HomeMy WebLinkAbout068-210-083068-210-083
ROHLMAN, JOHN
43 ARBOL AVE., OROVILLE
CONTR: OWNER
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068-210-083 01-1150
ROHLMAN, JOHN. '
43 ARBOL AVE., OROVILLE
CONTR: OWNER
REROOF
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(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