HomeMy WebLinkAbout031-273-004031-27-3-004 92=437_6
PINEDO, Vince
1120 Corona Ave, Oroville. v
gas line/sf /7 _ 22"�
7
,'Pero
;Energy,Pla
P k °�s�::
Penntt fee int T=
„{r qua:`;
PLUMBING 'PERMIT FihngFee` J'15 00 ',
a ti'3go
31 v w
sa u «`a'°k
4 1 rz r �sR`10,-V,'
' '"�is�:
Each Trap.s F g�
hT�laa ��
-
Solar or heat pump water heater :r --`-,`20.00
i-
Water piping,004
...• l`
r r'i� tit;'Ot
LO T,•NO -UB D ISID N NAME xa V *�. iwa'�4 "n 1 z PA RCEL tAAP
`�
i •
Permit Fee
Each qas water heater or vent ., t .r , 7.00 . ! .
Gas piping system 1 -5 outlets 5.00 •
;iY+* ±USE OF STRUCTURE j� jay t �f
Building sewer ,15.00
SF,®l Duplex)] Mobilehome❑; Oth r- `�'” ^� '>
le Home S G W �15.00 -
SPECIFYMObI
�r�Y�}�r ��r�^�•' TYPE OF.WORK �-`�,�`
New ❑ Add tion ❑ Remodeh❑ lJtlliti s ❑_ Instal neon,❑this
_
[
Permit Fee
Ex. OCCUp(OUTLETS OR FIXTURES
De/scn"be work:
@_ 1~@>•
t0 H011rse.
Misc. Wiring
Permit Fee
.& -per - -
---
--Contractor
^`
-ELECTRICAL PERMIT
Filing Fee 15.00
t'
�:� _ _
_ -- , -- --_ �-
-.
--
Main ser4ice zoosOOR.LESS .. ,
18.50 -_
CONTRAC RS
ICENSE
AW l
Main service 200A TO 1000A,.
.37.50
declare under penalt of er•ur (che k
l
NEW CONST.: DWELLING OCCUP.l1`
OR ADDNS. ( ACC. BLDGS. /
3.6asq.ft.
Y. P I Y - C ..One). _.T__ -'—_-✓� J�'� _ -`
/
am li eC nsed under- rov.isions of Chat 9 Div. 3 of the Business
❑ .. and Professions Code -and y-Iicense is- n -full -force an_ d'.effect.
_cense No. Classificatio / if
_ _
as the owner, Or my employe@S Wl.th-W$geS� S- ih81r sole coinpen-
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 cen;ract-
ors. (Sec. 7044)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR. MULT -OUTLET
NON ESID BRA C IRC I S
POWER APPARATUS eI
SINGLE OUTLET CIR.
Ex. OCCUp(OUTLETS OR FIXTURES
FIXED APPLNS. OR
Ex. OCCUp. OUTLETS (RESID.) EA.)
Temporary service
Mobile Home Facilities
Misc. Wiring
Permit Fee
3.00 - -
15.00
15.00
-15.00
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty -�'---'--aL�•�___ ___ MECHANICAL PERMIT Filing Fee 15.00
❑ The permit is Heating
❑ I have placE` OFFICE COPY )epartment ..
a Certlficatl Certificate
Consent t Address I Cooling
[.'shall not
me subject FHood 6.50
_=ao`the W. C1
Not l_ce to Applicant: GAS Ventilation
me- -Permit Fee _
to the W. C:"provisiol Meter By Dat'` with such
provisions or this pe ELECTRIC
Contractor x .
1 certify that I have) Meter By Date J�(information Mobile Home Installation Fee S
is correct:') agree tr^__,_- Iws relating
to building construction,. and hereby autfiorize-,reprebtr,ItCLI ,,,_..-s County:ot Energy Inspection Fee
Butte to.enter upon the above-mentioned property for inspection purposes. occ coNsrrTPE
I also agree to save, Indemnify, and keep harmless-'the°"County :of: Butte against TOTAL FEE
all. liabilities, judgments, costs, and expenses --,which may: in any:.wayaccrue HAZ DFEES IMP ,FLOOD CDF. PARCEL PD HO "'ISSUES
agai t said County In con equence of the r nting;of this.permit _
X f-�-• ! DBte ' = This permit is hereby issued ,under theapplicableprove 7.-
Signature of Applicant - Owner Contractor ❑;Agent
Bions of the Butte County Code and/or resolutUons•t.
work indi ed ove'for which fees have been paid
A� OSHA permit is required for excavations over 5 0 deep and demolition or construct. f
ion of structures nes in height. h x 4 t DI CCTO O_ F PUBLIC WORKS
�_
Receipt No. r fia� b, �� r By % // . Ex Date11�
.. arm: `�t�r�r PEF}MIT EXPIRES Date 1' r .. Z --Z, : ^a
WHITE-D.P.W„ YELLOW -Ace ESeOR, PINK-INSPECTOR,-•OOLD[NROD APrL CANT•q 4'' "LL+'LL�
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
OWN -97-1-004
ZONING
A -R
BUILDING PERMIT
ELE PHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
1119 Ave., oville 95965
CONTRACTOR'SNAME
Ownpr
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $ 15.00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
ARCHITECT ORIENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS
Permit fee $
13-2-0 Corona Aitp-, OrovilIc-
PLUMBING PERMIT Filing Fee 15.00
Each Trap 5.00
Solar or heat pump water heater
LOT NO.
SUBDIVISION NAME
PARCEL MAP
—420.00
Water piping 7.00
Each qas water heater or vent 7.00
USE OF STRUCTURE
SF Y1 Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets X 5.00 5.00
Building sewer 15.00
Mobile Home I S I G JW I @ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other
Describe work: New Gas LineMeter to House
Permit Fee $ 20.00
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 200V OR LESS
00A OR LESS 18.50
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.SINGLE
(cense 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 200ATO1000A) 37.50
NEW CONST. / DWELLING OCCUP.61) 3.64sq.ft.
OR ADDNS. 1 ACC. BLDGS.
NEW CON5TR UL I.OUTLET
NON-RESID BRANCH CIRC TS @ 5.00
POWER APPARATUS h\
OUTLET CIR. I
Ex. OCCUp OUTLETS OR FIXTURES 20 76
Occup. CCU FIXED APPLNS. OR
p• OUTLETS (REST D.1 EA.) .3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. Wiring 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
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 15.00
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 County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enterupon the above-mentioned property for inspection purposes.
ep harmless the County of Butte against
I also agree o save, indemniCuence
all IiabiI ' s, judgments, cond expenses which may in any way accrue
agai st id County in conse the nting of this permit.
X s';.� Dated '2 /i
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.D
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST TYPE
TOTAL FEE $ 20.00
HA2
DFEES
IMP
FLOOD
CDF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte Coun de and/or resolutions to do
work indi d a o which fees have been paid.
OF PUBLIC WORKS
BY Date/Z-9,2 -T
P T tAKIRES Date
130349
Receipt No.
WHITE-D.P.W.• YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
N, _. -'r ,� .'�.•-1.. .•.,v"tr `: .t{_^L"L"I``^i'`�r 7,J}}L Y�`t.i�r'",�;•..`�-Phi-yv:y?-: rY�'w..-N.., „4 ���-�.:,. ,,,�,,; �_�,�. ,.�1.�.ir.ryi._ .
COUNTYOF BUTTE - DEPARTMENTOF DEV€LOPMENT SERVICES -BUILDING DIVISION.,
7 COUNTY CENTER DRIVE - OROVILLE, CIFORNIA95965 - TELEPHONE (916) 538-7541 u
PERMIT APPOCATION DATASHEET
OWNER I/ / ,J (E r! /v ef.D c:> A. P. No..63 1-273 - 66 y
Proposed Building Use Building Inspector 4D Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECENED BY
1. All items have been submitted. ....... .............................. .
2. Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3_ Complete plans, 3/4 sets, signed by preparer of plans . ......................
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . .......................................... .
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout. in duplicate (required prior to plan check). ... .
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10. Fees of $...........................................
11. Impact fees as shown on attached schedule . ............................. .
12. California Department of Forestry plan approval/fees. ....................... .
13. Flood elevation letter (100 year flood) by California Engineer . ................. .
14. Sanitation and plot plan approval Health Department . ............
15. City of Chico plumbing permit . .........................................
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking: . ........
18. Contact Land Development.about (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction approval required prior to occupancy). . .
20. Pre -inspection for r64n action r6gUe-
required. .., Bu;;ding Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner , Mail to owner _. .......... .
24. Recorded copy of Agricultural`Acknowledgement Statement . ..................
25. Letter of signature authorization . ........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use. ::...................................... .
28. Mobilehome utility clearance . ..........................................
29. Documentation of legal access.j..................... :..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31: Existing violations/expired permits . ......................................
Plan check list . .................. .............................. .
33. (,I.U�IJE"!� � ,SrG� ►%('M r-{-- / 2.22`
Whert you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone 5M- 51_7 / and hold for pickup at n ef� office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant Date
-
Copy of Haz-Mat form sent Health Dept. - Fire Dept./ Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. er Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permitlor above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 = Telephone: 916/538-7541
APPLICAfil'ON AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
031- - 00
ZONItJrG
BUILDING PERMIT
OWNER ,
'TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
11 NeL[Aba A 67
CONTRACTOR'SNAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER _
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee $ 15.00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
I
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS
Z�
Permit fee $
PLUMBING PERMIT Filing Fee 15.00 j
Each Trap 1 5.00 I
Solar or heat pump water heater 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping 7.00
Each Etas water heater or vent 7.00
USE OF STRUCTURE
SF � Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.001 '
Mobile Home S G W @ 15.00
TYPE OF WORK
New ❑ Addition _J Remodel CI Utilities[] lilies ❑ Installation ❑ Other
Describe work: c(A-) L//IiG� _
/LIEfC/l . T�/-/b U-
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 200V OR LESS
00A OR LESS 18.50
CONTRACTORS LICENSE LAW
penalty I declare under
p y of perjury lur y (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 200ATO1000A) 37.5037.50
NEW CONST. / DWELLING OCCUP. �\
OR AODNS. l ACC. BLDGS. /
3.6d sq.ft.NEW
CONSTR LTI.OUTLET
NON.RESID BRANCH CIRCUITS5•00
/POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. Occup(ourLETs OR FIXTURES 20 76d
FIXED APLNS.
Ex. OCCup. OUTLETS (RESID,)RE 3.00
Temporary service15.00
Mobile Home Facilities 15.00
Misc. Wiring 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.
r—, I have placed on file with the County of Butte Building Department
u 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 Filirig Fee 15.00 I
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 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 Date
Signature of Applicant — OwnerContractor F_ Agent ❑
L
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
;on of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST TYPE
FEE TOTAL $ C-�
HAz
I DFEES IMP
FLOOD
CDF
PARCELPD
HD
ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date
PERMIT EXPIRES Date
Receipt No. �363L�2
.vNIT[-O.P.W., 7CL LO W -A39 E730 R, PINK-IN9P CCTOR, GOLD EN ROO-APPLICANT
COUNTY OF BUTTE - Department of Public Works
7 County Center Driv2, Oroville, CA 95965
J
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.'
b
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) 1 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. J 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 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 Number_
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.