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Home My WebLink About071-440-002G �4 PERMIT#9f 140 CARPENTER, Richard i - Ptk f j 258 Rockerfeller Rd., Berry Cree Cont; .Mike Hurst Electrics'"'" ` -Ele Ser -Ch & Misc -Ele/SF.- r a STEVENS, C.R. 3150B '~ 2452E - - -" 31 -2U ---S p . -7 O,7 . - 2.Mi. past Rockefellow School, BetryCreek _ O�� CONTR : Floyd Roberts ' G?4 _ (addition) Ci l l -Q5-6 aS-6 9L dal (off coy C�zg� 5 i'l a i41 �I MAI . � .T7a �Cyy''.^}"J."�i",i,�,.T;��Swwaae :w.S"I rn...-c+o.:-w--r'; •w_ .-yw.,..xy `�`�4YYT.��^`Y?'..�+�tf��'g'1?�«�,•xs:'4bite"y�:.,,d,,:.sn��aLF.w26`LtF4'•�:v�r.+ahnC:?i*35:�.:irY.;w:y Ls.�r..,y,.. s:-..,. _w:.. ,. LIL fj�-/-•�-jDz.a-�� c f� � } P , y. _��-1P:�WA►'��•�T,_�y.��y,�Y . ,::Slt'�aTr.�,�+--''► `,.13/iiR.�S''7s�',F� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, GWjTdrn'I"_.95965 - Telephone (916) 538-.7541 PERMIT NO. APPLICATION AND PERMIT AssE�%�45t=4 ZONING BUILDINGPERMIT OWNER Richard TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 258 Rockerfeller Rd., Berry Creek CONTRACTOR'S NAME TELEPHONE Mike Hurst Electric CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN 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 j PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISIONS NAME PARC L MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF JaC Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 as piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ UblitiesLR Installation ❑ Other ❑ Describe Work: ElelSCr Ch & Misc Ele. — Mobile Home S I G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main Service a OV OR LESS ( 200A OR LESS ) 23.00 • Main Service ( 200A TO I000A ) 46.00 `- LICENSED CONTRACTOR'S DECLARATION Lf 1 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 Profe$sions Code, and my license is in full force and effect. License Class 4: � V Lic. No. 33 `1�7 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. ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING SD OCCUP. \ . OR ADDNS. ( a ACC. BLDS. J 3.50 FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( d SINGPOWER APPARATUS ) LE OUTLET CIA. Ex. Occup. ( OUTLET OR FIXTURES) 20 O BAL 50 FIXED APPWS. OR Ex. Occup. (OUTLETS (RESID.) EA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 PERMITFEE $ i . Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations•. I I 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 Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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.) 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 provisions of section 3700 of the Labor Code, I shall forthwith cc ly with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agen 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 Is OCC CONST. TYPE I TOTAL FEE, $ 6600 •PD HA2. I D. FEES I IMP I FLOOD I CDF PARCEL HD ISSU This permit is hereby issued under ttie applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. Py ' s Date 6/26/95 PERMITEXPIRESON 6/26/96 (Date) c/ /) W Receipt No. � 7l t J >tJ WHITE•D.O.S.• DY CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT M COUNTY OF BUTTE- DEPARTMENT �F DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville,*,(:Wl �% 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSE(�s�gP^� ��Mb�4 ULU U ZONI"CL . • •- BUILDING RMIT OWNER Righard Carpenter TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 258 Rockerfeller Rd., Berry Creek CONTRACTOR'S NAME Mike Hurst Electric TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 959 RnrkPrfP11Pr Rd Berry Creek PERMITFEE $ PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 USEOFSTRUCTURE SF J)A Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 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 ❑ Ublibes.4 Installation ❑ Other ❑ Describe Work: Ele Ser Ch & Misc Ele. Mobile Home I S I G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service COO. OR LES ( 200A OR LESS ) 23.00 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. �3 License Class �� Lic. No. 33 �/ OWNER -BUILDER DECLARATIO11`4 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: pr 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 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ( I 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 NEW CONST. / DWELLING OCCUR s0. OR ADDNS. \ 8 ACC. BLDS. ) Fr. _3.50 NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( 8PSIOWER APPARATUS ) NGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 s"u 30 EX. Occup. (OUTLETS (RES D.�EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin g 23.00 23.00 PERMITFEE $ 66.00 Contractor MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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.) 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 provisions of section 3700 of the Labor Code, 1 shall forthwith cop,ly with those provisions. X r® Date — / ----- �j Cy — �� Signature of Applicant - ❑ Owner ❑ Contractor ❑ Aged 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 Is OCC CONST. TYPE TOTAL FEE $ I HA2. I D. FEES IMP I FLOOD I COF PARCEL PD HD ISSU This permit is hereby issued under the applicable provisions the Butte County Code and/or Resolutions to do work in indicated above for which fees have been paid. YLI&Atil Date�y/2F1/Q5 PERMITEXPIRESON 6/26/9b (Date) Receipt No. WHITE-D.D.S.-BID. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I