HomeMy WebLinkAbout043-690-0069
043-690-006PERMIT#95-0861
COLEMAN, Jerry '. i " i COLEMAN, H. 987
--(Oq o - 0a" - T
1950 Webb Ave Chico
Cont,: Ely Roofing Inc'. lie,bb Ave. East of Rose, Chico
Reroof/SF
11pv'Nl'� 043-690-006` _ PERMIT#95-0861
COLEMAN, Jerry
1950 Webb Ave . , Chico
f Cont: Ely Roofing Inc.
N:_ Reroof/
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, Catifornif 95965 - Telephone (916) 538-75 P IT No.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
U43-o90-U0b
ZONING
BUILD KG PERMIT
OWNER
Jerry Coleman-
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS \
195U webD Ave L'hico CA 9594b
��
4tiU
CONTRACTOR'S NAME
.;iy ituofing Inc
TELEPHONE
343-7bu3
CONTRACTORS MAILING ADDRESS
13291 Contractors Dr Chico (;ti 9592o
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$YaXi&A 20,00
LENDER'S MAILING ADDRESS
Permit Fee
$ 15 . UU
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty
$
BUILDINGADDRESS
1950 webo Ave —Chico
PERMITFEE
$
q•
PLUMBING PERMIT
Filing Fee 20.00
Each Trap"
.r 7.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar or heat pump water heater
23.00
USE OF STRUCTURE.,Each
SF 0 Duplex ❑ Mobilehome ❑ Other
SPECIFY
Water piping
15.00
gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other q`
Describe Work: overlay rouiiag — 1'+6 area - ii sqs
—
Mobile Home S G W
920.00
PERMITFEE
_
Contractor
ELECTRICAL PERMIT
Filinq Fee 20.00
Main Service EOOV OR LESS
( zooA OR LESS )
23.00
Main Service ( zooA TO ,000A )
46.00
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 �+— 4 y V — 3 y Lic. No. b U .� tib
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.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUP.
OR ADONS. ( d ACC. BUDS. )
SO.
3.50 FT.
NEW CONST. MULTI.OUTLET
NON-RESID. ( BRANCH CIRCUITS )
97.50
( 8 SINGLE OUTLET CIA.
Ex. Occup. (OUTLET OR FIXTURES)
zo p ,.00
BAL 50
Ex. Occup. (ouTiErs AESIo.�ERn)
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE
$
Contractor
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
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 es t a t e r wid
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE
$
Contractor
Policy Number )311-148
(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, 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.
X1��1.Q.G.C_/ LIJDate �
Signaturbof 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.
Mobile Home Installation Fee
$
Energy Inspection Fee Is
occ
I CONST. TYPE
I
TOTAL FEE $ 35 . U0
HAZ.
I D. FEES
I IMP
I FLOOD
I CDF I PARCEL I PD HD
ISSUE
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees have
BY �•zT' 1/
f�
PERM ITEXPIRESON YA.
�^
applicable provisions
Resolutions to do work
been paid.
Date
/C4
(D5te)
t
Receipt No. ,? f I
-A
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENRODPPLICANT
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVI ON
7 County Center Drive - Oroville, California3 95965 - Telephone (916) 538-75 P IT NO.
APPLICATION AND PERMIT0 K67
ASSESSOR PARCEL NUMBER
043-690-006
ZONING
BUILD G PERMIT
OWNER
Jerry Coleman
TELEPHONE
342-9595p
SO. FT. OCC. BUILDING VALUATION
q
800 480
OWN I NG ADDR SS
M � Wetb Ave Chico CA 95926
CONTRACTOR'S NAME
Ely Roofing Inc
TELEPHONE
343-7663
CONTRACTOR'S MAIUNG ADDRESS
13291 Contractors Dr Chico CA 95926
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee $ . 20.00
LENDER'S MAILING ADDRESS
Permit Fee $ 15.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty $
BUILDING ADDRESS
1950 Webb Ave -Chico
PERMITFEE $
PLUMBINGPERMIT Filing Fee 20.00
Each Trap 7.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
,Solar or heat pump water heater 23.00
USEOFSTRUCTURE
SF X) Duplex ❑ Mobilehome ❑ Other
SPECIFY
Water piping 15.00
Each gas water heater or vent 15.00
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑X
Describe Work: overlay roofing - NE area - 8 sqs
Mobile Home I S I GI W 1 @20.00
PERMITFEE g
Contractor
ELECTRICAL PERMIT Filing Fee 20.'00
Main Service 600 OR LESS
( 2..A OR LESS ) 23.00
Main Service ( 200A TO L000A ) 46.00
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 C —1 C - 3 9 Lic. No. 607386
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.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUP. SO.
OR ADDNS. ( d ACC. BLDS. ) 3.50 FT.
NEW CONST. MULTI.OUTLET
NON•RESID. ( BRANCH CIRCUITS ) @7.50
( POWER APPARATUS )
8 SINGLE OUTLET CIR.
Ex. Occup. (OUTLET OR FIXTURES) 2U 0 I.50
�" �°
Ex. Occup. (ourLEEDTs RES D.�EA) 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMITFEE $
Contractor
WORKERS' COMPENSATION DECLARATION
1 h by 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
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 State Fund
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE $
Contractor
Policy Number 538-148
(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, and agree that if I should become subject to the
w6rkers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with hoe provisions.
'
X � Date
Signatur of Applicant - ❑ Owner 0 Contractor ❑ Agent/ -L=—
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 Is
Energy Inspection Fee Is
occ
CONST. TYPE
TOTAL FEE $ 45 OQ
HAZ.
D. FEES
IMP
FLOOD
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.
44 a Date
BYair IF
PERMITEXPIRESON w,
(C )
Receipt No. T7
I
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT