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HomeMy WebLinkAbout027-082-029027-082-029 02-2206 FRAZIER, DARRYL 2740 PALERMO RD., OROVILLE RE -ROOF 41UI1 07eq ►� ��- --moo � [� � � 00 �_�a a _.___..�..__._ ._.�.,-- _ _ ,� 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