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HomeMy WebLinkAbout030-090-024'POW" , II All lIx 41, Iw""+ -.rrr,.,.N-'r�,c.,f.'ti.r`,r^,�'+-J�'S+r+..h.-7„'.+J4.rrwy--^ti+.+.�'�3.ir'q1'G►��+7".;�;^'qy�,+»f+-rTti:+'�W.-�i-�'.---"'r�,-�^�•F+..�. •�►ry3h� .�5i3;� _,j . r'� COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION vie 7 County Center Drive-Oroville, California 95965 - Telephone (916) 538-7541 P.UMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 0,I,4/+ 0- rtlV) 0%/l a T ZONING BUILDINGPERMIT OWNER Rebish. Waltzer TELEPHONE 533-62 SO, FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1874 Grand Ave. Oroville CA 95965 Q 403 BUR 559.00 600 6811111 360.00 CONTRACTOR'S NAME Geor a Roofing TELEPHONE 533-6393 CONTRACTOR'S MAILING ADDRESS 6810 Lincoln Blvd., Oroville CA 95966 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ' Fireplace, Total Valuation $R19.0 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 25.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS' 1874 Grand Ave. Oroville CA 959651 Energy Plan Checking Fee $ U - k ° !- $ PERMIT FEE $ L} 5.00' •PLUMBING LOT NO. SUBDNIS ION'S NAME PARCEL'MAP PERMIT Filing Feel 20.00 USEOFSTRUCTURE ! SF IN' Duplex ❑ Mobilehome ❑ Other SPECIFY + Each Trap 7.00 Solar or heat:pump water heater 23.00 Water piping 1 15.00 Each as water heater or vent 15.00 TYPE OF WORK New 0 Addition ❑ Remodel ❑ Utilities ❑ Installation CX Other ❑ Describe Work: Composition Sliinples/ BUR Gas piping system 1 - 5 outlets 15.00 Building•.sewer 15.00 Mobile Home -IS I GI W1 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 V OR LESS Main Service 200A OR LESS 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. . 5 2 2Lb L f + 4522'66 License Class C - 3 9 (. -14 Lic. No. M L. l) O f OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 4 ❑ 1, 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 1 +. ❑ I am exempt unde'r11 ;1 ;"Business and Professions Code for this .,,reason v WORKERS' COMPENSATION DECLARATION I he b affirm under p elty of perjury one of the following declarations: ❑ I.hEve and will,'m intain 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 which1this permit is issued. I have and will maintain workers,,compensationinsurance, as required by Section 3700 of the Labo-F ode, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Legion Insurance eomoany Main Service ( 200AWEL To ,000A 46.00 NEW CONST. DWELLINGOCCUP. SO OR ADDNS. ( & ACC. BLns. 3.5QFr: oNO EIAE°SID! Rµcl circ � 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. OUTLET OR FIXTURES 20 Q 1.00 Ex. Occu a4L .so Ex. Occup. OUTELETSO APRESID.OE0. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number WC Y 053-1019 (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 provisions. J I X / t/ (a!A_� �u//,//. i / /_i_�/�' _Date �/� / z / _ Signature of Applicant - C] 04Ker O�Gontr ctor C]j Agent An OSHA.permit is required for excavations over 5'0" deep and demolition or construction in height. of structures over 3 stories. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 4 5. 00 :HAZ-D. FEES IMP FLOOD COF 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. - Date By ,Ol4do:914f PERMIT EXPIRES ON V Y Dale .1 ' Receipt No. -A!51() 1'�} WHITE-D.D.S.-B.D.• CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT f COUNTYOFBUTTE- DEPARTMENTOFDEVELOPMENTSERVICES- BUILDINGDIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 P o• (Rev. 12'/96) APPLICATION AND PERMIT gy-a ASSESSOR PARCEL NUMBER ©, D_ (9 � -0 ^— IL a ZONING BUILDINGPERMIT OWNER Rebish Walter TELEPHONE 533-629.7 SO. FT. OCC. BUILDING VALUATION 403 BUR 559.00 OWNERS MAILING ADDRESS 1874 Grand Ave. Oroville CA 95965 600 CMP 360.00 CONTRACTOR'S NAME George Roofing TELEPHONE ' 533-6393 CONTRACTORS MAKING ADDRESS 6810 Lincoln Blvd., Oroville CA 95966 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS ' Total Valuation 1$919.00 ARCHITECT OR ENGINEER LICENSE N0. —Filing Fee $ 20.00 Permit Fee $ 25.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1874 Grand Ave. Oroville CA 95965 Energy Plan Checking Fee $ $ PERMIT FEE $ 45.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF IN Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 - Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation 1% Other ❑ Describe Work: Composition Shingles/ BUR Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G w @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service ( 2oono 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 and effect. Lic. No. License Class C-39 C -1 4 5 2 2 6 6 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 Main Service TO 46.00 WEE200A CCU000A NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. SO 3.5QFT; rNO RESID. SCI CSL TS C @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. OCCUP. ourLEr OR FocruREs 20 @ 1.00 SAL @ .50 Ex. Occup. OVTEtETs REES,6.DE 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 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. JD I 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 Legion Insurance Company 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.) ❑ 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 forthH ith czio�al____Date //`o d X b V 1_D__ Si re plicant - ❑Owner tractor Agent An OSHA mit is required for excavations over 5'0" deep and demolition or construction of structu es over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 45.00 HAZ. 1 D. FEES IMP I FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicate above for which fees have been By Date9�4 PERMIT EXPIRES ON provisions to do work paid. to ReceiptNo. ���-- WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ',s+,'t•`'9idg•'1K�raSt��1�,•.i'fYtj��i'.�o "4+��t�N14�'N9ia16�7$�t ..["�'lbfi.�f�ov�., i�' i�'��, �*1iY�•�ii1j''i.ta� F��4;r'S�!!''.,i�+N,�'a=y'%rYA'i'rt^w.; �:,rl""�+,yipz ?'°•. ',� 1Jt/3••as 1-PS_ '{t„ P 1 :.,.r J� e ,, -C ... ' ! �.'. f)r • .'1 1} i .,,041r. r' r a.'.•! r i :�` ,1•.°;=•.' mss.. • ' , t n.'•�„ ,. {`� ' * • �F: J ti it .� l e •J 1 ... iib d •'rrs� '• •�„ f !r r�'I�� .yam' 1. f'e iff s ! .. •* ' r .Joh i 1't,N ne C� — - . i .. •etj Vie, ' n,. .. , � .'' t�'. ` ' . t �, � '. � , • �L - Y ilia . i r a <<'dr. ii!• c t.,r.61 '(f. .a..r , T C� a';1, " ,.. o ��. , ,y'. .. e,.,. rrf.s ` �' .. �. ..- ,M,, ,. .._ ._. �'•,.,s�.cl/1;s,?►.�..M .. ...•Yw • .. .. ww�n+V. .r. .. .- w.,s.. ♦ .. ♦ . � - ' �- .r C`' _. 1 ..�.�,.—�.r1.,,�.�.�,. ;�....» .y rw7-...ry. ,_. �^-�.n_. �._.�'N""�x��`3�+f4�f'+I �I ':r+y. /"' s"7'C�Y 3r -r,. .. _ _ I �� ,. ,, �,. ���9 r �, �' n �� � i.` 1 ,� �,, ,, �,. ���9 r �, �' n COUNTY OF BUTTE - DEPARTMENT OF PUBLIC.WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541. APPLICATIA AkOERMIT ASSESSOR PARL�EL SIU=BE ZON.50 BUILDING PERMIT OWNER TELEPHONESO. FT. OCC. BUILDING VALUATION �^+N 4'V' OW�A�ING ADDRESS � - � � /'nnV` CO RACTOR'S NAME TELEPHONE C NTRACTOR'S MAILI GADDRESS- / -S�• `] Fireplace COrISTRUCTION LENDER UNKNOWN Total Valuation 1 $ ZTOV _Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. r ?. SUBDIVISION NAME JPARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 r USE OF STRUCTURE ,SF'fV Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W 10.00e TYPE OF WORK New In Addition[] Re odel❑ U ilities❑ Installation❑ lOther Describe work: Re i _ ' Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 i 1 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 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. Q License No. `1770'-1 Z Classification � 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- qrs. .(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason { NEW OR ADDNS. CONST. / ACC. BLDGS. DWELLING OCCUR.&) 1 /zQsgft NEW CONSTIRMULTI-OUTLET NON•RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS 61 SINGLE OUTLET CIR. EX. Occup OUTLETS OR FIXTURES 20®60¢ aALO 30 FIXED APPLNS. OR Ex. OCCUp- OUTLETS (RESIO.) 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,wth the County of Butte Building Department a Certificate of Workmen's Compensat`on Insurance or a Certificate of Consent to Self -Insure. �.r ❑ 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 10.00 Heating Cool in 9 Hood 3.00 Ventilation. Permit Fee $ Contractor.. = - I certify that I have;reatl this application and state that the above information is correct. I agree to comply to all County :Ordinances and State Laws relating to building const'ruct(on,%nd hereby authorize representatives of the Countyot Butte to enter upon•the•abdve-mentioned property for inspection purposes. I 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. i consequence of the grant g this permit. o Date �2' %%—�l'57 Signature of Ag Ican1 - Owner ❑ Contractor -EE' Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures ov r 3 stories in height. Mobile Home Installation Fee $ Energy lnspection'Fee ?• $ - - - OCC •"CONSTITYPE I Q TOTAL'FEE'$.'�C.) HAz CUA PARK SCHL FLD f PAR PD HD ISSUE This permit is hereby issued under sions of the Butte County.Code and/or work indicated above for which fees DIREC°TOR OF PUBLIC / /,� 11 By . 1 a rX ��%.l�r Gl/ L/ PERMIT EXPIRES `Date the applicable provi- resolutions to do have been paid. WORKS / Date /7�7/J / 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: 916/538-7541 APPLICKTIONUD PERMIT PERMIT NO. 3 2- 3q ASSESSOR PAR EL NUMBER -- ` ZON � BUILDING PERMIT OWNER TELEPHONE BU DING VALUATION % OWNE AILING ADDRESS1 OeQ MOCC. CO RACTOR'S NAME TELEPHONE C NTRA TOR'S MAILI G ADDRESS Q Fireplace CONISTRUCTION LENDER UNKNOWN Total Valuation $©v Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS -7 I Permit fee $ d PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW O.00e . TYPE OF WORK New ❑ Addition ❑ Re odel ❑ Ut.ilities ❑ Installation❑ Other Describe work: __ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main Service EA, ADD'L 100 AMP 2.50 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. L j License No. y7 �Z / 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 CONST. DWELLING OCCUP.& OR ACDNS. ACC. BLDGS. , h¢sgft NEW CONST R. OUTLET NON.RESID BRANCH .CIRC ITS 2.50 ea /POWER APPARATUS &) (POWER OUTLET CIR. ( EOR FIXTURES X. Occup\BALAL030 SOC 20@OUTLETS FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $" 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. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g 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. I also agree'10 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 onsequence of the granti o this permit. Date / 2 - 7 7— 8� Signature of A cont - Owner E:1 Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures oveg 3 stories irlheight. Mobile Home Installation Fee $ Energy Inspection Fee $ -111 occ CONST TYPE TOTAL FEE $ HAZ CUA PARK SCHL FLD PAR PD HD IssuE This permit is hereby issued under sions or the Butte County. Code and/or work indicated abo a for which fees D E ORO P LIC By PERMIT EXPIRES ate the applicable provi- resolutions to do have been paid. WORKS Date Z Z� Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT