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�7-PERMIT#95-1820
LUCZAK, Walter
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2761 Oak Knoll Way, Oroville
'Cont: Luczak
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EIDSON, AMY
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2761 OAK KNOLL WAY, CHICO
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CONT: RICHARD HEATH 9 a0•vl.
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REPLACE WATER HEATER
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437
...�. 636 — 4'ya - 037
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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