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HomeMy WebLinkAbout027-350-0230 MYRTLE GUIDICI Q 240•Guidici Ln:,- Oroville Cont: Jim"Ray's Conc . VIA Permit #52-88P,E(MH util) �/ -ELEC. GAS ' —COMPACTION TEST REQ.JU r. SUPPORT STRUCTURE REQ. Lo COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. 5 ASSESSOR Py 714UMB R' �-.1/C _l(/x/� ZO" BUILDING PERMIT OWNER „ TELEPHONE Q d �Q SQ. FT. OCC, BUILDING VALUATION OWNER'S AI A RESS CONTA AC TSO(' AME /� liii(, l TELEPHONE , CONTRACTOR MAILING ADEURASS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 111-00— LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 14< 06 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 477Z ieO //�r�°6a Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Sol ar or heat pump water heater 20.00 LOT NO.SUBOI VISION NAME PARCEL MAP Water piping - 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ DuplexDuplex[]MobilehomeL2�Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S [10.00 ea TYPE OF WORK New ❑ Addition ❑ RRe,m,odel ❑ Utilities4[:2-�Installation❑ Other ❑ i Describe work: t� Penult Fee $ Q, Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00V OR LESS 100 AMP OR LESS 00 10.d. 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 of the Busines$ 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.( OR ADDNS. DWELLING ACC. BLDGS. / oCCUP.m` , �20sgft NEW CONSTR MULTI -OUTLET 2,50 ea NON-RESID .BRANCH CIRCU' TS (POWER APPARATUS Sit SINGLE OUTLET CIA. / E.Z00so O Ex. ccup(ouTLETs OR FIXTURES AL@3C FIXED PR Ex. Occup. OUTLETS (RESID )EA.Y 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 U 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. 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 Filing Fee 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 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 agai at said County in consequence the gra ting of this permit. 43�Jr,{ r,This X rate % o Signature of Appli ant — Owne� Contractor [IA r ❑ 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 $ a occuP. CONST.TY SCNooLJ PLooD PARC PD NO ISSUE 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 Receipt No. a0�� / WNITC-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT ,41.�� , rT i�1611...� .Q 1 1 r T iY ... , w a•v. t r �., - .,,- .'�.f, „y -1�'ti :��..''-+. -�-.., `iJ'-►1'�"-fav" �f.�'�rir iw� ti.:�' '�w�p1r �tihi�iYMd'yyitf�. .s.:'i:.�,� COUNTY -OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER �GC.Q °(�G, A. P. No. a 7 -2 2- a3 Proposed Building Use ��� —��a%� Building Inspector <i2 Date Y— 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 PY'Q _ 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.) Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . 17. Pre -Inspection for___..____ _". _ ..._._.__ _Required. Pre•Inspec. request to (Date)Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. — _ 20. Plot plaan' approval from city of— _W21 . //� wit/�✓ ��✓ _ v 22. — — -- When, you issue the permit, process as follow.sr:_�Mail to owner; ,Mail to contractor_ Telephone old for pickup at office, Deliver w/inspector. Other Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. CeZZ&a Z �- 2. Additional items required: Contractor, designer, owner, was advised of above required data by—phone---mail —counter by date Contractor, designer, owner, was advised ci above required data by—phone —mai I—counter by date Plans checked by Date Plans approved by Date Ff Sets of plans on hold in File cabinet AP folder Copy–DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Cal'i'fornia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. - z 53ESSOR P�«l NUMBERZo"�.IG��. �C •(J BUILDING PERMIT OWNER /C!' le TELLEE-PHONE SO. FT. OCC. BUILDING VALUATION OWNER' AI LIr IRE CONTRACTOR'S r�A /r/)Q 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. ARCHITECT OR ENGINEER'S MAILING ADDRESS - - - --- - --_ .� _ BUILDING ADDRESS'. 27-22-23 Permit #53-88(MH-inste11ation) ISSUED. ti- Plan Checking Fee Energy Plan Checking Fee . Penalty !Permit fee I PLUMBING PERMIT Each Trap Solar or heat pump water heater $ $ $ $ _ �j $• Filing Fee 10.00 2.00 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 I W 0.00ea TYPE OF WORK New ❑ Addition ❑ Rem/,�odeI El Utilities ❑ InstallationEi�Other ❑ Describe work: 26—eyV Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 _ Main service 6101 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 ) 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.SINGLE 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.N , OR ADDNS. ACC. BLOGS. /20sgft NEW CONSTR.TI.OUT LET NON.RESID .BRA CH CIRC TS 2.50 ea POWER APPARATUS &) OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20®60t SALO 30 FIXED LNS. Ex. Occup. OUTLETSP(RESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 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. TI 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. 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 in c nseque ce of the granting of thi permit. ` / X2�y Date Signature of Appl,eant — Owne� Contractor F -1 A40 El 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 $ Q . occUP.J CONST.TTPEJ SCHOOL FLOOD PARCEL PD HD 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 Receipt No. 4 M0 7 WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT ^�._A.f'�,j t"i r,...`�V ;:r'a ...y.=`L�.-fhi-e.�'r'Y- f'--"a..>.iF'� 3;r+Kw:,.F�;,r�•-+`"�". r' ' �`,j+ , .�y_-t -i� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER �WC&CK, A. P. No.o? 7 -�2­1--,7 Proposed Building Usey%i ' a5t wQr,ex/"' 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 been submitted. . . . . . . 9: 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. \s 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. . . . . . . . . . 0. Sanitation approval from _ Health Dept. . w 11. Planning approval for (A) Use: (B) Parking:,r 12. Certificate of Workmen's Compensation Insurance. 13. Contractor's License Information (no., name style, classif.) Owner -Builder Verification (Given to owner❑, Mail to ownerE]) 1' — _ 15: Improvements may be required. • 16. Mobilehome Installation Data. . . . . . . . . . Pre - Inspec, request 10 (Date) 17. Pre -Inspection for ..___--- _. _ Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. — 20. Plot plan approval from city of 21. 22. — — -- When you issue the permit, process as follows: Mail to owner; Mail to contractor_ Telephone and hold f pickup at—off ice, Deliver w/inspector. Other-- ����fr�.v aiv "�- Applicant o , ,1,_1( t_va 1�).! o-6 A4,69- Date l 2 k D Copy of plans sent. Health Dept.; Fire Dept., Other Date 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 _—jnaiI—counter by date — Contractor, designer, owner, was advised cf above required data by—phone —ma il—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW