HomeMy WebLinkAbout026-050-008`
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--`- ~—PHILLIP NEL S ON
—
'AVAZX-
026-050-012 99-1628
NELSON, Philip E.,
6880 Melvina Avenue, Palermo
Contr: Owner
New Electrical Service
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--`- ~—PHILLIP NEL S ON
—
'AVAZX-
026-050-012 99-1628
NELSON, Philip E.,
6880 Melvina Avenue, Palermo
Contr: Owner
New Electrical Service
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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
" 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PER r
(Rev. 12/9'6) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 026-050-090 008
ZONING
BUILDING PERMIT
OWNER
PHILIP NELSON
TELEPHONE
533-9624
SO. FT. OCC. BUILDING VALUATION
. OWNERS MAILING ADDRESS
P.O. BOX 233, PALERMO, CA 95968
CONTRACTOR'S NAME
PAULS ELECTRIC
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
[Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDINGADDRESS 6880 MELVINA, PALERMO
Energy Plan Checking Fee
$
$
I
PERMIT FEE
$
LOT NO.
'
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF IQ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities 1� Installation ❑ Other ❑
Describe Work: NEW ELECTRIC SERVICE
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
920.00
PERMIT FEE
S
ELECTRICAL PERMIT
Filing Fee 20.00
"OOV OR UES
Main Service 20.AORLESS
23.00 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.PSINGLE
License Class Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
" ❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reasonMtr
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Main Service 200A TO LcooA
46.00
NEW CONST. DWF.C. OCCUP.
OR ADONS. a ACC. eLOS.
s0
3.5¢,.
NONNEW
RESD. MULTI -OUTLET
97,50
8 OUTLET OWER APPARATUCIR.S
Ex. Occup.OUTLET OR FDcruREs
2O @'•0°
BAL @ .50
Ex. Occu . Gas RES D,G�
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirin
23.00 m+
PRE INSPECTION
1 23.00
PERMIT FEE
= 8Q
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwth coinply with those -provisions.
—/
X Date �
Signature pplicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in h fight.
Mobile Home Installation Fee
Is
Energy Inspection Fee is
OCC
CONST. TYPE
TOTAL FEE,v
I
HAZ.
I D. FEES IMP
I FLOOD
COF
PARCEL
PD
HD•ISSUE
This permit is hereby issued under
the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
ate fJ cJ/
Qa�J
efe
ReceiptNo.2 7,1S/V 4, 15
WHITE-D.D.S.-B.D. CA ARY-ASSESSOR PINK-INSP CTOR LD NROD-APPLICANT
t—
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' 1� • ..
PRE -INSPECTION
OWNER : ' DATE
LOCATION:A.P. #
CONTRACTOR: ZONING
-----------------
PRE-INSPECTION FOR:
DATE TO INSPECTOR
PERMIT HISTORY: ID NONE AS FOLLOWS:
TYPE OF OCCUPANCY
FIELD - INFORMATION
4
BUILDING USAGE:
TENNANT:
CCUPIED HAS ELECTRIC N HAS GAS HAS SANITATION FACILITIES
E� TED -COOLED ED PERSON CONTACTED
OTHER COMMENTS:
ACTION COMMENDED: 1
SSUE Q HOLD FOR
OTHER:
BY DATE�� ��
- �eotl " mz
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541��✓ ��
(Rev. 12/96) APPLICATION AND PERMIT F
ASSESSOR PARCEL NUMBER0 1-a r — J V —C>ZONING BUILDING PERMIT
OWN I 9 - o "\ 1'' ° /2 SO. FT. OCC. BUILDING VALUATION
owl 8,
LM, O� RES , 3 S Pa.- �Q,✓-vw Cl C'�. 9/ .r li C 4 d
COPrtMV��'
TELEPHONE
EX. OCCU OUTLET OR FIXTURES
CONSTRUCTION LENDER
EX. OCCU FIXED APPLNS. OR
OUTLETS ES10. EA
5.00
—TemporaryService
23.00
LENDER'S MAILING ADDRESS
Fireplace
Misc. Wiring
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
ARCHITECT OR ENGWEERS MAILING ADDRESS
Permit Fee $
Plan Checking Fee $
OWN70V'o Mme, v L ��,,, ��,, )4,Q1
Energy Plan Checking Fee
S
$
PERMIT FEE $
LOT No.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee
20.00
USEOFSTRUCTURE
SFuplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
Each as water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Re ode[ ❑ Ml'Itiesasmllation ❑ Other ❑
Describe Work: / �,% ��� _ S��V�C��
Gas piping stem 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home S I G I W Q20.00
PERMIT FEE $
ELECTRICAL PERMIT Fling Fee
20.00
Main Service x. on LEss 23.00
_ �
Main Service 200A TO IOWA
46.00
NEW CONST. 01ME11MG OCCUP. 3.50so
OR ADONS. 6 AGC. BLD..
NO"ESID.T.
N CO MULTFOUTL.Er
aaurw rwrt rt @7.50
EX. OCCU OUTLET OR FIXTURES
[u cryI
BAL bO
EX. OCCU FIXED APPLNS. OR
OUTLETS ES10. EA
5.00
—TemporaryService
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
r� 23• ��
PERMIT FEE $ 66°v
MECHANICAL PERMIT Filing Fee 1 20.00
1 Hood 1 1 6.501 1
PERMIT FEE I S
Mobile Home Installation Fee $
Energy Inspection Fee I $
occ CONST. 11 TOTAL FEE $aA...E
HAZ. I D. FEES IMP FLOOD CDF PARCEL
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.
By Date
PERMIT EXPIRES ON
Permit#3451-83B
Phillip Nelson
i
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Permit#3451-83B
Phillip Nelson
i
S
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
I , )
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
S0. FT. OCC, BUILDING VALUATION
OWNER'S MAILING ADDRESS
- I I
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
!
5. •li G�
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER )
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ �, w.-,
BUILDING ADDRESS I� ��' r 1 1 ✓� .,,
Ir1� jJ 1
PLUMBING PERMIT
FiIiri Fee 10.00
9
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5,00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF [IDuplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S I G I W
10-00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑-
Describe work:
r
i1 �' • 1 f v -J� _ I f .�
Permit Fee
$
Contractor
ELECTRICAL PERMITFiling
Fee 10.00
Main 600V OR LESS
n service 100 AMP OR LESS
10.00
Main service EA. ADD•L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ACC. BLDGS.
1
2/20sq it
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business2oesoc
and Professions Code and m licese is in full force and effect.
y n
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 CONSTR ULTI.OUTLET 2,50 ea
NON-RESID BRANCH CIRC ITS
NEW CONSTR. (POWER APPARATUS &\
NON -RES,D, SINGLE OUTLET CIR,/
OR FIXTURES BAL@300
Ex. OCCup(DUTFIXED
PTS
R
Ex. OCCUp. OUTLETS (RESID.)EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIirig Fee 10.00
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.
Heating
Cooling
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 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 liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
_
X 7 ' ' 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 $
r -
TOTAL PERMIT FEE $
OCCUP, GROUP
I TYPE OF CONST,
PARCEL
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 \ L'- '� /i '� -
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date I �
1 _ ,
!
i`
Receipt NO.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
t 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AAID PERMIT
PERMIT NO.
S�
ASSESSO13 PARCEL NUMBER
—
ZONING
BUILDING PERMIT
0WNr�g`411L�
TELEPHONE
S0. FT. OCC. BUILDING VALUATION
o .50
O R•S MAILIN'G' ADDRESS
b "9 0-f/v lar M 121
CONTRACTOR'S NAME
(o
to
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
�q
0100
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$ 15,00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ -2
BUILDING ADDR I SL; _
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5,00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
P'
SF LTJ Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S GW
10-00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti ' ies ❑ Installa�t`ion ❑ Other
Descri work:���
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ( ACC. BLDGS. Y
21/20sgft
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
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 CONSTR LTI.OUTLET 2,50 ea
NON.RES'D BRANCH CIRCUITS)
NEW CONSTR. POWER APPARATUS &'
NON.RESID. (SINGLE OUTLET CIR,
z0esot
Ex. OCCup(OUTLETs OR FIXTURES BAL@30
Ex. OCCUp. OUT ETS FIXED P(RESID.)LNS REA.) 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.
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 shal I be deemed revoked.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
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.
I also agree to save, indemnify and keep hattnless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against i my in on quence of the granting of this permit.
X v Date /0� "
Signature Applicant — Owqer,n 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 $
TOTAL PERMIT FEE $ 0-0
OCCUP. GROUP
I TYPE OF CONST.
JPARCELTro
I ND
I ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
e1nVECJQR OF PUBLIC
By
PERMIT EXPIRES ate
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date D
Receipt No. (q 13 O
WHITE-D.P.W.• YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT