HomeMy WebLinkAbout047-440-017AP 47-44-17
JACK GAINES
Green Meadow Lane, Chico
(AG BLDG. EXEMPTION FILED 10/28/80)
047-44-0-017 00-0660
JOHNSON, Gene
4306 Green Meadow Ln, Chico
Cntr: Sierra Roofing
Reroof J05:1-17fi(
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COUNTYtOF BUTTE -_DEPARTMENT OF,DEVELOPMENT SERVICES - BUILDING DIVIS1106
7 County Center Drive • Oroville',, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBE,) ''') L 1 1 (�'`�j
(,,,J � 'J —j �1 V
ZONING
BUILDING PERMIT
OWNER
(/�,p
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
. OWNERS MAILING ADDRES
if eA
CONTRACTOR'S NAME 5 -"
i
TELEPHONE
3� _
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $ 3 .oO
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
c, .. , •..: ;
Plan Checking Fee $
BUILDINGADDRESS, A -
,Pei
Energy Plan Checking Fee $
ed&.01414Zk4l.
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Fling Feel 20.00
USEOFSTRUCTURE
SF,' Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00
Solar or heat pump water heatdr 23.00
Water piping 15.00
Each as water heater or v nt 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑/Othere
Describe Work: P (f �j Sn�Q
S�lt'e t !� I Z �� C �h ��/ly✓�D/%�/7t /0�7
Gas piping system 1 - 5 o tlets 15.00
Building sewer 15.00
Mobile Home S G ri W @20.00
PERMIT FEE $
S fn4/PS L� r�
ELECTRICAL PERMIT / Fling Fee 20.00
Main Service noon oA mss 23.00
LICENSED CONTRACTOR'S DECLARATION
(l.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 m license is in II for and effect. �
y / / a��n -P Z�
License Class � 3 Lic. No. /U/— �i i� 1 '' -'
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 `0.
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:i
❑ 1 have and will maintain a certificate of consent to self -insure for 1 workers'
compensation, as provided, for by section .3700 of the Labor Code, for the
/performance of the work for which this permit is issued.
.0121 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 peimit is issued.
My worker7' compens 'on m1suu,Lanc carrier and policy number are:
Carrier '/M
Main Service 200A To 1000/ 46.00
NEW CONST. DWELLINGO UP -So
ORADDNS. ( aACC. B16s. 3.5QFT;
NON -EW REESID. RANCHO u @7.50
POWER PA CSI
a SING ouTLET cIR.
EX. Occup O OR FIXTI IRES 20 Q 1.00
BAL o -50
WD
Ex. Occup.OUTLETsSRESID.oEA. 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Policy Number W6
(The above sections need not be competed if the permit is for work of a valuation
of one hundred dollars ($100) or less.) I I✓ ."
❑ 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
forthw' co, ply with th a pr vZsions. I
X ./ - Date �� ��V
Sig're of 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 $
OCC
j
CONST. TYPE
G 1, 1 TOTAL FEE $ ,, 3 ,()�
,
D IMP
FIAoo
—
COF
•PARC0.
_
PD
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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.
!�
- ,��;
� l.tA,/i, Date
By (l�
PERMIT EXPIRES ON L/ - 3- -Pa)rl
Date"
Receipt No. ,P� �a 3 -IF iT-21;6t, t" r
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
J
�4�'7i"-�}xCs".lsus,,.�.�',-tri'al}*^'�+«wi^�+wsNw..=�: ,.�,. ;� ��.-a.'.r•4-�
047-44-0-017 00-0660
JOHNSON, Gene
4306 Green Meadow Ln, Chico
Cntr: Sierra Roofing
Reroof
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone.(530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT C --M - 06160
ASSESSOR PARCEL NUMB _ , 1 / Jam—
V
ZONING
BUILDING PERMIT
OWNER
N
TELEPHONE
3ya-301
SO, F7, OCC. BUILDING VALUATION
-
.OWNERS [moi{ L RE
CONTRACTOR'S NAME ,\
TELEPHONE
CONTRACTORS MAIUNb ADDRESS • M ��,,�
U
CONSTRUCTION LENDER
LENDER'S MAIUNG ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Ficin Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS - /
4//
Energy Plan Checking Fee $
$
PERMIT FEE S
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF,?.T'Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heattr
23.00
Water piping
15.00
Each as water heater or Ant
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation EIOther
Describe Work: S��' ��
SI �et- / Z ��
Gasi in stem 1 - 5 tlets
15.00
Buildingsewer
15.00
Mobile Home S W
@20.00
PERMIT FEE $
S S
ELECTRICAL PERMIT
Filing Fee 20.00
R LESS
Main Service 200A 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 II f rc and effect. / r�y�n�
License Class Lic. No. (Q 3�S`�� �!
` 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 TO +o5
46.00
WEL200A
NEW CONST. DWEWNG O uP.
&ACC. S.
3.5¢F°;
NEW CONST.
NON•RESID. c
@7.50
POWER APPARATUS
a SING CUTLET CIR.
Ex. Occup. 0 OR FIXTURES
20 @''50
BAL @ .50
Ex. Occup. D AS
q ,D °R�
5.00
Temporary Serce
23.00
Mobile Home acilities
20.00
Misc. Wiring
23.00
PERMIT FEE S
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
erformance of the work for which this permit is issued.
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 worker ' co pen 'on ingqEanSe carrier and policy number are:
Carrier
MECHANICAL PERMV Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FET= $
Policy Number
(The above sections need not be competed 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,rnia, and agree that if should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwc ply with g1pee p sions.
X Date V
Signature of Applic t - Owner Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in heig t.
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
Q .3
CONST. TYPE
(j� TOTAL FEE $ g'3 11)
•
HAZ:—�
D. FE IMP FLOOD
—
_ CDF
PARCEL ARCEL PD
—
HD SSUE
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicate above for which fees have been
B y Date
PERMIT EXPIRES ON 4-/-3-avaj'y
provisions
to do work
paid.
Te
Receipt No. Q
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
BUTTE COUNTY BUILDING DEPARTMENT
7 County Center Drive
Oroville, CA. 95965
PHONE: 916-534-4541
AGRICULTURAL BUILDING
Exemption Form
I, �IJrq L �� C��41� � , owner of the property located at
(please print)
;'0 ✓l/ -W iDd l -J Z -4A) f- i.4A. ; 6 -
Assessor Parcel V intend to construct a lZ ' x Z� '
Z4R A agricultural building on this property.
(specify type of construction & siding)
I declare the building will be used to house bl0kS�_��U� —
(specify use from definition below)
which conforms to the Ag. building definition.
Agricultural building is defined as follows: Agricultural building.is a
structure designed and constructed to house farm implements, hay, grain, poultry,
livestock, or other horticultural products. This structure shall not be a place
of human habitation or a place of employment where agricultural products are
processed, treated, or packaged, nor shall it be a place used by the public.
I understand if I change the use or occupancy of this building I will be sub-
ject to the necessary permits, inspections, and approvals from the Butte County
Building Department.
Signature of Property Owner
� Date
Building Inspector receiving form
Comments:
Duplicate to field inspector - Date ,��