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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