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HomeMy WebLinkAbout072-200-022FOLEY RAY M. 3324E 07.2-200-022 #98-1819 'PATTERSON, LEROY -aD 2664P '�O�HURLETON RD.- 6POVILL'E GEORGE ROOFING 3265E s/s Oro-Forbestown Rd,- 3 sho! REROOF COP 0 0 e a S.PoWk e s' Club CONTR: Arinda Const., 1674 10th St.,, Orovil' ( (new, single fami 12 N N O � ��� m ,0.72-200-022 072-200-022 PERMIT # 98'-1819, PATTERSON, LeRoy 90 Hurleton Road; Oroville Comp shingle'roof 66 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION i 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PU 1T NO. (Rev. 12/96) APPLICATION AND PERMIT `�� ^� $ I ASSESSOR Oc�f BER OQ a ``�, ZONIG to BUILDING PERMIT OWNER ratterson, LeRoy TELEPHONE 569-4729 SO. FT. OCC. BUILDING VALUATION D9US iurleton td. Oroville, CA 95966 22UU cost 132t1.UU CONTRACTOR'S NAME George Roofing; TELEPHONE 533-6393 CONTRACTORS oRSLiuincoln lslvd. Oroville, CA 95966 CONSTRUCTION LENDER LENDER'SMAILING ADDRESS ' Fireplace Total Valuation $ U . ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 3 3 . U U ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checkin Fee $ BUILDING ADDRESS 9J durleton rtd. Uroville, CA 95966 Energy Plan Checking Fee $ $ PERMIT FEE $ :)• UU LOT NO. SUBDIVISION'S NAME 1 PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heaf.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 Ya Other ❑ Describe Work: Composition Shingles Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service ioon oa 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 L— 3 9 V 14 Lic. No. 452266 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 11 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 consttruct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason 1 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING occuP. OR ADDNS. ( a ACC. BLDS. so 3.52 : NEW CONST. MULTI.OUTLEr NON-RESID. AN CIRCUITS@7.50 PowER APPARATUS a SINGLE OUTLET CIR. EX. Occup. OUTLET OR FIXTURES BAL @' 50 Ex. Occup. ouriFrsPRaD.o� 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: ❑ 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' com ensation insurance carriel and policy number are: Carrier 1'egi 11 insurance Co. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number 4 V 1 t/i 9 (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 co ply with prqvisions. X/y . �.�,_ ./.e __ Da ?1—// / / -- Signatur of Applicant - ❑ Owner 'O ntractor Agent /7 An OSHA ermit is required for excavations over 5'0" dee and demolition or construction] q P of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 5 3 . UU HA2. I D. FEES IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable the Butte County Code and/or Resolutions dicated above for which fees have been indicated / , '` BY �/�/r &AZA t,� oI Date PERMIT EXPIRES ON 1 0.le provisions to do work paid. G ', /,A QQ ! 1 Receipt No. WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 1 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75411}v—i �PE,A(v11T NO. (Rev. 12/96) APPLICATION AND PERMIT `"'��QQ / 111( ASSESSORPARC;NU BER O _ - l ZO�G 0 BUILDING PERMIT OWNER\J Patterson, LeRoy TELEPHONE 589-4729 SO. FT. OCC. BUILDING VALUATION 2200 comp 1320.00 O N 'S MAILING ADDRESS Hurleton Rd. Oroville, CA 95966 CONTRACTOR'S NAME George Roofing TELEPHONE ' 533-6393 cG 1ORSLincoln Blvd. Oroville CA 95966 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation is 1320.00 ARCHITECT OR ENGINEER LICENSE NO. • —Filing Fee $ 20.00 Permit Fee $ 33.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 90 HUrleton Rd. Oroville CA 95966 Energy Plan Checking Fee $ PERMIT FEE $ 53.00 LOT NO. SUBONIS ION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome O 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 IX Other ❑ Describe Work: Composition Shingles Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S I G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoos oR mss 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 Ir�,f II f Ce 9p d effect. License Class – 3 U -14 Lic. No . 452266 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. ❑ 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. IN 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 work e s' cornpensa Ion insurance carrier and policy number are: Carrier Tegi.oninsurance Co. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a A.C. S. 3.52 FT. NON -RES DT MULCH CIRCUI @7.50 TS POWER APPARATUS 6 SINGLE OUTLET CIR. 2u � I � Ex. Occup. OUTLET ORFocruREs aAL 50 Ex. Occup. oinELErs RESIDOFR.A 5.00 Temporary Service 23.00 Mobile Home Facilities 2000. Misc. Wiring23.00 PERMIT FEE t MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number WC I 0537019 (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 fortwith co ply with hose visions. � 1J4—Dei ?Agent Signatur of Applicant - ❑ OW -her ntractor 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 $ 53.00 HAZ. I D. FEES IMP I FLOOD CDF PARCEL PD I HD I 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. q By O L Date / PER EXPIRES ON e % afe Receipt No. © WHITE-D.D.S.-B.D. CANAR -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT