HomeMy WebLinkAbout027-082-029027-082-029 02-2206
FRAZIER, DARRYL
2740 PALERMO RD., OROVILLE
RE -ROOF
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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT o2-2206
ASSESSOR PARCEL NUMBER
027-081-029
ZONING
-
BUILDING PERMIT
OWNER
FRAZIER DARRYL
T LEPHONE
533-6944
SQ. FT. OCC. BUILDING VALUATION
. OWNERS MAILING ADDRESS
7057 countryclub rd. Oroville
Sq. omp840.00
CONTRACTOR'S NAME
OWNER
TELEPHONE TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Flin Fee $
20.00
Permit Fee $
23.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
2740 PALERMO RD. OROVILLE CA
Energy Plan Checking Fee $
$
'
PERMIT FEE $
43.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
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 ❑ U ililies ❑ Installation ❑ Other ❑
Describe Work: RE -ROOF 14 SQ COMP
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home ISI GI W1
920.00
PERMIT FEE S
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 'DOA OR IES:
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 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.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
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:
Carrier
Main Service 200A TO lOooA
46.00
NEW CONST. DWELLING OCCUR
OR ADDNS. ( a Acc. eLDs.
SO
3.5QF:
1,10µq.,. NST.MULTI.OU CU, @7.50
PowER APPARATUS
b SINGLE OUTLET CIR.
20 @ 1.00
Ex. Occup. OUTLET OR FDRURES BAL p ,s0
Ex. Occup. DflxuTiErsR� GE„
5.00
Temporary Service 23.00
Mobile Home Facilities
20.00
Misc. Wiring 23.00
PERMIT FEE S
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I 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.
_
X _ _ Date
Signature iff Applicant AA Owner ❑ Contractor ❑ Agent
An OSHA permit 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 $ 43.00
HAZ.
I D. FEES IMP
I FLOOD
CDF
PARCEL
I PO
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated a ove for is fees have been paid.
i
Date 8-14-02
PERMIT EXPIRES ON 8-14-03
Date
Receipt No. 360947
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538.7541
M?ev. 12/ PERMIT
APPLICATION AND PERMIT -�
ASSESSORPARCELNURMER Cj
_ ^6n rows BUILDING PERMIT
owNER — o�
( t9('E�1D�� SO. FT. OCC. BUILDING. VALUATION
OWNOR'S NO ADOi1E6
CONIRACTOR'S MA4
CONSTRUCTION tENDOR -�-'
{ENDERS NAILING ADDRESS -
Fireplace
AACrRrtECT OR ENWNEEA IKENSE NO Total Valuation E
Filin Fee E 20.(
ARCWTECT OR ENGINEER'S NANO ADDRESS Permit Fee
$ p G
euaow4 0r `
Plan Checkin Fee $
G ADDRE'S'S
�� Energy Plan Checking Fee S
it le
• S
ROT No SUGONISIONS NAMEPARCEL NAP PERMIT FEE t '3, c
PLUMBING PERMIT Fling Fee 20.0
USEOFSTRUCTURE Each Trap 7.00
Solar or heat pump water heater 23.00
SF ❑ Duplex ❑ Mobilehome ❑ Other Water piping 15.00
aPEcsv
TYPE OF WORK Each u water heater or vent 15.00
New ❑ Addition O Rem ❑ Utilities ❑ InstallationGastinstem t - 5 outlets 15.00
Installation ❑ Other ❑ Building rower
/ 15.00
Describe Work: 1L Mobile Home S G W @20.00
PERMIT FEE t
ELECTRICAL PERMIT I Filing Fee 20.c
Mein Service L
Nov 20MOORRLE
LEESS 23.00
Main Service 20" TO 1000A 46.00
NEW CONI
OR ADOW. ° 1�A0'C eiosuP. 3.5crT
INIEW NOIaRESRO. CONST. Tr VnFT 7.50
P% WM APPARATUS
MOLE O GR.
Ex. occup. Ir OVRET OR FwruREs 6AL 20 @ R.00 I -
Ex. Occup.FDCED .OR
ovnETs Eslo. EA 5.00
Temporary Service 1 23.00
Mobile Home Facilities
20.00
Misc. Wiring 23.00
F_
SRA PERMIT FEE S
sot"Ay- s MECHANICAL PERMIT Fling Fee 1 20.0(
Heating
O 4+%vy Coolin
Hood 6.50
Ventilation
PERMIT FEIE S
Mobile Home Installation Fee S
Energy Inspection Fee i
o« CONST. TYPE TOTAL FEES
0. FEES WP 11000 COi PARCEL PO NO :INS.
4111111111111111
This permit Is hereby Issued under the applicable provision -
of the Butte County Code and/or Resolutions to do wore
Indicated above for which tees have been paid.
By Date
PERMIT EXPIRES ON