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
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ContR: M. Ely rRoofing I CO,NTR: Geo. Honeycutt 2 Jean Lane,- Chico
(new single family)
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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