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HomeMy WebLinkAbout069-240-074014 039-24-0-074 00-1525 3 HUNZEKER, TIM 9642 MC ANARLIN, DURHAM CONT: BUTTE ROOFING REROOF,gt://IA L q 11 �""' .`i '_ '—`,�4�'�1?v'.!•�w�,�.sir,;r.�19,t9V7vyi—...rt,io-�sti,•a'��5/µAvid/i. µ'4,��i..e'±.%.�F''On.••"?.,jr'h'� . t� V — s r 039-24-0-074 00-1525 HUNZEKER, TIM 9642 MC ANARLIN, DURHAM CONT: BUTTE ROOFING REROOF 3 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDINGPIVISION� 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538 541PERMIT N (Rev. 12/96)A .,+" APPLICATION AND PERMIT ���'�� ASSESSOR PARCEL NUMBER 03 9 _, l Q _ 07 ZONING BUILDING PERMIT OWNER �, ! r)ZAE kf• TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS ZW V CONTRACTORSNAME �^1 AW TELEPHONE CONTRACTOR'S -MAILING ADDRESS i .n. �► CONSTRUCTION NDER's, At Fireplace LENDER'S MAILING ADDRESS tri. Total Valuation $ ARCHITECT OR,.ENGINEER LICENSE NO. FIIn Fee $ 20.00 Permit Fee $ ARCHITECTE! ENGINEERS MAILING ADDRESS �- Plan Checking Fee $ BUILDING ADDRESS A /r Energy Plan Checking Fee $ $ PERMIT FEE LAT NO. - SUBDNIS IONS NAME- -- '•* +. .. • .� . ,.. ` "'° f .F(rRCE} ,MAP '_ ,. ` - - .,• �" "'"PL'UMBCNG"PERMIT""'` ' Fling Fee- -20:00 USEOFSTRUCTURE SF 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 ❑ Utilibes�❑+ Installation ❑Ofher Describe Work:/arc •+ /' 1 +, '�� t// �� �,� ('�, Gas piping sy2tem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service ZpeA pR'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 is in full force and effect.POWER License Class Lic. NO. �/d,(2� 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 _ - — : I A 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 IJ-1f�l� n�4zJ�.. Policy Number /[�/! .�' . /�/� V-15 t/, (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 h comply with those provisions. foZlwm, X _ r 'r;44 Date _ 3 Signature of Applicant - ❑ Owner ❑ Contractor Agent An OSHA permit is required for excavations over 60" deep and demolition or construction0� of structures over 3 stories in height. Main Service zooA TO i000A 46.00 NEW CONST. DW UNO OCCUP. SO OR ADDNS. ( a ACC. S.3.5¢FT. NOµREOSID. OUTLET 97.50 APPARATUS a SINGLE ourLET aR. Ex. Occup. OUTLET OR FDRUREs .00 eAL @ I. 0 Ex. Occup. oOs AE�SIp,DEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE S " '' MECHANICAL PERMIT'-- r Fling Fee 20:00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ Qp HAZ. p, FEES IMP FLOOD CDF PARCEL rJ 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. y _ (A� —Date )=_ PERMIT EXPIRES ON ` `Q Date Receipt No. tXJ -.... 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) 5377541 PERMIT N (Rev:12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER `.O 7 ZONING BUILDING PERMIT 0"FR LEPHONE 9 SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS C CTOR' NAME f I TELEPHONE C RACTOR MAILING ADDRESS CONSTRUCTION DER Fireplace LENDER'S 4UI ADDRESS ZO Total Valuation $ ARCHITECT O NGINEER LICENSE NO. Filing Fee $ 20.0 Permit Fee $ ARCHITECT R ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS r Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. S UBDNISION'S NAME 1 1 PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF V 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 ❑ nRemodel ❑ Utilities ❑ Installation ❑ Other j Describe. Work: �'!D� ,r`�7y1,0i7'i�L��n. p� 100 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 600V OR LESS Main Service 200A 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.POWEPPARATUS License Class Lic. No. � �lO �?� 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 TO l 46.00so NEW CONST. DWEWNG OCCUP. SO WE U OR ADDNS. d ACC. BLOS. 3.50FT. NEW p61pT. MULTI.OUTLETcu, 97.50 8 SINGLER AOUTLET CIR. B20 00 E7�, OCCU OUTLET OR FDMRES @ I50 Ex. Occup. OUuTIEEDTSA RESID.oE�A 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 performance of the work for which this permit is issued. XI 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' c mB nsation insurance carrier and policy number are: Carrier [ Policy Number (The above sections need not be completed if the'Perrdftb.Wr7 'o a"L a d. of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this pey� is I¢swed I shall not employ any person In any manner SO 8S t0 beCOm bje �g rs' compensation laws of California, and agree that if I should become subject tolhe workers' compensation provisions of section 3700 ofe $�, �UNrshall forthw' comply with those provisions. �Fr ��iTY BUT IN DIVISION X Date [D _ Signature of App (cant - ❑ Owner ❑ Contractor ZAgent 'An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. 00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP FLOOD COF PARCEL PD 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. ,) r `' Bate '"Gw PERMIT EXPIRES ON / Date ReceiptNo. a — WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT