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HomeMy WebLinkAbout040-260-01540 -26-15 =ALEDAIGH Ee30Lott Rd, Durhamntr..;..Ca_,l--,Cal-Rfg,. Rancho. Cordov rml t�k2853-86B (reroof /SF) I 45r, f f t t 45r, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville,,California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER • .. 040-26-0-015-0 ZONING ' BUILDING PERMIT OWNER Dale Dai h TELEPHONE 342-3339 SO. FT. OCC. BUILDING VALUATION 29 5 $8,126.00 OWNER'S MAILING ADDRESS 9320 Lott Rd Durham, 95938 CONTRACTOR'S NAME Cal-Pac Roofing od Central Calif Inc. TELEPHONE 635-2505 CONTRACTOR'S MAILING ADDRESS 11257 Colcma Rd A-8 Rancho Cordova 0500 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 5 BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater Or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ©• Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S I G I W I 110.00ei TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ® Describe work: Re—roofing with ner_rahnnd Tike _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 21h¢sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ® I am licensed under provisions of Chapt. 9, Div. 3 of the Bus Iness and Professions Code and my license is in full force and effect. License No. 3745f13 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 NEWCONSTR MUL I.OUTLET 2.50 ea NO N.R ESID BRANCH CIRC ITS NEW CONSTPOWER APPARATUS &) NON.RESI R D. (SINGLE OUTLET CIR. Ex. OCCup(OUTLETS OR FIXTURES BAL9300 FIXED APPLNS, OR EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I 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. Heating Cooling Hood 3.00 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 County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to-.5ave, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consegpence of the granting of this permit. _ /� . 't X J ��i Date 9�8�96 Signature of Applicant — ,. Winer g pp ❑ Contractor ® Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories i height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCuP. GROUP I TYPE OF CONST. PARCEL PD HD SSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indi ated above for which fee$ have been paid. � IREC�OR OF PUBL!/IC,WORKS �I //� ;Z� By x- , Date 7 at _ 11 PERMIT EXPIRES Date Receipt No. L� I / WHITE-D.P.W., YELLOW -ASSES 1. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATWN ANO PERMIT y-g MIT NO. - ASSESSOR PARCEL NUMBER 040-26-0-015-0 ZONING BUILDING PERMIT OWNER Dale Dai h TELEPHONE 342-3339 SO. FT. OCC. BUILDING VALUATION , 29,5 $8,126.00 OWNER'S MAILING ADDRESS 9320 Lott Rd Durham 95938 CONTRACTOR'S NAME Cal—Pac Roofing of Central Calif Inc. TELEPHONE 635-2505 CONTRACTOR'S MAILING ADDRESS 11257 Coloma Rd A-8 Rancho Cordova 05670 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF D Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home I S I G JW I 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other Q Describe work: Rn—roofing with Decrabond Tile Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service ;00°V OR D AMP ORSLESS 10.00 Main service EA. ADD'L too AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 2t/20sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): nNON I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. ? License No. 37g,5()_3 Classification '� d y El 1, 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) El 1, 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 NON -RESIT FL BRANCH CIRCTITS 2.50 ea NEw -CONSTR (POWER APPARATUS .&) & R ESID. SINGLE OUTLET CIR 20@50C Ex. Occup(OUTLETS OR FIXTURES BAL®30 ./ FIXED APPLNS. OR EX. OCCUp. OUTLETS (RESID.) EA2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): e permit is for $100.00 (valuation) or less. I 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 10.00 Heating Cooling Hood 3.00 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 County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree t save, indemnify and keep harmless the County of Butte against all liabilit' s, ju ments, costs, and expenses which may in any way accrue against s id C un in cons nce of the granting of this permit. X Date 9/8/86 Signature of Applicant — ner ❑ Contractor 91 Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories h2 height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP TYPE OF CONST. PARCEL PD HD ssuE This permit is hereby issued under sions of the Butte County Code and/or work indi d above for which IRE!e PUB By PERMI EXPIRES Date the applicable provi- resolutions to do fee have been paid. C ORKS �y Date J —� Receipt No. WHITE-D.P.W., YELLOW -ASSES SO , PINK -INSPECTOR, GOLDENROD -APPLICANT