HomeMy WebLinkAbout030-102-00730-102-07 2716-89B
CHINN, Jack /
1690 16th St, Oroville L
(reroof/SF)
0-7
TAYLOR., James
.� .� 3792B
3691E
30-102-7
1690 16th St., Thermalito
CONTR: O.W.Clinkingbeard, 2195 Ithica St.,r
(addition)
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.,
7 County Center Drive - OrovilleyCalifornia 95965 - Telephone: 916/538-7541,
APPLICATION AD PERMIT
ASSES PARCEL N- MB R
Z NG
BUILDING PERMIT
OWNER
S. L.EPE
SQ. FT. OCC. BUILDING VALUATION
fYl
OWNERSMAILING ADDRE,SSS
/ 'S"T',6j L - `
CO,/NTR_ NAME r
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
VNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 1000
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
Each Trap
2.00
CA
Solar or heat pump water heater
20.00
LOT NO.SUBDI
VISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF [:1 Duplex❑ Mobilehome❑ Other d`- � r--
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❑ Other45
Describe work: SQ (70M p.
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6001 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 (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
ItriFIXED
kk1, 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.5d ,/xQsgft
OR ACDNS. ACU. BLDGS.
NEW CONSTR. TI.OUTLET 2,50 ea
ESID .BRA CH CRC.,S
_NO
POWER APPARATUS S
SINGLE OUTLET CIR.
Ex. OCCup(OUTLETS OR FIXTURES 20050t
eALO 30
APPLNS. OR
EX. OCCUp. OUTLETS (RESID.) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring
9 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.
E:] I have placed on file wdth 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 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. 1 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.harmiess the County of Butte against
all liabilities, judgments, costs,—and expenses which, may in any way accrue
against said County in icons dquence,of the granting of this permit.
X 1 /� r"� Date r 7.l j
Signature of Applicant — i 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
ISCHOOLIFLOODIPARfELI
P11
I w
pyE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
OIRCTQFi'OF PUBLIC
(�
BY �` '�� �—Date
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
r
�i�
^ ""
Receipt No.
WHITE-D.P.W.. YELLOW-A5e E5e0K. PINK -INSPECTOR. GOLDENROD -APPLICANT
CR
mR :50- 42-
i . iiz
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ERMIT NO.
7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541 _
APPLICATION AND PERMIT
_AssE, R P RCEL N B R
—
2 G
BUILDING PERMIT
OWNER
T`TEJ_EPH4WE>
(iy <" 'moi
SQ. FT. OCC. BUILDING VALUATIO
OWNNER'S MA L G ADD
/ Q L -
CONTRACTO NAME '
TELEPHONE
CONTRACTOR'S MAILIITG ADDRESS
Fireplace
CONSTRUCTION LENDER
i
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ I
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
Each Trap
2.00
CA
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 STRUCT RE /�
SF ❑ Duplex❑ Mobilehome❑ Other j� If 5Xf:;
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G W
0.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other �S
Describe work: / S Q (?_0_44 p :
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
1100 AMP OR LESS
10.00
Main service EA. ADO'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 Business
and Professions Code and my license is in full force and effect.
License No. Classification
per,
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
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.EI ,
Oscl It
A u • BI.OUTLET.50
New
CCONSTR(
ea
NON.RESID .BRA CH CIRC., TS2.50 ea
POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 200501
SAL030
FIXED APPLNS. OR 11
Ex. Occup. OUTLETS (RESID.) EAJ 2.00
Temporary service 10.00
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.
(�{ I shall not employ any person in any manner so as to become subject
`W 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 10.00
Heating
Cooling
g
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.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, cos , penses which may in any way accrue
against s id County in cons uenc t granting of this permit.
%� < Date/.�
S' tura If Applicant Ownei Contractor ❑ Agent ❑
An OSHA ermit is Squired or excavations over 5'0" deep and demolition or construct-
of stru tures over tori sin height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $ 4�
OCCUP.
CONST*TYPEJ
SCHOOL
FLOOD
PARCEL
PD
D
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above or ch
TO BLIC
BY
PERMIT EXPIRES Data
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
- O
Receipt No./'
~TE-O.P.W.. TELLJW-ASSQSSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
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) an a P
CUIK� signed lication 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:
Prope
Socia
Date
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.