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HomeMy WebLinkAbout069-430-069_idli�lG r� 069-430=069 94-0940B . 'GO BERT ROBERT r f @ _ 86 SKYLINE BLVD. , OROVILLE REROOF & INSTALL 2 SKYLIGHTS/SF E 069-43-"69 00-1783 4 GOULD,ROBERT y 86 SKYLINE BLVD•, ORO E CONT: BAIRDROOFING vl a2 REROOF 3' a i^ O 069-43-0-069 00-1783 GOULD,ROBERT 86 SKYLINE BLVD., OROVILLE CONT: BAIRD ROOFING REROOF s'- ..- v,• • .+1�� -+s,•. ,.� }.. .,1.' .s� w ..� .-.-.r-� . - r.r-.- -•------c-r+�--.r . ----- �,-..� i' -+�--•-�-.-.-r---". '.-7�'--�-+--a.r �r -� J `CT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 Count Center Drive • Oroville, California 95965 + Tele hone/530 53 5 •PE O. (Rev. 12/96) y APPLICATIC.N AND PERMIT Co ) Ud ' %fM K ASSESSOR PARCEL NUMBER, ♦ _ w ZONING BUILDING PERMIT OWNER TELEP ELr SO. FT. OCC. BUILDING VALUATION 16 if, OWNERS I NO ADD SS 41 Y _0i CONTRA S NAM J . /.%' ; it /✓(� T NONE ' / CONT ORS MAIUNG, ADDRESS �, f� ,-•/^ �l CONSTR CION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO.—Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ SUILDINGADDRESS V Energy Plan Checking Fee $ $ PERMIT FEE S Q LOT NO. SUBDIVISIONS NAME PARCEL MAP I PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE 1 SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY 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 ❑ Unities 0 Inst�allattioonn ❑ Other ❑ Describe Work: l H kf Ac-VG� Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service zo.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 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 Profedsions Code, and my license is in fulLforpe and effect.// % License Class Lic. No. (� YZ 1/ 0 OWNER -BUILDER DEC ARATION 1 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. ❑ 1, 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. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of wok for which this permit is issued. My workers' cominsurance nsurance carrier and policy number are: Carrier (jam&A) /A/ S Policy Number -• 0 i- 7 .t ..L.. (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 f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fort With comply with those provisions. X l� Date Z(} tet/ Signa{ure7 o>J Applicant - ❑ Winer Contractor ❑ Agent An OSHA\permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO IDOOA 46.00 NEW CONST. DWELLING OCCUP. So OR ADDNS. a ACC. BLDS. 3.50 FT. �ION•RO�ID. . MULTI.OUTLET 97,50 aps WE.R A 56RAT S IR Ex, Occup. Dun.ET OR FIKrURES B20 ® I: o ..FIXED APPLNS. OR Ex. Occup. ouTLETs RESID. EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Coolin Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ R �� PE TOTAL FEE $ HAZ. D. FE P FLOOD CDF PARCEL PDA.HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated Bove for which fees have been paid. By Date _,�7/_yam' PERMIT EXPIRES ON 7-09 � uj Date Receipt No. WHITE-D.D.S.-B. . CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 53 5t�,o `/� E o• (Rev. 12/96) APPLICATION AND PERMIT C, ASSESSOR PARCEL NUMBER r ZONING BUILDING PERMIT OWNER k TELEPH E SO. FT. OCC. BUILDING VALUATION T o V .OWNER [ Br A/ft /! CONTRA 'S NAME CONT TOR lll'���-✓✓✓/ (/ coNsTRrjqnON LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ Qd ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 0 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS /l v� Energy Plan Checking Fee $ $ PERMIT FEE S QO LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY 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 PJ /Udlides ❑ Installattiio�nn 0 Other ❑ Describe Work: 'j� /7 Q7 &,C 0t)— l Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 R LESS Main Service 2o.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,pulp and my license is in d O and effect. /pff �•7 / License Class Lic. No. `/_�7/7//_( (I( OWNER -BUILDER DEC ARATION 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' compensation insurance garrier and policy number are: Carrier1-.4AJ IN 9 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 fo ith comply with those �prov'ons. y�_ 60 X Date �_ Sign ur o Applicant - ❑ Xer Co tractor ❑ Agent An OSHAWrmit 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. DWEWNG OCCUP. SO W OR ADDNS. ( a ACC. BLAS. 3.5dFr; MULTI-oUTLEf @7,50 POWER APPARATUS IN.D a sTLET OUTLET ES oLmEroRFncruREs �. Occup. BAS � I:w Ex. Occup. owners PR=) 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 FET: $ Mobile Home Installation Fee $ Energy Inspection Fee $ 2 TOTAL FEE $ ip�.Q� HAZ• D. fE IMP FLOOD CDF PARCEL --� PD HD 6SUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated ove for which fees have been paid. By e�Date PERMIT EXPIRES ON 7 d - Pe ate Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 94 -0940B GOULD, ROBERT .86 SKYLINE BLVD., OROVILLE REROOF & INSTALL 2 SKYLIGHTS/SF a IN COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES --BUILDING DIVISION 7 County Center Drive - Oroville, C51ifornia,95965 - Telephone (916) 538-7541�, `PERMIT N . APPLICATION AND PERMIT W§Y455im§ ZONING AR1 BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC.. BUILDING VALUATION 1"��jj' se��yr 5A � OWNER'S MAILING ADDRESS WI11Z CA 9- CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 17.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PA RIMJV�V BIND., F PERMIT FEE $ • PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME r PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ® Duplex ❑ Mobilehome ❑ Other S SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer '15.00 Mobile Home S G W @20.00 TYPE OF WORK New O Addition O Remodel O Utilities O Installation ❑ Other 11 Describe Work: RERMF W/ROLLED PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 & INSTALL 2 2'X2f SKMGMS Main Service ( 20OV OR LESS OAORLESS ) 23.00 Main Service ( 200A TO t000A ) 46.00 NEW CONST. DWELLING OCCUP.S0. OR AODNS. ( & ACC. BLDS. ) 3.5C FT. CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) O I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification .a'"(, as the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.000 BAL.0 Ex. Occu p' ( FIXED (RESO .OR OUTLETS RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a eertificate of Consent to Self -insure. hall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. 1 agree to comply to all Butte County Ordinances and California 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. 1 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 -i consequ nce of the ranting of th' permit. / X. Date Sig , lure of Applicant ❑Owner O Contractor O Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height./ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TrPE TOTAL FEES :37-00 HAZ. D. FEES I IMP I FLOOD I CDF PARCEL I PO HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicate for which fees have bee paid. 2aove /Q Byf Date q G / / PERMIT EXPIRES ON /C% (Dote) Receipt 3 /(�! � / WHITE-D.D.S.-B.D. CANAR -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .D. W COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California+ 95965 - Telephone (916) 538-7541ERMIT NO. APPLICATION AND PERMIT AbMR ZN6 Nyte�E� [4F.�S UU L� ZONING AR1 BUILDING PERMIT OWNER ROBERT GOULD TELEPHONE SQ. FT. OCC. BUILDING VALUATION 15 @ 35 525 OWNER'S MAILING ADDRESS r 11INT). DROVITLE. CA 99966 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Flling F@@ $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 17.00 ARCHITECT OR ENGINEER NnN R. LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 86 S T PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF 9 Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ElAddition ❑ Remodel ❑ Utilities 1:3Installation ❑ Other $j Describe Work: REROOF WROLLED r 1 & INSTALL 2 2X2 SKYLIGHTS PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 800v OR LESS Main Service ( ) 200AORLESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCC P. OR ADONS. ( e ACC. SLOS. ) S 3.50 �O., CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification .Wr as the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044) ❑ lam exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET .NON.RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) a SINGLE OUTLET CIH. Ex. Occup. ( OUTLET OR FIXTURES ) BAL. @ 1.000 Ex. Occup.FIXED APPLNS. OR ( OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a .,,Certificate of Consent to Self -insure. �P I Shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 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 Butte County Ordinances and California 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, jud ments, costs, and expenses which may in any way accrue against said Coun c sequ nce of the ranting of th' it. XDate Sig lure of Applicant ❑Owner ❑ ontractor ❑Agent ` An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 37.00 HAZ. I D. FEES IMP I FL000 I COF PARC9 PO HD ISSu This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicate o for which fees have bee paid. / By Dateg(/ /� �—• PERMIT EXPIRES ON f l> (betel 0J,02 Receipt OL WHITE-D.D.S.-@.0. CANAR •ASSESSOR PINK -INSPECTOR GOLDEN ROD-APPLIC ANT COUNTY OF BUTTE Department of bey Iggment Services Building Division Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 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. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) 1 Ja U .02_ 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 Contractor's 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 Name / V A, Address City Phone Contractor's 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 Nu ber Date 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 permitted to issue the permit.