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Home My WebLink About073-340-0110`73-3c-0 7 3 3 4 073-340-011 PERMIT#95-1802 WIESNER, C.W. 5682 Forbestown Rd., Cont; George Roofing Forbestown Rercoof/SF• 0`73-3c-0 7 3 3 4 n r , 073-3407011 PERMIT#95-1802 WIESNER, C.W. 5682 Forbestown Rd.•, Forbestown Cont; George Roofing Reroof/SF Vlh i f 1 ' 1 1 1 s i j 1 • ` I •,i r j � 1 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541PERMIT NO. APPLICATION AND PERMIT 9.- 1 xU;z ASSESSOR PARCEL NUMMB']ER j ZONING /p. BUILDING PERMIT OWN R k— TELEPHONE G%� :29, SO. FT. OCC. BUIL/DING VALUATION OW ERS MAILING ADDRESS i,N fel) OYMPCame .1 1015j-0 rob P wn Lai 7 I ' CONTRACTOR'S NAME TELEPHONE CONTRACTORS ZNG ADDRES y Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Fling Fee $ 20.00 Permit Fee $% ", 911tilow ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING OREsslj�+��t be t r ([ PERMITFEE $CQ„ PLUMBING PERMIT Filing Fee 20.00 EacjT. ,Trip,,, 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or 'heat pump water heater 23.00 " USEOFS7RUCTURE. f « SFX Duplex ❑ Mobilehome ❑ Ot`er SPECIFY ` Water piping 15.00 Each gas water heater or vent 15.00 Gas piping I In s Y stem 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: Mobile Home ISI GI W1 @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main Service eoov oR LEss ( zOOA 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 ull force/ �and effect. �r ,+� LlcenseN lass + -'q' Lic. No. .,7 w�,rs G, OWNER -BUILDER DECLARATION 1 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 NEW CONST. DWELLING OCCUR` OR ADDNS. d ACC. BLDS. ) SO. 3.50FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES) 20 @ 1.00 BAIL so Ex. Occup. ( OUTLETSPRESID.)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. N}y workers' compensation insurance carrier and policy number are: Carrier SWht . �#' dd . Policy Number Jwffs, — 0 If (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 With comply with thosprovisions. / OrJ. l �� X� .•;r ; p Date �" !_. f / i� _ Signature of Applicant Ow4r ontractor ❑ 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 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL PD HD ISSU This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have >: B ' ' Y a Y PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date e*4 c (Date) Receipt No. I 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, California 95965 - Telephone (916) 538-7541 PERMIT NO. %APPLICX ION AND PERMIT 9,5-S8� ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER .,•%: TELEPHONE �9�� SO. FT. OCC. BUILDING VALUATION OW EA5 MAILING ADDRESS im 1.. CONTRACTOR'S NAMEGftr /1-- CONTRACTORS NG ADDRES p� �.y� & DU%t % e Chi 4�Iz� Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Fling Fee $ 20.00 Permit Fee $ Plan Checking Fee $ ARCHITECT OR ENGINEER LICENSE NO. Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUIL INGADDRESS �� /� ��/ ([ PERMITFEE $ fIDe PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT No. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF*' 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 ❑ Add -Rion ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ) Describe Work: Ird�� Mobile Home IS I GI W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service 00 OR LESS ( zo.A OR LE ) 23.00 23.00 Main Service ( 200A TO IaooA ) 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 m license is in full force and effect. N �p License Class +3� Lic. No. 4K.7 � l 4� ' OWNER -BUILDER DECLARATION 1 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. ❑ 1, 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. ( 8 ACC. BUDS. ) SO. 3.5Q FT. NEW CONST.MULTI-OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS 8 SINGLE OUTLET CIS. ) Ex. Occup. (OUTLET OR FIXTURES ) BAL 0 1.50 EX. Occup. OUTLETS(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' compensation insuran carrier and policy number are: Carrier .a�r[%�t 0a;z Policy Number _2,9ff—,X-047 (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' compensefion prov isions of section 3700 of the Labor Code, I shall fo th compl Ith th provisions. 7 X ___ Date 7`Ze �� Signature of Appl' art O er ntractor ❑ AgentAn OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ oer CONST. TYPE TOTAL FEE $ HA2. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated a ove forWfeeseen ByDat PERMITEXPIRESON f yte) provisions to do work paid. Receipt No. � d7Y5 5 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT