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
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REROOF/SF - - 268-71E
311-
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e�s:Franklin Ave. 28001 no. of Ha on Ave.,
Durham
CONTR: Everett Gordon, 520 Neal Dow Ave.,Chicoj
(new si ngle family).
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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(
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ASSESSOR PARCEL NUMBERZONING
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BUILDING PERMIT
OWNER
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TELEPHONE
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SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
CONTRACTOR'S NAME TELEPHONE
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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
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PARCEL
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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
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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
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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
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