HomeMy WebLinkAbout030-350-035030-35-0-035'-93-2945.B
EISENHAUER, ERNEST`.'
RAND AVE OROVILLEr
1263 G /
REROOF/SF I S Q
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030-35-0-035 93-2945 B
EISENHAU
ER
, ERNEST
'1263 GRAND AVE, ORO
VILLE
RER00F/SF
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541PERM No,
APPLICATION AND PERMIT V117
ASSESSOR PARCEL NUMBER
030-350-035
ZONING
AR
BUILDING PERMIT
i
OWNER
ERNEST EISENHAUER
TELEPHONE
533-7169
SO. FT, OCC. BUILDING VALUATION
16 @ 60 960
OWNER'S MAILING ADDRESS
1263 GRAND AVE OROVIII.E CA 95965
CONTRACTOR'S NAME TELEPHONE
UNKNOWN
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
NONE
UNKNOWN
Total Valuation $
Filing Fee $ 20,00
LENDER'S MAILING ADDRESS
Permit Fee $ Z5, 00
ARCHITECT OR ENGINEER
N01;
LICENSE No.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
1263 GRAND AVE OROMCA
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
XX
SF O' Duplex ❑ Mobilehome CIOther
SPECIFY
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home S G W @20.00
TYPE OF WORK
yy
New ❑ Addition ❑ Remodel O O EI Installation Other tJ
Describe Work: REPOOF W,JrOMP
PERMIT FEE $
Contractor
ELECTRICAL PERMIT Filing Fee 20.00
Main Service BOOV OR OR LESS
( 200A LESS ) 23.00
Main Service ( 200A TO 1000A ) 46.00
NEW CONST. DWELLING OCCUP. SO.
OR ADDNS. ( & ACC. BLDS. ) 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 No. Classification
grI, 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)
❑ lam 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 ) RAL @ 1.50
Ex. Occup' FIXED APPLNS. OR
OUTLETS (RESID.) EA5.00
( . )
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.
a� 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
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
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
I IMP
FLOOD
I COF
PARCEL I PD
HD
ISSU
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated `ab°ove for which fees have been paid.
DIETOR%OF,yPUBL/C WORKSo
A�By 4( / Date / {Y
�`/ ✓
PERMIT EXPIRES ON [%
IDetel
Receipt NO. /T'tC/
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, C�Ilfornis 95965 - Telephone (916) 538-7541 PERMII NO,
APPLICATION AND PERMIT-�f--Z`�
ASSESSOR PARCEL NUMBER'S
030-350-035
ZONING
AR
BUILDING PERMIT
OWNER
ERNEST EISENHAUER
TELEPHONE
533-7169
SQ. FT. OCC. BUILDING VALUATI. N
16 @ 60 960
OWNER'S MAILING ADDRESS
1263 GRAND AVE OROVILLE A
CONTRACTOR'S NAME
UNKNOWN
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
NONE
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
1263 GRAND AVE OROVITLE, CA 99969
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
yy
SF lF 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
y
New ❑ Addition ❑ Remodel 1:1Utilities ❑ Installation ❑ Other
Describe Work: REROOF W� G1�H
PERMIT FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ( '2' 00V OR LESS )
20OA OR LESS
23.00
Main Service ( 200A To 1000A )
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( & ACC. BLDS. )
3.50 FST.p,
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
O 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 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)
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
( POWERAPPARATUS )
& SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )I
20
Ex. Occu FIXED APPWS. OR
p'(OUTLETS (RESID.) EA.
Temporary Service
Mobile Home Facilities
Misc. Wiring
WORKER'S COMPENSATION INSURANCE
I 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.
jd 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
liabilities, judgments, costs, and expenses which may in any way accrue against said
County in consequence of the granting of this permit.
X��y,�/�Lw� Date yj
Signature of Applicant - ❑ Owner O Contractor ❑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
I IMP
I FLOOD
CDF
PARCEL I PD
ND
Issu
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicate a ve for whic fees have b n paid.
DIR F PUB ORKS Q
BY Date 7
PERMIT EXPIRES ON
(Dete)
�'} /
Receipt .D. �j^ (Q
WHITE-D.D.S.-B.D. CANARY -'ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - Deomr'tment 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 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 i
Address City
Phone Contractors License No.
!�. 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 Lidense 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 Owner`�yvi�G
Social Security Number
Date ,z
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-
mitced to issue the permit.