HomeMy WebLinkAbout029-131-009i
GEORGE BLUBBER 29-131-9
rp
285 Church St, Richvale
ermit#1382-85B(reroof/SF)
Permit#1382-85B
George Slusser,
5285 Church St
Richvale
A
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
' 7 County Center Drive - Oroville*alifo�ia 95965 - Telephone 916/534-4541
r
4" APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NU ER
ii - �, -
le"'.
ZONING
BUILDING PERMIT
OWNS
TELEPHONEGeoxVe
882-4284
S0. FT. OCC. BUILDING VALUATION
% 114
Sir
OWNER'S MAILING ADDRsserESS
5285 Church St. Richvale, CA. 95974
CONTRACTOR'S NAME
Roofing
TELEPHONE
533-6393
CONTRACTOR'S MAILING ADDRESS
3923 Chive FW. Oroville
CONSTRUCTION LENDER
UNKNOWN
Fireplace
Total Valuation $
/.
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
5285 QMxCh St. Riahvals CA 95974
PLUMBING PERMIT
Filing Fee 3.00
<;... •-
Each Trap
2.00
Repair drainage or vent piping
2.00
- -. -
Water piping
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF [J Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
2.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti lities ❑ InstallationF_ Other ❑
Describe work: roofing —
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00
Main service 100 AMP ORV OR LESS5.00
Main service EA. ADD -L too AMP
2.50
NEW CONST. DWELING
OR ADDNS. ( ACCLBLDGS.CCUP.&)
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.
License No. 452266 Classification [3-39
❑ 1, 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)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
NEW NON •RESID R BRANCH T _TITS
2.50 ea
NEW CONSTR. / POWER APPARATUS
NON-RESID. %SINGLE OUTLET CIR.
Ex. Occu OR FIXTURES
P(o XED
50 @ 250
BAL@102
A
FIXED APP LNS. OR
Ex. Occup.(0UTLETS (RESID.) EAJ
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
6.25
Permit Fee
$
Contractor
MECHANICAL PERMIT
FiIingFee 3.00
WORKMEN'S COMPENSATION INSURANCE'
1 declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
QI 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
2.00
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
against said County in consequence of the granting of this permit.
X / �. Date MIRY 9, 1985
Signature of Applicant — Owner ❑ Contractor ❑ 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
$
Land Development Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OF CONST.
F
PARCEL
PD
MD SSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
RECT' , F/PBLIC
.(
By er ___'N
- -
PERM T EXPIRES ate �'
the applicable provi-
resolutions to do
have been paid.
WORKS
Date 4
i•CI•
Receipt No. t/`17
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTNIFENT OF PUBLIC WORKS
7 County Center Drive - Oroville, Cl�tiforn* 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT /zv'31
�
ASSESSOR PAREL NUM ER
J -q-- —
ZONING
BUILDING PERMIT
OWNER
George Slusser
TELEPHONE
882-4284
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
5285 Church St. Richvale, CA. 95974
CONTRACTOR'S NAME
George Roofing
TELEPHONE
533-6393
CONTRACTOR'S MAILING ADDRESS
3923 Olive Hwy. Oroville
CONSTRUCTION LENDER -
UNKNOWN
Fireplace
Total Valuation $
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ ,r
BUILDING ADDRESS
5285 Church St. Richvale CA. 95974
PLUMBING PERMIT
Filing Fee 3.00
Each Trap
2.00
Repair drainage or vent piping
2.00
Water piping
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF [X] Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
2.00
TYPE OF WORK
New Add ition❑ Remodel❑ Utilities ❑ Installation❑ Other❑
Describe work: Roofing
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00
Main service 100 AMP ORV OR LESS_5.00
Main service EA. ADO'L too AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ( ACC. BLDGS.
22sgft
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.
License No. 452266 Classification _17-39
❑ 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
NON -RESIT R BRANCH CIRCTITS) 2.50 ea
NEw NON -CONSTR RESID. ( SINGLE OUTLET CIRPOWER APPARATUS.5
5
ExOccup( 50 @ 250.
p(OUTLETS OR FIXTURES BAL@10t
FIXED APPLNS. OR
Ex. Occup.(OUTLETS (RESID.) EA.1 2.00
Temporary service 10.00
Mobile Home Facilities
15.00
Misc. Wiring 6.25
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
n 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.
MECHANICAL PERMIT
Filing Fee 3.00
Heating
Cooling
Hood
2.00
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 totenter''upoh the above-mentioned property for inspection purposes.
I also agree -
to save, indemnify and keep harmless the County of Butte against
all liabilities;,judgmbnts,,rcosts, and expenses which may in any way accrue
against said° 60nty, in consequence of the granting of this permit.
01)T tX -��� �� Date 9 1985
�.�r Ly
Signature of Applicant Owner ❑ Contractor ❑ Agent RJ
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 $
Land Development Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OF CONST.
PARCEL PO
ND
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
F P BLIC
RECo/
By
PERMIT EXPIRES ate
the applicable provi-
resolutions to do
fees have been paid.
WORKS
D to
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
-a-
6�p