HomeMy WebLinkAbout030-200-041I
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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
"7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT 93-2815
ASSESSOR PARCEL NUMBER
030-200-041
ZONING
. A�
BUILDING PERMIT
OWNER
DENA I.ESHUBERT
TELEPHONE
589-1944
SQ. FT, OCC. BUILDING VALUATION
MAILING&ADDRESS
630 RIVERVIEW Cr.OROVILLE CA 95966
16 SQ
960
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee
$ 20,00
Permit Fee
$ 25.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
PERMIT FEE
$ 45.00
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15,00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Each gas water heater or vent
15.00
USE OF STRUCTURE
SADuplex ❑ Mobilehome ❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G I W
@20.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other
Describe Work: REROOF WITH WIP
PERMIT FEE
$
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
APPROX 16 SQUARES
Main Service ( 2111V 01 LESS
00AORLESS )
23.00
Main Service ( 200ATO1000A )
46.00
DWELLING OCCUP.
NEW CONST. DW8, )
OR ADDNS. ( ACC. BLDS.
$O .
3.50 FT.
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
,License
vLicense No. Classification
the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044)
❑ I am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
-NON-RESID. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS )
a SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
BA20 @ 1.00
Ex. Occup.FIXEDAPPLNS.OR
( OUTLETS IRESID.I EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE
$
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
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 Butte County Ordinances and California 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 harmless the County of Butte against all
liabilities, judgments, costs, and expenses which may in any way accrue against said
County in consequencellof the granting of this permit. j
X. w �1. I, c --{ —� Date r/ , -�
Signature of Applicant ❑Owner ❑Contractor El Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $ 45.00
HAZ.
I D. FEES
IMP
I FLOOD
I CDF
PARCEL I PD
HD
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.
DIRECTOR OF PUBLIC -WORKS
Date
PERMIT EXPIRES ON
/Date/
148380
Receipt No./�
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT 93-2815 /
ASSESSOR PARCEL NUMBER
030-200-041
20N,:�
AR
BUILDING PERMIT
OWNER
SHUBERT
DENA
TELEPHONE
589-1944OWNEWS
SQ. FT. OCC. BUILDING VALUATION
16 SQ
960
MAILINGADDRESS
630 RIVERVIEW CT OROVILLE CA 95966
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 20.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 25.00
ARCHITECT OR ENGINEER
LICENSE N0.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
PERMIT FEE
$ 45.00
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15,00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Each gas water heater or vent
15.00
USE OF STRUCTURE
SFS] Duplex ❑ Mobilehome ❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
20'00
TYPE OF WORK
New ❑ Addition ClRemodel ❑ Utilities ❑ Installation ❑ Other Ex
Describe Work: REROOF WITH COMP
PERMIT FEE
$
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
APPROX 16 SQUARES
101 OR LESS
Main Service ( 00AORLESS )
23.00
Main Service ( 200A TO IOOOA )
46.00
NEW CONST. DWELLING OCCUP.
OR AODNS. ( & ACC. BLOS. )
.
3.50 FSTO,
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
`/License No. Classification
�Si I, as the owner, or my employees with wages as their sole compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
❑ 1 am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
.NON-RESID. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS )
& SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
BAL. @'.50
Ex. Occup' FIXED APPWS. OR
( . )
OUTLETS (RESID.) EA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
�, Certificate of Consent to Self -insure.
tea[ I shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE
$
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
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 Butte County Ordinances and California 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 harmless the County of Butte against all
Iiabili ies, judgments, costs, and expenses which may in any way accrue against said
Co u �y n consequence of the nting of this permit.
i �'
XDate
Signature of App ee ontractor ❑ Ag ❑ Owner ❑ Cent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 45.00
HAZ•
I D. FEES
IMP
FLOOD
I CDF
PARCEL PD
HD
I ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
DIRECTOR OF
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
4G -WORKS
Date 2�i�
cI
C 9�"
lDet 1
ReceiptNoJ.48380
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
;,I.� .-.�,..v--...C"'isJti-��`.��".-•�7,.;r'cwt•�y't'^^r.Y�'�'J+�7ri'!`^'."'.y'7•v���� r�'�..:7'�a�'tiit.,�...,f-`,r^...-t:+-�/'7"'�+..---(�tr�..v'N�`t'tiT,�„^T.-�.rr�.-n-...,v
COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CrJlFggg NIA 95965 - TELEPHONE (916) 538-7541 JSP$ .�
LM
VI.- PERMIT APPLICATION DATA SHEET
OWNER �/V 6
A. P..NNo. �zoo-
Proposed Building Use o Building Inspector/ Date 3
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
i DATE RECENED 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 . ......................
A. Engineered plans and talcs, 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). .. . .
20. Pre -inspection for P��"�e Inspector required. . to Building lnspedor (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner , Mail to owner ). ...........
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. 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.
When you issue the permit, process as folio r. o co a or.
Telephone and hold for office. Deliver with inspector.
Other
Parcel Creation /
Acreage Applicant
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
Copy - Department of Public Works
COUNTY OF BUTTE - Department of Public Works
7 County Center Driv,e,_19roville, 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) 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'l have hired - the following person
to coordinate, supervise, and provide the major work: .'
Name
Address City
Phone Contractors' License
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
\\X/ Signed :
Property Owner R
Social Security Number
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.
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER (5,5oiZ6o y C> [� ; O. _bi • .:✓I-
/�-
BUILDING PERMIT
OWNER LEPHONE
SQ. FT. OCC. BUILDING VALUATION
. o
So,
OWNER'S MAILING ADDR
Q=5C\ V t4
CONTRACTOR'S NAME _ /T
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee $
20.00
LENDER'S MAILING ADDRESS
Permit Fee $
m�
ARCHITECT OR ENGINEER
uCENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
4UILDWG ADDRESS
PERMIT FEE $
.I S EYc
PLUMBING PERMIT
Filing Fee 20.00
C/1
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
LOT NO.SUBDIVISION'S
NAME
PARCEL MAP
Each gas water heater or vent
15.00
USE OF STRUCTURE
S\\�SPECIFY Duplex ❑ Mobilehome O Other
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G I W
El �
@20.00
TYPE OF WORK
New ElAddition O Remodel O Utilities O,, aAI-nstallation O Other )A--
DescribeWork:_e V_6kpQ (U ��V\ ��
f
I
PERMIT FEE g
Contractor
ELECTRICAL PERMIT Filing Fee 20.00
Main Service ( B00V OR LESS ) 23.00
200A OR LESS
Main Service ( 200A TO 1000A ) 46.00
NEW CONST. DWELLING OCCUP.
OR AODNS. ( & ACC. BLDS. )
s0.
3.50 FT.
CONTRACTORS LICENSE LAW(
I declare under penalty of perjury (check one)
IDI am a licensed under provisions of Chapter 9, Division 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 compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
O 1 am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI-OUTLET
-NON.RESID. ( BRANCH CIRCUITS )
@7.50
POWER APPARATUS )
6 SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
20 @ 1.00
BAL. @ .50
Ex. Occup.FIXED APPLNS. OR
(OUTLETS IRESID.I EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
O This permit is for $100.00 (valuation) or less.
O 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
O I shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
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 Butte County Ordinances and California 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.
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 O Contractor O Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee S
OCC
CONST. TYPE
TOTAL FEES
HA2-
I D. FEES
I IMP
I FLOOD
I CDF
PARCEL PO
HO
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.
DIRECTOR OF PUBLIC WORKS
By Date
PERMIT EXPIRES ON
/Dere!
Receipt No. /
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
THERMALITO IRRIGATION DISTRICT
410 GRAND AVENUE
OROVILLE, CALIFQRNIA 95965
TELEPHONE 533-0740
CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT
Service Address: `
Owner's Name:
Date:
Address:
Acct. No:
A.P. No.:
Phone:
No. Units:
Applicant/Agent:
Agents Proof:
Address: ''Z
Fees:
Phone: • `�' -
Application $
Arrearage
Preliminary Review By: Date:
CSA 26
Remarks:
SC -0 R
1st mo. S.C.
Other
n
Total Fees
ollected By:
-,i
Date:
Field Review By:• �1�.� ..._%/���;' °� 'r Date:(2
Remarks: N/ �j �;/o-- �� s
li)r int 0 4.
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
•oag,juawdojanaa pue�
£661 T I d3S
31168.0 AiNgl 03