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HomeMy WebLinkAbout021-190-016JOHNSON -NF ,, Q CHALMER & EVELYN JOHNSON �I�F /�C.�C � �O 807 Dewsnup, r?rid.ley Permit#297-87E(ele/sf) f Ar �f t r 0 OFFICE COPY Address %&4 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