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Home My WebLink About065-280-002D(oS 065-280-002 PERMIT#96-0117 HURLBURT, Ardath 14828 Magnolia Dr., Magalia I�kq Cont; Greene & Son Roofing Reroof/Ramada . ;1.2 11. 61 065-280-002 PERM.I.T#96-011 7 HURLBURT,,Ardath 14828 Magnolia Dr., Magalia Cont -`Greene & Son Roofing R6rb6f/Ramada I-V I t COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSORPARCEL NUMBER ZONING BUILDING RMIT OWNER ARDATH HURLBURT OWNERS MAILING ADDRESS 14828 MAGNOLIA DR,._r CONTRACTOR'S NAME GREENE & SON ROOFINC CONTRACTORS MAILING ADDRESS PO BOX 2467, MAW CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER ARCHITECT OR ENGINEERS MAILING ADDRESS BUILDING ADDRESS 1421 I SO. FT. OCC. 1873-3940 UNIWOWN LICENSE NO. LOT NO. SUBDIVISION'S NAME IPARCEL MAP I USEOFSTRUCTURE b I SF ❑ Duplex ❑ Mobilehome Other RAMADA TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: REROOF RAMADA WITH COMP SHINGLES 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 (r — 1; 9 Lic. No. J2//� -.5Q�� 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 WORKERS' COMPENSATION DECLARATION I 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 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' co_Tpensation insurance carrier and policy numbef are: Carrier S T A fe row -,e, _rvo. `Q*., Policy Number ;4, *7 9 Z• V& (The above sections need of 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 workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X — r — — -- Date _/f�� Z64 40 — Signature of Applicant - ❑ Owner '93' -Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories inn height. Receipt No. '41TE-D.D.S�D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT BUILDING VALUATION 1 Fireplace Total Valuation $ Filing Fee $ 20.00 Permit Fee $ 27 .010 Plan Checking Fee $ Energy Plan Checking Fee $ Penalty $ PERMITFEE $ A7 Each Trap Solar or heat pump water heater Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Building sewer Mobile Home I S I GI W PERMITFEE J$ tractor Main Service ( e00V OR LESS 200A OR LESS Main Service ! 200A TO 1000A OR ADONS. \ d ACC. BLDS. I NEW CONST. NON-RESID. MULTI.OUTLET ( BRANCH CIRCUITS ) (POWER APPARATUS & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) Ex. Occup. ( FIXOUTLETS RESID.0EA ) Temporary Service Mobile Home Facilities Misc. Wiring PERMITFEE $ 20.00 7.00 23.00 15.00 15.00 15.00 15.00 @20.00 inq Fee 20.00 23.00 46.00 3.52 F. @7.50 20 @ 1.00 4L. 0 .50 5.00 23.00 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling' Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 47.0,0 HAZ. D. FEES I IMP I FLOOD CDF PARCEL I PD I HD I ISSUE I i 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 . ��2�^-�— Date PERMITEXPIRESON �/� '7 i`9 -7 COUNTY OF BUTTE- DEPARTMENT OF DEV !-.OPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Galafoa 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 065-280-002 ZONING BUILDIN e! RMIT OWNER TELEPHONE 873-1421 SO, FT, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 14899 MAGNOLIA 18 6 1 080 CONTRACTOR'S NAME TELEPHONE 873-3940 CONTRACTORS MAILING ADDRESS Rny 2462, ARADISE 95967 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S "UNG ADDRESS Fling Fee $ 20,00 Permit Fee $ - 27.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS PERMITFEE $ 47.00 PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDNIS IONS NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome I Other RAMADA 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 ❑ Describe Work: REROOF RAMADA WITH COMP SHINGLES Mobile Home ISI GI W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service 600v OR LESS 200A OR LESS ) 23.00 Main Service ( 200A TO IDDDA ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter with Section 7000 of Division 3 of the Business and Professions Code, 9 (commencing ) and m license is in full force and effect. License Class � / �0 /a' 3 g 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 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLDS. ) SO. 3.50 FT. NEW CONST.MULTI-OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS 8 (SINGLE OUTLET CIR. ) Ex. Occup. (OUTLET OR FIXTURES) 2a BAIL so EX. Occup. OUTLEEDTS (REESID.OEA ( ) 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' coj1pensation insurance carrier and policy numbed are: Carrier j 'ro7- L: �s `��, j—s�i✓r1 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number -/7 Y19-92— ,•— 9(p (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 workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comp with those provisions. X_ Date Signature of Applicant - ❑ Owner or❑ Agent An OSHA permit is required for excavations over 60" 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 $ 47.00 HAZ. D. FEES IMP FLOOD CDF 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 fees have been paid. By Date / % 7 PERMITEXPIRESON ' 7 (Date) Receipt No. S WHITE-D.D.S.- :D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT