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HomeMy WebLinkAbout022-210-09022-21-, �® ARLEEN McCLANAHAN .1902 W. Biggs Gridley Rd, Biggs Permit #2357-86B(reroof/SF) 'itaa.L Contr: North State Roafing �q3 e .a' s c I Iv �l. f l 22-21-, �® ARLEEN McCLANAHAN .1902 W. Biggs Gridley Rd, Biggs Permit #2357-86B(reroof/SF) 'itaa.L Contr: North State Roafing �q3 ���i Jam; Permit#2357-86B Arleen McClanahan 1902 �4 Biggs Sridley R4 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AN PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER,- ZONING ' BUILDING PERMIT OWNER I / /' A TELEPHONE SO. FT. OCC. BUILDING VALUATION ' QWNER'S MAILING ADDRESS CON`�T//RACTO1R'S NAME_ % !� V / �' 6 TELEPHONE 1 CONTRACTOR'S MAILING ADDRESS `- •' _:� f Fireplace CONSTRUCTION LENDER UNKNOWNTotal Valuation $ / J Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ & f ; ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ !r [,. , 50 PLUMBING PERMIT Filing Fee 10.00 . s.1;'�c C Y� �' ' ' Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water neater or vent 5.00 USE OF STRUCTURE SF P( Duplex❑ Mobilehome❑ Other / SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑ RemodeI ❑ Utilities ❑ Installation❑ Other ❑ Describe work: ! r Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 / Main service ,00V OR 0 AMP OR 0LESS 10.00 Main service EA. ADD•L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑'tel am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in fullforce and effect. License No. 016Classification S / ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP..` OR ADONS. ( ACC. BLDGS. ! , /20sq ft NEWCONSTR. ULTI.OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES eA 030 FIXED APPLNS Ex. Occup. OUTLETS (RESID,)RE A.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin 15.00 g Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. a,rl have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilitie§, judgments, costs, and expenses which may in any way accrue against said County in consequence of the ranting of this permit. TN / �/ X �-�� �-• Date 1 ' / 1 f7 Signature of A Dant - Owner g 'pf3'I' ❑ Controctor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ r Sv OCCUP. CONST.TYPC I FLooD PARCEL PD I ND I ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do 'work indi ated above for which fees have been aid. -� p DIRECT / 'f PUBLI�IWORKS / tt B . /./ / DateA - _ PERMIT EXPIRES Date '5C -43 �'� / Receipt No. � '--� f ! _ L `% y WHITE-D.P.W., YELLOW-ASSESSOA, PINK -INSPECTOR, GOLDENROD -APPLICANT d6—�/ OWNER &�e OWNER'S MAILING ADDS CO T C O NAME D CONTRACTOR'S MAIL N DDRE RUCTION LENDER L NDERL MAILING AD SSA((IILINNGGIG AAD SS ARC TEC OR ENGINEER ARCHITECT OR ENGINEER'S MAI BUILDING ADDRESS � !?o --.;L w LOT NO. I SUBDIVISION NAME COUNTY OF BUTTE - DEPART' ENT OF PUBLIC WORKS 7 County Center Drive - Oroville, (i.z: hforn.i 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ESS N UNKN Md -w PARCEL MAP USE OF STRUCTURE SF � Duplex ❑ Mobi lehome ❑ Other SPECIFY PERMIT BUILDING PERMIT V/ SQ. FT. I OCC. 1 BUILDING VALUATION Fireplace $ ELECTRICAL PERMIT Total Valuation 1 $ Main service 300V OR LESS 100 AMP OR LESS 10.00 Filing Fee $ 10.00 Permit Fee $ S Plan Checking Fee $ Ex. Occu p OUTLETS OR FIXTURES Energy Plan Checking Fee $ 2.00 Penalty $ Mobile Home Facilities Permit fee $ SC PLUMBING PERMIT Filing Fee 10.00 Each Trap Contractor 2.00 Solar or heat pump water heater Mobile Home Installation Fee 20.00 Water piping Energy Inspection Fee 5.00 Each qas water heater or vent TOTAL PERMIT FEE 5.00 Gas piping system 1 - 5 outlets OCCUP-1 CONST.TYPEI I I FLOOD PARCEL PDI 5.00 Building sewer 5.00 Mobile Home S G W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Permit Fee Describe work: Contractor CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): �am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Qo e and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. FQ,-l'have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilit' s, judgments, costs, Vd ex ens s which may in any way accrue against d County in copse a of a anting of this permit. X Date? J' b Signature of A!;`41 icant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Receipt No. !Vy CJ / WHITE-D.r.W.. YELLOW-ASSE3SOR. PINK -INSPECTOR. GOLDENROD -APPLICANT Permit Fee $ ELECTRICAL PERMIT Filing Fee 10.00 Main service 300V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.I>I OR ADDNS. ACC. SLOGS. , lxQsgft NEW CONSTR.MULTI-OUTLET NON.RESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occu p OUTLETS OR FIXTURES z0@sof eALO 30 Ex. Occup. our ED APPLNS. TS (RESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3,00 Ventilation Permit Fee $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 5D OCCUP-1 CONST.TYPEI I I FLOOD PARCEL PDI HD I ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work;�'IIDIREQ,;�j9F ted above for which fees have been paid. PUBJI�IOWORKS PERMIT EXPIRES Date A