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HomeMy WebLinkAbout040-160-051[��4-11 1 �� ',3483-89B -- _ ._. , ;., CROSLEY,- Orval 1260-67B ,. Oreal 1938-67P. mmings.yRd,Y Durham1031-67EBippus Roofin � g `�':n/s Cummings 700' w. of Lott Rd., Durham /SF)CONTR:'Gus Gore`& Son . P.0. Box 6Durha.�..,,+ ? • s: (new single family) 014-1504 { 0 7 If ` .1r M . t j� . i 1Y i %1 f!s - / ✓�c.r� �.� ,vie a� , ; �f ,; �(_ i ' a BOUNTY OF.„.BUTTE -DEPARTMENT OF PUBLIC WORKS: 7 County Center Drive - Oroviller California.95965 - Telephone: 916/538-7541 APPLICATIONr'AND PERMIT PERMIT NO. ASSESSO PAR EL NUMBER �j - 6- S ! ZONING �f-�I BUILDING PERMIT OWNER1. C'�vs�' . ,IL TELEPHONE S0. FT. OCC, BUILDING'VALUATION 32 s C. o . . I NG AD OWNER'S MLAI LING ADDRESS � /• X60 C V .l /i dI . CO TR A C TO R'S•N AME TELE o��/.rc �d65 -35a i CONTRA T V R'S MAILING ADDRESS CIO is'9� Fireplace C NSTRUCTION LENDER UNKNOWN Total Valuation $ Z O 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 $ �,. PERMIT Filing Fee 10.00 I 6 Q G s �DPLUMBING 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'g Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10-00e TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities❑ Installation❑ Other Describe work:A66C)OP C.y/%g—;45J9 /='✓ _ Permit Fee $ ' Contractor ELECTRICAL PERMITFiling Fee 10.00 Main service e00V 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./`no r6 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) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.N TB LC New DCONS. ( A /20sgn ULOUTLET NO N.RES'D BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES 20950t eALO 30 Ex. Occup. OUTLETS FIXED PIRESID IREA.I 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): lKt 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. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this applic2ition 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 Co agai t Old Co my in co sequence of the granting of this per it. Date /b (, nature f A licenr rI Applicant( r❑ 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 $ 7f2_4a [HAqcUA PARK I SCHL I FLD I PAR PD HD IssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees �� DIR COR OF PUBLIC By ` - � PERMIT EXPIRES Date the applicable provi- resolutions to do have been aid. p WORKS 1.7 Date /0 ` /y •' Receipt No. ��Y718 '�� . WHITE-O.P.W.. YELLOW-ASSE550R. PINK -INSPECTOR. GOLDENROD -APPLICANT J - . + COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATIbN RIND PERMIT PERMIT NO. ASS ESSO NUMBER ZONI/}PAR/EI_ BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VAL ATION 37- �/�! ZJ u• OWN R' MAILING ADDRESS �J '6 a G CO TRACTOR'S NAME T LEPHONE 161 Aa-'AZJ Q dV " Qd65 -35Z CONTRA R'S MAILING ADDRESS JWQ6 W4 0-14.4,44 7-5 9.4 3 Fireplace CONSTRUCTION LENDER Ir f UNKNOWN Total Valuation Is / Z o 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 / a C Each Trap 2.00 Am /,fid►-,< 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`5�r_ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 0.00e TYPE OF WORK New❑ Addition❑ Remodel[] Utilities[] Installation❑ Other Describe work: —___Agfic> r C��ta�5/or rl✓ _ . Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V 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. J �� Classification ❑ I, as the owner, or my employees with wages as their sole ompen- 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.B! OR ACDNS. ACG. BLDGS. 1/2¢sgft TLET NEW CONSTRESID, RANCH CIRCUIT NON-RESID BRANCH.CIRC ITS 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. ! Ex. Occup\OUTLETS OR FIXTURES a20®50a AL®30 FIXED APPLNS. 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. 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 Coolin g Hood 3,00 Ventilation. Permit Fee $ Contractor 1 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all Iiabili ies, judgments, costs, and expenses which may in any way accrue agai t id Co my in co equence of the granting of this per it. Date 60 /6 nature Applicant 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 I CUA PARK I SCHL I FLD I PAR PD HD ISSUE ' This permit is hereby issued under of the Butte County. Code and/or work indicated above for which fees DIR C OF PUBLIC BY PERMIT EXPIRES Date the applicable provi- sions resolutions to do have been paid. WORKS /Or r7~ ,0 a Date � y �2 Receipt No. 7� �� ". � WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT V" rw��.�. T^ ...�..«-..yy.P •1 ".'RAiT�=%[_1't ..!' F w �iT:' _4".,YW.-yf�A7�". COUNTY OF BUTTE - DEPARTMENT QF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 �s. PERMIT APPLICATION DATA SHEET ' Permit No. OWNER nw vet CR�S!zL i A. P. No. y0 -A - mss/ Proposed Building Use Sage goo Building Inspector Cs IV Date 1O 1d At time of permit application, I was advised the following data musi be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1" All items have been submitted. ... 2. Plot plans in duplicate/tripligate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. ~ 5. Hazardous Material Form. .... orm........... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit. . . 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -inspection for required ... Pre-Inspec. requ'—es't to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. ; 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Copy of plans sent Health Dept., Fire Dept., Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. k 2. Additional items required: t Contractor, designer, owner, was advised of above required data by_phone_mail—counter by date Contractor, designer, owner, was advised of above required data by —phone _maII—counter by Plans checked b, Copy—DPW Date Plans approved by Sets of plans on hold in . File cabinet AP folder Date