HomeMy WebLinkAbout035-215-014�
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35-215-141966 Rose St, OrovillePermit#3622-85E(ne'w ele se; wiiise-le),S
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MARGE BRU1 ELLE
1960 Rose St.
Oroville
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS,
° 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-+4541
APPLICATION AND PERMIT
PERMIT NO:
ASSESSOR PARCEL NUMBER
'
ZONING-
BUILDING PERMIT
OWNER t
TELEPHONE
SO. FT. OCC, BUILDING VALUATION
OWNER'S MAILING ADDRESS �r
CONTRACTOR'S NAME
r i :./-/ int r' n ,,,
TELEPHONE
I •
-
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
I
Total Valuation .$
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
p
Permit Fee
$
ARCHITECT OR ENGINEER LICENSE NO.
ARCHITECT OR ENGINEER'S MAILING ADDRESS ,
r
Plan Checking Fee
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS r. i
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
'
Each Trap
2.00
.
V-0 Ly I I!'
Solar oe heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
1 5.00 - -_
Each qas water heater or vent
5.00
USE OF STRUCTURE ;
SF Q' Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
10.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other'S,'
Describe work: _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
�A-- t'
� A
Main service 6101 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):
❑ 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
fir❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do tbe.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. , Bus ness and Professions Code
for this reason
NEW CONST. ( DWELLING OCCUP.8d\
OR ADDNS. ACC. BLDGS. /
2+/xQsgft
NEWCONSTR ULTI.OUTLET
NON.RESID BRANCH CIRC ITS
2,50 ea
POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETs OR FIXTURES
209601
eAL930
FIXED
Ex. Occup. OUTLETS IPRESID IREAJ
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
teo .74,44t t!J
raw
Permit Fee r
$
Contractor
t
WORKMEN'S COMPENSATION;IIVSURANCE
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 ,
a I shall not employ any person in any manner so as fo 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
FiIingFee 10.00
Heating
Cooling
Hood I
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.
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.
1 Id
- ' %
X Date
,Signature of Applicant — Owner O' Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
occuP.
I CONST.TYPE
I FLOOD
PARCEL
I PD
ND
59UE
This of he Butte Code and/or
tit (County issued
sons
work indicated above for which fees
Dt TOR OF PUBLIC
t
By. `
Y•�
PERMIT EXPIRES Di}te
theicable trovi-
resolutionsolutions o do
have been paid.
WORKS
Date .
Q'�`�
,3rstories
`� %�% %/
Receipt No. �
WHITE-D.P:W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF'BUTTE.
'may DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise -- Phone: 872-2961, Ext. 57
CORRECTION NOTICE
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
�• w
Inspector -22
Date .—
%0- —
t.
COUNTY OF BUTTE - DERAP,;PMENT OF PUBLIC WORKS PERMIT N0.
' 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUM BEj
S —
ZONING
1 • a
BUILDING PERMIT
OWNER
TELEPHONE
SO, FT. OCC.1 BUILDING VALUATION
OWNER t MAILING DR/ ' r
D a,
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
iCONSTRUCTION LENDER
(ADDRESS
UNKNOWN
Total Valuation - $
Filing Fee $ 10.00
LENDER'S MAILING
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
.Plan Checking Fee $
Energy Plan -Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $ .
BUILDING ADDRESS ,
1
Permit fee
PLUMBING PERMIT Filing Fee 10.00.
Each Trap 2.00
�roo
Solar or heat pump water heater 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping 5.00
Each qas water heatet or vent 5.00
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ " Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 5.00
Mobile Home S I G I W= 10.00 ea
TYPE OF WORK
New❑ Addition❑ Remodel❑ Utilities[_ Installation[] Other
Describe work: _
(
�`
—P_ertnl.t.-Fee S
le tAe aaiaW
I 10313 e 10.00
W. -)
SdJ )
I�
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. Classification
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 contractjng with licensed contract-
ontract-
ors.
ors.(Sec. 7044)
❑ I am exempt under Sec. Business and Professions Code
for this reason
Ift
`n, 'J ssaJppy a
— - Q
Ad00 301330
Temporary service 10.00
Mobile Home Facilities 15.00
Mis . Wiring
g 15.00
ple—naAs
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare u der penalty of perjury (check one):
❑ 1 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.
Contractor
MECHANICAL PERMIT Filing Fee 10.00
Heating
Cooling
g
Hood 3.00
Ventilation
Permit Fee $
Contractor
I certify that.1 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 nsequence f the granting of this permit.
sL 3 U Y'
�( Date
Signature VApplicant — Owner X Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories inheight.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $ Q�
OCCUP,
CONST.TYPC
I
JFLOOOJPARCELJ
PD
1 ND
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.
TO OF PUBLIC WORKS
BYDate
PERMIT EXPIRES D to _
Receipt No. nq JIn
WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DERARTMtENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 IZ7— - —
APPLICATION•AND PERMIT
ASSESSOR PARCEL NUMB Ej
Z03qlr4G
BUILDING PERMIT
OWNER
u� 1
TELEPHONE
SO. FT. OCC, BUILDING VALUATION
.
OWNER'S MAILING 3ZIDR
✓DJC
CONTRACTOR'S NAME
------ONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
1 2.00
Solar or heat pump wat1he
20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Water piping
5.00
Each qas water heater
5.00
USE OF STRUCTURE
Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 -
5.SF
Building sewer
5.00
Mobile -Home S
O.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other
Describe work:
lle.iv
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
A
C/
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
1 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. Classification
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)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
P.y�
NEW CONST. ( DWELLING OCCU0Y¢SQft
OR AODNS. ACC. BLDGS.
NEW CONSTR. MULTI -OUTLET 2,50 ea
NON-RESID BRANCH CIRC ITS
POWER APPARATUS 6
(SINGLE OUTLET CIR.
Ex. Occup(IS
OUTLETS OR FIXTURES ALO30
AL0
FIXED APPLNS. OR
Ex. OCCUp. OUTLETS (RESID.) EAJ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Mis . Wiring 15.00 ,
✓
Permit Fee $
Contractor
52199
WORKMEN'S COMPENSATION INSURANCE
1 declare u der 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.
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.
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 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 Count/y in nsequence f the granting of this permit. Q
X r v' �� Date :L j / O
Signature JApplicant — Owner & Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
iorrof structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $ D�
occuP.
CONST.T7
FLOOD
PARCEL
I PD
I ND I
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
CTO OF PUBLIC
By `
PERMIT EXPIRES D to -
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No. nq /,�
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT4Of_'P�dBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541
PERMIT APPLI�ATIIIN DATA SHEET
/� Permit No.
OWNER /yl.�V $ &-a n? �/ A. P. No. 3�,2 /
Proposed Building Use
Permit Fee Based Upon: -Complete Contract Price DPW Valuation
her (Explain)
Building Inspector
Date Sr_
At time of permit application, I was advised the following data must be submitted prior to permit processing
andlor issuance: DATE RECEIVED APPROVED
_11'1. All items have been submitted. . . . . . . . . . . .
2— Plot plans in duplicate./triplicate. . . . . . . . . . .
3. Complete plans in duplicate. /triplicate. . ... . .
4. Complete engineered plans and calcs. . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. State Energy Forms No.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $
9. Letter of signature authorization. . . . . . . . . . .
10. Sanitation approval from Health Dept.
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance.
13. Contractor's License Information (no., name style, classif.) 7
14. Owner -Builder Verification (Given to owner[], Mail to owner EI
15. Improvements may be required. . . . . . . .
16: Mobilehome Installation Data. . . . . r .r �Z—
�7. Pre -Ins ection for e-C.y o �P✓/►no le .�' ed 11 � e Inspec. request to
p ( _ R.e' red: Building Inspector (Da1e)
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Other_DRIVEWAY PERMIT & CONSTRUCTION APPROVAL REQUIRED PRIOR TO OCCUPANCY
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
/Telephone e-014..) and hold for pickup at :office. Deliver w.
/inspector.
Other
to
Copy of plans sent Health Dept., Fire Dept., " Other Date
During the plan checking process, the following data must be submitted prior to permit issuance.
(For required items not checked above at time,of application, circle item.)
r A• , }'
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other
By Date
Plans checked by Date
Plans approved by Date
Other:.
Copy—DPW
COUNTY OF BUTTE - Department of Public.Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
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) 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. I 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
Sighed: ,
Property Owne A
Social•Security Numb67r, _
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.