HomeMy WebLinkAbout062-280-01201
062-280-012 PERMIT#96=2176,
'PITTMAN, Stang r
398 Lakeside Way;Lake Madrone "
Cont: 'Ciiff=Craft -Bldgs
Reroof/SF gbh
HURLBURT, Clarence C. 539
Lot 35, Spring Valley Add., Lake Madron. Q
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4 ,. � ti a� !. 11 P• aC
062-280-012 PERMIT#96-2176
PITTMAN, Stan
398 Lakeside Way,Lake Madrone
Cont;: Cliff -Craft Bldrs
Reroof/SF
91.1319
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COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVJSION
7 .County Center Drive - Oroville, �alifortWa 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT Y,
ASSESSOR PARCEL NUMBER'
062_x80--012
ZONING
BUIL ING PERMIT
OWNER
STAN PITTMAN
TELEPHONE
SO. FT. OCC. BUILDING
VALUATION
19 @35
665
OWNER'S MAIUNG ADDRESS '
1580 HAMMON AVE., OROVILLE CA 95965
CONTRACTOR'S NAME
CLIFF—CREFT BUILDERS
TELEPHONE
CONTRACTORS
11450 CCOOTER IUNG ADDRESS
OROVILLE CA 95965
Fireplace
CONSTRUCTION LENDER
NONE
UNIwOWN
Total Valuation $
Filing Fee
$ 20.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 21.00
ARCHITECT OR ENGINEER
NONE
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty
$
BUILDING ADDRESSI
398 LAKESIDE WAY LAKE MADRONE
PERMITFEE
$ 41.00
PLUMBINGPERMIT
Filing Fee 20.00
j
Each Trap
7.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar or heat pump water heater
23,00
Water piping
15.00
USEOFSTRUCTURE
SF 0 Duplex ❑ Mobilehome ❑ Other
SPECIFY i
Each ga§ water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
• 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Ublities ❑ Installation ❑ Other IN i
Describe Work: M00F 141M AL !
—
Mobile Home S G W
@20.00
PERMITFEE
g
Contractor
ELECTRICAL PERMIT
Filina Fee 20:00
'
Main Service / OOOV OR LESS
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. 1
License Class Lic. No. /, "��Z_
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 intehded 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.Contractor
reason
NEW CONST. DWELLING OCCUR
OR ADONS. ( & ACC. BUDS. )
So.
3.50 FT.
NEW CONST. MULTI.OUTLET
NON-RESID. ( BRANCH CIRCUITS )
@7.50
( 8 SINGPOWER APPARATUS )
LE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
20 @ 1.00
BAL Q .SO
Ex. Occup. (oFT�s jPLN of ea)
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. --Wiling
23.00
PERMITFEE
$,
WORKERS' COMPENSATION DECLARATION r ;
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 wo'rkers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
, Of one hundred dollars ($100) or less.)
I 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' compensation provisions of section 3700 of the Labor Code, I shall
forthwith ccoom�ply_with,those provisions.
X gn Date ~ r _
Signaty.r'vof Applica�ner Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0"deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE $
Contractor
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
(` 1.00
TOTAL FEE $
HAZ.
1 D. FEES
IMP FLOOD
CDF PARCEL PD HD
ISSUE
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees hav
BY 1
PERMITEXPIRESON
applicable provisions
Resolutions to do work
een paid.
9/23/96
Date
9/23/97
(Date)
G .,"�
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIV ION
7 .County Center Drive - Oroville,.Califomia 95965 - Telephone (916) 538-7 41 PERMIT No.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
062-280-012
ZONING
B U I I N G PERMIT
OWNER
STAN PITTMAN
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
19 @35
665
OWNERS MAILING ADDRESS
1580 HAMMON AVE. OROVILLE CA 95965
CONTRACTOR'S NAME
CLIFF—CRAFT BUILDERS
TELEPHONE
CONTRACTORS MAILING ADDRESS
11450 COOTER TERRACE OROVILLE CA95965
Fireplace
CONSTRUCTION LENDER
NONE
UNMOWN
Total Valuation $
Filing Fee
$ 20,00
LENDER'S MAILING ADDRESS
Permit Fee
$ 21.00
ARCHITECT OR ENGINEER
NONE
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
398 LAKESIDE WAY LAKE MADRONE
PERMITFEE
$ 41.00
PLUMBINGPERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar Or heat pump water heater
23.00
Water piping
15.00
USEOFSTRUCTURE
SF F9 Duplex ❑ Mobilehome ❑ Other
SPECIFY
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 IX
Describe Work: REROOF W/METAL
—
Mobile Home S I G W 1
@20.00
PERMITFEE
$
Contractor
ELECTRICAL PERMIT
Filinq Fee 20.'00
Main Service 000v OR LESS
( 200A OR LESS )
23.00
Main Service ( 200A TO 1000A )
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. e'11�3 'Z
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
NEW CONST. DWELLING OCCUP.
OR ( 8 ACC. )
SO.
3.50 FT.
CONST. MULTI-OUUTLENS.
NEW CT
TLE
NON-RESID. ( BRANCH CIRCUITS )
97.50
POWER APPARATUS
( & SINGLE OUTLET CIR. )
Ex. Occup. ( OUTLET OR FIXTURES)
20 @ 1.00
BAL
FIXED APPWS. OR
Ex. Occup. ( OUTLETS (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.
❑ 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
MECHANICAL PERMIT
Filing Fee 20.00
g
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE
$
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
/°f one hundred dollars ($100) or less.)
k I 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' compensation provisions of section 3700 of the Labor Code, I shall
forthwith cora I hose provisions.
-
X _ __ Date –=�/"
Signat of pylic nt - ❑ ner Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
PHAZ.
CONST. TYPE
TOTAL FEE $ 41.00
D. FEES
IMP FLOOD
CDF
PARCEL PD HD
ISSU
This permit is hereby issued under the
of the Butte County Code and/or
indicate above for which fees av
B
PERMITEXPIRESON
I
applicable provisions
Resolutions to do work
een paid.
9/23/96
Date
9/23/97
(Date)
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT