Loading...
HomeMy WebLinkAbout027-082-00627-082A6 TERRY LEARD 2775 South Villa, Palermo Z. pErmit#3304-87E(elec ser ch)_S II f ^ro _.,.,.�„,.y-�.,:�-„L,Y�••�,,,6,y�•yr „�j{�y.�.-zr�....... n*-+7�7+`.�•`s+�'!�'-.�''YY*-ti.�l..l�a�+y,.rv-x •�.'`” '�. t,,y , }; j Terry Leard Permit #3304-87E . �s F1 r i OFFICE COPY Address • _ . _ � GAS Meter By Date ELECTRIC Meter By + Date o r 4 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, Cali`ornia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT rr f ASSESSOR PARCEL NUMBER / +-t-�, Ur'i!I �. -- fir( '� ) ZONING '' BUILDING PERMIT OWNER i - 7 n �lU TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME ( , 1 TELEPHONE I 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 Penalty $ BUILDING ADDRESS - Permit fee $ PLUMBING PERMIT Filing Fee 10.00 1/ �7 _ ��,� - _ _ ; �1� �� 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[YDuplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[- 'Other Q Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10av OR LESS 100 AMP OR LESS 10.00 +/),� ? Main service EA. ADD'L 100 AMP 2.50 ) CONTRACTORS LICENSE LAW 1 1 declare under penalty of perjury p y p f y (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 IrJ" 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) F` ❑ 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.21) , OR ADDNS. ACC. BLDGS. /20Sq ft NEW CONSTR. U TI.OUTLET 2,50 ea N-RESID BRANCH CIRCUITS NO, POWER APPARATUS 6 (SINGLE OUTLET CIR. EX. OCCUp(OUTLETs OR FIXTURES SAL@30 005 FIXED EX. Occup. OUTLETS P(RESID )R 11 EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 �jMisc. Wiring 15.00 ��; KA -0 ,- 1 1 7 1 An 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. 21,1 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 Countyot�r 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. k" X - Pte' -2_� f _ >'� Q-4--'— - Date ./0 Signature of i ' ❑ 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 $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPEJ SCHOOL FLOOOJPARCELJ P13 I ND Is9UE 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. n DIRECTOR'OF PUBLIWORKS By �ii�r Il/ ���ate PERMIT EXPIRES Date //+ •� Receipt No. () � / —a �- WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT RMIT NO. ASSESSOR PARC L NUMBER �. -.� ZONING BUILDING RMIT o rEjPHONE SQ. FT. OCC. BUILDING VALLrXTION OWNER'5 MAI I G AD RE55 V1 ^ — W (`J CONTRACTOR -5 NAME TELEPHONE CONTRACTOR'S MAILING 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 ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 9`747S sY� 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 I G I W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other [Q , Describe work: �► Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 ���% Main service 100v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW p y of p erjy (check one): I declare under penalty perjury ) ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Buslnes$ 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) El am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.a) '/z2sgft OR ACDNS. ACC. BLDGS. NEW CONSTR. MULTI -OUTLET NON_RES10 .BRANCH CIRCUITS) 2.50 ea /POWER APPARATUS e (SINGLE OUTLET CIR. EX. DCCUp(OUTLETS OR FIXTURES 2AL030 .20@500 FIXED APLNS Ex. Occup. OUTLETS P(RESID )REA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 sc. Wirin 15.00 g Permit Fee 1 $ 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 Consent to Self -Insure. 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 Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation penult 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 Iia ilities, judgments, coslp, and expenses which may in any way accrue ag i said Count conse encs of Vr ranting of this permit. Date _1 Signature of pplicant — 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 $ Energy Inspection Fee $ TOTAL PERMIT FEE $ ,So OCCUP, CONST.TYPC I ISCHOOLIFL0001PARCE1.1 PD I ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicaabove for which D ECT UBLI By PE IT E PIRES Date the applicable provi- resolutions to do fees have been paid. RKS (� Date !_ v r _L7 Receipt No. 90 2-= WNITE-D.P.W.. YELLOW-ASSEOSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT n COUNTY OF BUTTE - DEPARTMENT..OF PBLIC WORKS - BUILDING DIVISION . 7 COUNTY CENTER DRIVE - OROVILLE', CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET �— //• r Permit No. OWNER e�r� L�e� t�, A. P. No. 2-7— O�a—C�('� Proposed Building Use _k& Cc Building Inspecto Date / 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, signed by preparer of plans. . 3. Complete plans in duplicate/triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. . 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District ''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. arking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) —14. Owner -Builder Verification (Given to owner El, Mail to owner ❑ ) _.—_..._15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation r ata. . . . . . . . . . . . Pre-Inspec. request to D otel 17. Pre -Inspection for _- S _ .._.. __ _ Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. _ 20. Plot plan approval from city of_ _ 21. — — 22. — _ — -- When o issue theermit process as follows: Mail o owner, +ail to contractor_ Telephoneg&3-13 Y7 and hold for pickup a• office, Deliver w/inspector. Other App t e .Copy of plans sent Health Dept.; Fire Dept., Other Date ;f 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---naiI—counter by date Contractor, designer, owner, was advised ci 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—DPW COUNTY OF BUTTE - Department of Public Works 7 County Center Drive;,Oroville., CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing 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. I (have/have not) E A V signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name 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. I will provide some of the work'but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Number Datef� - NOTE: This Owner -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.