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HomeMy WebLinkAbout042-350-01042-35-10 CLIFFORD KELLY 246 - Glenwood, ;.Chicoa - Contr: John Mis(ella Rfg > Permit#1576-85B reroof/SF 042 350-010 A �,P 02-1251 KELLY, CLIFFORD ' `^ IN L- D t 1246 GLENwOOD, CHICO 'CONT`''RRRROOFING�' _ •� o- -RE'RO`OF - BIS -COASq 1 Add' , 1 r 0/0 T F • " . Ki'S4:,x .� .•r � • .rl. 'T:1+'gE-:�4:�"'�.��"a• fi."•1i:.i:'S%3::.�".�+5�,�,';.'•��',�c%t`�+��" ` .•j�,:4. ori �1 • 042 350 010; i 2 125Ic /1J KCLLY,{CLIFF7r'rr 1246 GLCNWOOD, CHLCO��� f > CONT'sRRR'ROOFING • r • ' REPROOF _ iY +�?= _ _ � ,��(�t: �,� ` COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75A4i � E � O. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER dqZ' 7,50-616 ,5 — V `6 J t v ZONING BUILDING PERMIT OWNER /� C1 l� TELEPHONE SO, F7, ON OCC. BUILDING VALUATION OWNERS MAIUNG ADDRESSi .'TZ CONTRAACTTO{RRS NAME ,\ l,� TELEPHONE CONTRACTORS MAIUNG ADDRESS A CONSTRUCTION LENDER Fireplace /01 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 ' ��[tf _ ,�,( �► � � U��, �v Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling 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 gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remo el ❑ Utilities ❑ Insts ytin �4_90ther ❑ Describe Work: Q LA,Mobile Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 V L Main Service . ' 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.j �� Lic. No. License Class i�j� C � p OWNER -BUILDER DECLARATION I 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 Main Service 200A TO 46.00 CCU000A NEW CONST. DWEWNG OCCUP. SO OR ADDNS. ( a ACC. S.3.5QFT. =Rc.,DT. MULTI.OUTLET 97,50 POWER APPARATUS a SINGLE OUTLET CIR. zo p ,.00 Ex. Occup. OUTLET OR FDITURES BAL-Q ,.50 Ex. Occup. OFIxUxEEDTSAA DRQ 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: E7' 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 licy number are: Carrier NIA+'f ��(, 4 t1Fs. (n. Oi l+Y"?- iliCl MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number ") !Q -1 -1 (The above sections need -not -b6 complefed 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'AZ. 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. n X Y Date Mel LX,I (gaDDZ- Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent U 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 $ c.,Tin TOTAL FEE $ D. FEES IMP FLOOD CDF PARCEL PD HD ISSAIE fi This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for wh'ch fees have been paid. By Date/ / V V PERMIT EXPIRES ON J ♦ 16, (— Date Receipt No. .� WHITE-D.D.S.-B.D. #CANARY -A E S R I PIN -IN PECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75g�� PERW NO. (Rev.12/96)N APPLICATION AND PERMITyz- �Z ASSESSOR PARCEL NUMBER3S'� I O /) ZONING BUILDING PERMIT OWNERC V_ - �( Q I jI TELEP HONE SO.. FT. OCC. BUILDING VALUATIO � ..lM OWNER MAI NG ADDR SS l &nW Clio F. d, CONTRACTOR'SNAME Ob�I1v� TELEPHONES CONTRACTOII((RJS ;UNG AADDRESS C/ 1_ CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS a)qte �PiYI(itlt�t7G� Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling 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 gas water heater or vent 15.00 TYPE OF WORK Installation %Other ❑ New ❑ Addition ❑ Remo el ❑ U ilNO Describe Work: —� Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Home ISI GI W @20.00 -Mobile PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 800VOR UE 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. I License Class C 179 Lic. No. 1 1251 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. ❑ 1, 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 L000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( 8 ACC. BLD S. 3.5¢FT. Npµq.,DT' mA%T,' OUTLET @7.50 POWER APPARATUS 8 SINGLE OLlfLET CIR. Ex. Occup. OUTLET OR FIXTURES BAL G 1.50 Ex. Occup. .F,EE RE.SID.OEA 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: 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 ��,(5+ performance of the work for which this permit is issued. 7 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. Caworkers' co ens tion i rance carrier a d lic be are: rrier (Uri-� T ��►�vwe ly)6. i iJ . D ir�'t-C Policy Number (z)-2 (The above sections need not be completed if the permit is for work of a valuation (The 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. _Q j 2�Z Date X 1 Signa Ere of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee 77$— Energy Inspection Fee $ oc T. TY ✓ — TOTAL FEE $ HAZ. D. FEES IMP FLOOD I CDF I PARCEL PD HD tS E 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. / 6 . By Date / U PERMIT EXPIRES ON .5-.16. -? Date Receipt No. WHITE-D.D.S.-B.D. -CANARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 1 Name KELLY CLIFFORD & WILLETTA FAMILY TRU Addr1 IKELLY CLIFFORD D & WILLETTA DEE TRUS' Addr2 124E G LE NO O D AVE Addr3 CH I CO CA 95926 Addr4 , .Comments 14235001000 CONVERTED 09/08/88 Creaking D oc#1 198819999999 D ate Current Doc# 19998 0516910 Dake 04/20/1999 Killing Doc# Date r— Asmt D esc 11246 G LE NWO O D AVE Zoning I R 1 D Drell F Acres 1 0.53 N /C 042 SuplCnkF_ Asmt # 042-350-010-000 Fee # 042-350-010-000 Status ACTIVE Status Date Tax 000 INORMAL OWNERSHIP TRA 002-073 Situs 124E GLENWOOD AVE CHI B ase. D k 101/01/1975-'. 1 Landl 11,451 S tructure Fixtures G rowing Total L&I Fix. RF SIH PP 41,449 0 0 52,900 0 0 0 E xempkl 7/000 NetNetj 45,900 R /C# T/R Dt R /C S kat I: PHY I OWN I EXP I TAX [ HON I ATT I SIT I APR, I PCL Find AgPres E tal N otes B onds Multi Situs Flag1 Flagg Asmt PP Pen Tax PP Pen Appeal Pending Split Pending Landl 11,451 S tructure Fixtures G rowing Total L&I Fix. RF SIH PP 41,449 0 0 52,900 0 0 0 E xempkl 7/000 NetNetj 45,900 R /C# T/R Dt R /C S kat I: PHY I OWN I EXP I TAX [ HON I ATT I SIT I APR, I PCL Find COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION -AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER a ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION ' OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 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 SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 1 2/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Busi and Professions Code and m license is in full force and effect. y License No. Classification - ❑ 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) ❑ 1, 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 CON5TR MULTI -OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea NEW CONSTR POWER APPARATUS &1 NON_RES,SINGLE OUTLET CIR. / P�oness Ex. OCcu Ts OR FIXTURES 20@60c BAL@30 FIXED APPLNS Ex. Occup. our OUTLETS (RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 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 permit Fee $ Contractor 1 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. 1 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. I X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ 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 $ OCCUP. GROUP I TYPE OF CONST, PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATWN -AND PERMIT PERMIT NO. 5J ASSESSOR PA CEL NUMBER —' S— ZONING - BUILDING PERMIT OWNER-, TELEPHONE SO. FT. OCC. BUILDING VALUA ION OW MAILING ADDRESS t G� CO 7 ACTOR ME e ,i TELEPHONE o - ONT ACT •S MAILrNG ADDRESS Fireplace ti CONSTRUC N LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAI ING ADDRESS Permit Fee $ •S® ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS `� Permit fee $ g d BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 r—d',� USE OF STRUCTURE SF ltDuplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: /�Y roe Pi/•'!�. �r�, �. ��t2'� ��,� S� ` Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 ��_Z, �— Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. SLOGS. 21/20sgft 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 y _ri— license is in full force and effect. License N Classification .3 ff ❑ 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 CONSTR U TI -OUTLET 2,50 ea NO N.RESID BRANCH CIRCUITS) NEW -RESD. CONTSTR ( SINGLE OUTLET CIRPOWER APPARATUS .&) NON &) zo®Sot Ex, OCCUp(OUTLETS OR FIXTURES, eAL®30 FIXED ALNS Ex, OCCUp. OUTTS P(RESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 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 FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ 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, Cbuntyot Butte to enter upon the above-mentioned property for inspection purposes. 1 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 agains aid County in conseque a of the granting of this permit. X Date lis � � ature o ppIicant Owner ❑ Contractor ®Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- on of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCcu P, GROUP I TYPE oP CONST. PARCEL PD ND ISSDE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which JIRECWTOF P BLIC BY PER IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date. Receipt No. r3� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT