HomeMy WebLinkAbout030-195-011r 30-195-11 92-1449E
DILLARD, Lela ;
1036 12th St, Oroville v
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30-195-11 92-1449E
DILLARD, Lela
1036 12th St; Oroville
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 IQG► V
V9
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER.
030-195-011
ZONINr,-
C 2
BUILDING PERMIT
OWNER
LELA 111112"1434--9681
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
1036 12TH STREET OROVILLE
CONTRACTOR'S NAME
OWNER
TELEP -,ONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
t
Filing Fee $ 15.00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
a
Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS
1036 12TH STREET OROVILLE
Permit tee $
PLUMBING PERMIT Filing Fee 15.00
Each Trap 5.00
Solar or heat pump water heater 20.00
LOT NO.
SUBDIVISION NAME ,
P,ARCEL MAP
•
Water piping 7.00
Each qas water heater or vent 7.00
USE OF STRUCTURE
SF [N Duplex❑ Mobilehome❑ Other
SPECIFY ,,
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.00
Mobile Home I S I G JW I @ 15.00
TYPE OF WORK !
New LJr—I Addition RemodeiEl Utilities EF Installation ❑ Other ❑
WG
Describe work: ROE SERVICE _
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
'
Main service 600V OR LESS 18.50 • 50
200A OR LESS
_
Main service 200ATO1000A) 37.50
.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 solelcompen-
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
NE w CONST. DWELLING OCCUPM 3.3
OR ADDNS. ( AGC. BLDGS. f
NEW CONSTR MULTI -OUTLET
NON-RE51 BRANCH CIRC ITS @ 5.00
POWER APPARATUS tr
(SINGLE OUTLET CIR. I
Ex. OCCUp(OUTLETS OR FIXTURES 20 76
Ex. Occup. OUTLETS (PR ESID .)OR EA.) I .3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. 6Virin 15.00
9
PRE INSP 20,00
Permit Fee S s
—
,WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjuryN(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.
E2/1 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
Cooling
g
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
againstst said County iig cconnse�q+uer-i�cye of the granting of this permit.
X `' Z) i ""-�`�"' - Date 1 — J " - Z
Si nature of Applicant - owner
g pp ❑ 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 $
occ
CONST TYPE
68
TOTAL FEE $ W -SQ 50
HAz
1 11 FEES I
IMP
I FLOOD
I CDF
PARCEL
I 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�oT%which fees have been paid.
�01kCTOR,6F PUBLIC WORKS
By % -$ / /Datef�`Z
PERfiIIIT'EXPIRES DateT 9?
Receipt No. 115785
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovllle. California 95965 - Telephone: 916,`538-7541
APPLICATION AND PERMIT
,PERMIT NO.
,PERMIT
�(Zy�
ASSESSOR PARCEL NUMBER
030-195-011
Z NINO•
C 2
BUILDING PERMIT
OWNER
LELA DILLARD
TELEPHONE
534-9681
SQ. FT. OCC. BUILDING VALUAT N
OWNER'S MAILING ADDRESS
1036 12TH STREET OROVILLE
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
Filing Fee
$ 15.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
103612TH STREET OROVILLE
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
SFEM 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 El Other ❑
Describe work: UPGRADE SERVICE
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600V OR LESS
200A OR LESS
18.50 18.50
Main service 200A TO 1000A)
37.50
.CONTRACTORS LICENSE LAW
I declareOR
under penalty of perjury (check one):
ElNON•RESI
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
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)
[�f 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
DWELLING OCCUP.&\
NEW CONST.( ACC. BLDGS. I
ADONS.
3.6Q sq.it.
NEW CONSTR. MULTI -OUTLET
BRANCH CIRC ITS
@ 5.00
POWER APPARATUS &
(SINGLE OUTLET CIR.
Ex. OCCUp(OUTLETS OR FIXTURES
20 760
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EAJ
1 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. 6Virin 9
15.00 15.00
PRE INSP
20.00
Permit Fee
$ 68,50
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
121of 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
FiIingFee 15.00
Heating
Cooling
g
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 Co y ir2 �eque of the granting of this permit. c�
X / Date S — S /
Signature of Applicant — Owner❑ 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 $
Ener Inspection Fee $
9Y P
occ
CONST TYPE
TOTAL FEES 68.50 I
HAz
I DFEES I
IMP
I FLOOD
CDF
PARCEL
I PD
I HD
ISSUE
This permit is hereby issued under the applicable provi-
u sions of the Butte Coty Code and/or resolutions to do
work indicated ab Fwhich fees have been paid.
PUBLIC WO KS /G%
BY �� ate
PER (1EXPIRES Date
Receipt Receipt No. 1-��7$S
WHITE-D.P.W., YELLOW-ASS[SSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
I
COUNTY OF BUTTE DEPARTMENT OF PUBLIC WO„ BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
PERMIT APPLIECATION DATA SHEET
OWNER
Proposed Building Use
A. No. , /
ng Inspecto Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED By
1. All items have been submitted . ........................................
2. Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3. Complete plans, 3/4 sets, signed by preparer of plans . ......................
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ............................................
6. Energy Design Compliance and supporting documentation . ................. .
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ....
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10. Fees of $ ..........................................
11. Impact fees as shown on attached schedule . ............................. .
12. California Department of Forestry plan approval/fees. ....................... .
13. Flood elevation letter (100 year flood) by California Engineer . ................. .
14. Sanitation and plot plan approval Health Department . .............
15. City of Chico plumbing permit . .........................................
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking: ... • ..
18. Contact Land Development about (A) Improvements (B) Drainage. ...........
19. Driveway permit (construction approval required prior to occupancy). .. to Buil Peaio� reqs
Pre -inspection for required. .. to Build ng Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
Certificate of Workmans Compensation Insuranc ..........................
23. Owner -Builder Verification (Given to owner Mail to owner _). ........ .
,24. Recorded copy of Agricultural Acknowledgement Statement . ..................
L+,�"15. Letter of signature authorization . ..................................... .
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... ,
27. Letter of intent on building use . .........................................
28. Mobilehome utility clearance . ..........................................
29. Documentation of legal access . ........................................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list . .....................................................
33.
34.
Whe y sue the per process as follows: Mail Mail to contractor.
Telephone and hold for pickup at //�� office. Deliver with inspector.
Other o�
Parcel Creation �, S
Acreage Applicant Date
Copy 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 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 _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Conv - Department of Public Works
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville. California 95965 - Telephone: 916!538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
ZONIN
C/./
BUILDING PERMIT
OWNER// y^
L,1. / 1
P NE
SO. FT. OCC. BUILDING VALUATION
OWNE 'S AILING ADORE 7/
CON PA
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 15.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDINGADDRESS T O�
4igPLUMBING
Permit fee
$
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 I G I W
@ 15.00
TYPE OF WOR
New ❑ Addition ❑ �R/emodel ❑ UtilitiesY�l I�nstallatilon❑ Other ❑
Describe work: L%TD V l _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600VORLESS
200A OR LESS
Main service 200A TO 10o0AI
18.50 r
37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):IEWi.RDEs
❑ 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)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. / DWELLING OCCUPM
OR ACDNS. 1 ACC. BLDGS. //
3.64sq.ft.
D R. BRANCH CIRCU!40IT
@ 5.00
(POWER APPARATUS e�
SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
20 76d
Ex. Occup. OUTLETS �R ESI DIRE A.�
1 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00 (%
`�
U �d
Permit Fee
$
Contractor
1
—
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 15.00 j
Heating
Cooling
I
Hood
6.50 1
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 7yccrue
against said County in consequence of the granting of this permit.
X Date
SSignature of Applicant — Owner ❑ Contractor ❑ Agent ❑
i OSHA
ion of structures roverr3gstories ineheighttions over S'O" deep and demolition or construct-
ion
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $
FIAZ
0FEE5
IMP
FLOOD
CDF
PARCEL PO
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
B y
PERMIT EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS s
ate
I
I
G
Receipt No. ��� ��S
T �
'IYITC-D.P.W., YELLOW-A3eE330R. PINK -INSPECTOR. GOLDENROO-APPL I CANT
m
.,
'.
t
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 propert improvement .( a or no)
I (av/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 Ownerk&, koRaj
Social Security Number /
C} ti
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 ere per-
mitted to issue the permit.
/ PRE -INSPECTION
OWNER: LLQ L�T�I D/L_ L A9 7:) DATE _�_,
LOCATION: /L A. P. #
CONTRACTOR: ZONING-
----------
PRE-INSPECTION
ONING-_________PRE-INSPECTION FOR:-
�' M W I f2W 6
,
DATE TO INSPECTOR
PERMIT HISTORY: lZr NONE Ej AS FOLLOWS:
TYPE OF OCCUPANCY
FIELD - INFORMATION
BUILDING USAGE:
TENNAN -
OCCUPIED HAS ELECTRIC �-HS GAS HAS SANITATION FACILITIES
HEATED -COOLED ' //, PERSON CONTACTED
i
OTHER COMMENTS:
I
i
ACTION RECOMMENDED:
Ea Sr SUE HOLD FOR `
OTHER:
R
n
BY DATE
y