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HomeMy WebLinkAbout040-180-01340-18-13 HAROLD MILLER, ' 9415,Jones_Avenue .Durham .Contra R.,G; Electric .— % Permit#194-8h(ele ser cli/S 0 I ' 1 1 rr 0 F} r r d K , t c 0 I ' 1 1 rr � �'j .� �`.J . r k°{. . � ?Y ! 7 . r _ � l� � it :. • ' � l ~F✓ C 0 _ t COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. k'11 ASSESSSSOJR PARCEL NUU'MBER ZONING BUILDING PERMIT OWNER i1 d.f?n1- TELEPHONE S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS y A� I S 7a&ar-; .r„,c n,.,eAto., q4'? 32- CONTRACTOR'S NAME Pr. r:F e, rr� TELEPHONE 3u3 �s�8 CONTRACTOR'S MAILING ADDRESS /��% Fireplace CONSTRUCTION,L"ENDER dkJ/P- UNKNOWN Total Valuation Is FilingFee $ 10.00 LENDER'S MAILING ADDRESS I Permit Fee $ ARCHITEC,T OR ENGINEER IV /A LICENSE NO. Plan Checking Fee ,$' Energy ecg Ener Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS rl Lt I JC T 0.6104 4&le Permit fee $ PLUMBING PERMIT Filing Fee 10.00 n r,R Al 4," CYw/ 94- 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❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 10.00 ea TYPE OF WORK New Add ition❑ Remodel❑ Utilities Installation❑ Other [N i Describe work: 157 Sir •,_ .+ C Inu.r� .. _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 /&At/ Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty p y (check one): of perjury ©• I am licensed under provisions of Chapt. 9, Div. 3 of the Buslne$S and Professions Code and my license is in full force and effect. �'3`,`4 AD 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) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.SI) OR ADDNS. ACC. BLDGS. , /Z0Sgft NEW CONSTR.MULTI-OUTLET NON•RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (,SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 20950t eALe3o Ex. Occup. our ETS P(RESID )REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 �*t , t_—1.,a/% 1 /S: 60 Permit Fee IF $ Contractor 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. 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 Countyot 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. � ���� �� X " �'"'' Date 1-23- 9% Signature of Applicant — Owner ❑ Contractor Q• Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ Occup CONST,TYPEJ FLOOD PARCEL PD ND 1990E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR'OF PUBLIC By(� /1^��1•// 1\/ - PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date/-'� �. �.t� i % s;er Receipt No. -/ -7- % WNITC-D.P.W., TELLDW-ASe 1330 R, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 - ,. APPLICATION AND PERMIT PJEIT NO. //. n ASSESSOR PARCEL NUMBER U -- ---13 ZON G S� BUILDING PERMI OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION O R'S MAILING ADDRESS CO TRACTOR'S NAME !LG r4� TELEPHO`NEp 7jZl� O TRACTO 'S MAILING ADDRESS t ?97u " 1+ea ahe Fireplace CONSTRUCT ENDER 0v i UNKNOWN Total Valuation $ FilingFee $ 10.00 LENDERMAILING ADDRESS ' Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee Energy Plan Checking Fee $ ARCHIT CT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 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 u Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities Installation[— Other Describe work: 15 -ter -T < kmnr c _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORSLESS 10.00 0 Main service EA. ADD'L too AMP 2.50 CONTRACTORS LICENSE LAW declare under penalty of perjury (check one): I am licensed under provisions Of Chapt. 9, Div. 3 of the BUslnes$I and Profession Code and my license is in full force and effect. License No. Classification Gr /D ❑ 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.S , t /2 0SqI A ) NEW CONSTR.( ULTB OUTLET .50e NO N.R ESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS .&) SINGLE OUTLET CIR. / Ex. OCCUp\OUTLETS OR FIXTURES 20®505 BAL930 FIXED PR Ex. Occup. OUTLETS (RESID,)EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 ,dd t 1 ': CA Permit Fee $ , vZ) Contractor 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. 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-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 aga(n t s Coun in consequence the granting of this permit. � �( Date L 3 � �-0 Signature of Applicant — Owner ❑ Contractor 0 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 $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPEJ I JFLOOOJPARCELJ PO ND Iseu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC By �Daw)'­ PE EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS � Receipt No. -77G 2-7 WHITE-D.P.W., TELLOW-ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. 22. When you issue the permit, process as follows: Mail to owner, _ Telephone and hold for pickup at office, Other //% _ Val I to contractor. Deliver w/inspector.. ApplicantDate Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by—phone---mai [—counter by date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder — Hours: 10:00 a.m. - 3:00 P.M. Copy—DPW to COUNTY 6-F BUTTE - DEPARTMENT. OF: PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFO'INIA 95965 - TELEPHONE: 916/534-4541 . PERMIT APPLICATION DATA SHEET r t� Permit No. OWNER far od . I �/e A. . No. --5/6 —/ 13 . Proposed Building Use -,X Building Inspector Date //;P 3 At time of permit application, I was advised the following data.must be submitted prior to permit processing andJor 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 calcs, 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: . 12. 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. ✓`� S • Pre-Inspec. request to� 23 . 17.�Pre-Inspection for Required. Building Inspector 7• 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. 22. When you issue the permit, process as follows: Mail to owner, _ Telephone and hold for pickup at office, Other //% _ Val I to contractor. Deliver w/inspector.. ApplicantDate Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by—phone---mai [—counter by date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder — Hours: 10:00 a.m. - 3:00 P.M. Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS. 7,County Center Drive - Oroville, California 95965 =Telephone 916/534-4541 - APPLICATION ANt- PERMIT PERMIT NO. t essoc L NUMB R ZON GS BUILDING PERMIT OWNER v ' _- TELEPHONE SO. FT. OCG: BUILDING VALUATION .i O R' AILING ADDRESS � 15 3dy v ' CONTRACTOR'SNAME TELEPHONEQ f •` �_ ' • UNKNOWN - LICENSE NO. b J ESS {' F ` ' i _ i O PARCEL MAP v �_` �✓ • rj, `,TURF `k j SPECIFY j' _k l a ,RK sig Installation[] Other C_ j.{ _ i 'j [F - r,• `✓ 'L 'FSE LAW Fireplace Total Valuation $ Filing Fee Permit Fee Plan Checking Fee Energy Plan Checking Fee Penalty Permit fee PLUMBING PERMIT Each Trap Solar or heat pump water heater Water piping Each qas water heater or vent Gas piping system 1 - 5 outlets Building sewer Mobile Home S G W $ Permit Fee Contractor ELECTRICAL PERMIT Main service 00v OR LESS 100 AMP OR LESS 1 Main service EA. ADD -L 100 AMP NEW CONST./ DWELLING OCCUP.81) OR ADDNS. ( ACC. BLDGS. I/ I d ,, apt. 9, Div. 3 of the Business t .e is in full force and effect. �fication Z� v , . E • ( wages as their sole compen- „, :y lure is not intended or offered �. ». [•, •k lcting with licensed contract- • t - -ttusiness and Professions Code • 1 ! _...,.rte-rP'asnn -- 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. 1 ❑ 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. 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-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 'a`gaini s/8 Coun in the granting of this permit. , Date L' 2 3'k? Signature of Applicant — Owner ❑ Contractor 0 Agent ❑ 1 - An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structuresover3 stories in height. R -/ Receipt No. 76 a-7 L.t.,i�_n.0 w.-. Or,low--ae[9e0R. PINK -INSPECTOR• GOLDCNROD-APPLICANT � ss 10.00 Filing Fee 10.00 10.00 G 2.50 Y7(tsgft 2.50 ea POWER APPARATUS e) ' (POWER OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES - 20®SOt SALO 30 FIXED APPLNS. OR Ex. OCCUp• OUTLETS (R SID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling ' Hood 3•0 Ventilation Permlt Fee ' $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP.1 CONST.TYPC 10I 00 PARCEL I PD I HD I ISSUE This permit is hereby issued under 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 PERMIT EXPIRES Date Date