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HomeMy WebLinkAbout030-211-013I i 0rl- DORIS LARSON 893 Harlan Ave.fbld,' o� Permit ##1631-76inst) SF I 8� 30-211-13 Permit #2688-/6P �replacbgasin i /SFP P $ ) a , _� 13 OFFICE COPY Address i? 14 GAS Meter By ELECTRIC Meter By Date r MA COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville,+L'aliforr"ia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. 4! 9 �_- G(o ASSESSOR PARCEL NUMBER • � ' ,� J% - /firj ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. DCC. BUILDING VALUATION OWNER'S MAILING JJ ADDR ESS j CONTRACTOR'S NAME y r ; ` $Orr, -N TELEPHONE CONTRACTOR'SMAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 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 / Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 1" - fe Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Z Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 /,5 , ( (i Building sewer 5.00 /.1//,�/ Mobile Home I S I G JW I 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ installation[] Other Describe work: �+ 1 /c r irl I r ✓ t r t t r' / `` 61ELECTRICAL ' �'! r� / n % Permit Fee $ �7r; / 0, Contractor PERMIT Filing Fee 10.00 Main service eooV OR LESS 10.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El 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 W-1 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 OCCUR.& OR ADDNS. ( ACC. BLDGS. /20sq ft NEW CONSTR. MULTI -OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 200Sot eALe3o FIXED APPLNS. Ex. OCCUp. R OUTLETS ((RESID 1EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor 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 FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify thatI have read this application and state that the above information is correct. I'agree to comply toall County Ordinances and State Laws relating to building corgi truction, and�hergby., authorize representatives of the County of Butte to enter upok�the abbye.ment(oned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all IiabilItT s, judgments, costs, and expenses which may in any way accrue against,said�Cottn,ty in ons quence o -the granting of this permit. X �_ ) . f - V /L Date- Signature of Applicant — � Owner �, Contractor ❑ Agent ❑' An OSHA permi�,�is yrequire 4or excavations over 5'0" deep and demolition or construct- ion of structures`oD'er`+� stori11e's in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ _�3% ol-` OCCUP. CONST.TYPE I FLOOD PARCEL I PD ND I ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been aid. � p / DIRE�,CTOR'OF PUBLICIWORKS ByJ •' r r �I - !/% y'��i Date X PERMIT EXPIRES Date A /I{T� Receipt No. 1- • WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Califorr% 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSES§PR PARCEL NUMB E T - ZONING BUILDING PERMIT OWN R 1/1 TELEPHONE SQ. FT. OCC.1 BUILDING VALUATION OWNE MAILIN DORE S Y .; CON CTOR'S NAME &fS o 41 ELEPHONE NTR CTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 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 Permit fee PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 r0ILI-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 STRUCTURE SFDuplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 tS 0 Building sewer 5.00 / Mobile Home I S I G JWF O.00ea TYPE OF WORK New❑ Addition[] mod I❑ Utilities In tallation❑ 0 Describe work: 10 14 r & &!�' _ c �` Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V 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): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the BuSlnesS and Professions Code and my license is in full force and effect. License No. Classification 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.& , OR ACDNS. (ACC. BLDGS. h�sgft NEW NO N.RES D R. BRANCH CIRCTITS 2.5Oea POWER APPARATUS e (SINGLE OUTLET CIR. I Ex. Occup(OUTLETS OR FIXTURES 20050t SALO 30 FIXED APPLNS. OR Ex. OCCUp- OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin 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 to the W. C. laws of California. Not ce 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 10.00 Heating Coolin 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 County ot� 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,osts, and expenses which may in any way accrue a ain said County in co equennce� of_the ranting of thisermit. Date %b , Signature of Applicant — 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.Z Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occu P. CONST.TYPEJ [FLOODIPARCELI PD ND 1 IYSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which IRE PUB BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. ORKS Dat Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT � ., COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 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) MPJ P 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 A,, S �� v Q_ cL Address "7'7,g - Phone c 3 y_ _ 757-7 Contractors License No. 4. I plan to provide por to coordinate, sue Name Address Phone City Vi(\ns of this work, but I have hired the following person ise, and provide the major work: Contractors License No. City 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 S igned : Property Owner Social Security Number ( Date _ _�-��6t. //) _ $ 4 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 t44z , c �r C e� PEQVIIT NO. 1631-76P PERMIT EXPIRES 4/6/77 OWNER DORIS LARSON CONTR. owner LOCATION (A.P. 30-211-13 ) 893 Harlan Ave., Oroville r 1, w 1 gT . 1 Temp. Power Pole x Called PG&E j Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E � cy JOB FINALED (Date) (Signature) o i COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTIQN RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer �l 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 Footings Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) THERMALITO' IRRIGATION DISTRICT 410 GRAND AVENUE OROVILLE. CALIFORNIA 95965 TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: Owner's Name:'` Date. Address: r Acct.Ngo'." A.P. No. Phone: No. Units: Applicant/Agent: Agents Proof Address: Fees: Phone: Application $ Arrearage Preliminary Review By: Date , %� CSA 26 Remarks: SC -0 R 1st mo. S.C. Other Total Fees Collected By: _ Date: Field Review By:Date: Remarks: MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: 0 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 �> 7 County Center Drive — Orovi Ile, California 95965 Telephone: 53A-4541 // 3/_%� APPLICATION AND PERMIT 6 c�/ au UIO11LC 1VPIC5C11ldLIVC5 U1 the Luunty oT Butte to enter upon the abov - entioned property for /inspection pur opseess�{�'�y X "`VVV Datp. fillb ignature of Permitee�or'/A�g(e�nt Receipt No. 1 n: 3 , . 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. DI -RECTOR OF PUBLIC WORKS By LAAAA12n Date 4 V 45�—v Building permit expires Date !1`&-77 BUILDING Owner © SQ. FT. OCC. BUILDING VALUATION Mailing Address 4AP—LA" AVE. O I I r ,c � l� Telephone No. Fireplace Contractor Total Valuation Mai ling Address Permit Fee Plan Checking Fee &/or Penalty • Telephone No. Permit Fee $ Building Address A' PLUMBING No. @ FEE PERMIT FILING FEEOC-)$3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. 36 — '241 Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s &0" Saa+4atton I Fire Dept. Fire Zone Use Permit Building sewer 5.00 0 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im provements Lawn sprinkler system 2.00 ec I Parcel Approval Plans Approval Permit Fee $ • $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 e ^ v ( Lz T LL U Main service 100 AMP ORSLESS 5.00 ` . • . Main service EA. ADD'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD•L 100 AMP 1.00 NEW CONST. / DWELLING OCCUP. & OR ADDNS. ( ACC. BLDGS. 20sgft ' NEW CONSTR. (MULTI -OUTLET NON-RESID. BRANCH CIRCUITS) 2.50ea NEW CON ST R. 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)�� BAL@1 Ex. Occu FIXED APPLNS. OR P•(OUT LETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 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. EJ .1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. Nr I 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 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 $ �� au UIO11LC 1VPIC5C11ldLIVC5 U1 the Luunty oT Butte to enter upon the abov - entioned property for /inspection pur opseess�{�'�y X "`VVV Datp. fillb ignature of Permitee�or'/A�g(e�nt Receipt No. 1 n: 3 , . 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. DI -RECTOR OF PUBLIC WORKS By LAAAA12n Date 4 V 45�—v Building permit expires Date !1`&-77