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HomeMy WebLinkAbout027-070-050:a 27-07-50 ' rEORGE•ROBISON SIS CynthiAnn LAne, we Po lermo�j Permit#2330-86P.;E(power�85 IW Braun. pbPe fo "11 & --------------- 0 i I d I :a 27-07-50 ' rEORGE•ROBISON SIS CynthiAnn LAne, we Po lermo�j Permit#2330-86P.;E(power�85 IW Braun. pbPe fo "11 & --------------- 0 i raft% raft% L Lt To: Building Department. From: 'Environmental Health Sub •ect: Sanitation C1lea ranee Owner Location APi� Plan Approved for: Sewage disposal water supply Hold final fore' viater supply Final clearance O.K. for: water supply Clearance for bedroom m *le home. Other NOTE ;sanitarian Date ...... .... z COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS . ., 7 County Center Drive - Orovilley, California 95965 - Telephone 916/534-4541 :. <, APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ,;11) ' Ira '-3 �� ZONING /�/�/� <� BUILDING PERMIT OWNER-, P r � V (i (' r l�r^ �' r � � lit TELEPHONE ,% � � � ��� .SQ. FT. DCC. BUILDING VALUATION OWNER'S R'S MAI LIN YA r� V, /9� /rd CONTRACTOR'S NAME I I /I ri k »i 1A>k-1 TELEPHONE CONTRACTOR'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 r Penalty $ BUILDING ADDRESS �� ) U0 ►GN Permit fee PLUMBING PERMIT Filing Fee 10.00 r ( r .�,? r'5��. � I� 1 _ rn �- � )t�G L( ✓� � Each Trap 2.00 / /p td� Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 S Each qas water heater or vent 5.00 USE OF STRUCTURE SF[A Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 1 5.00 Mobile Home S I G I W 1 110.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel © Utilities ❑ Installation ❑ Othe �K Describe work: 1-1f) & I t y" PC � CJ ►� U. // 4- _ f f 1 U V e r� 7 ��` 1J� /,0 V W ' ✓1 Permit Fee $ / i (Y) Contractor ELECTRICAL PERMIT Filing Fee 10.00 /+ t Main service 1000 AMP ORV OR LESS10.00 V.r(, Main service EA. ADD'L 100 AMP 2.50 ( CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El 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 CONST. DWELLING OCCUP.& , New DDNSS. . A ) /20sgft ULTBI OD TLET NON.RESID BRANCH CIRC ITS 2.50 ea (POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES 20950t .ALO 30 FIXED APPLINIS Ex. Occup. OUTLETS IIRESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities A 15.00 Mi Si:6Yrlftg / /f F1,15.00 J. I,' Jt , 1114 . O/r ) Permit Fee $ 4 Contractor 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 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. 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 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 ` - } I Signature of Applicant — Owner V❑ 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 $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPEJ �FLOODJPARCELJ PD ND ISSUE, l/ This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC ` By ;-. • i 1� PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. F� I WHITE-D.P.W.. YELLOW-ASSE330R, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS rw, 7 County Center Drive - Oroville, Ca?iforn4 $5965 -Telephone 916/534-4541 APPLICATION AND PERMITf ' —PERMIT NO—�� ASSE R PARC NUMBER 5 ZO y� BUILDI G P RMIT O WNE •.� EL�(P o SQ.,FT. - OCC. BUILDING VALUATION • ' ' ' OWNE 'S1JL1N A RES S /\ - - S t CO AC R'S E TELEPHONE CO AC OR'S NTAILING 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 ADDRES fi i h 0 44 PA Permit fee $ 'PLUMBING PERMIT Filing Fee 10.00 Da Beet Lt 4 Each -Trap 2.00 v�M`AP Solar or•heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL, Water piping -5.00 ' Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other i SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G I W 10.00 ea TYPE OF WORK New ❑ Additio ❑ Remo Ut' I ies ❑ jinn)tall i n❑] Other Describe work:®d ✓� dl/ `t -� _ �lJ D Permit Fee $ (� Contractor ELECTRICAL PERMIT Filing Fee 10.00 ' Main service BOOV 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 o the BUSIneSS and Professions Code and my license is in full force and effect. License No. • Classification JK 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.p ,h¢sgft New DCOrNS. C BI AUT R. OUTLET NEW CO ID -BRANCH CIRC ITS 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. ) Ex. Occu 20050c P OUTLETS OR FIXTURES eAL®30 FIXED APPLNS. R Ex. Occup. OUT LETS (RESID )EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Irl 15.00 E B Permi4_Fee $ 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 10.00 Heating Cooling g ` 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 harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County i consequence of the granting of this permit. X� g��_�/ Date b Signature of Applicant — Owner X Controctor'❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ionof structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occU7. cONST.TYP!FLOOD PARCEL PO I HD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIR R OF BLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WHIT!-D.P.W., YELLOW-AS8C990 R, PINR-INSPECTOR• •GOLDENROD -APPLICANT •...y:5ti' r �r.""'"' i� - rsr.A?-' ,..r. .. z� fA .� .:. E, ;.g„ r .� ...:, ,r.. .4 a � - COUNTY OF BUTTE-DEPARTMENT,OF.-PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,'t,AL1fZRNIA 95965 - TELEPHONE: 916/534'-4541 PERMIT APPLICATION DATA SHEET j %� Permit No. /1 OWNER d r? i 1 �� S vi A. P. No. y) Proposed Building Use Permit Fee Based Upon: Complete Contract Priceti' DPW Valuation �hEphin) Building Inspector Date L9 (e2 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. . . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non-Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. 13. Contractor's License Information (no., name style, classif.) 14. Owner-Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . Mobilehome Installation Dat. . . . .uired,•Pre-Inspec. request to C' tL-- C IfI C..� Re Pre-Inspection forq Building In>pector v--k•� . 18. Recorded copy of Agricultural Acknowledgment Statement . , 19. Other When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for p ckup at office. Deliver .w/inspector. Other C�_ / Applicant``-rt 1`Y rte--__ Date c� Copy of plans sent Health Dept., Fire Dept., Other Date f" During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by T/elephone Mail Other By Date Plans checked by ✓ Date Plans approved by Date Other: Copy—DPW 1 COUNTY OF BUTTE - Department of Public Works 7 County Center Drive; Oroville, CA 95965 Phone: 916-53474541 ? OWNER -BUILDER VERIFICATION µ. Attention Property 'Owner: An 'owner -builder" building permit has been applied for in your name and b'eari6g 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 (yes or no)'_. �2. 1 (have/have not) -.signed an application for a building permit for the proposed work. '3. I have contracted with the followingperson (firm) to provide the' proposed , construction: Name 6 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. 1 will provide someofthe work but I'have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property 'Owner &e -0 l o h;.5 s,".. Social Security Number Date NOTE: This" Own.er-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. s COUNTY OF BUTTE - DEPARTMENT OF UB IC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - T leph a 916/534-4541 APPLICATION -MID PERMI ASSES R PARC NU LJ .R zo y�� BUILDING PERMIT OWNEfi `l 1kJ EL P o SO T. OCC. BUILDING VALUATION OWNE 'S ILIN A RESS Ll CO AC 1 TELEPHONE CO AC OR'S AILING 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 t G7 � Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 •Each qas water heater or 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 G W 10.00 ea TYPE OF WORK New ❑ Additio ❑ Remo Utiei ies ❑ In all i n ❑ Other' Describe work: 1 0- AIV� .33- O V- lVf� _ Li V - / �. Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 � (� 001 OR LESS Main service 100 AMP OR LESS 1 10.00 l pt Main service EA. ADD'L 100 AMP 2,50 a CONTRACTORS LICE44 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 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 oR ADDNSCONST. DWEACCLLIN GOCCUP.al S. Yx¢sgft NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRC UITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20®80¢ eAL030 FIXED APPLNS Ex. Occup. OUTLETS (RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 4 15.00 1=1 d 15.00 e- --11:18 ja Permit Fee $ 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 Filing Fee 10.00 Heating Cooling g 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. 1 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 i consequence of the granting of this permit. X 8 ^ I } _ p / Date O b Signature of Applicant — Owner X 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 $ TOTAL PERMIT FEE OCCUP. CONST.TYPC I I FLOOD PARCEL I PD ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date TReceipt No. WHITE-D.r.W.. YELLOW-A1e11..R, P!NR-INSOECTOR, GOLDENROD -APP' -