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HomeMy WebLinkAbout040-210-019040-210-019 00-2321 TZUGARIS, 14 NICK Ti-) G ' �,� o/ 2360 DURHAM ST .D CONTR: RRR ROOFING RE -ROOF 22 SQ SHAKE TO COMP Ste: r�°;^.:K?+''++"'t��"SRhu+:�i':SF'.✓`'t'-'�,,......�.....y;..`uT.?f�a!;:a+raf•s.M:�>,.>r •:yt.� Mri. + &. 5 toa..s....,.•:�w.ry�ar.'�i e� -� N ty n�?��$;- t ' .!Jt it.-•. ':7f •M 9iP.y:;y.}., :.... • w.. asv : •"F'w _:1 :5•'.. ♦ 1..� r � tyr. ,_ 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 �. ,100 , i 1 . • i t i r ji}f i 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