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Home My WebLink About056-360-033.:Y,v�"Mrr�r i."i"lIP'R►9r;�^`A�li'�� •.`�+'=''", .._... ,..+......rr .va ^."--n ..r�+..�irn.�sy+�s'.,,ti-t-w,� 056-360-033 02-2853 HALL-RICHARDS, SYDNEY 4931 CONTENTMENT, FOREST RANCH CONT: WOOD HEAT &' SPA a r NEW GAS HEAT STOVE i i OFFICE COPY �,�/� Address G EAS r By Date ELECTRIC Meter By Date Wr; S r o j COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ' 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541e,;? 6 (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE HAT J -RICHARDS SYDNEY OWNERS MAILING ADDRESS GA n CONTRACTOR'S NAME HONE SO. FT. OCC. BUILDING VALUATION CONTRACTORS MAILING ADDRESS mwl ?A&APISE9 G& 95969 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 4 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.0023.00 Solar or heat um water heater Water piping 15.00 Each aas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: MW W HI='AT 9MVE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W I@20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 R LESS "OOVMain Service zoOA OR LESS 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. Lic. No. 7 2" �� License Class G 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. ❑ 1, 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. 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 64-ajr F. .,PERMIT Policy Number +I � ')A, L/ n T.. 40 6V 10 S" (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 �� .� Dat Signature of Applicant - wner ❑ Contractor Q'Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. J1 Main Service TO 46. 00 CCU000A NEW CONST. DWELLMICi OCCUP. SO DWE200ALLING so OR ADONS. ( & ACC. BLDS. 3.5QFT. �NjpµR�lp, . MULTI -OUTLET 97,50 P.Or APPARATUS 8 SINGLE OurLEr CIR. Ex. Occup. OUTLET OR FDCTURES Bn0 p 1.000 Ex. Occup. oFlunFrs AESIo )OE 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 8 s heat stave 1%00 FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 70.00 HAZ. p. FEES IMP I FLOOD I This permit is hereby issued under the of the�Butte County Code and/or indicate a v r w ich fees have By i PERMIT EXPIRES ON CDF PARCEL PD HD ISSUE applicable provisions Resolutions to do work been paid. I� / Date. CCCC I Dete Receipt No. / . 1� 1P ,/1 . -� WHITE-D.D.S.-B.D: CANARY -ASSESSOR INK -INSPECTOR GOLDENROD -APPLICANT .b COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P (Rev. 12/96) APPLICATION AND PERMIT ��'� ASSESSOR PARCEL NUMBER 056-360-033 ZONING BUILDING PERMIT OWNER HAII-RT04ARDSSYDNEY .OWNERMAILING ADDRESS 9 'S 4921 MNTENTMENTFOREST RANGHGA 95Q1.9 CONTRACTOR'S NAME i 9 TELEPHONE 46223 LEPHONE SO. FT. OCC. BUILDING VALUATION CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 31 CDNIENITM EMEST RANCH Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other 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 ❑ Describe Work: NEW GAS HEAT STOVE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEES ELECTRICAL PERMIT Fling Fee 20.00 LESS Main Service zo.A 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 full rce and effect.L CIO License Class Lic. No. 2 7 3 l U 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 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I 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. 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' compenrifLatiop insurance cgrrier and policy number are: Carrier - of e, F,i/I L Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP. OR ADDNS. ( 6 ACC. BLAS. SO 3.50FT, NON-RCSID. MULTI-OtfTLET 97,50 8 PSINE OUTLET OWER GLAPPARATUS CIR. Ex. OCCU OUTLET OR FIXTURES BAL @ 1.00 Ex. Occup. 0� FIXED Ao .)a 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Policy Number _/_ - "f S u n / u 4, 0,0o1 (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 forthwit 7wfthe fovisions. X �" Dat 10416 ?' Sign r o Applica - wner ❑ Contractor Agent An OSHA permit is required for excavations over 5'0" de p and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 70, OO H]AZ. FEES IMP FLOODCDF PARCEL PD I HD ISSUE This permit is hereby issued under the of thutte County Code and/or indic to awDat% ByPFFiii PERMIT EXPIRES ON applicable provisions Resolutions to do work een paid. n /1 / to Receipt No. WHITE-D.D.S.-B. D. CA A -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT