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HomeMy WebLinkAbout030-195-011r 30-195-11 92-1449E DILLARD, Lela ; 1036 12th St, Oroville v elec sere/sf, I LM I.`,ii�-dp�?i'.�j. :�a'i!•,Cy.hcl �a:iST�-rjC►ea,�'r3r�''''��5�"�trc%q'i�,� '�i�roY`R.�;tiF.:��;..2-f`Lw.�;.'�"Fir��v:+�r�fi�:s�'"xt?r,��4�.�L,'�t:,•,9*-�,.ii?xs�`�:,.�•�'„..E' F•C. ,9`a`ii...:wr. 30-195-11 92-1449E DILLARD, Lela 1036 12th St; Oroville f elec sery/sf OFFICE COPY Address r GASr- 1 Meter By Date LECTRIC y Me er By Dafe. X Z2 i s ,:.)fria+�r�'..3-Vti„S�.-Y:se�y,.,-.•. :1+'+.t.Tx`+�.'v�,;•$�„.o- i>y:f^'�'�^il'. v 7t _4'i`'::;'R�_ 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