 1 � 1 ZONING BUILDING PERMIT OWNETELEPHONE SO. FT. OCC. BUILDING VALUATION OW3o3 AD CO RACT R'S NAM �y� TELEPHONE CONI TOR5�1� ADpRE33 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 �N Energy Plan Checking Fee $ $ 1 PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing 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 as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: (965 //o � - iy hfitikT'- Gas piping system 1 - 5 outlets o, 15.00 , CO Buildingsewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S , ELECTRICAL PERMIT Fling Fee 20.00 Main Service z"aon OR .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 In full force and effect. �f 'J License Class o� 3 Lic. No. / o� � 7�o / 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. ❑ 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 TO 46.00 CCU000A W:L200A NEW CONST. DWEWNG OCCUP. OR ADDNS. ( a ACC. S. SO 3.5QFT, I.,D=R°.1..' MUL SPAWN CIR UITS @7,50 POWER APPARATUS a SINGLE olmET CIR. OUTLET OR FDTTURES Ex. Occup.BAL 20 @ t"50 @ .so LNS Ex. Occup. oun EEDrsA P.,6.OFRA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ 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. ❑ 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 work"' compensg§b?,_ carrier and policy number are: Carrier fl'-Z3119`r�E��,C.•j Policy Num er _r— Kgti_"ddf--7 7 (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 forthwith comply with those provisions. X _,�/' �'j�J y/% �z3v' " �� Date _�� �C� Signature of plicant - ❑ 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 Fling Fee 20.00 Heating j1,5.� i `5•QG� Cooling Hood 6.50 Ventilation PERMIT FEt $ 5.00 Mobile Home Installation Fee $ Energy Inspection Fee $ ccCONS1, �_ TYPE VAI TAL FEE $ HAZ. D. IMP FLOOD i CDF PARCEL PD HD ISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicate above for which fees have been paid. By Date 11-3-0-99 PERMIT EXPIRES ON //-30 -, OLODO Date ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT