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HomeMy WebLinkAbout043-710-031043-7-1-0-031 93 2543 B [� 1--- .STORM, EMILY 1611' W SACRAMENTO,, CH.ICO CONTR: ELY RFG REROOF/SF 7 EM, irl lZ INA M"m 41-7 4 'Z2 KS Tq� '44 A it , 14 4'g Mo, YM, WE"Li 14 I' , 91 4, A,4 e", N4 TT 4� vr �4 Nk q," 1 wl� X. 'r., V V� 40 I", No' -I IK# l6v 11,11. v �IVO -,:Vl�.7111�i "A I'M AN -Ma,' ! gn 1.1), I*V 5 ��J, I I Mu , -vr P'nv- iz 'J"o, k ITA 4AO lop tw 74, - W!il l4k l*-1*LC NA 7,4, ql' ;A4 'ON VScz V'� IU 14 V, -Al-V Ou`� "M MMA . _ r='�3-25�3BS �.: [=ICO t'O, CH s 4 k OF PUBLIC WORKS COUNTY OF BUTT TMENT PERMIT NO. -7 Cburrty Center Drive - nie 95965 -� Telephone' 916`538-7541 0,0,:<� 66., ille, ': o 13 APPLICATION AND PERMIT - ASSESSOR PARCEL NUMBER- 043-710-031. IZONING . "q,� 0- 1 BUILDING PERMIT OWNER E mil Storm TELEPHONE 342-4985 SQ. FT. OCC. B UILDING VALUATION 3800- .228U OWNER'S MAILING _ADDRESS C/o, hike Norm -835 Skylark.-ChicoCA '9,5926 CONTRACTOR'S NAME I.. Elv Roofing Inc ITELEPHONE .343-7663 CONTRACTOR'S MAILING ADDRESS PO Box 704 Chico CA 959'4.%;,. Fireplace CONSTRUCTION LENDER UNKNOWN X Total -Valuation 1$ Filing Fee $ ZU.UU 4500( LENDER'S MAILING ADDRESS Permit Fee $ _45Z;#0 aCA ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Fee 'Energy Plan Checking $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS tO4?, -1611 WSacramenE Chico W Permit fee • $., PLUMBING PERMIT:,-,. Filing Fee 15.00 � EF Trap 5.00 heater Sol ",-dir" t-, . um -waf 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP- Wat . er piping 7:00 Each-qas water heater or vent 7.00 - USE OF,STRUCTURE SFA D lekF-1 m'❑ Other uplex❑ M6bi . o e SPECIFY ­d�`sp irilh-g-sy stem 1 - 5 outlets Building sewer 15.00 Mobile Home ISI G I W I @ 15.00 TYPE OF WORK New IF—I Addition El R emod�e I [] Utilities 0 InstahationE, Other Describe work: remove existing ,roofing' & replace. X%­A"=X roofing 36 Sgs­ T .-Permit Fee 4� $ Contractor ELECTRICAL PERMIT Filing Fee 15.00' Main service 600V OR LESS200A OR LESS 18.50 Main service 200A TO 1000A, 37.501 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one):' I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License Ao. 607386 Classification C-39 ❑ I,- as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044). ❑ I; as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) [_J I am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.&) - OR AODNS. ACC.BLDGS. 3.6* sq.ft.1 NEW CONSTR. _MULTI.0 UTLET NON-RESID. BRANCH CIRC ITS @ 5.00 (POWER APPARATUS & SINGLE OUTLET CIR. @ 6 Ex. Occup(OUTLETS OR FIXTURES 20 7% FIXED APPLNS. OR Ex. Occup. OUTLETS (RES11D ) 3.001 Temporary ry service 1 15.001 Mobile Horne Facilities 15.001 Misc. Wiri6§ 15.00 Permit Fee $ WORKMEN'S. COMPENSATION ION INSURANCE d6cla nder, penalt c h rq,�u y�of perj&yi, ib�ck.6ne')` ❑ The permit is for $100.60 (valuation) or less. I. have placed. on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a.Certificate. of Consent to Self-linsure. ❑ 1 shall not employ any person in any,manner. so as to become -subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor.' Fil MECHANICAL PERMIT ing Fee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I -certify that I have read this 'application a4state that the above information rmation is correct. I agree to comply to all County Ordinances and State Laws relati ng -to building construction, and hereby authorize representatives of,the Countyof Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any -way accrue against said County in consequence of the granting of this permit X Date Signature 'of Applicant Owner❑ Contractor' Els An OSHA permit is required for excavations over 5'0'' deep and demolition or construct= ion of structures over 3 stories in height. Mobile Home Installation Fee 4; Energy Inspection Fee $ OCC CONST TYPE ITOTAL FEE $ 3 HAZ I D FEES I IMP I FLOOD 1,CDF I PARCEL. PO HD ISSUE This permit is hereby issued under the applicable provi- sion s of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. I . . : DIRECTOR.OF-PUBLIC WORKS By. Date PERMIT EXPIRES Date Receipt No. *—T7Sw7 WHITE-D.P.W., YELLOW-A5SESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, Califor.9ia 95965 - Telephone; 916.'538-7541 APPLICAVON AND -PERMIT tel► / ASSESSOR PARCEL NUMBER 043-710-031 ZONIN I BUILDING PERMIT OWNER Emily Storm TEL HONE 342-4985 - SQ. FT. OCC. BUILDING VALUATION 3800. 2280 OWNER'S MAILING ADDRESS c/o Mike STorm-835 Skylark -Chico CA 95926 .CONTRACTOR'S NAME Ely Roofing Inc TELEPHONE 343-7663 CONTRACTOR'S MAILING ADDRESS PO Box 704, Chico CA 95927 Fireplace CONSTRUCTION LENDER UNKNOWN x Total Val,uation. $ - FlfingpFee $ �C5iQa7�C 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' 1611 W Sacramento - Chico Permit fee $ L PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF © Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S FGTWT @ 15.00 TYPE OF WORK New ❑ Addition iJ Remodel ❑ Utilities ❑ Installation❑ Other] DescrLt'k: remove existing roofing & replace x,xYX roofing - 38 sqs Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO 1000A; 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): �] I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License ;do. 607386 Classification C-39 �J I, as the owner, or my employees with wages_ as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUPM OR ADONS, l ACC. BLDGS. I 3.64 sq.ft. NEW CONSTR. MULTI -OUTLET N ON.RESID BRANCH CRC" @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76 AAL 4 Ex. Occup. OUTLETSED (RESID )REAJ I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ - WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood ' 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct.I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue ag inst said County in conse nce of the granting of this permit. X Date 7-7-93 Signature lliIfApplicont — Owner EJ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 storiesinheight. Mobile Home Installation Fee $ Ener Inspection Fee 9Y P $ occ CONST TYPE TOTAL FEE $ HAz I OFEES,IMP,' =FLOOD `' CDF PARCEL PD HD SSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DI CTR-Af=RU$LI LRMITEEXPIRES` Date applicable provi- resolutions to do have been paid. WORKS Receipt No. �'yo / WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT wr