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HomeMy WebLinkAbout078-320-037� _. �.. , .. .. _ti ? .. %�SSf;,, ��.t jy X11 � ��' u o�• 0-7g_3�-)o-03.7 �7-PERMIT#95-1820 LUCZAK, Walter � rt 2761 Oak Knoll Way, Oroville 'Cont: Luczak Reroof/SF%/// ot6-;;9:49 / 01-2286 :a EIDSON, AMY ''� 2761 OAK KNOLL WAY, CHICO u CONT: RICHARD HEATH 9 a0•vl. #• REPLACE WATER HEATER - R / - 437 ...�. 636 — 4'ya - 037 CSI- zz�-� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - .Oroville, Calif&rria 95965 - Telephone (530) 538-7541P (Rev. 12/96) APPLICATION ANn PFRRAIT at ' C 5 , ASSESSOR PARCEL N98ER _ ! a - 0 L-11 or OWNER'S "UNG AIDDRESS -- Z-1 co \ CONTRACTOR'S NAME CONTRACTORSMAILING AD KESS F.« �e EV11r\ C CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER ARCHITECT OR ENGINEERS MAILING ADDRESS BUILDING ADDRESS — — , - LOT NO. I SUSDNIS IONS NAME t:3cuF�;TRUL; fUhE SF (O/Duplex ❑ Mobilehome ❑ Other TYPE OF WORK ZONING PARCEL New ❑ Addition ❑ Remodel ❑ Utilitie/s ❑ Installation ❑ Other ❑ _ Describe Work:(, 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. c� License Class _Z-, ( -ZO VX `(-. Lic. No. (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 Coda for this reason 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. ❑ I have and will maintain workers' compensation Insurance, as required by 13ection 3700 of the Labor Code, for the performance of work for which this permit is issLled. 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 velua5on 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 with compI w' those provisions. X �v U� _Date C1 Sign re of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. ReceiptNo. S 7" ( A WrIITE-D.D.S.•B CANA Y-SSESSOR R L (CANT BUILDING PERMIT SQ. FT. OCC. BUILDING VALUATION Fireplace Total Valuation S Flip Fee $ 20.00 Permit Fee $ Main Service Plan Checking Fee $ Main Service Energy Plan Checking Fee $ NEW CONST. OR ADDNS. ( DWELLING OCCUP. 8 ACC. BLOS. $ NEW CONST. NON•RESID. PERMIT FEE S 6.50 PLUMBI`!C P E^"!IT Ventilation 7:.':-z Sze 20.00 rn' limp aAl .SO .50 O 1.00 Solar or heat pump water heater 5.00 23.00 Water piping Mobile Home Facilities 15.00 Each gas water heater or vent Mobile Home Installation Fee 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W —']1020.00 CONST. 11 TOTAL FEE $ 3 PERMIT FEE 1 $ PERMIT FEE S1,011 ELECTRICAL PERMIT Fling Fee 20.00 Main Service 800V OR LESS 21.OR LESS 23.00 Main Service 20 TO IOaoA 46.00 NEW CONST. OR ADDNS. ( DWELLING OCCUP. 8 ACC. BLOS. so 3.50FT. NEW CONST. NON•RESID. OUTLET MULTI.CIRCUrrS @7.50 6.50 POWER APPARATUS 6 BINDLE OUTLET CIR. Ventilation EX. Occup. OUTLET OR FIXTURES aAl .SO .50 O EX. OCCU FIXED APPLNS. OR OUTLETS RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Mo Wiring Mobile Home Installation Fee 23.00 PERMIT FEE 1 $ MECHANICAL PERMIT Filing Fee 1 20.00 Heating Coolin Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee S Energy Inspection Fee S occ CONST. 11 TOTAL FEE $ 3 HAZ. I D. FEES I IMP I FMTD CDF I PARCEL I PD I HD I ISSUE This permit is hereby issued under the applicable provisions of the BuFe unty Code end/or Resolutions to do work indicated for which fees h been paid. By /' ate PERMIT EXPIRES ON ' /— COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, C. fornia 95965 * Telephone (530) 538-7541 (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER - " ZONING BUILDING PERMIT a TELEPHONEC J3q _� SO. FT. OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS CONTRACTOR'S NAME ,_cVV,,_, & \ L\� k,� TELEPHONE CONTRACTORS MANG ADPRESS co IU����. �:`� CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ v BUILDING ADDRESS aw Energy Plan Checking Fee $ $ PERMIT FEE S LAT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF M uplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping . 15.00 49 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑Other ❑ Describe Work:O(- PG�C�i/ /1 / !�/� (j L Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Feel 20.00 Main Service noon oa .ss 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. t ` `� LIC. NO. (/ - O�2 --' License Class (, Z� i� � iw 1 l C) 7 l7 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 OCCUR OR ADONS. ( a ACC. BUDS. SO 3.5¢Fr. NON-RESIU MULTI - RANCH OUTLETITS @7,50 POWER APPARATUS 8 SINGLE OUTLET CIA. Ex. Occup. OUTLET OR FIXTURES 20 1.00OWNER-BUILDER BAL ,50 Ex. Occup.DLi�iELE°rsA REa.OEEl 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 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'—Cooling, 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.) ❑ 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 wi those provisions. fort with comP�A 1 X _ Date C[ - 2 •U ` _ Sign re of Applicant - ❑ Owner ❑ Contractor ❑ 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 Hood 6.50 Ventilation PERMIT FEt S Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ :HAZ. D. FEES IMP I FLOOD I CDF PARCEL PD HD It> This permit is hereby issued under of the Butte unty Code and/or indicated ve for which fees h I By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. ate - -0l Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR INK- N PECTOR GOLDENROD -APPLICANT NO �yy`@{�.°E'f1'���`.'.�'.�,���`f�•�,'�7:��i-iF'�lE�,,�_,. ! � �firy�'r`;'4'�+'.�.vvw-.-. +a•1�Y:.s��. ;qa; :s y,��,��sa..-asr ><'. r kms,,. � �.`$''�xa.: r;''-'•i�. a ''xvy'��' .w� ,.r.• . � .. ;i. � �... ' � .. � +' � ., .hr 1 :�'l.. :►-. , COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION,; 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541/ PERMIT NO. APPLICAT16RAND PERMIT ,aQ,/ -/&-20 ASSESSO�RC UM ER O3,r ZONING BUILDIN ERMIT OWNERWALTV J TER LUCZA?C TELEPHONE SQ, FT. OCC. BUILDING VALUATION OWNER' %16i FkCSJSlKN+OI.I kJAY, OROVII=LE CA 9S3Eifi 175 3500 CONfRgC$f IR CONST• TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Fling Fee $ 20,00 Permit Fee $ 3.00 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ i Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ i BUILDING ADDRESS 2761 OAK KNOLL WAY OROVII LE PERMITFEE $ 83.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑X 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 ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑?C Describe Work: RFROOF W/CEMNT TILE Mobile Home S I GI W1 @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service / EOOV OR LESS 20 A 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 full force and effect. License Class e — f Lic. No. � 9 1 � 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 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. ) so . 3.50 FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 SAL .SO Ex. Occup. (ouTLEEDTs (RES D.OE0.) 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 insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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.) I 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. Signre of Applic t - ❑�Ownef 'AVntractor ❑ Agent /at An OSHA permit is(rflquired for excavations over 60" deep and demolition or construction7/31/95 of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 83.00 HAZ. I D. FEES I IMP I 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 indicatedabove for which fees have. been paid. By U i.JO/ Date PERMITEXPIRESON 7/31/96 (Date) Receipt No. 18 �e7'L WHITE-D.D.S.-B.D. CANARRY ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVI1;_18i.320 7 County Center Drive - Oroville, Califrmia 9_5965 - Telephone (916) 538-7541RMIT NO. APPLICATioWAND PERMIT ASSESS6! RC%4 l,� MUR X37 4 ZONING BUILDIN ERMIT OWNERT WALTER LUCZAK TELEPHONE SO. FT. OCC. BUILDING VALUATION 2Z_ PF- 3500 DwNER2 CIA :ss:KNOLL [JAY, OROVIL'LE CA 95966 CONTRACTOR'S NAME LUCZAK CONST. TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation $ Filing Fee $ 20,00 LENDER'S MAILING ADDRESS Permit Fee $ 63.00 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 27 „ PERMITFEE $ 83.00 PLUMBINGPERMIT Filing Fee 1 20.00 Each Trap 7.00 LAT No. SUBDNIS ION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑K 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 ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ X Describe Work: RFROOF W/CENENT TILL — Mobile Home S G W @20.00 PERMITFEE S Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service EOOV oR LESS ( zaoA o 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 full force and effect. License Class 13-1 Lic. No. / / 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 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLAS. ) so . 3.52 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 Q 1.00 EX. Occup. OUTLETS PRESI OR ( c ESIO.I 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 insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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.) I 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. D ate Signature of Appl' nt - Ow `Ay ntractor ❑ Agent An OSHA permit is equired for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ oer CONST. TYPE TOTAL FEE $ 83.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated Above for which fees hav B/U 1Y W1 AMI PERMITEXPIRESON applicable provisions Resolutions to do work b n paid. 7/31/95 7/31/96 (Date) Receipt No. � �O 7&2 I WHITE-D.D.S.-B.D. CANAR -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT