HomeMy WebLinkAbout040-160-035A. P. 40-1 -35
Don Kayser
s1s Cummings .Rd. 4 mi. w. of Lott Rd.,
\ Durham
Permit 863-71BY P(addition
► 040-160-035` PERMIT#96-0273-`'
PENNY', Thelma
1943 Cummings Rd..,' Durham / "/-
Cont; -Butte Roofing Co.
Rero-of/sF I r
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111
040-160-035 PERMIT#96-0273
PENNY,, Thelma
1943Cummings Rd., Durham
Cont; Butte Roofing Co
Reroof/SF.
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 PERMIT NO.
APPLICAT1 NAND PERMIT (`Q27 I—
ASSESSOR PARCEL NUMBERO / —
..► G
ZONING
•..BUILDING PERMIT
OWNER
TELEPHONE
ilir
SD. FT. OCC. BUILDING VALUATION
OWN R I AILING ADDRESS ,
CO OR NAME . _
TELEPHONE
yd- r
CONT O S MAILING �pRESS
rf:7 S„j- !
Fireplace
CONSTRUCTION LENDER
UNMOWN
Total Valuation $
LENDER'S MAIUNG ADDRESS
Fling Fee $
20.00
Permit Fee $
,
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS
PERMITFEE S
y
I Qv
i
SLOT
PLUMBING PERMIT
Filing Fee 20.00
.F;ach,T,rap, , ,,+.
7-.00
NO. SUBDNISIONS NAMEl'.
PARCEL MAP
Solar or heat pump water heater
23.00
USEOFSTRUCTURE
SF Duplex ❑ Mobilehome ❑ Other
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other
Describe Work: 3Q�/1.�
Mobile Home I S I GI W
@20.00
PERMITFEE $
Contractor
ELECTRICAL PERMIT
Filina Fee 20.00
Main Service " V OR LESS
( 21.00A ORLEss )
23.00
Main Service ( 200A To I000A )
46.00
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 m license is in full force d effect.
License Class - 3 Lic. No.
y t b 76
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,—Misc.
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
NEW CONST. DWELLING OCCUR
OR ADDNS. ( d ACC. BUDS. )
SO,
3.50 FT.
NEW CONST. / MULTI -OUTLET
NON-RESID. \ BRANCH CIRCUITS )
97.50
,POWER
( POWER APPARATUS )
OR FIXLET TURES
Ex. Occup. (OUTLET OR FIXTURES)
2U Q 50
BAL so
EX. Occup, OUTLETS (RES D.) OR
( )
5.00
Temporary Service
23.00
Mobile, Home Facilities
20.00
g Misc. Wirin
23.00
PERMITFEE as
-
Contr9ctor
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' compensation insurance career and policy pumber are^
Carrier (L 114
..MECHANICAL PERMIT
Fili Fee 20:00
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE, $
Contractor
Policy Number
(The above sectioniS-6443n& b completed if the permit 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 comply with those provisions.
-j
X 1,44�.N--� Date _
Sig ature of Applicant - t..l Owner ❑ Contractor . Ag en
An OSHA permit is required for excavations over 5'0" deep and emoln or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $
HAZ.
1 D. FEES
I IMP I FLOOD
I CDF
PARCEL PO HD
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.
BY r/ .�.1 � Zte;
PERMITEXPIRESON ,?I, 7
(DatB)T-
Receipt No. '%/ �� "I .
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
er
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISIO
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 PERMIT NO.
APPLICATON AND PERMIT �` 7
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SO, Fr, OCC. BUILDING VALUATION
OWN MAIU ADOR S
D
CO R'S NAME ,� r TELEPHONE
COM 5 MAILING RESS
S`„(—
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $ 20.00
Permit Fee $ , 6
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDINGADDRESS
PERMITFEE $
PLUMBING PERMIT Fling Fee 20.00
Each Trap 7.00
LOT NO.
SUBDNISION'S NAME
PARCEL MAP
Solar or heat pump water heater 23,00
USEOFSTRUCTURE
SF X Duplex ❑ Mobilehome ❑ Other
SPECIFY
Water piping 15.00
Each gas water heater or vent 15.00
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other
Describe Work:
Mobile Home S G W @20.00
PERMITFEE g
Contractor
ELECTRICAL PERMIT Filina Fee 20.00
Main Service (toot/ OR LESS
( 2ooA OR LESS ) 23.00
Main Service ( 200A TO IIooA ) 46.00
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 m license is in full force nd effect.
Lic. No.
License Class 5- '� 6
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.
❑ 1, 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
NEW CONST. DWELLING OCCUR SO,
OR ADDNS. ( 8 ACC. BLDS. ) 3.50 FT.
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS ) @7.50
SINWER GLE APPARAOTLET TUS
)
Ex. Occup. ( OUTLET OR FIXTURES) 20 @ 1.00
BAL so
_
EX. Occup. OUTLETS PIR 6. EA
( ) 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMITFEE $
Contractor
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' cope sation insurance carr-er and policy umber ar
Carrier J
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE $
Contractor
Policy Number _
(The above section n e n t e completed if the permit 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
'th comply with those provisions.
pp-----
fo7,1�tA
X ___ D to _ J�7--
Sig ature of caner ❑ Contractor AAgen
An OSHA permit is required for excavations over 5'0" deep and emolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $
HA2.
1 0. FEES
I IMP
I FLOOD
CDF PARCEL PD HO
SSUE
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.
Q
By
PERMITEXPIRESON P
(Date)
Receipt No. U '
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
I
863-71
PERMIT NUMBER - B
P
E
_ PERMIT EXPIRES
OWNER Don Kayser
.>CONTR: owner
LOCATION (A.P. 40-16-35
s/s Cummings Rd. 4 mi. w. of Lott Rd.,
a Durham
4 f
I
t .
COUNTY OF BUTTE
Department of Public Works
BUILDING ANSPECTION RECORD"
Zoning Setback t' Forms
Foundation Piers & Girders Fireplace
Rgh. Plumbing Bond Beam Lath & Plaster
Rein. Steel Gas Piping & Test Found. Vents
Framing Plmg. Topout �T Rough Elec.
Wtr. Htr. Furnace Kitchen Vent
Firewall Garage Vents Sanitation & Water
ELECTRIC GAS BUILDING
Temporary Temporary Cert. of Occup.
Final Final Final
DATE / cE REMARKS OR CORRECTIONS
cr
crtllec( 4-o 4A44, -0,w /c,
ODr G. //a G�
t f-� .
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
7 County Center Drivo-Orot;ille, California 95965
Phone: 533-1230, Ext. 259
APPLICATION AND BUILDING PERMIT
Permittee Owner {� t ✓ �-�_ l%
Mailing Address {-
Contractor • .i � � 4 - }
Mailing Address
BLDG. Address - ' r-� * ,� / -
A. P. No.
Fire Zone
Zoning
Sanitation
Planning
Plans
Fees.-
W.C.
R W
Encroac 6 e t
NEW ADDITION 0- REPAIRS O OTHER E]
Others
Single Multi
USE OF STRUCTURE Family/[]' Duplex [—],Dwelling
Others
F O U N D A T 10 N
MATERIAL
EXTERIOR
PIERS
Width at Top
Width at Bottom
Depth in Ground
SQ. FT.
OCC.
BUILDING VALUATION
R.W. PLATE (Sill)
SIZE
SPACING
ISPAN
Girders
joists - 1st Floor
-
r
4 Joists- 2nd Floor
.
Fireplace
Joists - Ceiling
Total Valuation
f �,
Exterior Si ids
Permit -Fee
Interior Studs
Plan Checking Fee &/or Penalty
Roof Rafters
Total Permit Fee
Bearing Walls
UUNTRAGTORS LICENSE LAW
A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING:
I am licensed under the provisions of Chapter, 9, Div. 3, of the State of California Business & Professions Code under the name
style of ....................''
..................................................................................................................................................................................................................... .
License No . ........................... Classification............... ........,,,,,,,,,,,,,,,,,,,,,,, and certify that the aforesaid license is in -full force and effect.
B. OWNER-BUILDER'8, OTHERS COMPLETE THE FOLLOWING:
I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one):
Q, I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors.
( Sec. 7044).
�O I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the
improvements. (Sec. 7044).
Q Basis,. if any, for other statutory exemption,,,,,,,,
...........................................................................................................................
....................................................................................................................................................................................................................................................................
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil-
ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption
pursuant to Section 3800.
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.
X................................................... :.......................... Date ................................
SIGNATURE OF PERMITTEE OR AGENT
Receipt No..............�
............:............................................................................
This BUILDING PERMIT is hereby issued under the appli-
cable provisions of County resolutions and/or ordinances.
DIRECTOR OF PUBLIC WORKS
BY...........................................................:..:................. Date ................................
Permit Expires Date,,,,,,
a,�f� d�, f 'e", �f
7C-
I
COUNTY OF BUTTE /
/I DEPARTMENT O.F PU�LIC WORKS
7 County Center Drive - Ordville, California 95965
Phones 533-1230, Ext. 259
APPLICATION AND PLUMBING PERMIT
Permittee Owner/
A.P. No. X0 'l
Mailing Address- L� C� L�6� t//JLi ��=�('�/./��s�✓�
Contractor
Mailing Address / /l
BLDG. Address SAS
DESCRIPTION OF WORK No. @ Fee
NEW ADDITION REPAIRS PERMIT FILING FEE $2.00 [�
Each fixture or trap or set of
/yam fixtures on one trap 1.50
OTHERS: Repair or alteration drainage
/ or vent piping 1.50
Remarks: Installation or repair ,
water piping 1.50 )
Each gas water heater or
USE OF STRUCTURE gas heater vent 1.50
Gas piping system 1 - 5 outlets / 1.50
Single Multi
RESIDENTIAL Family E;] -""'Duplex 0 Dwelling Gas piping 6 or more - Each .30
House Sewer 5.00
OTHERS:
Lawn Sprinkler system 2.00
Remarks:
TOTAL FEE I $ 3 . J G
CONTRACTORS LICENSE LAW
A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING:
I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name
styleof................................................................................................................................................................................................................................................ 9
License No. Classification ............................................... and certify that the aforesaid license is in full force and effect.
B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING:
I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one):
0 I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors.
(Sec. 7044). r/
Q I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the
_._, improvements. (Sec. 7044). - Q)
0 Basis, if any, for other statutory exemption.................................................................................................................................................................
...............................................................
WORKMEN'S COMPENSATION INSURANCE
F-.I.am-aware of the provisions of•Section.3706 of the California Labor Code which requires every employer to be insured against liabil-
ity for Workmen's Compensation. I have pi-.-c-id-on. file with the•County of Butte a certificate of compliance or proof of exemption
pursuant to Section 3800. ) -k-- 0, -, %, Lfi-0.6-1-- -. f:,- Gcs., rr /.- / `-
I certify that I have read this%application and state that the
above information is correct. I agree to comply with 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
This PLUMBING PERMIT is hereby issued under the appli-
cable provisions of County resolutions and/or ordinances.
purposes. DIRECTOR OF PUBLIC WORKS
Date
......:...........................................�.................................... �...........r... ..../l. � •� BY..:..........::.......:.......'......................I........ Date . 4. 3...............
SIGNATURE OF PERMITTEE OR AGENT
Receipt No. f -2 7�
.............. . .........................................
A -IN
AIN— ck� �t�
this set of plans "d sraec; ,cct�nns MUST be NOTE—A-11 Materials � Workmanship Shall Be in
kept on the job at all times and it is uni.wful to Accordance with * Recognized Good Practices and
rnake any changes or alterations on same without of a~qu.,ality prescribed for -the Specified use in the
written permisson from t Department of Public
Works, Yofomti U001- Uniform Building Code, Uniform Plumbing Code, and
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The Bldg. Setback shall be 5 ft. from
the side property line and 50 ft. from
the centerline of the road, permitting
a maximum of a 2 ft. eave oveehang.
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