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HomeMy WebLinkAbout005-407-0020 5-407-02 BROW �. GEORGE PALMER &ELEANOR BROWN 1408 Jackson St, Chico r Permit#524-87E(ele ser ch/SF) 3/a/ff7 4 ¢ .'. It I s • 4� i Y 0 w II! I �I k I' 7 2 • � us .s��Z f-' � �., .moi Y •�'/7a`� �V/l VI ^"� � ►�/I VWY` OFFICE COPY Address GAS Meter By Date ELECTRIC Meter ByDate COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 I '7 APPLICATION AND PERMIT ' ASSESSOR "RCEL NUMBER (_ ...-..-SII ();a ZON G i� jq� BUILDING PERMIT OWNER TELEPHONE S0. FT. OCC, BUILDING VALUATION OWNER' fAI INt4�DDRESS CONTRACTOR•5 NAME n 1.. ► •. , TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER N,i� UNKNOWN Total Valuation $ FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR yENGINEER ✓t/ �%1 LICENSE NO. Plan Checking Fee $ Ener Plan Checking Fee Energy 9 $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 r 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 S I G W O.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilit'es ❑ Installation❑ Other ❑ Describe work: %�- f S ( Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 1000 . Main service EA, ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): EJI am licensed under provisions of Chapt. 9, Div. 3 of the Buslnes$ and Professions Code and my license is in full force and effect. License No. Classification F] 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) Fl am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.8d , OR ADONS. ACC. BLDGS. iosgft NEW CONSTRMULTI-OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS &) SINGLE OUTLET CIR. Ex, OCcup(OUTLETS OR FIXTURES 5AL@ eAL00 3 Ex. OCCup. OUTLETS P(FIXED RESID INS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 /.-- c,,,3 tJ . r. S/� i . &* Permit Fee $ 'z,. u. . Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I 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 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 liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X �. Date • i Signature of Applicant — Owner [IContractor❑ Agent ❑ ' An OSHA permit 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 $ occu P,CONST.Tr PE FLOOD PARCEL PD HD I ISSUE ' This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been aid. P WORKS Date Receipt No. 7 % WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751' 7 County Center Drive, Oroville — Phone: 53411541 'Skyway and Elliott Road, Paradise — 'hone: 872-2961, Ext. 57 CORRECTION NOTICE 146 A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be co-rected. Please notify this office when correction of work is completed. If you have any question pertaining to this matt or need additional explanation, please contact this office immediately. i Inspector_._A-" Cate l COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER �. (� 0;;)_ v V ZON '� \ BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC.1 BUILDING VALUATION OWNER'S ILIN ADDRESS r /3'l.a.r0 3raw� CONTRACTOR'S NAME (Ouj ,) lJe,rME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTI U LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S AILING ADDRESS Permit Fee $ ARCHITECT O NGINEER LICENSE No. Plan Checking Fee ,$' Energy Plan Checking Fee $ ARCHITECT/OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Glc 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 Is G W 10.00ea TYPE OF WORK New ❑ Addition ❑ Remoddel ❑ Utilit' s ❑ Installation❑ Other ❑ Describe work: fe,.a'1 G Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service V OR LE 1000 AMP ORSLESS 10.00 16, (!,.> Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Ciapt. 9, Div. 3 of the Buslnes$ and Professions Code and my license is in full force and effect. License No. Classification �i, as the owner, or my employees wtth wages as their sole compen- sation, will do the work,and the strLcture is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively cor;tracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST.(DWELLING OCCUP.a4 , OR AODNS. ACC. BLDGS. hOsgft NEW CONSTR. MULTI -OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 200501 eAL030 \\ Ex. Occup. OUTLETS (RESID )REA.J 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc �yirin g 15.00 ,qp r- ti Permit Fee $ ua WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) -or less. ❑ I have placed on file with the Cour-ty 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. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g 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 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 liabilities, judgments, costs, and expenses which may in any way accrue agains said County in consequence of the granting of this per �A',� it. � X �` Date Signature of Applicant — Owner Contractor ElAgentk An OSHA permit 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 $ J'p, U� occuP. CONST*TYPEJ FLOOD PARCEL PD I ND ISSUE This permit is hereby issued under sio the Butte County Code and/or 6% for which i ' atVETOROF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. % % Cf 'X7 WHITE-D.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR, %OLDENROO-APPL I CANT �_I. t•u, .>r.rCi`,,,,:,^z,il�t,r%.•..�.-.-wt.,.-:..-eli+a,* ',,� .''��^.�:�f4r�� .f?R"',�`'yi5t}f: '�.. ,v � .� ,i,�.i. s COUNTY OF BUTTE - DEPARTMENT.- OF, P.UBLIC WORKS - BUILDING DIS JIS�ION 7 COUNTY CENTER DRIVE - OROVILLE, GA61FORNIA 95965 - TELEPHONE: 916/5,34,-4541 PERMIT APPLICATION DATA SHEET Permit No. OWNER 62eo,-a.2. G A. P. No. — Y07 — 02 Proposed Building Use S� S/ Building Inspector Date a 3 c"- At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . 2. Plot plans in duplicate./triplicate, signed by preparer of plans. . 3. Complete plans in'duplicate/triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fee's Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . , 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ), —15. Improvements may be required. . . . . . . . . , , Mobi lehome Installation ^Data. Pre -Inspection for— /�G� •�/� Pre-Inspec. request — (Date p Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. 22. When you issue the permit, process as follows: +/Mail to owner, Mail to contractor. Telephone and hold for pickup at office, Deliver w/inspector. Other Applicant �LeeF-1 ') ��r e -urate 7 Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by -�phone�nail_counter by date Contractor, designer, owner, was advised of above required data�by phone_mall_counter by date Plans checked by Copy—DPW Date ans approved by Sets of plans on hold in File cabinet .1 AP folder Date — Flours: 10:00 a.m. - 3:00 p.m. COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: .An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. i '1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) A A -U signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction: me Ad ress City Phon Contractors License No. 4. I plan t rovide portions of this work, but I have hired the following person to coordina supervise, and provide the major work: Name Address City Phone Contractors License No. 5. 'I will provide some of t work but I have contracted (hired) the following persons to provide the work 'ndicated: Name Address Phone Type of Work Signed: I� Property Owner' L4' a.A, Social Seur'ty Number Date ��7 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. 1 This verification must be completed and returned to our office before. we are per- mitted to issue the permit. •i TO: Building Department FROM: Environmental Health, Chico SUBJECT: Sanitation Clearance Owner Location Hca AP# Plan approved .for: sewage disposal L--' water supply Hold final.for: water supply Final clearance O.K. for: water supply Clearance fore- _bedroom mobil ho Other. Note*** Sanitarian 2 -- 2 2. Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, C,alifprn'a 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PARCEL NUMBER ZO i\ .$$ESSOR BUILDING PERMIT TELEPHONE T S0. FT. OCC. BUILDING VALUATION )WN ER OWNER'S )LIN ADDRESS (, \rel l- � / ILI a- i- 4-1 Y J CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTI LENDER UNKNOWN t Total Valuation $ I Filing Fee $ 10.00 LENDER'S AILING ADDRESS Permit Fee $ ARCHITECT O NGINEER - LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHIT CT R ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1ZC S r Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 h u Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 7 Each clas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE 5.00 Building sewer SF� Duplex ❑ Mobi lehome ❑ Other - SPECIFY , Mobile Home S G W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilit;es ❑ Installation[] Other ❑ Permit Fee $ f — Contractor Describe work: i 1 PERMIT ELEW Filing Fee 10.00 . ✓�"' LESS Main seOR LESS 10.00 Main ser'L 100 AMP 2.50 CONTRAC C E NEW COING OCCUP.ti� ADOLDGS. 1/z0Sgft I declare under penalty of perjury (ch_ k one)' '�AOR NEw CONSTR ULTI.OUTLET NON-RESID BRANCH CIRC ITS 2,50 ea ❑I am licensed under prov' S 01 hapt. 9 Div. 3 of the Business (POWER APPARATUS e) SINGLE OUTLET CIR. and Professions Code and my license is n full force and effect. Ex. Occup(ou TLETS OR FIXTURES z0®s0C I., '@ License No. Classificati n I, as the owner, or my plo s,with w _ t their'sole compen- sation, will do the wor dAVtructure not in r If ed FIXED APPLNS. OR Ex. OCCup. OUTLETS (RESID.) EA.) Temporary service 2.00 10.00 for sale. (Sec. 7044) Mobile Home Facilities 15.00 ❑ 1, as the owner, am ex' Ivontra0ing with licensed contract Misc Wiring 15.00 ;�Ic� ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code Permit Fee $ !J Z_ for this reason Contractor WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT Filing Fee 10.00 I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. Heating ❑I have placed on file with the County of Butte Building Department Certificate a Certificate of Workmen's Compensation Insurance or a Cooling of Consent to Self-Insure. ®I shall not employ any person in any manner so as to become subject Hood 3 to the W. C. laws of California. Ventilation Notice to Applicant: If after making this statement, should you become subject Permit Fee $ to the W. C. provisions of the Labor Code, you must forthwith comply with such Contractor provisions or this permit shall be deemed revoked. Mobile Home Installation Fee $ I certify that I have read this application and state that the above information Energy Inspection Fee $ is correct. I agree to comply 'to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot TOTAL PERMIT FEE $ Sb �t_J Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnity and keep harmless the County of Butte against Occup. CORST.TYPc IFLOODIPARCEL po Ho 39UE all liabilities, judgments, costs, and expenses which may in any way accrue againsA said County in consequence of the granting of this per;nit This permit is hereby issued under the applicable provi- Date sions of the Butte County Code and/or resolutions to do �(���� Owner Contractor ElAgentwork indicated above for which fees have been paid. Signature of Applicant — DIRECTOR OF PUBLIC WORKS An OSHA permit is required for excavations over 5'0" deep and demolition or construct- of structures over 3 stories in height. By Date eipt No. rR Date •fn, �. w., Txl t. ':!!,•lpe C`fn- vl:ir _i5c�4}.rnla •. ftki L•'tikV ROU-ApPLIC'AMT. PERMIT EXPIRES _