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HomeMy WebLinkAbout078-220-04803*-l5-T'-M 00-1.942 SERRANO, MIKE 36 ROSITA , OROVILLE CONTR: ALLADIN ROOFING RE ROOF 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 DO ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION 25 i599.09 . OWNER'S MAILING ADDRESS CONTRACTOR'S NAME= AT-T-AT)TN ]ROOFING :29-34— E CONTRACTORS MAILING ADDRESS 11595 DVJIER PEAK RD, ORO 95965 CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ 1500.00 ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ 35.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINc}�DR?S .�� AA1l��11 Energy Plan Checking Fee $ $ PERMIT FEE $ 55.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other EX Describe Work: RPROOP COMP 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 Filing Fee 20.00 Main Service 200,,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 ' full force and effect. ��[XO License Class —3 Lic. No. OWNER -BUILDER DECLARATION 1 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. ❑ 1, 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 zoo,, To ,000A 46.00 NEW CONST. OWEWNG OCCUP. OR ADDNS. ( a Acc. BLDs. SO So 3.52FT. NPN RESIDT MULTI -OUTLET 97,50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES B20 p 1.00 FIXED APP WS. OR Ex. Occup. ourLErs RESID. 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'mpe satin insurance carrier and policy number are: Carrier 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.) ❑ 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 com I with those provisions. X Date j S dam_ Signat re of Applicant - 10 OwnerContractor ❑Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures 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 $ 55.00 HAZ. I D. FEES IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indic e ve or w ich fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been i . Qate oD zm Det Receipt No. 3n254�/�i55_nn WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 P o Rev. 12,96) APPLICATION AND PERMIT X- ""d'O"'""""""' '0"1O BUILDINGPERMIT ow m ` _ o BUILDING VAUUATION L&VOrS VARM Appy Fireplace t Total Valuation i ARS OR 010011M - LcacE No. Filing Fee t 20.00 ARCHITIOCT pr 0001141=1 VAAJW ACOPM Permit Fee $ Plan Checking Fee $ M ONOAW7 Energy Plan Checking Fee = i PERMIT FEE _ �—� -- LOT NO. sueayswrs►wrc P""0eL WAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE Each Trap 7.00 Solar or hent pump water heater 23.00 j SF 0 Duplex O Moblehome O Other Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK Gas piping system t - 5 outlets 15.00 New O Addition a Remod U0d" a Installation a Oth o Building sewer 15.00 Describe Work: Mobile Home I S I G I W @20.00 PERMIT FEE _ ELECTRICAL PERMIT Filing Fee 20.00 Main Service = on t ss 23.00 a Main Service aow TO 1000A 46.00 �V I � ►Aw CONST. ow�a+o occuP. 3.54=so RECEIPT # . /l O O �a+s• a ACC. el4s. NtW VIUMT.NULTFOUTLET NONAES10. Q7.50 PERMIT FEE $ `� a°3#9 OWER AOUTIJE c 011RlT OR m-rustEs 200 1.00 EX. OCCU yAL a ,Sp FIXESRA $ EX. OCCU OUTLETS ESIO OR 5.00 Temporary Service 23.00 SHR $ Mobile Home Facilities 20.00 Misc. Wiring 23.00 CSA 87 $ r � PERMIT FEE _ CUA $ MECHANICAL PERMIT Fling Fee 20.00 TUA $ l Heating I I Coolie REC $ / Q�� Hood 0.50 • � Ventilation OTHER: PERMIT FEt: t Mobile Home Installation Fee = Energy Inspection fee = occ coNsT. TYPE TOTAL FEE $ —" K4Z 1 0. PEES WP I RAOo I COP PARCEL PO No GSUE This permit is hereby Issued under the applicable provisions TOTAL $ of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. By Date �-- PERMIT EXPIRES ON — c fib 60-194-2 S9TZANO, MIKE 36 ROSITA , OROVILLE CONTR: ALLADIN ROOFING RE -ROOF A ,. ... r•' .. .. •:.'�)a"'�i3.�a.a"gR=.:.. .ti.`.! :`T �t':.. •.:`ti�- - --w::r �:-:ice- . .'{�', ., i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT N0. (Rev. 12/96) APPLICATION AND PERMIT ��-� ASSESSOR PARCEL NUMBER n—AA--C ZONING BUILDING PERMIT OWNER M R SERR t+ TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS ZA 4 A CONTRACTOR'S NAME - AT.T. TELEPHONE 99_ ! CONTRACTORS MAILING ADDRESS '"'05il/t fl c 963 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Ellin Fee $ 20.00 Permit Fee $ 35.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ 55.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other sPECWY 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 ❑ Ublifies ❑ Installation ❑ Other Describe Work: MOOF CW Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I WF_ @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200AORLESS 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.POWER License Class (1-37 Lic. NO. i 3 �I 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 POOR TDI 46.00 NEW CONST. DWELLMIC9 OCCUP. U OR ADDNS. ( a ACC. eLOs. SO 3.5¢FT: T. NON-REO,SID. RANCHO CIRCUITS P7.50 APPARATUS a SINGLE OUTLET CI R. OCCU CUTLET OR FocrUREs @'•0000 B20 . 50 Ex. Occup. ounEis(RES, 6.) 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 .�-7W7--• F,..4 Policy Number 11Y7-7 (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. yyr X yl +'7 . �� Date ��' / — /ii� Signature lof Applicant - ❑ Owner O'Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures 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 $ 55.00 HAZ. p. FEES IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte_County Code and/or indicgted 6 've or w ich fees have By �' � PERMIT EXPIRES ON V ' the applicable provisions Resolutions to do work been i . 'Date DV 'Date Receipt NO. 302543/$55.W WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT