HomeMy WebLinkAbout031-272-00831-272-08
ELISHA RHYNE
1019 Sierra Ave, Oroville G�
Permit#3813-87B,P,E,M(cleanWupe l�ec & re
pairs (sheetrock & repair termite damage
in kitchen)SF
ro
Permit#3813-87B,P,E,M
Elisha Rhyne
1019 Sierra Ave, Oro
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION. AND PERMIT
_PERMI.T N0.
ASSESSOR PARCELNU�+IB R
-_;- R
ZONING
BUILDING PERMIT', _
o NER „r f
i % 1 V
TELEPHON
5
SO. FT. OCC. B ILDING
VALUATION
n
OWNER'S MAILING AD RESS
� � F r ft Vo r,9 V I
C NT_RACTOR'S NAME /
(',,0 ) V1 r- Vr
TELEPHONE
"
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
-`C/ n 1,1 r -
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
AR!ZECT OR ENGINEER
0 Y1 F-
LICENSE No.
Plan Checking Fee
,$
Energy Plan Checking Fee
$
—�
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS .. ,/ / ,n
Permit fee
o
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00 [�^
V
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 I
SF N Duplex❑ Mobilehome❑ Other
SPECIFY i
Gas piping system 1 - 5 outlets
5.00 ,0
Building sewer
5.00
Mobile Home Is G W
0.00 ea.
TYPE OF WORK
New ❑ Addition 0/,, Remodel ❑ Utilities ❑ Instal lation❑ g er V
Describe work: t s� - � ') P /0 ,' - "►
>Aar "t' ✓t. r 4
Permit Fee
$ f
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
� C� �, 4, 1 ` /, 1 14
Main service 100v OR LESS
100 AMP OR LESS
10.00
Main service EA, ADD'L 100 AMP
2.50
�t
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I 8m licensed under provisions of Chapt. 9, Div. 3 of the Bushes$
and Professions Code and my license Is In full force and effect.
License No. Classification
Q 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. Busi" ess and Professions Code
for this reason
NEW CONST. / DWELLING oCCUP.5i) +/z�sgft
OR ADDNS. l ACC. BLDGS.
NEW CONSTR. -OU LET 2.50 ea
NON-RESID BRA IR 5
POWER APPARATUS e
SINGLE OUTLET CIR,
EX. Occup OUTLETS OR FIXTURES ew bo
FIXED
Ex. Occup. OUTLETS P(RES ID )RE A. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
f
Permit Fee $ 4 L
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one)'..
F] 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=lnsufe-.
y\ I shall not employ any �ersoh'in"any manner so as to become subject
to the W. C. laws of Califorriia.
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 Countyof
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; consequence of the granting of this permit.
X'�- ^� Date ' �� �/S
❑ Q `
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.
Heating
Cooling
Hood 3.00
Ventilation
permit Fee
$
Contractor
Mobile Home Installation Fee $
Energy Inspection. Fee $
TOTAL PERMIT FEE $
OCCUP.
CONST.TYP[
SCHOOL
FLOOD
PARCEL
PD
HD SSUE
This permit is hereby Issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTO �F PUBL
B
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
2
.G WORKS
Receipt No. 1V19 /)
WNIT[-D.P.W.. Y[LLow-AsetssoR, PI x-INeP[CTOR, GOLD lNROD-APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERa4IT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AMD PERMIT ✓
ASSESSO ' RR f„�L UMBER.
Q(J bJ
ZONING
BUILDING PERMIT
O NE
TFL PHON
S0. FT. OCC. B ILDING VALUATION
MAAO
TOL Z ` I'
F�l 14k
C IN ACTOR'S NA
TEL NE
-
CO RACTOR' MAILING ADDRESS
Fireplace
CONST MC TION LENDER
V
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 10.00
Permit Fee
$NIM
ARCH CT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan. Checking Fee
$
Penalty
$
BUILDING ADDRESS
1619 CS "A r r
Permit fee
g
PLUMBING PERMIT
Filing Fe@ 10.00
Each Trap
2,00 Q
Oro I/ I`
Solar or heat pump water heater
20.00
LOT NO. SUBDIVISION NAME
PARCEL MAP
Water piping
1 55,00
Each pas water heater or vent
1 5,00
USE OF STRUCTURE
SF [X Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
1 5.00
Building sewer
1 5.00
Mobile Home S I G I W
0.00 ea
TYPE OF WORK
New❑ Addition b Remodel❑ Utilities Ins>allation❑ • Other R
Descri work: r
If
`y\ qi-Ma 0,` V
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP O1 OR RSLESS
10.0
CONTRACTO S 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)
❑ 1. am exempt under Sec. , Business and Professions Code
for this reason
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. I DWELLING OCCUP.91
OR ADDNS. % ACC. BLDGS. ,/20sgft
NEW CONSTR -OU LOT
NON.RESID B A C CIR S 2.50 ea
POWER APPARATUS 9
SINGLE OUTLET CIR. / .
000t
Ex. Occup OUTLETS OR FIXTURES 1.2AL0350ti
FIXED
Ex. Occup. OUTLETS P(RES(D )REA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
06
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 Californla.
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 P MIT
Filing Fee 10.00
Heating
Cooling
g
Hood
3,100
Ventilation
Permit Fee
$ 161,90
Contractor
I certify that 1 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, osts, and expenses which may in any way accrue
agai t id County ' c equence of the granting of this permit.
%� - Date
Signatu of Applicant — Owner Contractor ❑ Agent
An OS A 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
OCCu P,
CONST.TYP[
ISCHOOL[701PARCILI
PD
I HD
I ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work Ind ed above for which
DIREC PUB
PER141T EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
RKS
Date
e.
Receipt No.
WHIT[-D.P.W., YELLOW -ASSESSOR. PI -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE Def;ar,tm&t of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541
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)
i 2. I (have/have not) signed an application for a building permit
for the proposed w k.
3. I have contracted with the following person (firm) to provide the proposed
constru n:
Name
Address
Phone Contractors License No.
City
4. I plan to provide portions of this work, but I have hired the following person
to color' te, su er 's and provide the major work:
Name
Address vt 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:
r Property Owner ,
Social Securit ber
j Date
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.