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Home My WebLink About042-200-013yti�,it ��'t��t ��?��1S.�i �•�,,f ,�tj,7+� F',�t.7�:%�y ,��.��t .��"�:.. ry+}' �. �,F;z �'{�'�� f 042-20-0-013 00-1325 BRANDSTAT, JERRY I D 1945 WEBB AVE., CHICO O CONTR: McCLELLAND AIR NEW HVAC �\\ 13 f 1 642-20-0-013 00-1325 BRANDSTAT, JERRY 1945 WEBB AVE:, CHICO CONTR: McCLELLAND AIR NEW HVAC t COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 4 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT N0. (Rev. 12/96) APPLICATION AND PERMIT ' Z;'� - ASSESSOR PARCEL NUMBER g «• A ZONING BUILDING PERMIT V OWNER .\-C r r q TELEPHONE 3 - SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADD ESS 1 CONTRACT,./O,/R'S NAME / 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 $ BUILDINGADDRESS ,, Energy Plan Checking Fee $ /gy PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF El 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 0' Other ❑ 1 Describe Work: �t /� l ,� V Li f j I I Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE SA 1-5 ELECTRICAL PERMIT Fling Fee 20.00 Main Service A 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. , f' License Class �� 7 !� Lic. No. ' t./ — OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License.50 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' compensation insurance carrier and policy number are: Carrier CA / �-t�, 11 '' Main Service 200A TO IOWA 46.00 NEW CONST. DWELLINGOCCUP. OR ADONS. ( a ACC. BLDS. so 3.50FT, =R SI MULTI -OUTLET @7,50 POWER APPARATUS a sINGLE OUTLET US Fj(, OCCU OUTLET OR FIXTURES BAL 1.00 FIXED APPLNS. OR Ex. Occup. ouTLErs REBID. Ea 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 M PERMIT FEE $ P� MECHANICAL PERMIT Fling Fee 20.00 Heating t) Is O G' d �' Cooling Hood 6.50 Ventilation PERMIT FEE $ /l r.'_t) Policy Number -1 I -'2.1 G/ f (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, arid 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,, i— 1 /7 ! U o Signature of Applicant - ❑ Owner ❑ Contractor E1ooAgent ' An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $`D w ;&- v HAZ. D. FEES IMP FLOOD 77 PARCEL PD HD 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 ! ! . t /i • i _:- Date f f � � PERMIT EXPIRES ON I / Delo ReceiptNo. v' "/4-/ 3 -7 5 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT N (Rev. 12/96) APPLICATION AND PERMIT®` ASSESSOR PARCEL NUMBER 13 ZONING BUILDING PERMIT OWNER TELEPHONE 3 -d SO, FT, OCC. BUILDING VALUATION OWNER'S MAILING ADD*AS o A,, L `c CONTRACTOR'S NAME f TELEPHONE / CONTRACTOR'S MAILING AD RESS 4 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 $ BUILDINGADDRESS /"1 7 Energy Plan Checking Fee $ / d $ PERMIT FEE $ LOT NO. S UBDN610N'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SFDuplex ❑ 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 2r Other ❑ Describe Work: /�{� J V 4 G Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S d� ELECTRICAL PERMIT Fling Fee 20.00 600V OR LE Main Service zaOAORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 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 2J Lic. No. �� 1 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 Zoog TO 46.00 NEW CONST. DWEDWELLING OCCUCCUP. (__& B NRA cors . MULACC. NotFRESID. @7.50 POWER APPARATUS b SINGLE OUTLET CIR. OUTLET OR FIXTURES Ex. Occup.BAL 20 p I.00 o .50 Ex. Occup. ouT>FrsRES D.) Ek 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE S c -0 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' 96mpensation, 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' comp nsstion insurance carrier and policy number are: Carrier 5i..A I /-'O3/' MECHANICAL PERMIT Filing Fee 20.00 Heating 5 d d sa-v Coolin / • c Hood 6.50 Ventilation PERMIT FEE S Policy Number r7 f -Z.i y (rhe above sectio sn need not l5e 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 w rkers' compe on provisions of section 3700 of the Labor Code, I shall f with comp Ith ose provisions. e X Date 175 v v Si na ure of Applicant - ❑Owner ❑Contractor gent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ a•o HAZ. D. FEES IMP I FLOOD I CDF PARCEL PD HD 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. // !y By Date /1 h PERMIT EXPIRES ON/ Z 0 Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT