HomeMy WebLinkAbout040-233-01717
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040-233-017 99-1697
BALLARD FAMILY TRUST Y
2393 Brown Street, Durham
Contr: Ballard Construction
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040-233-017
BALLARD.FAMILY T 99-1697
-. 2393 Brown Street, Durham T
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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