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HomeMy WebLinkAbout005-467-008V RNON BEICH 2 41 Elm St:- , Chico Fr041 0b, Of Permit#164-84E(ele ser/SF) t .14 • t I OFFICE COPY Address GAS Meter By Date E L E C T'll i� - Meter By Da COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. - 7 County Center Drive - Orovillell, California 95965 -Telephone 916/534-4541. �' APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER 1.'r" - I /I i J/ , f 74 TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 'LENDER'SMAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S I G I W10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities 0 Installation ❑ Other ❑ Describe work: Z Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 60OV OR LESS 100 AMP OR LESS 10.00 - Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 21/20sq It CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑ I 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. Classification ❑ 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 NEW CONSTR ULTI-OUTLET 2,50 ea NON.R ESI. BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS &'\ NON.RESID. %SINGLE OUTLET CIR. / RES BAL030 Ex. Occu ZAL@30 FIXED ASPPLN5x OR Ex. OCCUp. OUTLETS (RESID.) EA.) 2.00 P. Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 - ,•� Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 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. 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 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 against said County in consequence of the granting of this permit. - X Date - Signature of Applicant — Owner © Contractor ❑ 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 $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD I NO 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 paid. WORKS Date Receipt No. % l WHITE-D.P.W.• YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE r DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 53413541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE V—P c/- A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office Immediately. C //zDc// r/z / ,rj -, %%,9� v f' c✓ ii s. T/_ Inspector Date/ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Californ•ra 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT • /PERMIT N0. ASSESSOR PARCEL NUMBER d ZON �� Z,07 BUILDING PERMIT OWNER D ` / T LEPHONE SQ. FT. OCC. BUILDING VALU I N OWNER'S MAILING ADDRESS 2 IF / CONTRACTOR'S ��N99A{�ME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN , Total Valuation $ Filing Fee $' 10.00 Il_EVER'S MAILING ADDRESS 4- Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$' Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $. BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 elLb� Water piping 5.00 LOT NO. SUBDIVISION NAME' PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF Duplex ❑ Mobi lehome ❑ Other - SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ . Utilities �g Installation ❑ Other ❑ Describe work: 400 X4,0 oe S ����`p� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100v OR LESS AMP OR LESS 10.00 C)"100 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 21/20sgft CONTRACTORS LICENSE LAW + I de0are under penalty of perjury (Check one): ❑ I 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. Classification ❑ 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) ossa (Sete owner, at exclusively contracting with licensed contract- ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI.OUTLET 2,50 ea NON.RES'D BRANCH CIRC ITS, NEW CONSTR POWER APPARATUS &' NON.RESID. SINGLE OUTLET CIR, Ex. OCcu 200S0a TS OR FIXTURES 9AL®30 P. FIXED APPLNS. OR FIXED Ex. OCCUp. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 /SGS �� O ,dv 06 Permit Fee $ 5-40166 Contractor MECHANICAL PERMIT Filing Fee 10.00 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. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is orrect. I agree to comply to all County Ordinances and State Laws relating to . uI Id,ing 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 conseque of the granting of this permit. X < r-. _ p _� �_ -� 10-x-- p = Date Signature of Applicant — Owner ContractOr ElAgentF-1work An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $�� OCCUP, GROUP I TYPE OF CONST. PARCEL PD NO ISSUE This permit is hereby issued under sions of the Butte County Code and/or indicated above for which DIRECTOR OF PUBLIC BY P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date %-2-5— FLI _ /—�3—�J Receipt No. `l % �% WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT t � 4 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 nameand bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No -building permit will be issued until this verification is received. 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) signed an application for a building permit for the propo ed work. 3. I have contracted with the following person (firm) to provide the proposed construction • n Name Addre z City ' •Phone �Contr�actor�sLic�enseNo. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit.