HomeMy WebLinkAbout078-380-029-936 -o4-2PERM 1274
PROSISE, Joyce j.
3493 Oro Bangor Hwy, Oroville
Cont: George Roofing 3/��C�
Reroof/SF
PROSISE, George 908-67B
1476-67P
�3�93
n/s Oro Bangor Hwy. app. 1400' e. o -E,
OroviLle
COM: Ladd Const., 1363 Feather River Blvd.,
(neti si le family) 0roville
7
bo"I
<ir
...036-112-042, PERMIT#98-.127V
.TROSISE, Joyce,
'i,3493 Oro Bang0'r Hwy, Oroville
-..Cont: George Roofing
'Rero6f/SF 7 01,',J
N"IJ
I COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, Californ 95965 - Telephone (916) 538-7547 P R IT NO.
(Rev. 12/96) f
APPLICATION AND PERMIT - q$ -a4
ASSESSOR PARCEL NUMBER
ZONING
B DING PERMIT
OWNER
Joyce Prosise
TELEPHONE
533-5180
SO, FT, OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
3493 Oro Bangor Hwy, Oroville Ca 95966
3400 com 0.00
George Hoofing
53-N6393
CONTRACTOR'S MAILING ADDRESS
6810 Lincoln Blvd Oroville CA 95966
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $ 2040.00
ARCHITECT OR ENGINEER
LICENSE NO.
—Filing Fee
$ 20.00
Permit Fee
$ 54.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
lrr ol'jA°uro Bangor Hwy# Oroville, CA 95966
Energy Plan Checking Fee
$
PERMIT FEE
.$74.00
LOT NO.
SUBDIVISION'S NAME -
`PARCEL MAP
.-
PLUMBINd PERMIT
Fling Fee 20:00"
USEOFSTRUCTURE
SFY❑Y Duplex ❑ Mobilehome ❑ Other
SPECIFY
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 ❑ Utilities ❑ Installation nK Other O
Describe Work: Composition Shingles
Gas piping system 1- 5 outlets
15.00
sewer
15.00
—Building
Mobile Home S G W
920.00
PERMIT FEE
S
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 200AORLESS
23.00
LICENSED CONTRACTOR'S DECLARATION
1 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 forcedd effect.
l.— 3 7 L—��1 452266
License Class 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 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
vto;construct the project.
❑ x 1 ain exempt under Sec. i 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
performance of the work for which this permit is issued.
NI 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 worker=s c��pi nsiaaPy in�> [a� ce& r�er� nd p 1-.6,qu brr rre- Ot
Carrier
Policy Number 0537019
(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
fort it ply 1th those ovisions.— Date �"
ignaturr ' oP Applicant - ❑ ner.-O ntractor ' Agent
An OSRA permit is required for excavatianaover'5'0" deep and demolition or construction
structures over 3 stories in height.
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( 6 ACC. BLDS.
SO
3.5¢FT.
�" RX,Ds MULTI.OUTLET 97,50
POWER APPARATUS
8 SINGLE OUTLET CIR.
20 Q 1'00
Ex. Occup.OUTLET OR FD(TURES SAL p .50
NS
Ex. Occup. oU ETs RESID.OE.
5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE' 'S
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
HA2.
D. FEES
IMP
I FLOOD
I CDF
I PARCEL
I PD
HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES..ON
the applicable provisions
Resolutions to do work
been paid.
5;Tof
Date
4.
ltmr �/
Date '
Receipt No.
WHITE-D.D.S 6.D. CANARY --ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIVI N
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75 P RMIT 0.
-74
(Rev. 12'/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
ZONING
B ING PERMIT
OWNER
Joyce Prosise
TELEPHONE
533-5180
SQ. FT. OCC. BUILDING VALUATION
3400 comp 2040.00
OWNER'S MAILING ADDRESS
3493 Oro Bangor Hwy, Oroville Ca 95966
deorge goofing
533 -6393
CONTRACTOR'S MAILING ADDRESS
6810 Lincoln Blvd Oroville CA 95966
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $ 2040.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $ 54.00
ARCHITECT OR ENGINEERS MAILING ADDRESS -
Plan CheckingFee $
uu�� AArryyl�
4Ly3�Ur0 Bangor Hwy, Oroville, CA 95966
Energy Plan Checking Fee $
PERMIT FEE 5 74.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
SFS Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00
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 XIX Other ❑
Describe Work: Composition Shingles
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G I W @20.00
PERMIT FEE S
ELECTRICAL PERMIT I Filing Feel 20.00
Main Service zsonoALEss 1 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter
9 (commencing with Section 7000 of Division 3 of the Business and Professions Code,
( g )
and my license is in full force and effect.P
License Class C-39 , C-14 Lic. No. 452266
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.
❑ 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 200A TO 1000A 46.00NEW
CONST. DWELLING OCCUP. SO
OR ADDNS. ( a ACC. BS. 3.5¢FT.
ID
NOCONST. MULTI -OUTLET
NON-RESID. ORANCH CIRCUITS @@? 7.5D
OWERAPPARATUS
8 SINGLE OUTLET CR.
EX. OCCu OUTLET OR FIXTURES 20 Q 1.00
BAU @ .50
Ex. Occup. GLIx RESES J OR 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE S
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.
X19 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 wor ers' cpm en ation insurance rner and poljcy number are:
Carrier egiotpi Stcns Co. Cr0 American Patriot
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Policy Number WCI 0537019
(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
forPNIth Zoly w'th thospe� visions.
` L�of
ate C
natu Applicant ❑ ner ntrectorAgen
An OS ermit is required for exca over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $
HAZ.
D. FEES IMP
I FLOOD
COF
I PARCEL PD
I HD
ISSUE
This permit is hereby issued under the applicable provisions
the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
/ C
By Date 4 -/7--/
PERMIT EXPIRES N �7
Date
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT