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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 -