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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