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HomeMy WebLinkAbout072-240-021072-240-021 99-2600 PRYOR, THELMA 186 HURLESTON ROAD, OROVILLE CONTR: BENT NAIL CONSTRUCTION NEW HVAC %'na - Y, .... -._1A� r .,,,.....--- .....,, ..—_.. .y..r..-..—•.'*�`-v i 'Y`r -+ !w sE w-- t _y^1r+,p� �. EHvAC 99-2600 _ ROAD, OROVII LE L CONSTRUCTION Y t t _ OFFICE COPY Address r GAS Dat i Meter By ELECTRIC Date Meter By 1] 4"G C 3. r i•�S R. r+� t a 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 ' ���r C ASSESSOR PARCEL NUMBER U/1-240-021 ZONING i1t10 BUILDING PERMIT 1,� IE'' A YOR .LIOWNER'S TELEPHONE SO, FT. OCC. BUILDING VALUATION MAILING ADDRESS 186 HURLEIN RD, 0 CONTRACTORS 6RIL OONSIRUTON T5yENI �2312 CONTRACTORS MAILING ADDRESS 693 FORBESPOtdN RD OROVILLE 95966 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS i Plan Checking Fee $ BUIL ING ADDRESS oU �ya{j, 'm RDS I Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE S 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 O Utilities ❑ Installation O Other O Describe Work: NF'& WX Gas piping system 1 - 5 outlets 15.00 -' • Building sewer 15.00 Mobile Home IS I GI W @20.00 PERMIT FEE $ ss.00 ELECTRICAL PERMIT Fling Fee 20.00 R LESS Main Service 200.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 aad;effect. License Class :_ / - Lic. No. `I J /� .. OWNE -BUILDER DESA f� O 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. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. SO 3.5¢FT: ULTI-OUTLET NEW CONST. SM, NDµgESID. 07.50 POWER APPARATUS a SINGLE OUTLET CIR. EX. Occup. ovn Er OR FDRURES p 00 BAL @ 1 0 Ex. Occup. oFucLITE�°TSA gES,6.) k ) 5.00 10, 0j Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 3( .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 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.) 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' compe`nsation provisions of section 3700 of the Labor Code, I shall forthwith complyith wthose provisions. (( r ( \X '� / (�--��- _ Date /,112_ Signature of Applicant - ❑ Owner ❑ Contractor O Agent( ' An OSHA permit is required for, excavations over 60" deep and demolition orwconstruction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating 15, 00 Cooling Hood , , I 6.50 Ventilation PERMIT FEE $ 5V•UV Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE L15� 00 TOTAL FEE $ HAZ. D, FEES IMP 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 �� .� 4 o . Date 11112- 17 .1 �- PERMIT EXPIRES ON /tF 44/2-0401 ,2-0401 t / Date Receipt No..L'�?.) ��c/ WHITE-D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 0 24 00 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 1� z C ASS S P C NUMBER ��� 4L0-021 ZONING FR10 BUILDING PERMIT - OWNER THELM PRYOR TELEPHONE SQ. FT. OCC. BUILDING VALUATION . OWNERS MAIUNG ADDRESS 186 HURLETON RD OROVILLE cc �SAmfL CONSTRUCTION TE 89N 2312 CONTRACTORS MAILING ADDRESS 693 FORBESTOWN RD OROVILLE 95966 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUII.pWYMESTON RD, 11 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 ❑ 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 ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 13 Describe Work: NFEWE HVAC Gas piping system 1 - 5 outlets 15.00 ' Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ 35.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service q 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 licens ' in full force d effect. ggg�� (^, / License Cl = Lic. No. A 7 / OWNE -BUILDER DECLA A OCUTLET 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, 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. ❑ 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 Policy Number (The Ove sections need not be completed If the permit is for work of a valuation one hundred dollars ($100) or less.) O In any manner so as to become subject to workers' co p nsation a of California, and agree that if I should become subject to the wo ers� com , nsa ' n provisions of section 3700 of the Labor Code, I shall fort ith comp) with those provisions. / _ Date t 2— Sig t re of Applicant- ❑ caner ❑ Contractor ❑ Agen An OSHA permit is required f excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service To 46.00so CCU000A W:U200A NEW CONST. DWEWNO OCCUP. SO OR ADDNS. ( a ACC. BLD S. 3.50FT; NEW OUTLET CIRCUITS LG 7.50 FEOSIU. Y. MULTI. POWER APPARATUS a SINGLE OUTLET CIR. OR FIXTURES Ex. Occup.SAL I:w Ex. Occup. ..E' s R p,CEq 5.00 10,0 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE t 30.00 MECHANICAL PERMIT Fling Fee 20.00 Heating 15.00 Cooling Hood 6.50 Ventilation PERMIT FEE $ 50.00 Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE 115.00 HAZ. I D. FEES IMP I FLOOD CDF PARCEL PD I HD I ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Z 206 ca to Receipt No. ?o, a G WHITE-D.D.S..-B.U. CANAR .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 G _ PERMIT NC (Rev. 12196) APPLICATION AND PERMIT MISM01110-AR&wYSM D 17 —,�,420-- QA Z00100 14-7e /6 BUILDING PERMIT z- owNle a' O� J� p r /� Tno►wN! SO. FT. OCC. BUILDING VALUATION owuels rAAUYo AD . M/\ cow R"! NAY! 61 1 TlI�IgN! COMRACTOR PALM ADORE4t �es ®� CONsTmAcnON umat L&COM M*JLJW ADOWN Fireplace Total Valuatlon i AACH"Cr OR M ! NO. Firing Fee S 20.00 ARa*c= OR 04NEMS YAArNo ADDAM _ ��ONG � FAMS lg�p� Permit Fee = Plan CheckingFee S Energy Plan Checking Fee i S PERMIT FEE S lorrw. PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SFA Duplex O Mobilehome O Other S�� Each Tr 7,00 Solar or heat Pump water heater 23.00 Water piping 15.00 TYPE OF WORK New O Addition O Remodel O Utilities /O�sEalation O Other / Describe Work: 1/f/.fli,� /j/ V A- Each gas water heater or vent 15.00 Gas i in stem 1 - 5 outlets 115-00 � � Building sewer 15.00 Mobile Home S GI W1 @20.00 PERMIT FEE $ , GD ELECTRICAL PERMIT Filing Fee 20.00 Main Service oa 23.00 Mein Service 20" TO 1000A 46.00 NEW CONST. OR A00m. D`A ADCC. 0-08 P 3.50 NW&MID. MULTI-OUvbcur @7.50 POWER APPARATUS L 9llOLI OUTLET 010. Ex. Occup. ovn r OR warms 20 0 1.00 aAL a .90 Ex. OCCUP.o� ESID. 5.00 LQ, 06 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin 23.00 PERMIT FEE S -3 U�, ao MECHANICAL PERMIT Fling Fee 20.00 Heating , a?D Cooling -!5� Gv Hood 6.50 Ventilation PERMIT FEI: S Mobile Home Installation Fee S Energy Inspection Fee $ "` CONST. TYPE +1111-AIP TAL FEE $ C98 n ooO I coP I PARCEL PO W I -,E 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 PERMIT EXPIRES ON lost*]