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HomeMy WebLinkAbout078-200-0033057-91B HOLLAND, Jeff 5544 Farley St, Oroville cont: H & H Roofing eI-1 (reroof/sf) o-2�, 9,60•663 N7 ��\ � «x� . � <= : . � : �) � .� � � !%� �'' .' ./ q �� M vt COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS PERMIT No. y County C®nter Drive - Orovill'e, Californla 06065 . Telephone: 016/538.7541 APPLICATION AND PERMIT -- - - ASSESSOR PARCEL -M9" 036-37Qr003---_ -- ZbN IqG , R 1 w - BUILDING PERMIT O WNr. .. JEFF HOLLAND - k .. �. 66EPHONt3 80, FT._ _ 00i0. BUILDING VALUATION 13 SQ BUILT 1300 OWNER'S MAILING ADDRESS J• s w 140 WARD BLVD OROVILLE CONTRACTOR'SNAME H & H RWFING TELEPHONE 534-1213 CONTRACTOR'S MAILING ADDRESS 3975 ROSEBEN OROVILLE Fireplace CONSTRUCTII (O`�'�N�*jT'L�ENDER UNKNOWN Total Valuation $ 1300 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 22.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 5544 FARLEY STREET OROVILLE ' Permit fee $ 32.00 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 1 Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W O.00ea TYPE OF WORK i New r_1 Add ition❑ Remodelsn Utilities Installation❑ Other Describe work: RE -ROOF WITH BUILT- ❑ _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 j I Main service 100v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): l I ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. I ❑ 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) !1 i 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.hd\ OR AODNS. \ ACC. BLDG S. I ,/Y�SQft NEW CONSTR ULTI.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea /POWER APPARATUS e (SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES eAL030 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring15.00 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 Workmenls Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become Isubject to the W. C. laws of California. - I 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 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 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 in consequence of the a t' g o this permit. X 97372 32.00��_�/ ate I Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required For excavations over 5'0'• deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 32.00 HAz. ' I CUA PARK SCHL I FLD I CDF PAR I PD ) HD. ISSU This permit is hereby issued unser the sions of the Butte County. Code and/or work ind:ic ed above for which fee/s DIRE F PUB C By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Dat Receipt No. 7372- r 32- .,oo WHITE-D.P.W.. YELLOW-ASeESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 036-370-003 ZONI'aG r, 1 BUILDING PERMIT OWNER JEFF HOLLAND TELEPHONE SO. FT. OCC, BUILDING VALUATION 13 SO BUILI 1300 OWNER'S MAILING ADDRESS 140 WARD BLVD OROVILLE CONTRACTOR'S NAME H & H ROOFING TELEPHONE 534-1213 CONTRACTOR'S MAILING ADDRESS 3975 ROSEBEN OROVILLE Fireplace CONSTRUCTION LENDERUNKNOWN NONE I Total Valuation is 1,300 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 22.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 5544 FARLEY STREET OROVILLE Permit fee $ 32.00 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 I S I G I W O.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: RE—ROOF WITH BUILT—UP Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 500V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS and Professions Code and my license is in full force and effect. License No. Classification. 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.8d OR ADDNS. (ACC. BLDGS. /z¢sgft NEW CONST R. ULTI.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS 6 (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20@50C SAL030 FIXED APLNS.F1 EX. OCCup. OUTLETS (RESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 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. Not a 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. Contractor MECHANICAL PERMIT Filing Fee 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 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 this permit. f against said County in consequence of theMate X_ 97372 32.00 'J«—�/ Signature of Applicant — Owner N Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 32.00 HAz. can PARK scHL FLD coF PAR PD I Ho. Issu This permit is hereby issued under the applicable provi- sions of the Butte County. Code and/or resolutions to do work in ted above for which fee have been paid. DIR.F PUB C ORKS PIXP BY Dat PERMIT EXPIRES Date Receipt Na 7 7.2, -- 32— rQ 0 WHITE-D.P.W.. FELLOW-ASSF390R. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER U �(c - 370 --00-3 ZO-JING '- * , BUILDING PERMIT OWNER Je F F 14011A -AJ � TELEPHONE SO. FT. OCC. BUILDING VALUATION Q OWNER'S MAILING ADDRESS16,il-fo NO WA03 (3V0000 a)5 6 CONTRACTOR'SN ME 4 if 20 Ak TELEPHONE 53y- /z i3 CONT A%C R'Sf� AILING AOOR SS 25 /IOSG%eit/ 026> Fireplace CONSTRUCTION LENDEP UNKNOWN Total Valuation Is LENDER'S MAILIIVN/,GVADDD'CR.-ESS Filing Fee $ 10.00 Permit Fee $ Z - p a ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee S ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 327,0 0 PLUMBING PERMIT Filing Fee 10.00 S'S� Fig2le �1' 61�0 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 SFttu` Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10-00 ea' TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti li/ties [:]Installation ❑ Other [ Describe work: g`e K �� 7f�'1 $v 1 f t — U A Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑NON.r:ESID I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. ❑ 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) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.aJ SLOGS. NEW 000NSTR.(A UL71-OUTLET 21 /z¢soft BRANCH CIRC ITS 2.50eai POWER APPARATUS e) SINGLE OUTLET CIR. Ex. OCCUp�OUTLETS OR FIXTURES 20 @!Otl eAL93c� FIXED Ex. OCCup. OU L TS PRESID IREA.) 2.00 Temporary service 10.00 j Mobile Home Facilities 15.00 Misc. Wiring =41 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for S100.00 (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 shal I be deemed revoked. IContractor Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling FHood 3.00 I Ventilation permit Fee ; I 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 Countyor Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against ail liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner F-1 Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct. ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee g occ CONST TYPE �� 6p TOTAL FE $ E E HAz CUA PARK SOME I FLo YAR Pc This permit is hereby issued unser sions or the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC ay PERMIT EXPIRES Date the applicable provl- resolutions to do have been paid. WORKS Date Receipt No. l 7372 — 3Z —0 .•NITE-O.P.W.. YELLOW -4581!350". PINK-INSPCCTOR. GOLDE1NROD-APPLICANT I