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HomeMy WebLinkAbout031-281-056- ^ ------�' - -- ` ` . BROWNELL , JODD �A LC \ ------------ ^ ,-Edward 1904B , ,73I TbezzuaIito Ave., OrovlIIe I'CONTR: Arinda Construction, Uroville O�� ' 031-281-056, 02-2356' BROWNELL TODD & PAM 731 THERMALITO, 6, ILLS RE-ROOF i 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 02-2356 ASSESSOR PARCEL NUMBER 031-291--056 ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION 20 OWNER'S MAILING ADDRESS _ CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER UCENBE NO. Filen Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 731 THERMALITO,K Energy Plan Checking Fee $ $ PERMIT FEE S 49. LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF CX, Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water Water piping 15.00 gas water heater or vent 15.00 TYPE OF WORK i New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IN Describe Work: REROOF W%COMP 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 Filing 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 full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 1% 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. DwELLIxi OCCUP. OR ADDNS. ( 8 ACC. BLDS. SO 3.5¢FT; NON-REOMULTI. OUTLET SID. T. 97,50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Op. ourLETORFocruREs 20 @ 1.00 BAL @ .50 PPLNS. Ex. Occup.ouTNFTsFlXED ARESIo.OERA 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 declaration: ❑ 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 insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 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.) I 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. A ! Y X_Date tt�, Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent 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 49. 00 TOTAL FEE $ HA2. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE x This permit is hereby issued under of the Butte County Code and/or indic eda c, for which fees have By PERMIT EXPIRES�0 the applicable provisions Resolutions to do work been paid. Date+T Date Receipt No. $49•� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 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 02-236 ASSESSOR PARCEL NUMBER 031-281-056 ZONING . BUILDING PERMIT OWNER TODD & PAM RRQWNFT.T. TELEPHONE 534-5346 SO. FT. OCC. BUILDING VALUATION 20 so 1900 Do OWNER'S MAILING ADDRESS 1847 GRAND AVE, OROVITIF 95965 CONTRACTOR'S NAME OWNFR TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ign nn ARCHITECT OR ENGINEER UCENSE NO. Filing Fee $ 20.00 Permit Fee $ 99-00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 731 THERMALITO,K, t`i Energy Plan Checking Fee $ PERMIT FEE $ 49. 00 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF OX Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 100 Describe Work: REROOF W/COMP Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 RLE 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 full force and effect. License Class LIC. NO. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: UQ 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. O 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 IOooA 46.00 NEW CONST. OW EI NG OCCUR SO OR ADONIS.( a ACC. S.3.5¢FT. NON-RNONMULTH' CIR UI 97,50 TS POWER APPARATUS 8 SINGLE OUTLET CIR. OUTIET OR FDLTUREs 2G @ ''50 Ex. Occup. aAl ,' Ex. Occup. oFauTEI A oEA_ 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 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 insurance carrier and policy number are: Carrier 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'HAZ. compensation laws of California, and agree that f 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 o Signature of Applicant - ❑ Owner O Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 45' • 0 D. FEES IMP FLOOD CDF PARCEL PO HD ISSUE X This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indic ed a for which fees have been paid. �. By Daatte�j PERMIT EXPIRES /i • O'�p '(� I Date ReceiptNo. 361096/$49.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 0.2L. L OWNER -BUILDER VERIFICATION Anent= Property Owner: An "owner -builder'' building permit has been applied for in your name and bearing your si�oapa+e, Please complete and return this information at your earliest opportunity to avoid moeoesetry%MMW in processing and issuing your building permit. No building permit will be issued until Ads verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES M NO O 2. I HAVE 9 HAVE NOT 0 signed an application for a building permit for the 'IV as P VW0& ;. I have contracted with the following person (firm) to provide the proposed eonstruetioa: Y. NAME: ADDRESS: PHONE: CON'TRACTOR'S LICENSE NO. I plan to provide portions of this work, supervise, and provide the major work: NAINIE: I but I have hired the following person to coordinate, ADDRESS: CM: PH0N-E: CONTRACTOR'S LICENSE NO. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNE4X.— (� t a �rLmrry 1 e DATE:�I NOTE: This Owner -Builder Verification is required by Section 19831 and 19831 oVAW California Health and Safety Code. This verification must be eomp&W aid returned to our office before we are permitted to issue the permit OVER