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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