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HomeMy WebLinkAbout025-030-04325-03-43 . • 3216-89P,M, ~ MALINOFF, George 73 Oakwood Lane, Orovi e ,.(install' gas furnace) f estanding r ;z t v 25-03-43 . • 3216-89P,M, ~ MALINOFF, George 73 Oakwood Lane, Orovi e ,.(install' gas furnace) f estanding r ;z LrD 25-03-43 3216-89P,M MALINOFF, George 73 Oakwood Lane, Oroville (install gas furnace) freestanding 4 Ito, SZ, O _.�, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERT NO.` 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 �/7 V APPLICATION AND PERMIT OOO ASSESSOR P CEL NUMBERING '--- S BUILDING PERMIT OER TELEPHONE N,€R'S MAILING ADDRESS ` /��(,ryJACC� ,SQA FT. DCC. BUILDING VALUATION CO TOR'S NAME F TELEPHONE C014TRACTOR'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 � '� h , Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 1 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each pas watembigaWwor 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 10.00e TYPE OF WORK New❑ Addition❑ AemodeI t'lities Installation❑ Other Describe work: = Y _ . Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service DooV OR LESS 100 AMP OR LESS 10.00 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 Chapt. 9, Div. 3 of the Business 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.& New CONSTR.� A OUTLET , h¢sgft U TI NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS Er SINGLE OUTLET CIR. Ex. Occu p OUTLETS OR FIXTURES SAL@30 90@530 Ex. OCCUp.FIXED APPLN S. R OUTLETS IRESID )EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 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. 0 I shall not employ any person in any manner so as to become subject :i - to the W. C. laws of California. -Notice to Applicant: If after making this statement,' should you become subject o 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 *�ppl`cation 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 CI ounty in consequence of the granting of this permit. - _ ,• X " ` Date %' : ' 7 Signature of Applicant - Owner g pp ❑ 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 $ occ CONST TYPE TOTAL FEE $ HAz CUA PARK SCHL ILD PAR PD HD This permit is hereby issued under sions of the Butte County. Code and/or work indicated abg4e fqr which fees C/ R�/ IR TQ F PUBLIC By C PE MIT EXPIRES Date the applicable provi- resolutions to do have been aid. p WORKS , Date //7 /, Receipt No. WMITE-D.P.W.. YELLOW -ASSESSOR PINK -INSPECTOR. GOLDENROD -APPLICANT F� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 A01"LICATION AND PERMIT P �RM T NO. r�- 69 A ASSESSOR CEL NUMBER VING BUILDING PERMIT ER TELEPHONE SO. FT. OCC. BUILDING VALUATION (.1�AILING DDR ESS CfW/6J `EJLEPHONE CO ACTOR'S NAME T C TRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 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 Filing Fee 10.00 Each Trap 2.00 TT r Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas wzir 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 10.00 e TYPE OF WORK New ❑ Addition ❑ emode1 ❑ ))IitiesR Installation ❑ Other Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑NON.RESID 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.SINGLE License No. Classification { (FIXED I�XYI 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) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.� AUC ) New ,h¢sgft CONSTR.( TII.OUTLET BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) OUTLET CIR. Ex. Occup( OR FIXTURES eAL030 2ALO 30 APPLNS, OR EX. OCCUp. OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. IYirin g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate ! CS 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 o 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 $ 16, tq 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 s�ount in consequence of the granting of this permit. %� '�, Date 7_ _I _ — 2,9 Signature of Applicant — Owner ❑ Contractor ❑ Agentwork 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 $ el 1)C2 occ CONST TYPE TOTAL FEE E HAZ CUA PARK SCHL PAR PD HD 1 S This permit is hereby issued under sions of the Butte County. Code and/or indicated abo a f07 which fees IR T PUBLIC BY PE MIT XPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date "y Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE.- Department of Public.Works 7 County Center Drive; broville, CA 95965 Phone: 916-538-7541 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. 1. I personally plan to provide.the major labor and materials for construction of the proposed property improvement ye or no) 2. I (have/have not) 111_� 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 Contractors 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 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 Securit Number ' Date(Ste�'1--5�� 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. +"-.:-r .: a, ; .e COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER / A. P. No. �S"d Proposed Building Use (BGG _Urj4a 0 0- Building Inspector Date 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. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit .................................... . 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21 Contractor's license information (No., Name Style, Classifications ... Certificate of Workmans Compensation Insurance ......... ... .... wner-Builder Verification (Given to owner 0, Mail to owner::.. v .Recorded copy of Agricultural Acknowledgment Statement Letter of signature authorization .............. :........ . 26. 27. When you issue the permit, rocess as follows: Mai o owner. Mail to con rac e old for pi up at ice. Deliver w/inspector. Other Applicant (/j/� I � "`�` Date Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 0 2. Additional items required: n Contractor, designer, owner, was advised of above required data by—phone _Mai[4—counter by ..date Contractor, designer, owner, was advised of above required data by —phone _maII—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in . File cabinet AP folder Copy—DPW