HomeMy WebLinkAbout025-220-05225' 2.2-52 92-088-I8
TUMAN, Dav-id Shijcley-
156 Stimpson Road, ORoville
.(new yinyj.siding/Joshua Brooner Const)
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COUNTRYMAN, Charles B.
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Stimpson Rd. app.mi. so. of -(�—Ox
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovllle. California 95965 - Telephone: 916/538-7541
APPLICATICLN AND PERMIT
PERMIT N0.
ASSESSOR PARCEL NUMBER
025-220-05Z
ZONING
BUILDING PERMIT
OWNER11ff,,�� v,��t Shirley lu2man
TELEP`H�OrN'E
533-6305
SQ. PT. OCC. BUILDING VALUATION
3.., Fri rn 10,614
OWNER'SaAI LING ADDRESS
156 Stimpson Rd Oroville CA. 95965
CONTRACTOR'S NAME
JOSHUA 3?,00 ER CONST*
TELEPHONE
257-3303
CONTRACTOR'S MAILING ADDRESS
P.O. Box 2124 Susanville CA. 96130
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is 10.614
LENDER'S MAILING ADDRESS
Filing Fee $ 15.00
Permit Fee $ 105.00
ARCHITECT OR ENGINEER
LICENSE No.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
156 Stimvson Rd. Oroville CA. 95965
Permit fee $ 120.00
PLUMBING PERMIT Filing Fee 15.00
Each Trap 1 5.00
Solar or heat pump water heater 1 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping 1 7.00
Each qas water heater or vent 1 7.00
USE OF STRUCTURE
SF :❑ Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.00
Mobile Home S G W @ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation Other ❑
Describe work: NEW VItJXL SIDI?jG
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 115.00
Main service 600V OR LESS 18.50
200A OR LESS
Main service 200A TO 100oA) 37.50
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.
_
License ,Jo.428795 Classification Bl
❑ 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)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.h 3.64sq.ft.
OR ADDNS. (ACC. BLDGS.
NEW CONST R.TLET
NON.RESID BRANCH CIRCU ITS@ 5.00
POWER APPARATUS
(SINGLE OUTLET cIR. Q
Ex. Occup(OUTLETS OR FIXTURES 20 76
FIXED APLNS.
Ex. OCCUp. OUTLETS P(RESID )KEA.) I 3.00
Temporary service 15.00
Mobile Homs Facilities 15.00
Misc. �Virin 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.
I 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.
❑ 1 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 FiIingFee 15.00
Heating
Cooling
g
Hood 6.50
I Ventilation
Permit Fee $
LContractor
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 liabilities, judgme�p, costs, and expenses which may in any way accrue
ag inst said County iR consequence of the granting of this permit.
Xl figf-c tom!✓"-� Date 3-26-92
Sipn/arure of Applicant — Owner
pp ❑ Contractor Q Agent ❑
A'n OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over in height.
Mobile Home Installation Fee S
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $ 120.00
HAz
1 DFEES I
IMP
I FLOOD
I CDF
PARCEL
I PD
I HD
ISS
This permit is hereby issued under the applicable pro i- �
sions g he Butte County Code ayd/or resolutions to do
w�Kin ca v�e for wf1i� fees have been paid.
! O OFp �$!C WORKS (-
BX �r'f .'' •"C1' Date
PERMIT EXPIRES Date
r33�stories
Receipt No. I[�li�
WNITE-D.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovllle+ California 95965 - Telephone: 916/536-7541
APPLICATION AND PERMIT
//_1
PERMIT N0.
t tel%
ASSESSOR PARCEL NUMBER 25 a 2— 2b-05 Z
ZOL!.ING
BUILDING PERMIT
OWNER
David & ShirleyTuman
TELEPHONE
533-6305
SQ. FT. OCC. BUILDING VALUATION
CONT RST 10
614
OWNER'S MAILING ADDRESS
156 Aim son Rd. Oroville CA. 95965
CONTRACTOR' S NAME
JOSHUA BROONER CONST.
TELEPHONE
257-8303
CONTRACTOR'S MAILING ADDRESS
P.O. Box 2124 Susanville CA. 96130
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 10,614
LENDER'S MAILING ADDRESS
Filing Fee
$ 15,00
Permit Fee
$ 105.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
.156 Stimpson Rd Oroville CA. 95965
Permit fee
$ 120.00
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
1 5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
7.00
Each pas water heater or vent
7.00
USE OF STRUCTURE
SF ❑x Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile HomeI S I G I W
@ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation Other ❑
Describe work: NEW VINYL SIDING
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 0V OR LESS
200A OR LESS
18.50
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.
License .Jo. 428795 Classification B1
❑ 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
Main service 200ATO1Oo0A)
37.50
NEW CONST.( DWELLING OCCUP.81
OR ADONS. ACC. BLDGS. II
3.6dsq.ft.
NEW CONSTR. ULT,I.OUTLET
NON.RESID BRANCH CIRC ITS
@ 5-00
POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. OCCUp(OUTLETS OR FIXTURES
20 @ 76
FIXED
Ex. Occup. OUTLETS PIRESID 1REA.)
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
g
15.00
Permit Fee
$
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
I 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
FiIingFee 15.00
Heating
Cooling
g
Hood
6.50
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 H ilitie judgme costs, and expenses which may in any way accrue
ag ns sai ounty i onsequence of the granting of this permit.
X Date 3-26-92
Si 'ature of Applicant — Owner
pp ❑ 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.
Mobile Home Installation Fee S
Energy Inspection Fee $
OCC
CONST TYPE
TOTAL FEE
$ 120.00
HAz
DFEES
IMP
FLOOD'
COF
PARCEL
PO
HD
ISS
This permit is hereby issued under the
sions he Butte County Code a d/or
Wor in cal&aer w h ees
F C
B
PERMIT EXPIRES Date
applicable pro i -
resolutions to do
have been aid.
WORKS
Date
3
Receipt No. t ��`
WHITE-D.P.W.. YELLOW-A59C590R, PINK -INSPECTOR. GOLDENROD -APPLICANT