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HomeMy WebLinkAbout024-290-002X COUNTY OF BUTTE - DEPARTMENT OF U VELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 024-2 — ZONING BUI ING PERMIT OWNER JAMES SCOTT VATICTIN TELEPHONE B46-6662 SO, FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 30 @ 60 1,80u.ou CONTRACTOR'S NAME SLFLP TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 41.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 17 HOLLIS LN PERMIT FEE $ 61.00 GRIDLEY, 95948 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF GX Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other it Describe Work: REROOF W MIP PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 2OOV OR LESS ) 0OA OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OR ADDNS. ( 8, ACC. OP. BLDS.CCU) 3.50FSTD,. NEW CONST. MULTI -OUTLET •NON -NON ( BRANCH CIRCUITS ) @7.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business andEx. Professions Code and my license is in full force and effect. License No. Classification A 1, as the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason ( POW ER APPARATUS ) B SINGLE OUTLET CIR. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. .50 Ex. FIX ED APPWS. OR Occup. OUTLE (. ) TS (RESID.) EA 5.00 Temporary Service 23.00 Mobile Home Facilities.00 Misc. Wiring JE2�ff.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. g� )k I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 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 Butte County Ordinances and California 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 a penses ich may in any way accrue against said Cou ty i I consequ c of t e gr /ting of t is permit. 0 X I'�- L � Date L U 17— � Sig ure of Applicant - ❑ Owner ❑ ontractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ DCC CONST. TYPE TOTAL FEE $ 61.00 . Z. D. FEES IMP FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have be n paid. BY Date /0 9 PERMIT EXPIRES ON ZV_7 Darel j °� O / r Receipt No. 1 ! ! (a WHITE-D.D.S.-B.D. CANARY -ASS SOR PINK -INSPECTOR GOLDENROD -APPLICANT lim -^w'1�a�,,,i�i,�;,��•�,,�,y�rw{ry-• ,-_,, � -. w ..... -, i� `� ,� .-.. r n . - � .,�..r c ..... ^rr .•. ! . COUNTY OF. BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Cifi ornia 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATIONS AND PERMIT qfz- U ASSESSOR PARCEL NUMBER ) 024-2 0-00 ZONING s.vA BUILDING PERMIT OWNER ! �] 1.1 .. - LZ , _ r - TELEPHONE SQ. FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS ��`�` 17 TS IN GRIDLIRY,Q la C CONTRACTOR'S NAME SLELF TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 41.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ' Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 17 HOLLIS 1N PERMIT FEE S 61.00 ,l GRIOI,�+ �Sg4� PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15,00 Each gas water heater or vent 15.00 USE OF STRUCTURE I SF M Duplex ❑ Mobilehome O Other r SPECIFY r Gas piping system 1 - 5 outlets 15.00 Building sewer, 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel O Utilities O Installation ❑ Other (9 +"r Describe Work: REROOF W/COMP PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 4r, ' Main Service 101 OR LESS I 200A OR LESS ) 23.00' ' Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUR OR ADONS. ( & ACC. BLOS. ) SO. 3.5C FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1 I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O I am exempt under Sec. Business and Professions Code forthis reason .NEW.CONST. MULTI -OUTLET NON RESID. I BRANCH CIRCUITS ) /''@7.50 ( POW ER APPARATUS ) & SINGLEOUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. 50 FIXED APPLNS. OR Ex. Occup' O ( UTLETS IRESID.I EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. �1 I shall not employ any person in any manner so as to become'subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor _ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 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 Butte County Ordinances and California State Laws relating.to building construction, and hereb�i authorize representatives of the County of Butte to enter upon the above mentioned property for inspection p'u'rposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses ich may in any way accrue against said Co � ty in consequ nce of the granting of tris permit. X /� , v Date 10-17-9 t Signa ure of Applicant - ❑ Owner NO ontractor O Agent AnrOSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in.height. _ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE S 61.00 e HAz. D. FEES IMP ! FLOOD r COF PARCEL PO HD ISSUE c This permit is'hereby�issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. > r. , Date /D PERMIT EXPIRES ON ��( Datel Receipt No. f -70 V WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT M L70 -- oe) <2 COUNTY OF BUTTE Department of �wefopment Services Building Division Oroville: _ 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 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. x I.. I personallyplan to provide the major labor and materials for construction of the proposed property improvement ( (yes or no) 2. I (have/have not) . Mel signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractor's License No. 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 Contractor's 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: I Property Owner U Social Security Num er Date to -1.3 — R �( 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.