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HomeMy WebLinkAbout031-271-003003 31-271-03 3953-9el THERMALITO SCHOOL DISTRICT 1123 Sierra Avenue, Oroville (add wall heater/office) W� -23-5 S-, 7 `.<. 31-271-03 _ THERMALITO SCHOOL 3953-90P E 1123 Sierra DISTRICT (add wall Avenue, Oroville heater/office) OFFICE COPY Address i GAS Meter By `� Date M�r" yy _ Date .. ; -,c.. . . �. * .;, ���hC.a�.�,u..JSi�Y��"4.o-. JL./�.✓,' `....�;. r .--.... .. _ � ,,..:c,,.� � � .�1<�.�.a -,.i:� r . . �.+ � .. r .. ' �..t�... �--"tin--v� _.:, -Y -�...• •„-. COUNT,Y_O.F .B,UTTE. - DEPARTMENT OF PUBLIC WORKS PEF MIT NO. 7 County Center Drive - Oroville, Califoi-rf53 95965 - Telephone: 916/538-7541,./1 APPLICATION AND PERMIT v ASSESSOR PARCEL NUMBER 31-271-03 ZONING BUILDING PERMIT OWNER THERMALITO SCHOOL DISTRICT TELEPHONE 533-2212 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1050 SIERRA AVE,ORO`IILLE CA 95965 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICEr SE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING 1123SIERRA ADDRESSermit AVE.,AVRe OROVILLE 95965 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 5,00 USE OF STRUCTURE 1 SF ❑ Duplex❑ Mobilehome❑ Other OICF SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00e TYPE OF WORK' New ❑ Addition ❑ Remodel ❑ Uti lities ® Installation ❑ Other ❑ Describe work: ADD WALL HEATER _ Permit Fee $ 15.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V 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): ❑ 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) F] I, 0 ors. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- F -1I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.h) Yztsgft oR ADDNS. ACC. BLDGS. TLET NEW CONSTRESID. RANCH CIRCUITS)2,50 ea NO N•R ESID BRANCH CIRC ITS POWER APPARATUS.1%) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 2ALO3t eLe 90 FIXED APP LHS. OR Ex. Occup. OUTLETS (R ESI D.) EA.) 2.00 Temporary service 10.00 Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The'permjt 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. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating 6.00 WALL FM Cooling Hood 3.00 Ventilation Permit Fee $ 16.00 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 whi may in any way accrue agai t said Count in conseaeertcRof,e grapyn is permit. "'`"'''�—�,JJ°° �"Z��! '---T��'��"" Date �/ — l4'- T 0 Signature of Applicant — OwnerX 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 $ occ CONST TYPE TOTAL FEE $ 31000 ALSCHE HAZ CUA PARK PAR PD HD ISS This permit is nereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work in .[Dated above for which fees have been paid. /t DIR7XOF PUB 1I WORKS �,,�,Receipt Bye// �A� Date /� /V�� PERMIT EXPIRES Date1 Xy_1C11 • 1 ! B No. 84426 WHITE-D.P.W.. YELLOW-ASStSSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PE MIT NO. 7 County Center Drive - Orovile,;Cal i;ornia 95965 - Telephone: 916/538-7541 3A3 9� APPLICATIONA4131 PERMIT/111, / vvv ASSESSOR PARCEL NUMBER 31— ZONING BUILDING PERMIT OWNER THERMALITO SCHOOL DISTRICT TELEPHONE 533-2212 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1050 SIERRA AVE OROVILLE CA 95965 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN C Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER ARCHITECT OR ENGINEER TF LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1123 SIERRA AVE., OROVILLE 95965 Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap ' 1 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 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other OFFICE SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W O.00e TYPE OF WORK New❑ Addition El Remodel❑ Utilities0 Installation❑ Other Describe work: ADD WALL HEATER Permit Fee $ 15,00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service ;o°V OR o AMP ORLESS10.00 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 BusineSS 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 d,o,tbe 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.5 OR ACDNS. AGC. BLDGS. f �2¢sgft NEW CONSTR.MULTI-OUTLET NON-RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS h (SINGLE OUTLET CIR. ) Ex. Occu Occup(OUTLETS OR FIXTURES 20@50t eAL030 FIXED APP LNS, OR Ex. Occup. LETS (REST D,) EA. OUTL 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. 1Yirin 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. 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 6.00 WALL FURN Cooling Hood 3.00 Ventilation Permit Fee $ 16.00 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 whirl may in any way accrue agai t said C�unin consegpgr�c� of1pe-v%gr�q,p�t I permit. --� _���"Z^lf 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 $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 31.00 HAZ I CUA I PARK I SCHL I FLD I PAR JPDJHDJ Iss This permit is hereby issued under sions or the Butte County Code and/or work in � ated above for which f DIR O OF PU I B PERMIT EXPIRES Date the applicable provi- resolutions to do s have been paid. WORKS P/m JW) Date Receipt No. 84426 WHITC-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - &roVille; Californ0a 95965 - Telephone: 916,'538-7541 APPLICATION AND PERMIT ASSESSOR PA C L NUMB 1 —I OWNER ZONING BUILDING PERMIT _ TELEPHONE Thermalito school Distric-t 533-2212 OWNER'S MAILING ADORE33 1050 Sierra Ave, Oroville, Ca. 95965 SO. FT. OCC. BUILDING VALUATION CONTRACTOR'$ NAM O if TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS - Filing Fee 5 10.00 Permit Fee 5 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER -3 MAILING AODRF-33 Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 3°6 Sierra Ave. Oroville, Ca. 95965 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 i Each qas water heater or vent 5,00 �) -I USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome❑ Other P f= c G iG SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer Mobile Home S G W TYPE OF WORK New ❑ Addition❑ Remodel ❑ Utilities® Installation❑ Other❑ Describe work: Add wail heater M.00 Permit Fee Contractor ELECTRICAL PERMIT Filing Fee 10.00 1 Main service 1j00VOR AMP ORE 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 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 Main service EA. AOD•L too AMP 2.50 j NEA' CONST. DWELLING 0CCUP.A oR AooNs. ( ACC. BLDG$. ) h¢sgft NEW CONSTR UL I.OUTLET NON•RESIO 9RANCH CIRCUITS) 2.50 ea ! POWER APPARATUS e (SINGLEOUTLETCIR. ) EX. OCCU OUTLETS OR FIXTURES P( 20aSOt SAL J 3or FIXEDAPPNS. OR L Ex. Occup. OUTLETS IRESIO.I EA.) 2.00 Temporary service 10.00 j Mobile Home Facilities 15.00 ! Misc. Wiring ; 15.00 i Permit Fee 5 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one):', ❑ The permit is for S100.00 (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. 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. alsoagree to save, indemnif and keep harmless the County of Butte against all liabilities, judgmentsc and expenses which may in any way accrue against id Cou ythe granting of this permit. X Date XI Signature of Applicant Wner Contractor LC Agent ❑ An OSHA permit is r qui 0 for excavations over 5 0" deep and demolition or construct- ion of structures 0,r3 s ones in height. Contractor j MECHANICAL PERMIT Filing Fee 10.00 Heating Iq - Cooling Hood 3,00 j Ventilation 7-7 Permit Fee $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee S occ CONST TYPE I TOEAL�EjSI on HAz CUA PARKFR Po HO SSUE I This permit is hereby Issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable prove- i resolutions to do have been paid. WORKS Date Receipt No. WHITC-O.P.W.. TCLL0W-A3SC330R. PINK-IMSPCCTOR. GOLOCMPOO-APPLICAMT COUNTY OF BUTTE - Depart�i nt`of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-754.1 MMER.-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) 66a.cg7- 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 Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name n.- �f-9=: Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following perscns to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Yumber . - Date t(-eqC- 'J o 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.