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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