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HomeMy WebLinkAbout042-350-02929, GEDNEY, Curtis. W. 5449B •2065289B'42=35 -29s �4192P i JACKSON; Doris -�* • ' , . s 42-35-2., 1221YGlenn, Haveh-Dr.. ,....Chico 1261 Glenhaven"Dr; Chico , ", 44 r ContR: M. Ely rRoofing I CO,NTR: Geo. Honeycutt 2 Jean Lane,- Chico (new single family) e P 0� .M: F • ' 1 " K 0 I f I e � k . t 0 I MROMCamp COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, Californ,ig 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 0 4.2 - 000 ZONING rZ 1 BUILDING PERMIT OWNEjR 1 TELEPHONE ,SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 7 1-� 0 PJ C O N TRAC T O R'S N AM E n TELEPHONE CONTRACTOR'S MAILING APORESS T . I j� .'.11( l' h C.� i 1 J Fireplace CONSTRUCTION LENDERUNKNOWN ) /1 Total Valuation $ L/3 -5d FilingFee $ 10.00 LENDER'S MAILING ADDRESS " Permit Fee ; ARCHITECT OR ENGINEER t LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS • Penalty $ BUILDING ADDRESS Permit fee ; PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 V Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other [IPermit Describe work: 4 A s �P r ri �F o !./ /C' ✓ I , ,L. /YY9a +� • Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 00V OR LESS 1AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW penalty of p I y (Check one): I declare under perjury n I am licensed under provisions of Chapt. 9, Div. 3 of the Business and ProfessionsCode .�CoLde and my license is in full force and effect. License No. ! r •1� Classification ❑ 1, 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 CONST-( � DWELLING OCCUP.a) , OR ADDNS. ACC. BLDGS. /20sgft NEW CONSTR. MULTI-OUTLET NON.RESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. ) EX. OCcup(OUTLETS OR FIXTURES Z09SOt eALe 30 Ex. Occup. OUED PR TLETS (RESID.)EA.) 2.00 Temporary service 10.00 Mobile Home.Facilities 15.00 Misc. Wiring 15.b0 Permit Fee $ Contractor 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. MECHANICAL PERMIT Filing Fee 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. .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 c nsequence of the granting of this per it, yG P t �! L--, Date �i� X //' / Signature of Applicant — Owner ElContractor❑ Agent ❑ An OSHA permit ,isirequired for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 4 f� Occ"P, CONST*TYPEJ SCHOOL FLOOD PARCEL P11 1 ND 1 IssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF. PUBLIC r By, e .'?A L� i. ; r PERMIT. EXPIRES date the applicable provi- resolutions to do fees have been paid. WORKS Date/-- ate- � 9 `l �/// j � Receipt No.- WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - OrovIIIe, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ERMIT N ASSESSOR PARCEL NUMBER 4A _36t) -021- 00 ZONING 1 BUILDING PERMIT OWNER S TELEPHONE 1 SQ. FT. OCC, BUILDING VALUATION 29 Sd Zr OWN R•S�MAILING ADDRESS aa -II GI ✓ - Pik- 5 CONT ACTOR'S NAMEDO, - TELEPHON 3 (��f/p 3. CON R CTOR'S MAILIN A DR SS (' [9 i CO Fireplace CONSTRUCTION LE DER AIL NKNOWN Total Valuation $ C5 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ d ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee • 5° PLUMBING PERMIT Filing Fee 10.00 O Each Trap 2.00 ���L• Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G IN 10.00ea U. "' TYPE OF WORK New Addition❑�1 Remodel❑ Utilities[] Installation❑ Other [I Describe work: !C QioPF L,c1' i / -A A A yc�c o 'L f Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD•L 100 AMP 3 i' 2.50 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 Cod and my license is in full force and effect. License No. Classification ❑ 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 CONST. DWELLING OCCUP.a` ,/z¢sgft OR ADDNS. ACC. BLDGS. /;_c •; NEW CONSTR I.OUTLET NON.RESID .BRA C CIRCU, TS'�' 2.50 ea POWER APPARATUS 6 SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 20050t eALO 30 Ex. OCCUp. OUTLETS FIXED P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 9 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. rv� 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. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. ee to save, indemnify and keep harmless the County of Butte against ties, judgments, costs, and expenses which may in any way accrue id County in c sequence of the granting of this perm' IA;This q Date Signature of Applic Owner❑ Contractor ❑ Agent An OSHA permiti required for excavations over 5'0" deep and demolition or construct- ion of structures o�er%3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ _0 OCCUP. CONST.TYPEJ SCHOOL FLOOD PARCEL P11 Ho ISSUE permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR O"UBLIC BY � PERMIT EXPIRES ate the applicable provi- resolutions to do fees have been paid. WORKS Date(2,' •� s g;2 c•� !� Receipt No. WNITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT For