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Home My WebLink About042-130-003• o I I e 0 N M-130-003 01-2929 HEIGHTOWER, GRACE 1243 GLENWOOD, CHICO CONT: ARTIC AIR FREE STANDING HEATER COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754�PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT C-r.a�ta� ASSESSOR PARCEL NUMB _/ n ✓/`� o -no3 ZONIN —5 BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION .OWNER LI /1 7SS ^ ` •J( l/.iCy/!/�l COMRA ` TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ 0 IL $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF,X Duplex ❑ Mobilehome ❑ Other spEClpv 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: , q Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service z.*oa1 oa mss 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 isyin fL�JLiof and effect. 2 /� �J License Class l is Lic. No. 'C `4 � •'l I 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: ❑ 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' Aompensation insurance ci ne an olicy numer e: Carrier 1' 0 ntir1� 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.) ❑ 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' comp nsation laws of California, and agree that if should become subject to the or rs' compensation provisi of section 3700 of the Labor Code, I shall f with co ply with -those pr visions. X D t _ (� �� Signa' re o Applican - ❑ Owner-0Contractor Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO +conA 46.00 NEW CONST. DWELLING OCCUP, SO OR ADDNS. ( a ACC. BUDS. 3.5QFT: Np .C.O,p ' MULTI.OUTLEr @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. ounETORFDRURES BAS@'.50 Ex. Occup., oiITLEEDTSA REM.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirino 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating 16-- 0-D 5. Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ rj 3 T. rrPE TOTAL FEE $ 3rj . 00 HAz D p pL000 CDP I PARCEL I pD I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicat ove for which fees have been paid. By/111 Date PERMIT EXPIRES ON ate Receipt No. 7-4= --?- 3:S•60 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT