HomeMy WebLinkAbout068-300-0849
0
068-300-084 02-0765
R ,AVE
2615 FOOTHILL BLVD,"ORO
CONT: AT,
TIC AIRE "
WALL HEATER
0
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75,41. PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT vv�-U7 (d-F-7-
ASSESSORPARCEL NUMBER
068-300-084
ZONING
BUILDING PERMIT
OWNER
SAREY DAVE
TELEPHONE
-
5335396
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
2615 F09MII-L BLVD, OROVELF, CA 95966
CONTRACTOR'S NAME
ARTIC AIRE
TELEPHONE
CONTRACTORS MAILING ADDRESS
2350 PARK AVE TCO, CA 95928
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
2615 FOOTHILL BLVD. OROVILLE
Energy Plan Checking Fee $
$
A 95966
PERMIT FEE $
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling 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 i(A
Describe Work: CHANGE OUT WALL HEATER
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home T—SI G I W 11
920.00
PERMIT FEE S
ELECTRICAL PERMIT
Fling Fee 20.00
600V 0
Main Service 20.AORLESS
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"-?oCELic. No. � "1 �` ,
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
Mein Service TO
46.00
CCU000A
NEW CONST. DWELLING OCCUP.
W:
OR ADDNS. ( 8 ACC. BLDS.
SO
3.5¢FT:
NoµREOSIOT' MULTI.OLW
97,50
POWER APPARATUS
8 SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FDITURES
20 @ 1.00
BAL @ .50
Ex. Occup. OUMTIEFDfB REs °�
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 Code, for the
rformance of the work for which this permit is issued.
121," 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 po icy number are.
Carrier I_ f 4 -,, ),r4= YYi- ' ' lru,0
MECHANICAL PERMIT Filing Fee 20.00
Heating 1 115.00 15.00
Cooling
Hood
6.50
Ventilation
PERMIT FEE $ 35.00
Policy Number;?-:�i
(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.
X Date L� � �--
Signature of Applicant - ❑ Owner ❑Contractor EYAgent
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 $ 35.00
HAZ.
I D. FEES IMP
I FLOOD
CDF
PARCEL
I PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
Indic at above f hich fees have been paid.
j
By Date 1 - �� 02'
PERMIT EXPIRES ON-3�
I Date
Receipt No. U
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538.754 PERMIT NO
`tev 12/96, APPLICATION AND PERMIT ��r
ASS ESSOR PARCEL NUMB ��� I O ^
C]1�
ZONINO
BUILDING PERMIT
---
OWNER
_A0_, C�
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER MA�NQ /�SS
_N/CQ
(/4
CONT q/.gpR'S E
i
TELEPHONE
COTRRACTORS MAIUNO ADORE
CONS TRUCTION LENDER
Fireplace
LENDEH S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO
Filing Fee $
20-0"
Permit Fee $
_
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDPlG ADDRESS I cte
Energy Plan Checking Fee $
PERMIT FEE $
LOT NO. SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20. C0
Each Trap
7.001
USEOFSTRUCTURE
SF #Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater
—
23.001
Water piping
15.00•
Each gas water heater or vent
15 OD
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other
��aQ �T � (_`
Describe Work: .,f
Gas piping system 1 - 5 outlets
15.00I
Building sewer
15.00:
Mobile Home S G W
@20.00!
I —
PERMIT FEE $
ELECTRICAL PERMIT Filing Fee; 20.00
1100V OR LESS
Main Service 200. OR LESS
23.00;
,G�
*PEPAIT FEE PAU> � � � V �
SRA
SHERIFF
OTHERPERMIT
AAAO* VNT RECEMED
w
TO /E PVT ="ro CO
Main Service 200A TO I000A I 46.00�—
--
NEW CONST. DWELLING OCCURI 5050
OR ADDNS. 3.
( 8 ACC OLDS. ) FT.I
NEW CONS. MULTI.OUTLE7
NON-RESID.
7.50
@ I
POWER APPARATUS
8 BINDLE OUTLET CIR.
Ex. Occup. OUTLET OR FOCTURES 20
FlXED APPLNS. OR I S.00I
EX. Occup. 011TlETS RESIO. EA __.
Temporary Service I I 23.00.
Mobile Home Facilities 20.001
Misc. Wiring 23.00:
FEE $
MECHANICAL PERMIT Filing Fee l 20.00
Heating
� (.Z
Cooling
Hood 6.50 1
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE TOTAL FEE $ _
HAZ.
D. FEES IMP
FLOOD
COF
PARCEL PO i HD 1 55.
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
ReceiptNo. I PERMIT EXPIRES ON
wHITE-O.O.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
Date