HomeMy WebLinkAbout078-200-0033057-91B
HOLLAND, Jeff
5544 Farley St, Oroville
cont: H & H Roofing eI-1
(reroof/sf)
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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.
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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
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FLD
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PAR
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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