HomeMy WebLinkAbout078-220-040044--0=t0—� 01-0656
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BREWTON, TAMMY
Elm
31 ROSITA WAY, OROVILLE, CA
CONTR: GREENE & SON ROOFING
REROOF W/COMP
B08-0160 S(4fJktD 078-220-040
MISCELLANEOUS Electrical
REPLACE & UP GRADE ELECT. PANF
31 ROSITA WAY
PEJSA, CATHERINE
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036-550-040 01-0656
BREWTON, TAMMY
t' 31 ROSITA WAY, OROVILLE, CA
• CONTR: GREENE & SON ROOFING
REROOF W/COMP
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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive � Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT r' /" rs &:,, /^
ASSESSOR PARCEL NUMBER -
035-550-M
ZONING
BUILDING PERMIT
OWNER
^Ay n 11
TELEPHONE
53t,5477
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
31 R:OSITA HAY9 0WI MMCA 95965
iia &•.0
CONTRACTOR'S NAME
Qin & SOLI ro "=
TELEPHONE
973-3�0
C0 i . U. sbuu OZI, PAMIR CA 95%7
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $ "
ARCHITECT OR ENGINEER
LICENSE NO.
Flin Fee
$ 20.00
Permit Fee
$ 23.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILgING ADDRESS
Lt 7S1TA VAY QME
Energy Plan Checking Fee
$
$
PERMIT FEE
$ e
LOT NO.
SUBDJVWONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF Lf, Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.0023.00
Solar or heat um water heater
Water piping
15.00
Each as water heater or vent
115.00
TYPE OF WORK _
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other O
Describe Work: RE-=? E4/OMV.
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00'
Main Service zoOA OR LESS
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. ��,�}
�lv _
License Class t • �- .5 V Lic. No. �/
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ 1, 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
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
f performance of the work for which this permit is issued.
r❑ I 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 5 %7-.4-0 _,C_,Z ed
Policy Number/ N . !?A�?. !a
(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 section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X _'•7 . _4 Date -30
❑ Agent
Signature a Applicant - ❑Owner tion Co over 60"
An OSHA permit is required for excavations over 5'0"deep and demolition or construction
of structures over 3 stories in height.
Main Service YOIA
46.00
NG CCU000A
NEW CONST. OWEWNG OCCUP.
OR ADDNS. ( a ACC. BL S.
SO
3.50Ft.
NON•REOSID. ' MULTI.OUTLET 97,50
POWER APPARATUS
a SINGLE OUTLET CIR.
sc ®,,00
Ex. Occup. OUTLET OR FIXTURES BAL .SI
Ex. Occup. GurLEEDrsA REI�s�D I ERA 5.00
Temporary Service
23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 43.00
HAZ.
D. FEES IMP
FLooD
I CDF
PARCEL
PD
HO
SSUE
This permit is hereby issued under
of�the Butte County Code and/or
indicated AEove for which fees have
1
B j� ��� '^�" � �
Y
PERMIT EXPIRES ON �
the applicable provisions
Resolutions to do work
been paid.
Dat ` 1"?
161
Da/, /�
-36I 2J -
( (Da to) f
Receipt No. 'J��+ 11 to
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
r COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT 0 /-- C ('' -Sk,
ASSESSOR PARCEL NUMBER
036-550-040
ZONING
BUILDING PERMIT
OWNER
TAMMY BREWMIN
TELEPHONE
534-5477
SO. FT. OCC. BUILDING VALUATION
14 840
. OWNER'S MAILING ADDRESS
31 ROSITA WAY OROVI= CA 95965
CONTRACTOR'S NAME
GREENE & SON ROOFING
TELEPHONE
873-3940
CONTRACTORS
DP O.SBOX 2467 PARADISE CA 95967
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $ 840
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ 23.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDINGADDRESS
31 ROSITA WAY OROVI=
Energy Plan Checking Fee
$
$
PERMIT FEE
$ 43.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF [X 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
New ❑ Addition ❑ Remodel ❑ Ulilibes ❑ Installation ❑ Other X
Describe Work: RE—ROOF WOOMP,
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
920.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service '."v� oa'ss
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 II f C and effect.
�7
License Class — Lic. No. ., 2 ,%�d � /
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
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ I 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
n1performance 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' Com ensatipn_ insurance c per and policy number are:
Carrier �% J;e141_Q
Policy Number �% O
(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'CO=HAZ.D.EES
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 comp) ith those provisions.
X Date �o /
Signature of Applicant - ❑ Owner' -Contractor ❑ Agent
An OSHA permit is required for excava Ions over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 46.00
NEW CONST. NG SO
DWEWOCCUP.
CCU
OR ADONS. ( MNG S. 3.5¢FT;
T.
,N.,OOpEgES,p MULTI.OUTLET 97,50
POWER APPARATUS
8 SINGLE OUTLET CIR.
Z, @ 1.00
EX. OCCU . OUTLET OR FIXTURES BAL p .w
Ex. Occup. o„r�iAPP
D,OE 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
CONST. TYPE
TOTAL FEE $ 43.00
VThispenmit
IMP
FLOOD
CDF
PARCEL
PO
HD
ISSUE
is hereby issued under
the Butte County Code and/or
indl ted ov for hich fees have
By
EXPIRES ON
I
the applicable provisions
Resolutions to do work
been paid.
7l
Date (((( � Lot
IDate
ReceiptNo. t 1-151(0PERMIT
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
vvvr�v� vvr � vQ#-Nnlm'Gnl vr L)IvI51(JN
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538.7541 PERMIT NO.
Rev., Ati) APPLICATION AND PERMIT ' " .;
�G>�D -0(/(D
20004
'BUILDING PERMIT
o"""m
SO. F7. OCC. BUILD!
Y(3, VALUATION
etu.a, rAa.teV,17�
7707
-/f- ��9
o"TaucTmm Lmm
uuroo>rt YAasa ADON28
----------------
Firs lace
Total Valuation !
ARCMff C•T 001 DOW=
uc049 Ila
Filina Fee
S 20.00
AMC/er[M OR p.0a10 'l MUJW VORM
Permit Fee
S
Plan Checking Fee
S
of 1 A00Ads /
Energy Plan Checking Fee
S
i
PERMIT FEE
! -r
u±r110. eusayscr WAR
IAIICCL MAP
PLUMBING PERMIT
Filing Fee 20.00
� USEOFSTRUCTURE
Each Trap
7.00
Solar or heat pump water heater
23.00
F Duplex O Mobilehome O Other
SFW,
Water piping
15.00
et�r
Each as water heater or vent
15.00
TYPE OF WORK
Gas piping system 1 - 5 outlets
15.00
New O Addition O d O UM" O InaWation,, C3
Building "war
15.00
— —00 r--
W�
Mobile Home S G W
@20.00
Describe Work:
PERMIT FEE
!
ELECTRICAL PERMIT
I Filing Feel 20.00
env OR Main Service "CA Oft Lisa
23.00
Main Service 2004 to 1000A
46.00
Cas . owEUJt.O occv►.
OR ADD"& a ACC. •lilt.
3.Strt
NOWMIO. YulTF041r1�T
@7.50
�OYMQ APVP IJ•
i O pR
Eu. Occup. ouru:T 011 ncrum
20 a t'0°
aU b
Ex. Occup.IOfl0A"11O. oJ1
twnan oa. eJ►
5.00
Temporary Service
23.00
Moble Home Facilities
20.00
Disc. Wirina
23.00
PERMIT FEE
S
MECHANICAL PERMIT
Filing Fee 20.00
*PERMIT FEE PAID
_
Heating
SRA ' '
$
Cooling
SHERIFF
$
Hood
s.so
VenUletlon
OTHER
$
PERMIT FELE
.!
Mobile Home Installation Fee
!
Energy Inspection Fee
is
oc` "N`T' TMpeTOTAL FEES
Lk _
AMOUNT RECEIVED
`�
hAz D. RQ - 11800 COI .Alice! ro ef�
This permit Is hereby lowed under the applicable provisions
of the Butte County Code and/or
Resolutions to do work
*RECEIPT
/vJ^"
Indicated above for which fees have been paid.
NUMBER
* TO BE PVT INTO COMPUTER
By
Date
PERMIT EXPIRES ON
pole) _