HomeMy WebLinkAbout026-211-004M
-111-�+ o� 5 �
Viigil Long 4401�' % DAVIS—Mattie
7.752 Melvina Ave. , Palermo / L,9b-69B
Permit #924-77B(new garage)
026-211`=004 PERMIT#95-11`' 2&. 26=211' '
DAVIS, Matte 775,2 Melvina Ave., Palermo
CONTR: Footh' is Const. 18 Jean Lane Chic
.7752 Melvina Ave. Orovillei5h� e, > >
Cont; Quality• Const. . (reroof)
Bath-r'emnHp4,wirjdows;E1e Ser Ch &•Htr/S /
026-211-004 'PERMIT#95-1128.
DAVIS, Matte
7752 Melvin,a Ave., Orovill;
e
Cont; Quality Const..
Bath remodel,windows,Ele- Ser Ch &'Htr/SF
it
4
OFFICE Copy
Address
GAS
Meter By
--------
ELECTRIC Date
Meter By
,° 4
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
-• 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICAT1014AND PERMIT
ASSESSOR PARCEL NUMBER 026211-004
U ZONING
BUILDING PERMIT
OWNER MATTE DAVIS
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
PO &1X 156 PALERN!!0
RST 9,000000
CONTRACTOR'S NAME
QUALITY CONSTRUCTION
TELEPHONE
,
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNMOWN
Total Valuation $
Filing Fee $
20,00
LENDER'S MAIUNG ADDRESS
Permit Fee $
.00
ARCHITECT OR ENGINEER
LICENSE NO.
Pian Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty $
BUILDING ADDRESS
7752 MELVINA AVE I
PERMITFEE $
• 00
OROVILLE
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00 14.00
LOT NO.
SUBDNS ION'S NAME
PARCEL MAP`
Solar or heat pump water,;lieater
23.00
USEOFSTRUCTURE
14 b
SF ❑R Duplex ❑ Mobilehome ❑ Other
SPECIFY
Water piping
'vent
15.00 •
Each gas water heater or
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00 •
TYPE OF WORK P
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other. !t
Describe Work: RENOVATE BATH, MANGE WINDOWS & fiod
MAIN SERV D FREE STANDING HU71�
AN
Mobile Home ISIGI W1
@20.00
PERMITFEE $79*00
Contractor
ELECTRICAL PERMIT
Filin Fee 20:00
"
Main Service 000V OR LESS
( z00A OR LESS )
23.00 23*00
Main Service ( 200A TO 1000A )
46.00
�LICENSED CONTRACTOR'S DECLARATION (
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
i
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect. I
License Class Lic. No. g�as�
OWNER -BUILDER DECLARATION
I 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
reason
NEW CONST. DWELLING OCCUR
OR NS. ( 8 ACC. )
-. SO. -
3.5 FT.
NEW CCONST. MULTI-OUUTLET
TLE
NON-RESID. ( BRANCH CIRCUITS )
@7'.,50
POWER APPARATUS
(s SINGLE OUTLET CIR.
Ex. Occup. (OUTLET OR FURORES )
20 @ I.00
BAL 50
Ex. OCCup. OFIXED UTLETS (RES D.OEA
( )
5.00
Temporary Service
23.00'
Mobile Home Facilities
20.00-:
Misc. Wiring
230*0 23• OC
PERMITFEE $
66.00
Contractor
WORKERS' COMPENSATION DECLARATION
I 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.
J I 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
MECHANICAL PERMIT
Filing
g Fee 20.00
Heating FREE STARIN
I 15.
Cooling
Hood
6.50
Ventilation
4
PERMITFEE $
39.50
Contractor
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.)
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
forth th cc ply with t 'se Provisions.
X __ Date.3 v_ _
Signature of A plicant - ❑ Owner Contractor ❑ Agent
An OSHA permit is required for exca ations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee Is
occ
CONST. TYPE
24A• 50CA
77
HAZ.
1 0. FEES
IMP
I FLOOD
I CDF I PARCEL
I PD I HD
ISS
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 ate
PERMIT EXPIRES ON
(Date)
Receipt No. 1142
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIJ NO.
APPLICATION AND PERMIT qa^`zo
ASSESSOR PARCEL NUMBER 026-211-004
ZONING U
BUILDING PERMIT
OWNER MATTE DAVIS
TELEPHONE
SO, Fr, OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
PO BOX 156 PALERMO
EST 2,000
00
CONTRACTORS NAME
QUALITY CONSTRUCTION
TELEPHONE
CONTRACTORS MAIUNG ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
Filing Fee $
20,00
LENDER'S MAILING ADDRESS
Permit Fee $
5 , Qo
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
7752 MELVIi1A AVE
PERMITFEE $
65.00
OROVILLE
PLUMBING PERMIT
Filing Fee 20.00
Each Trap 2
7.00 14.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
Solar or heat pump water heater
23.00
USEOFSTRUCTURE
SF EX Duplex ❑ Mobilehome ❑ Other
SPECIFY
Water piping
15.00 15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00 15.00
Building sewer
15.00 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other )�
Describe Work: RENOVATE, HATH, CHANGE WINT)DWS N NE.14
MAIN SERV ANT) FRFs STANDING HEATER
Mobile Home I S I G1 IN 1 920.00
PERMITFEE g 79,00
Contractor
ELECTRICAL PERMIT Filinq Fee 20:00
Main Service ( Zoon OOR LEss )
23.00 23.00
Main Service ( 200A TO 1000A )
46.00
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 m license is in fu I force and effect.
License Class ] N S-
7 Lic. No. `'�,. /�
OWNER -BUILDER DECLARATION
I 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
reason
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( & ACC. BLDs. )
SO.
3.50 FT.
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS )
97.50
( POWER APPARATUS
& SINGLE OUTLET CIR. /
Ex. Occup. ( OUTLET OR FIXTURES
zL o I.50
BAIL w
FIXED APPWS. OR
EX. Occup. (OUTLETS (RESID.) EA)
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00 23.00
PERMITFEE $
66.00
Contractor
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 issaed.
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
MECHANICAL PERMIT Filing Fee 20.00
Heating ^REE STANDIi1 15.00
Cooling
Hood 6.50
Ventilation
PERMITFEE $
39.50
Contractor
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.)
❑ 1 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
. �4of
forth th co 21-
se provisions. --
X Date 3 �1�Xce-;1 _
Signatureof A 9licant - ❑ Owner Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee Is
OCC
CONST. TYPE
TOTAL FEE $ 249.50
HAZ.
I D. FEES
I IMP I FLOOD
COF
PARCEL PD HD
ISS
This permit is hereby issued under the applicable provisions
the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By at /
PERMITEXPIRESON
(Date)
Receipt No. 180142
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
,..- ,. ,"..n.. r�..,., yr,...,�-.T.�.�iMR.�'L�-A•�,.1wti•"a�^. .:•Ytb Y fi� +ti'�7br,.r �.ro ^-.-�rrl�. -�Y"' � r . z . . ,
• N
COUNTYOF BUTTE -DEPARTMENT OF D,�VtLOPMENTSERVICES -BUILDING DIVISION
c r C^1 1�
7 COUNTY CENTER DRIVE - OROVILLE,CALIFORNIA95965 - TELEPHONE (916)538-7,941
PERMIT APPLICATION DATASHEET
OWNER
Proposed Building Use
Building Inspector
Date
At timeof p
er it 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. Mobil home data and manufacturer's installation instructions, 2 sets. ...........
X10., 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. Driveway permit (construction approval required prior to occupancy)... .. .
�F're-Inspecti.on requ�
20. Pre -inspection for required. . to Building inspector (Date)
21. Contractor'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................................................r..... .
33. '
34.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at QA=Z2 office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution 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 not 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
A
AERMIT N0. 924-77B
PERMIT EXPIRES
OWNER Virgil Long
CONTR. owner
LOCATION (A.P. 26-24-4 & 5
7752 Melvina Ave-, Palermo
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Cal,l'ed PG&E
Temp. Gas Serv.
Called PG&E
JOB
FINALED
(Date)
(Sig ture)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
IV
MILDING INSPECTION RECORD
Reinf. Steel f I Final \` / I Fixtures f I
rramin ..ei
Stucco
BUILDING
BUILDING (Cont'd)LUMBING
Mesh
Setback
_
Firewall
Soil Piping
Forms
Brown
Parapets
1st Floor
Main Bldg.
Ducts
Restroom Finish
2nd Floor
Footings
Permanent
Windows
3rd Floor
Stemwall
MOBILEHOME UTILITIES - - - - - - - - - - - - - - - -
Sidin
To out
Slab
Sewer
Roof Sheathing %
Water Piping
Piers
Water Piping
Roofing
Sewer
Garage
del
Fdn. Vents
Fixtures f
Footings
Garage Vents
Water Htr.
Stemwa I I
Insulation
Heaters
Slab
Carport
Po
Footings
Prov. for ph sically
handica edy
Conformance of ex.
structure
Appliances
Gas PI In &Test
Temp. Gas
Slab
X
Final
Sanitation
Patio
rFIREPLACE
Final
Footings
Footing \ •,
ELECTRIdAL
Reinf. Steel f I Final \` / I Fixtures f I
rramin ..ei
Stucco
Test
Final
Water Htr.
Subpanels
Mesh
M C
NICAL Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground 1
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final f
MOBILEHOME UTILITIES - - - - - - - - - - - - - - - -
- - Elec_ Service
Elec. Pedestal
Water Piping
Sewer
Gas Piping
OBILEH )ME INSTALLATION - - - - - - - - - - - - - - Support
Elec. Continuity
Water Piping
Drainage
Gas Piping
DATE REMARKS OR CORRECTIONS
7/oZ 7117 / �?_ r��✓G� /r
nt
(NOTE: An entry must be made on this form each time you visit the job site.)
_ d
COUNTY OF BUTTE — DEPARTMENTS OF PUBLIC WORKS
Y1- i 7 County Center Drive — provi Ile, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X k Date 1 - �� - 7/y
$i lure of Permite r gent
Receipt No. �3 It
White-D.P.W. - Yellow -Assessor - ink -Inspector - Goldenrod -Applicant
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 hav en paid.
DIRECT R 0 PUBLIC WORKS
ByDate. - Z
wilding permit expires Date 2f
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Addressallq lo- koe,
Telephone No.
Fireplace
Contractor Id A)
Total Valuation yQ d
Mailing Address
Permit Fee p CJp
PI an Checking Fee &/or Penalty
Telephone No.
Permit Fee $
Building Address
PLUMING No. @ FEE
PERMIT FILING FEE $3.00
�' s �Ike-t(jl)VA 110
Each Trap 1.50
62p h4 C b 1V m a F o04k V 111 A-
Repair drainage or vent piping 1.50
Water piping 1.50
IAJA,
Each gas water heater or vent 1.50
/r hry
A. P. No. �. !� Qom"( r ♦✓�
Zoning& Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Few
ve
S ti n
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Imp rovements
P
Lawn sprinkler system 2.00
Idg. Plans Rec'd
Parcel Approval
ans Approval
Permit Fee $
$
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 100 AMP OR1 OR LE LESS5.00
Main service EA. ADD•L 100 AMP 2.50
Main service OVER e 25.00
100 AMP O OR LESS
Single Family ❑ Duplex ❑ Mobil Home ❑ Others ®
Main service EA. ADD'L 100 AMP 1.00
MM
IL
NEW CONST. DWELLING
OR ADDNS. ( ACC. BLDGS.CCUP. &) 20sgft
NEW CONSTR MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS) 12.50ea
NEW CONSTR (POWER APPARATUS .&)
NON-RESID. (SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Ex. Occup(OUTLETS OR FIXTURES) 50 BA@21
FIXED APPLNS. OR
Ex. Occup. (OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
✓ j� 1 am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
MECHANICAL No. @ FEE
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
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 the Workmen's Compensation Laws of
California.
PERMIT FILING FEE J$3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
I certify that I nave 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
TOTAL PERMIT FEE
$ '
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X k Date 1 - �� - 7/y
$i lure of Permite r gent
Receipt No. �3 It
White-D.P.W. - Yellow -Assessor - ink -Inspector - Goldenrod -Applicant
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 hav en paid.
DIRECT R 0 PUBLIC WORKS
ByDate. - Z
wilding permit expires Date 2f