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
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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