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Home My WebLink About068-210-101068-210-101 PERMIT#96-2491 COGGINS, Jerry `��i p� 2568 Travers Ln., Oroville ,�, f Cont: Maulding & Sons Plbg � Replace Wall Furnace/Triplex t ` r } *'.. .. L... —.. COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING I)IVIS'ION 7 County Center Drive - Oroville, Califoniia 9565 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 068-210-101 ZONING BUILDING PERMIT OWNER JERRY =INSTELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS CONTRACTOR'S NAME MAULDING & SONS PLUMBING TELEPHONE CONTRACTORS MAILING ADDRESS 2360 BALDWIN AVE OROVILLE, 95 66 Fireplace CONSTRUCTION LENDER UNI(NOWN Total Valuation Is Fling Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER NOSE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS 2568 TRAVERS LN Penalty $ BUILDINGADDRESS OROVILLE PERMITFEE $ PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other TRIPLEX (ITNIT 41) SPECIFY 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 ❑ REPLACE GAS WALL HEATER Describe Work: — Mobile Home TTG W 920.00 PERMITFEE $ Contractor , ELECTRICAL PERMIT Filing Fee 20.00 Main Service a OV OR LESS ( 200A 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 i's irj,fu ll force and effect. �iQQ I License Class '� ` 5(� Lic. No. 3 D7 C7 / OWNER -BUILDER DECLARATION I 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 ( a ACC. ) SO. 3.5{t FT. NEW CCONST. MULTI.OUTLENS. TLE T NON•RESID., . ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES) 20 @ 1.00 �L Ex. Occup. ( OUITLETS (RES D.j FR -A ) 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 9 Heating • Cooling Hood 6.50 Ventilation PERMITFEE $ • Contractor Policy Number , 'a (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) �0-..l 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 sho6ld become subject to the .workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. q�'�� X i 1 a� Date r "_ /(j Si a r - 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. Mobile Home Installation Fee Is Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP FLOOD CDF PARCEL ;71;97 This permit is hereby issued under the of the Butte County Code and/or indicated bo've for which fees have + By ,a I / PERMITEXPIRESON applicable provisions Resolutions to do work be n paid. / r Date �/ Jf4 (Date) cwo�u t'� rRec�eipiNo.D.D.S .-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISI N 7 County Center Drive - Orevtlle, California 95965 - Telephone (916) 538-7541 E IT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 068-210-101 ZONING BUILDG PERMIT OWNER JERRY COGGINS TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS CONTRACTOR'S NAME MAULDING & SONS PLUMBING TELEPHONE CONTRACTORS MAILING ADDRESS •9360 BALIMINFireplace CONSTRUCTION LENDER NQUE UNIDJOWN Total Valuation is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS 2568 TRAVERS LN Penalty $ BUILDING ADDRESS PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. S UBDNIS IONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other TRIPLEXlT NTT #1) SPEC FY 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 ❑ REPLACE GAS WALL HEATER Describe Work: — Mobile Home I S I GI W 1 @20.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filino Fee 20.'00 Main Service600V OR LESS \ ( 200A OR LESS J 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 ull and effect. 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: ❑ 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 ADONS. ( a ACC. BUDS. ) SO. 3.50- .52FTNEW NEWCONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS (a SINGLE OUTLET C1 R. ) Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 Ex. Occup. ( OUTLETSFIXED (RESID.JOEA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE s Contractor 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 MECHANICAL PERMIT Filing Fee 20.00 9 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 shallTOTAL not employ any person in any manner so as to become subject to workers' ec mpensation laws of California, and agree that if I should become subject to the orkers' compensation provisions of section 3700 of the Labor Code, I shall fo hwith comply with those pr ions. Date l�jG f pplicant - Owner ❑ Contractor ❑ Agent An OSHA permit is require for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is occ CONST. TYPE FEE $ HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD 5SU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated o e for which fe have paid. By Date PERMITEXPIRESON �� (Date) Receipt No. 20 80 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT