HomeMy WebLinkAbout041-410-019i
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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
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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