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Home My WebLink About069-590-029069-590-029 NICKELSON, John & 3225 Heritage Rd. Cont: Selig Const Vinyl Siding/SF 9((ROAAST CO m -OZ!/ SEE ATTACHED OROVILLE Cont: WESTCOAST COMM PLACE CATV POWER SUPPLY 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 -T 2.T ,, :2 ASSESSOR PARCEL NUMBER SEE ATTACHED ZONING BUILDING PERMIT OWNER COMCAST COMMUNICATIONS TELEPHONE SO, FT, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 4350 PELL DR SACRAMENTO CA 95838 CONTRACTOR'S NAME WESTCOAST 343-2472 TELEPHONE CONTRACTORS MAILING ADDRESS 140 WMS ST CHICO CA 95828 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ Plan Checking Fee $ "LI LLE LOCATIONS ( SEE ATTACHED) Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 - Solar or heat um 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 ❑ Describe Work: PLACE CATV POWER S TPPT Y Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT I Fling Feel 20.00 Main Service 00OR LESS 2 200AA OR LESS 1 23.001230. O LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencingwith Section 7000 of Division 3 of the Business and Professions Code, ) and my license i In fu 1 force and effect. �j // License Class ' b Lic. No. /,-o t 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 1 46.00 NEW CONST. DWELLING OCCUR OR ADONS. ( a ACC. BLDS. SO 3.5¢FT: NEW CONST. MULTI -Off NON-RESID. 0±7.50 POWER APPARATUS 8 SINGLE OUREr CIR Ex. Occup. OUTLET OR FD(TURES BAL Q'.50 Ex. Occup. oLmFrs aEs o OE 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 250.00 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 insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 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 forth^C0mp>1*ftkCos provisions. i — I -7 , �q `� X Date 1. L !✓J Signature of Applicant - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excavations o er 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 $ 250.00 HAZ. D. FEES IMP FLooO I COF I PARCEL I PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated bove for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. atep2 9fe Receipt No. WHITE-D.D.S.-B. -AS E NK ECTOR GOLDENROD -APPLICANT 069-590-029 as :T PERMIT#96=2597 4 ;kNICKELSON,'John,& Michelle 3225 Heritage Rd:,�'Oroville Cont: -„Selig Const. x Vinyl Sidirig/SF�'t-, 1Z t ;p . i { 1 t ;p . { } t ;p . V COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-,7541PERMIT NO. APPLIC4TION AND PERMIT ��p 0 ASSESSOR PARCEL NUMBER 06n_S7V��^V29 7 t ZONING AR1 BUILDING PERMIT . OWNER JOHN & MICHELLE NICKFL.50N Tn§tS327 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS HERITAGE3225 L+ CONTRACTOR'S NAME QVQ4VtTpp�+*►FVVyy{ SEj,C CONSr TW EQLE[piH'O ECA(1p ,98 CONTRACTOR'S MAILING ADDRTd5l MORROW LN F7 CiiICO Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ Uo ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 3225 HERITAGE RD PERMITFEE S PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping,. 15.00 USEOFSTRUCTURE SF Il Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other O Describe Work: VINYL SIDING — Mobile Home I S I GI W 1 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20.00 Main Service000V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 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. t( �1 _ License Class R Lic. No. �'fl� v OWNER -BUILDER DECLARATION 1 hereby affirm ender 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, t will do the work, and the structure is not intended or offered for sale. t f,J 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 NEW CONST. DWELLING OCCUP. SO. OR ADONS. ( dACC. BUDS. ) 3.52 FT. NEW CONST. MULTI.OUTLET NON•RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS (S SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 100 B°L so FIXED APPWS.OR Ex. Occup. (OUTLETS (RESID.) EA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor 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' compensaln insurance carrier and policy number are: l - T 11 <Ri AC_ Carrier Ar An 1 � Policy Number /i CD C!3 /� (The above sections need not be completed if the permit is for work of a valuation t., of one hundred dollars ($100) or less.) I 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 provisionstof section 3700 of the Labor Code, I shall forthwith comply with those provisions. _-._ X late �� % -- #-r—-��---- ----- Signature of Applicants ❑ 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 g Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee is OCC CONST. TYPE TOTAL FEE $ 146.00 HAZ. I D. FEES I IMP I FLOOD CDF PARCEL PD I HD 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. By � e,��t �Gea-�-.- Date /-i �f j I ri PERMITEXPIRESON I If /-i A7 (Date) Receipt No..ZUG9 7 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DTVI N 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75 L PERMJT NO. APPLICATION AND PERMIT �' ASSESSOR PARCEL NUMBER 069-590-029 ZONING ARl BUI ING PERMIT OWNER JOHN UO MICHELLE NICKELSON T C� � NF5327 SQ. FT. OCC. BUILDING VALUATION CONSR. 10,162-00 OWNERS MAILING ADDRESS 3225 HERITAGE RD CONTRACTOR'S NAME 3215XXXRX1X�XXA� SELIG CONS . T893 N 5898 CONTRACTORS MAILING ADDR%51 MORROW LN 0 CHICO Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 3225 HERIlr,AuGE RD PERMITFEE $ 14b.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LAT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF §P Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 13 Describe Work: VINYL SIDING Mobile Home S G W 1 1@20.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service 000V OR LESS ( 2000. OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 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. y r ( Ou License Class Lic. No. ` ` 1 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, yy will do the work, and the structure is not intended or offered for sale. �Aqp� 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 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BWS. ) SO. 3.50 FT. NEW CONST. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FDCTURES) 20 Q 1.00 BAL .30 Ex, Occup. (OFIXED UTLETS(RES D.)EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor 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' compensali n insurance carrier and policy number are: Carrier nJ I9 Policy Number Al 90 14 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) A -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'mmpensation provisions of section 3700 of the Labor Code, I shall forthwitvAlbmply with hose prov' I ns. X Date -��— % J!i Signature of Applic - ❑ 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 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE S Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE I TOTAL FEE $ 146.00 HAZ. 1 D. FEES I IMP I FLOOD CDF PARCEL PD HD 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. By Date PERMITEXPIRESON ate) ReceiptNo.2-0/9 %' I WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT