HomeMy WebLinkAbout040-210-019040-210-019 00-2321
TZUGARIS,
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NICK Ti-) G ' �,� o/
2360 DURHAM ST
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CONTR: RRR ROOFING
RE -ROOF 22 SQ SHAKE TO COMP
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040-210-019 400-2321 h'
TZUGARIS, NICK + V 1'
2360 DURHAM ST .D tt��CTii7T.i
URHAM
CONTR: RRR ROOFING.- '` -
RE -ROOF 22 SQ SHAKE -TO. COMP W
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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT. SERVICES --BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone'(530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT"'!
ASSESSOR PARCEL NUMBER_ r
!
ZON(NG
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
r : v�%
// •'�
OWNER'S MAILING ADDRF,4S�
,
CONTRACTOR' E
65
TELEPHONE
-
CONTRACTORS MAILING !gSS
CONSTRU ON LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
10
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ S W
ARCHITECT OR ENGINEERS MAILING ADDRESS
Pian Checking Fee
$
BUILDINGADDRESS .23&0 1RUXHAft? 57
Energy Pian Checking Fee
$
i
PERMIT FEE
$
LOT NO.
SUBDNISION'SNAME
PARCEL MAP
I
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SFV�—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
1
.,New ❑ Addition ❑ Remodel ❑ Udlides ❑ Installation ❑ Other ❑
� ,� ��� z� Q
Describe Work: ji
S/////��w l C /y►'1 /� i
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service z60o0
oVA oa mss
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,FION
and my license is in II force and effect. w
License Class Lic. No. _(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. 4 Business and Professions Code for this
reason
Main Service 200AWEE TO 1000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. 8 ACC. BLOC.
SO
3.5¢x.
gE°glp, MULTI -OUTLET
97,50
POWER APPARATUS
8 SIN°. OUTLET CIR.
Ex. Occup. °�f °R'�
BAIL @':w
Ex. Occup. OimFIXEETSA AE1D.°ew
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
$
WORKERS' COMPENSATION DECLARATION j
I hereby affirm under penalty of perjury one of the following declarations:.
❑ I 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
rformance of the work for which this permit is issued.
I 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' co pe ation insurance carrr and policy number are:
Carrier
Policy Number 'I[ -
(The above sections need noThe com late if a permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workets' compensation vision$•of secti 3700 of the Labor Code, I shall
foFthwh com fy with ose p vi9%ris.
L�
X Dateil?b✓
Signature of Applica�.- owner ❑Contractor ❑ Agent/f
An OSHA permit is rjquir d for excavations over 50" deep and demolition or construction
of structures over es in height.
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE /
TOTAL FEE $
HAz.
D. FEES IMP
FLOOD
CDF
PARCEL
PD
HO
ISSUE
`✓
This permit is hereby issued under
of the Butte unty Code and/or
indicated abs a for which fees' ave
f
f
By
PERMIT EXPIRES, N
the applicable provisions
Resolutions to do work
been paid.
Date
Date 9
ReceiptNo. 0 2. 47 7
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
Y
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 Odunty Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
-r
ZONING
BUILDING PERMIT
OWNER i
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
Q G n '
. OWNERS MAILING AD7Z) �-�- 959
DAJn CA
I �i
CONTRACTO 'ME TELEPHONE
K -o s-,?6�
CONTRACTORS MAILING D ESS S�
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $ c!/
ARCHITECT OR ENGINEERS "UNG ADDRESS
Plan Checking Fee $
BUILDING ADDRESS r
Energy Plan Checking Fee $
PERMIT FEE $ �CQ
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
USEOFSTRUCTURE
_ p
—Duplex
SFVSFI�--Duplex ❑ Mobilehome ❑ Other
Each Trap 7.00
Solar or heat um 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�:r z-P,r 2®4 p,S�
To cjr/YnP
Gas piping system 1 - 5 outlets 15.0
Building sewer 15.00
Mobile Home I S G W @20.00
PERMIT FEE $
ELECTRICAL PERMIT Fling Fee 20.00
LESS
Main Service ZOOA 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 in II force nd effect.
License Class Lic. No. �2 c� 5 J
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
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
rformance of the work for which this permit is issued.
I 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' co en ation insurance carr' r a d policy number are:
Carrier et -
Policy Number
(The above sections need - n be com leted if tFe 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
wo ' compe ation vision f secti 3700 of the Labor Code, I shall
f hw h com y ith ose vi o S.
X _ Date c7b:5k)_
Signature of Applica ner ❑ Contractor ❑ Agenl Jr
An OSHA permit is quir d for excavations over 60" deep and demolition or construction
of structures over as in height.
Main Service 200A TO 1000A 46.00
NEW CONST. DWELUNG OCCUP. s0
OR ADDNS. ( a ACC. Bins. 3.50n
NEW CONST. MULT40UTLET
NO..ESID. C @7.50
POWER APPARATUS
a SINGLE OUTLEU CIS.
Ex. Occup. OUTLET OR FIXTURES 40@''50
BAL Q .SO
Ex. Occup. OFlxUDs R p OR
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
CONST. TYPE
TOTAL FEE $ C!/
HAz.
D FEES IMP
FLOOD
CDF
PARCEL
PD
HD
IS E
This permit is hereby issued under the applicable provisions
of the Butte unty Code arid/ Resolutions to do work
indicated a for which fe ave been paid.
By Date
11 PERMIT EXPIRES N
I I eta
Receipt NO.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT