HomeMy WebLinkAbout036-560-040CITY OF OROVILLE
BUILDING DEPARTMENT/CODE ENFORCEMENT/FIRE PROTECTION, PLANNING AND PREVENTION
1735 MONTGOMERY STREET • OROVILLE, CALIFORNIA 95965
PHONE NO.: (530) 538-2425 FAX NO.: (530) 538-2426
BUILDING PERMIT 0311-043
PERMIT NO.:
PERMIT APPLICATION (WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT)
PROJECT ADDRESS:
ASSESSOR PARCEL NO.:
5369 CREST RIDGE DRIVE
036560040
PROJECT DESCRIPTION
UPGRADE TO CABLE SERVICE - E ZONE
PERMIT CLASS (NEW, ADDITION, REMODEL):
CONI / ADDITION
ROPERTY OWNER(S): ADDRESS:
OCONNELL, MICHAEL J & MARY ANN 5369 CRESTRIDGE DR
TELEPHONE NO.: FAX NO.:
OROVILLE
CA 95966
APPLICANT: ADDRESS:
TELEPHONE NO.: FAX NO.:
COMCAST COMMUNICATIONS 4350 PELL DRIVE
SACRAMENTO
CA 95638
ARCHITECT, ENGINEER OR DESIGNER: ADDRESS:
TELEPHONE NO.: FAX NO.:
CONTRACTOR: ADDRESS:
TELEPHONE NO.: FAX NO.:
CLEAR CONNEDCTION CORPORATION814-B STRIKER AVENUE
(916) 567-0147
SACRAMENTO
CA 95834
UBC GROUP: UBC TYPE:
STORIES: PLAN NO.:
0
CENSUS NO./CENSUS DESCRIPTION:
BVD CODE: SEWER (EDUS):
UNITS PER BLODG.: NO. OF BLDOGS:
TOTAL BLDG. TOTAL GARAGE: TOTAL PORCH:: TOTAL VALUE/YARDS: ZONING DISTRICT:
0 0 0 $ 0.00
AREA: AREA: AREA:
HE FOLLOWING PRELIMINARY FEES ARE SUBJECT
TO CHANGE PRIOR TO PERMIT ISSUANCE):
DESCRIPTION: ACCOUNT NO.: FEE:
PERMIT DETAIL:
ELECTRICAL PERMIT 001.4222.2990 $30.00
SERVICE- 600V. >=200A I u, 15.00
PERMIT ISSUANCE I u? 15.00
RECEIPT
RECEIPT #: CHECK #:
TOTAL FEES CHARGED: $30.00
PAYMENTS RECEIVED: $0.00
PAY METHOD:
TOTAL BALANCE DUE: $0.00
TOTAL FEES PAID: $0.00
RECEIVED BY:
check
THIS PERMIT BECOMES NULL AND VOID if work or construction authorized is not commenced within 180 days from date of issuance, or work is suspended or
abandoned or abandoned for a period of 180 days any time after work is commenced and verified by inspection.
( } (la) I certify that I am licensed under the State Contractor's License Law and my contractor's license is in full force and effect; Or
{ } (lb) I certify that I am exempt from Business and Professions Code #7031.5 under: { } #7044 - Owner/Builder, I 1 #7048 - Price of labor and materials less than $300,
or I I Other
{ ) (2a) I certify that I have on file with the City of Oroville Building Department a Certificate of Workers' Comp. Insurance: Insurer
Policy No. Exp. Date , or a Certificate of Consent to self -insure by the Director of Industrial Relations; Or
( } (2b) I certify that I am exempt under Labor Code #3800 because: ( ) the permit is for work of $100 or less, or { ) that 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 the workers' compensation laws of California.
I certify that 1 have read this application and declare under penalty of perjury that the information contained herein is true, correct and complete. I agree to comply with all
city and county ordinances and state laws relating to building construction, and hereby authorized representatives of this city to enter upon the above mentioned property for
inspection purposes. I am the owner of the structure(s) listed on this permit or I represent the owner and am acting with the owner's full knowledge and consent.
Signed by:
Issued by:
COPIES TO:. FII APPLICANT FINANCE
Date:
. . . . . .. . �
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DATE:
4-24-03
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