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HomeMy WebLinkAbout068-210-083068-210-083 ROHLMAN, JOHN 43 ARBOL AVE., OROVILLE CONTR: OWNER _. K.. ...., � ,..-..m-_ ... ...,•-Z�:':`.�-..;1•r-•-a;Y-'r'�`X•fA'-'_.'.-_.""`i17�';3r.IG.0 068-210-083 01-1150 ROHLMAN, JOHN. ' 43 ARBOL AVE., OROVILLE CONTR: OWNER REROOF .:l�.s^-wires..-w^.r---.�•�. w. nw v:r;" •.�-..✓ry,. :�lw....r _ .- .� r� (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING • DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 APPLICATION AND PERMIT 01-1150 PERMIT NO. ASSESSOR PARCEL NUMBER20NING 058-210-083 AR BUILDING PERMIT OWNER R_778-1 TELEPHONE SO. FT. OCC. BUILDING VALUATION _5A6 GWNERS /UUd 11111 SITE M. CITRUS H.IGHM CA 95621 11 SQ bbO CONTRACTOR'S NAME U:INUA TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 669.00 ARCHITECT OR ENGINEER LICENSE NO. Filin Fee $ 20.00 Permit Fee $ 29.00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING AODH?SS AVE. , 95( ``PPJJ Energy Plan Checking Fee $ $ PERMIT FEE $ .3c). LAT NO. SUBDIVISIONS 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 as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: RERMF 11 SQUARES Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service '.".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 full force and effect. License Class 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: fQ 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 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 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.) ❑ 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 11with those provisions. _ Date X C / r� f'N1r �.. S r + Signature of Applicant - :C7 Owner ❑ Contractor ❑ Agent' An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service TO tOooA 46.00 NEW CONST. DWELLING UCUP. SO WE OR ADDNS. a Acc. BLDs. 3.50Fr. NEW CONS.. MULTI -OUTLET @7,50 POWEPPARATUS a SINGLER A. T. CIR. EX. OCCU OUTLET OR FIXTURES 00 SAL ®I 0 Ex. Occup. ounFrs RESID.PPLNSOEA 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 FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 39.00 HAz D FEES IMP I FLOOD I CDF I PARCEL I 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. rr ��� By f /� % Date PERMIT EXPIRES ON ate Receipt No. 324550 39.00 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 01-1150 ASSESSOR PARCEL NUMBER 068-210-083 1 AAZONING BUILDING PERMIT OWNERTELEPHONE ROHLMAN, JOHN 728-1546' SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 7008 Mnt SITE DR. CITRUS HEIGHTS CA 95621 11 SQ 660 CONTRACTORS NAME 0100 TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ 660.00 ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ 19.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 43 ARBOL AVE. OROVILLE CA 95965 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS 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 ❑ Other ❑ Describe Work: REROOF 11 SQUARES Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 020.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200, 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 full force and effect. License Class 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: 9C 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 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 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. S° OR ADDNS. ( a acc. eros. 3.50FT: rp" µgE°SID ' MULTI -OUTLET @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. 20 Ex. Occup. OUTLET OR FIXTURES Q l.00 eAL Ex. Occup. RAID.°�w 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ 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.) ❑ 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. p� X Date 0 0 Signatur of Applicant - caner [3 Contractor ❑ Agent An OSH permit is required for excavations over 5'0" deep and demolition or construction of struct es over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 39.00 Haz. I D. FEES IMP I FLOOD I CDF I PARCEL PD I HD ISSUE This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated a ve for whi fe have been paid. r B�i Vvw�D/at ,y P IT EXPIRES ON Date ReceiptNo. 324550 39.00 $ WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538- 54;SION (Rev.,2/9s) APPLICATION AND PERMIT PERMIT NO NifiiOR►ARCEL NUYpQ 041'Y:2 / o 17 FQ 7� �'""G BUILDING PEgMIT h a Lie NE _ s0• Fr.BUILDING VALUATION OWNM'i L" . C7/ I" n I n moi, _ s GuNTRACTORI MARlNG ADOREii CONSTRUCTION LENDER LENOWS MMLNG ADORER ARCNRECT OR ENGINEER ARCWMCT oft DMNEiAI MAl1N0 AOORESS SUIDNOADORESS /]---< LOTNO. I sIADNS)EININAW USEOFSTRUCTURE SF O Duplex O Mobilehome p. -Other iP6CwY TYPE OF WORK New O AddNon,-U—RQ17,V0,9I O LUties O Installation O Other 18-- Describe Work: *PERMIT FEE PAID SRA •. SHERIFF OTHER AMOUNT RECEIVED *RECEIPT NVMSER41 * TO BE PVT INTO COMPUTER UTr ation i Esin Fee E Checking Fee tiPERMIT FEE !BING PERMIT Solar or heat Pump water heater Water piping Each giks water heater or vent Gas piping system 1 -5 outlets Building sewer Mobile Home I S IG W PERMIT FEE I t 20.001 ^g Fee 20.00 7.00 23.00 15.00 15.00 15.00 15.00 IMobile Home Installation Fee S Energy Inspection Fee E CON occ ST. TVPE i TOTAL FEES % G0 NAL D. FEESI WP FLOOD I COF I PARCEL I PD ND I GSUE 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 PERMIT EXPIRES ON ......+� rcnrAll Filing Fee 20.00 SOW ORR LEig Main Service 200AOF 23.00 Main Service 2O0A TO IOOOA 46.00 NEW COI'4 DWEUNOoccuP. so OR ADONs, i ACC. OLDS. 3.50rr. NOWRESID.-MULTI-OWLET (97.50 POWER APPARATLA a sNOLE OUTLET q0. Ex. OCCu OUT Er OR F0mjRE3 20 0 LOC Ex. l .00 Ex. OCCUR �Io I 5.00 t t Temporary Service 23.00 Mobile Home Facilities 20.00 Mist. Wirin 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Coolin Hood 6.50 IMobile Home Installation Fee S Energy Inspection Fee E CON occ ST. TVPE i TOTAL FEES % G0 NAL D. FEESI WP FLOOD I COF I PARCEL I PD ND I GSUE 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 PERMIT EXPIRES ON