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HomeMy WebLinkAbout035-224-013✓ * �_ Samir _ _ .: .-._ .. �. J • N_ ELSON, Harvey" _937_-6gB l: 14-69E -224-.; 4701 `Baggett- rysville Rd.,. Orovi e. (addition) 9-7 S 1 i 4�- Z- COUNTY OR BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, Callforrila 95985 - Telephone: 918/538.7541 APPLICATION AND PERMIT ASSESSOR 13 35 -224 - RN BUILDING PERMIT OWNER Paula Leisure TELUPHONI S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2990 Lower Wyandotte, Oroville 95965 CONTRACTOR'S NAME PDO $lumbin TELEPHONE CONTRACTOR'S MAILING ADDRESS PO Box 1670 Paradise 95967 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE, NO. t Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS C Penalty $ BUILDING ADDRESS 4701 Ba ett Marysville Rd Or4i.11e Permit fee $' 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 USE OF STRUCTURE SF9 Duplex❑ Mobilehome❑ Other SPECIFY ; Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 5.00 Mobile Home S I G0.00 ea El TYPE OF WORK ( New ❑ Addition ❑ Remodel ❑ Uti lities kR Installation ❑ Other ❑ Describe work: replace gas piping min Permit Fee $ 25.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 6001 OR LESS Main service 100 AMP OR LESS 10.00 Main Service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW t I declare under penalty of perjury (Check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Br9siness and Profession/'j.�Cood^eJ and my license is in ful�orc and'effect. License No (-�'w`- Classification. ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended orioffered for sale. (Sec. 7044) 1 ❑ 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 � DWELLING OCCUP.ad\ /zl$sgft NEW OR ADONS. CONST. ACC. BLDGS. / NEW CONSTR. MULTI—OUTLET 2,50 ea NON•R ESID BRANCH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES .AL930 L9 SO FIXED Ex. Occup. OUTLETS P(RESID )LINIS REA.) 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. IrJ 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-mentiwed property for inspection purposes. 1 also agree to save, indemnify a d;keep harmless the County of Butte against all li ilities, judgments, costs and expenses which may in any way accrue agai t said County in Cbnse u#n6e of the granting of this permit. X �f / `� �--"f�hi'� ate 7�� / Signature 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 $ 25.00 HAz. CUA PARK SCHL FLD coF PAR PD ) HD. ISSU Th1s permit is hereby issued unoer the applicable provi- sions of the Butte County. Code and/or resolutions to do work indl-64ted above for which fess have been paid. Of T OF PU LI WORKS 1 B v Date PERMIT EXPIRES Date Receipt No. WHITE-D.P.W.. YELLOW-ASSE330R, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE'- DEPAFiTrMENft OF PUBLIC WORKS PERMIT NO. / 7 County Center Drive - Orovllle, California 95985 - Telephone: 918/538.7541 APPLICATION AND' PERMIT ASSESSOR PARCEL KUMBIEW 35-224-13 ZONING RN BUILDING PERMIT OWNER Paula Leisure TELEPHONE S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2990 Lower W andotte Oroville 95965 CONTRACT O R•S NAM PDO Plumbing TELEPHONE CONTRACTOR'S MAILING ADDRESS PO Box 1670 Paradise 95967 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is 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 4701 Ba ett Marysville Rd Oroville Permit fee $ 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 USE OF STRUCTURE SF K3 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 Pa TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ER Installation[] Other ❑ Describe work: replace gas piping min Permit Fee $ 25.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00' Main service 100 AMP OR 00V OR OR LESS 1 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare nder penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profession Code and my license is in full force and effect. License No �7� Classification. 0 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) ❑ 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.61 OR ADDNS. ( ACC. BLDGS. , /20sgft NEW CONSTR. MULTI -OUTLET RANC CRC., TS NO N.RESID BRANCH 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES SAL@30 AL990 FIXED APLNS. Ex. Occup. OUTLETS IPRESID.IREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. INirin g 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. 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 Countyot Butte to enter upon the above -menti ed property for inspection purposes. I also gree to save, indemnify a eep harmless the County of Butte against all li ilities, judgments, costs d expenses which may in any way accrue agai t said County in se u e o the granting of this permit. X ate 1 7_9 Signature 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 I. CONST TYPE - TOTAL FEE .$ 25.00 HA2. cuA• PARK SCHL FLD coF PAR PD I HD. Issu . This permit is hereby issued under the sions of the Butte County. Code and/or work i ted above for which f DIROF PU L B PERMIT EXPIRES Date applicable provi- resolutions to do s have been paid. WORKS/ Date / �c Receipt No. WHITE-D.P.W.. YELLOW-A96E7e0R. PINK-INSPECTOR.'GOLDENROD-APPLICANT tk COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovll le, Callfornle.95965 - Telephone: 918/538-7541 APPLICATION AND PERMIT A ESSOR PA E LIMB R S - cq-- ZONING BUILDING PERMIT o ER/C TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILI G ADDRESS �q ,e , v ' c 9S�� CO OR'3 N 8E 0 P ON CO�jTR CTO MAILING D ESS/ /'-� a (Xad1 S(a Fireplace CONST UC TION LENDER C - UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARC ITECTCOR ENGINEER yl LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRE D( *I-/# 000v; Permit fee ; 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 USE OF STRUCTURE SF Duplex F-1 Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 S; Q Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New ❑ Addition ❑ RemoT ❑ / UtilitiesY Installatji�d�1❑ Other ❑ Describe work: (z /R os � / 91 ✓l Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 00V OR 00 AMP ORSLESS Main service 1 10.00 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. ❑ 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L 100 AMP 2.50 NEW CONST. / DWELLING OCCUP.N OR ADONS. ACG. BLDGS. L , /z¢sgft NEW CONSTR I.OUTLET NO N•R ESID BRANCH CIRCUITS) IRC ITS 2.50 ea POWER APPARATUS d (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 200SOt BALI 30 FIXED APLNS. Ex. Occup. OUTLETS.((RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ 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 10.00 Heating Cooling g 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. 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. xThis Date Signature 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 $ HAz. CUA PARK scHL FLD coF PAR PD I HD. IsuE. permit is hereby issued unser 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 EXPIRES Date Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT