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HomeMy WebLinkAbout056-380-007` F i 05(o— 33----oo-7 of5. 056-380-007 PERPIIT#95-2506 KUTZ, James 16774 Koler Rd., Forest Ranch Cont; Elvie B. Cobb""6 Reroof/SF,'I , , . 3 8" R 0 ^•.wn ;.Rai.�;Wgi'i3 i%.$I�tji�ri^'r...�� . C N .. -. :�r,', ^' "ti: .`"�. ..h- .'.1 �1 t- - - •/!'•r -ti; Y '`1�'- 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