Loading...
HomeMy WebLinkAbout030-200-034ice^ - 30-20-34- _ 'EDWARDS,_.Dale ° 1147 -Wonder Lane, Oroville 'Permi #932=76P' (bld sew. inst 030-200-034 011-1765 EDWARDS, DALE ,F f\c,& - i 1147 WONDER LN. OROVILLE CONT: TMI INC RE ROOF I FA- i {, ..TG-. ., \� _ \. ` �+,� ria=.Jw" ffr � , ENCROACHMENT PERMIT COUNTY Of BUTTE DEPARTMENT Of PUBLIC WORKS 7 County Center Drive Oroville, CA 95965 Phone: (530) 538-7264 Fax: (530) 5384356"' Download Forms: www.buitecountv.net/Dublicworks NOTIFY COUNTY 24 HOURS BEFORE WORK IS70 BE DONE Permit Number Disk 6 Phone: (530) 538-7264 APPLICATION I / WE, the undersigned, hereby apply to the County of Butte for an encroachment permit to do the following work under or over the County roads and highways, all in accordance with County ordinanR2§4nd general laws. All information except signature must b2 typed or legibly rinted. 1. Applicant's Name: 1 1 a. Company Name: 2. Address: ' �4 7 L O /-U l! i / J e ?-S'9 e-::,� 3. Phone:3 — �� �. 4. Assessor's Parcel Number.�'� Y l f�.3 5. Location of Work to be Done:Oom �! 6. Applicant's Signature: / 7. Dale y �-G CONTRACTORS INFORMATION 8. Contractor's Name: 9. Address: 10. Phone: 11. Fax: 12. Contractor's Number. 13. Certificate of Insurance: Yes t Not 14. Contractor's Signature: 15. Authorized Agent: TYP F WORK TO 13E DONE 16. Please Check: Curb: eS Gutter: Jol Sidewalk: e 17. Driveway (List Type): �l ce e l r 8. Other: PERMIT GRANTED In compliance with the above request, and subject to all terms, conditions (including those printed on the back of this form) and special conditions written below, permission1s hereby ranted. 19. Conditions C Pe11'72Q G A e i r Underground Service Alert U.S.A. must be notified two working days prior to any excavation. 800-227-2600 20. • k All work shall conform to accompanying: Detail X Plans es Special Conditions .es 21. Date Issued:. fie O 22. Expiration Date: -7//z v 23Surety: Yes No ff Mike Crump, Director of Public Works By: "Note: If.permits are faxed to any number besides (530)5384356, they can be delayed up V one week. Page I of 2 General Conditions— See Page 2 Jp;jg34- - I '030-200-034 .01-1765 EDWARDS, DALE 1147 WONDER LN. OROVILLE CONT: TMI INC RE ROOF, I (; - LIA COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT ilk 1 • 116 5 /ASSSSE/S�S�ORR PARCEL NUMBER 030��-�3b ZONING - BUILDING PERMIT �OW�N�ER�+ y��,* �{� DAU EDWA YAl7 T�EELryEEP•yHH�O��N��E��++��� SO. Ff. OCC. BUILDING VALUATION .d1.7.7'�3545 EW Malo t1�i. OROiT= CA 95%5 .I 11020.W i /C�ONNTRRACTTOR SSNAME ira'ii M TELEPHONE I� 589"1567 CONTRACTORS MAILING ADDRESS 29" HUM UIEIF CA 954656 — CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 1.020 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $1J 20.00 Permit Fee $ 27,0Q ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ sygDf,$ADDOIRESU4! � RUVI= 11114// Energy Plan Checking Fee $ - \ $ PERMIT FEE $ 4?.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF o1 Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as -water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W Q20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 1*11 LESS Main Service 2o.00R R LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWEPUS License Class R Lic. No. _!{ /� OWNER-BUILDER DECLARATION I hereby affirm -under penalty of perjury that I am exempt from the Contractors License I Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. x7 I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' comQensafi, insurance carrier and policy number are: Carrier 5 7A' Jj" ��s ! Policy Number / ,� -7 ,2. (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that 0 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X .yr �� / r ,. Date ( _ C,�/� Sig"nature of Applicant - ❑ Owner ❑ Contractor ❑ Agent 4n'OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. so OR ADDNS. ( 6 ACC. BLDCS 3.5¢Fr, OUTLETCIR97,50 NON•EW R61D. T. 8 SINGLER A.MTC..OtlTPA Ex. Occup. OUTLET OR FIXTURES BA2L �' 00 L ® .SO Ex. Occup..OSS (RRES D,oEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring , 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ DCC CONST. TYPE TOTAL FEE $ 14 q. 00 HAZ. D. FEES IMP I FLOOD I CDF PARCEL I PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work in 'cated ove for w ich fees have been paid. % alot ey/ Date f (1 PERMIT EXPIRES ON Date' C ReceiptNo. I WHITE-D.D.S.-B.D. CANARY- SSESSC PM -INSPECTOR GOLDENROD -APPLICANT ' ` , COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT D z - 1196 —05 ASSESSOR PARCEL NUMBER 030-200-034 ZONING - BUILDING PERMIT OWNER DALE EDWA,RDS TELEPHONE 533-3545 SQ. FT. OCC. BUILDING VALUATION 17 1,020.00 OWNERS MMUNG ADDRESS 1147 WONDER LN. OROVILLE CA 95965 CONTRACTOR'S NAME 'IMI INC. TELEPHONE 589-1529 CONTRACTORS MAILING ADDRESS 29 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 1 020. QQ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $V 20.00 Permit Fee $ 27.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 1147 WONDER LN. OROVILLE Energy Plan Checking Fee $ PERMIT FEE $ 47.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF 11 Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IR Describe Work: RE -ROOF W/ QMF_ Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W Q20.00 PERMIT FEE t ELECTRICAL PERMIT Fling Fee 20.00 LE Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class A Lic. No. 2, � !�� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00NEW CONST. DWELLING ffUP. OR ADDNS. ( a ACC. stns. SO 3.5QFT; No Es MULTI -OUTLET 97.50 PowER APPARATUS 8 SINGLE OUTLET CIR. Occup.OUTLET OR FIXTURES @ 1 00 BAL @ •50 Ex. Occup.DPUTLEEDTS RESIp.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' com ensation insuranceyarrier and policy number are: Carrier � %jf' a deaf % Policy Number /7 -4"2 �;Z !V (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comty with those visi r X Date % �� ^ p L ature of Applicant - ❑ wrier ❑ Contractor ❑ Agent A OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FET= S Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ "17100 �HZ- D. FEES IMP I FLOOD I CDF PARCEL I pD I HD I ISSUE This permit is hereby issued under of the Butte County Code and/or in 'cated ve for w ich fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. % Date t (� D a Receipt No. % — WHITE-D.D.S.-B.D. CANARY -ASS OR P K -INSPECTOR GOLDENROD -APPLICANT a.vvn I T vr esu I 111-- - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 (Rev. 125#6) APPLICATION-AND`PERMIT PERMIT NO. AtlE!lORPARCEL NUMBER C/ — 5 mNNO BUILDING PERMIT DWNER /,JA -72- S rl:� SO. FT. I OCC. BUILDING vel 1 uT... *PERMIT FEE PAID SRA SHERIFF OTHER AMOVNT RECEIVED s - 4�7 ---- *RECEIPT NUMBER 5LW-791- * TO k PVT INTO COMPUTER PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 6.50 PERMIT FEP S Mobile Home Installation Fee S Energy Inspection Fee S 1 occ corer. irPQ TOTAL FEE _ I►Q• O. FEES IMP FLOOD COP PARCEL I PO ND I ISSUE This permit is hereby Issued under the applicable provisions Of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. By PERMIT EXPIRES ON Date Fireplace COMTRUCTION LENDER LENDER'S MAILING ADORES! , Total Valuation E Filing Fee Permit Fee Plan CheckingFee Energy Plan Checking Fee S S S $ $ 20.00 .� ARCHITECT OR ENOINEER LxENse No. ARCHITECT OR ENOSNIEER'S ""AR'NO AD a„ILONG„mRmy // 1( 7 �/ �2 PERMIT FEE $ LOT NO. SUBDIVISIONS NAM PARCEL NAP PLUMBING PERMIT Fling ee 20.00 USEOFSTRUCTURE SFO Duplex O Mobllehome ❑ Other SPECIFY Each Trap7.00 Solar or hent um water heater 23.00 Water piping 15.00 TYPE OF WORK New ❑ Addition O Remodel O udows O Insta9ation O Describe Work: Kms- /LQO Other ❑ Each gas water heater or vent 15.00 Gas I fn stem 1 - 5 outlets 15.00Building sewer 15.00 Mobile Home I S G W Q20.00 PERMIT FEE t ELECTRICAL PERMIT Fee 20.00 - — — ----- ' • • 1 i 1 • -Filing Main Service "oR LEss 200A OR LESS Main Service 200A TO 1000A 23.00 48.00 NEW CONST. OR ADONS. O a ACC, OLDS. s P. 3.52'0. kEW CONST. NON-RESID. MULTI -OUTLET 07.50 POWER APPARATLJ! A s*#QLE OunEr dR. EX. Occup. ovn r OR FTRTURm 200 1.00 SAL 0 W EX. OCCU FUZO APPLNs' oR ovrtETs ESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 *PERMIT FEE PAID SRA SHERIFF OTHER AMOVNT RECEIVED s - 4�7 ---- *RECEIPT NUMBER 5LW-791- * TO k PVT INTO COMPUTER PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 6.50 PERMIT FEP S Mobile Home Installation Fee S Energy Inspection Fee S 1 occ corer. irPQ TOTAL FEE _ I►Q• O. FEES IMP FLOOD COP PARCEL I PO ND I ISSUE This permit is hereby Issued under the applicable provisions Of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. By PERMIT EXPIRES ON Date s r i• ARMIT NO. 932-76P r PERMIT EXPIRES 3 OWNER EDWARDS, Dale t `owner CONTR. LOCATION (A.P. 30-20-34 s 1147 Wonder Lane, Oroville a Temp. Power Pole Called PG&E _ Temp. Elec. Ser".. Calle G&.E _ Temp. as Serv. _ alled PG&E _ JOB FINALED (Date) ' (Signature) THERMALITO IRRfGATJON DISTRICT F 410 GRAND AVENUE OROVILLE, CALIFORNIA 95965 TELEPHONE 533-0740 1 M� CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: � t %-A 7 A)o N) s) e P— L-A, roE� Owner's Name: )A. I-- E, E5P LOA 14-0 S t Date: 1 " -/ Address: N1114-7 Q ) 0W Qr---''--�»� Acct. No: �- ?7-n 0P -E QA `"r1�599(nEi~ A.P.No.: Phone: -63-3 " 25=1-�1 No. Units: Applicant/Agent: �/ Agents Proof: t��A Address: Fees: f Phone: Application $ (,,./7 J�; Arrearage Preliminary Review By: i * l��_ 11n�t Date: "'� "� CSA 26 Remarks: SC -OR r 1st mo. S.C. Other ! Total Fees Collected I Date: Field Review By: Date: Remarks: MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: Date of TID approval of completed building sewer (early connection). ❑ 30 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("existing construction", prior to Mar. 5, 1974). ❑ 180 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("new construction", after Mar. 5, 1974). DISTRIBUTION: WHITE - TID, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TID COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION' RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1'st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of•ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footin s Footing ELECTRICAL Masonry Walls Throat Reinf. Steel Final Bond Beam FIRE SPRINKLERS Framing Test Stucco Final Mesh MECHANICAL Scratch Heating Brown Cooling Finish Ducts Interior Lath Ventilation Door Closer Final DATE REMARKS OR CORRECTIONS_ Motors Water Htr. Subpanels Grd. Fault Prot. Service Temp. Pole Underground Permanent Final (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 + Telephone: 534-4541 APPLICATION AND PERMIT 93a�7 au u or—e rep eseniauves UI tiie uuuniy oT Butte to enter upon the above-mentioned property for inspection purposes. - �� r, �_ Date -3b/;7 `�' Signature of Permltee or Agent { � Receipt No. Z -1/: /17 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRE TOR OF PUBLIC WORKS By —�- Date�`''�" 9' permit expires Date —RL 7 `% BUILDING Owner 0.4 445 SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. 35 4S5 Fireplace .- Contractor W to Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE r $3.00 jr, p Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 t ` I 2a v l Each gas water heater or vent 1.50 A. P. No. 3® "- a o " 3 Zoning a Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fiber' 1AW "Ai-te'L11Qp I Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Parcel Approval Plans Approval Permit Fee $ , 6O NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 r _ 'll 01 SLESS 5.00 Main service 10000 AMP OR Main service EA. ADD—L-200 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V 100 AMP OR LESS 25.0(] Main service EA. ADD•L 100 AMP 1.00 NEW CONST. DWELLING OCCUP. & OR ADDNS. ACC. BLDGS. ) 2 ¢sq ft NEW CONSTR. (MULTI -OUTLET NON•REIID. % BRANCH CIRCUITS) 2.50ea NEW CON ITR. POWER APPARATUS &) NON-RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) 50@� BAL@ICOS Ex. Occup.FIXED APPLNS. OR (OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 25 F-6. I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this d permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE Is 9 0E au u or—e rep eseniauves UI tiie uuuniy oT Butte to enter upon the above-mentioned property for inspection purposes. - �� r, �_ Date -3b/;7 `�' Signature of Permltee or Agent { � Receipt No. Z -1/: /17 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRE TOR OF PUBLIC WORKS By —�- Date�`''�" 9' permit expires Date —RL 7 `%