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HomeMy WebLinkAbout040-280-069040' 28=0=069yT 93-4656,1 B � ,CULLER,WAYNE T' " s 9112 GOODSPEED, DURHAM ` -T ' `` t } CONTR: FOUR COUNTIES Com, Barney 321-71B .4, REROOF/SF - - 268-71E 311- /3 ���-- e�s:Franklin Ave. 28001 no. of Ha on Ave., Durham CONTR: Everett Gordon, 520 Neal Dow Ave.,Chicoj (new si ngle family). f k k t h rr V 1 I 0 1 i J ti F h t f ' f I t i a It. �_ p N ����� 11 022 40-28_0-069 CULLER,WAYNE 93-656 B - 9UL GOODSPEED, DURHAM CONTR: FOUR COUNTIES REROOF/SF COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS + 7 County Center Drive - Oroville, California 95965 -Telephone: 916/538-7541 APPLICATION AND PERMIT PERM( Q ASSESSOR PARCEL NUMBERZONING �) .: U • �' , -j;?-I BUILDING PERMIT OWNER (:J) y _ TELEPHONE J,. �•, } SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE ,T ••.I C %i ( '� _..� f ') f'"r] CONTRACTOR'S MAILING ADDRESS Cv] —,t, clict)? Ci:.* Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 155,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING AgDRESS L:1 !% C..'':�.C'f=d, rani—­,Cc1. Permit fee $ l..O if) PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or°heat pump water heater 20.00 LOT NO. SUBDI VISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF El Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: ��='j�=-'`--ut�.i^ ;�il?'u' CUi Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 6LESS 00VORLESS 18.50 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 Cod ggJ and my license is in full force and effect. License No. ti�i Z'rU� Classification C-3) ❑ 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) ❑ 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 Main service 200A TO 1000AI 37.50 NEW CONST. DWELLING OCCUP.lL\ 3.6psq.ft. OR ADDNS. ACC. BLDGS. // NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 /POWER APPARATUS el (SINGLE OUTLET CIR. / 20 76 EX. OCcup�OUTLETS OR FIXTURES FIXED ALINIS Ex. OCCUp. OUTLETSP(RESID )REA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 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 becomesubject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor, MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation P emit Fee Z 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, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X t / ' tit l f + .,jI I—W Date •> I i N. of Applicant — Owner E]Contractor❑ Agent Q 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 S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ !! HAz I DFEES IMP 00 1 CDF PARCEL r.1 HD ISSUE This permit is hereby issued under the applicable provi- sions sions of the Bttte County Code and/or resolutions to do work Indic ated above for which fees have been paid. � � / / DIRECTOR'OF PUBLIC WORKS BY ,f ✓� / Date 5/ PERMIT EXPIRES Date � r . —%% l Receipt No. > > WNIT[-D.P.W.. YELLOW-A3eC3 e0 R, PINx-INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538A41. _ APPLICATION AND PERMIT V^` ASSESSOR PARCEL NUMBERI 0 C/Q i Zc�Q .- �p ZONING .Sk?q BUILDING PERMIT OWNER Wayne Culler TELEPHONE 342-2344 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHON Four Counties RoofingCompany 343-141 Re existin shake roof CONTRACTOR'S MAILING ADDRESS #3 Crusader Court, Chico, Ca. Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 1$1$200.00 LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS . Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 9112 Goodspeed, Durham, ca. Permit fee $ 40.50 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF[2 Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W 915.00 TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities❑ Installation❑ Other❑ Describe work: Repair existing shake roof Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AOORLESS 18.50 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. 489246 Classification C-39 ❑FIXED 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 Main service 200A TO tODDAI. 37.50 NEW CONST. / DWELLING OCCUP.ad\ 3.6asq.ft. OR ADDNS. \ ACC. BLDGS. // NEW CONSTR.U LOUT LET 5.00 NON.RESID BRANCH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES zo Te APPLNS. OR Ex. Occup. OUTLETS (RESID.) EAJ .3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 Permit Fee $ 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. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 � 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, judgments, costs, and expenses which may in any way accrue against said6��JtY� consequence of the granting of this permit. �p X Date / I/r .3- Signature of Applicant — Owner ❑ Contractor ❑ Agent IN 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 S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ HAz 1 DFEES I IMP FLODD I CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the tte C un ode and/or resolutions to do work indW a d ov fo which fees have been paid. D C F PUBLIC WORKS By Dto3/8'93 PE IT EXPIR Date Receipt No. 135177 WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT __ - � _..� ,. � _ Y .�. y � � - .t . . .� r � . � .� - .. \�. l _