HomeMy WebLinkAbout007-150-032007-150-032
HAMILTON, Rod
3055 Burnap, Chico
Cont; RRR Roofing
Reroof/SF
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville,•California 95965 - Telephone (916) 538-7541 PERMIT No.
APPLICATIOWAND PERMIT
ASSESSOR PARCEL NUMBER ,.._
ZONING
S/R _t
BUILDING PERMIT
OWNER �O D UAB ' / o
(7 l
TELEPHONE O
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
3n �3L;a,✓� C/a
CONTRACTOR;r /E i/ A
TELEPHONE
CONTRACTORS MAILING ADDRESS
Freplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation
Fling Fee $ 20.00
LENDER'S MAILING ADDRESS
Permit Fee S
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee S
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty $
BUN.DINGADORFSS
PERMITFEE S S
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
LOT NO. SUBDNISIONSNAME PARCEL MAP
Solar or heat pump water heater 23.00
Water piping 15.00
USEOFSTRUCTURE
SF Z� Duplex ❑ Mobilehome ❑ Other
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
y� �+
Describe Work: /r 00 { — C o�,.e -.
Mobile Home IS I GI W1 @20.00
PERMITFEE S
Contractor
ELECTRICAL PERMIT Rlinq Fee 20.00
Main Service / eoOV 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 is in full force and effect.
License Class LIC• NO.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Lar 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 licenced 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
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 *1 h those provisions.
X Date ���
Signat re of Applicant - O Der ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 50" deep and demolition or construction
of structures over 3 stories in height.
NEW CONST. DWELLING OCCUP.
OR N(a ) 3.5¢ SFTO..
NEW CONST. MULTI -OUTLET
NON-RESIO. ( BRANCH CIRCUITS ) @7.50
POWEA APPARATUS
( 6 SINGLE OUTLET CIR. )
Ex. Occup. (ourLEr OR FocTURES ) BAL Q ' 5
EX. OCCU FIXED APPINS. OR
p (ourLErs IREslo.t EA) 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMITFEE S
Contractor
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE S
Contractor
Mobile Home Installation Fee $
Energy Inspection Fee $
cc
!�.
CONST. TYPE
TOTAL FEE S 3�
MP FL000 CDFPARCEL I PO HO I U
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 ate3/
PER ITEXPIRESON
/ ,'(Gare)
Receipt No. �(�0 -5— v 3
WHITE -D.D.S.-8.6. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APP LIC ANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DTVI N
7 County Center Drive - Oroville, Califorr"n 95965 - Telephone (916) 538-75 PERMIT NO.
APPLICATION AND PERMIT s -
ASSESSOR PARCEL NUMBERr-- -L—ZONI
G �-
BUILD GPERMIT
OWNER X H,4 / /
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
tyeo
OWNER MAILING
Ill �ADDRESS,w JQ<G' C /� �r5 3
,,�`.IILL
'V
CONTRACTOR' E
/^�
/10
TELEPHONE
CONTRACTORS MAIUNG ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
yafl
Filing Fee
$ 20.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty
$
BUILDINGADDRESS
PERMITFEE
$
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
LAT NO. SUBDIVISIONS NAME PARCEL MAP
Solar or heat pump water heater
23.00
Water piping
15.00
USEOFSTRUCTURE
SF Vr� Duplex ❑ Mobilehome ❑ Other C
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 ❑n Utilities ❑ Installation ❑ Other C�
Describe Work: /r 0,0 C orL„e.
Mobile Home S G W
@20.00
PERMITFEE
s
Contractor
ELECTRICAL PERMIT
Filinq Fee 20.00
Main Service OOOV 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 is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Lar 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
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
NEW CONST. DWELLING OCCUP.
GR ADON ( a )
so
3.5¢ FT.
LTI-ACCUTLEBLDS
NEW CONST. MULTI -OUTLET
S
NON-RESID. ( BRANCH CIRCUITS )
97.50
( 8 POWER APPARATUS )
SINGLE OUTLET CIR.
EX. Occup. ( OUTLET OR FUTURES )
209 1.00
BAL 0 .50
Ex. Occup. (ounEEDTs tR sE ..Oea)
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE
_
Contractor
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.)�q
.61;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 i h those provisions.
.�—
Date �
Signat re of Applicant - ❑ ner ❑ Contractor ❑ Agent
An OSHA permit is required 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
cc
{I--
CONST. TYPE
TOTAL FEE $ 3�
MP FLOOD COF PARCEL I PO HD U
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees have
BY ��
PER ITEXPIRESON
applicable provisions
Resolutions to do work
been paid.
ate
(Date)
ReceiptNo.deo
WHITE-O.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT