HomeMy WebLinkAbout068-030-147YTH S REYNOLDS -..- 68-0.3-147Ward Blvd _g3
itiM74-83B(r0eroof& smokke det/SF68-030-147ARAVIOV, KATHY &JOEL03=2031
11 WARD BLVD, OROVILLE
ont: GALLAGHERS
'T HVAC/SF
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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 03 a03 /
ASSESSOR PARCEL NUMBER
068-030-147
ZONING
BUILDING PERMIT
OWNER
MARAVIOWC KATHY AND JOEL
TELEPHONE
89-4057
SO. FT. OCC. BUILDING VALUATION
• OWNERS MAILING ADDRESS
211 WARD BLVD. OROVILLE CA 95966
CONTRACTORS NAME
GALLAGHERS 1800492_3556
TELEPHONE
CONTRACTORS MAILING ADDRESS
P.O. BOX 35 LOS MOLINOS , CA 96055
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
211 WARD BLVD.
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF V 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 q Other ❑
Describe Work: REPLACE HEAT RIM WTT4 HVAC IINIT
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home IS I GI W
(920.00
PERMIT FEE S
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service EOOA oR LESS
2o0A OR IESS
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 C 10 1 c 3S- Lic. No. -77 7 3'2 y
OWN WILDER 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.
I 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 54-44- T^-, . 'F ,,Kd
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( s AOC. BLDS.
s0
3.5¢FT:
T.
NON.RESID. ANCHOU CIRCUITS T
97,50
POWER APPARATUS
& SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FVTURES
2O g''00
BAL o .so
Ex. Occup. oFIx�E�DTSA Aa OF'
Ek
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 1
15.00 15.00
Cooling
Hood
6.50
Ventilation
PERMIT FEI= $
50.00
Policy Number % -1 ,;- 7-3 -
(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 law# of California, and agree that if I should become subject to the
wor s' cc pe ation provisions of section 3700 of the Labor Code, I shall
f Lh th c IIp1 ith tho a rovisions.
X Date 'I/445
Sign ture of A plicant - ❑ Owner Contractor WAgentT
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
1.Receipt
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 50.00
HAZ.
1 D. FEES IMP
I FLOOD
I COF
PARCEL
PD
I HD
I 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 ate
PERMIT EXPIRES ON
Mip
No. d
WHITE-D.D.S.-B.D. CA ARY-AS SOR PINK -INSPECTOR GOLDENROD -APPLICANT
..��Y�•,Y y.r�.w.y"M.a.'�R�""�•"".�..a=��"^�1�Y�raV' .....i��al�i'4i�j,..ry„yat�/�!'r..���rt.i�'►ee,r+�'+:"•Y''r4`�°''�..•.�.�+..rap,.:-ti..,•...;r.a..�,,�.�.r,..1,J " '"(`'�
IS Permit#3574-83
Thomas Reynolds
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ACDRESS•
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LEIJ`DER
UNKNOWN
Total Valuation $ /•Y r -
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ ;
BUILDING ADDRESS
PLUMBING PERMIT
pilin Fee 10.00
9
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF'�Q Duplex[— Mobilehome❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S G W
10.00e
TYPE OF WORK
New ❑ Additioi ❑ Remodel ❑ Utilities ❑ Installation[] Other'Ea
Describe work:"
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
800V OR LESS
Main service 100 AMP OR LESS
10.00
`- r
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ACC. BLDGS.
21/20sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR ULTI-OUTLET 2.50 ea
NON-RESID BRANCH CIRCUITS)
NEW CONSTR. / POWER APPARATUS &'�
NON-RESID. %SINGLE OUTLET CIR.
EX. OCcup(OUTLETS OR FIXTURES eA 0g OQ
FIXED APPLN5. OR \
EX. OCCUp- OUTLETS (RESID.) EA,/ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The pe -mit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑J I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. previsions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
I . r
X ��� Date /,/ ' ' ``+
Signature of Applicant — Owner ❑Contractor ❑ Agent ❑
An OSHA permi- is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee
$
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE of CONST.
I PARCEL
PD
I ND
I ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS PERMIT.
~ 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
ASSESSORPARC�NUMBER
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
�
L3?2-
SO. FT. OCC. BUILDING VALUATION
/
MAILING AD RESS
�f.
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $�
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 2_51 61;p
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
PLUMBING PERMIT9
Filin Fee 1 10.00
Each Trap
2.00
Solar Water Heater
20.00
•► =-'
Water piping
5.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SFNT Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home ISIG W
_10.004
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other .
Describe work:���LiL��
?-7 - Q/)� � f ��2� �
�cl�
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 10ov OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2'.50
NEW CONST. DWELLING OCCUP.&`
OR ADDNS. ( ACC. BLDGS. /
21b0sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check One):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and m license is in full force and effect.
y
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
I, r sale. (Sec. 7044)
as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR U TI.OUTLET 2.50 ea
NON -REBID BRANCH CIRC ITS
POWER APPARTS &
NEW CONSTR. POAU
NON-RESID. SINGLE OUTLET CIR.
Ex. OccuP(o zo®e0300t
OR FIXTURES 9AL
XD
A
FIXED APPLNS. OR \
Ex. Occup. OUTLETS (RESID,) EA./ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
�f�Consent to Self -Insure.
LrJ shall not employ any person in any manner so as to become subject
'
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shal I be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs and expenses which may in any way accrue
againsaid County in c sequence of the granting of this permit.
X �� Date CIC='"" -fes" �i1
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee
$
,
TOTAL PERMIT FEE $ as 190
OCCUP. CROUP
I TYPE OF CONST.
PARCEL
PD
HD
ssuE
This rmit is hereby issued under
sio the Butte County Code and/or
wok i is ed ove for which
I CTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date A��7^&�
�� ��
<7
Receipt No. L �� Q
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT