HomeMy WebLinkAbout047-670-049047-670-OJiYpt 99-1598
SCHUSTER, Steve
Lot A, AugustaLane Chico
-ZZElContr: Owner r /N�� (� 2-z"—
Electric
ectric for community sump pump
47-670-019 pt a 99-1598
�C8HRS c- NO
STER, Steve
Lot A , Augusta Lane, Chico
C�
ot
ritr
&: Owner
Electric for community sump pump
OFFICE COPY
Address
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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 ��++ PER NO.
(Rev. 12/96) APPLICATION AND PERMIT? '
ASSESSOR PARCEL NUMBER�'
�.`
ZONING
BUILDING PERMIT
OWNER r1
TELEPHONE 44
SQ. �, OCC. BUILDING VALUATION
.OWNERS MAILING ADDRESS
/w�i•
■/V,�`••V`
CONTRACTOR'S NAME
TELEPHONE
'
'
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation Is
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
A nnA au &in
Energy Plan Checking Fee $
$
-
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
USEOFSTRUCTURE
/� _
SF ❑ Duplex ❑ Mobilehome �[ Other ja.0 'SU iy''to (
SPECIFY
Each Trap 7.00
Solar or heat um water heater 23.00
Water piping 15.00
Each gas water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 40
Describe Work:
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home S G W @20.00
PERMIT FEE $
ELECTRICAL PERMIT Fling Fee 20.00
LESS
Main Service 20 DA OR LESS 23.00 Q3.60
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 rce and effect. / �Q' C�`//�`
License Class Lic. No. "'� V //G/ 4
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 ,000A 46.00
NEW CONST. DWELLING OCCUP. So
OR ADDNS. ( a ACC. BUDS. 3.50FT.
NON -ID. MULTI -OUTLET @7,50
POWER APPARATUS
a SINGLE oLmTr
ES
EX. OCCU . OUTLET OR FIXTURES BAL 20 O 50
Ex. Occup. ourLEEDTSA A DD °.R"5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $'0
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.
❑ 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' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
T� I 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' compensationi provisions of section 3700 of the Labor Code, I shall
forlhwith o t ply with ose' kovisions.
J /, (�
X y � , Date / 4/ i (_
Signature ot'tAppllcar't''- &.%-wrier ❑ 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
CONST. TYPE
TOTAL FEE $ L4 3, ()()
HAZ.
D. FEAR IMP
►y/`
FLOOD
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.
.y C
By ,Ql( Tl >G4/ LK.I'.F '' Date /" /,L/- /
EXPIRES ON 14h rare
Date
0 T 3 I l CJPERMIT
Receipt No. „0_7t_3/06-
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
0
K
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PER NO.
(Rev. 12'/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMgq, _ V
ZONING
BUILDINGPERMIT
OWNER
TELEPHONE "1
b
SO. FT. OCC. BUILDING VALUATION
C %� � L
.OWNERS MAIU14G ADDRESS ^ �{f�1�•J�V/t�N�
I''4V11
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAIUNG ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
Energy Plan Checking Fee $
$
PERMIT FEE $
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP '
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome XOther -
sPEDIFv
Each Trap 7.00
-
Solar or heat um water heater 23.00
Water piping 15.00
Each as water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other
Describe Work:
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home S G W 920.00
PERMIT FEE $
ELECTRICAL PERMIT Fling Fee 20.00
Main Service .OA OR LESS 23.00 .60
LICENSED CONTRACTOR'S DECLARATION
1 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 rce and effect.V n
License Class Lic. NO. `�
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 Professions Code for this
reason
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLING OCCUP. 3.50S0.
OR ADDNS. ( & ACC. BUDS. Fr.
NEW CONST.
N.MULTI.OUTLEi
RESID.
NOc @7.50
POWER APPARATUS
8 SINGLE OurtEr cIR.
Ex. Occup. OUTLET OR FIXTURES 20 @''50
BAL @ .SO
Ex. Occup. .TED AP R� D.DR� 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wirina 23.00
PERMIT 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.
❑ 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' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I 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 Cod I shall
r fo h ith o pl with, ose pro ' ions.
X Date
Signature A Ic caner ❑ Contractor ❑ Agent
An OSHA mi s 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 $3,
11 00
HAZ.
D. FE IMP
FLOOD
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
indicat above for which fees have been paid.
/ ^n
By Date 7
PERMIT EXPIRES ON
I Date
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT