Loading...
HomeMy WebLinkAbout028-180-05428-186 7 GARY:, & CHERYLE PEVY. _ - . -_ - _ - W/S Upham Rd 24001W Robinson Rd,B Permitjk3�,68- ,E(utiI ) ELEC 4 - GAS ` SUPPORT' S- CTR EQ COMPACTION TFS EO I f I� I I I , i _ _ _ COUNTY OF BUTTE - DEPARTM�IT OF PUBLIC WORKS . 7 County Center Drive Oroville, California 95965 Telephone 916/534 4541 APPLICATION AND PERMIT NO PERMIT _,3, - 4/ ASSESSOR PARCEL NUMBER x''10 ZO ING —_�— BUILDING PERMIT 0 N r r TELEPHONE SQ. FT. OCC. BUILDING VALUATION O WNE MAILING ESS M f CON7R OR'S NAME AD h49 Y_ TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDERUNKNOWN Q Total Valuation $ Filing Fee $ 1•�� LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING A E DRSf I , W PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME RCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer 5.00 Mobile Home 10.00e 30�c7� TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities I� Installation ❑ Other ❑ Describe work: — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 tOQ Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.& OR ADDNS. L ACC. BLDGS. 2/20sgft 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 AZA 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 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 NON-RESID R BRANCH CIRCUITS 2.50 ea NEW CONSTR. POWER APPARATUS &) NON-RESID. %SINGLE OUTLET CIR. Ex. Occu 20Q50C P�o XTs OR FIXTURES 13AL®300 FIXEDD APP LHS. OR Ex. Occup. OUTLETS (RESID,) EA,) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 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. 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 1 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, an expenses which may in any way accrueIF against said County in consequenc f the granting of this permit. X� � A Date ��" �' �Y -�,7 &� �y Signature of App scant — Owner ntractor ❑ 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 $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST.PARCEL_ JJ P MD ssuE 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. 8 is—b 0 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Y. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. OWNER _&AA �jx sliri�/1 ��Q� 1 A. P..No. S� Proposed Building Use I I A) IUI- Permit Fee Based Upon: Cho plete Contract'Price DPW Valuation ther Explain) Building Inspector 07_('.O \Date.% /— 9- Y At time of permit application, I was advised the following data must be submitted prior to permit processing and1or 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. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings... 8. Fees of $ . . . . . . . . -9. Letter of signature authorization. 1,�1. Sanitation approval from d�/`l� 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. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . • 17. Pre -Inspection for RequiredPre-Inspec. request to - Building Inspector (Data) ICde1`8 Recorded copy of Agricultural Acknowledgment Statement. r '9 ther ivy Sl n. x.41 CA� When you issue the permit, process as follows: �� Mail to owner- Mail to contractor. Telephone and hold for pickup at office. Deliver w./inspector. Other c,J FINS L ,y P Applicant-�'� Date Copy of plans sent Health Dept:, Fire Dept., Other Date During.the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of a Iication, circle item.) 1: Index permit for above Items No /,/ Y�O 2. Additional items required: f (Contractor, Designer, Owner) was advised of above required data by Telephone Mail - Other By Date Plans checked by Date Plans approved by ate Other: 4,+. Copy—DPW COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-534-4541 An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing 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) t� S 2. I (havg/have not) haA x� 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- Date umberDate�— 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 permitted to issue the permit. t 70� This set ®f plans and specifications. MUST, be kept on the job at edi times and int is Unlawful fe make any chanes or alterations on same withouf t' { wrNfen permission from the ©eparfrnenf of puts lid Works, County of • Bu#tQ, NOTE:—All Materials & Workmanship Accordance with kmanshi Of a Recognized G p Shall Be in quality prescribed for the $ cd practices and Uniform Buildingpecified use in the e National El4,fri�alb ode. Mechanical Codes and A setback of 5,.' ft. from the Property lines and 1 a setback Of 50ft. from the road - I IN centerline shall be clear of ,r . ruete,res or equipLA ment except c_ "Ie overha • 1f10¢ � ng. AAINIMV� 500 SQ - Qi �� Utility connections shall be in c 4 ft. of the mobilehome i er t directly behind or wit the rear half of the roadsid a t) of the faired for the mobilehome k permit will be- req . „ jpr.: lr�stallation `of the mobilehome. 1 1 y 70 phis set of plans and specifications MUST be kept on the job at e0l times and it is unlawful to m0he-any ch-anaes or alterations on same without wriiizn permission from the Department of Pub- rm?, 9, iks, C- wnty of Butte, NOTE:—All Materials & Workmanship, Shah Be in Accordance 'with Recognized Good Practices and of auah prescribed for the Specified use in the q Plumbin & Mechanical Codes and Uniform- Butding, g the National Electrical Cod®. i A setback.of 5 ft. from the property lines and a setback of 50ft. from the road Q_\ centedine.shaII be clear of \- structures or equipment, except for a 2 ft. eave overhang. - - - - - FAV SQpBl - rthm�o -o g, Utility connections shall be ft. of the mobilehom , either d'arectly behind or n the rear permit will be required for tho •hal{ of the in ' r e lefi� of the i�tallation of the mobilehome. mobffehom ., r _ r� _ _ .. �.F y fi .. - � r' _. ... � �. -. _- .. . 1. } � .. � -� F-. r S t 1 i�.�_:: �S� -:... P I.' -. �• .. .. r``. �ti. .... is �. ..... ,. .. ..... .. t - - A This setDf plans and specifications MUST be fes" kept on the }ol3 a4,. j,11 times and it is unlawful to rn 1,e any cl,_ ilfr; or al�trations on same without � ; V f �� wrK-.perin!-c sic,-. from she Department of Pub. t> lid (W,,oAs, County of Butte. _NOTE: --All Materials & Workmanship Shall Be In -. Accor -dance with Recognized Good Practices and J of a quality prescribed for the Specified use In �., Uniform Building, Plumbing & Mechanical Codes and the National Electrical Code. �• f ' �; L A setback of 5 ft. from the property lines and a setback �! of 50r't. from the road �y,' irA�) centerline shall be clear of rt.. )�`�+ '�rx t structures or equipment except - for a 2 ft. eave overhang. 5Q. Utility conn 1 i ..� 4 ft ections shall be -: .;, of�the mobile.h�o w�lhirt direct/Ylbehind or me' ei her half o f t w1hn e rear he roadside Mobilehome, it f6f the "mow •� ,� ' ' A dYqe U (Cj