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HomeMy WebLinkAbout031-281-125;� �{ t 31-281- B JOHN ,R & LYNDIA, CAMPBELL _ 721 Thermalito Avenue, 0vil� ) Permit#581-88P,E('uti/MH t. � ELEC GAS S.LTPPORT_.8T En,.. _ COMPAC N TEST REQ_ 1 O ELI c M 3 i f � v i . i O ELI c f �'.�4 a ,�v COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroviile, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PE7/_7/_ IT 3 fi AS7S,S o�R7LN UMB ,,� ZONIN BUILDING PERMIT Ow Mo �- a TELEPH a SQ. FT. OCC. BUILDING VALUATION OW S MA R n i1 d F�Gj C CO T A CADR'SNAME n© TELEPMON CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ .14;0cr LENDER'S MAILING ADDRESS - Permit Fee $ ARCHITECT OR ENGINEER 7_1LICENSE ND. Plan Checking Fee Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Perm t fee $ LUMBING PERMIT Filing Fee 10.00 l rwI o �� E ch rap 2.00 14© V ar or heat pump water heater 20.00 LOT O. SUBDIVISION NAME/, o WERP �L470 �/ ' �' SLK 5 3 PARCE'L/"'AP 1 pi/i Y' �p ter piping 5.00 ach qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeVI Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 6;1,5.00 Mobile Home 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lit' Installation ther Describe work: C3 Permit Fee $ Contractor ELECTRICAL PERMIT FiIingFee 10.00 Main service SS 1000 AMP O1 OR R LESS 10.00 �Q Main service EA. ADC'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 theBusiness 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) 1, 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.0 ,/z¢sgft OR ACDNS. ACC. BLDGS. NEW CONSTR.S'.. U CH TLET NON-RESID .BRA C CIRC ITS 2.50 ea CIRCUITS POWER APPARATUS e SINGLE OUTLET cIR. EX. Occup OUTLETS OR FIXTURES BA0 0 Ex. OCCUR. OUTLETS P(RESID )FIXED APLNS. REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Yirin 15.00 9 Permit Fee $ LS Contractor 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 becomesubject 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 Cooling 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 off; the granting of this permit. X [Qtr~�'� �,C?iYt1,�J�i�Qf' Date ods �� Signat re of Applicant — wnerB Contractor ❑ Agent F1 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 $ oeeuP. coxsT.TrPE scllooL WLO PARtF PD ND uE 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. �O(L WNITC-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDEN ROD-AP►LI CANT •Y'rJ•a COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER (�C7 �t rl- _ �- n Q �Q lvl� Ca A. P. No. Proposed Building Use Building Inspector Date 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 Pj Ian. 7 Statement of Intent for Non -Heated and AC Buildings. . -) J. 8. Fees of $ , , . . , . , , �—,9. Letter of signature authorizatLo�L. , V 10. Sanitation approval from -1 —Health-De, ealth Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance i 13. Contractor's License Information (no., name style\classif.) _14, Owner -Builder Verification (Given to owner,,❑, Mai)l to owner ❑) ____...._15. Improvements may be required. x . . . . . . 16. Mobi lehome Installation Data. \ C\ Pre-Inspec.request to (Date) X17:"Pre-Inspection for _: �1_ _ Required. Building Inspector �/ 18. Recorded copy of Agricultural Acknowlement Statement. a 9..Driveway Permit. 20. Plot plan approval from city of 1 Engineered trusses in dupli�rtte (required pr Lor to pla 22. 7� >C��hci�F SwIFn� 4y to -'4 en ou issue th r It, ocess as follows: Mail to owner; _ Telephone��ap and hold for pickup t �Qoffice, Other Mail to contractor- -Deliver w/ i ispector. Copy of plans sent Health Dept.; Fire Dept., Other Date The following data must be submitted prior to per 1. Index permit for above items No. / 2. Additional items required: it issuance: (Circle new item not checked above). �2 oZ Contractor, designer, owner, was advised of above required data by_phone_mail_counter by da -e Contractor, designer, owner, was advised ci above required data by—phone —mai I—counter by da --e Plans checked by Date Plans approved by oe Date��f� Sets of plans on hold in File cabinet AP folder Copy -DPW TO: Building'Depa'tment FROM: Encroachment Permit Section RE: Driveway Clearance owner 0 location AP # Driveway permit 0 00 l 7 G s i ature has been issued for the above property. date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WOR?ZS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7.541 John Campbell 6117 Cliff Dr Paradise, CA 95969 Dear Mr.Campbell: With reference to the above subject: Attached is: DATEDecember 19. 1988 RE. Permit application 581-88 for mobile - home utilities. A.P. # 31-281-125 Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER 1Xg We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes mark d in red. XXX Sanitation iii A��L1+1ap^� a�,tta r.,�,�r , uo�� + ti n� t . Thermalito Irrigation Dist. 196 Memorial Way,' Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing XXX Recorded copy of agricultural acknowledgement statement. L_X'/ OTHER_ Drainage Fpps navahle to Land Development Dept We neer rhe above items so that we can issue your permit for mobilehome uti ities. The permit application will expire and cannot be issued after 2/25/89. Should you have any questions concerning the above, please contact this office. JFG/aj Yours very truly, William Cheff Director of Public Works .F. Glander Chief Building Inspector r +'n e A setback�F �'5 F 1. f, the prr`n ty lines and a - tback of 50=.t_ +r-rr, +`. road centc,line shall be clear of structures or equipment excep9 for a 2 ft. eave overhang. # c 142"" op all -ea esvr u?�s MOBILE HOME . ML BT- B AR N.41.D• �`B LS I\ • Utility connecti0 sh 11 be within 4 . of the mobileho e, either di ectly behind or wj, hinke rear .half of+he- adsicle of the m bilehome. i permit will be require��For > <he r;„ 4,..t1..1}fon of +hR 1t.:e -r+ i This set of plans and specifications MUST be kept on the job at all times and it is unlawful t - make any changes or alterations on same with- out written permission from the Department of Public Works, County of Butte. NOTE:—All Materials &IWorkmanship Shall B^ Accordance with ?eco.. nixed Good Practices of a quality prescribed or the Specified use Code Uniform Building, Plumbing & Mechanics and the National Electrilal Code. exp s� VN L � r\V� y (Irl �n is