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Home My WebLink About042-080-043042-080-043 00-10598 TERRY, Jerry 2104 Kennedy Ave., Chico Cont: Universal Roofing Systeml Reroof/S F 042-080-043 s► 00-1059B TERRY, Jerry+ 2104 Kennedy Ave., Chico Cont: Universal Roofing Systems Reroof/SF COUNTY OF BUTTE.- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 042-080-043 ZONING ILDING PERMIT OWNER.' tc - 1L -C r .TERRY TERRY TELEPHONE SO• FT. OCC. BUILDING VALUATION iwn OWNER'S MAQNG ADDRESS 27 KENNEDY AVE.. CHICOLA ' CONTRACTOR'S NAME iR : w U ;a-l2lcft TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER .r ' LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 1320 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 33.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 2104 KENNEDY R MIC0 Energy Plan Checking Fee $ $ PERMIT FEE $ 53„00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF,E�. Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: •' r- !e �, ,'3V Gas piping system 1- 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 LE Main Service 2001 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 full force and effect. License Class I, :_Yi Lic. No. � !]i1 � 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 WORKERS' COMPENSATION DECLARATION plhereby affirm under penalty of perjury one of the following declarations: h 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. ,Et( 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 �r.. �;Pr✓1+c * 15-11 �i Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. s0 OR ADONS. . A.C. BLDS. 3.5¢FT. NO ES', MULTI.OUTLET 97,50 POWER APPARATUS 8 SINGLE OUTLET CIR. OUTLET OR FIXTURES 20 Q 1.00 Ex. Occup.BAL. o .so Ex. Occup. OF E% Aa o.oRA, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number �"7� -yxl ! a)C{ .►fit (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 / Date S '15 ' (Z% Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or constructiorf",-� of structures over 3 stories in height. �. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 53.00 HA2. D. FEES IMP I FLOOD CDF PARCEL I PD I HD ISSUE �/ This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above fo�hich fees have been paid. �,y. _9L*k-�—Dat'rh -<9 d PERMIT EXPIRES ON - rr 0 t Date Receipt No. K��'j r "� '�'�" WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT [_% t z COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVIS 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 042-080-043 ZONING C2 B d ILDING PERMIT OWNER sclcT JERRY TERRY TELEPHONE SO. Fr. OCC. BUILDING VALUATION . OWNER'S MAI NG ADDRESS 2775 KENNEDY AVE. CHICO CONTRACTOR'S NAME U :N TELEPHONE V2 --f lloLE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ 1320 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Permit Fee $ 33.00 Plan Checkin Fee $ BUILDINGADDRESS 9104 KENNEDY AVE CHICO Energy Plan Checking Fee $ $ PERMIT FEE $ 53.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF/,g- 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 ❑ Describe Work: �Cw�O1J� jpla la�= f N Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S rELECTRICAL PERMIT Filing Fee 20.00 .)I OR ain Serviceain 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 full force and effect. j�c GG License Class L r 36 Lic. No. (J C:$o 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 Service 200A TO 1000A 46.00 NEW CONST. DWELLIUP. NG OCC OR ADONS. ( 8 ACC. BLDS. SO 3.50Fr. NEW D MUL H_CIRL. @7,50 POWER APPARATUS 6 BINDLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 @ 1'00 SAL @ .so Ex. Occup. ..ED AEs '.DEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 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 carriesS and policy number are: Carrier _rAc <,,-,, ,4,J5, 5:u i Policy Number :�- g !jnC,r -•[>l (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 tho pr visions. X 2 Date _ /S' 0!5 ! atur pplican - ❑ Owner ❑ Contractor ❑ Agent n OSHA permit is required for excavations over 60" deep and demolition or constructio of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 53.00 HAZ. D. FEES IMP I FLOOD I CDF PARCEL I PO I HD ISSUE This permit is hereby issued under the applicable provisions of the Butte Countyode and/or Resolutions to do work indicated above f whilIh fees have been paid. �t PERMIT EXPIRES ON ^® Date Receipt No. 294504 53.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT t� (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL2M O �r�— `. ®j ZONING BUILDING PERMIT OWNER �js TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNEAS MAI CON2TrR'S NAAAE� / TELEPHONE r/\ CONTRARAC 5 MAULING ADDRESS ` CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. —Fling Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ Plan Checking Fee $ sUILDINGADDRESS Energy Plan Checking Fee $ 1� $ PERMIT FEE $ 3 �^ LOT NO. SUBDNsgS NNAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each aas water heater or vent 15.00, TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping stem 1 - 5 outlets 15.001 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT I Filing Feel 20.00 MOOOV OR LESS Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencin g with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. 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 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I 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 workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ I 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 Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50` deep and demolition or construction of structures over 3 stories in height. Main Service YOGA TO 1000A 46.00 NEW CONST. DWELLINGOCCUP. s0 OR ADDNS. ( a acc. i s, 3.5¢FT: NON °ONS MULrI•ounEr NON -RENS @7.50 POWER APPAMTUS 8 SINGLE OUTLET CIR. EX. OCCU OUTLET OR FDRUREs BALI �' 0 Ex. Occu . on'Lunt°rs AESID.) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEiE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ D FEEs IMP I FLOOD COF PARCEL I po HD ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON (DaAs provisions to do work paid. Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT C�J-C� q 5�_-) q