HomeMy WebLinkAbout042-100-02542-10-25 n
EUGENE F. HERFI
Kennedy Ave, 2 lots from Muir Ave Chico
Contr: .Four Co Roofing Permit#2627-85B(reroof/SF) iol;N
i
.042=100-025 `` PERMIT ,#97=2442
HERFI ;1 Retta M:�
2979 Kenriedy�-'Ave ,',Chico.4' ' r
WRepair Gas
042-10-0-0258 14
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HERFI, 'RETTA 00-128.3 '
2979 KENNEDY AVE,
CONTR: CI-H
UNIVERSAL ROOFING
RE ROOF WITH
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042-10-0-025 '} 00-1283
HERFI, RETTA '
2979 KENNEDY AVE.; CHICO
CONTR: UNIVERSAL ROOFING
RE ROOF WITH COMP
Of
IJ
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538.-7541 P RMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
zDNtNr,
BUILDING PERMIT
OWNER r-1 lit.TELEPHONE
SO FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
Ii
CONTRACTOR'S NAME
TELEPHONE
ic 4
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAIUNG ADDRESS
Fireplace
Total Valuatlon $
Q
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee 1
$ 20.00
Permit Fee
$ b -m
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
Energy Plan Checking Fee
$
$
kis Li
PERMIT FEE
$ cd pp
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
SF Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each gas water heater or vent
15.00
TYPE OF WORK
/
Gas piping system 1- 5 outlets
15.00
Buildingsewer
15.00
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 20,
Describe Work:{ SI+�•%S'nE
Mobile Home IS I GI W
@20.00
Al ,J
PERMIT FEE
$
4.
ELECTRICAL PERMIT
Filing Fee 20.00
800VR
Main Service .0,100ROR 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 i full force and effect. �{ Gam}
License Class Lic. No.
OWNER -BUILDER DECLARATION
Main Service 200A TO t000A
46.00
NEW CONST. DWELLING OCCUR
OR BBUDS.
3.5Q ,
F7
CONS. MULACC.
=RESID.
@7.50
POWER APPARATUS
E SINGLE OUTLET CR.
EX. Occup. OUTLET OR FIXTURES
.00
BAL 20 @ 1.50
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
Ex. Occup. OFIxx''AAaDOEA
5.00
Temporary Service
23.00
❑ 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.
Mobile Home Facilities
20.00
Misc. Wiring
23.00
❑ 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
PERMIT FEE
$
MECHANICAL PERMIT
Filing Fee 20.00
WORKERS' COMPENSATION DECLARATION
Heating
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.
Cooling
Hood
6.50
Ventilation
El 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
PERMIT FEE
$
Mobile Home Installation Fee
$
Policy Number LY= -(�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
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE
$
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
RAZ.
D. FEES IMP I
FLOOD
I CDF
PARCEL
PD
HD
I ISSu
workers' compensation provisions of section 3700 of the Labor Code, I shall
This permit is hereby issued under the applicable provisions
forthwith comply with those provisions.
X _-_ Date -(
of the Butte County Code and/or
indicated above for which fees have
Resolutions to do work
been paid.
Signature of Applicant - ❑ Owner MContractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
By _
PERMIT EXPIRES ON
Date " 7- CO
�p �� G
ReceiptNo.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
Date
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 a /. PERMIT No.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER �•
- r:S�+
TELEPHONE
3
SO. FT. OCC. BUILDING VALUATION
/V -7o
.OWNERS ADORE j
Gti �4
CONTRACTOR'S NAME ]M;NE
CONTRACTORS MAILING
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $(tp
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee �
$ 20.00
Permit Fee
$ G 3
ARCHITECT OR ENGINEERS "UNG ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
,-7
/V
Energy Plan Checking Fee
$
625
Nv,
$
PERMIT FEE
$ O p
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF)V/Duplex ❑ Mobilehome ❑ Other
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 ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other t$'
Describe Work: w+t � / �WFGS "44 _
lV eLAL)
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE
$
ti
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service pOADpLEgg
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 i full fo ce and effect. ^ �n
License Class Lic. No. j oG.
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.
OR ADDNS. a ACC. Blas.
SO
3-y FT.
NON-RESID. MULTI -OUTLET
97,50
POWER APPARATUS
8 SINOIE OUTLET CIR.
Ex. Occu OUTLET OR FOCTURES
20 @ '.00
SAL p ,50
Ex. Occup. ountrs AES D.oEw
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
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.
;I 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 ins rant carrier and policy number are:
Carrier L:se r- V�
Policy Number -01
(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 ith th rovisions.
//
X - Date doOc�
Sipatl�re of�ApplUnt - [I Owner /&Contractor 11 Agent
Aii OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over3 stories in height.
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ ? 3 , tYO
�HAZ.
D. FEES IMP
I FLOOD
CDF
PARC0.
PD
HD
M U
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
Q
By F
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date 16-7-670
-7,
Date
Receipt No. O(� 3'SZ.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I
"5.; '"••�`:�'�i,e�+ P'�T�''�is•.t?`r�r"-��,'y'h�'iS"'�w;,',�"�- �i".��:ar7ef%�e?,n:�16'�fi`;�•Y'F•�-;,�-�,,.....�
f
-100-025 PERMIT #97-2442
FI, Retta M'..9 Kennedy.Ave., Chico
air Gas Line/SF
OFFI
CE COPY
Address �! .i,D y;I�ec
GAS !/
,Meter By Date
'.ELECTRIC'
Meter By Date
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, Gilifornia 95965 - Telephone (916) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT—�A7",)q
ASSESSOR PARCEL NUMBER, 7`1_ /Ow ` „r
L1 r S
ZONING /
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS r
. Cp - 6-,,r 1 5 C-y��1 ! .� "1
CONTRACTOR'S NAME
V 4 V. e4,2 ,
TELEPHONE '
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Fee
$ 20.00
—Filing
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
SUILDINGADDRESS 11-�e,4eJil Ave-
Energy Plan Checking Fee
$
PERMIT FEE
S
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SFX 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: 11.0,041,4
Gas piping system 1 - 5 outlets
X 15.00 /{
Building sewer
15.00
Mobile Home S I G I W
920.00
PERMIT FEE
ELECTRICAL PERMIT
Filing Feel 20.00
Main Service zusnos'.ss
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
i .
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 Llc. 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
❑ 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:
❑ 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 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.)
EK 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 % '� _�A'. J_�_ Date %�L2 101 _
Signatui Applicant - ❑Owner •O Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service ( 200A TO I000A J
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( & ACC. BUDS.
SO
3.50FT.
NEW CONST. MULTI -OUTLET
NON-RESID. BRANCH CIRCVIrS 97.50
POWER APPARATUS
6 SINGLE OUTLET CIR.
20 @ t0
Ex. Occup. OUTLET OR FIXTURES er,L .50
Ex. Occup. OUTLEETSPaEws o.OFR.A 5.00
Temporary Service 23.00
Mobile Home Facilities
20.00
Misc. Wirina
fl
PERMIT FEE S
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE S
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 3 o�
ISSUE
HAZ.
D. FEES IMP
FLOOD
CDF
PARCEL PO
HD
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By " �1
PER T EXPIRES ON.D.S.•B.D.
the applicable provisions
Resolutions to do work
been paid.
Date
1 r
Dele
rR7eceipto. Y %%
CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION/"
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT Z Ztf7_
ASSESSOR PARCELNUMBERf177 I� /O-
ZONING
�-
G
BUILDIFPERMIT
OWNER
A7, !�/�t/
TELEPHONE
y�
SO. FT. OCC. BUILDING VALUATION
OWNER'SNG ADDRESS DDS
o.S -5-1 / C-&/ Z �, ^/
CONTRACTOR'S NA
TO['Jf
TELEPHONE '
CONTRACTOR'S MAILING ADDRESS
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
c e�2c� ✓�
Energy Plan Checking Fee
$
$
� L
PERMIT FEE
$
LOT NO.
SUBDIVISION'S NAME
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 as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑- Utilities ❑ Installation ❑ Other
a /
Describe Work: ' 1 �j0/31 et Gl �.3 It,,) e- �'�
/ � e�
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE
—
S 35
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ( loon 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.P
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 OCCUR
OR ADDNS. ( s ACC. BIDS.
s0
3.5¢FT:
rNioN-REs"DT CTI CUTCLU
TS
@7.50
OWER APPARATUS
a SINGLE OUTLET CIR.
Ex. OCCu OUTLET OR FIXTURES
20 p 1.00
BAL @ .SO
Ex. Occup. ouTiErs REQS o.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:
❑ 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 workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
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.)
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 _ Date %/ LZr% _
Signature 6 App (cant - ❑ Owner ❑ gbritractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction�f
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy inspection Fee $
occ
CONST. TYPE 31S- ®�
HA2.
1 D. FEES IMP I
FLOOD
I CDF
PARCEL I PO
I HD
I ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
B�
By '/r/"`�
PER T EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date 1/11 G 7- %
(Date)
ReceiptNo. Y% 7
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
R (3
/ `� t -i tj e zly
c2 q 7 ct �reiv, W-1-7
garoo-
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
ems!'
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
42-10-25
I -)NTNG •.
BUILpINV PERMIT
OWNER
Eugene F Herfi
TELEPHONE
343--3466
S0. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS '
Rt. ? Bus: 326, Kennedy Ave., Chico, CA 95926
29 snuates Shake re -roof
CONTRACTOR'S NAME
FC„':' COTt tIES ROOFING CO.
TELEPHONE
343-1416
CONTRACTOR'S MAILING ADDRESS
a
1060 11aruder St., Chico, CA 95926
Fireplace
CONSTRUCTION LENDER
NSA
UNKNOWN
Total Valuation $ 4.350.00
Filing Fee $ 10.00
LENDER'S MAILING ADDRESS
Permit Fee $ 50.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Penalty $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee / $ 60.50
BUILDING ADDRESS
Rt. 2 Box 326. Kennedv Ave.. Chico. CA
PLUMBING PERMIT Filing Fee, 10.00
(2 Lots from Muir Ave.)
Each Trap I 12.00
Solar Water Heater; / y 20.00
Water piping G / 5.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Each qas water heater or'vent 5.00
Gas piping system 1 = 5 outlets 5.00
USE OF STRUCTURE
SFFYI Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer 5.00
Mobi le Home S I G I W 10.00 e
TYPE OF WORK
New F-1 Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other.`
Describe work: Re -roof _
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 10.00
Main service 600V OR LESS 10.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 2.50
NEW CONST. ( DWELLING OCCUP.&1 2'h2sgft
OR ADDNS. 1 ACC. BLDGS. II
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
Q I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and m license is in full force and effect.
y
License No. 275945 Classification -39
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW NON -RESID R BRANCH CIRCUITS i 2.50 ea
NEW CONSTR. POWER APPARATUS & '
NON-RESID. (SINGLE OUTLET CIR. -�
Ex. Occu 2ALO 30
P�o OR FIXTURES BAL®30
IXLETs
FIXED APPLNS: OR
EX. OCCUp- OUTLETS (RESID.) EA.) 2.00
Temporary service / 110.00
Mobile Home Facilities 15.00
Misc. Wiring/- 15.00
Permit'Fee $
Contractor
MECHANICAL PERMIT Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
a I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
/
Cooling —
Hood / 3.00
Ventilation
Permittee $
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against,said County in consequence of the granting of this permit.
xC>- r -,`V/ Y Mj4 Y,( 'IISept.3, 1985
`work
Signature of Applicant — Owner❑ Contractor ❑ Agenti❑. X
An OSHA permit is required for excavations over 5'0” deep and demolition or construct-
ion of structures oovverf,33 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ 60.50
OCCUP. GROUP
I TYPE OF CONST,
PARCEL
PD
HD
IssuE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
indicated above for which fees, have been paid.
DIRECTOWOF PUBLIC WORKS
By_ �. Z. 6 //lir�l�/� Date
-
PERMIT EXPIRES Date �� �I/1 A j
Receipt No. rT /�� ��ln
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
't COUNTY OF BUTTE - DEPARTMENiT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965- Telephone 916/534-4541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
42-10-25
ZONING 4,
BUILDING PERMIT
OWNER
Eugene F Herfi
TELEPHONE
343-3466
S0. FT. OCC. BUILDING VALUATit
OWNER'S MAILING ADDRESS
Rt. 2 Box 326 Kennedy Ave. Chico CA 95926
29 s ua es Shake
re -roof
CONTRACTOR'S NAME
FOUR COUNTIES ROOFING CO.
TELEPHONE
343-1416
CONTRACTOR'S MAILING ADDRESS
1060 Marauder St., Chico, CA 95926
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 4 350.00
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 50.50
ARCHITECT OR ENGINEER
LICENSE No.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ 60.50
BUILDING ADDRESS
Rt. 2 Box 326 KennedyAve. Chico CA
PLUMBING PERMIT
FilingF 10.00
2 lots from Muir Ave.)
Each Trap
.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater vent
5.00
Gas piping system - 5 outlets
5.00
USE OF STRUCTURE
SF [X] Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Ho S I G I W
10.00 e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other
Describe work: Re—roof —
_Pe6it Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA, ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADONS. ( ACC. BLDGS.
t
2h ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. 275945 Classification C-39
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CO ID P- BRANCH CTRCTITS 50 ea
NEw CONSTR POWER APPARATUS
NON-RESID, (&
SINGLE OUTLET CIR.
z0es0c
TS OR Fix RE
Ex. Occup(o s BAL®30
FIXED APPLN OR
Ex. Occup. OUTLETS IR ID,) Fr 2.00
Temporary service 10.00
Mobile Home Fac' it 15.00
Misc. Wiring 15.00
Permi ee $
Co tractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
® 1 have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Fili ee 10.00
Heating
Cooling
Hood
3.00
Ventilation
pe ee
$
ntractor
I certify that I have read this application tan`d state that the above information
is correct. I agree to comply to all County Ordinances, and State Laws relating
to building construction, and hereby atji,1lo�Aze._reptds,6ntatives of the Countyot
Butte to enter upon the above -m'e'rrt'i,�n , ' r@pertp-,,fdf inspection purposes.
1 also agree to save, indemnify aridWeiep harmless the County of Butte against
all liabilities, judg ents, costs, and expenses which may in any way accrue
against s County i n equence of the granting of this permit.
X Se t.3 1985
Date— _P
Signatu a of Applicant — Owner ❑ Canrracror ❑ Agent)U
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over.3 stories in height.
Mobile Home Installation Fee $
,TOTAL PERMIT FEE $ 60.50
OCCOP, GROUP
I TYPE of CONST.
PARCEL
PD
MD
tssuE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIR OF PUB
B
PERMIT—EXPIRES Date
the applicable provi-
resolutions to do
fee have been paid.
ORKS
Date
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF gLr-,,.E
DEPT. OF PU&JC WORKS
SEP 101985