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HomeMy WebLinkAbout040-233-01717 , 040-233-017 99-1697 BALLARD FAMILY TRUST Y 2393 Brown Street, Durham Contr: Ballard Construction Re Roo( r1 pt 11ll�!'77 t 3 -.�,�c,r vs.-..iq,...-•--ws•.s.-r}y�-�.+r:...a�.�;f.3'-�._'..r "�?'A1C+C:'�•J't"'t'i4s.'.:�..K,-A...�,.-. .. "..�66�'�. ... ••.Yin.. 040-233-017 BALLARD.FAMILY T 99-1697 -. 2393 Brown Street, Durham T ��! y a Contr: Ballard Construction Re Roof 0 t i 1 ' i i 0 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PER T NO. I (Rev.12/96) APPLICATION AND PERMIT � % ASSESSOR PARCEL NUMBER 040-233-017 ZONING R 1 BUILDING PERMIT L7 OWNER LALLARD FAMILY TRUST TELEPHONE SO, Fr, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS P.O. BOX 246, DURHAM, CA 95938 (.i CONTRACTOR'S NAME BALLARD CONSTRUCTION TELEPHONE p� CONTRACTORS MAILING ADDb380 WESTMOOD DRIVE, ROCMN CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ 1200 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 29.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 2393 BROWN STREET, DURHAM Energy Plan Checking Fee $ $ PERMIT FEE $ 49.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF a Duplex ❑ Mobilehome ❑ Other sPECFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ OtherAJ_?M i`Us9_F Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 1 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provision's 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 a C 3 S Lic. No.,� -? / 77 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 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 insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 12� 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 workers' compensation provisions of section 3700 of the Labor Code, I shall fo with comply with those provisions. X Date SigFature of Applicalit - ❑ Owner ❑ Contractor ❑ Ager t An OSHA permit is required for excavations over 5'0" deep and demolition or constructionA of structures over 3 stories in height. Mein Service To 46.00so CCU000A NEW CONST. owEulrxi occuP. so DWE200ALLING OR ADONIS. ( a ACC. BUDS. 3.5QFT; pJ .c.O 0.. MULTI.OUTLET 97,50 POWER APPARATUS 8 SINGLE OUTLET CIR. @ ' EX. OCCU . OUTLET ORFxrUREs B20 .00 50 Ex. Occup. OuTE1 g6ID,0EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CGNST. TYPE TOTAL FEE $ 49.00 HAZ. D. FEES IMP I FLOOD I COF PARCEL PD 1 HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. /� Byf �' Date PERMIT EXPIRES ON Date Receipt No. / WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR -GOLDEN ROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 � T No. (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 040-233-017 ZONING R 1 BUILDING PERMIT, OWNER BALLARD FAMILY TRUST TELEPHONE SO. FT. OCC. BUILDING VALUATION 1200 .OWNER'S MAILING ADDRESS P.O. BOX 246, DURHAM, CA 95938 CONTRACTOR'S NAME BALLARD CONSTRUCTION TELEPHONE CONTRACTORS MAILING ADDg380 WESTWOOD DRIVE, ROCKLIN (�J CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 1200 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 29.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 2393 BROWN STREET, DURHAM Energy Plan Checking Fee $ $ PERMIT FEE t 49.00 IAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF IN Duplex ❑ Mobilehome ❑ Other sPECIFv Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service .OA 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 full force and effect. License Class _ C Lic. No. .:Z j 7 -7 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 WORKERS' COMPENSATION DECLARATION 1 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 performance 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' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed 0 the 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 workers' compensation provisions of section 3700 of the Labor Code, I shall Zfowithcomply with those provisions. X Date 7 2 3/q Si nature of Applica t - 0 Owner ❑'Contractor ❑ Ag t An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service TO 46.00so WEE200A CCUOOOA NEW CONST. DWELLING OCCUP. SO OR ADONS. -(--& ACC. BLDS. 3.5¢FT. IpµqO,p MULTI.OUTLET @7.50 FOWEPPARATUS 8 SINGLER AOUTLET CIR. Ex. Occup. OUTLET OR FIXTURES zo O 1.00 a4L @ .SO Ex. Occup. ouTLEEDTs AEES,6.)LNS 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 49.00 HAZ. D. FEES IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. �;;Q/ By ate PERMIT EXPIRES ON 7 ete Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR G LDENROO-APPLICANT ' .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) APPLICAVON AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER&a&-t> FW& ' NE SO. FT. OCC. BUILDING VALUATION OWNERS MASJ ADD, ♦ 1 bWEW'^M A CONTRACTOR'S NAME s TIE U -r/ a 13 TELEPHONE CONTRACTORS Ao S CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation S ARCHITECT OR ENGINEER LICENSE NO. Filing Fee b 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee b Plan Checkina Fee b BUILDING ADDRESS 471—W-51 &W10 Energy Plan Checking Fee b - b PERMIT FEE b LOT NO. SUBONSIONSNAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other sPECFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 New ❑ Addition ❑ Describe Work: _C� TYPE OF WORK / Remodel ❑ UdGties ❑ Installation ❑ Other O Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W Q20.00 PERMIT FEE b ELECTRICAL PERMIT Fling Fee 20.00 OOYsooA 0.R.tEs'E Ss Main Service 8.0s 23.00 Main Service 200A TO 1000A 46.00 NEW CONST. OWELLWO oCCUP. 3.50so OR ADONS. ( 6 ACC. BLDS. NEW CONS T. MULTI -OUTLET NON-RESID. BRANCH CIRCUITS 97.50 POWER APPARATUS b SWGIE OURET CHR. OUTLET OR FIXTURES p 01'� Ex. OCCU BAL e0 Ex. Occup. OUTLET8SM6 .1E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt b Mobile Home Installation Fee b Energy Inspection Fee b occ TYPE TOTAL FEE $ aCONST. . FEES IMP I FLOOD I COF PARCEL I Po HD ISSUE This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON re