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HomeMy WebLinkAbout035-213-034K31 31 035-213-034 PERMIT#96-2343 PHILLIPS, Stella 4635 Lincoln Blvd., Orovill Cont: George Roofing / Reroof/SF K31 035-213-034- - .PERMIT#96-2343 PHILLIPS, Stella 4635 Lincoln Blvd., Oroville Cont: George Roofing �! Reroof/SF `1 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES .'BUILDING DIVISION 7 County Center Drive - Oroville, California 9-965 - Telephome (916) 41 ERMIT NO. 538- f5 4' APPLICATION AND PERMIT �� -.� L. ASSESSOR PARCEL NUMB6,^ �' ` Y' ZONING BUDDING PERMIT OWNER .. ` / / TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNERS ADDRES30 S t N`"eI NDV/l (-d CONME TRACTOR'S NA y.,- c . 0C - TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS f/ ,�` ! G/ (C, 4 PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME • PAR IEL. MAP Solar or. heat pump water heater 23.00 Water piping 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other R". n, 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 ❑ Describe Work: ) } Mobile Home ISI GI W1 @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20:00 f Main Service ( zoonORLESS ) 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. Y / f License Class I, - `,3 G( Lic. No. .r.�7 �.2 6 & OWNER -BUILDER DECLARATION 1 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. DWELLING OCCUP. SO. OR ADDNS. ( & ACC. BWS. ) 3.50 FT. NEW CONST, MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS (a SINGLE OUrLET CIR. / Ex. Occup. (ouTLEr OR FD(TURES) 20 �L � 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. ❑ 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 insu4- 9rance ,parrier and policy number are: Carrier G7�/,�Cd,L%• . ,./y-, —Z,I7`...,' �' r � MECHANICAL PERMIT Filing Fee 20.00 g Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number WC—"- 3V!/-2045-- 400 (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 In1any;:.rnanner',so as Yo -become subject to Workers' compensation laws of Califor\nia,%and agree`that if [ should become subject to the workers' compensation provisions of +section 3700 of the Labor Code, I shall comply with those provisions. ' lof XZorthwith Date la /�(� Signature of Applicant - ❑'•Owner ,O'Contiactot O 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 , TOTAL FEE $ I � 1 r J HAZ. D. FEES ''• IMP FLOOD CDF PARCEL 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. /(�/ �r/ In I By DateArt PERMITEXPIRESON7 r (Date) ReceiptNo. %�_ / WHITE-D.O.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING 7 .County Center Drive - Orov�, 'California 95965 - Telephone (916) 526 .-HERMIT NO. APPLICATION AND PERMIT "4a ASSESSOR PARCELNUM _ ZONING KIV BUILDING PERMIT OWNER �J ,1 't S 3�E�q� SQ. FT. OCC. BUILDING VALUATION of �— OWNERS MAILING ADDRES /� 0m�I I% N0�1�'�� COM OR'S NAME In C eoIL TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER' UNKNOWN Total Valuation $ Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ . ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDR SS PERMITFEE $ 0— PLUMBINGPERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar Or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other pLew11Zl 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 ❑ Describe Work: Mobile Home IS I GI W1 920.00 S Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service a OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO ,000A ) 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. •/ oy� License Class r C( Lic. No. ��2.21 / �{ 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. DWELLING OCCUR OR ( 8 ACC. Bins. ) So. 3.5¢ FT. CNS. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ( & SINGLE OUTLET CIR. ) Ex. Occup. (OUTLET OR FIXTURES) 2e @ I.00 BAL so Ex. Occup. ( OUTLETS PRESID.OEA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE S Contractor WORKERS' COMPENSATION DECLARATION I 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' come sation in�surance FFarrier and policy number are: Carrier � ©Z��.CL tq? .Z12 S MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number /aC- 3r41. -W_5_—&0 (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 shallTOTAL 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 hwith comply with those provisions. ��( X __ Date �0�/� Signature of Applicant - ❑ Owne ❑ Contract --or ❑ Agen An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee is Energy Inspection Fee Is OCC CONST. TYPE FEE $ HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or in indicate ova for which fees have BAll PERMITEXPIRESON applicable provisions Resolutions to do work been paid. �+ ryDa e Q ate) Receipt No.Qmql(a WHITE-D.D.S.-B.D. C A Y -AS SSOR PINK -INSPECTOR GOLDENROD -APPLICANT