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Home My WebLink About062-190-016062-190-016 #98-2701 HANSEN Don JUSTESON,AVA LEE &22E� 23 FOREST INN DR., BRY CRK PEMS HEATING &AIR, Lot #41, Forest Inn Drive n NEW GAS FURNACEf4�- /f Lake Madrone V PIOTTI, John 3471B# 2763P* 3392E# . Lot 41, Forest Inn Dr., Lake Ma0r6ne19-1 *Transfer, Renewal & addition TRA SFERRED FROM Don Hansen - 8408 817E. I 624P' 1 f 1 ' f' el I ri 0 062-190-016 #98-2701 62 0 ' 6 - 1 90 JUSTES ON, AVA LEE I`E 23 FOREST INN DR., BRY CRK U PHILS BEATING &AIR W S =F NEW GAS FURNACE 117A q 4- LCOFFICE COPY Address ----------- Addres s GAS Meter By -Lt L C ELECTRI ..,- Meterr Meter By ------- -Date lir COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541. PERMIT NO. - (Rev. 12/96) APPLICATION AND PERMIT � - _ a 70 1 ASSESSOR PARCEL NUMBER 062-190-016 ZONING M BUILDINGPERMIT OWNER a. .TITS � 1'SO!'?, AVA jnpr�r. TELEPHONE SQ. FT. OCC. BUILDING VALUATION �r� . OWNER'S MAIUNG ADDRESS F. n. WTA 970, I'Pf;J�.FY \�1 PP!r 7��16 r ^4! CONTRACTOR'S NAME TT Cm TV TELEPHONE nTry�p1 ADT T CONTRACTOR'S MAILING ADOFTO C) 211) 'l l RFl 7 , RJ,O"IS 05017 [ ,r CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 23 FOP.>'ST IT'W nR?VF, !?FP,RY GRT'F:Tt Ener Plan Checking Fee $ sY s $ PERMIT FEE S LOT NO. SUBDNSIOWS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF `❑ Duplex ❑ Mobilehome ❑ Other SPECIFY 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 ❑ Describe Work: T;P4 GAG 7TRNArF Gas piping system 1 - 5 outlets 15.00 15,Q) Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service o*.AOR' 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 fLAI force and effect. T �O J License Class Lic. No. T O / 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' c nsatio insurance car`i.5r and lic n rpberare: .( Carrier I sir' r 5 Policy Number .n .— (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 worker' com nsatio provisions of section 3700 of the Labor Code, I shall fortKwi 'co p w� ose visions. X Date _ Signature of Applicant - ❑ Owner ohtractor [01 gent An OSHA permit is required for excava ions over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO tOOOA 46.00 NEW CONST. DWELLING OCCUR SO OR ADDHS. ( a ACC. BLDs. 3.5QFT: NEW CONST. MULTI.OUTLET NON-RCSID. @7.50 POWER APPARATUS a sINGLE our>� CIR. .00 EX. Occup. OUTLET OR FDRUREs SAL 20 @ t. 0 Ex. Occup. OimFEDrs PL.16)FRA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating LF Cooling Hood 6.50 Ventilation nn PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ CC CONST. 11 TOTAL FEE $ 70. (N} ;,�e HAz. D FEES IMP FL000 CDF PARCEL PD HD ISSUE s rmit is hereby issued under the applicable provisions Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. / By I. Ile Date PERMIT EXPIRES ON i/� I /-. ► / Det® ReceiptNo.,Z , / 3 / WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ' V6, • COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 —PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT `moo ASSESSOR PARCEL NUMBER 062-190-016 T11.11 ZONING BUILDING PERMIT OWNER JT.TSTESON , AVA LEE TELEPHONE SO. FT. OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS P.O. SOX 970, .BERRY CREEP 95916 CONTRACTOR'S NAME u TELEPHONE CONTRACTORS MAILING ADD'1§96 2NT) STREET, . BIGGS 95917 LL ��jj CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filin Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 23 FOP.EST L1`Ti1 DRIVE, aFP.RY CREFY Ener Plan Checking Fee sv s $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF 7 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 ❑ Utilrbes ❑ Installation ❑ Other ❑ Describe Work: P-IET'i GAS FURNACE Gas piping system 1 - 5 outlets 15.00 00 Buildingsewer 15.0015 Mobile Home I S I G I W @20.00 PERMIT FEE $ 35.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A OR .sss23.00 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 f ! force and effect. GG f 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. ❑ 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 is ed. My workers' p sation ins r ce c rri end lic n erre:35 Carrier /t^ jP�' �//f Policy Number (rhe above sections need not be completed ' the permit is for work of evaluation 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 w• ose visions. ff'comsatin provisions of section 3700 of the Labor Code, I shall X _ Date � ef Signature of Applicant - ❑ Owneractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service To 46.00so CCU000A WEE200A NEW CONST. DWELLING OCCUP. SO OR ADONS. ( a ACC. BUDS.3.50F7. NEW CONST . MULTI•DUTLET N• NORESID. @7.50 POWER APPARATUS SINGLE OurLET CIR. OUTLET OR Fix URES 20 Q EX. OCCU BAL @ .50 Ex. Occup. ofluT,EETSA Aa °EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation 08 PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE EE $ TOTAL F 70.00 HAz. D FEES IMP I FLOOD I COF PARCEL PD 1 HD 1 ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have ByDate PERMIT Ft/P1 S ON 9' G/ the applicable provisions Resolutions to do work been paid. D;hq Receipt No. CANARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT (Rev. 12/96) L COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER n z -/10 D ZONING 1�r' BUILDING PERMIT 0 24 z ER ?,2 TELEPHONE SO. Fr, OCC. BUILDING VALUATION . OWNER MARING ADDRESS /D . CONT RAS NAME j Alt - TELEPHONE CONTRACTORS MAILING AD_ ^ / S !LJ 1' . CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation S ARCHITECT OR ENGINEER LICENSE NO. Filina Fee $ 20.00 Permit Fee S ARCHITECT OR ENGINEERS MATING ADDRESS Plan Checking Fee S BUILDINGADDREss 2 r -c:> in�gs Z Energy Plan Checking Fee S . e s PERMIT FEE i LOT NO. SUBDNISKMISNAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE �� SF j� Duplex ❑ Mobilehome ❑ Other sPECFY 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 ❑ Rem el ❑ Utilities ❑ Installation ❑ Other B' �_S �l Describe Work: �_ � Gas piping system 1 - 5 outlets 15.00 Ig - w Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE i 357 DO ELECTRICAL PERMIT Fling Fee 20.00 LE Main Service z8oa on LE.S 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 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. ❑ 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 (5100) or less.) 131 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'HALD 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 50' deep and demolition or construction of structures over 3 stories in height Main Service 20" TO ,000A 46.00 NEW CONST. DWEUJNCi 00CUP. 3.5d OR ADONS. a Acc. stns• • NON RESIp. RANCMULTbOLmET @7,50 POWER APPAPATUS a SMGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES ew ® 1.00 Ex. Occup. E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE t MECHANICAL PERMIT Fling Fee 20.00 Heating ate Cooling Hood 6.50 Ventilation PERMIT FEt $ 3 aO Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEES �) FEES [IMP _[FLOOD COF PARCEL PD HD ss UE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON Pa provisions to do work paid. Te ReceiptNo. WHITE-D.O.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT