HomeMy WebLinkAbout021-190-016JOHNSON
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CHALMER & EVELYN JOHNSON �I�F /�C.�C � �O
807 Dewsnup, r?rid.ley
Permit#297-87E(ele/sf)
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OFFICE COPY
Address
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Date
ELECTRIC
a-71
Meter By
Dale
COUNTY OF -BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.,.,
r. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 r
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
j i �e /> ' 0
ZONING
,, `
BUILDING PERMIT
OWNER / j
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS ♦'
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
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
$
PLUMBING PERMIT
FiIingFee 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,.Q Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
0.00 ea
TYPE OF WORK
New❑ Addition ❑ Remodel❑ Utilities,0 Installation❑ Other ❑
Describe work: ' • '"� ! ' t'r . -4�
�,.
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP 00V OR ORSLESS
10.00
Main service EA. ADD'L 100 AMP
2.50 Z)
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business(POWER
and Professions Code and my license is in full force and effect.
License No. Classification
Q 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 CONST. DWELLING OCCUP.tr ,htsgft
New ODNS. A )
UL•TI -OUTLET
NON-RESID BRANCH CIRC ITS 2.50 ea
APPARATUS &)
SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 209600
eAL0 30
FIXED APLNS.
EX. Occup. OUTLETS P(RESID.)REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
," - .' /. I /J• t -
Permit Fee $
Contractor
r'� „• : i)
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
FiIirig Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
1 certify that I have read this%pplication 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.
1 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.
' •/ , -- G
X' ��✓_r'� - +� 0A•- al* 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 $
Energy Inspection Fee $
TOTAL PERMIT FEE $
OCCUP.
CONST.TYPEJ
FLOOD
PARCEL
I PD
ND
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. % r %
WHITE-D.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: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
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 ne additional explanation please contact this office immediately.
Inspector_ Date_I
COUNTY OF BUTTE
_ - DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2351
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
-3/7
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. It you have any question pertaining to this
matter, or need additional explanation, please contafit this office immediately.
Inspector_ Date_
J COUNTY OF` BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
fM IT N .,_;7
I
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OW ER c
T LEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER AILING ADORES
CONTRACTOR SNA E T EPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation js
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
$
BUIL NG ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
•
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PA EL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
S5�EW Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G W
10.00ea
TYPE OF WORK
New Addition❑ Re odel❑ Utilities.® Installation❑ Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 1000V OR 0 AMP ORLESS10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
1 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 CONST. ACC. BLDGs. DWELLING OCCUP.yd O�j
OR ACDNS. ()21/22sgft
NEW CONSTR ULTI.OUTLET
NO N.RESID BRANCH CIRC ITS 2.50 ea
POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 20050Q
eALe30
FIXED APPLNS.
EX. DCCUp. K
OUTLETS ((RESID IEA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. byirin 15.00
9
Permit Fee
Contractor
$
91
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.
fvl I shall not employ any person in any manner so as to become subject
J� 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
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 County of
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilit' judgments, costs, a xpenses which may in any way accrue
agai C ty in c nse uen the granting of this permit.
a--%
Date 8
Signature of Applicant — Owner (� Contractor ❑ Agent ❑
An OSHA permit is requir !dfor 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
FLOOD
PARCEL
PD
HD
99UE
This permit is hereby issued under
sions of the Butte County Code and/or
work ' dicated above for which
1 ECTOR OF PUBLIC
lI,.
BY J� ✓
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date R
���/✓
Receipt No. 77792
WHITE-D.P.W.. YELLOW-ASSE990R. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541
PERMIT APPLICATION DATA SHEET
/� - / / —T-_/ Permit No.
OWNER L'�G� //%7��P r �UG/�i/� _/l�4260_ , A. P. No. i� CPO - �c�
Proposed Building Use E1�55-7 Building Inspector Date a - ce -F7
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 "Fees 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:
7�Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner0, Mail to ownerEJ
—15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data.SLB
E s G Pre-Inspec. request To f
17. Pre -Inspection for LFG7 ` Required. Building Inspector
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit. '
x,20. Plot plan approval from city of
77115 41 -
22.
When you issue the permit, process as follows: Mail too,�,00l`wner, Mail to contractor.
V Telephone AM and hold for pickup at�6ff Deliver w/inspector.
Other
AppIica<t—_____ _ya 3" J
r,
Copy of plans sent Health Dept., Fire Dept., Ot er Date
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone_mail—counter by e
Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by �� date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
— Flours:/10:00 a.m. - 3:00 p.m.
Copy—DPW
COUNTY OF BUTTE - Department,of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541
r
OWNER -BUILDER VER IJkATION
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.
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 proposed work.
3. I have contracted with -the following person (firm) to provide the proposed
cons do :
Name
Address LCity
Phone Z7�r Z Contractors License No. Z Z
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 per-
mitted to issue the permit.
COUNTY 0 UTTE - DEPARTMENT 0'F PUBLIC WORKS �PEBMIT NO.,�
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 �J
APPLICATION AND PERMIT
ESSOR PARCEL NUMBER
,=;I/-/ - Oad
DrER
NER'S MAILING ADORES )
NTRACTOR SNA E
NTRACTOR'S MAILING ADDRESS
NSTRUCTION LENDER
.NDER'S MAILING ADDRESS
'CHITECT OR ENGINEER
ICHITECT OR ENGINEER'S MAILING ADDRESS
J ILYG
O 7 eva
1
HONE I SO. FT.
HON
BUILDING PERMIT
OCC. I BUILDING VALUATION
Fireplace
UNKNOWN Total Valuation It
Filing Fee
Permit Fee
LICENSE No. Plan Checking Fee
Energy Plan Checking Fee
Penalty
Permit fee
0T NO. SUBDIVISION NAME PA EL MAP
USE OF STRUCTURE
Duplex[] Mobilehome❑ Other SPECIFY
TYPE OF WORKcc��,,
lew ❑ Addition ❑ Re odel ❑ Utilities. § Installation ❑ Other ❑
e'c2P
iescribe work: —
PLUMBING PERMIT
Each Trap
Solar or heat pump water heater
Water piping
Each qas water heater or vent
Gas piping system 1 - 5 outlets
Building sewer
Mobile Home S I GT W
Permit Fee
Contractor
ELECTRICAL PERMIT
Main service eoov OR LESS
100 AMP OR LESS
Main service EA. ADO'L too AMP
CONTRACTORS LIC LAW
NEW CONST. / DWELLING OCCUPM
OR ADDNS. 1 ACC. BLDGS.
declare under penalty of perjury (check one):
NEW CON5T rUTI.OUT LET
NON.RESID BRANCH CIRC ITS
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business(SINGLE
OUTLETTCUSIR.e)
and Professions Code and my license is in full force and effect.
Ex. Occup(OUTLETS OR FIXTURES
License No. Classification
FIXED APPLN5. OR 1
EX. Occup. OUTLETS (RESID.EA.�
❑ 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
Temporary service
for sale. (Sec. 7044)
Mobile Home Facilities
❑ I, as the owner, am exclusively contracting with licensed contract-
Misc. Wiring
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
-C
■ / 1 1
Permit Fee
for this reason
Contractor
WORKMEN'S COMPENSATION INSURANCE
MECHANICAL PERMIT
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
a Certificate of Workmen's Compensation Insurance or a Certificate
Cooling
of Consent to Self -Insure.
fvl I shall not employ any person in any manner so as to become subject
Hood
J0 -'J 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.
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 liabillt' , judgments, costs, a xpenses which may in any way accrue
agai )d C ty in conse uen the granting of this permit.?
Date '- ✓ —-%
Signature of Applicant — Owner VQ Contractor ElAgent ❑
An OSHA permit is requir d for excavations over S'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. CON ST.TTPC I I FLO
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
%770? By
Receipt No. PERMIT EXPIRES Date
WNITL-O.P.W., TALLOW-A38t;ODOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
Date
1
■ / 1 1
_
11
■ 11
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
%770? By
Receipt No. PERMIT EXPIRES Date
WNITL-O.P.W., TALLOW-A38t;ODOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
Date