HomeMy WebLinkAbout056-380-007` F
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056-380-007 PERPIIT#95-2506
KUTZ, James
16774 Koler Rd., Forest Ranch
Cont; Elvie B. Cobb""6
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COUNTYOF,BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIV�WS
7 .County Center Drive - Oroville, Califorriia 95965.,- Telephone (916),53'PERMIT NO.
APPLICATION AND PERMIT ;% Z _C, — W -
ASSESSOR PARCEL NUMBER C
ZONING
BUI ING PERMIT
OWNER I
JAWS -
TELEPHONE
875-6008
SO, FT, OCC. ` BUILDING VALUATION
.
OWNERS MAILING ADDRESS - ,.
St i. R Ai1F 1132 s
19 SQ. 1140
CONTRACTOR'S NAME
'FT
TELEPHONE
1876-0153
CONTRACTORS MAILING ADDRESS -
po n t Q M r.
Fireplace
CONSTRUCTION LENDER
UNIwOWN
Total Valuation $
LENDER'S MAILING ADDRESS i-
Filing Fee $ 20,00
Permit Fee $ 29.00
ARCHITECT OR ENGINEER
LICENSE NO. °-
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
{
Penalty ti $
BUILDINGADDRESS. �� . RD
16774
PERMITFEE $ Y9.00
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
LOT NO.
SUBDN510NS NAME
PARCEL MAP
Solar or heat-pumptwater heater 23.00
USEOFSTRUCTURE
SF d Duplex ❑ Mobilehome ❑ Other
SPECIFY
Water piping 15.00 -
Each gas water heater or vent 15.00
Gas I In system 1 - 5 outlets 15.00
piping Y
P
Building sewer 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other a
Describe Work: REROOF 19 SO !
i t
Mobile Home S G W1 920.00
PERMITFEE $
Contractor
ELECTRICAL PERMIT Filing Fee 20.00
Main Service000V OR LESS \ .
( 200A OR LESS / 23.00
Main Service ( 200A To 1000A ) 46.00
LICENSED CONTRACTOR'S` DECLARATION I
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencingwith Section 7000 of Division 3 of the Business and Professions Code,
) I
and my license is in full force and effect. I
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
I, as owner of the property, or my employees with wages as their sole compensation,
s'N will do the work, and the structure is not intended or offered for sale.;23.00
❑ 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
NEW CONST. DWELLING OCCUR so.
OR ADDNS. ( & ACC. BLDS. ) 3.50 FT.
NEW CONST.' MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS .) 97.50
POWER APPARATUS
(8 SINGLE OUTLET CIR.) -
Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00
BAL QP .50
Ex. Occup. OUT REN o.ORA
( ) 5.00
Temporary, Service 23.00
Mobile Home Facilities 20.00
Misc.g
Wiring
PERMITFEE $
Contractor
WORKERS' COMPENSATION DECLARATION I
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 Filing Fee 20.00
Heating
Cooling -
Hood 6.50
Ventilation
PERMITFEE $
Contractor
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
forthwith comply with those provisions.
X, KI ;L ,r--_--- Date _ ,%%'>
Sig�qn a j re of Applicant' (Owner ❑ Contractor ❑ Agent
An OSHA permit is/required for excavations over 60" deep and demolition or construction
of structure's over 3 stories in height.
Mobile Home Installation Fee Is
Energy Inspection Fee $
RTO
coNs,TCPE
TOTAL FEE $ 49,00
HA2.
I D. FEES
I IMP
I FLOOD
COF
PARCEL
PO 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 U.r �iDate
PERMITEXPIRESON 0
(Date)
Receipt No. 58 5 di/q.06
WHITE•D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
��, "• .. .r „ice -.r . ti M 'Al
R -
056=-380007��6 PERMIT#95-2506 },
KUTZJames�
1:6774`.Kole'r Rd a;, Forest Ranch
C;oiit;;" Elvie B', Cobb
Re b f/SF
I
1
i
1
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIV ON
7 County Center Drive - Oroville, Ca,fornia 95965 -Telephone (916) 538-7 ;�5 P�RI�AIT NO.
APPLICATION AND PERMIT �
ASSESSOR PARCEL NUMBER
ZONING
I
BUING PERMIT
OWNER
JAMES KUTZ
TELEPHONE
873-6008
SO, FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
19 SQ. 1 140
CONTRACTOR'S NAME
TELEPHONE
876-0153
CONTRACTORS MAILING ADDRESS
RQ B0 MAGALTA 2Fireplace
CONSTRUCTION LENDER
UNIOYOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $
20,00
Permit Fee $
29.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDINGADDRESS 16774 KOTER RD_
PERMITFEE $
49.00
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar or heat pump water heater
23,00
USE OF STRUCTURE
SF W Duplex ❑ Mobilehome ❑ Other
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Ublities ❑ Installation ❑ Other IS
Describe Work: RFRnl7F 19 Sn
Mobile Home ISI G1 W
@20.00
PERMITFEE $
Contractor
ELECTRICAL PERMIT
Filina Fee 20:00
Main ServiceE00V OR LESS
( zooA oR -:- )
1 23.00
Main Service ( 200A TO I000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing Section with 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
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
1, asownerof theproperty, 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
NEW CONST. DWELLING OCCUR
OR ADDNS. ( s ACC. BLDS. )
SO.
3.50 FT.
NEW CONST. MULTI.OUTLET
NON-RESID. ( BRANCH CIRCUITS )
97.50
POWER APPARUS
(8 SINGLE OUTLETATCIR. )
Ex. Occup. ( OUTLET OR FIXTURES )
20 @ 1.00
BAL 50
Occup. FIXED APPWS. OR
Ex. p. ( OUTLETS (RESID.) EA)
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE $
Contractor
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
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE $
Contractor
Policy Number
(rhe 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
forthwith comply with those provisions. /
X� Date �
Sig re of�Aper ❑Contractor ❑AgentSHA pered for excavations over 5'0" deep and demolition or construction
structures v 3 storie/s in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
R3
CONST. TYPE
UN
TOTAL FEE $ 49.00
HA2.
D. FEES
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
indicated above for which fees have been paid. '
BY �/%�`> Date
PERMITEXPIRESON [ 0 —9-96
(Date)
Receipt No. 5?6 6 '� . IL 6
WHITE-D.D.S.-B.D. CANARY -AS ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER I
5t0—
ZONI
_W-46
BUILDINGPERMIT
OWNER! 1
K
HONE
So. FT. OCC. BUILDING VALUATION
OWNER LIRES9
1 1.
S
�
SCNAME
TEI.EPHONECo V`cob 1,9_7160-0153
CONTRACTORS MA76RES tr W aq a /a
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ Ll
00
LENDER'S MAILING ADDRESS
Filing Fee
$ 20.00
Permit Fee
$ '
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS , ` ,
�-( y (�
PERMITFEE
$ � 0Q
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBONISIOWS NAME
PARCEL MAP
.Solar or heat pump water heater
23,00
USEOFSTRUCTURE
SFX Duplex ❑ Mobilehome ❑ Other
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other
Describe Work: i1� - ~ ,(, 1 G S
Mobile Home S G W
@20.00
PERMITFEE
$
Contractor
ELECTRICAL PERMIT
Rlinq Fee 2 0:0 0
Main Service eoov GR LESS
( 200. OR LESS )
23.00
Main Service ( 200A TO 1000A )
46.00
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,POWER
and my license is in full force and effect.
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
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 shall3
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 60" deep and demolition or construction
of structures over 3 stories in height.
NEW CONST. DWELLING OCCUP. SO,
OR ACDNS. ( a ACC. Bins. ) 3.52 FT.
NEW CONST. MULTI.OUTLET
NON-RESID. ( BRANCH c1Rcurcs ) 97.50
APPARATUS
(8 SINGLE OUTLET CIR. )
Ex. Occup. ( OUTLET OR FIXTURES) 20 @ 1.00
BAL 50
EX. Occup. our rs �AEESIOj OR
( ) 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring
23.00
PERMITFEE S
Contractor
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE S
Contractor
Mobile Home Installation Fee $
Energy Inspection Fee Is
occ��
V TOTAL FEE $
PARCEL HAZ. 0. FEES IMP FLOOD COF PD HO ISSUE
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees have
By
PERMITEXPIRESON
applicable provisions
Resolutions to do work
been paid.
Date
(Date)
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I