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Home My WebLink About071-450-001071-450-001 PERMIT 98-1203 STATE OF CALIFORNIA (CDF) 9476 Oro Quincy Hwy., Berry Crk (gas water heater) Fire St.Maul E- 5 071-45-0-001 98-1203 P ` STATE OF CALIFORNIA (CDF) 9476 Oro Quincy Hw.y; Berry Creek t (gas water heater)Fire Sta Mauldin 1 4. w f r' 14, (Rev. 12/96) COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 071-4504001 ZONING SH BUILDING PERMIT OWNER STATE OF CALIF (CDF TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME MAULDIN AND SON PUNBING TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER I Fireplace LENDER'S MAILING ADDRESS i Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS I ! Plan Checking Fee $ BUILDING ADDRESS 9476 ORO QUINCY tNY, BERRY CREEK' Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL' MAP I PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE i SF ❑ Duplex ❑ Mobilehome ❑ Other FIRE STATION 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 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 0 Describe Work: GAS WATER HEATER Gas piping system i - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI G1 W @20.00 PERMIT FEE $ JJ • ELECTRICAL PERMIT Filing Fee 20.00 f Main Service ioon oa mss 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'. full force and effect. '❑ ^[� License Class LIC. No. J(J D� OWNER -BUILDER DECLARATION k I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: f ❑ 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 I000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLOB. SO 3.5Q FT.i NEW CONST. MULTI.OUTL'I NON-RESID. I @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup.OUTLET OR FIXTURES 20 00 @ t. BAL s0 FIXED APPLNS. OR Ex. Occup. ourLETS RESID. EA 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. f 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' compensatio insurance carrier and policy number are: Carrier - MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Num er (The above section ne t e eted if We 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 , s 7 .&* , Date —_ Signature of Applicant - ❑ Owner �. Contractor ❑Agent An OSHA permit is required for excavaf<ons 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.W rYF*-iPT HAZ. D. FEES IMP I FLOOD I CDF PARCEL I PD HD ISSU , 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 I 7/,!�!• 1�;%7/ �V �i Date 1 PERMIT EXPIRES ON Date Receipt No. '"'rJ r L 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, Cakfornia,95965 - Telephone (916) 538-7541PERMIT O. (Rev. 12/96) APPLICATION AND PERMIT 9 ASSESSOR PARCEL NUMBER 071-450-001 ZONING SH BUILDINGPERMIT 5z OWNER STATE OF CALIF (CDF) TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME MAULDIN AND SON PLUMBING TELEPHONE ' CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation is ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 9476 ORO QUINCY HWY, BERRY CREEK Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other FIRE STATION SPECIFY Each Trap" 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other INX Describe Work: GAS WATER HEATER Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoos oa Lss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter i . - 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, 'S and my license is fuJI force and effect. 30�q � 1 License Class J LIC. NO. J 1 J 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 IOooA 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACc. Bin S. SO 3.52FT. NEW CONST. MULTI -OUTLET NON -REBID. C @7.50 POWER APPARATU 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES BAL 20 @ I. 0 LNS Ex. Occup. OUTLEEDTs RES D.OEA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirinci 23.00 PERMIT FEE S 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' cqrnnsatipinrpnce carrier and policy number are: Carrier ��, MECHANICAL PERMIT Filing Fee 20:00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections ne t e feted if We 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 rthwith comp with thos f provision -- � -- X -+k\�J Date Signature of Ap licant - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excava Ions over 5'0" 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 EXEMP HAZ. D. FEES IMP I FLOOD I CDF PARCEL I PD I HD 1 ISSU This permit is hereby issued under the applicable provisions . in the Butte County Code and/or Re pat is to do work for whic fees ha en paid. indiM%&,6A&Date Byrr 6/11/98 PERMIT EXPIRES ON bhl �Q? Dale Receipt No. EXEMPT • WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT