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HomeMy WebLinkAbout029-141-00291. 4.1 1 2 a; JTOR-MANEN RAY'S CONTR `" OWNER ,1228. RICE ,AVE, ,.R'I CHVA.LE .,., HEAT .& AC/SF a_ oa. n COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, California 95965 rN - Telephone: 916.'538-7541 APPLICATION.AND PERMIT ; ASSESSOR PARCEL NUMBER ' ZONING BUILDING PERMIT 29-141-02 OWNER TELEPHONE Q, FT. OCC. BUILDING VALUATION Ray Tormanen 882-4279 OWNER'S MAILING ADDRESS PO Box 117 Richvale 95974 CONTRACTOR'S NAME TELEPIiONE owner CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Energy Plan Checking Fee A$ $ ARCHITECT OR ENGINEER'S MAILING ADDRESS $ Penalty BUILDING ADDRESS Permit fee $ ?98 Rice Ave, Richygle PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heaterF LOT NO. SUBDIVISION NAME PARCEL MAP Water piping Each qas water heater or ventUSE OF STRUCTURE Gas piping system 1 - 5 outletsSF (jam` Duplex❑ Mobilehome❑ Other Building sewer SPECIFY Mobile Home S G W TYPE OF WORKv��, New.. Addition E] Remodel E] Utilities M Installation❑ Other E]Permit Fee $ Describe work: new heat & ac _ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS18.50 200A OR LESS Main service 200ATO1000AI 37.50 CONTRACTORS LICENSE LAW NEW CONST. ( DWELLING oCCUP.k) OR ACDNS. ACC. BLOGS. 3.60 sq.tt. I declare under penalty of perjury (check one): NEW CONSTFL MULTI.OUTLET @ 5 00 �� I am licensed under provisions of Chapt. 9, Div. 3 of the Business NON.RESID BRANCH CIRC ITS POWER APPARATUS tr (SINGLE CIR. and Professions Code and my license IS In full force and effect. OUTLET Ex. Occup( OUTLETS OR FIXTURES 20 76d R License No. Classification 1, as the owner, or my employees with wages as their sole compen- FIXED APP LRS. OR Ex. Occup. OUTLETS (RES,M EA.� j 3.00 sation, will do the work,and the structure Is not intended or offered Temporary service 15.00 for sale. (Sec. 7044) Mobile Home Facilities 15.00 El I, as the owner, am exclusively contracting with licensed contract- Misc. Wiring 15.00 1 00 ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ -in 00 — Contractor WORKMEN'S COMPENSATION INSURANCE MECHAN.I.CAL P MIT `FlingFee 15.00 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. Heating_',P_ y\ 9.00 ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate Cooling � 9.00 of Consent to Self-Insure. become 6.5 14 F I shall not employ any person in any manner so as to subject JHOod to the W. C. laws of California. i /Ventilation Notice to Applicant: If after making this statement, should you become subject �Pennit Fee 33:00 to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. I C' ntractor A 1V,0KA1 I certify that I. have read this application and state that the above information k�Mobi n anon Fe �t�, is correct. I agree to comply to all County Ordinances and State Laws relating �tEnergy Inspec Ion Fee $ to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes.��occ CONST TYPE TOTAL F I1 E $ 63.00 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 �r HAz DFEES IMP F P P HD ISSU against County in consequence of the granting of this permit. lsions This,�Jermit is hereby issued unkr t e ap provj Xmac* Date Signature 9pplicant Owner Contractor ❑ Agent ❑ ofithe Butte County Code an N ja /or res utions to do of — work indicated above for which fees have een paid An OSHA permit is required for excavations over 5'0" deep and demolition or construct- X11 LIC OF PUBLIC WORKS i ion of structures over 3 stories in height. i By _ Date%I—fZiJ�� Receipt No. 1(1 T14— PE EXPIR S \--Date_ WHITE-O. P.W„ TELLOW-ASS[330R, OINK-INSPECTOR, GOLDENROD-APPLICANT �� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 916.'538-7541 APPLICATIeKAND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 29-141-02 ZONING BUILDING PERMIT OWNER Ray Tormanen TELEPHONE 882-42794-_ 80 FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS PO Box 117 Richvale 95974 CONTRACTOR'S NAME owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 1228 Rice Ave, Richyale Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ba Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities D Installation❑ Other ❑ Describe work: new heat & ac Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200V OR LESS 00AOR LESS 18.50 Main service 20CATO I000A) 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 1, as the owner, Or my employees with wages as their SOIe 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 _37.50 NEW CONST. DWELLING OCCUP.EI\ 3.6Q sq.ft. OR ADDNS. ACC. BLDGS. // NEW CONSTR ULTI.OUTLET NON•R ESID BRANCH CIRC ITS @ 5.00 /POWER APPARATUS &) (SINGLE OUTLET CIR. EX. OCcup(OUTLETS OR FIXTURES 20 7611 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 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. 14 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 9,00 Cooling 9.00 Hood 6.50 Ventilation permit Fee $ 33.00 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 County in consequence of the granting of this permit. i X � Date $ignoture of pplicont — Owner r_ Contractor ❑ Agent ❑ An is ion oofsstructures toverr 3guired storiesoinehe excavations over 5'()" deep and demolition or construct- Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 63.00 HAZ 0FEES IMP FLOOD CDF PARCEL PO HD ISSUE 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 aid. RECT OF PUBLIC WORKS p By Date/)- 7-1 PE XPIR S Date_ ��7,T,�,�� Receipt No. 1f1-414 WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'536-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER —� ZONING BUILDING PERMIT o -P RTELEPHONE Z` Z? SO. FT. OCC. BUILDING VALUATION O NER'SAILI G AD R SS ONTR CTOR'S NAM TELEPHONE CO'NTRACTOR'S MAILING A Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New! Addition Remodel❑Utilities[] Installation❑ Other Describe work: J i Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 CONTRACTORS LICENSE 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 ;Jo. 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) El 1, as the owner, am exclusively contracting with licensed con ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1000A1 37.50 NEW CONST. DWELLING OCCUP.&) 3.64 sq.ft. OR ADDNS. ACC. BLOGS. I NEW CONSTR. ULT' -OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS & SINGLE OUTLET CIR. :J::: ) — Ex, OCCUp( OUTLETS OR FIXTURES 20 7611 Ex. Occup. OUTLETS P(RESID. IRE A.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00tract- Misc. Wiring g 15.00 / $. pp 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 FiIirig Fee 15.00 Heating Cooling (� Hood 6.50 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 against said County in consequence of the granting of this permit. X Date Signature of 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 h ight. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ HAz I DFEES I IMP I FLOOD COF PARCEL PD HD ISSUE 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. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. -�� WHITE-D.P.W., T LLOW-ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT i 8 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 (y�o r no) 2. I (have/have not) 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 //—A 5 % 9/ 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.