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HomeMy WebLinkAbout069-430-063i 69-43-63 3940-90B CONSTANT, Constantine 36 Skyline Way, Oro-ille- (�I (woodstove/sf) a I �.0 69-43-63 1557-91B CONSTANT, Constantine 36,Skyline;Way, Oroville cont: H&H Const y (reroof/sf) ql R 0 � � ' "�: ;. . Via` I _ — , r ;�:: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroyllle, California 95965 - Telephone: 916/538-7541 "'177 APPLICATION Ai�D�PERMIT A97—YJ�VEL NUMBER z°"'NG ARI BUILDING PERMIT ° 6);stantfne Constant (408) - 2E(}L4—t)t Zi SO. FT. OCC. BUILDING VALUATION comp 1,340 DW Sb M ConstanceEDr., San Jose 95117 C lJ{iliA l`� rjS NAME ng TELEPHONE co §c MAILING75RosbOrov IY; Fireplace goneCTION LENDER UNKNOWN Total Valuation is Flling Fee $ "0.00 LENDER'S MAILING ADDRESS i Permit Fce $ p AP,� HITF-CT OR LN=11?BEER - 1Vone LICENSE N0. I Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS _ Penalty $ BU3b�ISJyfine Way, Oroville Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE I SF M( Duplex❑ Mobilehome❑ Other i SPECIFY f Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: re—roof r _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 y yrr i Main service BOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW of pjy (check one): I declare under penaltyperjury ' ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. License ❑ I, as the owner, or my employees with wages as their solelcompen- �ation, will do the work,and the structure is not intended or offered ifor sale. (Sec. 7044) i SLI( I, as the owner, am exclusively contracting with licensed 'contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUPM OR ACDNS. l AGC. BLDGS. / yzQsgft NEW RESID. RANCOUTLET NO N•R ESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS e (SINGLE OUTLET ..IR. Ex. Occup(OUTLETS OR FIXTURES .20050t 20050` \ Ex. Occup. our OUTLETS (RESID )D APPLNS. REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate f Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked.. I MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. agree to save, indemnLfy-and ke p harmless the County of Butte against allErillti ju gmen , cos s, expenses which may in any way accrue 1 ai�l' a8 st s '' It o ranting.of this permit. ► l - h�,,r � ( e, i X. _ Date Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 29.00 HAZ CUA PARK SCHL FLD CO= PD ) HD • ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIR�ZTO OF PURLI� WORKS ,{� B U Date / PERMIT EXPIRES Date / Receipt No. 89162/29.00 WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541 APPLICATION AND ,PERMIT PERMIT N0. SOR PARCEL NUMBER ASSEb9 O-43-63 ZONIN& AR1 BUILDING PERMIT OWNER Constantine Constant (408) TELEPHONE 244-0188 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 3567 Constance Dr., San Jose 95117 CONTRACTOR'S NAME H&H Roofing TELEPHONE CONTRACTOR'S MAILING ADDRESS 3975 Rosbin, Oroville Fireplace CO STRUCTION LENDER Ione UNKNOWN Total Valuation $ Filing Fee $ .0.00 LENDER'S MAILING ADDRESS Permit Fee $ 19 00 ARCHITECT OR LN ;INFER None LICErISE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 36 Skyline Way, Oroville Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF a Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe work: re—roof _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penaltyof perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. ❑ I, as the owner, or my employees with wages as their sole compen- tion, will do the work,and the structure is not intended or offered r sale. (Sec. 7044) _/10,1as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.8d) OR ADDNS. ACC. BLDGS. yzQsgft NEW CONSTIRULTI.OUTLET NON-RESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 200305 5AL93o FIXED PR Ex. OCCup. OUTLETS (RESID )EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate Consent to Self -Insure. � I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agre to save, indemn' end ke p harmless the County of Butte against all I' )ti judgmen ,costs, expenses which may in any way accrue a st s nting of this permit. I Date ®�'� % i ( Signature of Applicant — Owner Contractor ❑ Agent F-1WN An OSHA permit is required for excavations over 5'0" deep and demolition or construct-DIR ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 29.00 HAz. CUA PARK SCHL FLD cOF PAR PD t HD. IssuE This permit is hereby issued under the so ns of the Butte County. Code and/or work indicated above for which fees T OJPU L B PERMIT EIfPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 89162/29.00 WHITE-D.P.W.. YELLOW-ASeESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 -County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICAT10-N AND PERMIT ASSESSOR PARCEL NUMBER ` / ZONI Q�p9—Ll2j—� NG �{� BUILDING PERMIT OWNER ELEPHONE 2/Y^•�/Q—��`�/� •/��. /�%t (..IC ��'7 SO. FT. OCC. BUILDING VALUATION ^�. CC OWNER' G ADDRESS /� w`cN ,t ..%6 [N Coo 7M ` Ce . S1T1V�0.SC l./ , q5/ 1-7 CONTRACTOR'S NAM A �0 C>%,x TELEPHONE CONTRACTOR'S AILING ADDRESS --17 � C FireDlace CONSTRUCTION LENDER UNKNOWN 1 Total Valuation Is Filing Fee $ ;0,00 LENDER'S MAILING ADDRESS Perini! Fee $ ARCHITECT OR L.N;INEER LICENSE NO• Plan Che�:hing Fee $ Energy Plan Checking Fee $ ' ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Q Penult fee $ , OO PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping - 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFEl--Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home JSFG W O.00ea TYPE OF WORK New ❑ Addition [IRemodel ❑ UtLr�1ties L—_Lnstallation❑ Other Describe work: Penult Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penaltyof perjury y (Check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Busines$ and Professions Code and my license is in full force and effect. License No. Classification, ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.pi\ OR ADONS. ACC. SLOGS. , h¢sq ft NEW CONSTR U TI.OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e\ SINGLE OUTLET CIR. / E X. CCUp�OUT LETS OR FIXTURES O 20@50 DAL@30 FIXED Ex. Occup. OUTLETS IPRESID IRE A.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation penult Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excav ions over 5'0" deep and demolition or construct- ion of structures over 3 stories in hei t. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ TT - HAz. CUA I PARK SCHL I FLD I CDT_r7 PD i HD• ISSUE This permit is hereby issued unaer the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt NO. 9P___ WHITE-D.P.W.. YELLOW -ASSESSOR. P NR -INSPECTOR. GOLDEN ROD-AP►LI CANT a Skyline 69-43-63 3940-90B CONSTANT, Constantine 36 Wa'y, 0 roirille (woodstove/sf) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Celifomia,95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 69-43-63 ZONING AR1 BUILDING PERMIT OWNER CONSTANTINE OONSTANT TELEPHONE 589-1609 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 36 SKYLINE WAY CONTRACTOR'S NAME MINER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace i "All 1000.00 CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 19.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 36 SKYLINE WAY Permit fee $ 29.E PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other WOOD STOVE SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: INSI'AT,T. 11.13Mn ed[) 1)gT0V , Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV OR LESS10.00 Main service EA, ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F-1NO- I am licensed under provisions Of Chapt. 9, Div. 3 of the BUSIneSS and Professions Code and my license IS In full force and effect. License License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason oR ADDNSCONSTDWEACCLLIN GOCCUP.9 2yz¢sgft NEW CONSTR U TI -OUTLET NRESID BRANCH CIRCITS 2.SOea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES 1.20050 eAL�30 Ex. Occup. OUTLETS (RESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate It/of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities„judgmentss costs, and expenses which may in any way accrue aga' si ou ty iru�con a +f the granting of this permit. /� X 9 Date ^ 9 d Signature of Applicant — Owner ❑J Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0” deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 29.00 E HAT UA PARK SCHL PAR PD HD I0 This permit is hereby issued under sions of the Butte County Coce and/or work jOcated above for which fees / DIV...��YyrDatp y A PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS / Q Receipt No. 8440% — $29.00 WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT % COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. •� 7 County Center Drive - Orovi,lle,. Calhfornia 95965 - Telephone: 916/538-7541 APPLICATION- AND PERMIT ` ASSESSOR PARCEL NUMBER 69-43-63 ZONING ARI BUILDING PERMIT OWNER CONSTANTINE CONSTANT TELEPHONE 589-1609 SQ. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS 36 SKYLINE WAY CONTRACTOR'SNAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS " Fireplace "All 1000.00 CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 19.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 6 SKYLINE WA Permit fee $ 29.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex Mobilehome❑ Other WOOD RTOVF SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: INSTALL LISTED—WOODSTOVE _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1001 OR AMP ORLESS10.00 Main service EA. ADD'L too AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.(DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. , 2/2QSgft NEW CONSTR ULT' -OUTLET NO N.RE SID BRANCH CIRC., TS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20®50¢ SALO 30 Ex. Occup. OUTLETS ED APPIRESID ILNS.REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate I Consent to Self -Insure. shall not employ any person in any manner so as to become subject V to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnifyAL and keep harmless the County of Butte against all liab' ' judgments st , an expenses which may in any way accrue aga' s ou ty i on e f the granting of this permit. Date U-- �? 9 d Signature of Applicant — Owner ff Contractor ❑ Agent ❑ ion of structures over 3 stories in height. An OSHA permit is required for excavations over 5'0" deep and demolition or construct.AITFXPIRES Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE ALE FEE TOT $ 29.00 HA2 CUA PARK L PAR PD Ho IS -S-11 This permit is nereby issued under sions of the Butte County Code and/or work cated above for which fees IR OF PU LI y P Date the applicable provi- resolutions to do have been paid. WORKS Ad oat Receipt No. 84407 — $29.00 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orgvil,le, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT NUMBER / ZONING 11 r0 1— r 3 At f BUILDING PERMIT O WNE 1 TELEPHONE 6�o %-' 0 A v%�� SD. FT. OCC. BUILDING VALUATION LOT NO. SUBDIVISION NAMEPARC1EL MAP USE OF STRUCTURE c_ SF ❑ Duplex[] Mobilehome❑ Other 00A SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] , Other ❑ Describe work: CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for 5100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement should you become sub•ect $ 10.00 $ op $ $ $ PLUMBING PERMIT OWNER'S MAILING ADDRESS ` +�Z w Each Trap 2,00 i CONTRACTOR'S NAME L TELEPHONE 5,00 CONTRACTOR'S MAILING ADDRESS Fireplace - Gas piping system 1 - 5 oug•ets CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee Permit Fee X Date Signature of Applicant — Owner❑ Contractor ❑ Agent ❑ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee Penalty Main service VOR S 100 AMP OR LESS BUILDING ADDRESS . Permit tee LOT NO. SUBDIVISION NAMEPARC1EL MAP USE OF STRUCTURE c_ SF ❑ Duplex[] Mobilehome❑ Other 00A SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] , Other ❑ Describe work: CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for 5100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement should you become sub•ect $ 10.00 $ op $ $ $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 Water piping 5,00 Each qas water heater or vent / 5,00 Gas piping system 1 - 5 oug•ets 5.00 Building sewer 5.00 Mobile Home 1 §4 G JW I 10-00ea I HO I ISSUE X Date Signature of Applicant — Owner❑ Contractor ❑ Agent ❑ Permit Fee $ Contractor pv Receipt No. 7 ('�7_a (. o C) ELECTRICAL PERMIT Filing Fee 10.00 Main service VOR S 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. !DWELLING OCCUP.S\ OR ADONIS. l ACC. BLDGS/ lI t/tdSgft NEW CON ST R. ULTI.OUy-LET NO N.RES10 BRANCH L/I RC ITS 2.50 ea POWER AqPPPARATUS e SINGLE,dUTLET CIR. ' Ex. OCCup(OUTLE S OR FIXTURES 200sot eAlo Sot EX. DCCUp. OUT ETS PIRESID 1REA.� 2.00 Temporary ser ce 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3,00 Ventilation to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnity and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. Mobile Home Installation Fee $ Energy Inspection Fee S occ CONST TYPE TOTFEES m CD AL ALSCHLPLD HAz CUA PARK I PAR I PO I HO I ISSUE X Date Signature of Applicant — Owner❑ Contractor ❑ Agent ❑ Th's permit is nereby Issued urger the applicable provi- sions or the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. An OSHA permit is 'yuired for excavations over 5'0" deep and demolition or construct. ion of structures over 3 stories in height, DIRECTOR OF PUBLIC WORKS - BY Oate pv Receipt No. 7 ('�7_a (. o C) WHITE-D.P.W.. YELLOW-A33C33OR, PINK -INSPECTOR. COLDCMR00-APPLICANT PERMIT EXPIRES Date COUNTY OF BUTTE - De2artment of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. Q I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) Y� S 0 I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work. indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Num er Date ai d ' NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit.