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HomeMy WebLinkAbout026-114-002• ;I i 026-114-002 A�' , a 03-3731', SMART, DUANE, ,-<.; t 7292 LINCOLN BLVD, PALERMO Cont: CONNELLYS PRO RE ROOF ' � ; F •a�' �� a r� E�„ 4 i �� M;: a I t it • r 1� } r 4 • A ' j t � a ` a ' l t F COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 0.' 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR,fARCELNUMBER C�16-114-OU2 ZONING BUILDING PERMIT oWN§�IART' DUANE R TELEPHONE SO. Fr, OCC. BUILDING VALUATION GWN S„ff1�=fN AVE PALERMD CA 95968 25 SO 1500.00 CONifiACIO�i;S.��IA�fAy€�ro',�S MFESSIML SVC TELEPHONE CONLRg0�7pR(�S�MpI••T�.1s� EEBAVE OROVILU CONSTRUCTION LENDER LENDER'S MOILING ADDRESS Fireplace $ Total Valuation 15W.00 ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $35 00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan CheckingFee $ j Vpy 11LIr BLVD PALERMO Energy Plan Checking Fee $ $ PERMIT FEE $55.00 LOT NO. , SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF 0 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 ❑ 1 RE -ROOF 25 Describe Work: SQ C(k�iP Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service z*OA 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. Lic. No, OWNER-BUILDER.00 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 TO 1000A 46.00so NEW CONSTDWELLING OR ADDNS. ( d ACC. BLDOCCUP. SO S. 3.50FT. NEW CONST. MULTI -OUTLET NON pESID. @7.50 POWER APPARATUS ITN.. SINGLE Oun.ET CIR. Ex. Occup. GurLET OR FocTUREs SAL ' o .50 Ex. Occup. Dur E.' RESID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 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 /t performance of the work for which this permit is issued. [Tii! 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 workers' co a ssation urepce carrier and policy number are: Carrier %' f-'Ga1,�� MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number t 4 1 4r3_X (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. JJ Q X _ Date J� ”' / ' �3 Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 55.00 HAZ. I D. FEES IMP I FLOOD CDF I PARCEL I PD 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. AU(dconstruction B 1t; Date / � r PERMIT EXPIRES ON- I.O/x/!.)44 Ir ,/ Date ReceiptNo. I1. `1 WHITE-D.D.S.-B.D. ' CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 1 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (R6.12/96) APPLICATION AND PERMIT o3-37 a � ASSESSOR PARCEL NUMBER 026-114-002 ZONING BUILDING PERMIT OWNER SMART DUANE R TELEPHONE SO, FT, OCC. BUILDING VALUATION .OWN�fi : ft Jt1L fN AVE PALERMO CA 95968 25 S 1500.00 CONrlMC;l�fl�M' S PROFESSIONAL SVC .�EB. TELEPHONE cGMn+g�1b�sr.� BIEESAVE OROVILLE CONSTRUCTION LENDER LENDER'S MAILING ADDRESS `Fireplace Total Valuation $ 1500.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $35.00 Plan Checking Fee $ BUILQYqfESS LINCOLN BLVD PALERMO Energy Plan Checking Fee $ PERMIT FEE $55,00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 1 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ulilities ❑ Installation ❑ Other ❑ Describe Work: RE -ROOF 25 SQ COMP Gas piping sy2tem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 600V OR LESS 200A 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) anons h Sof Division 3 of the Busine s d ProfessiCode, and my license is in full force and effect. �� /� License Class Lic. No. 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. DWEIIINGUP. OCC OR ADDNS. ( a acC. S. SO 3.50FT. NEW CONS . MULTI -OUTLET NON•REs10. @7.50 POWER APPARATUS a SINGLE 0. CIR. Ex. Occup. OUTLET OR FIXTURES B20 � "00 Ex. Occup. OUTLFIXETS RE=.OPRA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 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 r /I performance of the work for which this permit is issued. T�! 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 workers' cc s,��tion `insura carrier and policy number are: Carrier l�� Policy Number l� 1 4 t yQ-`� (The above sections needd 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. 1I_ _© ! `�� X Date ` _ Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 55.00 HAZ. p FEES IMP I FLOOD I CDF PARCEL I PO HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have Bri" 01� PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date 1Q3 — Receipt No. WHITE-O.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT , 1 -4AIW4- 11 .= I TROY j;4M, p1mi-11 , 1 -4AIW4- 11 .= I