HomeMy WebLinkAbout035-213-023a
035=21'3-023 92-3015B
COOPER, Je"ffrey.;
4545 • L'ncoln•, Orovil-le .
replace .windows/sf
3
1
a
035=21'3-023 92-3015B
COOPER, Je"ffrey.;
4545 • L'ncoln•, Orovil-le .
replace .windows/sf
3
'L'
y
035-21-3-023 -942-30 5B a
COOPER, Jeffrey
4545 Lincoln, Oroville
j replace windows/sf
cis � rc:& P.. -
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orov!iler California 959e5 - Telephone. 916.'538-7541
APPLICATION AIRD PERMIT
PERMIT NO.
3393SOR 13ARCICL NUMB
035-213-023
ZONING-
BUILDING PERMIT -
IWNfiR
EY COOPER
JEFIWNER•S
TSLILPMONE
533-8680
SO. FT. OCC. BUILDING VALUATION
EST
1,840
MAILING A00RIE3s
4481 LINCOLN BLVD OROVILLE 95966
I
:ONTRACTOR•3 NAM -
NELSEN CONST
TfiLEPMONfi
366-1619
:ONTRACTOR'S MAILING AOORE33
9942 PALM GROVE DRIVE SACRAMENTO 95827
Fireplace
:ONSTRUCTION LENDER _ -
UNKNOWN
Total Valuation 5 1,840
.ENOE'R's MAI LING.AOORE33 -
Filing Fee _
S _ 15.00
Permit Fee
$ nn
•RCMITECT OR ENGINEER -
LIGEN3E NO.
Plan Checking Fee
_16
S ,
Energy Plan Checking Fee
$
.RCMITECT OR ENGINEERr3 MAILING A00RE33 -
Penalty
IUILOING AoowEss -
4545 LINCOLN BLVD OROVILLE 95966
Permit fee
$ 51.00
PLUMBING PERMIT
FiIirigFee 15.00
Each Trap
I 5.001
Solar or heat pump water heater
1 20.00
.OT NO.
SUSOIVISION NAME PARCEL MAP
Water piping
1 7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
;F �] Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
1 5.00
Building sewer
1 15.001 I
Mobile Home S , G I W
@ 15.00 1
TYPE OF WORK
Vew❑ Addition L; Remodel[] Utilities[] InstallationC Other❑
)escribe work: REPLACE WINDOWS
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00 j
OR LESS
main service 2000A OV OR LESS
18.50
1
Main service ZOCATO IOOOA, I1
37.501
CONTRACTORS LICENSE LAW
declare under penalty of perjury (check one):
(J 1 am licensed under provisions of Chapt. 9. OiG. 3., of the Business
and Professions Code and my license is in full force and effect.
License No. �� Z Classification Ag-
- -
7 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)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors."(Sec. 7044)
Q I am exempt under Sec. Business and Professions Code
for this reason
NEW CONST, / pwELL.ING SoCCUP.S)
OR AOONS. 1 ACC. BUGS. /
3.64 sg.fr.1 I
NEW CONSTR MULTI.oUTL_
NON-PESIO. BRANC4 CIRC•'ITS
1@ 5.00T 1 I
POWER APOARATUs
(SINGLE OUTLET CA )
Ex. Occup( OUTLETS OR PIXTURES
gAO a 76e
-•XE CAPPLNS. OR
Ex. Occup. ouTL_Ts IREsIo., EA.)
I 3.001 j
Temporary service
15.00 j
Mobile Home Facilities
15.00 1
Misc. Wiring
15.00 1 I
Permit Fee
S
—
WORKMEN -S COMPENSATION'�INSURANCE
declare under penalty of perjury (check one):
The permit is for 5100.00 (valuation) or less.
r -1I 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.
lot)ce to Applicant: If after making this statement, should you become subject
o the W.'C. provisions of the Labor Code, you must forthwith comply with such
rovlsions or this permit shall be deemed revoked.
Contractor
;
MECHANICAL PERMIT I FiIingFee I 15.00
Heating i
Cooling j
Hood 6.501 . j
Ventilation
Permit Fee $
Contractor
certify that I have read this application and state that the above information
s correct. I agree to comply to all County Ordinances and State Laws relating
3 building construction, and hereby authorize representatives of the Countyot
lutte to enter upon the above-mentioned property for inspection purposes.
also agree to save, indemnify and keep harmless the County of Butte against
II Iia ies, judgments, costs. and'expenses which may, in any way accrue
gain t sa'd County ' consequence of the granting at this permit.
Mobile Home Installation Fee S
Energy Inspection Fee $
occ coNSTTrPe TOTAL FES $ 51.00 j
Ir.AL OFEES IMP
FLOOD CDF
PARCEL PO
HO
SSUE '
Date:2 % Z This permit is hereby issued under the applicable provi-
ignoture of Applicant - QWnerE, Contractor LC/Agenr C
cions of the Butte County Code and/or resolutions to do
OSHA Mork Indicate �b�for which fees have been pard.
permit .s requ.red for excavations over S'0" deco and demolition or construct- I
sn ur structures over 3 stories .n height. I R OF PUBLIC WORKS
12293 Date
By
1n 0.nr Pin
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO
7 County Center Drive - Orov�ilidt California 95985 - Telephone: 916.538-7541
APPL;ICATM4 AND PERMIT „ r
A33633 R PARCILL. NUMO R
035-213-023
ZC,1NIN
R N
BUILDING PERMIT
OWNER
COOPER
TfiLfiPMONfiSO.JEFFRE
533-8680
FT. OCC. BUILDING VALUATION
EST
1,840
OWNER'S MAILING ADDRESS
4481 LINCOLN BLVD OROVILLE 95966
I
CONTRACTOR•3NAM
NELSEN CONST
TELEPHONE -
366-1619
CONTRACTOR'S MAILING ADDRESS
9942 PALM GROVE DRIVE SACRAMENTO 95827
Fireplace
CONSTRUCTION LENDER
UNKNOWN
p
Total Valuation $ 1,8 O
LENDER'S MAILING -ADDRESS -
Filing Fee
$ _ 15.00
Permit Fee
$ 3rQ On
ARCHITECT OR ENGINEER - -
LICENSE NO..
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
g
BUILDING ADDRESS
4545 LINCOLN BLVD OROVILLE 95966
Permit fee
$ 51.00
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
5.00
Solar or heat pump water heater
1 20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Water piping
7.00
Each qas water heater or vent
1 7.00
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECT FY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S I G I W
@ 15.00
TYPE OF WORK
New U Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: REPLACE WINDOWS
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600V OR LESS
200A OR LESS
1.8.50
Main service 20CATO 1000AI
1 37.50
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.
License No. ��l0 3 2 Classification IIT
❑ 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 Cade
for this reason
NEW CONST. ( DWELLING OCCUP.&)
OR AOONS. 1 ACC. EILOGS.
3.6ssq.ft.
NEW CONSTR. • ULTI.OUT•LET
NON.RESIO. BRANCH CIRCUITS
@ 5.00
POWER APDARATUS r
( SINGLE OUTLET CIR.
Ex. Occup( OUTLETS OR FIXTURESI
FA20 a7 76d i
49
Ex. OCCup. OUT LD TS IAFi�RESiO )REA./
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
9
I 15.00
Permit Fee
S
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
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 -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 i
Heating
Coolinq
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 County or
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 Iia ' ies, judgments, costs, and expenses which may in any way accrue
again6t said County i consequence of the granting of this permit.
Mobile Home Installation Fee S
Energy Inspection Fee $
occ CONST TYPE TOTAL FES $ 51.00 I 1
MAL 0FEES I IMP f1000
1 COF I PARCEL
PO
MO
I ISSUE
i
X Date
Signature of Applicant — Owner C Contractor r ; Agent G
An OSHA permit is required for excavations over 5'0" deep and demolition or Construct•
ton of structures over 3 stories in height. -
Receipt No. 12293 �
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicate abov for which fees have been paid.
R OF PUBLIC WORKS p
Date
PERMIT EXPIRES rar26 -4 T
�,� '7.�:+� l�;.d- P �� rt a...r ` t t •� ' �1 �.'ti .�x-ergl`ir ` e A
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLIff, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER
Proposed Building Use JZ-)/1t/t904f-)QQuiIding Inspector Date o� 7i .
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED 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 to Buil peg ton rector '
required. . to Building 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 . ....................................... .
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. ....:.................................
32. Plan check list . .....................................................
33.
34. /
When you issue the permit, process as follows: Mail to owner
Telephone and hold for pickup at
Other ..
Parcel Creation
Acreage Applicant _
Mail to contractor.
- office. Deliver with inspector.
Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for 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 - Orovlllet California 95965 - Telephone: 916.'538-7541
APPLICATION AND PERMIT
PERMIT NO.
A3S%3S R PARCEL NU a
0 3 Q 2--f)V
ZC'NIN
BUILDING PERMIT
owwfiR ^� Y v
�LfiPMONfi
S0. FT. OCC. B ILDING VALUATION
OWNER SMLI AOORfiS /V t�Ov CJ- V
CONT
L/v_
3i6
CONT A OR ! AI NG O R S
Z)l�c—S
Fireplace
CONS RUCTION LENDER
UNKNOWN ITotal
Valuation Is
LENDER'! MAILING ADDRESS _ _ -
Filing Fee
$ 155.00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
9u1LD1NG DORESSVCS > „ l AZ_
_ Z:)
C.�/(J G�V
Permit -tee
$
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
1 5.00
Solar or heat pump water heater
1 20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Water piping
7.00
Each pas water heater or vent
7.00
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECI FY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobi Ie Home S I G I W
@ 15.00
- TYPE OF WORK
Newa• Addition[] Remodel❑ tllities Installation❑ Otherk
Describe work: AJ 040ifd2-2
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
I
Main service 600V OR LESS
200AORLESS
1 1 18.50
Main service 20CATO 1000AI
I 37,501
CONTRACTORS LICENSE LAW
I declare under penalty of perjury
I y (check one):
71 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
F-IIas 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
NEW CONST. ( DWELLING OCCUP.&)
OR ADONS. ACC. SLOGS. //
3.66sq.ft.
NEW CONSTR.ULTI.oUTLET
NON.RESIO. BRANCH CIRCU T4
I @ 5.00
POWER APo ARATUS !
(SINGLE OUTLET CIR. Ji
Ex. OCCUp(OUTLETS OR FIXTURES
4AL1 0•@76d j
Ex. Occup. OUTLD TS PIRESIO.INS REA.)
I .3.00
Temporary service
15.00
Mobile Home Facilities
1 15.00 1
Misc. Wiring
9
I 15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for 5100.00 (valuation) or less.
I 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.
❑ .1 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
Coolinq
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 gainst
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this
Mobile Home Installation Fee S
Energy Inspection Fee $
Occ CONST TYPE TOTAL FEE $ �, li
I YtAL 0FEES IMP J FLOOD
I COF PARCEL
PO
HO
ISSUE .
%t Date
Signature of Applicant — Owner C Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construet-
Aon of structures over 3 stories n height.
Receipt No.
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 FXPIRFS nntp -