Loading...
HomeMy WebLinkAbout079-240-020036-"0 -"2 99-2568 HART, GUY 6030 LOWER WYANDOTTE RD., CONR: OWNER LP TOONATURAL GAS •) .. � 1 1 'i ` ` � f •`11 T ♦ 1 . ' 4 _ � - . ' , .� � _ ' �� _ / � _ �, »' . 11 .,� • 4. ;�.�. � y , ,. .. , 4Y%iti .. r . � r ` ' . y i.I`, 5 _ i � r ti. �Fi I fs.. ' - � �� .., r _ � � a _ / � _ �, »' . 11 .,� • 4. ;�.�. � y , ,. .. , 4Y%iti .. r . � r ` ' . y i.I`, 5 _ i � r ti. �Fi I fs.. ' f COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SEFIVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 036-280-022 ZONING BUILDING PERMIT W --- OWNER HART, GUY TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 6030 LOWER WYANDOTTS, ORO 95966 CONTRACTOR'S NAME OWNER 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 $ BUILDINGADDRESS 6030 LOWER WYANDOTTE ROAD, OROVILLEEner gy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.0023.00 USEOFSTRUCTURE SF 10 Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat um water heater Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities CX Installation ❑ Other ❑ Describe Work: LP TO NATUMAL GAS Gas piping system 1 - 5 outlets 15.0015.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2DDA 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.POWER License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for. the following reason: 0'0.,J 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 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 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 forthwith comply with those provisions. X Date �� _ Signature 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. Main Service TO 46.00 WEE200A CCU000A NEW CONST. DWELLING OCCUP. SO OR ADDNS. & ACC. BLD S. 3.5¢FT. NON-REOSID. MULTI.OUTLET 97.50 APP U 8 SINGLE OUTLET CIR. zo @ 100 Ex. Occup. OUTLET OR FD(TURES BAL O .50 Ex. Occup. OtfriEDTs ..,6.LNSOEA 5.00 Tem orar Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 35.00 HAZ. D FEES IMP I FLOOD I CDF PARCEL PD I HD I 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. B � � ' �+ � tt I/ ,0"? y •.% �G- Date 11 ! / ..-, = / / PERMIT EXPIRES ON / r Date Receipt No. 4 l WHITE-D.D.S.-3.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPAATME14T OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California- 95965 • Telephone (530) 538-7541 PER I NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 036-280-022 ZONING BUILDING PERMIT OWNER HART, GUY TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS "AILING ADDRESS 6030 LOWER WYANDOTTE, ORO 95966 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHrrECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 6030 LOWER WYANDOTTE ROAD, OROVILLE Energy g Fee Ener Plan Checking $ $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF jip 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 EX Installation ❑ Other ❑ Describe Work: LP TO NATURAL GAS Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 Mobile Home I S I G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 OV OR LE Main Service . '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.POWER License Class Lic. No. OWNER -BUILDER DECLARATION.50 I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law !9 e 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 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 Policy Number (The above sections need not be completed if the permit is for work of a valuation zrone 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 w s' compensation provisions of section 3700 of the Labor Code, I shall ith comply with th se provisions. f Date Ignat re of plica t - Owner 13 Contractor ❑ en An OSHA per ' is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A To 1000A 46.00 NEw CONST. DWELLING ffUP. 3.5QSo NAD oNS. ( Muin ou�TLEST NO RESID. 97.50 APPARATUS 8 SINGLE OUTLET CIR. EX. Occup.OUTLET OR FDCTURES Bao p 1.00 Ex. Occup. ofluXnFrsRED°E, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI= $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 35.00 HAZ. I D. FEES [1"D I CDF PARCEL PO HD I ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Receipt No. 00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT