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Home My WebLink About027-100-0437" 1 WE I SGR tD'AV I V',& PEAURAz" 77 S H t -1-4bRO "Q--!� LN; N E W s I �� II i. _ �' - � � �? max.. L�Y. P � .. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO� ASSESSOR PARCEL NUMBER 027-100-043 ZONING A 5 BUILDING PERMIT OWNER DAVID & LAURA WESGRAM TELEPHONE 589-4852 SO. FT. OCC. BUILDING VALUATION 03 81,753 OWNER'S MAILING ADDRESS P.O. BOX 334 PALERMO 95968 3nfin 0, CONTRACTOR'S NAME UNKNOWN TELEPHONE 516 9,288 CONTRACTOR'S MAILING ADDRESS C ,rj 278 irep Wce ''At' 1 500 CONSTRUC TIONL ENDER SACRAMENTO UNKNOWN Total aluation $ , LENDER'S HILIGDDRESSAVINGS AUBURN FilFee $ 15,00 P& it Fee $ 629.00 ARCHITECT OR ENGINEER O. LICE Tr n Checking Fee $ 314.50 Anergy Plan Checking Fee $ 20. ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS SHE -YO LANE OROVILLE Permit fee $ 978.50 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 60.00 Solar or heat pump water heater 20.00 LOT NO. 1 SUBDIVISION NAME PARCEL MAP 92-76 Water piping 7.00 7,00 Each qas water heater or vent 7.00 7.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5,00 Building sewer 15.00 15.00 Mobile HomeI S I G I W @ 15.00 TYPE OF WORK New EXI Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ❑ Describe work: 3 RIM Permit Fee $ 109.00 Contractor ELECTRICAL PERMITFiling Fee 15.00 I Main service 2000AOORLESS 18.50 18.50 Main service 200ATO1000AI 37.50 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.SINGLE License No. Classification Fl 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 gfor sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason OCCUP.�\ 3.6Q sq.ft. NEW CONST. / DWELLING OR ADDNS. ACC. BLDGS. // 1 NEW CON5TR MULTI -OUTLET @ 5 00 NO N.RESID BRANCH CIRC ITS POWER APPARATUS &) OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 20 @ 76 FIXED Ex. Occup. OUTLETS PIRESID IREA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 Permit Fee $ JJ. DU - 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 15.00 Heating GAS PAC 9.00 Cooling 11.00 9 Hood 6.50 6.50 Ventilation permit Fee $ 41.50 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 liabilities, judgments, costs, and expenses which may in any way accrue against said County ' consequence of the granting of this permit. Date J14a 61 Signature of Applicant - wner. 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 Ener Inspection Fee $ 9Y P 40.00 occ CONST TYPE I TOTAL FEE $ 1202.50 HAz 1 DFEES I IMP I FLOOD I CDF PARCEL I PD I HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte Count Code and/or resolutions to do Y work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY DatePERMIT EXPIRES Date Receipt No. 103311 391.00 WHITE-D.P.W.. FELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT KS COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 916.'538-7541 ;APPLICATION AND PERMIT PERMIT NP. Aaaeaa R R� L UM R D z NIN ;7- BUILDING PERMIT oWN T e HONE SO. FT. OCC. BUILDING VALUATION OW 'S MAIL G ADDRESS r n ;hQat 9V CO T A9 OR'S NAME TELEPHONE _ CONTRACTOR'S MAILING ADDRESS Fi eplace CoTRUC`ri { LENDER UNKNOWN Total Valuation $ Q LENDER'S MAILING ADDOESS LA V1 Filing Fee $ 15.00 Permit Fee ARC I ECT OR ENGINEER LICENSE NO. Plan Checking Fee Energy Plan Checking Fee $ O BD ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS - �� Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.001 60,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPAA` R+CEL MAP I XYZ Water piping 7.00 Q 10 Each qas water heater or vent 7.00 USE OF STRUCTURE SF?0 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 00 Mobile Home S G W @ 15.00 TYPE OF WORK New Addition❑ Remodel❑ Utili e ❑ InstallationC Other[_—] Describe work: __ Permit Fee $ 169,0 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 _ Main service 200ATO1000A) 37.50 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. 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. SLOGS. 3.66 501 NEW CON5TR MULTI -OUTLET _NON BRANCH CIRC ITS @ 5.00 POWER APPARATUS tr ( SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 76d 464 FIXED APPLNS. EX. Occup. OUTLETS ((RESID )REA.) I 3.00 Temporary service 1 15.001.�— Mobile Home Facilities 15.00 Misc. Wiring g '15.00 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. ❑ Ishall 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 P MIT FiIirig Fee 15.00 Heating 1 Coolin g 1�Dd Hood 6.50 Ventilation permit Fee $ r 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 all liabilities, judgments, costs, and expenses which may iic a against said County in consequence of the granting of this perm;" . X Date — I'll 9 1 ;�Lyl Signature of Applicant — OWner Agent❑ An OSHA permitis req�iergrdr exg3Vajipps�odeep and demolition or construct- ` %%�� ❑� Co t�)"P ion of structures oY r 3 st I n h i(t (( Mobile Home Installation Fee 5 Ener Inspection Fee $ Energy p Q CONSTTY E V TOT L F $ HAZ DFEES IMP FL 00 CDF PARCE PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date ' applicable provi- resolutions to do have been paid. WORKS Date [RecEipt No. 33 1 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, OLDENROO-APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET We Permit No. �(OWNER (/ l ta!n i' 901 i^ W1 o. Proposed Building Use IVP U 2 Building Inspector 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 bNuplicate/triplicate, submitted..................................... Plot plans in utriplicate, signed by preparer of plans. . Complete plans signed by preparer of plans . . �. Complete engineered plans and calcs, with wet signature on plans . . :•. Hazardous Material Form ............ .......................... . 6. Energy Design Compliance and supporting documentation ......... -. Statement of Intent for Non -Heated and AC Buildings .............. S. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions . 10. Fees of $ (KIL0 5 �........................ 11. Chico Urban Area fees paid ....................................... 1?. Park es paid ,....................................... 1.3. ® ich of Distric fees paid .............. 14. Sanitation approval from I^ Health Department 15. City of Chico plumbing permit ..................................... 13. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 13.provements may be required. Contact Land Development Section DPW Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Lett4f sign ry authorization �7. When you issue the permit, process as follows: Mai to owner. Mail to contractor. Telephone J 9J��-and hold for pickup at �r0 office. Deliver w/inspector. Other Applica ee, O, /aa �/ / y S Cc py 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 p�rt�it issuance: (Circle new item not checked above). 1. Index permit for above items No. 3 �`ff 2. Additional items required: r7 70 C 7�.��rn� Ccntractor, designer, owner, was advised of above required data by—phone --- rnail—counter by .date Ccntractor, designer, owner, was advised of above required data by—phone _mail—counter by date Plans checked by Date Plans approved by_ #sem Date Sets of plans on hold in File cabinet AP folder Copy—DPW