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HomeMy WebLinkAbout026-195-001sr- f P FIRESTINE 26-195-01 GEORGE 437 Williams, Palermo _ � igntr: Chucks. Electr.ic ' Permit#3314-84E(ele ser ch & partial re - I ire)SF 026-195-001.. PERMIT#98-0693 BOOTIIE,; Li3a 2437 Williams.Ave. ,,Pal' ermo• Y. Cont: George.�Roofing ReroofISFfih,�qj /Z--�� � a f r 0 r J {T f J 0267195-001 PERMIT#98-0693 BOOTHE, Lisa ' 2437 Williams Ave., Palermo Cont: George Roofing Reroof/SF - i I 1; i I I COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIVISION f 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 PERMIT 'NO. (Rev. 12/96) APPLICATION AND PERMIT "D/4 3 ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER Lisa Boothe TELEPHONE 533-3308 SO. FT. OCC. BUILDING VALUATION , 055 Comp , • OWNER'S MAILING ADDRESS 2400 37 Williams Ave, Palermo, CA 95968 CONTRACTOR'S NAME George Roofing TELEPHONE 533-6393 00 TOLincolnSSBlvd, Oroville, CA 95966 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 1 ♦ 2,30. 00 ARCHITECT OR ENGINEER LICENSE NO. Film Fee $ 20.00 Permit Fee $ 31.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ L4�, l INGADWllliamS AV®, Palermo, CA 95968 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. rV SUBDIVISIONS NAME t -_�.< _-. - F .-:. i PARCEL MAP 1 r ,PLUMBING PERMIT., ... Filing Fee .20.00 USEOFSTRUCTURE SFx❑Y 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 oxOther ❑ New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Describe Work: Composition Shing;as Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoov. o 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 is.,in .full force anal ffect. 4-sy C- I 452266 License Class ♦ LIC. NO. 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. S ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service ( 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( 8 ACC. BLDS. SO 3.50FT. Np RESIDT ANCHOU LECUITS @7.50 POWER APPARATUS & SINGLE OUTLETCIR. Ex. Occup. OUTLET OR FIXTURES 20 @ 1'00 BAL- @ .50 Ex. Occup. ouT Ts P.L.1N'S6) E 5.00 Temporary Service 1 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS.' COMPENSATION DECLARATION ,. ; I hereby affirm: urider, penalty of perjury one of the following declarations: ❑. 1 have .and will maintain a certificate of, consent to self -insure for workers' compensation, as providedfor 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 workers' compensation ;insurance carrier and pogo number ale: Carried'@g10., tnS LO, c/o Ameriii P8Lriot MECHANICAL PERMIT: .. ;, Filing_Fee_ ; 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number W 1 U 53 ! U 1 J (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 proyisio . j"--- / XL_�;_-Date j SlgnaturP of Applicant - -Owner (❑ C tractor IAg Lint J� i An OSHA Kermit is required for excavations over 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 $ 51,00 HAZ. D. FEES IMP I FLOOD I CDF 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. I I f J B �, Date PERMIT EXPIRES ON I, (� I, �k/ r Del® Receipt No. ,A i' , It l` WHITE-D.D.S.-B.D. CANARY -AS ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISIO 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBfiR J? /�{�� O a ZONING BUILDINGPERMIT O JWNER Lisa Boothe TELEPHONE 533-3308 SO, FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2437 Williams Ave, Palermo, CA 95968 2,055 Comp 1,230.00 CONTRACTOR'S NAME George Roofing TELEPHONE 533-6393 CONTRACTOR'S MAILING ADDRESS 6810 Lincoln Blvd, Oroville, CA 95966 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ' Fireplace Total Valuation $ 1, 230.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 31.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ DR 2B�IL�1l`�Wllliams Ave, Palermo, CA 95968 Energy Plan Checking Fee $ $ PERMIT FEE $ 51.00 LOT NO. SUBDIVISIONS NAMEPARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SFS Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation SIK Other ❑ Describe Work: Composition Shingles Gas piping system i - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W1 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service z .".v Main 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. C- 3 9 C -1 4 License Class , Lic. No. 4 5 2 2 6 6 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. ❑ 1, 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 46.00NEW CONST. DWELLING OCCUP. sO OR ADD S. ( a ACC. BLDS. 3.5QFT: 'N RESIDT. 11AU11LTC1'-01 @7.50 IR POWER APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 @ 1'00 p• BAL @ .50 Ex. Occup. O,FIXELETg RE&1p.0E0. 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 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 workers' compensation insurance carrier and policy number are: CarrierLegion Ins Co. C/o American Patriot MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number WCI 0 5 3 7 01 9 (The above sections need not be completed if the peamit 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 fo with om ly wit those pro sio ��r X ate / % _ Signatu f Applicant - wner C tractor % Ag nt j—T An OS ermit is required for excavations over 5'O" eep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 51.00 HAZ. 0. FEES IMP I FLOOD I CDF PARCEL I PD I HO 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 Aze Date PERMIT EXPIRES ON �L`' (DJt,) Receipt No. WHITE-D.D.S.•B. C A Y•AS ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT George Tirestine Permit #3314-84 0 OFFICE COPY c Address_ yj / GAS Meter By Date ELECTRIC Meter By ` DatelZ) ./� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICA11014'A►N PERMIT PERMIT NO. ,r ASSESSOR PARCEL NUMBER • ZONING BUILDING PERMIT OWNER ' I •.1 `1 1 - in .� TELEPHONE S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER ! t r UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER , LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS ( PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 i r I - Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S I G I W I I 110-00ed TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 0 Describe work: - _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV OR LESS10.00 Main service EA. ADD'L too AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 21/20sgft 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. !, ! I• / " 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 CONSTR. MULTI -OUT LET 2,50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR (POWER APPARATUS &) NON -RES,D. SINGLE OUTLET CIR. / Ex. Occu 20@50C P(ourLETs OR FIXTURES BAL®ao Ex. OCCU FIXED TS (RES. OR P• OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring- I - 15.00 •',j I} , Permit Fee $ . } Contractor MECHANICAL PERMIT FiIingFee 10.00 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. Heating Cooling 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 relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. �. r� Signature of Applicant — Owner❑ Contractor a 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 $ TOTAL PERMIT FEE $ OCCUP. GROUP TYPE OF CONST. PARCEL PD HD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. 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 APPLICATUD ND PERMIT PERMIT NO. ,F-3/.//— ASSESSOR 3/— ASSESSOR PARCEL NUMBER =D I ZONING I BUILDING PERMIT OWNER 1 TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER' I ING IDESS C� , 1. CONT. CTOR'SA I \ TELEPHONE r CON AC R'S MAILING ADDRES a3 Fireplace CONST'RUCTION LENDER b'Y\ ` UIMNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER Q. LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS_ t PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 IF Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL AP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 �/ USE OF STRUCTURE SF K Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S I G I W 10.00 e TYPE OF WORK New El Add ition❑ Remodel Utilitie Installation❑ Other Describe work: fe U2 I Permit Fee $ Contractor ELECTRICAL PERMIT FilirigFee 10.00 00V OR Main service 100 AMP LES 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 2t/20sgft 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 orce and effect. Q ( _ License No. 41 O0& o Classification /0 ❑ 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 CONSTR ULTI.OUTLET 2.50 ea NON-RESID, BRANCH CIRCUITS) NEW CONSTR. POWER APPARATUS &) NON-RESID. ( SINGLE OUTLET CIR. 20e50C Ex. Occup(o OR FIXTURES BAL®30 FIXED AXED A PPLNS. OR EX . Occup. OUTLETS IRESID•) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 ' Permit Fee $^� Contractor 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 f Consent to Self -Insure. LJ ' 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. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling 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 relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again aid ounty in consequence of the granting of this permit. �[ X .� ���%�L�� Date �� "f �- �7 Signature of Applicant — Owner ❑ Contractor 94 --Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structuressO over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE of CONST. PARCEL PD ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DI OR 0 BLIC BYDate PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS �� Receipt No. �c� J6 - WHITE-D.P.W., YELLOW-ASSFSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT