HomeMy WebLinkAbout040-233-034i 3zt _
761-72B,P,E*IgII-38
1p 040-233-034 PERMIT#96-1184
330 FloridapAve.,'app. •200' E. of Durhan ROCKWELL, Jack2400 Florida St., Durham
Nelson Hwy, Durham Cont: Baird Roofing
(new sin le famil "'
* 4 y-contr:L. keGui;�e �.z, Reroof/sF
swimming pool-contr:L.Thacker) �_�A;
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.040-233-634-' -'P'ERMIT#96-1184
R,OCKWELL,,Jack.
2400 Florida St., Durham
'Cont: Baird Roofing
Reroof/SF
0
COUNTY OF BUTTE- DEPARTMENTDEVELOPMENT SERVICES - BUILDING DIVISION7 County Center Drive - Oroville, Calif�nia 95965 -Telephone (916) 538=7541 PERMIT No.
APPLICATION AND PERMIT ' ��`I#
ASSESSORPARCEL NUMBER ZONING
BUILDING PERMIT
OWNER ,t TELEPHONE
SQ. FT. ' OCC. BUILDING VALUATION
2100
OWNERS MAILING ADDRESS
9400 MORIN T
CONTRACTOR'S NAME -
TELEPHONE
i
CONTRACTORS MAILING ADDRESS
2332- DURHAM
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee $ 20.00
LENDER'S MAILING ADDRESS
Permit Fee $ 54.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty $
BUILDING ADDRESS
2400 FLORIDA ST DURHAM
PERMITFEE $ 74.00
PLUMBINGPERMIT Filing Fee 20.00
Each Trap 7.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar or heat pump water heater 23.00
Water piping 15.00
USE OF STRUCTURE
SF & Duplex ❑ Mobilehome ❑ Other r
SPECIFY
Each gas water heater or vent 15.00
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: REROOF 35 SQ. COMP
-
Mobile Home S I G W @20.00
PERMITFEE $
Contractor
ELECTRICAL PERMIT Filing Fee 20:00
Main ServiceE00V OR LESS
( 200A OR LESS ) 23.00
Main Service ( 200A TO I000A ) 46.00
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 % Lic. No. �g/ y(1��
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. i
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUP. s0.
OR ADONS. ( a BLDS. ) 3.50 FT.
TI.OUTLET
NEW CONST. MULTI-
NON-RESID. ( BRANCH CIRCUITS ) @7.50
(6 SINGLE OUTLETWERT CSR. )
Ex. Occup. (OUTLET OR FIXTURES BAs'@ I.50
Ex. Occup. (ourLEtDrs R .
ESIooeA) 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMITFEE $
Contractor
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 Jor 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 carper and policy number are:
Carrier � . 'Cr �j//[/ /
MECHANICAL PERMIT Filing Fee 20.00
9
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE $
Contractor
Policy Number /-% If _n.`
(The above sections need not be completed if the'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 shallTOTAL
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
forthwith comply with those provisior>;s.
/
XTrr_��-%� [��_ Date l _
Signature `of Applicant - ❑ Ownar' B)Contractor ETAgeht
( An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee Is
Occ
c PE
FEE $ 74.00
HAZ.
'D. FEES
IMP I FLOOD
I COF
PARCEL PD 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.
indicated
//
By ym-Z.��A6e al - Date 6 -3-y4
/
PERMITEXPIRESON
(Date)
Receipt No. 194886 74.00
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
X
COUNTY OF BUTTE- DEPARTMENT OFO I�VE►:irjMENT SERVICES - BUILDING ISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 53 541/ ` `PP RMI, , T 140.
APPLICATION AND PERMIT (Q /
ASSESSOR PARCEL NUMBER
040-933-034
ZONING
1
1.11
BUILDING PERMIT
OWNER
JACK ROCKWELL
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
REROOF 35 SQ 2100
OWNERS MAILING ADDRESS
2400 FLO DA ST, DURHAM
CONTRACTOR'S NAME
BAIRD ROOFING
TELEPHONE
42-1631
CONTRACTORS MAILING ADDRESS
Fireplace
CORNDER
UNKNOWN
Total Valuation $
Filing Fee $ 20.00
LENDER'S MAILING ADDRESS
Permit Fee $ 54.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty $
BUILDING ADDRESS
FLORIDA2400 ST DURHAM
PERMITFEE $ 74.00
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
LAT NO.SUBDNISION'S
NAME
PARCEL MAP
Solar or heat pump water heater 23.00
Water piping 15.00
USEOFSTRUCTURE
SF M Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each gas water heater or vent 15.00
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: REROOF 35 SQ COMP
Mobile Home I S I G W 1 920.00
PERMITFEE $
Contractor
ELECTRICAL PERMIT Filina Fee 20.00
Main Service600v OR LESS
( 200A OR LESS ) 23.00
Main Service ( 200A To ,000A ) 46.00
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 for a and effect. /;
License Class Lic. No. n ��y(Jn
WNER-BUILDER D CL RATION
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
NEW CONST. DWELLING OCCUR SO.
OR ) 3. 50 FT.
( d ACC.ONST.
NEW CONADDST. MULTI-OUUTLETLE T
NON-RESID. ( BRANCH CIRCUITS ) 97.50
( & POWER APPARATUS )
SINGLE OUTLET CIR.
Ex. Occup. (OUTLET OR FIXTURES ) BAL 0 I.50
EX. Occup. FIXUTLETS ED
APPLN ..Oea) 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMITFEE s
Contractor
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.
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' com ens tion insure ce� gar 'er and policy number are:
Carrier
MECHANICAL PERMIT Filing
9 Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE S
Contractor
Policy Number
(The above sections need not be competed if th6 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
workers' compensation provisions of section 3700 of the Labor Code, I shall
forth ith comply with those provisio
X .Da�tie
:�/in
Signet a of pplicant - ❑ Owne Contractor 1�a Ag t
An OSHA p it is required for excava Ions over 50" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
4 PE
TOTAL FEE $ 74.0
HAZ.
I D. FEES
IMP
I FLOOD
I CDF PARCEL
PD
HD
I ISSUE
This permit is hereby issued under the applicable provisions
the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
BY Date co -3-911
PERMITEXPIRESON 6-3-9)-1-
I (Date)
Receipt No. 194886 74.00
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT