HomeMy WebLinkAbout043-690-031043-690-031 PERMIT #97-2467
DOLL, Kathy
1920 Webb Ave., hic
Cont: Butte Roofing Co.
Reroof/SF
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043-690-031 "PERMIT.#97-2467
DOLL, Kathy
` `•_r 1920 Webb Ave., Chico
z Cont: Butte Roofing Co.
Reroof/SF
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COUNTY OF BUTTE- DEPARTMENT OFD EVELOPMENT SERVICES - BUILDING DIVI (5�'
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7 1 - PERMIT NO.
APPLICATION AND PERMIT9 62
ASSESSOR PARCEL NUMBER
0L C)S/
ZONING
BUILDINGPERMIT
OWNER
41V1 M4'r
TELEPHONE _ 3
SOS FT OCC. BUILDING VALUATION
OWNERS_,MANJNG ADDRESS
1,444, r % ,..Lie,.
1,
CONTRA(!TOR_'S NAME / TELEPHONE
CONTRACTORS MAILING ADDRESS I
e) J
Fireplace
CONSTRUCTION LENDER
UNMOWN
Total Valuation $
Filing Fee
$ 20.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER \
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
PERMITFEE
$
PLUMBING PERMIT
Each rap
Filing Fee 20.00
7.00
I
LOT. NO, �
ySUBDIVSION'S NAME .�. ' �
PARCEL MAP
Solar Of heat pump water heater
23.00
Water piping
15.00
USOOFSTRUCTURE
SF ItJ Duplex ❑ Mobilehome ❑ 10ther
/ 1 i N I SPECIFY
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 F
Describe Work:
Mobile Home S G W
920.00
PERMITFEE
$
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
-
M1100v OR LESS
Main Service ( 200A OR LESS )
23.00
Main Service ( 200A TO 1000A ..)
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 7'_ - _J� Lic. No. S (p % C,
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 kProfessions Code` for this
reason
. NEW CONST. DWELLING OCCUR
OR ADONS: ( a )'
SO.
3.50 FT.
TI- TLE
'N CONST. MULTI-OUUTLET
NON-RESID. ( BRANCH CIRCUITS )
97.50
POWER APPARATUS
( a SINGLE OUTLET CIR. )
Ex. Occup.( OUTLET OR FIXTURES)
20 Q 1.00
BAL so
Ex. Occup. ( OUTLETS (RESID.OeA)
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:
❑ 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.
O I have and will maintain workers' compensation insurance, as required by Section
�N 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 J,f '.-OLS-L�.� t�, - ='r1' .-e,4,_ ,
MECHANICAL PERMIT
Filing Fee 20.00
g
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE
$
Contractor
Policy Number•� , 7 3
(The above sections need not a 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.
_ I
X ! ; J �, 11 , A- i� /t� . 1��.r- Y-_' Date 1 �- - / /
Signature of Applicant - ❑ Owner ❑ Contractor Q Agent
An OSHA permit is required for excavations over 60" de and demolition or construction
of structures over 3 stories in height.: p
Mobile Home Installation Fee
$
Energy Inspection Fee Is
GCC
CONST. TYPE
-
TOTAL FEE $
HAZ.
I D. FEES
I IMP
I FLOOD
I CDF PARCEL PD HD
ISSUE'
WOW
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By �� r' . }!,./ f'
PERMITEXPIRESON
the applicable provisions
Resolutions to do work
been paid.
Date 77'1 -7
(Dale)
Receipt No. 0 2 i r
WHITE -D. D.S.-B.D"� CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT
COUNTY OF BUTTE- DEPARTMENT OF -DEVELOPMENT SERVICES - BUILDING N7 County Center Drive - Oroville, California 95965 - Telephone (916) 53XDIVI
PERMIT NO.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
0i — 6 1r
ZONING
BUILDING PERMIT
OWNERTELEPHONE
L"4 ilk
�3
SQ. FT. OCC. BUILDING VALUATION
OWNER' ADDRESS
CONTRA O NAME TELEPHONE.
CONTRACTORS MAILING ADDRESS
Ck—
Fireplace
CONSTRUCTION UEND&
UNKNOWN
Total Valuation $
Filing Fee $
20.00
LENDER'S MAILING ADDRESS
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
PERMITFEE $
!�
PLUMBINGPERMIT
Filing Fee 20.00
Wd�r
Each Trap
7.00
LOT NO.
SUBDNISION'S NAME
PARCEL MAP
Solar or heat pump water heater
23.00
Water piping
15.00
USEOFSTRUCTURE
SF Duplex ❑ Mobilehome ❑ Other
SPECIFY
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
Describe Work:
Mobile Home IS I G W
@20.00
PERMITFEE $
Contractor
ELECTRICAL PERMIT
Filina Fee 20:00
Main Service EOOV OR LESS
( 200A OR LESS )
23.00
Main Service ( 200A TO I000A )
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. H-
License Class Lic. No. J t�
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ 1, 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.
❑ 1, 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 ( 8 ACC. BUDS. )
SO.
3.5Q FT.
NEW CNS.
CONST.LTI.OUTLET
NOWRESID. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS )
8 SINGLE OUTLET CIR.
Ex. Occup. (OUTLET OR FIXTURES
2L @ 50
fi4L .SO
Ex. Occup. (GunED RES u.ORR.a)
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE $
Contractor
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.
(� I 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' pensation insurance carrier and poli number e:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
9
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE $
Contractor
Policy Number -7
(The above sections need not a 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.
c
X _ Date V��_!_
Signature of Applicant - ❑ Owner ❑ Contractor Agent
An OSHA permit is required for excavations over 60" dee 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 $
HAZ.
I D. FEES
I IMP I FLOOD
CDF PARCEL PO HD
ISSUE
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
) .
Bi"l
PERMITEXPIRESON
(Date)
provisions
to do work
paid.
Date
Receipt No. �j -
WHITE-D.D.S.-B.D� CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
le