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Home My WebLink About078-190-003i PERMIT#98-0799 CAMERON, Lorin 5431 Walmer, Oroville Cont: Todd Hemstalk Reroof/SF iii w! ��ZZ�yti t G _ r' 1 , ! ' r 036-181=012 PERMIT#98-0799 CAMERON, Lorin 5431.Walmer, Oroville' Cont: Todd Hemstalk Reroof/SFyLWI22-11 L I 1/ 4 1,' COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ' 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541-� C�� O. (Rev. 12/96) APPLICATION AND PERMIT ' r7 17 ASSESSOR PARCEL NUMBER 036-181-012 ZONING BUILDING PERMIT OWNER fit. ..,,,.,O� r i CAMON TELEPHONE SO. FT. OCC. BUILDING VALUATION 1 080 MAILING ADDRESS CONTRACTOR'S NAME TODD HMT.* K j]1(� TELEPHONE ' CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. $ 20.00 —FilingFee Permit Fee $ 27.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checkin Fee $ BUILDING ADDRESS 5431 WALMER Energy Plan Checking Fee $ $ PERMIT FEE $ % .00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF Q', 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 r New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other •17 Describe Work: RE ROOF 18 SQ. WIP Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service z.OAORLEss 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 LIC. NO. OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License .\,vfor 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. C3 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 TO 46.00so CCU000A WEE200A NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( & ACC. BLDS. 3.50FT. NON-RESID..T ANCH CIR LUITS @7.50 POWER APPARATUS & SINGLE OUTLET CIR. 20 Ex. Occup. OUTLET OR FIXTURES BAL Q'.SO PPLNS Ex. Occup. ouiLEEDTs RES D.°EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 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 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 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.) 5� I 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 comply with those provisions. 1 X A /1//111�iii( :ei�_% Date'/=/%/ _ 'Signature of Applicant - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE 47.00 -f AA TOTAL FEE $ 4 •00 2.A. D. FEES IMP FLOOD COF PARCEL PD 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. I By 1 r Jt,W %l Date PERMIT EXPIRES ON 1 J(1 J Dal Receipt No. 4 t WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I 4\ • COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 PERMIT O. (Rev. 12/96) APPLICATION AND PERMIT � �7 �� ASSESSOR PARCEL NUMBER 036-181-012 ' ZONING BUILDING PERMIT OWNERTELEPHONE p r, Iw n CAMERON SO. FT. OCC. BUILDING VALUATION 1080 OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TODD HEMSTALK TELEPHONE ' CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER [Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 97-00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 5431 WALMER Energy Plan Checking Fee $ $ PERMIT FEE $ A7 nn LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF Ck Duplex ❑ Mobilehome ❑ 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 ❑ Other Describe Work: RE ROOF 18 SQ. COMP Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home S GW 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service noonOOOV oROR LEssLEss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class Lic. No. OWNER -BUILDER DECLARATION herebyaffirmunder penalty of perjury that I am exempt from the Contractors License aw 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. E ' 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 to00A 46.00 NEW CONST. DWELLING OCCUP. OR ADONs. ( a ACC. BLDS. so 3.52FT. 00S9 N9W-RESN--T BRNJCI aRcuT @7.50 APPA US 8 SINGLE OVTLEr CI R. Ex. Occup. OUTLET OR IAL @': o APPLNS Ex. Occup. ourLEETS RES D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 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 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 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.) I 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 ,woAiars' compensation visions of section 3700 of the Labor Code, I shall fort With comply with th S provisions. X % Date ��___ Ignature of Applican - Owner ❑ Contractor ❑ Agent An OSHA permit is req, ire for excavations over 5'0" dee and demolition or construction of structurs over 3 stories in height. p Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 47.00 HAZ. D. FEES IMP FLOOD CDF PARCEL Po HD ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By (/Date PERMIT EXPIRES ON T I F Dat provisions to do work paid. _ Receipt No. 236704 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT