HomeMy WebLinkAbout030-410-029030-410-029 #98-1820
LARSON, ROY
1247 14TH ST- OROUILLE
GEORGE ROOFING
BUILT UP ROOFING F/N�94 //A/l/
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030-410-029: 498-1820
LARSON, ROY
124714TH ST. OROVILLE
GEORGE ROOFING
. BUILT UP ROOFING ��/. y �
COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION All'I
47 County Center D ve. Oroville, California 95965 Telephone (916) 538-7541 PERMIT NO.
Iv. 2/96). 'APPLICATION AND PERMIT.
ASSESSOR PARCEL NUMBER
D D- U— (.-
ZONIN
BUILDING PERMIT: ,
OWNER
Larson, Roy
TELEPHONE
5.33-13561
SO. FT. OCC. BUILDING VALUATION
.
_ U� L V • U
OWNERS UNG
iz4l 1�triDRESS S.ti Oroville' CA 95965
CONTRACTOR'S NAME -' "
Gearge Roofing
TELEPHONE
533-6393
COb IUs Linc In Blvd. Orovi&ie'-;` CA 95966-
5966.CONSTRUCTION
CONSTRUCTIONLENDER
LENDER'S MAILING ADDRESS , . - F .,
Fireplace
Total Valuatlon`:11' ,' $ L' 3U. U - r
ARCHITECT OR ENGINEER -
LICENSE NO.
—Filing Fee $ 20':100
Permit Fee $ . _5 4 . 00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUIfING.ADDRESS'
1L4/ 14th St. Oroville, CA 95965
-
Energy Plan. Fee $
.• .. -' .j'
:$
PERMIT FEE
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Filing,Fee ""20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7:00
Solar or h6at'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 ❑
BUR
Describe Work:.
Gas piping systeI'm 1" - 5 outlets 1 5.00
Building sewer 15.00
Home. 3, G W @20.00
PERMIT FEE $
ELECTRICAL PERMIT Filing Fee 20.00
-
Main Service zoos oR'.ss 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 forcg and effect.
License Class C M'4-9 , L• — 14 Lic. NO: 452266
OWNER -BUILDER DECLARATION
4 -
,),hereby affirm under�'penalty of.perjury that I am•;exempt from the Contractors License
for the followgieas
❑PN"I 'as owner of th`e property, o6my employees,with wages as their sole compensation,
�� will do the work; and the structure is not intended or offered for sale.
owner oft property,"amkexclusrvelyfcontracting with licensed contractors.
to construct the project.
" 01 Y am�ezempt under Sec. ;Business and) Professions Code for this
reason
Main Service soon TO 1o00A 46.00
NEw CONST. DWELLING UP. so
OR ADDNS. ( a ACC. BLD.. 3.5QFT;
NNOONN-RESIDT MULCTI-OUTLET 97.50
POWER APPARArus .
a SINGLE ourLET C R.
20.00
Ex. Occup. OUTLET OR FMAES BAL .@1
� •
FIXED APPLNS. OR -
Ex..Occu .OUTLETS RESID. EA 5.00
23.00Law
Temporary Service
Mobile Home(Facilitles 20.00
Misc. Wirina 23.00
- :
PERMIT FE E t
11VCjRKERS'' COM
�FENSATION DECLARATION
41 hereby affirm,:under.penalty of.perjury, one of th�'following declarations:
have grid -wit 1 maintain a. certificate ofo onsent to self -insure for workers'
k1 V compensatio ea provided; for by 6 * t: of 3700 of the Labor Code, for the
performance o the work for.wliich'this permit is issued..
19 1 have and will r?iaintain 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 insuronce Co.
MECHANICAL PERMIT Filing Fee 20.00
Heating
Coolin \
Hood 6:50
Ventilation
PERMIT FEE $
Policy Number 0%04
(The above sections need not be completed 0 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 H t should become subject to the
workers' compensation provisions of section 3700 of the. Labor Code, I shall
forthwith Com ly with those c�visions.
X Dae _[�/ /__
Signature: o�Applicant - ❑ Owner ntractor Agent
An OSHA permit is required for excavations .over 60" deep and demolition or construction
of structures over 3 stories in height.'By
I
Mobile Home Installation Fee $`
Energy Inspection fee $`T
occ.
CONST. TYPE
TOTAL FEE $ 7.4.00
HA .
D. FEEsr IMP
FLOOD
CDF
PARCEL
PD-
HD
ISSUE
This permit is hereby, Issued under the applicable provisions
of the Butte County; Code 'and/or Resolutions fo do work
indicated above for which fees have been paid:
i`/_Date'9hJ,
PERMIT EXPIRES ON
(pa te
Receipt No. 2 0 ,
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
Vi COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING D ION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 5 - 541 MI No.
(Re v.12 APPLICATION AND PERMIT
�
ASSESSOR PARCEL NUMBER
6D—
ZONING
UILDING PERMIT
OWNER
Larson, Roy
TELEPHONE
533-8561
SO. FT. OCC. BUILDING VALUATION
OWN 5 MARINO DRESS
1 47 lTtRE St. Oroville, CA 95965
,7
BUR
CONTRACTOR'S NAME - -
George Roofing
TELEPHONE
533-6393
CONTRACTORS MAILING ADDRESS-
6810 Lincoln Blvd. Oroville CA 95966
CONSTRUCTION LENDER -
LENDER'S MAILING ADDRESS
Fireplace -
Total Valuation $ 2730.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $ 54.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDTO'7 4 t h St. Oroville, CA 95965
Energy Plan Checking Fee $
PERMIT FEE $
LOT NO.
•
SUBDNISIONS NAMTE
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USE OF STRUCTURE
SF ❑ 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 IX Other ❑
Describe Work: BUR
Gas piping system f- 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I GI W Q20.00
PERMIT FEE $
ELECTRICAL PERMIT Fling Fee 20.00
-
Main Service Z000v, FI 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 C 749 , C —14 Lic. No. 452266
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ 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.
❑ 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 1000A 46,00
NEW CONST. DWEWNG OCCUP. SO
OR ADDNS. ( & ACC. BUDS. 3.5¢FT.
NOµRE°SIp T' MULTBRANCI-OUTLET 7.50
PowER APPARATUS
b sI"°LE °urLET °IR.
Ex. Occup. OUTLET OR FOCTURES BAL O 1: o
Ex. Occup. OFIxDTe PP o OR EA_ 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.
�] 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 ,Insuranc_ a Co.
Policy Numberw u l 3
(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
forth ith com ly w' h those visions.
X D e/ A
Signatur ppIicant - ❑ Owner ntractor Agen
An OSHA permit is required for excavate s over 60" Zeep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood .6.50
Ventilation `
PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 74.00
RAZ:
I D FEES IMP
FLOOD
I CDF
PARCEL
PD
I HD
SSUE
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.
By Da
PERMIT EXPIRES ON 0
Date
Receipt No. 244A9d
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
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