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HomeMy WebLinkAbout043-251-008043-2571-008 ' • , 92-2881611bl SIMMONS, .Shirley �s `77 Oak -Lawn Ave$ -Chico f contr: Butte Roofing reroof /sf T77 250-008 01-0552 GEN, SHIRLEY� OAKLAWN CHICONT: BUTTE ROOFING hill 0 O - -.rT«-,ti��,p.t^�-'�^ w'rw�7•a��ry^r �,!n:�][•'j.C}T Vv^r� r'4!"v4;ys' .. 7 , �.... - .a t.. r - • �+ -- 043-250-008 01-0552 LANGEN, SHIRLEY srr 777 OAKLAWN CHICO CONT: BUTTE ROOFING RE ROOF F 1 � r k E 1 s '. COUNTY OF BUTTE - DEPARTMENT OFIDEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California` 95965 • Telephone (530) 538-7541 RMIT N0. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER /I �`` •^ C, %�� ZONING BUILDINGPERMIT OWNER - — TELEPHONE � SO. FT. OCC. BUILDING VALUATION owNERs MauNG ADDRess 77 f C OR'S NAME /O �+yTELEPHONE s ~LING CONE /T'OUR'S ADDRESS _ CONSTRUCTION LENDER - f LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ Plan Checking Fee $ BUILDING ADDRESS 1,rC ♦ Energy Plan Checking Fee $ /--� $ PERMIT FEE S Lei LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF X Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent * 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other�� Describe Work: e�xy7�«✓ 1 laa Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2o0A OR LESS 23.00 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, rce and effect. and my license is In fullJo�f License Class 4 !n Lic. No. %(� 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. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200AWEL TO tOooA 46.00 NEW CONST. DElIJNG OCCUP. OR ADDNs. 8 A.C. BIDS. SO NON -EW REOSID. MULTI -OUTLET RANCH CIRCUITS @7.50 POWER APPARAT 8 SINGLE OUTLET CIR. CI EX. OCCU OUTLET OR FDCTUREs @'•50 SAL 0 O .SO Ex. Occup. OUTIPDTS REES,6 LINSR. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 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. i t❑ -...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' mpensation insurance carrier and policy number are: Carrier /1Z /Q_ - Policy Number (The above sections need no be completed 0 the permit is for work of a valuation of one hundred dollars ($100) or less.) ' - 131 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' laws of Cal'Ifornia, and agree that If I should become subject to the workers' compensation provisions of.section 3700 of the Labor Code, I shall forthwithtcomply with those provisions. i - X /�_ %G� Date _ ✓� Signat- f Applicant - ❑ Owner ❑ Contractor A_Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI= S Mobile Home Installation Fee $ , Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 4.9.-e I HAZ. D. FEES IMP' FLOOD CDF pgpOEl pp 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:feas have been paid. By Date PERMIT EXPIRES ON Date ReceiptNo.a tie] WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND -PERMIT /-OS(S ASSESSOR PARCEL NUMBER 0 ZONING BUILDING PERMIT R ELEPHONE SO. FT. OCC. BUILDING VALUATION .OWWNJERS MAIUNG DRESS / :../` C CTOR'S NAME a TE HONE CO ,�T TORS NO ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ fit% ARCHITECT OR ENGINEERS MAI61G ADDRESS Plan Checking Fee $ BUILDINGADDRESS , Energy Plan Checking Fee $ C $ PERMIT FEE $ Old LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ OtherX Describe Work:y_4 -,.,r/— (�j�`� �j,Q Gas piping sy2tem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W (9]20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 OOOVMain Service 2o.A OR LESS 23.00 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 fullJprceand effect. License Class Lic. No. /(o� 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. ❑ 1, 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 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. 39-4 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' pensation insurance carrier and policy number are: Carrier Policy Number (The above sections need nof be completed if the ermit 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 workers' ompensation provisions of section 3700 of the Labor Code, I shall forth it comply w' those provisions. X D to Signa f Applicant - ❑ Owner ❑ ContractorAgent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service TO 46.00SO CCU000A NEW CONST. DWELLING OCCUP. SO W:o OR ADDNS. 8 ACC. BIDS. 3.50 Fr. tNjON-R6,D. MULTI.N.T @7.50 POWER APPARATUS 6 SINGLE OLRLET CIR. 2O 0'•0° Ex. Occup. ounEr OR FocruREs s„L @ •,s Ex. Occup. o Ds'PPLNS RRES,,D•oEl 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEIE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ � HAZ. D. PEES IMP FLOOD CDP PARCEL PD 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 as have been paid. By Date 3 PERMIT EXPIRES ON 3 -90 —09, Date Receipt No. c 1 50tY2 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ., :�` -s,. A ^ J+y V e .,. yc `-�--•,-`w r *"ry ;n: i} h t- _. -r ' :.,., ie..�,,, :4i're'• ,..r,; .. n; e,+... r - #�+-. a ;t' .i r'.5 .s9' �1 _'4r .� yrs.,. „n✓i�t., .�, ,,, �`. ,.e>L. �d':.�,,... ... .•'� nf:•t°t-'Vtiy�••-.,,:.-.-. _r.,.�.,. }04 25-1-008 t =, Shirley2-2888B ONSley 77 Oak Lawn Ave, Chico contr: Butte Roofing reroof/sf t , . 1 .-�'r"' '-'14 . .i�x.� .t.-P-.�,�-..,�n� •�.�.,� ��� .. .��:1'►jr"'3� v*C'�. #'�"�rx'o'.;, - COUNTY OF BUTTE- DEPARTMENTyOF PUBLIC WORKS PERMIT NO. / ►� ►! 7 County Center Drive- Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND'PERMIT � r• ASSESSOR -PARCEL NUMBER 40q9_251_ ZONIiIIG ,fig BUILDING PERMIT -. OWNER. ii �"+ J_ leq »- TEL PHONE 3413-9-163 S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRE 5 5 •' <?J 7 6d f -cam oU I'm w A CONTyRACT• R'S AMEr M TELEPHO l CONT R- CTOR'S MAILING ADDRESS•. -. Fireplace CONSTRUCTION DER ' UNKNOWN Total Valuation $ Filing Fee $ -15.00';4 LENDER'S MAILING DDRESS Permit Fee $, fft1' f ARCHITECT} OR ENGINER LICENSE NO. Plan Checking Fee $ Ener Plan Checking Fee 9Y 9 $ ARCHITECT OR ENGINE V'S MAILING ADDRESS Penalty $ BUILDING ADDRESS - Permit tee $ � PLUMBING PERMIT Filing Fee 1500 r f yam!! a.-? ,l'r :)fwr' ;eRgA4.:: 1y i, G'^'( /'� �.4.y�.......,:w.a.T . ,PY,.::;..c ...�rnti, e': .- +- .: • »� :, r ., ffie each Trap .�.,„r ; • S.Op'.>,: ....:v:�- ' �+ Solar or heat um water heater 20.00 P ! -f2P LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent _• ?� 7.00 ! USE OF STRUCTURE Gas piping system 1 - 5 outlet;s11'5.00 Building sewer y `'> 15.00 SFI/ Duplex[—] Mobilehome❑ Other I Mobile Home ti'S G I W 15.00 SPECIFY i TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ 'Other [ /]� Permit Fee 1:: $ f ; Describe work: f7?C? t!'a%Li 10 + _ Contractor J ELECTRICAL PERMIT Filing Fee 15.00” Main service 600V OR LESS .18.50 200A OR LESS Main service 200ATO1000AI CONTRACTORS LICENSE LAW j _37.50 NEW CONST. ( DWELLING OCCUPM 3.64 sq.ft. I declare under penalty of perjury (check one): t OR ADDNS. ACC, BLDGS. I NEW CONSTR UTI.OUTLET @ 5.00 I am licensed under provisions of Chapt. 9, Div. 3 of the,, Business r and Professions Code and my license is in full force an effect. NON•R ESID BRALNCH CIRC ITS POWER APPARATUS &) (SINGLE OUTLET CIR. ) O�20 License No. �% 7 6 0© Classification � .� 76 Ex. Occup(ouTLET.s OR FIXTURES ❑ 1, as the owner, or my employees with wages as their sole compen- FIXED APP LNS. OR r.,. -•w - Ex. Occup. OUTLET'S'IRESA,D:) EA.) R .3,00 sation, will do the work, and the structure Is not intended 'or offered Temporary service •^ .. 15.00 for sale. (Sec. 7044) ❑ 1, the licensedcontract- Mobile Home Facilities .15.00 as owner, am exclusively contracting with Misc. IVirin 94 ors. (Sec. 7044) r .15.00 ❑ I am exempt under Sec. , Business and Professions Code for-this're.ason. WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT FiIirig Fee 15.00 ❑ The permit is for $100.00 (valuation) or less. Heating l 1 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 Cooling ❑ I shall not employ any person in any manner so as to become subject Hood 6.50 to the W. C. laws of California. Ventilation 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 Permit Fee $ provisions or this permit shall be deemed revoked. LContractor I certify that I have read this application and state that the above information Mobile Home Installation Fee S is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Energy Inspection Fee $' SIMI Butte to enter upon the above-mentioned property for inspection purposes. I also to indemnify keep harmless County Butte occ CONST TYPE 4V Ce TOTAL FEE $ agree save, and the of against all liabilities, judgments, costs, and expenses which may in any way accrue HAZ 11 HIS IMP FLOOD CDF PARCEL PD HD- ISSUE>r again t said County in c�o/nsequende o the granting of this perm .l X�,?� I I I I This permit is hereby issued under the applicable provi " = Signature of Applicant — _Owner❑ Contractor ❑ Agent sions of the Butte County Code and/or resolutions / �+ indica,t d�aboveJ6"w7 hich fees have been An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. work paid. 61' E& ECTF PUBLIC WORKS S S! By i� ��' ` Date Receipt NO. PERMIT EXPIRES Date '- / 7- c! , f WHITE-D.P.W., YELLOW-A53[960R, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/536-7541 APPLICATIONJAND PERMIT PERMIT NO. A33ESSOR PARCEL NUMB ZONING d �.Z'S/-008 �." S� BUILDING PERMIT OWNER �. TEL PHON ;; ' 31 6 SQ. FT. OCC. BUILDING VALUAT ON OWNER'S'] MAILING A DRE S 1 G L N! V� CONJACT R'S NFAME T�.L PHO E CONT CTD R'S MAILING ADDR - ' ))) ) CLc IF Fireplace CONSTRUCTION ER VNKNOWN Total Valuation $ LENDER'S MAILING DDRESS Filing Fee $ 15,00 Permit Fee $ 23, �b ARCHITECT OR ENGIN ER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEE V,S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ ov PLUMBING PERMIT Filing Fee 15.00 7 iCo 9L7 Each Trap 5.00 �Z�o Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each gas water heater or vent 7.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 1 5.00 SF Duplex❑ Mobilehome❑ Other Building sewer 15.00 SPECIFY Mobile Home S G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities[:] Installation ❑ Other Penult Fee $ Describe work: m Ie.0m Contractor Ile ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 20GATO t000A1 37.50 CONTRACTORS LICENSE LAW NEW CONST. ( DWELLING OCCUP.Jk) 3.64 sq.ft. I declare under penalty of perjury (check One): OR AODNS. ACC. BLDGS. // NEW CONSTR ULT'.OUTLET @ 5.00 I�I I am licensed under provisions of Chapt. 9, Div. 3 of the BUSIneSS NO N•R ESID BRANCH CIRC ITS POWER APPARATUS & and Professions Code and my license is in full force an effect. (SINGLE OUTLET CIR. ) License No. 7 60 00 Classification C_--3 Ex. Occup( OUTLETS OR FIXTURES 20 76 ❑ as the owner, or my employees with wages as their sole compen- Ex. OCCUp. OUTLETS (RESID )REA.) 3.00 sation, will do the work,and the structure is not intended or offered Temporary service 15.00 for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- Mobile Home Facilities 15.00 ors. (Sec. 7044) Misc. Wiring g -15.00 ❑ I am exempt under Sec. , Business and Professions Code +_ I for this reason Permit Fee $ — Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT FiIingFee 1 15.00 ❑ The permit is for $100.00 (valuation) or less. Heating 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. Cooling g ❑ I shall not employ any person in any manner so as to become subject Hood 6.50 to the W. C. laws of California. Ventilation 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 permit Fee $ provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee S is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Ener Inspection Fee 9Y P $ Butte to enter upon the above-mentioned property for inspection purposes. occ CONST TYPE I also agree to save, indemnify and keep harmless the County of Butte against TOTAL FEE all liabilities, judgments, costs, and expenses which may in any way accrue HAz DFEES IMP FLOOD CDF PARCEL P HD ISSUE again t sa' County in con equen e o the granting of this permi . X I at e This permit is hereby issued under the applicable provi- Signature of Applicant — Owner Contractor ❑ Agent sions of the Bu to County de and/or resolutions to do An OSHA permit is required for excavations over 5'0" deep and demolition or construct- work indi a ab which fees have been paid. ion of structures over 3 stories in height. OF PUBLIC WORKS Receipt 1-22—SES-45I BY Date 'i-- /7 p No. PERMIT EXPIRES Date WNIT!-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ,�,:sr . ... .>,n.... _f^ .,,e P f:•��+,�;t , r; W.7, frr h.,, ` i��F�,. `r i� { y. .r �:.-, :r.rx-.� ,_ .,. ., ' .,T,6. �{r:' 1f• c4,e.;�� _ �r.s..t �. s. _• rnY�. ..." ` J - .. '� h h r �� .,.. • � k{ � . ._ . - _� '; .� 5 `� •a � � a .