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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