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HomeMy WebLinkAbout056-080-018056-08-0-018 97-2552 E NIXON, Harold r'a! IZ•Iln'`ri 335 Mann Ridge, Cohasset (elec pole and ser/cabin) w 0 ,056-08-0-018 97=2552 E NIXON, Harold 335 Mann Ridge, Coha.sset (elec pole and ser/cabin) .z-3_y�' N Q� 1c-3,1)-1 L Y atete l' q COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 2s, Q ASSESSOR PARCEL NUMBER —�0/� 18 —V ZONING BUILDING PERMIT OWNER "AR01,T) NIXON TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS S MANN RIDGE =ASff CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING 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 415 MANN RIDGE Energy Plan Checking Fee $ COHASSff $ PERMIT FEE S LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome M' Other CABIN 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 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Cly Describe Work: ELECTRICAL POLE AND SERVICE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W1 @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoonoaLESS 23.00 • LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 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 force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law, for the following reason: lid, 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 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 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.) O� 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 Code, I shall forthwith comply with those provisions. X i6/,/% / (/ A�- / ! -� / s%t_ ---- Date / -- Signature of Applicant = Q1.Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A To I000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( 8 ACC. BUDS. 3.5QFT, NEW CONST. MULTI -OUT NOWRESID. 1 LET 1 T S 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. 20 @ 1.00 Ex. Occup. CUTLET OR FORURES BAL @ .50 Ex. Occup.ouTLE,., RES D.OEA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 43.00 HAZ. D. FEES IMP I FLOOD I CDF PARCEL I 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'. ice(/`" ;� Date _ PERMIT EXPIRES ON Dere Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �- 41 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT �- ASSESSOR PARCEL NUMBER —08-018 ZONING BUILDING PERMIT 11-1 OWNER HAROLD NIXON TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 119 MANN RIDGE COHASET CONTRACTOR'S NAME TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER [Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS -315 MANN RIDGE Energy Plan Checking Fee $ COHASSET $ PERMIT FEE LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome M Other CABIN SPECIFY Each Trap 7.00 Solar or heat pump 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 EX Describe Work: ELECTRICAL POLE AND SERVICE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI Wl @20.00 PERMIT FEE $ ELECTRICAL PERMITLESS I Filing Fee 20.00 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 i 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class Llc. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Lavey 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 TGNG 46.00 NEW CONST. DWEW EE OCCU CUP. OR ADONS. ( 6 ACC. BLDS. SO 3.50Fr. NEW CONST. MULTlOUTLET NON-RESID. I LI @7.50 OWERAPPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FDTrURES 20Q1.00 BAL @ .SO Ex. Occup. OUTELETS(RREESSIO.°EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 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 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 S 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 Code, I shall fo i h comply with those provisions. i� _Date �/ oinatureof Applicant - Owne ❑ 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 $ 43.00 HAZ. D. FEES IMP I FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above f which fees have PERMIT EXPIRES ON / the applicable provisions Resolutions to do work been paid. Date —3 ;0`7 Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT (Rev 12/96) COUNTY OF BUTTE- DEPARTMENT OF.;EVE!�OPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT ♦SSESSORPARCQNUMeeR, /'-� rT- ®QF- J ZONING BUILDING PERMIT OWNER ^ TQLO"ON■ SO. FT. OCC. BUILDING VALUATION OWNERS vwuNo AftWs 74 CONTRACTOR'S NAM! -i TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER EMT, lace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO' Filing Fee $ 20.0c Permit Fee S ARCWTECT OR ENGNES13 MAJI1NG ADDRESS Plan Checking Fee E BUILDNOADDRESS �'J _ / Energy Plan Checking Fee $ S PERMIT FEE _ LOT NO. SU801VOxMN'Smum PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Tra 7.00 USEOFSTAUCTURE SF (3 Duplex ❑ Mobilehome all/other 9Pecry 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 a---- Describe Work: LS� C, C_'t c C Fc -L. �O�Cr �/✓%� bl L/( e__ Com` Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home JSJ GI W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service pw oa LE: 23.00 3� LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing wSection 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect License Class Lic. No. 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. O 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 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 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.) ❑ 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 forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over TO' deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWEU NG OCCUR s0 OR AODNS. ( a ACC. &Do. 3.5¢FT: MULTIith =RESIO. CIRCUITS OUTLET @7,50 s sX o= C IAL 20 ® I.00 Ex. Occup. OUTLET OR FIXTURES SAL .so Ex. Occup. °irTLEt;s a L"So.°ERA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE = r MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee t Energy Inspection Fee S occ CONST. TVP! TOTAL FEE $ NAz.112 ees IMP FLOOD COF PARCEL PD"D seuE 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 PERMIT EXPIRES ON •0018) Receipt No. 'WMIrE-O 0.4.•8.0. CANARY -ASSESSOR PINK -INSPECTOR GOLOENROO-APPL 7.T 1