HomeMy WebLinkAbout040-290-0781 • Y
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'9164 Stanford, -Ln, Durham Z
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B08-0826 4;ZOd.. CI> 040-290-078
MISCELLANEOUS Electric Panel
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MOORE, ROY A & CATHERINE B
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC'WORKS
/ ; 7 County Center Drive - Orovlllet Cellfornle 95985 - Telephone; 918/538.7541
APPLICATION AND PERMIT
PERMIT NO.
ZONING
BUILDING PERMIT
wNTRLKIPHON
3424
SO, FT. OCC. BUILDING VALUATION
60 1,080.00
WNLR MAI ING AD RBS!19
CONTRAC TOR'S NAME __TTELEPHONE
CONTRACTOR'SMAIL NG ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $1,080.00
Filing Fee $ 15.00
LENDER'S MAILING ADDRESS
Permit Fee $24.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
Permit fee $3()000
PLUMBING PERMIT Filing Fee 15.00
9164 Stanford Lane Durham
Each Trap 5.00
Solar or heat pump water heater 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping 7.00
Each qas water heater or vent 7.00
USE OF STRUCTURE
SF KI Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.00
Mobile Home I S I G JW I @ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ®
Describe work: Reroof
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 600VORLESS 18.50
200A OR LESS
Main service 200A TO 1000A) 37.50
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. 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 OCCUPM 3.60sq.ft.
OR ACDNS, l ACC. BLDGS. //
NEW
NON-RESID CONSTR. BRANCH CIRCUITS @ 5.00
POWER APPARATUS 1,
SINGLE OUTLET R.
Ex. Occup(OUTLETS OR FIXTURES AO 76
FIXED APLNS.
Ex. Occup. OUTLETS P(RESID )REA.) I 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. 6Virin 15.00
9
Permit Fee $
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑,,Jhe 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 FiIingFee 15.00
Heating
Cooling
Hood 6.50
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, apd expenses which may in any way accrue
against said County in consequen of the granting of this permit.
X ' ` ` Date Z 7 - F 2-
Signatur of Applicant — Owner® 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 $
DCC
CONST TYPE
TOTAL FEE $39 00
RA2
1 DFEES I
IMP
I FLOOD
I CDF
PARCEL
I PD
HD
ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicatel'aboyeter which fees have been paid.
/DiRl CTOR OF PUBLIC WORKS
By /"� �- q'ates�
PERMIT EXPIRES Date .2 �• ,
Receipt No. 115402
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDEN ROD -APPLICANT
. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovifle, California 95965 - Telephone: 916/538.7541
APPLICATION AND PERMIT
PERMIT NO.
q -7 z�
ASSESSOR PARCEL NUMBER
040-290-078
ZONING
BUILDING PERMIT
OWNER
r ton0
TELEPHONE
SO. FT. OCC. BUILDING VALVA ION
OWNER MAILING ADD ESSAMi .342-6547
9164 Stanford Lane, Durham 99538
CONTRACTOR'S NAME
TELEPHONE
1894-5649
CONTRACTOR'S MAIL NG ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation 1$1.080.00
Filing Fee $ 15,00
LENDER'S MAILING ADDRESS
Permit Fee $24.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
Permit fee $ 0
PLUMBING PERMIT Filing Fee 15.00
9164 Stanford Lane Durham
Each Trap 5.00
Solar or heat pump water heater 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping 7.00
Each qas water heater or vent 7.00
USE OF STRUCTURE
SF ® Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.00
Mobile Home S I G I W 1 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ®
Describe work: RQroof
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 200A OR LESS 18.50
Main service 200ATO1000A1 37.50
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. 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 OR ADDNS. CONST. ( ACC. BLDGS. DWELLING OCCUP.&\ 3.64 sq.ft.
NEW CONSTR ULTI-OUTLET
NON.RESID BRANCH CIRC ITS @ 5.00
POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 20 76
FIXED APLNS
Ex. Occup. OUTLETS PRESID IREA.) 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. Wiring 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.
mil I shall not employ any person in any manner so as to become subject
V� 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 FiIingFee 15.00
Heating
Cooling
Hood 6.50
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.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, aAid expenses which may in any way accrue
against said County in c nseque of the granting of this permit.
X d Date 2 — Z
Signatu of Applicant — Owner Contractor ❑ ElAgent
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 S
Energy Inspection Fee $
occ
co""YPE
TOTAL FEE $ 39.00
HA2
OFEES
IMP
FLOOD
I COF
I PARCEL
I PD
HD
ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte Count ode and/or resolutions to do
work indica abov r which fees have been paid.
OF PUBLIC WORKS
By
PERM T EXPIRES Date Z tes fL
3
Receipt No. 115402
WHITE-O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
-..� - -* 4,yr. r,: ('(!v..T[�'�.'-•t ,,'°t'1,Tr '��,,, rn, ...r. ;� r -�"} "ti :...q.%!'�}Lr'�'v.�y";{c.r�C +. �r•'•i"�a �,. _ .7r �.
COUNTY OF BUTTE - DBPARTIM T-6 PUBLIC WORKS - BUILDING DIVISION
r
7 COUNTY CENTER DRIVE - OROVILL'PE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
PERMIT APP1I6ATION DATA SHEET
OWNER W-arI:)Er'1L I''Y H IN4/ A. . o. `lo 2-%-0k2- �K
Proposed Building Use g - o d / - Building Inspector Date 5 Z 2
At
time of per application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
All 't have been submitted
1.
2.
iems .........................................
Plot plans, 3/4 sets, signed by preparer of plans . ......................... .
3.
Complete plans, 3/4 sets, signed by preparer of plans . ......................
4.
Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5.
Hazardous Material Form . ......................... ! ..................
6.
Energy Design Compliance and supporting documentation. .................
7.
Statement of Intent for Non -Heated and A/C Buildings . ......................
8.
Engineered truss details and layout in duplicate (required prior to plan check). ... .
9.
Mobilehome data and manufacturer's installation instructions, 2 sets .............
10.
Fees of$ ..........................................
11.
Impact fees as shown on attached scheduleN. ..............................
12.
California Department of Forestry plan approval/fees. ......................`. .
13.
Flood elevation letter (100 year flood) by California Engineer . ................. .
14.
Sanitation.and plot plan approval Health Department. ...........'
15.
City of Chico plumbing permit . ........ ....................... ..... . .. .
16.
Plot plan and business license approval from City of Biggs/Gridley. ............ .
17.
Planning approval for (A) Use: ` _ (B) Parking:
18.
Contact Land Development about (A) Improvements (B) Drainage. ...... "
�,. 19.
t3.
Driveway permit (construction approval required prior to occupancy). .. .. •... .
20.
,' Pre -Inspection requ�
Pre -inspection for required. :'tb Building Inspector
21.
Contractor's license information. (No., Name Style, Classification). ....a........' . .
22.
Certificate of Workmans Compensation Insurance . ......................: . .
23.
Owner -Builder Verification (Given to owner.' Mail to owner '. ... .
7 24.
_).
Recorded copy of Agricultural Acknowledgement Statement. .......
j 25.
Letter of signature authorization. :: ».
26.
Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27.
Letter of intent on building use. ........................................
28.
Mobilehome utility clearance. ........ _................................ .
29.
Documentation of legal access. ........................................
30.
Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . .............. .
31.
Existing violations/expired permits . ......................................
32.
Plan check list . ...................''................................ .
33. ♦ d
34.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation 111L�Z2 Z J�'Z
Acreage Applicant �� G' Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
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 ��, mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone - mail Counter by _ Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N0,
7 County Cantor Drlvo - OrovII% California 08005 - Toltiphdnn: Ulb.'030.7541
APPLICATION AND PERMIT
— ;el'
BUILDING PERMIT
0 � e 9
TM6KPHQNKSO.
FT. OCC. BUILDING VALUATION
OW R'! MAI G OR610 L& CIA
/'J✓/ /Vi
16
7TO
CO R'S NAM E EPHONE
OE
CONTRACTOR'S MAILING ADORE S
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 15,0
LENDER'S MAILING ADDRESS
Permit Fee
$ r
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUIL G A9DRFSS 5 A/���� / U//
�q /r' l' 1��--
Permit fee
$
PLUMBING PERMIT
Filing Fee 15.00
r
Each Trap
5.00
Solar or heat pump water heater
1 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
7.00
Each gas water heater or vent
7.00
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer15.00
Mobile Home S G W
@ 15.00
TYPE OF WORK
New Lj Addition ❑ RemodeI F_1Utilities [_1Installation❑ Othe
nn
Describe work: �i��V�r�
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600VORLESS
200A OR LESS
18.50
Main service 200A TO t000A1
37.50
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. 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.&)
OR ADONS. \ AGC. SLOGS.
3.6Csq.fc.
NEW CONSTR. ULTI.OUTLET
NON-RESID BRANCH CIRC ITS
@ S.00
POWER APPARATUS e
(SINGLE OUTLET CIR. )
Ex. Occup(OUTLETS OR FIXTURES
20 76d
A
Ex. Occup. OUTLETS RESID IREA.)
I 3.00
Temporary service
15.00
Mobile Horne Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
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.
❑ 1 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 15.00
Heating
Cooling
Hood
6.50
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
Signature of Applicant — Owner ❑ Contractor ElAgent ❑,
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 S
Energy Inspection Fee $
OCC
CONST TYPE
TOTAL FEES r
HAz
1 OFEES I
IMP
I FLOOD
EDF
I PARCEL
PD
Ho
ssuE
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No. / �
W HITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT