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HomeMy WebLinkAbout078-310-018JACpp ON, DAVE 2577 V_BRD OROVILLE CONT: DENNIS h,ORTOT REROOF JACOBSOhI, C.M. ..,... 31368 2581P 3400E 1 2577 V-6 Rd.,.Orville CONTR: Gene Martin, 2937 Oro Garden Ranch Rd., (new, sin le family)p Oroville, �. y .:1+�, pace f..:E.��4-.K`. • . .--.. .,,�„� f..+....r.•.w f r _ 030 1 03-2970 JACOBSON, DAVE 2577 V-6 RD, OROVILLE CONT: DENNIS NORTON REROOF ,r � r t 030 1 03-2970 JACOBSON, DAVE 2577 V-6 RD, OROVILLE CONT: DENNIS NORTON REROOF a (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 n�.. APPLICATION AND PERMIT V , Epm'rv� ASSESSOR PARCEL NUMBER 036-101-064 ZONING BUILDING PERMIT OWNER JACM-MNO DAVE TELEPHONE 534— 1 SO. FT. OCC. BUILDING VALUATION Cd 00 2100.00 OWNERS MAILING ADDRESS 2977 V-6 Rn, OROVITTE 95 CONTRACTOR'S NAME TELEPHONE 514-11489 CONTRACTORS MAILING ADDRESS 4%0 VE RDI ORCULIE Q6i CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ 2100.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 54.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS RD, ORMITE$ Energy Plan Checking Fee $ PERMIT FEE $ 74.00 IAT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: RE—ROOF W10W Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 600VMain Service A 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. �] License Class Lic. NO. � i —i G' ` OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury tthat 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 TO lOooA 46.00 W:L200A NEW CONST. DWEWNG UP. OR ADDNS. ( DW: ACC. BLDS. SO 3.5Q�: R61pT. MULTNEW.I OUTLETITS 97.50 POWER APPARATUS a SINGLE OUTLET CIR. EX. OCCU OUTLET OR FOTTURES BAIL Q I. 0 FU(ED ALNS. OR Ex. Occup. ouTLETs PPRESIO. EA S.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 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 comply with those provisions. ` X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ 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 $ 74- CO HAZ. D. FEES IMP — _ FLOOD _ CDF _ PARCEL _ __ _ PD HD ISSUE yr This permit�is hereby issued under of the Butte CountylCode and/or indicated labo' a for which fees have i I By f - PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been paid. Date - Date ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT ./ (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75416:9 APPLICATION AND PERMIT ..// ASSESSOR PARCEL NUMBER 036-101-064 ZONING BUILDING PERMIT OWNER TELEPHONE — SO. FT. OCC. BUILDING VALUATION 3S 6O 2100.00 OWNERS MAILING ADDRESS 9977 V_-6 RD, OROVIIIE 95966 CONTRACTOR'S NAME DFNNT(; NORTON TELEPHONE 534-1480 CONTRACTORS MAIUNG ADDRESS 4960 VE RD, Ta' 95966 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 2100.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 54.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS _2577 144 RD7 QRQ�ql_l _9 Energy Plan Checking Fee $ $ PERMIT FEE $ 74.00 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: RE -ROOF WCOMP Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 600VOR LE Main Service zo A 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 i L71 force and effect.✓ q License Class Lic. No. ?q -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 46.00 V NG CCU000A NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLDS. SO 3.5¢FT, NEW CONST. MULTI.OUTLET NON•RESID. @7.50 sPs WEER o QTc R Ex. OCCU OUTLET OR FIXTURES B @' 0 q OWNER Ex. Occup. ouTiFrs PM.) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION I 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. ❑ 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 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.) I 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 erscompensatio rovis' ns Of section 3700 of the Labor Code, I shall forth ' h comply w' thos pro ions. V) rDate �' - ' Signature of Applicant - Owner DIContfactor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 storiesin ei ht 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 $ 74.00 HAZ. D. FEES IMP FLOOD CDF PARCEL I PD HD ISSU is perm- hereby 'ssued under the of Bu unty ode and/or indicat d a o fo ich fees have By PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. % Dqfte IS Receipt No. WHITE-D.D.S.-B.D. A RY-AS ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT i PERMIT FEE PAID $ SRA $ SHERIFF $ OTHER $ AMOUNT RECEIVED $ DATE RECEIVED RECEIPT # 3qD 631 PERMIT FEE $ COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville,,California 95965 • Telephone (530) 538-75413. MIT Noy) APPLICATION AND PERMIT ll (0 (Rev., 2/86) 23.00 ZONING ASSESSORPARCELNUMB 3 / -� D I .�• D�ja BUILDINGPERMIT E OWNER::j-1 _ Qr^"A -A� 3 r2^, �J I/�JI Yip /l7-ADDRE SO. B DI G VA ATION - OWNERS S fl �) 5� 1 _ ' cc r L 5, a ACC. BLDS. D S CO NEW, O,.^ ( CONSTRUCTION LENDER 07.50 Hood Fireplace LENDERS MAILING ADDRESS Total Valuation $ ARCHRECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BuaDMGADDRESS 6AU Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Feel 20.00 Each Trap 7.00 USEOFSTRUCTURE Solar or heat pump water heater 23.00 SF ❑ Duplex [3Mobilehome E3 Other Water piping 15.00 15.00 SPECIFY Each gas water heater or vent TYPE OF WORK Gas piping system 1 - 5 outlets 15.00 New ❑ Addition ❑ Remodel ❑ Utirlties ❑ Installation ❑ Othh %� Building sewer 15,00 V Mobile Home S G W Describe Work: PERMIT FEE PAID $ SRA $ SHERIFF $ OTHER $ AMOUNT RECEIVED $ DATE RECEIVED RECEIPT # 3qD 631 EX. OCCU . OUTLET OR MURES PERMIT FEE $ Ex. Occup. Lmt�s"P(PLM �ea ELECTRICAL PERMIT I Fling Feel 20.00 Main Service ?AOA OR LESS 23.00 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCWP. 3.5QF OR ADDNS. a ACC. BLDS. Heating NEW, O,.^ ( _ MUL7nT!ET 1 07.50 EX. OCCU . OUTLET OR MURES flAL @ .SO Ex. Occup. Lmt�s"P(PLM �ea 5.00 Tem or 23.0 Mobile Home Facilities 20.99 Wisc. Wiring 23.00 HAZ PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating PD Cooling I ISSUE Hood 6.50 PERMIT FEL $ Mobile Home Installation Fee $ Energy Inspection Fee $ c:C coNST. TYPE TOTAL FEE $ �— HAZ D. FEES IMP FLOOD CDF pARCEl PD HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON (Dale)