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HomeMy WebLinkAbout068-310-028068-31-M28 00-2254 RUTLEDGE, PAULA 3383 MORNINGSI.DE, OROVI LLE CONTR:K. . CONSTRUCTION RE ROOF7i�p3 1g-crz- Dis 'r 068131-0-028 00-2254 RUTLEDGE, PAULA 3383 MORNINGSIDE, OROVE LLE CONTR: K.B. CONSTRUCTION RE ROOF �12�z COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541C� �c IT -NO• (Rev. 12/96) APPLICATION AND PERMIT Q `J ASSESSORPARCELN8—UMBER ZONING ARZ. BUILDING PERMIT OWNER PAULA RMEWE TELEPHONE SO. Fr, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS PARADTSF Q5969 CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS ' Plan Checking Fee $ BUILDIy� SS J Energy Plan Checking Fee $ $ PERMIT FEE $ 63.00 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF EX 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 11 Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 11 Describe Work: RE ROOF Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home 1 920.00 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: ❑ 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. ❑ I am exempt under Sec. Business and Professions Code for this reason Main Service WELL 46.00 NEW CONST. DWELLING NG OCCUCCUP. OR ADDNS. ( & ACC. BUDS. SO 3.50FT. NON pEOSIp. MULTI.OUTLET 97.50 PowER APPARArus a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 Q 1 .00 BAL Q .50 .50 Ex. Occup. OUTTL�ECTs(REESID.) EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I 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' 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.) ®� 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 fo with comply w' those provisions. I, ` f- r Xt =2 • l �_ n ' ' Date 1 ✓ (X, Signature of Applicant - ❑ Owner❑ Contractor ❑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 FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE It 63.00 HAZ. p. FEES IMP I FLOOD CDF PARCEL I PD I HD ISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated? ve forwfihich fees have been paid. ! l JL(—Date.a PERMIT EXPIRES ON Date 021101$153. CIO Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 'Wor (Rev.12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P?MIT�o. APPLICATION AND PERMIT ���� !� ASSESSOR PARCEL NUMBER 1368-310-02 ZONING AR BUILDING PERMIT 61/ OWNER PAULA RUTLEDGE TELEPHONE SO, FT, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 3383 MORNING SIDE ORMT.T.F. 9S966 Imn-no CONrRACTOR'S NAME BICTTON TELEPHONE 872-0384 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 43 00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDI ss Energy Plan Checking Fee $ $ PERMIT FEE $ 63.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF EX 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 IN Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 11 Describe Work: RE ROOF Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 800V R LESS Main Service zo,.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: ❑ 1, 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. —8'V, 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 zo,A To 1000A 46.00 NEW CONST. DWEWNG OCCUP. SO OR ADDNS. ( a ACC. Bins. 3.5,s NEW CONS,MULTI-OUTLET NO RES DT 97,50 aPOSINWEGLE OUTLET PPARATUS R ACIFL zo @ 1.00 Ex. Occup. ourLEr OR FDcruREs BAL @ .50 Ex. Occup. DFuc�TLEEorsA Rus) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FOE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation ertify that in the performance of the work for which this permit is issued, I shall ofone hundred dollars ($100) or less.) 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 foiwith comply ' those provisions. _/ X Y% Date �A� —fid Signature of Applicant - ❑ Owner 13dContractor ❑ 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 $ occ CONST. TYPE TOTAL FEE $ 63.00 HOZ, D. FEES IMP I FLOOD CDF PARCEL Po HD SSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Zindicatedvrfohic fees have been paid. to r� PERMIT EXPIRES ON Det, Receipt No. 302916/$63.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT