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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( oY�-49o% 0 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 _ 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 ,��