HomeMy WebLinkAbout026-050-028O
771
26 05=28 . ,. 92-2015E ,
JOHNSON, Robert,
6901 Lincoln .Blvd; Oroville',
contr.: Strang Elec' +`
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26-05-28 92-2015E
JOHNSON, Robert
6901 Lincoln Blvd, Oroville
contr: Strang Elec
elec ser.v/sf
1 OFFICE COPY
Address
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Meter„By Date
ELECTRIC VAL
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N0,
/ 7 County Center Drive - Orovllle, California 96965 - Telephonle: 916,'638=7541
J APPLICATION AND P RMIT
ASSESSOR PARCML NUMBER N
ARM 1 BUILDING PERMIT
OWNER TELEPHONE
ROBERT JOHNSON SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
6901 LINCOLN BLVD OROVILLE
- STRANG ELEr(." IC 533-4p
CONTRACTOR'S MAILING ADDRESS
250 CANYON HIGHIMDS DRIVE 95965
CONSTRUCTION LENDER IUNKNOWN
LENDER'S MAILING ADDRESS
RCHITECT OR ENGIN
ARCHITECT OR ENGINEER'S MAILING ADDRESS
BUILDING ADDRESS
0901 LINCOLN BLVD OROVILLE
LOT NO. SUBDIVISION NAME PARCEL MAP
USE OF STRUCTURE ;
SF k] Duplex❑ Mobilehome❑ Other SPECIFY
TYPE OF WORK
New U Addition ❑ Remodel ❑ Utilities ® Installation Other ❑
Describe work: NEW SERVICE _
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. �/5-3'.� I / Classification C - /0
❑ 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 coniract-
rs. (Sec. 7044)
Wil
am exempt under Sec. , Business and Professions Code
I
Fireplace
Total Valuation $
Filing Fee
15.00
Filing Fee
$
15.00
Permit Fee
$
Plan Checking Fee
$
Energy Plan Checking Fee
$
Penalty
$
Permit fee
$
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
Temporary service
5.00
Solar or heat pump water heater
Mobile Home Facilities
20.00
Water piping
Misc. Wiring
7.00
Each qas water heater or vent
PRE INSP
7.00
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S G W
@ 15.00
I Permit Fee $
Contractor
ELECTRICAL PERMIT
Filing Fee
15.00
Main service 600VORLESS
200A OR LESS
18.50
18.50
Main service 200ATO1000A)
37.50
NEW CONST. ( DWELLING OCCUP.&\
OR ADDNS. ACC. BLDGS. II
3.64 sq.ft.
NEW CONSTFL MULTI -OUTLET
NON.RESID- BRANCH CIRC ITS
@ 5.00
POWER APPARATUS & _
l SINGLE OUTLET CIF3:}a "
Ex. Occup (OUT LETS FIXT
OR URES
2) 76
Ex. OCCUp. OUTLETS FIXED PIRESID ILNS REA.)
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
PRE INSP
20.00
for this reason Permit Fee
Contractor
MECHANICAL PERMIT Filing Fee 15.00
Heating
Cooling
Hood 6.50
Ventilation
Pernit 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 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 liabilitie!kt judgments, costs, and expenses which may in any way accrue
against said�GgVrty-in consequence of the granting of this permit.
X ��,.fU'%G� �Date
Signature of Applicant/ Owner EA ,i 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.
Receipt No. 117041
WHITE-O.P.W., YELLOW-ASSFSSOR, PINK -INSPECTOR, GOLDENROD-APPL I CANT
S 53. SU
Mobile Home Installation Fee $
Energy Inspection Fee $
DCC CONST TYPE TOTAL FEE $ 53.50
HAZ 10 FEES I IMP I FLOOD I CDF I PARCEL I PD I HD ISSUE J
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.
1&1R1f6fdR OF PUBLIC WORKS
By ��: �y % '�""'_ / /Date (/ V4j
PERMIT EXPIRES Date e_,IM
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville. California 95965 - Telephone: 916.'538-7541
APPLICPaTI9NAND PERMIT
Q PERMIT NO.
�1
ASSESSOR PARCEL NUMBER i
026-050-028*
ZONING
ARMH 1
BUILDING PERMIT
OWNER
ROBERT JOHNSON
TELEPHONE
SQ. FT. OCC. BUILDING VALUATIO
OWNER'S MAILING ADDRESS
6901 LINCOLN BLVD OROVILLE
CONTRACTOR'S NAMET
STRANG ELECTRIC
P
��3+�l%
-
CONTRACTOR'S MAILING ADDRESS
250 CANYON HIGHLANDS DRIVE 95965
Fireplace
CONSTRUCTION LENDER
UNKNOWN
•Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee $ 15.00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
6901 LINCOLN BLVD OROVILLE
Permit tee $
PLUMBING PERMIT Filing Fee 15.00
Each Trap 5.00
Solar or heat pump water heater 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping 7.00
Each qas water heater or vent 7.00
USE OF STRUCTURE
SF P Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.00
Mobile Home S I G I W @ 15.00
TYPE OF WORK
New Lj Addition ❑ Remodel ❑ Utilities ® Installation❑ Other ❑
Describe work: NEW SERVICE
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 0V OR LESS
200AORLESS 18.50 18.50
Main service 200ATO1000AI
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check One):
Q�
/DJ(t'I 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. S/S s�.2 3 Classification C - 70
17I, 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-
Irs. (Sec. 7044)
am exempt under Sec. , Business and Professions Code
for this reason
_37.50
NEW CONST. / DWELLING OCCUP.&) 3.6Q sq.tt.
OR ADDNS. 1 ACC. BLDGS. /
NEW CONSTR ULTI.OUT LET @ 5 00
NON.RESID• BRANCH CIRC ITS
POWER APPARATUS &
(SINGLE OUTLET cIR. )
20 76a
Ex. Occup(OUTLETS OR FIXTURESFIXED
APLINIS
Ex. Occup. OUTLETS PIRESID IREA.) I 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. 6yirin g 15.00
PRE INSP 20.00
Permit Fee 53.50
—
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.
Contractor
MECHANICAL PERMIT FiIingFee 15.00
Heating
Cool in 9
Hood 1 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 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 liabilitie dgments, costs, and expenses which may in any way accrue
against said consequence of the granting of this permit.
X Gvu GIIIIYZ/
Date
Signature of Applicant Owner Contractor E] 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 S
Energy Inspection Fee $
OCC
CONST TYPE
TOTAL FEE $ 53.50
HAz
DFEES
IMP
FLOOD
CDF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do j
work indicat a o or which fees have been paid.
R OF PUBLIC WORKS
By �- Date A//
PERMIT EXPIRES Date
Receipt No. 117041
_
WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
p..Ys•.��r�[tr�f'�l°i_�7'�Sy"':11'.��'�ia'11 ,.'.#'a.,r� s:'Y Si1"k�i+ d"+ ,1�.% 2711iY['►t Jf� �'• ���. .'i{°'t"A,^t'.t'. �t tii
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COUNTY OF BUTTE;-•EPARTMENT OF PUBLIC WOF- BUILDING DIVISION
7 COUNTY CENTER DRIVE - ORO�./ILI!t"CAL'IFORNIA 95965 - TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER
GV,�rjl-
Proposed Building Use
,0hNso1J
SC/L i45
Building Inspector
P. No. Q.2( - O�Q -- O Z. c9
Date 6- lel-17T-
At
-1Z
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
All items have been submitted. ............. ................
2.
Plot plans, 3/4 sets, signed by preparer of plans. .. .. ' ..................
3.
Complete plans, 3/4 sets, signed by preparer of plans . ......................
4.
Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5.
Hazardous Material Form. ........................................
6.
Energy Design Compliance and supporting documentation . ...................
7.
Statement of Intent for Non -Heated and A/C Buildings . ........:............ .
8.
Engineered truss details and layout in duplicate (required prior to plan check). ....
9.
Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10.
Fees of$ ..........................................
11.
Impact fees as shown on attached schedule . ..............................
12.
California Department of Forestry plan approval/fees. ....................... .
13.
Flood elevation letter (100 year flood) by California Engineer . ..................
14.
Sanitation and plot plan approval Health Department . .............
15.
City of Chico plumbing permit . .........................................
16.
Plot plan and business license approval from City of Biggs/Gridley. .............
17.
Planning approval for (A) Use: (B) Parking: . ........
18.
Contact Land Development about (A) Improvements (B) Drainage. .......... .
19.
20.
Driveway permit (construction ap roval required prior to occupancy). .
Pre�ins ection for TD 1/ElrirY f'� I I ¢7�<:
p , required. o Bu (ding inspector /S = / Z• c el
21.
Co4tractor's license information. (No., Name Style, Classification) . ..............
22.
Certificate of Workmans Compensation Insurance . ..........................
23.
Owner -Builder Verification (Given to owner % Mail to owner_) ........... .
24.
Recorded copy of Agricultural Acknowledgement Statement . ..................
25.
Letter of signature authorization . ....................................... .
26.
Copy of recorded deed of parcel creation and 60 right of way to a public road... .
27.
Letter of intent on building use . ......................................... .
28.
Mobilehome utility clearance . ..........................................
29.
Documentation of legal:access....... :......................................
30.
Documentation of 50%subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . .............. .
31.
Existing violations/expired permits . ........................................
32.
Plan check list ......................................................
33
,.
34.
,r.
Wheryyou issue thepermit, rocess as follows: Mail�tp%fir. Mail to contractor.
�vn�
Telephone 533 ?- and hold for (�
pickup at office. Deliver with inspector.
Other
Parcel Creation
Acreage
4A/F Z-'
Applicant Date
1
to
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Poll do Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item no\t 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 _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail ! Counter by _ Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy = Department of Public Works
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916 '538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER ` r O^ ^ r
✓�/vl U
'CON N ` /
BUILDING PERMIT
OWNER _/v„�`l/Y^
TELEPHONE(/
SO. FT, OCC. BUILDING VALUATION
1 NE S66v l
OWNER'S_ A0 N-Gt
,/_
CONTRACTOR'S�CC7
5`33—yZ�
CONT �T(�QOR'S MAILING ADDRESS
O/,t/J L1��� / �n've
Fireplace
CONSTRUCTION LENDER
UN�K/NOWN
Total Valuation is
Filing Fee
15.00
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 ADDR EssD,cOrA) d
/l
Permit tee
$
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Water piping -
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
S171. Duplex❑ MobilehomeF� Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home I S 1 G JW 1
15.00
.TYPE OF WORK
New �.7 Addition L Remodel L_' Utilities Installation[ Other ❑
Describe work: �✓ U �C� _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200AA 00OR LESS
2OR LESS
18.50 �.
Main service 200A TO IOOOAI
37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
1 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
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.&\
OR ADDNS. ( ACC. BLDGS. /
3.64 sq.ft.
NEW CONSTR ULTI.OUTLET
NON.RESIO. BRANCH CIRCUIT$
@ 5.00
/POWER APPARATUS &)
1SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
1201. 76d
RA
FIXELJ
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
e —
1 20-cx>
Permit Fee
$
Contractor
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
j The permit is for $100.00 (valuation) or less.
U 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 becomesubject
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 15.00
Heating
Cooling
Hood
6.50
Ventilation
permit Fee
$
LContractor
-
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 Date
Si nature of Applicant – Owner
g pp ❑ Contractor ❑ Agent ❑ n OSHA p
ion of structures over 3 stories .n height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
OCC CONST TYPE TOTAL FEES
HA2
1 0FEES IMP FLOOD
I COF
D HO
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
Date
- �) ///
J/
Receipt No. !� 77
'NNITE•D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
PRE -INSPECTION
OWNER: -
DATE
LOCATION: -/,�/ Ll-/NC61W 1 II/e A. P. #
CONTRACTOR:— �N �C GG ZONING
PRE -INSPECTION FOR: �w111�1G' (i(/�/V J 7"d AC-PIAZ 10A SC;,1cA 6-
(� 4ecA'- V%,0 �Tk.n0s -es lkAz
DATE' TO INSPECTOR C2 L 2 4 2
PERMIT HISTORY: TCl<-NONE ] AS FOLLOWS:
TYPE OF OCCUPANCY k l J(!)c-sS6
BUILDING USAGE:
TENNAN .
OCCUPIED
TED -COOLED
OTHER COMMENTS:
FIELD -INFORMATION
HAS ELECTRIC I / I HAS -,GAS I- I HAS SANITATION FACILITIES
PERSON CONTACTED
2ACT N RECOMMENDED:
ISSUE Q HOLD FOR
OTHER:
DATE-9_L_L�--