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HomeMy WebLinkAbout033-140-023277-91'B' CARLSON* Alice; •; = .,,.,326 Canyon Highlands, •Orov lle. Contr.: Don- George a - 1 . •-(reroof /.s f,�, + F O jF 1 _ { y �.�.� L" �3�� � ' S ��y"y 4 7 id.P�. L f t 'r �. VA ATION - 7366 BUILDING PERMIT DIVISION OF BUILDING & SAFETY CITY OF OROVILL -� REPAIR ❑ ADDITION ❑ BUILDING ./ ADDRESS /Y�_ REMODEL 1:1 DEMOLITION ❑ OTHER ❑ ONAME 57 DESCRIPTION OF WORK: PHONE E A BUILDING VALUATION $ PERMIT FILING' $ (, PLAN CHECK FEE PERMIT FEE SUB TOTAL $ STRONG MOTION PLAN RETENTION PENALTY FEE TOTAL I / $ I AM AWARE OF THE PROVISIONS OF SECTION 3700 OF THE CALIFORNIA LABOR CODE WHICH REQUIRES EVERY EM- PLOYER TO BE INSURED AGAINST LIABILITY FOR WORK- MEN'S COMPENSATION. ❑ I HAVE PLACED ON FILE WITH THE CITY OF OROVILLE A CERTIFICATE OF WORKMEN'S COMPENSATION INSURANCE. ❑ 1 CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED I -SHALL NOT EMPLOY ANY PERSON IN ANY MANNER SO AS TO BECOME SUBJECT TO THE WORKMEN'S COMPEN- SATION LAWS OF CALIFORNIA. DATE INITIAL SET BACK FORMS / STEEL FRAME FINAL I AM LICENSED UNDER THE PROVISIONS OF CHAPTER 9, DIV. 3, OF THE STATE OF CALIFORNIA BUSINESS ND PROFES- SIONJ'��E UNDER THE E STYLE OF: c&;o-�CO LICENSE NO CLASSIFICATION: ❑ 1 AM EXEMPT FROM THE CONTRACTORS LICENSE LAWS OF THE STATE OF CALIF. I CERTIFY THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE INFORMATION IS CORRECT. I AGREE TO COMPLY TO ALL CITY ORDINANCES AND STATE LAWS RELATING TO BUILDING CONSTRUCTION, AND HEREBY AUTHORIZE THE REPRESENTATIVES OF THE CITY OF OROVILLLE TO ENTER UPON THE ABOVE- MENTIONED PROPERTY FOR INSPECTION PURPOSES. IGNA F P =RT ISSUED BY 6/ DAT FILE COPY �� a K„ �-�,.�� � • � .:�. � '.:..T r r. .4 Ra �il'i""':�:*1n�'w , .R �,�;. r a ,.i�.�,;� .r: _ ,� �- •. r � �� .R, �r + ... ..:i _ .. .. ;''vf�.,.;�i`y.'.rw'\•S: �t�'tn-�''f�ri.`"�' "'.'�i� �'�' .7. �i7"�J"'/�;:i�sis�•.r:F.p�"ii�"�ri1'`}p�� f..��S�w't�R'�,�Yfrs�.+�LtM�''.�-. • / Ar' � • / ,� :, r t n � .. i - � � � ry k-4 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION -AND PERMIT PERMIT NO. ASSES FjPARCEL NUMBEDZONING{ ' BUILDING PERMIT OWNER�t / MRS. CARLSON r 1) 1`1C./ TELEPHONE 533-0204 SO. FT. OCC. BUILDING VALUATION 38 tale 5700 .00 OWNER'S MAILING ADD ESS 326 CANYON HIGHLANDS OROVILLE, CA. 95965 CONTRACTOR'S NAME DON C. GEORGE INC. TELEPHONE 533-6393 CONTRACTOR'S MAILING ADDRESS P.O. BOX 729 OROVILLE, CA. 95965 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is 5700.00 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 756.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 326 CANYON HIGHLANDS Permit fee $ 66.50 rPLUMBING 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 OFF] Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W F 0.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation❑ Other Foi Describe work: _ RE—ROOF WITH DURALITF TILE Permit Fee $ Contractor ELECTRICAL PERMIT FilingFell.., 1,0.0 Main service 600V OR LESS 100 AMP OR LESS 10:00:4 r Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): EX 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. 4 License No. 52266 Classification C-39 I ± Fl 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) F -1I, 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 OCCUPM OR ACDNS. ACC. BLDGS. /22sgft NEW OUTLET NON•RESID, BRANCH CIRCUITS) 2,50 ea POWER APPARATUS .&) %SINGLE OUTLET CIR. ( EX, OCCUp\OUTLETS OR FIXTURES SAL@30 eALeso R Ex. Occup. ouT ETS IRESID IEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 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. I 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 FiIingFee 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 Countyot 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 in co�querce of the granting of this permit. X '/ _- f ' Date JANUARY 29 , 19 Si nature of Applicant — Owner g pp ❑ Contractor ❑ Agent I7Gl An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in/hei ht. g Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE " 66. 50 TOTAL FEE $ HAZ I CUA I PARK I SCHL 1 FLD 1 PAR PD HD ISSUE is permit is nereby issued under the appiicable provi- sions of the Butte County Code and/or resolutions to do work .indjcated above for which fees have been aid. / J ^ p DIRECTOR OF PUBLIC WORKS % /, t -. I �J, B�� it''G "` �l/f�� Date PERMIT EXPIRES Date Receipt No. ?1 1L/ �j WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLIC&T- CKOAND PERMIT PERMIT NO. 77 -9,/J ASSES 1R AR7, jJ=M�E�, 5 / (/"� Oj%S ZO I N� BUILDING PERMIT OWNER -MRS. CARLSON -Ahn TELEPHONE 533-0204 SO. FT.' OCC. BUILDING VALUATION 38 the 5700.00 OWNER'S MAILING ADDRESS 326 CANYON HIGHLANDS OROVILLE, CA. 95965 CONTRACTOR'S NAME DON C. GEORGE INC. TELEPHONE 533-6393 CONTRACTOR'S MAILING ADDRESS P.O. BOX 729 OROVILLE, CA. 95965 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is 5700.00 Filing Fee $ 1000 LENDER'S MAILING ADDRESS Permit Fee $ 56 .50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 326 CANYON HIGHLANDS Permit fee $ 66.50 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 rX� USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other C_I SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ® Describe work: _ RE—ROOF WITH DURALITE TILE Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service SOOV OR LESS 100 AMP OR LESS 10.00 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. 452266 Classification C-39 ❑ 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 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. ) , 2/20sgft NEW CONSTR ULTI-OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUSe SINGLE OUTLET CIR. ) Ex. OCCU Occup(OUTLETS OR FIXTURES ZO®SOC SAL030 Ex. Occup. OUTLETS P(RESID IRE A.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 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 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 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. 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 my Jp co ce of the granting of this permit. JANUARY 29 ,19911his X Date Signa re 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 $ 66.50 HAz I CUA I PARK I SCHL I FLD I PAR PD Ho I ISSUE permit is hereby issued under sions of the Butte County Code and/or work Gated above for which fees DI R OF P B C AAM PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Da)e Receipt No. 5.1 6 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT