HomeMy WebLinkAbout024-140-035N
24-14-35
BETTY OZAWA
136 E. Evans Reimer Rd, Gridley
Contr: Meyers Roofing 1r0SOT?
PErmit#2043-87B(reroof/SF)
Permit#2043-87
BETTY OZAWA
136 E. Evans Reimer Rd
Gridleuy
OF87
Qa�VU/
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
V� APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER _
'�/ - J4 _" = 4"—
ZONING
BUILDING PERMIT
OWNER
.%, r /1 /��
TELEPHONE
�� ; f �/ /
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
/ r
CONTRACTOR'S NAME [/'
F.C.
TELEPHONES
/T.,
CONTRACTOR'S MAILING ADDRESS /
Fireplace
CONSTRUCTION LENDER /
UNKNOWN
I
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 1000
Permit Fee
$ )'k, ;
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Pian Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS,
--
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
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 heater or vent
5.00
USE OF STRUCTURE
SF [i;�' Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G 1
10.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑
Describe work: _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
V OR L
Main service jp0 AMP ORSLESS
10.00
Main service EA. ADD'L too AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑- I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
t �,��Iy� (� J
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
NEW CONST.DWELLING OCCUP.&
OR ACDNS. (ACC. BLDGs. ) /z¢sgft
NEW CONSTR MULTI—OUTLET 2,50 ea
NON-RESID BRANCH CIRC ITS
POWER APPARATUS e
(SINGLE OUTLET CIR,
Ex. Occup(OUTLETS OR FIXTURES e0530
AL
Ex. Occup. OUT D APPLNS. R
OUTLETS ((RESI D,IEA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. bVirin 15.00
9
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
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.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
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 relatinc,
to building construction, and hereby authorize representatives of the Countyoi
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte agains:
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X I ,� / �� ( 1�t Lt c �. J ��C1_
Date
Signature of Applicant — Owner ❑ Contractor ❑s''Agent 1:1
An OSHA permit is required For excavations over 5'0" deep and demolition or construe--
ion of structures over 3 storiesf in heig ht.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $ U
occu P.
CONST.TYPE
FLOOD
PARCEL
I 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
J. indicated above for which fees have been paid.
J. l
/ DIRECTOR OF PUBLIC WORKS
/ / J�
By/ /i.. �' ��' "// , Date,/ht.
ate /
PERMIT EXPIRES Date /
Receipt No. K���, f
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
r3"
ASSESSOR PARCEL NUMBER)
ZONING
BUILDING PERMIT
OW09, LE PHONE 1
SO. FT. OCC.1 BUILDING VALukriON
OWNER'S M IN G ADDRESS
/3
CMR TOR'5 NA T LEPH E
CON TOR'S ILING ADD ES
pL_
Fireplace
CONSTRUCTION LENDER UNK OWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 10.00
Permit Fee
$
ARCHITECT OR ENGINEER LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING A DRES
Permit fee
",
v
PLUMBING PERMIT
Filing Fee 10.00
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 heater or vent
5.00
USE OF STRUCTURE
Gas piping system 1 - 5 outlets
5.00
/
SFR Duplex❑ Mobilehome❑ Other
Building sewer
5.00
SPECIFY
Mobile Home S G W
10.00 ea'
TYPE OF WORK
New ❑ Addition ❑ emodel ❑ Utilities ❑ Installation❑ Other ❑
Permit Fee
$
Describe work:
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP ORSLESS
10.00
Main Service EA. ADD'L 100 AMP
2,50
CONTRACTORS LICENSE LAW
NEW CONST. DWELLING OCCUP.&
, �z¢sgft
I declare under penalty of perjury (check one):
rDiew �orNisTR� A "'ULT"OUTLDGS LET
2.50 ea
L�
' am licensed under provisions of Chapt. 9, Div. 3 of the Business 5
NON•RESID BRANCH CIRC ITS
POWER APPARATUS &)
and Professions Code and m license is in full f rce and effect.
SINGLE OUTLET CIR.
n
License No. �dl �a7.� 3
EX. OCCU OUTLETS OR FIXTURES
P�
eAL@30
Classification 7
Fl 1, as the owner, or my employees with wages as their sole compen-
Ex. Occup. OUED K
TLETS ((RESID IEA.)
eAL030
2.00
sation, will do the work,and the structure is not intended or offered
Temporary service
10.00
for sale. (Sec. 7044)
❑ I, the
Mobile Home Facilities
15.00
as owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
Misc. �Yirin 9
15.00
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Permit Fee
$ --4,
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
MECHANICAL PERMIT
Filing Fee 10.00
❑ The permit is for $100.00 (valuation) or less.
Heating
Ep ave 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.
Cooling
g
❑ I shall not employ any person in any manner so as to become subject
Hood
3,00
to the W. C. laws of California.
Ventilation
Notice to Applicant: If after making this statement, should you become subject
the W. C. provisions of the Labor Code, you must forthwith comply with such
permit Fee
$ 0-4—Alto
provisions or this permit shall be deemed revoked.
Contractor
I certify that I have read this application and state that the above information
Mobile Home Installation Fee
$
is correct. I agree to comply to all County Ordinances and State Laws relating
Energy Inspection Fee
$
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
TOTAL PERMIT FEE
$ .-0--v
1 also agree to save, indemnify and keep harmless the County of Butte against
OCCUP. CONST.TYPEJ FLOOD PARCEL PD ND ISSUE
all I' bilities, judgments, sts, and expenses which may in any way accrue
I I
agai t said County in c granting of this permit.
ue�nceofthe
( .–
Date
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or
resolutions to do
e of Applicant — 16w 1.r ❑ Contractor �ent ❑
tOSHA
work indicated above r which
fees have been paid.
permit is required r excavations over 5'0" deep and demolition or construct-
IR OF PU
WORKS
ructures over 3 stories in height.
t
BY
Receipt No.
Date v�
WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT I
PERMIT EXPIRES Date
CZ
l
1861 a g Nnr
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