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HomeMy WebLinkAbout026-050-0111 t 026-050-011 #98-2626 GIBSON, MR. 6845 MELVD,A OROVILLE GEORGE ROOFING r REROOPCOh1Pf/j7,�4 Z jp-99 a w z ..,;a: ,: . .. ?'Y-- �.. . �r c�r�,R�,r�,. ...�_„r= °JT ;,�•'� .�, f. w. tv;{,;r.,j..i,';,,e.,�nr+r"•4i�%4�'•r"_Zr'i?'�'�n��`r.,ss'; �j ".Y'ig?K►'�,r/`: •��..,�...r� ,.. .::f�i.y,. :.. 026-050-011 #98-2626 r GIBSON, MR. 6845 MELVINA, OROVILLE GEORGE ROOFING �.; REROOF/COMP n ' • �. �► �lo X99 l • i i, COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIVISION '; % 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541•• PER IT NO. (Rev. 12/96) APPLICATION AND PERMIT ` i� .2� ASSESSOR PARCEL NUMBER Ar. " ZONING BUILDINGPERMIT OWNER Mr. (Jibson'1'} TELEPHONE SO. FT. OCC. BUILDING VALUATION v v UMP 1140,00 OWNER'S MAILING ADDRESS 6645 Melvina Oroville, CONTRACTOR'S NAME Ueor a Rooting TELEPHONE -' CONTRACTOR'S MAILING ADDRESS t)t31i) Lincoln Blvd . , Jrovi L1,P . CA j5966_ CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 114U.UU ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 2.9. Q U ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 0645 "Jelvina Uroville Energy Plan Checking Fee $ $ PERMIT FEE $ 49 . OU LOT NO. SUBDNISION'S NAME- ! PARCEL MAP PLUMBING PERMIT - Fling Fee -20.'00 USEOFSTRUCTURE SF 11 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 ❑ Describe Work: Composition Shingles Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 0OR Main Service Z..' OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class L —.�'� C— 14 LIC. NO. 452266 OWNER -BUILDER DECLARATION I hereby affirm under pegalty 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. a T❑! I am;exempt under ec. Busine s andProfessions Code fo this , reason / Main Service 200A TO t000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLDS. SO 3.5¢FT. N8CONST.9 NON -RES D. MULTI.OUTLET CUITS @7,50 'PO'WER APIfTLEr PARATUS GLE OCIA. Ex. Occup. OUTLET OR FIXTURES 20 @ ''0O &,L .50 Ex. Occup. ouTLEETS RE IS EAo 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 { PERMIT`FEE t �. WORKERS' COMPENSATION DECLARATION 1 hereby -affirm under penalty of perjury one of the following declarations: ❑ 1 have and will ffiaintain a certificate of consent to self -insure for workers' a compensation, r provided for by section 3700 of the Labor Code, for the performance of the work for whichethis permit Is issued. IQ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of wprk for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Lpni on In9tlranCa :72-40anir Policy Number- Wt;j 05 17,)14 (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 should become subject to the workers' compensation provisions of section''3700 of the Labor Code, I shall fpdljwith compwi h_ those provisions. X %L_ate % Signature fppl!cant•- ❑ iter• 0iAgen n OSHA itis required for excavatlo1 and demolition or construction y �er5-0"rdeep of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 49.0U HAZ. D. FEES IMP I FLOOD I CDF PARCEL PD I Ho I ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have , {{ B L <' PERMIT EXPIRES 7 the applicable provisions Resolutions to do work been paid. � Date i /DeAe Receipt No. WHITE-D.D.S.- .D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 011 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541��r^PjijvllT NO. (Rev. 12/96) APPLICATION AND PERMIT u�l�(po ASSESSOR PARCEL?5 �ryV� /Y�d OI1 lV) 11 ZONING BUILDING PERMIT OWNER Mr. Gibson TELEPHONE 533-1024900pyp SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 6845 Aelvina Oroville CA 95966 11 0. CONTRACTOR'S NAME George Roofing TELEPHONE ' - CONTRACTORS MAILING ADDRESS 6810 Lincoln -Blvd.., Oroville, CA 95966 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 1140.00 ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ 29. 0 0 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 6845 Melvina Oroville CA Energy Plan Checking Fee $ $ PERMIT FEE s 49.00 LOT NO. - SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF .6 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 �'1 Other ❑ Describe Work: Composition Shingles Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S • - ELECTRICAL PERMIT Fling Fee 20.00 Main Service E00V OR LESS za.A OR LESS 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 is in full force and effect. License Class C- 3 9 C -14 Lic. No. 452266 OWNER-BUILDER DECLARATION 1 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 Main Service ( 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR AO ( 6 ACC. Ems. SO 3.5¢Fr: ONS NEW CONST. MULTI -OUTLET NON-RESIO. ANC I Ts @7.50 POWER APPARATUS 8 SINGLE OUTLET CR. Ex. Occup. ouTLET OR FocruREsBAS @' OS00 Ex. Occup.OUTLEEOrs RESIo.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE t 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. b 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' compensation insurance carrier and policy number are: Carrier Le ion Insurance MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number WGI 0537019 (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 h comp w' h those provisions. ` X _ ate � SI a ure pplicant - ❑ o tractor ff Agent An OSHA it is required for excavatio ver 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 49.00 HAZ. D. FEES IMP I FLOOD I COF PARCEL I Pp I HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. B Dat1111,01W_ PERMIT EXPIRES ON fl e Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT VA