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Home My WebLink Aboutmerge documentIIIIIIIIIIIIIIIIIIII 043-68'2-615Y 03-1375 I- ,RfCCf,,RENC;. .f - I .l, lJO 1 SANTA CLA'R'A, Cifleo' Cont: GALLAGHERS REPLACE HEATING &�ADD AIR Li COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDI G DIVISION ..;3 7 County Center Drive • Oroville, California 95965 • Telephone (530),938-7541 PERMIT N$. (Rev. 12/96) APPLICATION AND PERMIT V 03'95ft- ASSESSOR PARCEL NUMBER 043-682-016 ZONING BUILDING PERMIT OWNER . l��, RM TELEPHONE SO. FT. OCC. BUILDING VALUATION IIIt iN CLAM allCO CA 95928 ° ZIORs. 8A CONTRACTOR'S NAME GALLAGHM 1-8001-093-3556 TELEPHONE CONTRACTOR'S MAILING ADDRESS 7808 MY 99 E"t IAS MOLMAS CA 96055 CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ Buli,WNGDRESS DUSANTA CLAM CHICO CA Energy Plan Checking Fee $ $ PERMIT FEE $ LOT No. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 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 New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: RIMACE HEATING & ADDING AIR Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 800VOR UE 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 n full force and effect. License Class �' `� C 3 � Lic. No. ? 3 3 y 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 tOOOA 46.00NEW CONST. DWELLING OCCUP, OR ADDNS. ( & ACC. BLDS. SO 3.5¢FT. tNpµpaID MULTI -OUTLET @7,50 POWER APPARATUS 8 BINDLE OUTLET CIR. EX. OCCU OUTLET OR FIXTURES .00 SAL @ I. 0 Ex. Occup. Gurircrs .) e, P= 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 .3.00 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. ❑ I 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 insuranckarrier and policy number are: Carrier Z V t t G H VYU-/ I t o Policy Number 1 - ou (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' compenlationnprovisions of section 3700 of the Labor Code, I shall forthwith7pl�nose pro is ons. X S «�- G _ Signatdre of Applicant - ❑ Owner ❑Contractor 41 Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 1 20.00 . Heating 5.00 Cooling • Hood 6.50 Ventilation PERMIT FEE $ 50.00 Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 93.00 HAz. D PEES IMP I FLOOD I CDF PARCEL I PD 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. By Date - PERMIT EXPIRES ON ate ReceiptNo. ' `'" WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ; 1375 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT (7t_ ASSESSOR PARCEL NUMBER 043-682-015 ZONING BUILDING PERMIT t OWNER RICCI RENO TELEPHONE SO. FT. OCC. BUILDING VALUATION ow,(J9�pEAW.N�l�D��S1S CLARA CHICO CA 95928 CONTRACTORS NA(MEE��(.1� GALLAGHERS1-800-893-3556 TELEPHONE CONTRACTORS MAWNG ADDRESS 7808 I-FvN 99 FAst IDS MOT.TNAS CA ()6099 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS I 1701 SANTA CLARA CHICO CA Energy Plan Checking Fee $ $ PERMIT FEE $ IAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: RFPT.ArF. NF'A (' ATR TTNC. P� AT)T)TNG Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service zo.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 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 C 3 g Lic. No. -7 % -7 33 � 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 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. ❑ I 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 insuranc career and policy number are: Carrier `Zy t C_�lVy� y t e of Policy Number U (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 wor ' compensationJ provisions of section 3700 of the Labor Code, I shall fo wi comply ith se pro 's' ns. X D� /'�— G Signat a of pplica 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. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. Si T. OR ADDNS. ( & ACC. BUDS. 3.5¢FT: NEW CONST. MULTI.OUTLET =R I.." @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. OCCU OUTLET OR FDITUREs BAL Q'.5500 Ex. Occup. o,ED R=.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ L}3. QQ MECHANICAL PERMIT Fling Fee 1 20.00 Heating L5. 00 Cooling L5. QQ Hood 6.50 Ventilation PERMIT FEI= $ 50.00 Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 93.00 �Z D. FEES IMP FLOOD COF pgROEI PO HD SSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Vindicatedbove fo4fehave been paid. Date 5-12—n1ReceiptNo. RIT EXPIRES ON 4 ate 376468 $ 93.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT