HomeMy WebLinkAbout031-281-05803 I-281.t:��q
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751 THERA^ALITOA\'E., U �'lll,s�
CONTR: ALLAOIN RU ING
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031-281-058 00-1680
HAGGBLOM, TED
751 THERMALITO AVE., OROVILLE
CONTR: ALLADIN ROOFING
RE ROOF
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVI ZONA
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 PERMIT NO.
(Rev.12/96) APPLICATION AND PERMIT -/,&K
ASSESSOR PARCEL NUMBER 031-281-055
d'
ZONING
BUILDING PERMIT
OWNER TEA HAGGBLOM, TED
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS 751 THERMA.LITO AVE, OROVIME
CONTRACTOR'S NAME
ALLADIN ROOFING
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation Is
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
29.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
751 THERMA4ITO AVE OROVILLE
Energy Plan Checking Fee $
$
PERMIT FEE $
49.
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP,
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
t
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
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: REROOF W%OSP HOUSE. AND AWNINGS
-64ts Ak
\
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home IS I GI W
@20.00
PERMIT FEE $
ELECTRICAL PERMIT
Filing Fee 20.00
.6
_
a00VR LIE
Main Service 20 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 ///iQ full force and effect. p
License Class 0 - -3 1 Lic. NO. S ZA
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the followA reason:
❑ I, as owner of th&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 ekdlusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A 1000A
ToLING
46.00
NEW CONST. DWWELEU OCCU
CUP.
OR ADDNS. ( a ACC. BUDS.
SO
3.5¢FT.
NON-REOSID. MULT1.ON=
97,50
PowER APPARATus
a sNJGLE oLmET CIR.
Ex. Occup. OUTLET OR FIXTURES
20 ®1 00
AL So
FIXED APP LNS. OR
Ex. Occup. OUTLETSREs1D. 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 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 insuce carrier and policy number are:
Carrier t,u nre
-� /
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Policy Number `7 I -
(The above sections need not be competed ifthe 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 comply with those provisions.
-! -of
X .a- (` _ Date -2-- / �' �� _
Signature of Applicant ` ❑ Owner /Contractor ❑ Agent
An OSHA permit is required for excavation?; over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $ 49.00
HAZ.
I D. FEES IMP
I FLOOD
cDF
PARCEL
I PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
14W/1 it
By /]Date
PERMIT EXPIRES ON
Date j
Receipt No. if Ic IQ I If
WHITE-D.D.S.-B. . CANA Y -ASS SS12M PINK-TN.TPECTOR GOLDENROD -APPLICANT
Cr�U OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
ounty Center Drive • Oroville, California 95965 • Telephone (530) 538-7541PERMIT NO.
(Rev. 12,1) APPLICATION AND PERMIT & _0
ASSESSG _i�lzi MBER 031-281-058
I
ZONING
BUILDING PERMIT
OWNER
TED HAGGBLOM, TED
EPTELHONE
SO. FT. OCC. BUILDING VALUATION
.OWNERS MAILING ADDRESS 751 THERMALITO AVE, OROVILLE
CONTRACTOR'S NAME
ALLADIN ROOFING
TELEPHONE
CONTRACTORS MAIUNG ADDRESS
CONSTRUCTION LENDER
Fireplace
LENiER'S MAIUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
29.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
751 THERMALITO AVE OROVILLE
Energy Plan Checking Fee $
$
PERMIT FEE $
49.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ 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 ❑
Describe Work: _ RFRnnF w.jrnMP mnilgF. ANn A[, NTNns
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G W
920.00
PERMIT FEE $
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 200, 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 ig full force and effect.POING
/�
License Class Lic. No. S ?i �
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, army 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
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' compensati insur�y�ce carrier and policy number are:
Carrier wPL
Policy Number i i-
(The above sections need not be competed if 1he 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 c ply with those provisions.
�y
X Date ?— /r �d
Signature of pplicant - ❑ � vner Contractor ❑ Agent
An OSHA permit is required for excavation ver 60" deep and demolition or construction
of structures over/3 stories in height.
Main Service TO l 46.00
WEE200A
NEW coNsr. DwELUNo Occup.
U
(
�rLS.
3.5QF°;
NEW CONST. MULACC.
TI 17
NON RESID. C @7.50
WELER APPARATUTLETUS
8 S OCIR.
Ex. Occup. OUTLET OR MTUREs �� �'.00
.50
Ex. Occup. OUTLETS .a.1 E 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wirina
23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
. TYPE
TOTAL FEE $ 49.00
Ciff
H
IMP
FL000
COF
PARCEL
pp
HD
SSUE
This permit is hereby Issued under the applicable provisicns
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By Date
PERMIT EXPIRES ON //7.
ate
Receipt No. (/
WHITE-D.D.S.-B.D. CANA V -AS SS PINK -INSPECTOR GOLDENROD -APPLICANT
.s • •,-COURNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
' 7unty Center Drive / Oroville, California 95965 / Telephone (530) 538-7541 PERMIT NO.
(Rev. 11./96) APPLICATION AND PERMIT
NfEaaORIARCEiMlMaEll 01/_ — D ZONIq
BUILDING PERMIT
Ow"CIII L 0 -
SO. FT. OCC. BUILDING VALUATION
01M►11717 MAAM ADOMS
CONTRACTOR•a NAME'
TCUIPNONZ
CONTRACTORI MAIUNG ADDRESS
CONITRUCTION LEWER
LENOERM MNUNG ADOREaa
Fireplace
Total Valuation L
mcwmCT OR &&NEER
UCENSE No.
Filing Fee E
20.00
ARCHITECT OR INOIIEER7 MAa1NO ADOREsa
Permit Fee E
0
Plan Checking Fee b
/ 1p� fjAef1
euacl+oADOREsa;"#-6 X'm
Energy Plan Checking Fee b
PERMIT FEE _
LOT NO.
SUBWGIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Feel
20.00
USEOFSTRUCTURE
SFDuplex 0 Mobilehome O Other
sPECIY
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 0 Addition 0 Remodel 0 Utilities 0 InstaOation 0 Olher 0
Describe Work: C= --
f �
Gas piping system t - 5 outlets
15.00
Building sewer 15.00
Mobile Home S G W (920.00
PERMIT FEE $
C.,
ELECTRICAL PERMIT
I Filing Fee
20.00
v
Main Service x�ow on L S.
23.00
/J c (// 1
Main Service `',"l pa TO t000A
46.00
NEW CONST. 9 •DWELLM OCCUP. s0
OR ADONS. , -. (.;" a ACC. BtDs. 3.50x.
MULTI -OUTLET
NOKRESID. tED7,50
POWER APPARATUS
8 SOYOLE OtlTLET 010.
Ex. Occup. OUTLET OR IMMAES 200 1.00
SAL .50
oEF(ED APLS.OEAEX. OCCU 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE :
MECHANICAL PERMI Fling Fee
27.00
Heating
Cooling
Hood 8.50
PERMIT FEE $
Mobile Home Installation Fee S
Energy Inspection fee S
Occ CONST. TYPE TOTAL FEES 4,7, Q 0
NAZ. 10. FEES I IMP I FLOOD I COF PARCEL I PO I NO I '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.
By
PERMIT EXPIRES ON
Date _
Ca%JNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 F.E MIT NO.
(Rev. 12/96) APPLICATION AND PERMIT ) - I�
ASS,WSOR PARCEL NUMBER 031-281-058
ZONING
BUILDING PERMIT
OWNER TED HAGGBLOM, TED
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS "UNG ADDRESS 751 THERMALITO AVE, OROVILLE
CONTRACTOR'S NAME
ALLADIN ROOFING
TELEPHONE
CONTRACTORS MAIUNG ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuatlon $
ARCHITECT OR ENGINEER
UCENSI: NO.
Filing Fee $
20.00
Permit Fee $
29.00
ARCHITECT OR ENGINEERS "UNG ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
751 THERMALITO AVE OROVILLE
Energy Plan Checking Fee $
$
PERMIT FEE $
49.00
LOT NO.
SUBDIVISIONS NAME
PARCE•. MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ 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: _ RFRO OF WIC IMP H0110,R ANT) A1, NTN(;S,
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
920.00
PERMIT FEE S
ELECTRICAL PERMIT
Fling Fee 20.00
*00V0Main Service 200. 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 JA full force and effect.
G+
License Class y Lic. No. S.3 Z�3 7
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, of my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ 1, 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
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 pennit is issued.
My workers' com ensati insurafce carrier and policy number aro:
Carrier w•td
Policy Number -7 / - I
(The above sections need not be competed if Vie 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 cgpnply with those provisions.
X zo _ Date 2—
Signature of pplicant 10 ner A Contractor ❑ Agent
An OSHA permit is required for excavation ver 60" deep and demolition or constructioni!
of structures over 3 stories in height.
Main Service 200A TO lOooA
46.00
P. so.
NEw CONST. owELUNO occu3.5¢
OR ( �.
cDNS.
NEW MULACV.. LES
NON-RFSID. 97.50
FowET+APP.RATUs
8 SwGLE OUTLEr CSI R.
20 p 1.00
Ex. Occup. OUTLET FOcruREs eAL @ .so
Ex. Occup. omtTS IR0 APP D °E. 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FES $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 49.00
HAA.
D. FEES IMP
I 9=0
I CDF
PARCEL
I FO
HD asuE
This permit is hereby Issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
By Date
PERMIT EXPIRES ON
provisions
to do work
paid.
�Q
b /OOH v &
ro
Receipt No.
WHITE-D.D.S.-B.D. CANA Y -AS SS INK -INSPECTOR GOLDENROD -APPLICANT
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