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Home My WebLink About078-310-088i f`. Qrr oto .'r..;�e�;rC,r, z„-,;--... -.. a5+i:�i�;��"NY'C`,:P �aJ:iS+ -ie; ..� -. -�7 w�i-r-� :-x .i.. ,.. ,4.�.�y,. .�.+. 'T3,"" a-.. .,. re: .. .,-,.,.v-P«� , .... ..s ,. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISIgN _ 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 - PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT X__ az*, ASSESSOR PARCEL NUMBER n"' r ZONING BUILDING PERMIT OWNER DWANT, ANI)�FA BROWNER'S TELEPHONE SO. FT. OCC. BUILDING VALUATION MAIuNG AD 4771 VE AVE., RM1JZ rcm CONTRACTOR'S NAME SELIG TELEPHONE CI�TD1�iiT1 I 3851 MDRRW LN, (CICO 95,928 CONSTRUCTION LENDER I 4 LENDER'S MAILING ADDRESS Fireplace Total Valuation Is„ ARCHITECT OR ENGINEER UCENSE NO. Filing Fee $ 20.00 Permit Fee $ 54.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checkin Fee $ BUILDING ADDRESS e n nTr Energy Plan Checking Fee $ 4771 V PERMIT FEE $ LOT NO. SUBDNISION'S NAME PARCEL MAP - PLUMBING PERMIT riliria'Fgel 20.00 USEOFSTRUCTURE 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 i New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: VI A) & 'St D/A) Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service "."A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 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. �J License Class Lic. No. %!1 ! i�? 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 1 Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUR so OR ADDNs. ( a ACC. BUDS. 3.5¢FT; NOµR�,p MULTI.OUTLET 97.50 POWER APPARATUS a'SINGLE OUTLET CIR. 20 0 1.00 Ex. Occup. OUTLET OR FDRURES BAL @ .50 Ex. Occup. oFlXUTUEEDrsA R�ID.oEl 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION I 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 CYAI sft�2r,;iA --ri. Or Ixa!: t 6"). Policy Number A/?1 SCfZ7r (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 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 r / Dente j"-� Signature o%Applicant - ❑ Owner ❑ Contractor Cj 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 PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE 74.00 HAZ. ET00TALFEE$not D. FEELOOD I CDF PARCEL I 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 / Date PERMIT EXPIRES ON / Data Receipt No. Jr. WHITE-D.D.S.-B.D.CANARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT CQUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PER IT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT O ER DWANE AND TTA BROWN TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 4771 VE AVE. ROVILLE ' CONTRACTOR'S NAME SELIG TELEPHONE C TORS MAILING ADDRESS 3851 MORROW LN, CHICO 95928 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee ' 7' 20.00 Permit Fee $ - 00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 4771 VE AVE, 61ROVIaE Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filling ee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 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: v ��%�. (� /�� _ Gas piping system 1- 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 OR LESS Main Service OOO'0 o.R 200A OR tESS 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.PSI .� ,�;`� License Class Lic. No. 71 ! �7 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 1000A 46.00 NEW CONST. DWELLING OCCUP. OR oNST. ( & ACC.BLDS 3.SQso NM ESID. I cu 97.50 NGLE OWER APPARATUS 8 OUTLET CIR. Ex. Occup. ounEr OR FaruREs 20 @ 1.00 BAL O .50 Ex. Occup. oFlx. Aa oR, 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. My workep' compensation insurance carrier and policy number are. Carrier C rp9_.VJA MECHANICAL PERMIT Filing Fee 20.00 Heating —Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number /i,,- zZ� (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 fo com ly with those provisions. X D e! ��j -Q� Sig tura plicant - ❑ Owner ❑ 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 TOTAL FEE $ 74.00 HAZ. D. FEES IMP I FLOOD I COF PARCEL I PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By EXPIRES ON the applicable provisions Resolutions to do work been paid. Date ' �� Da Receipt No. 37M/PERMIT WHITE-D.D.S.-B.D. A ARY-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�ERMr� Nc /5� ` (Rev. 12N6) IVIIANDPERMII A&SESSORPiNC6µ'+111161I �`'��j — -- D D°''"iO BUILDING PERMIT OM1N°"e 1 SO. FT. OCC. BUILDING VALUATION OWNIFRI 1AMAa AD 4-77 1 Ul F�� OONTRAGTOR'° IMI! ` UTEL.8"ON9 CONTRACTORI CONSTRUCnON U'JOM / UENDER9 IwINo ADDRESS Fire Ince Total Valuation s ARCHITECT OR ENGINEER LICENSE No. Flirt Fee $ 20.0 C AROrrECr OR ENGNEEA7 MALINO ADDRESS Permit Fee S Plan CheckingFee 5 �y�/7' eu.DNOAOORESS j7 ! / % J �!j // /J��_ _ �v U�LV l� Energy Ener Plan CheckingFee i i PERMIT FEE _ ,Q �TNa 111 PAxE� MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF Duplex O Mobilehome O Other SIMM" 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 O Remodel O Utilities ❑ installation O Describe Work: 6,J1A,)U4/, 1;aZ&k'fz Other ❑ Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W (g?20.00 PERMIT FEE _ ELECTRICAL PERMIT Filing Fee 20.00 Main Service °0°voA DORR LEIS 23.00 G C x v 4171 A �j�/ � / Main Service 200A TO IOWA 46.00 NEIN CONIST. OWELL.M OCCUP. 3.5Qs . OR ADONIS. i ACC. OLDS. NOKRE910.NEW CONST. MUL BRANCH IRCET @7.50 POWER AppAA11TU8 i 9NOLE OURET CIR Ex. Occup. OUTLET OR FT TMES In 0 1.00 84La .!0 EX. OCCU FDtEDAPPUI4. OR ovrEt�s s1o. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Wsc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PFE� ! Mobile Home Installationon Fee Fee I b Energy Inspection Fee I b ` CONST. TrPE TOTAL FEE $�,Q� [OC NA2. 0. FEES IMP FL000 1 COF I pARCEI PO NIDI 6SLE 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 PERMIT EXPIRES ON Date This is to certify. that has authorization to sign for all permits at Z-// V for Selig Construction. License•#711042 Class B California Indemnity Ins. Co. Binder No 6653, Policy No N5043317B Sco lig i State of California county of `[iU T� On 0c-1D'itt-p--f31 before me, W..;..L-A r•i"Qcr'--rl NorA-R-H P,Va:-(c, peroonally appeared proved to me ,on the basis .of satisfactory evidence ;to be the person whose name is subscribed to the within instrument and acknowledged to me that he/---):k-e'executed the same in his/hx authorized capacity, and that by his/her signature on the'instument the person, or the entity upon behalf of which the person acted, executed the instrument. FATNESS MY HAND AND OFFICE SEUL. Signature _ W. J. LAMBERT III D V COMM. ! 1109367 i MOTAaY PU&LC FO P. a (/f Q cowl Of 9LME w slit. 20, 200.3 3851 Morrow Ln., #7 • Chico, CA 95928 • CA. License# 711042 • (530) 893-58.98 PRE -INSPECTION OWNER: ��,✓c! e �S DATE. t A . P ,....# .. CONTRACTOR: ZONING PRE -INSPECTION FOR: /,;*—(g DATE TO INSPECTOR / 2, "zi - F ------------------------------------------------------------------------------------- PERMIT HISTORY: NONE AS.FOLLOWS:' 1 i'G L( o C37 - TYPE OF OCCUPANCY FIELD - INFORMATION BUILDING USAGE: S TENNANT: t CUPIED AS ELECTRIC `,AS GAS AS SANITATION FACILITIES ATED-COOLED PERSON CONTACTED ' F OTHER COMMENTS: ' t } ACTION RECOMMENDED: ' ISSUE Q HOLD FOR , } OTHER: . t 1 BY