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
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_.�, 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