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Home My WebLink About068-140-0721( 063-140.072 02.199 JENSEN FAMILY TRUST INALED 63 WARD BLVD., OROVILLE 23 oL COM: ARTIC AIRE C/O HVAC O (pg . i g o . 072 E�] v _ _ �;_V.-. r .-..r a v,y<+«�-�y _.,•, r;•tx::.y..,.,'v�_v^�..�.Rv--+ctsa'_ 7"❑, <:.rccrt:•,c�s-,p � ts..p ym IN ;-.7,rel w.- — .r' Y.hi�'S'�.`�j'_`$ 068-140-07202-1991 JENSEN FAMILY TRUST, 63 WARD BLVD., OROVILLE CONT: ARTIC AIRE C/O HVAC. k { t 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 02-1991 ASSESSOR PARCEL NUMBER 068-140-072 ZONING BUILDING PERMIT 'AUSEN FAMILY TRUST TELEPHONE 589-2769 SO. FT, OCC. BUILDING VALUATION OW S MAILING ADDRESS WARD BLVD OROVILLE 95966 CO RACTOR'S NAME -,A&RSn t;-, TELEPHONE tom, CONTRACTORS MAILING ADDRESS Tr—),'•i - f , _ 2350 PARK AVE, CONSTRUCTION LENDER LENDER'S MAULING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Ellin Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 63 WARD BLVD. OROVITIF Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF f Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 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 C,MG.E OUT HVAC Describe Work: Gas piping system 1- 5 outlets 15.00 Building sewer 15.00 Mobile Home S G w 920.00 PERMIT FEE S ELECTRICAL PERMIT Fee 20.00 800 RLESSFling Main Service 20 A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 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.POWER License Class 4� - ; G ^ Lic. No. ' y_. •a t t ^ OWNER -BUILDER DECLARATION 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 Main Service 200A To 1000A 46.00 NEW CONST. DWEWNG OCCUP. SO OR ADDNS. ( a ACC. Bins. 3.5aFT; NON CONST. O.1. UTLET @7.50 APPARATUS a SINGLE OUTLET CIR. 20 Q 1.00 EX. Occup. OUTLET OR FDCTURES &4L @ .50 PPLNSI Ex. Occup. ounETS RES D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 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 Cale, for the performance of the work for which this permit is issued. Qe'rhave 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 ��„ „��\ ti., ,•� } .. 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 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. 1 o X �` �-.. — Date _ Signore' 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. MECHANICAL PERMIT Fling Fee 20.00 Heating I 15 oo Cooling Hood 6.50 Ventilation 50 00 PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE 50.00❑ TOTAL FEE $ HAZ. I D. FEES IMP I FLOOD I CDF PARCEL I PD HD UE This permit is hereby issued under the applicable provisions of the Bu a County Code and/or Resolutions to do work indicate • above for which fees have been paid. ,v By Date PERMIT EXPIRES -ON Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT V 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 02-1991 ASSESSOR PARCEL NUMBER 058-140-072 ZONING BUILDING PERMIT 'IMSEN FAMILY TRUST TELEPHONE 589-2769 SO. FT. OCC. BUILDING VALUATION . O ERS MAILING ADDRESS WARD BLVD, OROVILLE 95966 RACTOPIS NAME • C= � 0,0S/14 tn.L: TELEPHONE fiGs 3 CONTRACTORS M�NG�� ALxZ 2350 PARK AVE CHICO 95928 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS 63 WARD BLVD, Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF 9 Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 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 IN Describe Work: CHANGE OUT HVAC Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @2.0.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service ZDDA OR If SS 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 's in full force and effect.POWER License Class CZ Lic. No. '� 4 4I 3 OWNER -BUILDER D CLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, 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 insur nce carrier and policy number are: Carrier L." Main Service 200A TO 1000A 46.00 NEW CONST. DWELLINGOCCUP. SO OR ADDNS. ( a Acc. BLDs. 3.52 Fr: rNiO.FIES DT MULTI-OVTLET TS @7,50 APPARATUS 8 SINGLE OUTLET CIS. Ex. Occup. OUTLET FlxruREs 20 °' 00 BAL Q .SO Ex. Occu .GDx�EED�A Aa D OEp 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 PERMIT FEE S Policy Number a r;�Q 1foS' Z!9.1�.Q0 (The above sections need not be completed 4 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 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. , a� X Date 'Z 0� Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agentf An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 50.00 FEES IMP I FLOOD CDF PARCEL I PD HD E This permit is hereby issued under the applicable provisions of the Bu County Code and/or Resolutions to do work indicate abo for which fees have been paid. _ Jy4 Date PERMIT EXPIR N / �D-5 • C) I Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT