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HomeMy WebLinkAbout031-247-006- ` � GEORGE LEE/ . ^ 9L COJUS ' ` ! � . . ! , . ^ � . � ' i . � ` . � � ( | � / ` ^ ' - � , � ` } ' ` � / ' . ' m f 428-86 GEORGE LEE 639 Colusa Ave. Oroville OFFICE COPY -*a e oup a a Address N� i GAS` Meter By � ' Date ELECTRIC '+ Meter By Da20 i a �aOK,6 CL X17 $/io COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION `AND PERMIT PERMIT NO. r ASSESSOR PARCELkNUMBER / - 1") 1-1 ') - (n ZONING ' BUILDING PERMIT OWNER - TELEPHONE SQ, FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS �.. l- �9 � ��-)/I./r- -, AI.; JrnU; CONT}RACTOR'S NAME r // 1,/ l P1 TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER ,,fJ^4r, UNKNOWN Total Valuation Is FilingFee $ 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 i Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 / 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 0 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Othh r ❑ Describe work: U t,41 Vd A P � P e Y f 1 /'i �f � ! M 0l 'I Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 r r %/ ,r _• 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 Q1, 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.N I/z¢sgft OR ADDNS. ACC, SLOGS. NEW CONSTR.MULTI-OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS POWER APPARATUS tr (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 200501 eAL030 FIXED APPLNS Ex. Occup. OUTLETS ((RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 /S, /'fe - L HS Permit Fee $ S �n Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penal ty.gf perjury (check one): F-1Thepermit is for $100'00 (valuation) or less. ❑I. have placed on file with the County of Butte Building Department a Certificate sof Workmen's `Compensation Insurance or a Certificate of.Consent to,Self2l6sure., FYI 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 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 Countyot 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 �:•/ y- f /„ � -' b - ?'& Date Signature of Applicant — Owner ❑• Contractor E]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 -1 CONST.TYPEJ _[_FLOOD PARCEL I PD I ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC %� T BY ►'4�u3�it` PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been aid. p WORKS pate' Receipt N0. < WHITE-O.P.W., YELLOW-ASe[3SOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATIO14 AND"PERMIT PERMIT NO ASS �Sf R ZONING BUILDING PERMIT OW E131 TELEPHONE 199 9 SO. FT. OCC. BUILDING VALU T N O MAI(11 G S `l CONTRACTOR'S NAME TELEPHONE CO RACTOR'S MAILING ADDRESS Fireplace CONS UCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER7S MAILING ADDRESS Permit Fee $ ARC ECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHI ECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS pA� Ch Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 i Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each gas water heater or vent 5.00 USE OF STRUCTURE SF g Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW I 10.00 ea TYPE OF WORK New ❑ Addition a Remo el ❑ Uti ities ❑Installation❑ 0th r ❑] Describe work: 10'rtfQ Ll L'� r i e, 14N Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 111V OR L 00 AMP ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F -1I am licensed under provisions of Chapt. 9, Div. 3 of the Buslnes$ 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.0d , OR ACDNS. ACC. BLocs. ) /z¢sgft NEW CONSTRULTI.OUT LET NON.RESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. ) 0050t - Ex. Occup(OUTLETS OR FIXTURES eA 030 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Mi c. Wiring 9 15.00 r Vl Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 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 1�1 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 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 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. —� 6 %� -� , 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 3r�99sttories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPC FLOOD PARCEL I PD I HD I ISSUE This permit is hereby issued under Bions of the Butte County Code and/or work indicated above for which DIRECTOR OF BLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date �' Receipt No. L/ WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT r 2 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE'- OROVILLE�•E34L"1Fft'NIA 95965 - TELEPHONE: 916(/534,-4541 ; ._.._ V' PERMIT APPLICATION DATA SHEET .� Permit No. OWNER VE'©V hE' A.P.No. �Jrc�i'% (0 Proposed Building Use C� C ✓ I (° V(j i C el Permit Fee Based Upon: Complete Contract Price DPW Valu ion Other (ExpI 'n) Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: I DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2.., Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate/tri.plicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "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. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . Mobilehome Installation Data.v .(Date) Pre-Inspec. request to O 17. Pre -Inspection for CXa /F c 1 Y 1 ,� Required. Building Inspector r � c idtu 02 - 7- 18. Other- ft fyA��lZMl'1'rZbonstructioneapproval required prior to occupancy) - 19. Other When ou issue the permit, process as follows: Mail t owner. Mail to contractor. Telephone S��'? 9, and hold for pickup at _K0 office. Deliver w/inspector. Other �p Applicant �l ��- Date 2- 2--; �G Copy of plans.sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date ---''` Plans approved by Date Other: .•'''�� Copy-DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASS S R :)RL 2NUMB R - - ZONING BUILDING PERMIT OWR TELEPHONE SQ. FT. OCC. BUILDING VALUATION O MAI NG A RE S r CON RAC OR'S NA E n !t17 LEPHONE CO RACTOR'S MAILING ADDRESS Fireplace CONS UCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER S MAILING ADDRESS Permit Fee $ ARC ECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Ener Plan Checking Fee Energy g $ ARCHITECT OR ENGINEER'S MAILING ADORES Penalty $ BUILDING ADDRESS ' �2 Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 r 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 E OF S UCTU SF Duplex❑ Mobilehome Other SPE 'IFVMobile Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Home S I G I W 10.00 ea TYP OF W New ❑ Addition Remo el ❑ ti i El stallation❑ 0th r ❑ Describe work:Re r 1- Q Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 0,062 Main service EA. ADD'L 100 AMP 2.50 NSE LAW 1 declare under penalty of pe ry : CD TRA yd'mcense ❑ I am licensed under Chapt. 9, Div. 3 of the Business and Professions Code a Is In full force and effect. No. ssification Ir 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,a (Sec. s the owner, am exclusively contracting with licensed contract- 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.6 OR DCONSTR( ACC.TB NEW OUTLET .50 ea NON.RESID BRANCHCIRC ITS 2.50 ea POWER APPARATUS .&) (SINGLE OUTLET CIR.Ex. Occup(OUTLETS OR FIXTURES 2ALO 30License ALO 30C FIXED APPLNS. OR EX. Occup. OUTLETS IRESIO.I EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Mi c. Wiring 15.00 /S P - 14 Is 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. ate( 1 shall not employ any person in any manner so as to become subject ll��tt 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 1 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 County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnity and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrueJIII against said County in consequence of the granting of this permit. X ��- 1,—.26— ��j ��� ��—, Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'l)" 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.TYP[ FLOOD PARC[L PD NDS 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-O.P.W.. YELLOW-ASDESSOR• PINK -INSPECTOR. GOLDENROD -APPLICANT