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Home My WebLink About040-240-0520 40-24-52 , VERNON NIGHTINGALE 284 Serviss St, Durham f Contr: Butte Roofing Co, Chico Permit#3 38-80B(reroof) SF - G M . � o 52- N I r � � �-� COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER y ZONING BUILDING PERMIT OWNER ver SNE E s'3i/ SO. FT. OCC. BUILDING VALUATION OWNER'S MAIu AD RES CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS �J r vf�,S �+ d J PERMITFEE S PLUMBINGPERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. sUBDNISIONS NAME PARCEL MAP ,Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ 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: Mobile Home I S I G W 1 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main ServiceOOOV OR LESS ( 200 OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 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. 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 NEW CONST. DWELLING OCCURSO. OR ADDNS. ( & ACC. BLOB. ) 3.5¢ FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS (a SINGLE OUTLET CIA. ) Ex. Occup. ( OUTLET OR FDRURES) 20 @ 1.00 BAL 0 .w Ex. Occup. I FIXEeDrs PLNS. OR 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 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.) ❑ 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 forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE S Contractor Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ HAZ. 1 0. FEES I IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have BY PERM IT EXPIR ES ON I the applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR, PINK -INSPECTOR GOLDENROD -APPLICANT U.Ifygy-pa®� PERMIT NO. 3438-80B PERMIT EXPIRES 7/7Z81 ;OWNER' VERNON NIGHTINGALE. CONTR. Butte Roofing Co. LOCATION (A.P. 40-24-52 ) .284 Serviss ST, Durham Temp. Power Pole .T Called PG&E Temp. Elea Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED� (Date)��, J4,� 41o, /I (Sia re) Relnf. Steel COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS , BUILDING INSPECTION RECORD Fixtures BUILDING BUILDING (Cont'd) ' PLUMBING Setback Firewall - Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing_Water Piping Piers Roofing ofSewer Ventilation Garage Fdn. Vents Fixtures Footings Stemwall Garage Vents Insulation Water Htr. Heaters Slab Carport p Footings Prov. for physically handica ed Conformance of x. structure Appliances Gas Piping 8 Test Temp. Gas Slab Final Sanitation Patio FI EPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Relnf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subanels Mesh MECHANICAL Gird. Fault Prot. 'Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLAT ION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION ANb PERMIT ASSESSOR PARCEL NUMB;:R7, , *• ZO/NNI)NG {j BUILDING PERMI OWNERap TELEPHONE SQ. FT. OCC. BUILDING VALUATION O 00 OWNER' MAILING ADDRESS CONTR TOR' NAM TELEPN�7NE � o /✓gym. �d- S CONTRA TOR'``S MAILI ADD ESS ��I+ i Y/7 Com. CON TRUCTION LENDERUNKNOWN x4oti Fireplace Total Valuation $ „f 6 0 0 LENDER'S MAILING ADDRESS Permit Fee $ aa ARCHITECT OR ENGINEER N LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ vt';-D BUILDING ADDRESS ��'fJ .1 PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ AdditioRemodel ❑ Utilities ❑ Installation ❑ Other Describe work:Zr 45 #/!2A&41 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 V OR L Main service 100 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST.( DWELLING OCCUP.&\ OR ADDNS. ACC.-BLDGS. I 22 sq ft CONTRACTORS LICENSE LAW I declare der penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions ode license is in full Tce a ct. �^ License No. f Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW:_CONo R R BANCH CIRCTITS) 2.50 ea NEw CONSTR POWER APPARATUS fl NON-RESID. (SINGLE OUTLET CIR. Ex. Occup(oUTLETS OR FIXTURES 5D@z50 ggL@t FIXED Ex. Occup.(OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare underpe Ity of perjury (check one): ❑ T ermit is for $100.00 (valuation) or less. have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 3.00 Heating Cooling Hood 2.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives'of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities '_ ts, c st an expenses which may in any way accrue a ain C i n quence of the granting of this %� Dat Signature of Applicant — Owner ❑ Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structuresover3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE J OCCNP. GROUP TYPE OF CONST. This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which IR CTOR F PUBLIC BY PERMIT EXP PARCEL PD HD ISSUE the applicable provi- resolutions to do fees have been paid. WORKS Date7� •� Receipt No. �J / �O % WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT