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