HomeMy WebLinkAbout039-450-01439--45-14 -
=Durham
���� •r NYSTROM, J. & .Sons 2709B .
xwy,2729E
oof/SF) 7�r T�e��> - .2157P
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39-450-014 01-2862 Lot 14, Monte Vista Villge, Dur am
PERKINS, PAT (new, ;n,le family) �� -
2542 DURHAM DAYTON, DURH„-
CONT: GREEN SON ROOFING_ e.9t;
REROOF
a 4
039-450-014 02-31 22 '
PERKINS, PATRICIA ; . }
2542 DURHAM DAYTON, DURHAM T ;
CONT: MD PLUMBING; =Jones; Dr. Dwaine x :�
REPLACE WATER HEATER 60-66B 400-6
x49 -66E 940-6',
402;6- ” f
e/s Durham Dayton Rd. 12001 n. of Burdick
Durham
CONTR: Nystrom & Sons, Rt. 1, Box 690 D
(convert ' Aja .e
garage to family room)xyL.Q..Q.9-
-("Swimming pool - Swimking Poo ls,..426 JCSt.,
r• ysv lle
i� st
,
C -n RION
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 0•
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER
OER Gt
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
.OWNERS 2ulRESS
T/� 1 I/
V //WI/
CONTRACTOR'S NAME 1
(� pyo
7 l
CONTRACTORS MAILING ADORES
G
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Ellin Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
� �
Energy Plan Checking Fee
$
$
a�p
x,/�J'�
PERMIT FEE
$
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.0023.00
• USEOFSTRUCTURE
SFuplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat um water heater
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑// Lifi�lib//es//❑�� Installation ❑ Other ❑
Describe Work: IqC P( 441, r (�I/1k2D_9—
Gas piping system 1 - 5 outlets
15.00
Buildin sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE
S 10
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service 200A OR LESS
23.00
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 II force and effect. 7
License Class L (� J Lic. No. �L�
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law 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.
I 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.
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' ompensation insuranjqe carrier and policy number are:
Carrier11-9— 1I-,"( 15,1--_4 AC, ai -s
Policy Number 1,C)/e/V //) �7_ /
(The above sections need not be completed W 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 co nply with th a provision
e. f/�I� z�
to
:Sig2ame of Applicant - ❑ Owner W. Contractor ❑ Agent
IF—
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in heig
Main Service To ,000A
46.
NEW CONST. DWEW
WUP. sSO
NO OCC o
OR ADDNS. ( a ACC. BLDs. 3.5QFT:
N"ONEW RESD. MULTI.OUTLET 97.50
POWER APPARATUS
8 SINGLE OUTLET CR.
.00
B20 O 1 00
Ex, OCCU OUTLET OR FDRURES
AA. 5.00
Ex. Occup. GimFEDrs ES, 6.) E
Temporary Service
23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ ea
2.A.
D. FEES IMP I
FLOOD
I CDF
PARCEL
I PD
I HD
I ISSUE
This permit is hereby issued under
of the Butte unty Code and/or
indicated ve for which fees
By
PERMIT EXPIRES ON l -
I ,-.
the applicable provisions
Resolutions to do work
been paid.
Date`
Oere '
Receipt No. Ivy
WHITE-D.D.S.-B.D7 CANARY- SES R PINK -INSPECTOR GOLDENROD -APPLICANT
R
Name PERKINS PATRICIA J REVOCABLE TRUST
Addr1 IPERKINS PATRICIAJ TRUSTEE
Addr2 2542 DURHAM DAYTON HWY
Addr3 I DURHAM CA 9593$
Addr4
Comments 13945001400 CONVERTED 09108/88
Creaking D oc#1 1970R 162054E D ate
Current D oc# 1 99G 19597 Dake 512811996
Killing Doc# D ateF -
Asmt D esc LOT 14 M O N T E VISTA � S uplCnk
Zoning IS R 1 DwellFl
Acres/S q Ft 10.26 N 1C 039
Asmt # 1039-450-014-000 Fee # 039-450-014-000
Status ACTIVE Status Date
Tax 000 INORMAL OWNERSHIP TRA 070-002
Situs 12542 DURHAM DAYTON H ' DURHAM
Base D t 11 /1 X1975
Timber Preserve
AgPres
Etal
N otes
Bands
multi SIM
Flag1
Flagg
910 MH
Asmt PP Pen
Tax PP Pen
Appeal Pending
Split Pending
Land
S tructure
Fixtures
G rowing
Total L&I
Fix. R P
MH PP
PP
9,490
58,339
0
0
67,829
0
0
- 0
E xemotl 7,000
Net 60,829
R 1C#
T1R Dt[-- 7
R 1C S tat
PHY I. OWN I EXP I TAX I H O N I ATT I 51T T I APR. I PCL
LJ A-tj-�Hj
�: Find
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 C 41'
ASSESSOR PARCEL NUMB 3 q 5-O—
ZONING ��_
BUILDINGPERMIT
. OWNER, l
al-
TELEPHONE_
SO. FT. OCC. BUILDING VALUATION
s
0
. OWNERS MAILING ADDRESS '9(75,
S $h 8 U/5, 1 �
(gob, b
CONTRALTO 'S MEI
e3
TELEPHONE�
� O
CO TORS MAI ADDRESS pQ+/
• C
CONSTRUCTION ND
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuationi$RH4
.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee
$
BUILDINGADDRESS c9 r
^✓�
Energy Plan Checking Fee
$
$
PERMIT FEE
_
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
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 ❑ �IInstalllla�tion ❑ ,fOltherX
-
Describe Work: / � -- oAr IY�I� s tY _�
r Vq I pS —
Gas piping system 1 - 5 outlets
15.00
Buildingsewer
15.00
Mobile Home I S I G I W
Q20.00
PERMIT FEE
t
a 1960 1 6D
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service p A OR LESS
23.00
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 II fo ce and effect.r�
License Class ^ Lic. No. 1P/ ry� a Z
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law 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
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. a ACC. BIDS.
SO
3.5¢Fr:
N"ONLW RESD I. MUBRANCH CIRCUITS
I CUI
@7.50
POWER APPARATUS
& SINGLE OUTLET CIR.
Ex. Occup. OUTLET ORFDITUREs
20BAL .00''0°
S0
Ex. Occup. ou S (RRES,,6.) E
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
S
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.
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' com en do insur ce caryer and policy number are:
Carrier 2
Policy Number
(The above sections need not be completed If thofpermit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 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 co:mZpfth those provisions.
�,r _
X �`I =�' Date /f/ _Id� �/ _
Signature of Applicant - ❑ Owner ontractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEI= $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
-�
^.^auu—TYPE ^^
VAI TOTAL FEE $ VlJ
HAZ. I D IMP
FLOOD
I CDF
PARCEL
PD
HDL,
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 III, /-<o "0a_
I Pa to
ReceiptNo. 3 &,93,60
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
PM
ti
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
J 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
,PERMIT NO
ASSESSOR PARCEL NUMBER
01 -- A99—
ZONING
BUILDING PERMIT
OWNER, i
lj�Nee
MOWNER'S :t S&
TELEPHONE
/
-&10
SO. FT. OCC. BUILDING VALUATION
O A [
�
MOA I`L`
RESS
CONTRACTOR'S NAME
JEF;4& VA/64
TELEPHONE
CONTRACTOR'S MAILING JADDRESS
#��' / �✓7 �
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
Filing Fee
$ 1000
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
.$'
Energy Plan Checking Fe
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
,11
� Gl Tt9 ti
Permit fee
$ U
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
SF14 Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S I G WO.00ea
TYPE OF WORK
New❑ Addition❑ Remodel❑ Utilitiesnn❑ Installation❑ Other F]
Describe work:_, rooska 13:a -S
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 110.00
Main service 100 AMP OR00V OR LE LESS10.00
Main service EA. ADD'L too 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 BuslnesS
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
NEW CONST. DWELLING OCCUP.EI ,
OR ADONS. ( ACC. BLDGS. /24tsgft
NEW RES,O. RANCHUTLET 2.50 ea
NON.RESID BRANCH CIRC ITS
POWER APPARATUS &)
(SINGLE OUTLET CIR. )
Ex. Occup(OUTLETS OR FIXTURES 20050t
13ALO 30
EX. DCCUp. OUTLETS P(RESID )RE A.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Iyirin 15.00
9
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
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 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
EJ
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 cons nce of he granting of this permit.
y� e— 1-2-3— �%
X :2/?Q �1w Date!L
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structuress over 33 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $ fj0,
Occup.
CONST*TYPEJ
FLOOD
PARCEL
PD
ND
39UE
This permit is hereby issued under
sions of the Butte County Code and/or
work icated ab ve ,for which
E TOR OF PUBLIC
By�-�-�—Date
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
ole/�
`�"",",/
Ar
Receipt No. t(J -1 -1
WHITE-D.P.W.. YELLOW-AS5E350R. PINK -INSPECTOR. GOLDENROD -APPLICANT
r... .. —..—.. ,,. r ..,T. A "l". '•=d7 .r 9r. .yr .R.r^...;�::r r.w r.. +, a . ,. �� � ..
COUNTY OF BUTTE - DEPARTMENT OF. PUBLIC WORKS - BUILDING DIVJIQIIO,N
7 COUNTY CENTER DRIVE - OROVILLE,tA' .I0' -'3NIA 95965 - TELEPHONE: 916/531-4541
PERMIT APPLICATION DATA SHEET
nn Permit No.
OWNER �o�-�, S V "er (� r s fi A. P. No. 34
Proposed Building Use 2e��� Building Inspector Date -/2--3- K
At time of permit application, I was advised the following data must be submitted prior to permit processing
and:/or issuance: DATE RECEIVED APPROVED
1. All items have been submitted. . . . . . . . . . . .
2. Plot plans in duplicate./triplicate, signed by preparer of plans. .
3. Complete plans in duplicate. /triplicate, signed by preparer of plans.
4. Complete engineered plans and talcs, with wet signature on plans.
5. Plans with Energy Design Compliance Statement. . . . . .
6. CUSD "Fees Paid" Stamp on Floor Plan
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: .
12e -Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner0, Mail to owner ❑.),
—15. Improvements may be required. . . . . . . . , . ,
16. Mobilehome Installation Data. . . . . . . . . .
17. Pre -Inspection for Pre-Inspec. request to
Required. Building Inspector
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit.
(Dote)
20. Plot plan approval from city of
21.
22.
When you issue the permit, process as follows:yMail to owner, Mail to contractor.
Telephone and hold for pickup at—off ice, Deliver w/inspector.
Other
7�-�� /2 3
's
ApplicantDate
Copy of plans sent Health Dept., Fire Dept., Other IDate
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No. <'
f
2. Additional items required:
r'
r
Contractor, designer, owner, was advised of above required data by_phone_-mall—counter by date
Contractor, designer, owner, was advised of above required data by—phone _mall—counter by date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
— Flours: 10:00 a.m. - 3:00 p.m.
Copy—DPW