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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 20 ,UWI M