HomeMy WebLinkAbout031-202-04931-202-49
LEONARD PULLEY- -�j pp P�TTERSON ASL E .
1864 12th St, ORoville ala% O�T '�'-
Permit#3657-88B(wood..burningsst ve)SF,� 305l�P..
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1860 12th St., Thermalito
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.PErmit#3657-88
Leonard Pulley.
1864 12thSt, Orov l,le
COUNTY OF BUTTE - DEPARTMENT 0F
7 County Center Drive - Oroville, Celiforrnia 95965 -
PUBLIC WORKS
Telephone: 916/538-541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR=AREL,,.N�1M^ER
�
ZONING ,
BUILDING PERMIT
OWNY
TEL ONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILI G ADD�R ES �� � -
4.l �'� t �� rn I
C N A OR'S NAMETEL
J
PHON
CONTRACTOR'S MAILING ADDRESS
Fireplace�
J
CONSSTYUCTION LENDER
-n A'
UNKNOWN
Total Valuation $
FilingFee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCH TELT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
gY g
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
12:6 / '"f' r�
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
le
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
SF q Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
0.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti ities ❑Installation❑ Other'y
Describe work��rta Ile-
:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 1 10.00
Main service OOOV 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
P Y P 1 Y k ( )•
❑ I 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 CONST. DWELLING OCCUP.EI ,
OR ADDNS. ACC. BLDGS. h2sgft
NEW CONST R. MULTI -OUTLET
NON.RESID BRANCH CIRC ITS 2.50 ea
POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. OCCu 20 a 50e
P OUTLETS OR FIXTURES eAL030
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
g
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.
NI -IR 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.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
penult 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 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.
. 1-1_ �' Date
��'�
Signature of Applicant — Owner Contractor ❑ Agent ❑ r .r
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 $
Energy Inspection Fee $
TOTAL PERMIT FEE $
occuP.CONST.TYPc
ISC1100LI
FLo Oo11311.1E,,PARCEL
P11
ND
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above fctr which
DIRECTOR OF -PUBLIC
BY "L!,r/*J U
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
R
Receipt No.
WHITE-D.P.W.• YELLOW -AS' -R, PINK-INSPlC TOR, GOLDlN ROD -APPLICANT
✓ -
COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO`.1 i
ASSES O7 PAR Ey,VMBE
I `//J v/
ZONING
BUILDING PERMIT
OWN
TELEPHONE
S0. FT. OCC. BUILDING VALU ION
OW R'S MAI LI A RES /'�
req v;
CON A TOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONS R CTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
,$ 10
.00
LENDER'S MAILING ADDRESS
Permit Fee
$ r
ARC CT OR ENGINEER
_
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHI OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS - /
r
Permit fee
$
i
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
1 2,00,
o V f
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
1 5,00
Each qas water heater or vent
5,00
USE OF STRUCTURE
SFO Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S I G JW I
110-00ea
TYPE OF WORK
New ❑ Addition ❑ Remo e,I Ut' ities Installation ❑ Other'
Describe work: _- .( l49�(� �f) tle-
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service eDOV OR LESS
100 AMP OR LESS
10.00
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check one):
F]I am licensed under provisions of Chapt. 9, Div. 3 of the BUSIne$$
and Professions Code and my license is in full force and effect.
License No. Classification
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
Main service EA. AOD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.y ,
OR ADDNS. ACC. BLDGS. /20sgft
NEW CONSTR. MU TI -OUTLET
NON-RESID BRANCH CIRCUITS) 2.50ea
POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. OCCU 200500
P OUTLETS OR FI%TURES eALo30
Ex. Occup. OUTLETS P(RESID )REA.) 1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
9
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 Californfa.
'-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.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
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 Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
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
agains 'd Count in c ence of the granting of this permit.
Date �%
Signature of Applicant — Omer 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 $
Energy Inspection Fee $
TOTAL PERMIT FEE
Occup.
coNST.TYPc
SCHOOL
FLOOD
PARCEL
PD
HD
1&9u -
l/
This permit is hereby issued under
-ions of the Butte County Code and/or
work indicated above f r which
DIR ELIC
'By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
`�
Receipt No.
WHITE-D.P. W.. YELLOW-A88E880R. PINK -INSPECTOR. GOLDENROD -APPLICANT
.�Y. ��yA'+�;''i'rjti,:w•�'�i`�ntc.lCc:n��,;:ri'�'�f qu� ._•'^`���'s'�"tN5'`"�.s�?:"�`���'�'�~ ,�,y -. } �� '
COUNTY OF BUTTE - DEPARTMENL0F_-P IRLIC WnRKS - RIM DING DIVISInN
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
1 �
PERMIT PPUCATION DATA SHEET
Permit No
OWNER �COAa( Pu/k� A.
Proposed Building Use e'" Building Inspector •
At time of permit application, I was advised the following data must be submitted prior to permit processing
and:/or issuance: DATE RECEIVED APPROVED
1. All items have been submitted. . . . . . . . . . . .
2. Plot plans in duplicate./triplicate, signed by preparer of plans. .
3. Complete plans in duplicate. /triplicate, signed by preparer of plans.
4. Complete engineered plans and calcs, with wet signature on plans.
5., Plans with Energy Design Compliance Statement. . . . . .
6: School District "Fees Paid" Stamp on Floor Plan.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
9. Letter of signature authorization. . . . . . . . . . .
10. Sanitation approval from Health Dept.
11.. Plannin approval for (A) Use: (B) Parking:
12. Cert' cate of Workmen's Compensation Insurance. . . . . .
C ntractor's License Information (no., name style, classif.)
Owner -Builder Verification (Given to owner0, Mail to owner 121
_15. Improvements may be required. . . . . . . . . . . ��. "
16. Mobi lehome Installation Data. . . . . . . . . .
Pre-Inspec. request to
17. Pre -Inspection for Required, Building Inspector
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit.
20. Plot plan approval from city of
21. Engineered trusses'in duplicate (required prior to plan check).
22. CUA FEES RECEIPT #
When you issue the per it, y5ro(ess as follows: —Mail to ner —Mail to contractor.
Telephone ( C and hold for pickup at of ice, Deliver w/inspector.
Other . I-)
ate)
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted prior to permit issuance: (Circle new i
1. Index permit for above items No. ,1/
2. Additional items required:
not checked above).
Contractor, designer, owner, was advised of above required data by_plione_—mall_counter by date
Contractor, designer, owner, was advised of above required data by =Phone_mall_counter by date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy—DPW
Sul
n 4P
Nl.
1':3 _3
n vi
S5
COUNTY OF BUTTE - Depart,ment 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 construct' -on of
the proposed property improvement (yes or no) �S
2. I (have/have not) e signed an application for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the propose.d
construction:
Name
Address City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following Ferson
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors 'License 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
Social Security uc
Date //-- C/"
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.