HomeMy WebLinkAbout072-240-021072-240-021 99-2600
PRYOR, THELMA
186 HURLESTON ROAD, OROVILLE
CONTR: BENT NAIL CONSTRUCTION
NEW HVAC %'na
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99-2600
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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
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