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Home My WebLink About043-682-048I 0'4'3'-'6"8-2-048 02-3403 CAVA'NESS,jEkkY ll.tVjA Los ARBOLES, CHIC( 'CONt:UNIVERSAL ROOFING SYSTEM " "RE -ROOF COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT N-6. (Rev. 12/96) APPLICATION AND PERMIT 02-3401 ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE Q SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS p /� /�/� 30 KS • 1 QOV•V1! CONTRACTOR'S NAME UNIVERSAL RonFING. SYSTEMS TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. Filing Fee $ 20.00 Permit Fee $ 41.00 ARCHITECT OR ENGINEERS MAtUNG ADDRESS Plan Checking Fee $ BUILDINGADDRESS 11 VIA 1.0S ARBOLES Energy Plan Checking Fee $ $ PERMIT FEE $ 63.00 LAT NO. SUBDIVISIONS NAME PAR° L MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.0023.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat um water heater Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: REROOF 30 S �I • re -sheet comp § { Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT I Fling Feel 20.00 Main Service .1)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. License Class -aft Lic. No. 7.5 89;Z 1 OWNER -BUILDER DECLARATION 1 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. _ [9-4 am exempt under Sec. 71= ' Business and Professions Code for this reason 4; .1n!71Q t: <, t„ • e a r 4 46 q;' Sc ry t� Main Service 200A To I000A 46.00 NEW CONST. DWELLING ffUP. OR( ACC. so ADDNS. OU�TLS: MU NpET µRESID, I @7.50 POWER APPARATUS 8, SINGLE OUTLET US Ex. Occup. OUTLET OR FIXTURES 20 @ 1.00 BAL @ .so FlXED APPINS. OR Ex. Occup. ouTLETS RESID. E0. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ Xi WOR E ' 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 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' compensation law .!-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 diose provisions. X Date ' "-- Signature —A licant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or constructioniE 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 $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 63.00 HAZ. D. FEES IMP I FLOOD I CDF I PARCEL PD I HD I 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. / f By ! Date - PERMIT EXPIRES ON Date ReceiptNo. ill `✓ WHITE-D.D.S.-B.D. CANAR -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 NO. (Rev. 12/96) APPLICATION AND PERMIT 09-1401 ASSESSOR PARCEL NUMBER 049-190- 04S ZONING BUILDING PERMIT OWNER JERRY CAVANESS TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 3 KEVIN CT, CHICO CA 9592-6- 30 Sq. 1,800.00 CONTRACTOR'S NAME 11NIVERSAT. ROOFING SYSTEMS TELEPHONE CONTRACTORS MAILING ADDRESS 1069 MONTICELLO IN-, C-14TICID CA 95972 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ 41.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS Energy Plan Checking Fee $ $ PERMIT FEE S 63.00 LAT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY 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 ❑ Other ❑ Describe Work: REROOF 30 Sq. re -sheet comp 5 Gas piping syste!2 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 800VOR LE Main Service 20OA 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.75 GG al License Class (.'-3Gt Lic. No. UC 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 astheir 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. i _4 am exempt under Sec. 7i=S' , Business and Professions Code for this reason Ser0/1C+CJ WOR E ' 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 Main Service zoXUL To 46.00so CCU000A NEW CONST. DWEWNG OCCUP. SO OR ADDNS. 8 ACC. BLD S. 3.50FT. NEW CONST. MULTI -OUTLET @7.50 PSINGLOUOWER APPARATTLET US 8 E CIR. OUTLET OR FIXTURES Ex. Occup. BAS �':so'o FIXED APPLNS. . OR 5.00 Ex. Occup. ounErs RESIDEA Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (rhe 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 Iifornia, and agree that if I should become subject to the workers' compe on provisions of section 3700 of the Labor Code, I shall forthwith c h ose provisions. X7z Date /Z4 %O -O-Z— ❑ Owner ❑ Contractor ❑ Agent Sig ure -01 A per it 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 $ 63.00 HAZ. I D. FEES IMP I FLOOD CDF PARCEL I PO HD ISSUE This permit is hereby issu under the applicable provisions of the Butte County C de a d/or Resolutions to do work indicated Aove for w Ich fees have been paid. .\ Date- PERMIT EXPIRES ON4. , Date ReceiptNo. 42- WHITE-D.D.S.-B.D. CAN R -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT