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HomeMy WebLinkAbout078-070-0120-73 LILLIE HENDERSON � 6429 Carme.lySt,. Oroville._-_ ,�, a Contr:George Roofing PErmit#1837-88B(reroof/SF) A �t i � 1 II I 1 i • • J I 1 � 1 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