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�025-140-001 PERMIT#4�-05282796 Larkin':Rd.,'Biggs 596-69P
`Cont: JE John'son Roofing 6 -6 E
e/s Larkin Rd. app. 2501 so.. of -Palm Ave..,E! Biggs`CONTR: Melton & Mel n. 2433 Melton Circle,
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025-140-001 PERMIT#97-052
MATHEWS, Gordon
2796 Larkin Rd., Biggs
Cont: JE Johnson'Roofing
{ Reroof/SF
e
0A
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(Rev. 12/96)
COUNTY OF BUTTE- DEPARTMENTOF DEVELOPMENT SERVICES- BUILDING DTVI I
7 County Center Drive - Oroville, Cakfornia 95965 - Telephone (916) 53 pt PE MIT NO.
APPLICATION AND PERMIT'
,,S SO,�Rf.AF�fLNUMBER r
544 r�Ji
iONIN0
BUILDING PERMIT
NER
>'w MATHEtdS
TELEPHONE
956-1625
Sq, �, - OCC. BUILDING VALUATIONx'.�`
3300
7_7
'7119'61E It IEW RD. , BIGGS
c0NIBf.�CTO 'S -
J� .%IAC SON ROOFING
TELEPHONE
671-9228
"DI`NIsW"�11DDffsbR. , Y'UBA CITY
CONSTRUCTION LENDER
- -
Fireplace -
LENDER'S MAILING ADDRESS •-
'
Total Valuation $
ARCHITECT OR ENGINEER
J
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ 63. �"'•
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDINGADDRESS
2796 LARKIN RD., BIGGS
Energy Plan Checking Fee
$ z {
i � ;,
PERMIT FEE
S 83.00
MOOT NO.
•
SUBDNIS ION'S NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSITRUCTURE
SF � Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat um water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ OtherXX
Describe Work: REROOF WICOMP
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home:, S G W•
920.00
PERMIT FEE
$
ELECTRICAL PERMIT
Rling'Fee ' 2'0:09'
-
Main Service icon o LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my -license i in f f ce and effect.
License Class t. Lic. No. 1-7 1
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
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
q 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.
I 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' ompensation in .urance carrie and policy number are:
Carrier
To
Main Service ( TO
46.00
NEW CONST. DWELL
EL OCCUCUP.
OR ADDNS. ( 6 ACC. BIDS.
SO
3.50F
rNio RESID. ANCCONST.I CIRCUITS S
@7.50
SINGLE EOPm�roSiR.
Ex. Occup. OUTLET OR FIXTURES
20 @ 1.00
BAL @ .50
Ex. Occup. ouxTLEEDTs RES DOE0.
.5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
a
MECHANICAL PERMIT
Filing Fee""w20'00
Heating
Cooling'
Hood
6.50
Ventilation
PERMIT FEE
S.
Policy Number .- i
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 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 with those provisions. -
_Date -*
Signature of Applt�nt - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction/h/d
of structures over 3 stories in height.
--
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPEi
TOTAL FEE $ 83.00
HAZ.
D. FEES
IMP
FLOOD
I CDF_
PARCEL PO MD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above. for which feed@ve
Bt
L
/
PERMIT EXPIRES ON
x'Y�rGst
the applicable piovrelons
Resolutions to do work
been paid
,,.
3/18/97
Date
3/18/98
(Date)
Receipt No y
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
02
GO
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVI
7 County Center Drive - OrovilleY Califtvnia 95965 - Telephone (916) 538-7 P MIT N
(Rev. 12/96) APPLICATION AND PERMIT T..�
Ass4sspRMCLNUMBER
ZONING
BUILDING PERMIT
�11U14VC}RIUJMATHEWS
TE 956 1625
SO. FT. OCC. BUILDING VALUATION
3300
DWt A1LIUM' RD. , BIGGS
colrnI ON ROOFING
TE 671E 9228
cot111�7519ftft?SDR. , YUBA CITY
CONSTRUCTION LENDER
Fireplace
LENDER'SMAILING ADDRESS
'
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ 63.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Plan Checkin Fee
$
BUILDING ADDRESS 2796 LARKIN RD., BIGGS
Energy Plan Checking Fee
$
$
PERMIT FEE
$ 83.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF 6X Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other XX
Describe Work: _ REROOF W/COMP
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home IS G W
920.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service ion oR mss
23.00
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 in f f ce and effect.
License Class Lic. No. 5I7
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
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 worker -compensation J ink a Carrie/ and policy number are:
Carrier � � i----(( �
Policy Number — `AY\
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 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 with those provisions.
X Date A-1 SA -1
Sign re of Appf nt - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service TO 46.00so
CCU000A
NEW CONST. OWEWNG OCCUP. SO
DWELLING
OR ADDNS. ( d ACC. BIDS. 3.50FT,
NON FI SNDT ANCH QIBCVI
@7.50
POWER APPARATUS
aSINGLE OUTLET CIS.
Ex. Occup. OUTLET ORFDRBA� URS zL@ .00
.SO
Ex. Occup. ouiLEEDRE
Ts SID.OEA. 5.00
Temporary Service 23.00
Mobile Home Facilities
20.00
Misc. Wiring23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee P0.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $
�.AZ.
D. FEES IMP
FLOOD
COF
pgRC0.
p0
HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
B
PERMIT EXPIRES O
the applicable provisions
Resolutions to do work
been paid.
3/18/97
Date _
3/18/98
(Da to)
ReceiptNo. 210290
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT