HomeMy WebLinkAbout042-020-039042-020-039 PERMIT996-0697
CHAPMAN, Gene
3364 Nord Ave., Chico` %�
Cont; Four Seasons Roofi g
Reroof/SF 410(ql
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X042-020-039. PERMIT#96-0697
CHAPMAN,'Gene
3364 Nord Ave., --Chico
-Cont; Four.Seasons Roofing
Reroof/SF
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COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541'' E,, ;, No.
APPLICATION AND PERMIT / 9 -�C� 7
X042-PARCEL
20 039
ZONING
AS
BUILDING PERMIT
GENE CHAPMAN
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
25 1540
OWNER'S MAILING ADDRESS
FWRDR'S NAME
SEASONS ROOFING
FTELEPHONE
895-0418
CONTRACTOR'S MAILING ADDRESS
4950 COHASSET RD #10 CHICO 95973
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee $ 20.00
LENDER'S MAILING ADDRESS
Permit Fee $ 35,00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDINGADDRESS
3364 NORD AVE I RIM CHICO
PERMITFEE $ 55.00
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar or heat pump water heater 23.00
Water piping 15.00
USEOFSTRUCTURE
SF [I Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each gas water heater or vent 15.00
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Unities ❑ Installation ❑ Other ❑
Describe Work: COMP REROOF
Mobile Home I S I GI W 1 @20.00
PERMITFEE $
Contractor
ELECTRICAL PERMIT Filinq Fee 20.00
Main Service a OV OR LESS
( 2ooA OR LESS ) 23.00
Main Service ( 200A To I000A ) 46.00
"�.
ro 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 full force and effect.
s�-'�
License Class '-y"7 Lic. No. 6i y / �
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ 1, 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
NEW CONST. DWELLING OCCUP. SO.
OR ADDNS. ( & ACC. BLDS. ) 3.50 FT.
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS ) @7.50
POWER APPARATUS
( & SINGLE OUTLET CIR. )
Ex. Occup. (OUTLET OR FIXTURES) 20 @ 1.00
BAL .50
Ex. Occup. (OUTLETSIXAPPUNI.OR 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMITFEE s
Contractor
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 �714")P-�'
MECHANICAL PERMIT Filing Fee 20.00
g
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE $
Contractor
Policy Number Z 2 — L —v j = S
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
111 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 ''%�%r�- 7 __4 ate 4���
Signature of Applica"O�r ❑ Contractor p Agent /_
An OSHA permit is required for excavations over 60" deeand demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee is
Energy Inspection Fee Is
occ
CONST. TYPE
TOTAL FEE $ 55.00
HA2.
1 D. FEES
I IMP I FLOOD
I CDF PARCEL PO HD
I 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 Date
PERMPIRESON
(Date)
Receipt No. I7OD3f
WHITE-D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE- DEPARTMENT OF rvEVELtIPMENT SERVICES - BUILDING DIVISIO
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7W
38-7 E MIT 0.
APRUCATION AND PERMIT 70
ASSESSOR PARCEL NUMBER
042-020-039
ZONING
A5
B ILDING PERMIT
OWNER
GENE CHAPMAN
TELEPHONE
SQ. FT. OCC. BUILDING _VALUATION
25 1500
OWNERS MAILING ADDRESS
CONTRACTOR'S NAME
FOUR SEASONS ROOFING
TELEPHONE
895-0418
CONTRACTOR'S MAILING 4 ADDRESS
5RD 10 CHICO 95973
9 0 COHASSET
Fireplace
CONSTRUCTION LENDER
UNMOWN
Total Valuation Is
Filing Fee $ 20.00
LENDER'S MAILING ADDRESS
Permit Fee $ 35.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty $
BUILDINGADDRESS
PERMITFEE $ 55.00
PLUMBINGPERMIT Filing Fee 20.00
Each Trap 7.00
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
Solar Or heat pump water heater 23.00
Water piping 15.00
USEOFSTRUCTURE
SF IR Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each gas water heater or vent 15.00
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: _COMP REROOF
Mobile Home I S I G W 1 @20.00
PERMITFEE g
Contractor
ELECTRICAL PERMIT Filina Fee 20:00
Main Service 000 OR LESS
( 2ooA OR LESS ) 23.00
Main Service ( 200A TO I000A ) 46.00
-
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 full force and effect.
License Class c3,:? Lic. No. 3
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.
❑ 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
NEW CONST. DWELLING OCCUR s0.
OR ( a ACC. ) 3.50 FT.
MULTI.OUTLENS.
NEW CONS.
TLE T
NON-RESID. ( BRANCH CIRCUITS ) @7.50
POWERAPPARATUS
(a SINGLE OUTLET CIR. )
Ex. Occup. ( OUTLET OR FIXTURES) 20 @ I-'
SAL @ .SO
Ex. Occup. (oFIXED APPLNS. OR
RES D.) EA) 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMITFEE $
Contractor
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
pHood
erformance of the work for which this permit is issued.
have and will maintain workers' compensation insurance, as required by Section
700 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 s'7�4-T1� �i..,.o
Policy Number Z�2— C;4,>a 3 ---8
(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 at4gn /�
MECHANICAL PERMIT Filing Fee 20.00
9
Heating
Cooling
6.50
Ventilation
PERMITFEE $
Contractor
Mobile Home Installation Fee $
Energy Inspection Fee Is
occ
CONST. TYPE
TOTAL FEE $ 55.00
HAZ.
I D. FEES
I IMP I FLOOD
CDF PARCEL PD HD
LSSUE
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 Date
PERMITEXPIRESON 2 � 7
�— (Date)
Signature of Appli ❑Owner ❑Contractor An OSHA permit is required for excavations over 60" deep Wnd demolition or construction/
of structures over 3 stories in height.
rReceiptNo. 17��.
ITE-D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT