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HomeMy WebLinkAbout043-690-016r 043-�S -016 _ n OO -1914 HILL, MA �i.a 7-oJ 1704 ROYAL PARK AVE., CHICO CONTR: GRAVIS h� CONSTRUCTION ELECTRIC FOR KITCHEN GFI plb I I -043-69. - 0; -o -i6. 00-1914 HILL, MACK -,t 1704-nam,&L OAK PARK AVE., CHICO CONTR: GRAVISON CONSTRUCTION ELECTRIC FOR KITCHEN GFI f,*In koe-c- COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, Catifornial•95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ` ASSESSOR PARC ZONING BUILDING PERMIT OWNER MACK TELEPHONE 893_ 3or& SO. FT. OCC. BUILDING VALUATION OWNER'S MAIUNGMR=32780 CXCO 95927 CONTRACTOR'S 7iar\if >l ` `—__Y LO TELEP —2455 CONTRACTORS MAIL�� DD A U DR, dWV= 95968 CONSTRUCTION LENDER _ Fireplace ` LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS 17% , 0111E PARE AVS C�NOd Energy Pian Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF [I Duplex ❑ Mobilehome ❑ Other SPECIFY__Each Solar or heat pump water heater 23.00 Water piping 15.00 gas water heater or vent 15.00 TYPE OF WORK I New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other E i Describe Work: IM FM Y -GM I Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 "OOVOR LESS Main Service 20 OA 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 forc nd effect. tJ 'iJ Q� C/ License Class �_ Lic. No. —1 y P 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 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 WORKERS' 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 tow TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( & ACC. BUDS. SO 3.50FT. NEW OONST. ppµR61D. MULTI -OUTLET @7,50 POWER APPARATUS 8 BINDLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURE'S Bn� ®I:o Ex. Occup. oUTtEEDTS REESl0.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23,00 PERMIT FEE S 45.80 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 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 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 f.• r hwith complywith those provisions. X ' Date �� �� �� _ �.S'rgnafure of Appti ant - ❑ Owner vontractor ❑ Agent ° An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $41,00 HAZ. D. FEES IMP I FLOOD CDF PARCEL PD HO ISSUE This permit is hereby issued under of the Butte County Code and/or indicate above for which fees have � ,y PERMIT EXPIRES OI the applicable provisions Resolutions to do work been paid. Date Cl I f� Defe Receipt No. S43•� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 195965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSORPARCE� 043-690-01.6 ZONING BUILDING PERMIT OWNER MACK HILL TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS mAluNGFOREBOX 3278, CHICO 95927 CONTRACTOR'S IiKAVISON CONST TE 589 2455 coNrRAcroRs 4996 DROYAL OAKS DR, OROVILLE 95966 CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEEAS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1704 ROYAL OAK PARK AVE CHICO Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF � Duplex ❑ Mobilehome ❑ Other SPECIFY____ Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other CK Describe Work: ELEC FOR KITCHEN—GFCI Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I fl—dT W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service ZOOA 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 forc nd effect.PSI License Class Lic. No. OWNER -BUILDER DECLARATION 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 WORKERS' COMPENSATION DECLARATION I 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.) I 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 hwith comp) with those provisions. L- _ X Date / d ©� gn ure of App ant - ❑ Owner Vontractor ❑ Agent An OSHA permit Is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service To 46.00so W:° CCU000A NEW CONST. DWEWNG OCCUP. 3.5aF°: ADDNS. ( MULOR NEW CONST. TI` -,O LET NON-RESID. U 97.50 NowERGLE OVILET CIR. APPAwITus a 20 @ 1•00 Ex. Occup. OUTLET OR FIXTURES SAL. @ .50 FIXI Ex. Occup. OUTLETSA(RRESIID°FR.n 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 ri nn PERMIT FEE S 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 $43.00 HAZ. I D. FEES IMP I FLOOD I CDF I PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicate above for which fees ha y PERMIT EXPIRES O the applicable provisions Resolutions to do work a been paid. j� A Dat ,e1 91 Defe Receipt No. WHITE•D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ,COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION •- V1* .. 7 County Center Drive a Orovillel California; 95965 • Telephone (530) 538-7541 PERMIT NO. Rev.f2/ G) APPUCAT16N AND PERMIT m6nem"mamo eA — SON" BUILDING PERMIT 01N"s" MIAPiONn SO. FT. OCC. BUILDING VALU/►TION elrw•7 Waan ee�u �,.� ..._ n .. � _ `ill 11AN11 OrOtf 0011TIK1Ctl0 111!001 1111001'! WARM ADOFAM i Fireplace Total Valuation Is TOTAL $ PERMIT FELE S Mobile Home Installation Fee = Energy Inspection fee = °C COST' TM°E TOTAL FEE $ NAZ. 0. Fm I MIP I ACOP I ►Af10E0HOSS"t This permit is hereby Issued under the applkable provisions of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. By Date PERMIT EXPIRES ON Flina Fee i 20.00 Amcwr1R Da 01mm-1 mum mom" Permit Fee i Plan Checkina Fee i euao«oAOolts! Energy Plan Checking Feei = LA i PERMIT FEE _ LOT "m SUaONeD" KAME PAACEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE f SF Duplex O Moblehome O Other i �PEc�v Each Trap 7.00 Solar or hent pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 l TYPE OF WORK New O Addition O Remodel O Utilities O Installation O Other I Describe Work: _ Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Moble Home I S G W I@20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service =Don"'iss 23.00 RECEIPT # PERMIT FEE $ SRA $ SHR $ CSA 87 $ CUA $ TUA $ REC $ OTHER: Main .Service 20" TO IOWA 48,00 ORR A00 s T. ° a Acc. eaLm °l�DS"s. °' 3.5es*: OR FQMTMULTI-oun T @7.50 NONACID. POWIEM APPAMnA a s OUMV art Ex. Occup. ouneSAL r oft ncru es L 0 1.0041 0 OA EX. Occup. ovnters -) FA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Msc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating —Cooling Hood 8.50 Ventilation TOTAL $ PERMIT FELE S Mobile Home Installation Fee = Energy Inspection fee = °C COST' TM°E TOTAL FEE $ NAZ. 0. Fm I MIP I ACOP I ►Af10E0HOSS"t This permit is hereby Issued under the applkable provisions of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. By Date PERMIT EXPIRES ON