HomeMy WebLinkAbout078-070-0120-73
LILLIE HENDERSON
� 6429 Carme.lySt,.
Oroville._-_ ,�, a
Contr:George Roofing
PErmit#1837-88B(reroof/SF)
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Permit#1837-88
LLI
.1 -E.HENDERSON
6429 Carmel Dr, Oro
COUNTY OF BUTTE - DEPAgTMENT OF PUBLIC WORKS PERMIT NO.
ti 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATIOW ARG PERMIT
ASSESSOR PARCEL NUMBER
�, (/, -- 3•--- h
ZONING
BUILDING PERMIT
OWNER -
,., b � �_ ����
TELEPHONE
SO. OCC. BUILDING VALUATION
]FT.
O/ G -O' �/.
r
/� '�(, �•�
OWNER'S MAILING ADDRESS
6�v,v?9 r p - e --()a e' n6 a/
CONTRACTOR'S NAME
PO111^
TELEPHONE
CONTRACTO,R.S MAILING ADDRE S
J`1)'J Opt' 7 o U /X., �i6i
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
1Gv.
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
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% Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
0.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100V DR LESS
600 AMP OR LESS
10,00
Main service EA. ADO'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
19J I am licensed under provisions of Chapt. 9, Div. 3 of the Bushes$
and Professio s Code and my license is in full force and effect.
v�
License No. a 6 Classification , e %
❑ 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)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. '(DWELLING OCCUP.a)
OR ADDNS. 1 AGC. BLDGS.
,�ZQsq ft
NEW CONSTRMULTI-OUTLET
NON-RESID .BRA CH CIRC ITS
2,50 ea
POWER APPARATUS e�
SINGLE OUTLET CIR.
EX. OCcup(OUTLETS OR FIXTURES
20050!
eAL030
Ex. Occup. OUTLETS ED P(RESID )REA.)
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
Permit Fee
$
Contractor
1 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 ifi consequence of the granting of this permit.
_
X� [ ,,/ld / ' l,-. Date �� ��
Signature of Applicant Owner ❑ � Contractor Agent El
An OSHA permit is required for excavations over 5'Q'0 deep and demolition or construct-
ion of structures over 3storiess in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
TOTAL PERMIT FEE $ 3�
OCCUP.
CONST.TYP!
SCHOOL
FLOOD
PARCCL
PD
NO
ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
indicated above for which fees have been paid.
DIRECT,Op'OF PUBLIC WORKS
/ /
/--, / Date �X
6EAM'IT EXPIRES Date -
Receipt No. 161 C) '.) —)
WNITC-D.P.W., YlLLOW-ASBLSSOR, PINK-INePCCTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PER IT O.
ASSESSOR PARCEL UMBER
C2 5(a
ZONING
BUILDING PERMIT
OWN o f
TELEPHONE
SQ. FT. OCC. BUILDING VALU TION
UB
OW R'S MAILING ADDRE3SS/,(n/!_/,,, I
a2 9 C �m �L �a DYZ0 al /�
COy1.TRACTOR'S NA
l/�7_Ljl(/� b«r-
TELEPHONE
6
CONT ACW MAILING DDRE S % /'�
aQ /J O� Q pwU / /e 14
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
40
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS n
t�� 2
Permit fee
$ .Sag
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.SUBDI
VISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SFDuplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
0.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service e00v OR LESS
100 AMP OR LESS
10.00
Main Service EA. ADO'L 100 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 BuslneSS
and Professions Code and my license is in full ^and effect.
�jforce
License No. ysaa 6b Classification C %
F1 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
NEW CONST. / DWELLING OCCUP.E,i\ +/:2sgft
OR ADDNS. l ACC. BLDGS. /
NEW CONSTR. TI -OUTLET 2,50 ea
NON RES BRA CH CIRC TS
POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES eA 020@30
Ex. Occup. OUTLETS P(RESID )"EA.) 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
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
1s correct. I agree to comply to all County Ordinances and State Laws relating
to building constry.ction, and hereby authorize representatives of the Countyot
Butte to enter upon,the above-mentioned property for inspection purposes.
1 also agree .to save, j;ndemnify and keep harmless the County of Butte against
all liabilitie,s,'judgmci'6ts,,pgpVb, and expenses which may in any way accrue
again s aid CoUn n uence of the granting of this permit.
X –6 —Or
_ Date
Signature of Applicant ' ``Owner ❑ Contractor Agenr ❑
An OSHA permit is required for excavations over '0' deep and demolition or construct-
ion of structures over 3/storrriies in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $ 3.3 39
oceu P.
CONST.TYPE
SCHOOL
FLOOD
PARCEL
PD
ND
139UE
permit is hereby issued under
sions of the Butte County Code and/or
work c ted above for which
DIRE F PU
yZ
R ' EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
(''r
e Dat
Receipt No. l O
WNITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDEN ROD-AP►LI CANT