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HomeMy WebLinkAbout041-620-025041-620-025 .01-0306 VINETTE, CONWAY CASA DEL RAY, CHICO' CONTR: FRANKLIN CONSTRUCTION SEPTIC PUMP TANKS; 100 AMP r - I . "211 3 c - t COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-754 �PERMI NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR P CELNU BER �� ZONIN UD BUILDING PERMIT OWNER Vzn1�. NW TELEPHONE 52 - 3 I SO. FT. OCC. BUILDING VALUATION .OWNERS MAILING ADDRCA1ESS CONTRACTORS NAMENE EkhNKUN V C o1Y 3"I HOS I boO CONTRACTORS MAIUNG ADDRESS P.0 o GNTCO 2� CONSTRUCTION LENDER im(AnQ M VrVA1- Fireplace LENDER'S MAIUNG ADDRESS e GQ ^' A 1 I) tftco .Ci 1 6q� Total Valuation $ ARCHrrE T OR ENGINEER W �.ENI{WVT LICENSE NO. e� Tr%G�2�{3D, Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS AVE OWSUL CA 159 (05 Plan Checking Fee $ BUILDINGADDRESS ENT (LOAD bzSfE CA Energy Plan Checking Fee $ $ GKIN DEfV QA`t PERMIT FEE $ LAT NO.SUBDNISI 9-20 NS NAME PARCEL MAP CAST i>b, "y 41 ,*b PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE / SF ❑ Duplex ❑ Mobilehome ® Other SERA SPECIFY Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New 161 Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 100 AMP 5ZNGLi MUTT SE� MFN (2) 3200 GAU-DN SEPTA, PVMP 1ANK5 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 OOOVORLE Main Service 2o0A 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 is in VI force and effect.G �� r 4 1 �� License Class LIC. NO. :! 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 1000A 46.00 NEW CONST. DWELLING OCCUP. ADDNS. ( ACC.BLDSf so. 3.51101 NOR EW CONST. M NON-RESID. @7.50 POWER APPARATUS 6 SINGLE OIfTLET CIR. Ex. Occu OUTLET OR FIXTURES 20 @ 1.00 BAL @ .50 ZED APPLNS. OR Ex. Occup. owners RESID. EA S.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 �' 0 PERMIT FEE $ 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. M 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 Swa GOMPENSATIDN 315LE Fye MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number t ,n 2{ (p 2) — 00 (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' compens on laws of Cal' rnia, and agree that if I should become subject to the wor er c p sation rovisions of section 3700 of the Labor Code, I shall f m y I se provisions. . i• X V Date ✓0_ __ Ignature f plicant - ❑ Owner Contractor ❑ Agent An OSHA er is required for excavations over 60" deep and demolition or construction of structure over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ 49 CONST. TYPE TOTAL FEE $ HAZ. p. FEES IMP FLOOD I CDF PARCEL' PO 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 whic,4,kes have been paid. By PERMIT EXPIRES ON (Date) LW�Receipl:No.1 ITE-D.D.S.-B. D. 'CANARY-ASSESS?)R PINK -INSPECTOR GOLDENROD -APPLICANT 1, It COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive a Oroville, CAlifornia 95965 • Telephone (530) 538-7541 PERMIT NO. IRev.12196) APPLICATION AND PERMIT ~��t 200 25 p BUILDINGPERMIT owmm vst4l l -J E CANWAY I ' "ONG t SO. Fr. OCC. BUILDING VALUATION Facilities owM M'S Ewsra AOoaass 1 2y RA s 'D • Re0 pcUFF (ODSO . °° �° NKt�N C.ONsTRv 0 $ *RECEIPT NUMBER comm`, a's n � o C,N�.zb 27 * TO BE PUT INTO COMPUTER OONflrJCT10MEIDOd1G � Fireplace uao e��o Aoor+tas A' 0 O1nf �� A a4 Total Valuation _ N0 "P EKE �R N NARD� 38 F Gn Fee = 20.00 Permit Fee = asueE= q1 prwUMs � AooAcss 220 ICAND AVIE DIRD07" t:A `�Ibr7 Plan Checking Fee ti eLmAmAmp ee tok 1ZL Energy Plan Checking Fee = S ( 14*3-3 VfNfe- ROA( (�Gl��� C�1 A PERMIT FEE _ LOT -Zt7 eveaveExiswu! a - �� i2� oo FAMEL MAP IL4 5 b-61 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 i USEOFSTRUCTURE / SF O Duplex O Wbilehome IB Other S EZ/XCE METEK Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New tli{ Addition O Remodel O Wales O Installation O Other O Describe Work: 100 AIAP GLNG1• - GSRGUET SEVW(,f- Folk (7) 3SOD GA I I00 $EP'ISG PUMP -IAN GS Gas piping Watern t - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 020.00 PERMIT FEE S ELECTRICAL PERMIT FlUng Fee 20.00 Main Service 200 O0n LOS 23.00 *PERMIT FEE PAID $ SRA $ SHERIFF $ OTHER $ Facilities $ $ AMOUNT RECEIVED $ *RECEIPT NUMBER * TO BE PUT INTO COMPUTER main service 20" TO 1000A YO.uw ww co►6 . Owalm O=P-3.5tsa a ADOW. rt. nm "inom .T.. 07.50 OURIT 04 n1nNNEf yu ,� oa ole. a .70 5.00 ervice V 23.00 Facilities 20.00 23.00 PERMIT FEE I S MECHANICAL PERMIT I Filing Fee 20.0 8.50 PERMIT FEE S Mobile Home Installation Fee S Energy Inspection Fee S °C "T' ' TOTAL FEE $ 1-#Z 0. /EES I W► I R=I) 1 CO/ 1 ►Mcm /o �O This permit Is hereby Issued under the applicable provisar of the Butte County Code and/or Resolutions to do wo indicated above for which fees have been paid. By Date PERMIT EXPIRES ON