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HomeMy WebLinkAbout065-330-01406501 00-2625 NE .3 3 O� �TTTCCHW .�Tl COLLI( 14726jg�D [A CON OE SGRVICCI -(i-Er: 8) o- 183? ,fs \S - Z( -I ,, c) Al TO Important Message*) Time: �' C� Date: 1 8 Da For: From: Telephone: A23-- — 3519(7 ❑ Telephoned ❑ Wants to see you ❑ Returned your call ❑ Was here to see you Message: Taken by: Post -it° 7679-4 OM 1993 A Please call ❑ Will call again ❑ URGENT I COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PER IT NO. (Rev. 12/96) APPLICATIONANDi�ERMIT ASSESSOR PARCEL NUMBER 055-330-014 ZONING RMH BUILDING PERMIT OWNER CHRISTINE COLLICOTT TELEPHONE SO, FT, OCC. BUILDING VALUATION . OWNER'S MAILING ADDREES 14726 WOOD DR., MAG4LIA 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 $ ARCHRECT OR ENGINEER -3 MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 14726 WOOD DRIVE MAGALIA Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SU5DN610N'S NAME PARCEL MAP PLUMBING PERMIT Fling 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: SERVICE CHANGE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 EOOV oR LESS 2) , Main Service 2ooA OR LESS 23.00 .. ; . O 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: 1AI, 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 constrL.ct 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 ane 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.) 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 prov' ions. X Date 10 -2_g- — o _ Sigeof Applr t - ❑Owner ❑Contractor ❑AgentB Anperm t is required for excavations over 5'0" deep and demolition or construction ofes o'er3 stories in height. Main Service To +000A 46.00so NEW CONST. ow W EwNo uP. occ 3.52F°. O ADO S.. ( MUAiT�i ou�rler NDN-RESID. @7.50 PowER APPARArus 8 SINGLE OurtEr CIR. Ex. Occup. OUTLET OR FIXTURESj 20 @'•50 eAl p .so Ex. Occup. otmEEDTs RESID.) 5.00 Tem orar Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 _ _ a — ii s -p 2 -- t 1 O n 2 3. 0' PERMIT FEE MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ Dcc CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP I FLOOD CDF PARCEL PO HD ISSUE This permit is hereby issued under the applicable provisions of the Butte unty Code and/or Resolutions to do work Indic d a v to whit fees have been paid. Y ate //— �20 PERMIT EXPIRES ON 7�al 1 14 1 Pate Receipt No. 308857 WHITE-D.D.S.-B.'D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �a rwV i �m ca+vVJ\- Sy.rf��l-SPS cTcra.�rc"�s, Poch' 41Cav� ave �ytis �.�1� - COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDINION. If 7 County Center Drive • Oroville, California 95965 • Telephone (530) 53j8-741 PER T NO. (P,ev.12/96) APPLICATION AND PERMIT - _a' ASSESSORPARCELNUhim T� v ZONING - BUILDING PERMIT 01MNE"/I ZI,C/ TELEPHONE � SO. FT. OCC. BUILDING VALUATION OWNERs M MAILING ADOM9 p !U� 7f3-uf�- 1/)X / O IC CON PACTOR'S MAE TELEPHONE CON RACTORs WLLING ADORESs CONSTRUCTION LENDER LENDERS LwuNG ADORERS Fireplace Total Valuation E ARCHRECTORENGINEER UCEN6ENO. Filing Fee b 20.00 ARCHITECT OR ENOINEERs MAILING ADDRESS Permit Fee b Plan Checking Fee $ OULDNOADDRESS J//V L/,?—/UEV Energy Plan Checking Fee E $ PERMIT FEE _ LOT NO. SUBDIMIDHSume PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Tre 7.00 USEOFSTRUCTURE Solar or hent pump water heater 23.00 SF ❑ Duplex ❑ Mobilehome�(Mer Water piping 15.00 sPECFY Each as water heater or vent 15.00 TYPE OF WORK Gas piping system 1 - 5 outlets 15.00 New ❑ Addition ❑ Remodel ❑ UtiGdesInstallation ❑ Other 13Buildin sewer 15.00 Mobile Home S G W @20.00 Describe Work: - y6i�Ul Lp e �%�I� L� PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service °zo°OVwOR, 9s, 23.00 346 Mein Service 200A TO IOWA 46.00 NEW CONST. owFUNo OCCUP. OR ADONS. i ACC. BIDS. 3.5¢so NtW ONS . MULTI-0UTLET NON•RESID. @7.50 POWER APPARATUS 6 SINGLE OUTLET CMR. Ex. Occup. OUTLET OR FvmEs 20 ® 1.00 BAL @ .50 EX. OCCU nD AP ENIS ORR.w 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 — I5-PeT/O /L&W IA�1) PERMIT FEE _6 MECHANICAL PERMIT 11 Fling Fee 20.00 *PERMIT FEE PAID $ Heating SRA $ Cooling S SHERIFF $ Hood 6.so Ventilation OTHER. $ $ PERMIT FEt $ Mobile Home Installation Fee is $ Energy Inspection Fee $ N o`c CONST. TYPE TOT FEE $ AMOUNT RECEIVED $ �p NAz D. FEES tMM FLOOD COF PAR PO Nn ISSUE This permit is hereby issued under the applicable provisions �QQQ � of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. *RECEIPT NUMBER UU� * TO BE PUT INTO COMPUTER By Date PERMIT EXPIRES ON ro FACSIMILE COVER SHEET Dater To: _0a1Z 7:)14 i! P1 UlS/Dlt-) From: Subject: /' Number of pages (including this cover sheet): Telephone Number of Receiving Telecopier: If you do not receive all of the pages, please call (530) 538-7541 as soon as possible. Special Instructions: ❑ Review and respond accordingly: ❑ For your information only. Sincerely, CONFIDENTIALITY NOTE: The information contained in this facsimile is confidential and may also contain privileged information. The information is intended only for the use of the individual or entity to whom it is addressed. If you are not the intended recipient, you are hereby notified that any use, dissemination, distribution, of copying of this communications is strictly prohibited. If you have received this facsimile, in error, please notify us immediately by telephone, and return toe original to us. Thank you. A PRE -INSPECTION REPORT DATE: /,Q -//( -(fZ) LOCATION: CONTRACTOR: U (_-) . PRE-INSPETIONFOR: D O 11 A-10 TO Building Description: Commercial/Usage: Residential/# of Units: Currently Occupied AbandonedNacant Electric: PERMIT ZONING- ( ) AS FOLLOWS: BUILDING INSPECT'OR'S REPORT Yes No Electric currently On Off Condition of Electric Gas: Natural Propane None Currently On Off Obvious Problems: Sanitation: Plumbing Working Well Working Potable Water Obvious SewageProblems • . Comments: ACTION RECOMMENDED: ISSUE: HOLD FOR Inspector. Date Sketch buildings on reverse and indicate location on p"roperty. r AI 3 en s i a r-, • tT l .fr�� �t�u""��.J J VY l� E i i 7 r; III �--