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HomeMy WebLinkAbout040-280-053i _r7 -.- --- -- '40-28-5�3 831-89B GERMAN, Richard A. 9103 Midway, Durham (reroof/SF) FINALED: 4 0 N � � 1��� � � i. 40-28'-53 831-89B GERMAN,\Richard A. 9103 Midway, Durham ! (reroofyISF) FINALED:,� i t ' b 1 i ,,-.� a �>�;•-;'�iy�',�/�b77�Cyt<X4+VIYR�''W�`.'!�9�.7e"�:F�`'��.,v� 4..�.. ;,�,; �c,�y/,�•;�^R. ��T :'Ry��yY4.,t,.. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N0. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR P (JJ� CES 3� ZONIN015 BUILDING PERMIT OWNER i c ge_s TELEPHONE 3y ysa v SO. FT. OCC, BUILDING VALUATION �, OWNER'S MAILING ADDRESS - 311 ' U ////ala L4 CONTRACTOR-5NAME 0W VeJ" TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN - Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 5,0 ARCHITECT OR ENGINEER LICENSE ND. Plan Checking Fee $ +.,—.— Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 F16-3 e, Each Trap 2.00 � f / 6(AA Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFDuplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G 1W 1 10-00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe work: 9c�dy }Spa tP i 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 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑ 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. Classification I, as the owner, or my employees with wages 8$ 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 CONST. DWELLING OCCUP.aI)/zQsgft OR ADDNS. ACC. BLDGS. NEW CONSTR. U '.OUTLET 2.50 ea NON•RESID .BRA CH CIRC ITS POWER APPARATUS e) SINGLE OUTLET CIR. EX. Occup OUTLETS OR FIXTURES eALA 30 FIXED . OR EX. Occup. OUTLETSTS (RES(REBID.) EA. 2.00 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): ❑ 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. Notce 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 1 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, indemnity and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agai st said ounty In consequence of the granting of this permit. X(9Q- lit-.•► , Date ,)"7 - ,�- Signature of Applicant - Owner"Z' Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occuP. CONST.TYPC SCHOOL I FLOOD PARCEL I PD I ND ssu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIR£C OR OF PUBLIC By v PERMIT EXPIRE , Date -3`.J-7 the applicable provi- resolutions to do fees have been paid. WORKS Date 3�7_ ` 5 6 Receipt No. a QZ" WNITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT P RMI/T NO. ASSESSOR P Ci/le EL NUMBER w SS ZONING., � l BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION -7' 5 OWNER'S MAILING ADDRESS 91,1b mlalwa W_3? CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$' Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 ff ��fv wa Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home is G W 0.00 ea' TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe work: 9C.0-0 of aka b_ -'s Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service GOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of -perjury (check one): ❑ 1 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. Classification 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) ❑ 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 CONST. DWELLING OCCUP.ai , New CONSTR.( ACC. 6 h2sgft OUTLET NON-RESID .BRA CH CIRC ITS 12.50 ea POWER APPARATUS tr SINGLE OUTLET CIR. EX. Occup OUTLETS OR FIXTURES .200030 FIXED S. OR EX. Occup. OUTLETS TS (RE (RESID,) EA.� 2.(]0 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): ❑ 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. Not ce 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. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agar st said iounty in consequence of the granting of this permit. -)This X , ..G/1/j'� G�-.� Date Signature of Applicant — Owner'OQ Contractor ❑ Agent ❑ An OSHA permit is required for exc vations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ TOTAL PERMIT FEE 0CCUP. CONST.TYPEJ ISCHOOLIFLOODIP.RCELI PD ND 159U permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. R O PUBLIC WORKS By DI C Date J� PERMIT EXPIRES Date 3--.X7 — L/ Receipt No. 3z3 c? WHITE-D.P.W.. YELLOW -ASSESSOR. PINE -INSPECTOR. GOLDENROD -APPLICANT e . COUNTY OF BUTTE -` Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and mate ials for construction of the proposed property improvement (yes or no 2. I (have/have not)signed an application for a building permit wo for the proposed rk. 3. I have contracted with the following person (firm) to provide the proposed construction: Name .5 f! -I- Address O 1 --V 6a City v Phonely ntractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name :' E_L_ 1= Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work B Z Signed: Property Owner Social Security Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue. the permit.