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Home My WebLink About043-730-021--7 3o -021 043-730-021 99-0239. LEATHERMAN, 'Marty 14 LAPLACITA WAY, CHICO RE ROOF/SF ELY ROOFING '15-XV119-L 1-16 - ov 0 KENNICOTT CONST. CO. 144-70B Vents- -231-70P -172=70P 346- OE 14 LaPlacita Way (LOT), .Chico (new single family) 7_/ 7-70s i I t x043-73-0-021 9940239 B LEATHERMAN,.Marty 14 LaPlacita Way, Chic (reroof/SF) Ely Roofin dlt ,c,t.. COUNTY OF BUTTE- DEPARTMENT OFD5VELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, CAlifornia 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. i2/96) APPLICATION AND PERMIT' ASS ESSORPARCEL NUMBER 043-730-021 ZONING BUILDING PERMIT OWNER . - c/o &wty Leat:hermhn in esc w TELEPHONE Fi41-45 El SO. FT. OCC. BUILDING VALUATION 16U0 9W OWNERS MAILING ADDRESS CONTRACTOR'S NAME. E1y Roofing Inc' TELEPHONE 34. ` fiF�3 ' CONTRACTOR'S MAILING ADDRESS 13191 ContrACTORS Dr Chi.en ('.A q5971-8937 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS 1 ., - ' Total Valuation $ ARCHITECT OR ENGINEER - LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 25.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 14 La• elaclta Way - Chico Energy Plan Checking Fee $ 4 PERMIT. FEE , $, �-:••._. •,- LU NIBING�PE'RMI�",•9 - . Flih Fee 01 LOT'A °:"srisonrl'sioN•s^ruin r :."u .-tet+ �, +�i. �,.a:.+,s.a. +-+. PAIRCEL .MAP,,.l-O+sn,yr USEOFSTRUCTURE "y x` l SF D Duplex ❑ Mobilehome❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 W TYPE OF WORK New ❑ Adbition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 0I R/9 roofing WI Describe Work: / 20 yr 3 tab — fi Sq8 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home. S G W @20.00 t, PERMIT FEE S ELECTRICAL PERMIT Fling Feel 20.00 Main Service io.A o mss 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, ( g ) and my license is,in full force . and effect. ��1 U-3� License Class >, Lic. No. 607386 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 � Main Service ( 200A To 1000A 46.00 NEW CONST. DWELLING OCCUP.. SO OR ADDNS. ( a ACC. BLDS. 3.50FT. NON -R S DT MUITI-OUTLET ANc cl c @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 @ 1.00 p• BAL @ .50 Ex. Occup. ouTELers RESIo.DERn 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 P.E._RMIT FEE � 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 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' comp isaatjoannnOVara ce carrier and policy number are: Carrier 11 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number (: Z-0);601-71 (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'HAZ. 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. t 2-4-99 X // /r,tr- ✓j J0 �,t ' _A / Date Signature of Applicant - ❑Owner O Contractor ❑ Agent r 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 $ 45.00 D. FEES IMP I FLOOD I 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. By / .•, ,� .� Date � /y A, � r PERMIT EXPIRES ON % % Date �•-� ReceiptNO.Ixg/4/ / WHITE-D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT