HomeMy WebLinkAbout026-195-001sr-
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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
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0267195-001 PERMIT#98-0693
BOOTHE, Lisa '
2437 Williams Ave., Palermo
Cont: George Roofing
Reroof/SF -
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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
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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