HomeMy WebLinkAbout030-350-019` KV
30-35-19
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BRUCE SCHAENEMAN
- 1551 12thSt., O oville
Permit 3_R1R,M(reroof & re-
place evap. cooler)
A.P. 30-35-19
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER _
UNKNOWN
Total Valuation
--
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEERLICENSE
"ADDRESS
NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING
Permit fee
$
BUILDING ADDRESS
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work: `�- '
j
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP ORSLESS
5.00
Main service EA. AOD'L too AMP
2.50
NEW CONST. (DWELLING OCCUP.tl)
OR ADONS. ACC. BLDGS.
20 sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ 1 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 CONSTR. TI.OUTL T 2,50 ea
NO N.R ESID BRANCH CIRC ITS
NEW CONSTR.POWER APPARATUS &)
NON.RESID. (SINGLE OUTLET CIR,
EX. Occup OUTLETS OR FIXTURES 50@25
100
FIXED APPLNS. OR
Ex. Occup.(OUTLETS (RESID.) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT
Filirig Fee 10.00
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.
Heating
Cooling "
Hood
3.00
Ventilation
permit Fee
___S
Contractor
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 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 ❑ 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 $
TOTAL PERMIT FEE $ -
OCCUP, GROUP
I TYPE of CONST.
PARCEL
P7
HD
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By-
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
JCOUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS" ---,'PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 �� j
APPLICAZ!ON AND PERMIT i
ASSESSOR PARCEL NUMBER
Q--� —/ `/
ZONI G
BUILDING PERMIT
OWNER
I
sGN9ElEM/4v
TELEP o�5`l%,$PU
SO. FTS. OCC. BUILDING V LUATION
O. on
OWNER'S MAILING A RESS _
/s.s/ /Z 96S
CONTRACTOR'S NAME
E2
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fire -place
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
ZFUCT 00
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ qov
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINE R'S MAILING ADDRESS
Permit fee
$ .'C
BUILDING _ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
//
Water piping
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF Duplex Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
-H---
TYPE OF WORK
New Addition❑ Remodel [J Utilities V Installation❑ Other
Describe work: l2E-P_DO 11611,5 /y Iq SCS
-AA)D 9r01,A C— 9Z/�7/P, C®a L��
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service e00V OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. (DWELLING OCCUP.y�
OR ADDNS. ACC. BLDGS.
20 sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
arid- 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..
O ID R. MULTI*CUT
CIRCTITS 2.50 ea
NEW CONSTR (POWER APPARATUS 61
NON-RESID. SINGLE OUTLET CIR. I
50@251
Ex. OccupOUTLETS OR FIXTURES BAL�1
Ex. OCCu UAPP LNS. OR
E p•�OUTLTLETS (RESID.) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
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
Filing Fee 10.00
Heating
Cooling 4Q1,4P
Hood
3.00
Ventilation
permit Fee
S OU
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 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.
I- 1--d at �d'0ate� y—��
Signature of Applicant — OwnerjN' 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 $
TOTAL PERMIT FEE $ ,r
OCCUP. GROUP
I TYPE OF CONST,
PARCEL
PD
HD
99UE
T ermit is hereby issued under the applicable provi-
Ions of the Bu to County Code and/or resolutions to do
work indi ted above for which fees have been paid.
RECTOR OF PUBLIC WORKS
�D/p'to `%S�`�
PERMIT EXPIRES Date / L/-
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
Owner:
Address: /sem
Tenant
Building Location:
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
SPECIAL INSPECTION REPORT
i
�za
. Type of Inspection requested.
1. Housing.. 2. Financing
A
" 4. Other (specify)
Present use. of building: --
A Sanitation (Housing)-
1. Water closet:
2. Lavatory:--
3. Bathtub or shower:
4. Kitchen sink:
5. Hot and cold water to fixtures:
=:.6. Heating' facilities:
7. Natural light and ventilation:
,8. 'Room and space requirements:
9.. Bedroom window,or door for second exit:
10. Infestatiori•of insects, vermin,' or rodents:
11. Connection -to sewage disposal:
12. Connection to water -.supply:
13. Rubbish and garbage facilities:
14. Comments:
B. Structural
1. Piers and footings:
2. Floor construction:
3'. Wall construction:
4. Ceiling and roof construction:
.. 5. Fireplaces:'
6. . Comments:
C. Electrical.
l.. Service ground
2. Recep. (. a:
3. Fusing:_
4. Comments:
D. Plumbing
1. Fixtures connected and vented:
2. Gas water heater:
3. Gas heating vents:
4... Comments •
E. Other
I . Maintenance and repair:
2. Fire hazdrds:.
3; S a
afety hazrds:'
N4. Weather protection:
5. Under floor and attic ventilation:
6. Conments.
F. CoTmercial Buildings
1. Rcof covering:_
2. Distance to property lines:
3. Physically handdcapped:
4. lllest:-oom floors and :calls:
5. Exits:
6. Improvements:
8. Comment:
G. Field Problems or Viclatiovs
1. Problem o-
+oIatioTj,_.!'JAve nqrpIqAa description):
2. What action taken (ti:e-coniplate description):
7
3. What ac_, recoynm*ended:
77A A. ','-'n f or.. -n, a t i on only - f J. 1
JR B. Hold for tcn (10.) days, then write Letter.
W,
.:I.-(: ]eater.
77D. other: