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HomeMy WebLinkAbout030-110-0381 030 X11 0-03& 93-542 P, M STAMATULLA'y.MILES 1436 18TH`ST; OROVILLE CONTR: COMM ACTION AGENCY , FURNACE _& WTR HTR/SF 030-110-038 '.PERMIT#95=2284 STAMATULLA, Miles , 1436 18th St.,-Oroville Cont; George Roofing 4f Reroof/SF 030-110-038 02-307 STAMATULLA, MILES INALE 143618TH ST., OROVILLE CONT: CAA C/O WALL HEATER v Aft 030-110-038 02-3075 STAMATULLA, MILES 143618TH ST., OROVILLE CONT: CAA C/O WALL HEATER p 1 AA Jr .. 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 02-3075 ASSESSOR PARCEL NUM 3ER i. — -0i ZONING BUILDING PERMIT OWNER STAMATULI A !'111. FS TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1436 18TH ST9 ORGVTLLF 9 965 CONTRACTOR'S NAME CAA TELEPHONE 5°8-7534 CONTRACTORS MAIUNO ADDRESS 2640 5TH STF 2 OROVTLLF. 95966 CONSTRUCTION LENDEF. Fireplace LENDER'S MAILING ADD:AESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1436 18THIBV R Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. E USDNIS IONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE S00 Duplex ,:1 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 ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: WALL HFAM CHANGE OWN Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service pO.A 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. ^/� , License Class /y LIC. NO. ��/ / �++�' OWNER -BUILDER DECLARATION I hereby affirm ,ender 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 owrer of the property, am exclusively contracting with licensed contractors to const-uct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service POUA TO lOooA 46.00 NEW CONST. DWELLNJG UP. OR ADDNS. ( a ACc. BLns. SO 3.5¢FT: tNjpµg191 ESlp, MULTI.OUTLET 97.50 POWER APPARATUS a SINGLE OUTLEr CIR. EX. Occup. OunET OR FIXTURES BAL @ I.00 . 0 FlXED APPLNs. OR Ex. Occup. ouTLETs .a. EA 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 End 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. d 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of fie Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: 1., e-,, �� Carrier I A//,,, ,A t Policy Number �/ 1—A c. tom ' / (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' compersation 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 /// �.. SignatureofApplicant - ❑ Owner El Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating 15.00 Cooling Hood 6.50 Ventilation PERMIT FEt $ 15 m Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 35.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE M This permit is hereby issued under of the Butte County Code and/or indi ted ove for which fees have B v PERMI EXPIRES N I the applicable provisions Resolutions to do work been paid. + �j Date 1 1 I * 1 ' G Date Receipt No. .364274/$35.00 WHITE-D.D.S.-B D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �Ib F COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 02-3075 ASSESSOR PARCEL NUMBER 030-110-038 1 ZONING BUILDING PERMIT OWNER STAMATULLA MILES TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 1436 18111 ST QEDOULLE 95965 CONTRACTOR'S NAME CAA TELEPHONE 1538-7534 CONTRACTORS MAILING ADDRESS 2640 5Tr�I STE 2 OROVILLE 95966 CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee '$ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 1436 18TH T Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.0023.00 USEOFSTRUCTURE SFY7 Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat um water heater Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: W T T. HEATER CIJA1?GE DM Y Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service * A 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 411 II force and effect.! ��,y License Class r C Lic. No. (> .L�-� 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 200A TO lOooA as.00 NEW CONST.DWEWNG OCCUP. OR ADDNS. ( 6 ACC. BODS. SO 3.50IFT, NEW RESID' MULTI- CIRCUITS OUTLET @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. ouT�T OR FIXTURES) BA' o I:SI'o0 Ex. Occup. oFIxS AEs LNS°en 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION I 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$ 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 worker2:._qopensation • nsurance carrier and policy number are: Carrier AZ QS-rA-T Policy Number_11—6 (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 comp wi se provisions. X olDate Signature Ap,giright - ❑Owner JK Contractor ❑Agent An OSFK permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating 19.00 Cooling Hood 6.50 Ventilation PERMIT FEE $ 15-00 Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 35.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD " E This permit is hereby issued under of the Buttej County Code and/or indi ated Oove for which fees have By PERMI EXPI S NITE-D.D.S.•B.D. the applicable provisions Resolutions to do work been paid. Date J Date o rReceiptNo. 364274$35.00 CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT :x�. ,y _-.w•r.S!"1 .. .. -, .�- . ..,.;,Yw•.t C+"l yi:. 9(�.iplU'7%`r.�,cLT�.�F.;�31T...�m-- .r :�f:�'aK�,q•s,.�ns .,�.__. _.. . .- .. 030-110-038 PERMIT#95-2284 STAMATULLA,-Miles ' 1436 18th St., Oroville Cont;-George Roofing Reroof/SF j t Ar �-+r x,K A x a . � . c -. F w,; r...�;,. Ai lt COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION i 7 County Center Drive - Oroville, CalifornijI&5965 - Telephone (916) 538-7541, PERMIT NO. APPLICATION AND PERMIT --j" ASSESSOR PARCEL NUMBER 261,41 zONI 9 BUILDING PERMIT OWNE.�yf. TELEPHONESO, �, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS /5/3 ! S/UD �r�„+ CONTRACTOR'S NAME �^ t- R 00 1't4 TELEPHONE .r'33—G3y CONTRACTORS W6UNG ADDRESS 7S' ?20 i -O U! (/'P-- [LTi S ! Fireplace CONSTRUCTION LENDER UNIOJOWN Total Valuation $ LENDER'S MAIUNG ADDRESS Filing Fee $ 20.00 Permit Fee $ rr , ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS / 3 S d r <. , cl594'6 I PERMITFEE S �, . f.. , t - .. • t ;PLUMBING PERMIT Filing Fee .2 0.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF X Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ hir.4 Describe Work: Mobile Home S G W1 920.00 PERMITFEE s Contractor ELECTRICAL PERMIT a Fee 20:00 Filinc Main Service600V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 266A To 1000A ) 46.00 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 r - -7. 9 Lic. No. e- 13%'.9 � // `j OWNER -BUILDER DECLARATION 1 herebyaffirm under penalty of perjury that I am exempt from the Contractors License P tY P J rY P Law fo . 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 NEW CONST. DWELLING OCCUR OR ADDNS. ( 8 ACC. BLOB. ) SO. 3.5¢ FT. NEW CONST. MULTI -OUTLET NON-REslO. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS 6 SINGLE OUTLET CIR. / Ex. Occup. (OUTLET OR FIXTURES ) 20 @ 1.00 BAL � Ex. OCCU ( FIXED APPLNS. OR P OUTLETS (RESID.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor t WORKERS' COMPENSATION DECLARATION I hereby, affirm under penalty of perjury one of the following declarations: ❑ lave and will maintain a certificate of consent to self -insure for workers' ompensation, 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. e . My workers' compensation insurance carrier and policy number are: Ir e b r 1.4,1`t )"et MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number -.2 ks + y (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 e that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fo hwith comply,,wit 'those provisions. X r' __ _ Date ----- Sign Ure f AppICV - ❑ Owne ❑Contractor ❑ Agent An OSHA permit is required for excavate ns over 60” deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy" Inspection Fee Is occ CONST. TYPE TOTAL FEE $ HA2. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have BY / ' . PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date e2/1)i)1! (Date) Receipt No. ..? �/5,� WHITE-O.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT -OF DEVELOPMENT SERVICES - 7 County Center Drive - Orovi► *; California 95965 - Telephone APPLIrVION AND PERMIT BUILDING DIVISION (916) 538-754�� �E�� ASSESSOR PARCEL NUMBERZD"I ' BUILDING PERMIT OW<;lE �Q Lei �, /mss ! TELEPHONE X.3 - 7`y SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS �� O CONTRACTORS NAME 6h d,oP stN TELEPHONE e33-L3`?3 CONTRACTORS LJOLING ADDRESS �/� may- /� �y 'Z.5` wxi C1't 17 S �t Fireplace CONSTRUCTION LENDERF UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS • Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS .d Penalty $ BUIIDRESS Al 3 i7 S� &r / P q-SQ4/ PERMITFEE $ 7 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISION'SNAME PARCEL MAP Solar Or heat pump water heater 23.00 USEOFSTRUCTURE SF X Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: %uN - o V-(- Mobile Home S I G W1 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main ServiceOOOV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO IOOOA ) 46.00 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 and effect. q O� License Class '3 Lic. No. C. - l ys L_C GG 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. ❑ 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 NEW CONST. DWELLING OCCUR OR ( 8 ACC. ) SO. 3.50 FT. NEW CONST. UTLE8LDS ONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 Q 1.00 BAL SO Ex. Occup. ouTLEEOTSPPLNs R ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor 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 insuran carrier and policy number are: Carrier .s1fY Al MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number ,x --S`Q (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 b.ecorime subject to workers' compensation laws of California, and agree that if 1 should become subject to the workers' compensatio rovisions of section 3700 of the Labor Code, I shall with cc p wit ose provisions. X Date _ Signature of Ap ec t - ❑ wne ❑ Contractor ❑ Agent An OSHA permit is required for excavate ns over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is Occ CONST. TYPE I TOTAL FEE $ ,/Z Od HA2. 1 0. FEES I IMP I FLOOD I COF PARCEL I PO HO W.UE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have Y &A&V IK - I PERMITEXPIRESON applicable provisions Resolutions to do work been paid. —Date 262,�q S— (0-6) Receipt No. f L -3 q WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .. ,. ..-,�-m�3TF�'war.id rl�'{I-TYP'?'c:.'�1��".,�N�3_'z'Y,:�+'F`tr'C•..�y�,,.�..r.�n.3.y-.`�';tw'�;'lri�S7�sF"!�;'�l�i+�4•d�y�'«i�'c�y4aj'"�.'+�'`�'C'sy� t C `yja. 030-11-0-038 93-542 P,M STAMATULLA, MILES 1436 18TH ST, OROVILLE CONTR: COMM ACTION.AGENCY FURNACE & WTR HTR/SF . l COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 030-110-038 ZONING AR ' BUILDING PERMIT OWNER I�fIL%S STA�iATULLA TELEPHONE 534-0714 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1436 18TH 3T., OROVII1Y. CA 95965 CONTRACTOR'S NAME CAA OF BUM, COLPM TELEPHONE 538-7214 CONTRACTOR'S MAILING ADDRESS 2640 S. 5111 AVE.. OROVILI.F CA 95965 Fireplace CONSTyyR�T±U�CTION LENDER 1 Y 0111', UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER IT +! J' LICENSE NO. Plan Checking Fee S ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 1436 1371 ST., 0TROVILU; Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 f.00 rpt USE OF STRUCTURE SF 9 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New F1 Addition❑ Remodel❑ Utilities� I stlld> _ n❑ Other I ALI: IITF AigD LAY"...ri Describe work: Permit Fee $ 22 00INSTALL ' Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 18.50 200A OR LESS CONTRACTORS LICENSE LAW I declare under penal -y of perjury (check one): R] 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. �/,��0� Classification Fl 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) ❑ I am exempt ender Sec. , Business and Professions Code for this reascn Main service 200A TO 1000Al 37.50 NEW CONST. / DWELLING OCCUPM 3.64 sq.ft. \ OR ADDNS. ACC. SLOGS. NEW CONSTR ULT] -OUTLET @ 5.00 NON.RESID BRANCH CIRC ITS POWER APPARATUS &) (SINGLE OUTLET CIR. 20 @764 Ex. Occup(ouTLETs OR FIXTURES FIXED Ex. Occup. OUTLETS (RESIINIS K D IEA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 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 placec 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 1 15.00 Heating 9.010 Cooling Hood 6.50 Ventilation Permit Fee $ 24. 00 Contractor I certify that I have reEd this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building constructior,4 and hereby authorize representatives of the Countyot Butte to enter upon the above-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 in consequence of the granting of this permit. X ' � ����--� Date S— dl 193 Signature of Applicant — Owner pp ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stoeies in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEES 46.00 HAz 1 11FEES IMP FLOOD CDF PARCEL PD I Flo I ISSU This permit is hereby issued under the applicable provi- sions of the Butte Count Code and/or resolutions to do y workindicated ab6ve�for which fees Have been paid. / t / DIREC'T R OF PUBUC`WORKS 1.' A J i /,V Date 3/49" PERMIT' XPIRES Date 3 4 19-4 Receipt No. 135804By+ 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 APPLICATION AND PERMIT Jr -- ASSESSOR PARCEL NUMBER 030-110-038 ZONING AR BUILDING PERMIT OWNER MILES STAMATULLA TELEPHONE 534-0714 , SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1436 18TH ST., OROVILLE CA 95965 CONTRACTOR'S NAME CAA OF BUTTE COUNTY TELEPHONE 538-7214 CONTRACTOR'S MAILING ADDRESS 2640 S. 5TH AVE., OROVILLE CA 95965 Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Ener P Energy Ian Checking Fee $ Penalty $ BUILDING ADDRESS 1436 18TH ST., OROVILLE Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SFEN Du.plex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other] Describe work. INSTALL WALL HTR AND WTR HTR Permit Fee $ 22.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p l y (check one): 19 1 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.6ffCe /��01 Classification El 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 Main service 200A TO IOOOA) 37.50 NEW CONST. ( DWELLING OCCUPM OR ADDN.. \ ACC. BLDGS. // 3.64 sq.ft. NEW CONSTFL MULTIwOUTLET NON.RESID BRANCH CIRCUITS) @ 5.00 (POWER APPARATUS &) \SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -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 Filirig Fee 15.00 Heating 9.00 Cooling Hood 6.50 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 to save, indemnify and keep harmless the County of Butte against ments, costs, and expenses which may in any way accrue all liabilities jud�Ounty againnsequence of the granting of this permit. Date �"' �� 93 ' nature of Applicant — Owner ❑ Contractor ❑ Agent �, An OSHA Dermit is required for excavations aver S'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 46.00 HAz 0FEES IMP FLOOD CDF PARCEL PD HO ISSu This per 's hereby issued under the slons o e utte Co(node and/ wor fedi ed ach f DI B ev PE PIKE Date ap licable provi- r lutions to do s ve been paid. RKS Date 3/4/93 3/4 94 Receipt No. 135804 WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT M