HomeMy WebLinkAbout035-200-029
035-200-029 PERMIT#96-2390
FORSTER, Loraine
1915 Jefferson, Oroville
Cont: Christiansen Roofingcl l
Reroof//SF /
61D—() -c --s D
a?
5
!•M1 c `• e : _ .any--.. .x"- rc-`v- sµ oma•.'Y,t'��i,,..:�,'.�C��:.ad'.«. �""..
035-200-029fly'. PERMIT#96-2390
FORSTER, Loraine, °
1915.Jefferson, Oroville
Cont: Christiain'sen Roofing
Reroof/SF ���L
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, Califcoliia X55965 - Telephone (916) x538-7541 PERMIT NO.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER -
ZONING
BUILErINGPERMIT
DIN W, FORSIM ,I `�•
TELEPHONE
SO. FT. OCq,, ' ' BUILDING VALUATION
900
OWN
TM NiAOD r LRSON
°°MMES IMSEN ROOFING
219338
'
cowr�TGA's rLlri .7iskEET, OROVILLE
Fireplace
CONSTTRUCTIIOON LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 20.00
LENDER'S MAILING ADDRESS
'
Permit Fee
$ L • 00
ARCHITECT OR ENGINEER
UCEPsE No.
I
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS '
Penalty
$
BUILDING ADDRESS
14 F i
PERMITFEE
$ G,
PLUMBING PERMIT
Filing Fee 20.00
j
Each Trap
7.00
LAT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar or heat pump water heater
23.00
Water piping
15.00
USEOFSTRUCTURE
SF ❑X Duplex ❑ Mobilehome ❑ Other
SPECIFY 1
Each gas water heater or vent
15.00,
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other OX
REROOF/COW
Describe Work: e
— I
Mobile Home S G W
920.00
PERMITFEE
$
Contractor
ELECTRICAL PERMIT
Filinq Fee 20:00
Main Service 000V OR LESS
( 200A OR LESS )
23.00
Main Service ( 200A TO 1000A )
46.00
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. 1,^ (+
License Class — Lic. No. � � 70� 1
/ •
OWNER -BUILDER DECLARATION I
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, 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. i
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUR
OR ADON ( 8 ACC. BLOB. )
So.
3.50 Er.
NEW CONST. MULTI.OUTLET
S
NON-RESID. ( BRANCH CIRCUITS )
97.50
( POWER APPARATUS )
d SINGLE OUTLET CIR.
Ex. Occup. (OUTLET OR FIXTURES )
BAL a 1.550
FIXED APPWS. OR
Ex. Occup. ( OUTLETS (RESID.) EA )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE
$
Contractor
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.
0-110, 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' c0.ompensation insurance carrier and policy number are:
Carrier ri� , .*l
!
MECHANICAL PERMIT
Filing Fee 20.00
9
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE
$
Contractor
Policy Number � S"— _
(The above sections need not be comp eted- 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
forthwith comply with those provisions.
o
X J�`�L��/%Q Date
Signature of Applicant - ❑ Owner �:eontractor ❑ 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 Is
occ
CONST. TYPE
TOTAL FEE $
HAZ.
1 0. FEES
I IMP I FLOOD
CDF PARCEL PO HD
ISSUE
This permit is hereby issued under the
of the Butte County Code and/or
indicated above fovhich fees have
PERMITEXPIRESON
applicable provisions
Resolutions to do work
been paid.
„/�_ l
Date [
,
(Date)
206645
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE -DEPARTMENT OFDEVELOPMENT SERVICES - BUILDING DIVISIO
7 County Center Drive - Orovi;'Ca*ornia 95965 - Telephone (916) 538-754 PERMIT NO.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
ZONING
BUILIfINGPERMIT
DW LPORAINE FORSTER
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
900
OWNn 'nVERSON
DDNL ifs' TWNSEN ROOFING
TELE 9338
cON"MW i" 'D EET, OROVILLE
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 20.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 23.00
ARCHITECT OR ENGINEER
UCENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty
$
BUILDINGADDRESS
1915 JEEEFERSON, OROVILLF
PERMITFEE
$ �l
PLUMBINGPERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar Or heat pump water heater
23.00
Water piping
15.00
yy USEOFSTRUCTURE
SF O' Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other &Y
Describe Work: REROOF/COMP
—
Mobile Home I S I G W 1
@20.00
PERMITFEE
$
Contractor
�
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service EOOV OR LESS
( 200A OR LESS )
23.00
Main Service ( 200A TO IOOOA )
46.00
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 L�— Lic. No. Cpa��yo'J
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, 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
NEW CONST. OWELLING OCCUP.
OR NS. ( 8 ACC. BLDS. )
SO.
3.5¢ Fr.
NEW CONST.MULTI.O UTLET
C
NON•RESID. ( BRANCH CIRCUITS )
97.50
( POWER APPARATUS )
a SINGLE OUTLET CIR.
Ex. Occup. (OUTLET OR FIXTURES )
2L 0 Qa I.00
�SO
EJ(, OCCU FIXED APPWS. OR
p (OUTLETS (REBID.) EA)
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE
$
Contractor
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
erformance of the work for which this permit is issued.
MlI 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 9 e'),ev , tip!
MECHANICAL PERMIT
Filing Fee 20.00
9
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE
$
Contractor
Policy Number
(The above sections need not be com leted 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
forthwith comply with those provisions.
a p
X �� Date %�/ 6 _
Signature of Applicant - ❑ Owner RP-ontractor ❑ 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
is
Energy Inspection Fee
Is
GCC
CONST. TYPE
TOTAL FEE $
HAZ.
I D. FEES
IMP I FLOOD
I CDF PARCEL PO HD
ISSUE
This permit is hereby issued under the
of the Butte County Code and/or
indicated above fo ich fees have
PERMITEXPIRESONHITE-D.D.S.-B.D.
applicable provisions
Resolutions to do work
been paid.
Date
(Date)
rceiptNo. 206645
CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT