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007.-150-034' PERMIT#95 2687
BULLOCK, Bill -
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COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISIO
7 County Center Drive - Oroville, Paliforrka 95965 - Telephone (916) 538-7541 HERMIT NO.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
007-150-034
ZONING
SR
BUILDIPERMIT
OWNER
DILL BULLOCK
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
EATONR
20 P 1290
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
30 MSTA DR.
Fireplace
CONSTRUCTION LENDER
UNIOJOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee $
20.00
Permit Fee $
29.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS I
Penalty $
BUILDING ADDRESS
1081 EATON RD. CHIOO
PERMITFEE $
49.00
PLUMBINGPERMIT Filing Fee
20.00
Each Trap 7.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar or heat pump water heater 23.00
USEOFSTRUCTURE
SF Iff Duplex ❑ Mobilehome ❑ Other
SPECIFY
Water piping 15.00
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 ❑
Describe Work: REROOF W=4 COMP
Mobile Home I S I G1 W @20.00
PERMITFEEs
Contractor
ELECTRICAL PERMIT Filina Fee
20.00
Main Serviceeoov OR Less
( zooA oR IEss ) 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 R, Lic. No. C1 Y tis ">
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 OCCUR s0.
OR ADON ( d ACC. BLOB. ) 3.SQ FT.
NEW CONST.
ST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS ) 97.50
( 8 POWER APPARATUS )
SINGLE OUTLET CIR.
00
Ex. Occup. (OUTLET OR FURORES) 20 Q 1.00
BAL .50
Ex. Occup FIXED APPWS. OR \
( OUTLETS (RESID.) EA / 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
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.)
r3r 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 with those provisions.
/
X f /o+.� Date /;]�J/��
Signature of Applicant - ❑ Owner Q 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 $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 49.00
HAZ.
I D. FEES
I IMP
I FLOOD
CDF PARCEL
PD HD
SSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do
indicated above for which fees have been paid.
r
By �f Date
PERMITEXPIRESON
(Dare)
work
1
Receipt No. /.% ��,
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISIO
7 County Center Drive - Oroville, CWAifornia 95965 - Telephone (916) 538-7541 -PERMIT NO.
APPLICATION AND PERMIT _
ASSESSOR PARCEL NUMBER
007-150=034
ZONING
SR
BUILDI PERMIT
OWNER
BILL BULLOCK
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
1081 EATON RD
2
/�
1200
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAKING ADDRESS
QUISTA DR
Fireplace
CONSTRUCTION LENDER
UNIU40WN
Total Valuation Is
_
LENDER'S MAILING ADDRESS
Filing Fee
$ 20,00
Permit Fee
$ 29.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAKING ADDRESS
Penalty
$
BUILDINGADDRESS 10,91 EATON RD, �
PERMITFEE
$ 49.00
PLUMBINGPERMIT
Filing Fee 20.00
Each Trap
7.00
LAT NO.
SUBDIVISION'SNAME
PARCEL MAP
Solar Or heat pump water heater
23.00
USEOFSTRUCTURE
SF M Duplex ❑ Mobilehome ❑ Other
SPECIFY
Water piping
15.00
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 ❑
Describe Work: RFROOF WOTH COMP
Mobile Home S G I W
@20.00
PERMITFEE
e
Contractor
ELECTRICAL PERMIT
Filing Fee 20:00
Main Service / e00V OR LESS
zooA OR LESS )
23.00
Main Service ( 200A TO L000A )
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. !� �a r�L%
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 ADDNS. ( -& .ACC. BLDS. )
SO.
3.50 FT.
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS )
8 SINGLE OUTLET CIR.
Ex. Occup. (OUTLET OR FIXTURES
2e @ I.
0
BAL 550
�(, FIXED APPWS. OR
Occup. ( OUTLETS (RESID.) EA)
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE
;
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
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE
S
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.)
_X1_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 with those provisions.
®
X � a� ��______ Date to
at
Signure of Applican - ❑ Owner a7 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 $
Energy Inspection Fee
is
occ
CONST. TYPE
TOTAL FEE $ .00
HAZ.
D. FEES
IMP
FLOOD
CDF PARCEL
PDISSUE
ED
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated indicated above for which fees have been paid.
By / Date LQ
PERMITEXP 4ESON
(D (e)
Receipt No. /n 4 3F,
WHITE-D.D.S.-S.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT