HomeMy WebLinkAbout031-281-056-
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BROWNELL , JODD �A LC
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,-Edward 1904B
, ,73I TbezzuaIito Ave., OrovlIIe
I'CONTR: Arinda Construction,
Uroville
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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