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Home My WebLink About068-350-025068-350-025 02-1472 FYFE, MARY 170 MOUNTAIN VIEW DR., E CONT: MD PLUMBING INALED C/O WATER HTR 048-3S0-025 k? COUNTY OF BUTTE'- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION j° % 7 County Centeri Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 4�2. ASSES O kRCI '�iUMBER � ' 1 ZONING BUILDING PERMIT OWNER l - e TELEPHONE 5 3/�(chtY�b SO. FT. OCC. BUILDING VALUATION OWNERS MAI _NG ADDRESS ygy11f1gr r J \�/1.I0t. i I Vi e L� br• a c) V ; `IQ e 1 ./ i0 CONTRACTOR'S NAME ` Plllt)Ibfn�� TE HONE yrs -1H c. CONTRACTORSMAILING ADDRESS . i� c� J( -('I CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Film Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS��• Qr ��1� I u I�lo�,, ftp,►� 1 � t Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP , PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome) then T SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 UU TYPE OF WORK New ❑ Addition Cl Remodejll❑ Utilities ❑ 'Installation ❑( Other � j Describe Work: V, T� 1� ��L �e j/ I )� { rt( ( �f !" J Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2o0A OR LESS 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 �„ _ Lic. No. �ca�� I� OWNER -BUILDER 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 Main Service 200A TO 1000A 46.00 NEW CONST. DWa LUN1. OCCUP. SO OR ADDNS. ( ACC. BLD S. 3.5¢FT: Ho RESIMULONS TI. OUTLET 97,50 vOWER APPARATUS 8 SINGLE OUTLET CIR. 20 @ ,.00 Ex. Occup. OUTLET OR FIXTURES BAL @ .50 flXED APPLNS. OR S.00 Ex. Occup. O.FIXED EA Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION I 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;- omp nsation insuf�ince c rrier and polic number are: Carrier He Z4 1r �= � Fi b �}.e r. /t S Policy Number 1Aj /?/ (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 zepiovisions of section 3700 of the Labor Code, I shall rthwith cgrmply with osg provisions. — (/_ J X il.C.� Date .- �" "" Signature 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 Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 35.(j o HAZ. D. FEES IMP I FLOOD I COF PARCEL I PD I HO I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated1 bove for ich f s have been paid. i By /_ Date PERMIT EXPIRES ON (� Date ReceiptNo. 35 350 Wii5 - 00 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) 538-7541 ��` /PE, y�►�OI,T�p. (Rev. 12/96) APPLICATION AND PERMIT ASSESCUCIrUtBO9 M _ J_ ZONING BUILDING PERMIT ^ �v� OWNERe 1P/ 11• TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S AMIQ ADD S Y I ) f—W 6 ^. � 1-1 � R CONTRAM'S ME n I� �I TE HONE S IOPI RS NO DRESS CONSTRUCTION LENDER IF Fireplace LENDER'S MAIUNG ADDRESS Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan CheckingFee $ IRE �n _ BUILDIN f"%, ^UI� / vl w Dr, oy-ov VI�c Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDN610NS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE � SF Duplex ❑ Mobilehomel)g e�tnSPECIFY er ��lll� Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 ,0 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ utilities0 Installation 0 Other J� I 'l Describe Work: (/Uh/l�/J�—Y OgA4T1L 1 1`11 W Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home S G W 1@20.00 PERMIT FEE S _ () ELECTRICAL PERMIT Fling Fee 20.00 600VR LE Main Service 20OA OR LESS 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 i fu I 2rce and effect.f License Class Lic. No. 5_01a1q OWNER -BUILDER 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. ❑ 1, 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 worker om nsation Ir�su _ _ce c rrier and olicY 3um�ber are: Carrier r Y✓-�d1 li i6 �fii1J Policy Number (The above sections need not be comple ed 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 Arovisions of section 3700 of the Labor Code, I shall rthwith c nply with oYprovi ons. X Date �� Signature of Applicant - ❑ Owner Contractor ❑ Ag nt An OSHA permit is required for exca tions over 60" deep and demolition or construction of structures over 3 stories in height. Main Service zooA To +000A 46.00 NEW CONST. DW 1711NG OCCUP. SO OR ADDNS. ( 8 ACC. LiI DS. 3.5¢FT, NEW REOSID. T.MULTI-OUTLET 97.50 a sOWE.IN.R oiirLET S OUTLET OR FIXTURES 20 Q +.00 Ex. Occup.BAL @ .50 Ex. Occup. DUTEis Ra ,° 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEi_ $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 35 _p o HAz. D FEa IMP FLOOD CDF PARCEL I PD HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indica bove for ich f s have been paid. / _, By 1/ Date 6{J%�lQ PERMIT EXPIRES ON (o— / Date Receipt No. 5 5 0 35 —00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT