HomeMy WebLinkAbout040-280-06304 .3
MacGREGOR, Gene 1471-71B 1
4
SSS 122-72P
1 E
0-28-
040-280-063 PERMIT.,# 97-2673 w/s Midaay 1 mile S f Iharham-Oro Rd., am
BRAWLEY, GAIL (new single fadly)
9127 MIDWAY, DURHAM
CONT: FOUR COUNTIES ROOFING .0
REROOF,-I-AJp/
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 11_�
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 R PERMIT NO.
APPLICATION AND PERMIT 'i I - L'%1
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER
fir: -!_1 Laf2t11.:
TELEPHONE
u'i.)—L JCA
SQ. FT. OCC. BUILDING VALUATION
1! -
!Ap'J :. v.. • a. J C • o- L. L, -Al ) • ,Jai r. it
OWNERS MAILING ADDRESS
Ll�(wa:,
_!A1 4 D,.11 -L: .:II
CONTRACTOR'S NAME
TELEPHONE }
41 O
CONTRACTORS MAILING ADDRESS
tLL'L7
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ (�
Filing Fee $ 20.00
LENDER'S MAILING ADDRESS
Permit Fee $ r+
ARCHITECT OR ENGINEER
ucENSE No.
� Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty $
BUILDINGADDRESS_
1 . ' t r � L) L n
PERMITFEE $
PLUMBINGPERMIT Filing Fee 20.00
Each Trap 7.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
Solar or heat pump water heater 23.00
USEOFSTRUCTURE
SF fX Duplex ❑ Mobilehome ❑ Other
SPECIFY
Water piping 15.00
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 10
Describe Work: RMOOF
Mobile Home IS I GI W @20.00
PERMITFEE $
Contractor
ELECTRICAL PERMIT Filing Fee 20.00
•
0 OV OR LESS
Main Service ( 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. 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 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUP. SO.
OR ( a ACC. BLDS. ) 3.50 FT.
CNS.
NEW CONST.MULTI-OUTLET
NON-RESID. ( BRANCH CIRCUITS ) 97.50
( POWER SINGLE APPARATOUTLETUS )
a CIR.
Ex. Occup. (OUTLET OR FIXTURES ) 20 Q 1.00
sAL
Ex. Occup. ( OUTLETS APPLN . ea) 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 L.A.! Li..ri ,Il
MECHANICAL PERMIT Filing Fee 20.00
9
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE $
Contractor
Policy Number t Its ; I : J,')') I ;, L I
(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
worke ' compensation provisions of section 3700 of the Labor Code, I shall
fo0 comply with those provisions.
X tL!� ��� Date _L .� � -' j_.I /
gnature of Applicant -,EJ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 50" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee Is
OCC
CONST. TYPE
TOTAL FEE $ 1 ;
HAZ.
I D. FEES
I IMP
I FLOOD
I CDF
PARCEL
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.
"'1 Date 1.1 " '2 �` 7
BY
PERMIT EXPIRES ON'+ 7 5 - % Y
(Date)
Receipt No. -5 G%
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 1/
7 County Center Drive - Oroville, California 95965 - Telephone (916) 53;t-7541 PERMIT NO.
APPLICATION AND PERMIT 1:2-a1 o72
ASSESSOR PARCEL NUMBER8
D-- - 3
ZONING
5
BUILDING PERMIT
OWNER Gail Brawle
895NE1551
SO. FT. OCC. BUILDING VALUATION
Approx. 2 3 sq. of comp. shingles
OWNERS MAILING ADDRESS
9127 Midway, Durham CA 95938
and 4 sq. of built
up roofing.
CONTRACTOR'S NAME
Four Counties Roofing
TELEPHONE
343-1416
a
4
V
CONTRACTORS MAILING ADDRESS
#3 Crusader Court Chico CA 95973
Fireplace
CONSTRUCTION LENDER
UNINOWN
Total Valuation $ Cl
0 0
LENDER'S MAILING ADDRESS
Filing Fee
$ 20,00
Permit Fee
$ 43.00
ARCHITECT OR ENGINEER
LICENSE NO.
Pian Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDINGADDRESS
9127 Midway,Durham, 8
PERMITFEE
$ /`�MM
�iW
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar or heat pump water heater
23.00
USE OF STRUCTURE
SF [X Duplex ❑ Mobilehome ❑ Other
SPECIFY
Water piping
15.00
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 M
Describe Work: REROOF
—
Mobile Home S I G W 1
920.00
PERMITFEE
$
Contractor
ELECTRICAL PERMIT
FilinQ Fee 2 0:0 0
Mein Service OOOV OR LESS
( 200A OR LESS )
23.00
Main Service ( 200A TO IooDA )
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 (;—'�9 Lic. No. 489246
OWNER -BUILDER DECLARATION
1 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
OR ( 8 ACC. BLUE. )
SO.
3.S¢ FT.
CNS.
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS )
97.50
( POWER APPARATUS )
8 SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
20 Q 1.00
BAL .SO
EX. Occup. (OUTIFTS RESID.�EA)
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.
IR 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 Cal Comp
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE
$
Contractor
Policy Number - W9 5 1 pn?.p01
(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
worke 'compensation provisions of section 3700 of the Labor Code, I shall
fo c mply with those provisions.
____ Date 11L2 3 / 9 7
gnature of Applicant - Owner ❑ Contractor XI Agent
An OSHA permit is requi ed for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee Is
Energy Inspection Fee Is
OCC
CONST. TYPE
TOTAL FEE $ (03 QD
HAZ.
I D. FEES
IMP FLOOD
CDF PARCEL
PD HD
S
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 , " --3—
PERM ITEXPIRESON /?--.7—,3 — F?—
SWHITReceipt
I (Ogre)
No. a�31 L4 21
WHITE-D.D.S.-B.D.
E-D.D.S.-B.D. CANARY -AS ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT