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HomeMy WebLinkAbout078-200-018.. o-N acro of 8 /4 7 00-1851 SMALL, STEVEN & KATHLEEN 5637 FARLEY STREET, OROVILLE. CON1R: K DIGNERS VINYL SIDING , r �l,'. i Q�O t �. 036-37-0-016 00-185/1 SMALL, STEVEN & KATHLEEN 5637 PARLEY STREET f OROVILLE CONTR: K DIGNERS , VINYL SIDING. -. �, .-- .. �..r-ter-• a- ,�.. `�,-.�-w.-...��i.:.....�.-....-�.._... t ., ., v.-.':....:.-^-�"'.--�yr'-.�"v.,._ r--.,,.....- . „ _ �_ , !l . "'COUNTY OF'BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION { 7 County Center Drive • Orovllle, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT �' I — �y 0 n5/ / ASSESSOR PARCEL NUMBERe37 ZONING BUILDINGPERMIT OWNER ` TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAIUNG ADDRESS CONTRACTOR'S NAME I i TELEPHONE CONTRACTORS MAILING ADDRESS 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 $ BUILDING ADDRESS f Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 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 ❑ Describe Work: } t i J' Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 800V OR LESS Main Service pAORLESS 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 and effect.POWER License Class ' 1 / I Lic. No. ' t I t ' 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 Main Service zooA TO 1000A 46.00 NEW CONST. DWELLING OCCUR OR "� ( .3.Sd Fo. MLI�icTcau�rLeS. NON REs,D. @7.50 APPARATUS 8 SINGLE OUTLET CIR. Ex. OCCU OUTLET OR FIXTURESBAL .00 p 1.50 Ex. Occup. OFE' p.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 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. ❑ 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 I . I . . (. . I I - , ' ' c) MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number , I t f ,. (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 forthwith comply with those provisions. X Date s?" -n2 -n Signature of Applicant - ❑J�• ner ❑ Contractor ❑ Agent 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 $ occ CONST. TYPE p TOTAL FEE $ HAZ. I D. PEES IMP I FLOOD I COP 'PARCEL I PO TN7 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. t �+//�...�I ��f� By L i/ y ,JY�.� Y 4 _Date / PERMIT EXPIRES ONr - Date Receipt No. WHITE-D.D.S.-B.D. CANAR - SESS R PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMEN 1 SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT �0`-7�—� ASSESSOR PARCEL NUMBER63,; ' 317 � �i /V�l / G v ZONING BUILDING PERMIT OWNER TELEPHONE I S 530co3613Z OWNER'S MAILING ADDRESS r � e YI � J_ 15[-�^ SO. FT. OCC. BUILDING VALUATION za CONTRACTORSSNAME TELEPHONE CONTRACTORS MAILING CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS - Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ SUILDINGADORESS n /� ��J\[. Energy Plan Checking Fee $ $ 11 PERMIT FEE $ LOT NO. SUBDIVISIONS 4AME PARCEL MAP PLUMBING PERMIT Filing 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 id Other ❑ Describe Work: ��) n UC`L�Q� Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 LESS Main Service ZD.VA 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 and effect.1r License Class � Lic. No. L+GL L g8 �P OWNER -BUILDER DECLARATION 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 Main Service TO 46. 00 WEE200A CCU000A NEW CONST. DWELLING OCCUP. OR ADDNS. ( i ACC. BLDS. SO so 3.50FT. NON-RESID. MULTI.OUC 97,50 OWER APPARATUS 8 PBINDLE OUTLET EX. OCCU OUTLET OR FIXTURES @ I' 82 50 0 00 SAL Ex. Occup. ours a6IOOEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 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. workersM en s, urance�c�rrier an olir�.aum Carrier `` L0 -Y) w ,�rl/LS MECHANICAL PERMIT Filing Fee 20.00 Heating —Cooling Hood 6.50 Ventilation PERMIT FEE 1 $ Policy Number 'J L,q ! to (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 forthwith com ly with those provisions. X _ Date �' �2 ' Signature of App'cant - ❑ ner ❑ Contractor ❑ Agent An OSHA permit is require or excavations 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 $ HAZ. o. FEES IMP PL000 COF PARCEL Po 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 ich fees have been paid. < PERMIT EXPIRES ON Date Receipt No. WHITE-D.D.S.-B.D. AR SESS R PINK -INSPECTOR GOLDENROD -APPLICANT