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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 5,. HERFI, 'RETTA 00-128.3 ' 2979 KENNEDY AVE, CONTR: CI-H UNIVERSAL ROOFING RE ROOF WITH 3 80 ��s r:4t�= vra ..;x.. �:`eq;� ..Q,_�'+•,tY'y yn - w.+.vsMcs+..w�•w.,-. fig. o-�,a.,rr,�cB+v7".,.. :. y � ri �« � wMs�lyq,�¢:1d3CF.+.�r.Z-yir..:E.^".C.'i'1M,•ty�,t+,7j'r,";.ur.�Et�f�.x�`taws=.*,y..{�.^+...�.�.+• t 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