HomeMy WebLinkAbout030-170-056030-170-056 PERMIT#95-0428
BLACA.H.
1103 10th t.,
l
Cont: George Roofin
Reroof/SF
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030-170-056 PERMIT#95-0428
/ BLACKWELL, A.H.
r"f 1103 10th St., Oroville
'~ �. Cont: George Roofing
Reroof/SF av-
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COUNTY:OFBUTTE - DEPARTMENTILDIN9� 4 1 �S
OF DEVELOPMENT SERVICES - BUI ION
7 County Center Drive - Oroville, Califori�R 95965 - Telephone�1916) 53,8-7541
APPLICATION AND'PERMIT/-,-
F4
ASSESSOR PARCEL NUMBER�
615 0 0
ZONING
BUILQ�)YQ PERMIT„
OWNER
TELEPHONEV
SQ. lv*OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
CONTRACTOR'S NAME
LEP
PHONE
CONTRA TO R'S MAILING ADDRESS
.r lw z -L&1, r
Fireplace'
CONSTRUCTION LENDER
UNKNOWN'
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $ 20.00
-: Permit.: Fee_
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee'
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS
PERMIT FEE $ '5
.7t
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
z" I,
Solar or heat pump water heater 23.00
LOT NO.
SUBDIVISION'SNAME
PARCEL MAP
Water piping 15.00
Each gas water heater or vent 15.00
USE OF STRUCTURE
SF .O( Duplex 0 Mobilehome 1:1 . Other
Gas piping system 1 5 outlets 15.00 1
Building sewer 15.00
Mobile Home S G W @20.00
TYPE OF WORK
New 0 Addition Q Remodel 0 Utilities 0 Installation El Other 0"
Describe Work: �,
PERMIT FEE $
Contractor
ELECTRICAL PERMIT Filing Fee 20.00
Main Servicee11V 01 LESS I
200A OR LESS 1 23.00
Main Service 200A TO 1000A 46.00
-CONST
NEW DWELLING OCCUP.
OR ADDNS. & ACC. BLDS. 3.501 STQ-
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
;Ef,.l am a licensed under: provision's of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
License No. CL< 0t) 4i; 6, Classification
0 1, as the owner, or my, empl9yeps with,wagqs as their;s,ole compensation, will do
-the work, and thestructu--re' is not intended or off ered'for sale., (Sec i�704.4)p,�..,,,,',
as The, ow.ner-,iafti�excl'dgiV'dly—.�6-oWrgtiir�dW�i 466n;'econtractors. (S e. 6 7 64.
0 1 am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
-NON-RESID. BRANCH CIRCUITS @7.50
( POWER APPARATUS
& SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES 20 @ 1.00
BAL. @ .50
FIXED APPLNS. OR
Ex. Occup. OUTLETS 5.00
.(RESID.) EA. I
Temporary Service .23.00
20.
Misc. Wiring 23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
El This permit is for $100.00 (valuation) or less.
�Q_l have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate cf. Consent to Self insure,. 4i
0 I;s haill-h-61 employ aih-y'perso n in any manner so A' to become subject to theWorker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.'PERMIT
PERMIT FEE $
Contractor.. N,
MECHANICAL PERMIT Filing Fee 20.00
---
Heating _4
I,. Coolih'g,P1__._1_,_... r.
Hood 6.50
Ventilation . 2
FEE $
Contractoil
I certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California State Laws relating to
,building construction,,and hereby, authorize representatives of the County of Butte to.
above 'rentidrQ' llrboe�ty f&F�iRsp:'e`d`tibn purposes.
enter upon p -os
"I also agree to save, -indemnify and keep harmles6 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,Vii} 1 f Date _J
Si6AaiuWof Applicant - EI Owner Q Contractor WAgent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
CONS
♦TOI
HAZ.
1 0. FEES
I IMP
FLOOD
CDF
PARCEL PO
HD
IISSU
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.
B Ae.
A
ky
PERMIT EXPIRES ON
.M I /- I
, s7f//
Receipt No. S -tl
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILD
7 County Center Drive - Oroville, Califnf'nia 95965 - Telephone (916) 5
APPLICATION AND PERMIT /
'7541 PERMIT NO.
q 6-CZ�IJR
ASSESSOR PARCEL NUMBERZONING
I-7
1
BUILDING PERMIT
OWNER i .
TELEPHONE
+
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
? % o �h �.
L
CONTRA R'S NAME
ItLEPHIONE
CONTRA TO R'S MAILIN ADD ESSp
/ -
Fireplace
CONSTRUCTION LENDER
UNKNOW
Total Valuation $ b
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
Penalty $
BUILDING ADDRESS
PERMIT FEE $ 0
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
r /
,(f
Solar or heat pump water heater 23.00
Water piping 15,00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Each gas water heater or vent 15.00
USE OF STRUCTURE
SF I� Duplex ❑ Mobilehome ❑ Other
SPECIFY
Gas piping system 1 5 outlets 15.00
Building sewer 15.00
Mobile Home S G I W @20.00
TYPE OF WORK
,.,
New C1 Addition El Remodel ElUtilities❑ Installation ❑ Other P�/
Describe Work:
PERMIT FEE $
Contractor
ELECTRICAL PERMIT Filing Fee 20.00
Main Service800V OR LESS
I 200A OR LESS ) 23.00
Main Service ( 200A TO 1000A ) 46.00
NEW CONST. DWELLING OCCUP. so.
OR ADONS. I & ACC. BLDS. ) 3.50 FT.
CONTRACTORS LICENSE LAW
I geplare under penalty of perjury (check one)
1 am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and e,{yfeet.
f/ 1 r ��j
License No. TS�`a(a to Classification \\\ `
❑ I, as the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044)
❑ 1 am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
NDN -REBID. ( BRANCH CIRCUITS ) @7.50
( POWER APPARATUS )
8 SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES ) @ 1.00
BALL.. .50
Ex. Occup.FIXED APPWS. OR
(OUTLETS (REBID.) EA. ) 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
'qLl have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure. i
0 1 shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT Filing Fee 20.00
Heating
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 Butte County Ordinances and California 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.
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
Count
Co - consequence of the granting of this permit.
X c ' o`i' Date
Si re of Applicant - ❑ Owner ❑ Contractor LWAgent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $ '
HA2.
I D. FEES
IMP
I FLOOD
I CDF
PARCEL PD
HO
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.
BOG Nu& ate �yI�� 1 I
PERMIT EXPIRES Odf `
tel
i r] �C^
Receipt No. I i J
WHITE-D.D.S.-B.D. CANARY-ASSE SOR PINK -INSPECTOR GOLDENROD -APPLICANT