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Home My WebLink About078-220-052JIM BROCK 18 Rosita Way, Oroville Contr: no State Rfg aJ_o2-9� ermit#1445-87B(reroof/SF) S� ��g-aao-osa- 1 5Z ��- - _ 1. � �.= � �.. � � ao A A Permit#1445-87B Jim Brock 18 Rosita Way, Oro COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER _3( — S � r' ZON1N 4 -If BUILDING PERMIT OWNER TELEPHONE 4 SQ. FT. OCC. BUILDING VALUATION I:. fE OWNERS MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE J CONTRACTOR'S MAILING ADDRESS l r Fireplace CONSTRUCTION LENDER UNKNO�,W= f/ Total Valuation $ ,( Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 3 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 JW I I 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ElUtilities ❑ Installation[]Other ❑X Describe work: 2 /C _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service sooV 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): 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. yyGIClassification �% El 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.ad) yzdsgft OR ADDNS. ACC. BLDGS. / NEW CONSTR.U TI.OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS (POWER APPARATUS 6\ SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES 2ALO 30 eALs3o Ex. Occup. OUED APPLNS. R TLETS ((RESID,IEA.� 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 h Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. �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 shall be deemed revoked. MECHANICAL PERMIT Filing Fee 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. I also agree to save, indemnify and keep harmless the County of Butte against all Iiabilities;fjudgments, costs, and expenses which may in any way accrue against said'County in consequengd of e'granting of this permit. ' X �/�»�--�� - -� 1 Date 1 �� Signature of Applicant - �'OWner❑ Contractor ❑ Agent ❑ 1 An OSHA pe m t 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 $ TOTAL PERMIT FEE $ OCCUP, CONST.TYPEJ I IFLOODIPARCELI PD I NO I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE TOFi"OF PUBLIC C By. ` \ _ /�-� PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS r ,Date }' 7 N � 1v� '- �{ `' 7 Receipt N0. `' 3 35 7 WHITE-O.P.W., YELLO�OK. 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. J — ASSESS3JARCESsMBER,5_�Z Z° 14 BUILDING PERMIT OWNER -S TEL PHONE SQ. FT. OCC. BUILDING VALUATION 'ya MAILI G AD16 OW ER D SS CON R CTO NAM G zi T€LEP OLNE,,� �rJ7 JL Ta/ CO TRACTOR'SMAI NG ADD ES Gni/ , P Fireplace CONSTRUCTION LENDE UNKNO (� Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 3 rK '-- 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 SFX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW I 0.00ea TYPE OF WORK New ❑ Addition [:]Remodel ❑ Utilities ❑ Installation❑ Other ® Describe work: L &F _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service OOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare der penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professign cc Code a my license is in full forc and effect. License No. ZG Classification C- ❑ 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 OCCUP.&) yzQsgft NEW CONST. / DWELLING OR ADDNS. ACC. BLDGS. / 1 NEW CONSTR.ULT"OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS (POWER APPARATUS 6\ SINGLE OUTLET CIR. / Ex. OCcup�OUTLETS OR FIXTURES 20050t BAL030 Ex. Occup. OUTLETS (PRESID IREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin 15.00 g Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 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 shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling 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 liabilitie judgments, costs, and expe ses which may in any way accrue against s County in conse n oft granting of this permit.. X Date L�.1 Signature of A cant – Owner g p Contractor ❑ Agent ❑ An OSHA p rmit 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 $ TOTAL PERMIT FEE $ occUP, CONST.TYPEJ I JFLOOOJPARCrLJ PO NO 590E This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which DI TO OF PUBLIC BY PERa EXPIRES Date the applicable provi- resolutions to do fees have been aid. p WORKS Date �Jry Receipt No. WHIT!-O.P.W.. YELLOW -ASS eea R, PINK -INSPECTOR, GOLDENROD -APPLICANT