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Home My WebLink About078-180-004f J n90 97-.1236 B BUSH, Medina ' 1968 Clinton Avenue, Oroville } i ('reroof/SI')George Roofing) t 1w, i 1 F "go., 6-•17-1-00797- '236 B "BUSH, Medina - 1968 Clinton Avenue, Oroville' (reroof/SF) George Roofing) k F • d r } 1 I i , rF 6 t F• ti6f♦ 7 � s �j i ii \ COUNTY OF BUTTE- DEPARTMENT OF DAELOFPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754:17/,-7PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT �' ASSESSO UMBERt (, ZONING BUILDING PERMIT OWNER Medina Bush TELEPHONE i34-5565 SQ. FT. OCC. BUILDING VALUATION 2,200 1,320.00 IG"WO 'MIN on Ave Oroville, CA 95966 CONTRACTOR'S NAMETELEPHONE George Roofing 33-6393 OR' MAIUNG ADQRESS iO incoin Blvd Oroville, CA 95966 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation r $ 11,1#320'.M ARCHITECT OR ENGINEER LICENSE NO./ Filin Fee amu%>l,/f _ $,% :.+- ' 20.00 Permit Fee �-�'� l� $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ ffgd °Minton Ave Oroville* CA 95966 Energy Plan Checking Fee $ PERMIT FEE $ S lnn LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF E3 Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK X New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ )'Other [3 Describe Work: 25 yr Como Shinqles Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoo, oa mss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing,Vth Section 7000) of Division 3 of the Business and Professions Code, and my license`lAn full force and effect.POWER License Class C-�39 Lic. No. 452266 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors LlEense 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 Main Service ( 200A To 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADONS. ( & ACC. BLDS. 3.5¢FT, NEW CONST. MULTI -OUTLET 7 NON-RESID. I cul @ 50 APPARATUS BSINGLE OUTLET CIR. EX. OCCU OUTLET OR FIXTURES SAL @ 150 FIXED APPLNS. OR Ex. Occup. OUTLETS RESID. EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ 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. ❑ 1 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 iQsuraRge carrier and olicy number are: Carrier b01QFen zags@ lni'urancs Co. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy NumbeirJtJC 341295-00 (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 ection 3700 of the Labor Code, I shall forthwith:407 itXth e provision. % % I ,4,Date _ G/.7- _ gigrfat1Ufe 'of Applicant 40 Owner ❑ Coritractor�Agent / t An 0,1;4 permit is required for excavations gver 5'0" deep and demolition or construction structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ b 3 • UU HAZ. 0. FEES IMP I FLOOD I CDF PARCEL I PD I HD ISSUEe 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. WZAXd;yDate 1i �� y�j' B (150,0 PERMIT EXPIRES ONITE•O.D.S.•B.D. L Date rW,ReceiptNo. _. a/,ci CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF-DEVEZOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754� l�,2z No. (Rev. 12/96) APPLICATION AND PERMIT !!l:;01 ASSESSOR PARC NUMBER — , 03 1 ZONING BUILDING PERMIT OWNER Medina Bush TELEPHONE 34-5585 SO. FT. OCC. BUILDING VALUATION 2,200 romp 1,320-00 r4%sd.Iu!r1n9on Ave Oroville, CA 95966 CONTRACTOR'S NAMETELEPHONE George Roofing ' 33-6393 CONTRACTORS MAILING ADDRESS 6810 Lincoln Blvd Oroville, CA 95966 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 1 .320.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 33.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1968 Clinton Ave Oroville, CA 95966 Energy Plan Checking Fee $ $ ' PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF Q Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 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 ❑ Utilities ❑ Installation ❑ }LOther ❑ Describe Work: 25 yr Comp Shine. 2S Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W CaMOO PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoos oa 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 Professions Code, and my license is in full force and effect. License Class C-39 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: ❑ 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 Main Service 200A TO 1000A 46.00 NEW CONST. OWE LING OCCUP. OR ADDNS. ( a Acc. BLOB. SO 3.5¢FT; NON-RESID? �CTI-OUTCEf @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. EX. Occup. OUTLET OR FIXTURES BAL O '.50 LNS Ex. Occup. ouiLEEDTSA RES D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ 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. ❑ 1 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 carrier and policy number are: Carrier Golden Eagle Insurance CO. Policy NumbeNWC 341205-00 (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 rovisiOns of section 3700 of the Labor Code, I shall ith comply Pith th se provision _ ate 6i o2 A---2_ f Applicant - o actor gent 40ermit is required for excava ' 0 5'0"deep and demolition or construction! over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 53.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Res utions to do work n paid. indicate Ove =Date /jp� By /(i PERMIT EXPIRES ON Date Receipt No. , 2 a;z Q WHITE.D.D.S.-B. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT