HomeMy WebLinkAbout041-620-025041-620-025 .01-0306
VINETTE, CONWAY
CASA DEL RAY, CHICO'
CONTR: FRANKLIN CONSTRUCTION
SEPTIC PUMP TANKS; 100 AMP
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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