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HomeMy WebLinkAbout035-221-004a 035-221-004 01-3005 1 WILSON, DIANE - OROVILLE 4765 VIRGINIHURST, CONT: MIKE ELEC SERVICE REPAIR OFFICE COPY Address GAS Meter By Date ELECTRIC. / Meter By !,/ Date r:. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 • Telephone (530) 538-7541PERMIT NO. (Rev. ;, •t APPLICATION AND PERMIT /•;yobs ASSESSOR PARCEL NUMBER wig �_ ( 035-221-004 ZONING R N BUILDING PERMIT OWNER WILMN DIAR TELEPHONE 534-9302 SO. FT. OCC. BUILDING VALUATION - OWNER'S MAILING ADDRESS 4765 VIRGINIA AVE. OROVILLE CA 95966 CONTRACTOR'S NAME MIKE HURST TELEPHONE 5895330 CONTRACTORS MAILING ADDRESS 15 OAKM= DR. OROVILU. CA 95956 CONSTRUCTION LENDER , Fireplace LENDER'S MAILING ADDRESS Total Valuation $. ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS • Plan`Checkin Fee $ BUILDING ADDRESS 4765 VIRGINIA AVE. OROVIM E CA 95966 Energy Plan Checking Fee $ $ PERMIT FEE $ LOTNO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ 'Utilities O hInstallation ❑ Otherr, ❑' Describe Work: �' ELEMICAL%SERVICE AEPAIR RE',CONNEC r TO SERVICE MAIN (TREE M'1" ON LINE) Gas piping system 1 - 5 outlets 15.00 ..Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE s f ELECTRICAL PERMIT Filing Feel 20.00 Main Service 2000A oA LLEESS '• '23.00 23.00 - �'- • LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisionslof Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class 1C" i / �i Lic. No. �� U / I OWNER -BUILDER DECLARATION • I hereby affirm under penalty of perjury that I am exempt from the Contractors License �w for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. !❑ I have and will maintain workers' compensation insurance, as required by Section ! 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier r' ' Main Service 200A'TO' I000A 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. ( a ACC. BLDS. so. 3.5¢FT. NEW NONN-RESID., BRANCH MULTI -OUTLET @7,50 POWER APPARATUS 8 SINGLE OURET CI R. EX. OCCU OUTLET OR FIXTURES 20 Q 100 BAL @ .50 FlXED APPLNS. OR Ex. Occup.O.REBID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRE INSPECTION 23.04 PERMIT FEE $ 66.00 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ tj Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith complkl with those pr • -Bions. Date / ` b Sinature of Applica�n - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories' in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 66.00 =.AEES IMP FLOOD CDF PARCEL I Po I HD Ly This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indic ted above for which fees have been paid. t ` By ♦ Date PERMI1LEXPIRES(QN) Date Receipt No. WHITE-D.D.S.-B.D. CANARY-fi SESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF -DEVELOPMENT SERVICES - BUILDING DIVISION ' 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 6 do's ASSESSOR PARCEL NUMBER 035-221-004 ZONING R N BUILDING PERMIT OWNER WILSON DIANE TELEPHONE 534-9302 SD. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 4765 VIRGINIA AVE. OROVILLE CA 95966 CONTRACTOR'S NAME MIKE HURST TELEPHONE 1589-5330 CONTRACTORS MAILING ADDRESS 15 OAKCREST DR. OROVILLE CA 95966 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO, Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 4765 VIRGINIA AVE. OROVILLE CA 95966 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00. TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities N Installation ❑ Other ❑ Describe Work: ELECTRICAL SERVICE REPAIR RECONNECT TO SERVICE MAIN (TREE FELL ON LINE) Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I G w @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 800V OR IE Main Service p A OR LESS 23-0023.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full4orce and effect./ License Class �'� / Lic. No. �� (� 7 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License for the following reason: 43 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. I am exempt under Sec. Business and Professions Code for this reason Main Service TO 46.00so WEE200A NEW CONST. DWELLING Occup. CC OR ADDNS. ( ACC. BLDST 3.SQFo; NEW COLT. M NON•REs,o. Cu @7.50 POWER APPARATUS 8 SINGLE 0ll"ET CIR. EX. Occup. OUTLET OR FIXTURES .00 BAL Q I.SO Ex. Occup. o XUTrs Ao °� 5.00 Temporary Service. 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRE INSPECTION PERMIT FEE $ 66.00 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier - MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed If the permit is for work of a valuation Ofone hundred dollars ($100) or less.) I 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall ns. forthwith co*Z�77L 6142Date L b Si nature of Applican - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in heig t. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 66.00 HAZ. D. FEES IMP FLOOD COF PARCEL HD This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Indic ted ab a for which fees have been paid. By + f Date /[ •'� PERMI XPIRES 1 ` ��"y Dale Receipt No. © WHITE•D.D.S.• .D. CANARY- SESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 - Telephone (530) 538-7541 �E, (Rev. 12/9-6) yO. APPLICATION AND PERMfT 6 ASSESSOR PARCEL NU�IW ZONINGo -00 BUILDING PERMIT OWNER TELrrHOHe SO. FT. OCC. BUILDING VALUATION owg 7;79 s s - 930 CONTRACTOR'S,NAME r- ` TCWEPMN� CONTRACTORS yµlll0 ADDRESS CONSTRUCTION LENDER LENDERS MMLING ADDRESS Fire lace ARCHITECT OR ENGINEER LICENSE NO. Total valuation E ARCHITECT OR Filing Fee $ 20.00 ENOINEEA9 WUUNG ADDRESS Permit Fee $ BUILDING AD SS 4 , - Plan Checkin Fee41 q E Energy Plan Checking Fee E S .DT No. 9UeDIVISION9/WME PARceI MAv PERMIT FEE i PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE Each Tra 7.00 Solar or had um water heater 23.00 SFA Duplex ❑ Mobilehome ❑ Other SPECIE/ Water piping 15.00 TYPE OF WORK Each as water heater or vent 15.00 New ❑ Addition E3 Remodel E3 Utilities ❑ Installation ❑ Other �Sj Bs i in stem 1 - 5 outlets 15.00 C j ' Buildin sewer 15.00 Describe Work: .,�Q A n A ���r Mobile Home S G W @20.00 CPERMIT FEE ! ELECTRICAL PERMIT Filln Fee 20.00 Main Service 800V OR LESS aoDA oR LEss 23.00 .0c Main Service 200A TO 1000A 4e.00 NEW CONST. ( DWEIINo OCCUP. OR ADDNS. a ACC. eLO9. 3.50FT. NON•RESID. MULTFOIRIET BRANCM CPR @7.50 POWER APPARATUS a SINGLE OUTLET CIF. Ex. OCCU OVrLEr OR fDrTM 200 1.00 BAL .!0 Ex. Occu OYgS EESID EA 5.00 Tem orar Service 23.00 Mobile Home Facilities 20.00 it isc. Wiring 23.00 PERMIT FEE `i"�-r —� v MECHANICAL PERMIT Filing Fee 20.00 *PERAAIT FEE PA2b s �D (- O O EHeatin SRA Conlin Hood 6.50 SHERIFF Ventilation OTHER s PERMIT FEt ! Mobile Home Installation Fee S Energy Inspection Fee S OCC CONST. TYPE TOTAL FEES(p D O AMOVNT Rr- C WEp s /^ / fl► . Oi/ D. fEE9 IMP FLOOD �f PARCEL PO Ho ISSUE This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. *RECEIPT NVA4M " TO 0E PVT INTO COM T By Date PERMIT EXPIRES ON n 'wr , -. �f PIKE -INSPECTION ItEPOIg'i' OWNER: LOCATION: (� 5 O CONTRACTOR: -�Jmxg=� PRE-INSPETION FOR: DATE: / -4 / A.P.# Z5 -Ja%--Upel ZONING: DATE TO INSPECTOR: // - Q�6 0/ PERMIT HISTOI(V$. 4 NONE ( ) AS FOLLOWS: Building Description: Electric: Gas: Commercial/Usage: Residential/# of Units: Currently Occupied AbandonedNacant � Yes No Condition of Electric BUILDING INSPECTOR'S REPORT Electric currently On Off Natural Propane None Currently On Off Obvious Problems: Sanitation: Plumbing Working Well Working Potable Water Obvious SewageProblems Comments: ACTION RECOMMENDED: ISSUE: HOLD FOR Inspector: Date Sketch buildings on reverse and indicate location on property. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive e Oroville, California 95965 •Telephone (530) 538-7541 (Rev. 1246) ° APPLICATION AND PERMIT PERMIT No. ASSESSORPARCELNUMM o -00 �p� OWNER BUILDING PERMIT TELVIMN S 3 - 930 SO. FT. OCC. BUILDING VALUATION OWNERS • f e, CONTRACTOR'S NAY! r- + CONTRACTORS h" ADDRESS CONSTRUCTION L'cNDIM , W LENDER'S M4UNO ADORES• Fire lace ARCHITECT OR ENGINEER LICENSE NO. Total Valuation $ Fli ARMI CNrtECT OR ENOEEA9 MAn Fee S 20.00EJNO ADORlS9 Permit Fee E •ULDINOADDRESS , Plan Checkin Fee $ *PERMIT FEE PAXb SRA • • SHERIFF OTHER AMOVNT REM EII Vb *RECEM W110, ER '�" _-:�? %/ 6 * TO 0E PVT INTO GOMPvITER Ex. Occup. Energy Plan Checking Fee E Ex. Occup.OWLEM ML p FA b ,Or NO SU801VISIDMBNAME PARCEL ►IAP PERMIT FEE i Mobile Home Facilities PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE Eech Tre 7.00 SF Duplex E3 Mobilehome ❑ Other Solar or heat Pump water heater 23.00 •PECiY Water piping 15.00 TYPE OF WORK Each as water heater or vent 15.00 New ❑ Addition ❑ Remodel ❑ UdGties ❑ Installation ❑ Other Gas Piping system 1 - 5 outlets 15.00 Building sewer 15.00 Describe Work: � Q /1 r P n �� �� Mobile Home S G W Q20.00 A n n' ---� —�— L ` PERMIT FEE S ELECTRICAL PERMIT Flln Fee 20.00 Main Service ,00** o"R mss 23.00 •OC Main Service a0w To IOWA 4e.00 NEW CONST. OR ADONS. ai ACC. BIOSUP. 3.S¢FT. NON•RESID. MULTFOUTLET @7.50 *PERMIT FEE PAXb SRA • • SHERIFF OTHER AMOVNT REM EII Vb *RECEM W110, ER '�" _-:�? %/ 6 * TO 0E PVT INTO GOMPvITER Ex. Occup. r OUTLET OR F=wEs LL p 0 I.Oo SAL .30 Ex. Occup.OWLEM ML p FA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Esc. Widn 23.00 PERMIT FEE $ . Oy MECHANICAL PERMIT Fling Fee 1 20.00 6.50 PERMIT FEtn S rMobigleHome Installation Fee S Inspection Fee NST. TAPE TOTAL FEE _ �p � •Q JISSUE. 0. fEE9 IMP FLOOD ODF PARCEL PO ND This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. By Date PERMIT EXPIRES ON (yew