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HomeMy WebLinkAbout028-220-01702�2 -017 00-2504 EDGE RICHAr 'C :B Z%GOR LIGAN I.. P: GEORGE RO IDI 30 0l RE '7 22 MILLIGAN I 't7 L t N I 6 028-22-0-017 00-2504 EDGEINGTON, RICHARD 22 MILLIGAN LANE, BANGOR CONTR: GEORGE ROOFING RE ROOF COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION G " ' 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 �RMIT NO. (Rev. 12/96). t APPLICATION AND PERMIT w4z.31 ASSESSORPARCEL NUMBER �/ ZONING BUILDING PERMIT ✓' OWNER q;C TELEPHONE G 717-..1351 S(', FT. OCC. BUILDING VALUATION ��oo �fr�f� �G OWNERS MAIUNG ADDRESS ),1 / X U Jy G r 64. 95 9/ 4/ 2V0 1W o, = CONTRACTOR'SNAME V � TELEPHONE - CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER [Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 3L,GJ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 1 + f ��� fL/{ 2V Energy Plan Checking Fee $ 22 $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Feel 20.00 USEOFSTRUCTURE SF CJ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 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 ❑C Utilities ❑ Installation ❑ Other ❑ Describe Work: ; , It i - G �zr t }> Re ►'CC it . Gas piping sysforTi 1 - 5 outlets 15.00 •Building sewer' 1 15.00 Mobile Home JJS I G I W 1 920.00 J '�• PERMIT FEE $ 'ELECTRICAL PERd)T Filing Fee ' 20.00 OLESS Main Service ."O.AORR 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���n full force and effect. License Class C: - C% Lic. No. 4 S2 b 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 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. a ACC. S.3.5QFT: NOµR610 ' MULTI.OUTLET 97,50 PowERAPPARArus a SINGLE aR. 00 R FD(T EX. Occup. OUTLET OR FIXTUREs BAL O 1 0 Ex. Occup. . gFWss OR. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin 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' 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 ►/ 1' 11 el f 10 ucc '7�s-15 . �� Policy Number 142 i2, (The above sections need not be completedff p rmit 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 e4loy�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 workelfs' compensation provisions of section 3700 of the Labor Code, I shall forthvAh comply with those provisions. X Date Signaturetof Applicant - O Owner J.123 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 Cooling Hood r 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE p TOTAL FEE $ , 4. HAZ. D. FEES IMP FLOOD CDF PARCEL PO HD 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. ^ ByDate �J�_ l/v` ..ff PERMIT EXPIRES ON Date ReceiptNo. %l ,4,6 WHITE-D.D.S'=B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 3 v a 7 County Center Drive . Oroville, California 95965 a Telephone (530) 538-7541 D �� MI -NO. (Revr12l96) ` APPLICATION AND PERMIT -- y ASSESSOR PARCEL NUMBER %`. i ZONING BUILDINGPERMIT OWNER 1 �o s C_ ka ed TELEPHONE ! SO FT OCC. BUILDING VALUATION OWNERS MAILING ADDRESS�AA ,' ! I' n h KL��/ L7.T / Al 00 ©� a e o Zu R ii o, °— CONTRACTOR' NAME // TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER LENDER'S MAKING ADDRESS Fireplace Total Valuation $ p v ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 3G,00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checkin Fee $ BUILDINGADDRESS 22 all4c, aji /� Energy Plan Checking Fee $ PERMIT FEE LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF X 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 ❑c Utilities ❑ Installation ❑ Other ❑ Describe Work: T'f QY -0 r' ' V Re_YIOO S Gas piping system t - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200AORtESS 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 full force and effect. / !! License Class Lic. No. 4 so�.2 CO 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. ❑ 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. licy number are: My workers' compensation insurance carrier and p® Carrier i�.t iQ,0 0 0CC. '_ 4 , • S 9 Policy Number W 0 D- E) / (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 with comply with those provisions. X r Data /� — /� P �� Signature of Applicant - ❑OwnerE 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 46.00so WEE200A CCU000A NEw coNsr. DWELLING occuP. 3.5QF°: OR ( ACCO cDNS. 1& N ..1D, CU @7.50 OWER APPARATUS 8 SINGLE OUTLET CIR. 20 EX. Occup. OUTLET OR FIXTURES BAL O ,.SO Ex. Occup. OFIrLEEOTS A pOEp 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ c' HA2. 0. FEES IMP FLOOD CDF PARCEL PO HD 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 /ate �--� PERMIT EXPIRES ON ` l Date Receipt No. SS6,0b WHITE-D.D.S.-B.D. ' CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT