HomeMy WebLinkAbout035-180-0263.5-18-26
ROBERT ROWLINSON
2205 Ithaca St, Oroville
` Permit#796-86B(reroof/SF)
i
�.Permit��796-86B
Robert Rowlinson
2205 Ithaca St, Oroville
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
"(r
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER 77TUNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$,r
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS ♦ / ' +
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF Ea Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00 ea
TYPE OF WORK
New❑ Addition El Remodel❑ Utilities Installation[] Other ❑Q
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
f
LE1 ORSS
Main service 100 AMP
10.00
Main service EA. ADD'L too AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty
p y of perjury y (Check One):
❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full. force and effect.
License No. Classification
fl I, as the owner, or my employees with wages as their sole compen-
sation, 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 contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCc UP.� ,
OR ADONS. ( ACC. BLDGS. /22sgft
NEW CONSTR. ULT'.OUTLET
N O N.RESID BRANCH CIRC ITS 2.50 ea
POWER APPARATUS .&)
(SINGLE OUTLET CIR.
(SINGLE
Ex. Occup OR FIXTURES SALO 30
eALe3o
EX. OCCUp. FIXED APPLNS. R
OUTLETS ((RESID IEA.Y 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. �Virin 15.00
g
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
® I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiiingFee 10.00
Heating
Cooling
Hood
3.010
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 County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
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 County in consequence of the granting of this permit.
rThis
X -------- /� 1 1._ Date "L �! y
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
occup.
CONST.IYPEJ
I
IFLOODIPARCELI
PD
I ND
I ISSUE
permit is herebyissued under
sions of the Butte Cunty Code and/or
work indicated above for which
/rr ! DIRECTOR OF PUBLIC
f
By ' ,/�/
PERMIT EXPIRES Date
the applicable rovi-
resolutions to do
fees have been paid.
WORKS /
Lf(• - f��
Date
` • �/ %
) ��'� T,
Receipt No. 1
WNIT!-D.P.W.. YELLOW-ASe[SOO R, PINK -INSPECTOR, GOLDENROD -APPLICANT
J_
7�_�, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATON AND PERMIT
PERMIT NO .
ASSESS PARC gL NU B R • A-1ZONING
.
BUILDING PERMIT
ow E V
TE1LEPHONE
JPO
SO. FT. OCC. BUILDING VALUATION
07ER' MAI NG A DRESS II^^ -
tlo
CON ACTOR'S NAME
TELEPHONE
CO RA_CTOR'S MAILING ADDRESS
Fireplace
CONS UCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARC I ECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS /�_--,Permit
fee
$ &9 4;_0
PLUMBING .PERMIT
Filing Fee 10.00
Each Trap
2.00
�rot)
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each gas water heater or vent
5.00
USE OF STRUCTURE
SF® Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
0.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation[] Other [�(]
Describe work: 4 op
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ACD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penaltyOR
of perjury y (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BuSlnesS
and Professions Code and my license is in full force and effect.
License No. Classification
rF(il 1, as the owner, or my employees with wages as their sole compen-
sation, 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 contract-
ors.(Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.O! ,
ACDNS. ACC. BLCGS. ) /20sgft
NEW CONSTR. MULTI -OUT LET
NON.RESID BRANCH CIRC ITS 2.50ea
POWER APPARATUS tr
(SINGLE OUTLET CIR. )
/
Ex. Occup\OUTLETS OR FIXTURES 20050Q
BAL®30
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring
g 15.00
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
_ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. -provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and 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 liab'li 'es, judgments, costs, and expenses which may in any way accrue
again s i County cpnsequen of the granting of this permit.
L/ �/
X / — Date
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit isrequired for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
OCCUP.
CONST.TYPE
I FLOOD
PARCEL
PD
ND
IYSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRE=OF PUB
B
PERMI EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
I WORKS
Date
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR• PINK -INSPECTOR. GOLDENROD -APPLICANT
A
COUNTY OF BUTTE ;ne a�rtment of Public Works
7 County Center Ifrive, Oroville, CA 95965 Phone: 916-534-4541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no)
2. I (have/have not) signed an application for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. 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
r
Signed:
Property Owner
Social•Securit Number
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and.returned to our office before we are per-
mitted to issue the permit.