HomeMy WebLinkAbout041-250-011SPRING HILL, ORObii I
CONTR: OWNER
ELECTRIC FOR AG WELL
041-250-011-." -.t,p..4,00-oo2o
FOSTER, NOEL E. S
SPRING HILI;, OROVELLE
CONTR: OWNER
ELECTRIC FOR AG WELL
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING D#VISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT
(Rev. 12/96) APPLICATION AND PERMIT ��
i
ASSESSORP.ARCELNUMBER
-Oii
ZONING
v
BUILDING PERMIT
OWNER
NOEL E FOS'I'E'.It
TELEPHONE
534-5737
SO, FT, OCC. BUILDING VALUATION
OWNERS MAKING ADDRESS
2763 CHEROKEE ROAD.0ROVILLE CA 95965
CONTRACTORS �}NAME E
OWNET
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
LENDERS MAIUNG ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDINGADDRESS SPRIK HILL. OROVILLL
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDNSIONS NAME
PARCEL MAP
PLUMBING PERMIT
Kling Fee 20.00
USEOFSTRUCTURE
AG k1i 1
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other l?�
Describe Work: -
Gas piping system 1 - 5 outlets
15.00
Buildin sewer
15.00
Mobile Home I S I G I W
920.00
PERMIT FEE $
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 200, OR LESS
23.00
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 my license is in full force and effect.POWER
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
w 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
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 permitis issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I 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.
X Date A
Signature of Applicant - q*Owner ❑ Contractor ❑ Agent ' r
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP. SO
OR ADDNS. ( 8 ACC. BLD S. 3.50FT.
q�IDT' MULTI.OUTLET 97.50
APPARATUS
8 SINGLE OUTLET CIR.
20 @ 1'50 •
Ex. Occup.OUTLET OR FIXTURES 9AL @ .soFIXPPLNS.
OR
Ex. Occup. OUTLETS R D.) EA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc.Wirin 23.00
r g,,,,
L
PERMIT FEE S '
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE S
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $ 76.00
HAZ.
D. FEES IMP
I FLOOD
I CDF
PARCEL
I PD
I HD
I ISSUE
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
/ ,
By �.. d v ✓% J Date
PERMIT EXPIRES ON -r
provisions
to do work
paid.
t,n
C/V
to
ReceiptNo. .4
WHITE-D.D.S.-B.D. C NARY- SESSO PINK -INSPECTOR GOLDENROD -APPLICANT
iCOUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541®9— PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR CEL NUMBER
��+1-25-0-011
ZONING
U
BUILDING PERMIT
OWNER
NOEL E FOSTER
TELEPHONE
534-5737
SQ. FT. OCC. BUILDING VALUATION
.OWNERS MAILING ADDRESS
2763 CHEROKEE ROAD.OROVILLE CA 95965
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
SPRING HILL OROVILLE
Energy Plan Checking Fee
$
PERMIT FEE
$
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
AG WELL
SF ❑ Duplex ❑ Mobilehome ❑ Other
sPECIFv
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ OtherR
Describe Work:
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home ISI GI W1
920.00
PERMIT FEE
$
ELECTRICAL PERMIT
Filing Fee 20.00
500VOR LE
Main Service p A OR LESS
23.00
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 my license is in full force and effect.PSING
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors license
L w 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.
❑ 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
WORKERS' COMPENSATION DECLARATION
I Ppreby affirm under penalty of perjury one of the following declarations:
❑ I 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 carrier and policy number are:
Carrier
Mein Service zoOA TO ,000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( a ACC. stns.
SO
3.5QFT:
FEOSID. INC.OUTLET
g7.50
OWERLE APPARATUCIRS .
8 OUTLET
EX. OCCU OUTLET OR FIXTURES
so .00 10.00
6AL Q .50
Ex. Occup. oFlxuT R p DEA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
3.00
PERMIT FEE
$ 76.00
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I 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 mpl with those provisions.
XDate 16
LILL 4� &.—
Signa Lre of AoilAcant _111 Owner C ntractor ❑Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 76.00
FEES IMP
I FLOOD
I CDF
PARCEL
I PD
HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
, �/�
ate V�/
(L)W4)
Receipt No.ff
WHITE-D.D.S.-B.D. C NARY- SSESSOR ,PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 -County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT N
(Rev.12/96) APPLICATION AND PERMIT
m2maRPAwamums""— j
Main Service
DDNNO (t
BUILDING PERMIT
OWNIELIII
( ✓
—
SQ. FT. OCC. BUILDING VALUATION
DwNlR7 �
�
CONTRACTOR'S NAM �/�
TELEPHONE
( I,
CONTRACTOR'S MU04 ADDRESS
CONGTRUCTION LENDER
LENDE" RAILING ADDRESS
��� OR� Lr<ErsE NO.
Fire lace
Total Valuation S
Filing Fee $ 20.0(
ARCHITECT OR OJGNEHI'S WAJNO ADDRESS
euaono ADDRESSC
Permit Fee $
Plan CheckingFee $
Energy Plan Checking Fee i
Hood
s
PERMIT FEE _
LOT NO.
SlJsO/VSIDN'S1i41!
►HCFC MAP
PLUMBING PERMIT Fling Fee 20.00
USEOFSTRUCTURE
SF O Duplex O Mobilehome OtherC7 �,(�G
�vecsr
Each Tr 7.00
Solar or heat um water heater 23.00
Water piping 15.00
TYPE OF WORK
New O Addition Remodel O UtlG�s installation C3 Other O
Describe Work: r
Each gas water heater or vent 15.00
Gas piping stem 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home S I G I W I (g?20.00
PERMIT FEE _
ELECTRICAL PERMIT
Flin Fee 20.00
Main Service
200 oCRR LIM
23.00
Main Service
200A TO t000A
46.00
NEW CONST.
OR AOONS. (
ow l.M OCCUP.
_ a ACC. alba.
SO
3.SQFT
EX. Occup. ounET OR miw s
m 0 1.00
SAL a .SO
Ex. Occup. ovnETsrs�iJi.
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirino
23.00 .D
770K
( I,
PERMIT FEE
S ,
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
6.50
PERMIT FEE f
Mobile Home Installation Fee I $
Energy Inspection Fee I s
OCC CONST. TYPE TOTAL FEE $ —16,0z)
JuZ. 0. NEEs IMP fLD00 COi PARCEL PO I 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 Date
PERMIT EXPIRES ON
QAS
� �vTT
oFo .
o o
o i c
o a
O O
�oU t4l
A�CIc
Department
C o u n t y
J. Michael Crump, Director
Warner C. Phillips, Assistant Director
of Public Works
o f B u t t e
7 County Center Drive
Oroville, CA 95965
(530)538-7681
Fax(530)538-7683
ENCROACHMENT PERMIT APPLICATION
1) There is a 3 -day minimum processing time on all applications.
2) All applications must be filled out completely and signed by property owner or licensed
contractor.
3) Location of work to be done includes address of property and/or assessor's parcel number
and a description of the location (i.e. distance from the nearest crossroad or other well-
defined landmark).
4) Along with the application, a plot map showing the site location of the driveway
approach must be submitted.
5) Applicant must place a flag or similar marker at the location to help the inspector locate
the site in the field for a pre -inspection.
6) If items #245 are not completed at the time of the pre -inspection, the application will be
delayed or returned.
�i •
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your
signature.'
Please complete and return this information 'at your earliest -opportunity to -avoid
unnecessary delay in processing and issuing your building permit. No building permit will
be issued until this verification is received.
41-1 I personally plan to` provide the major labor and materials for construction of the proposed property improvement: YES[] NO[ ].
;�2. I HAVE[<] HAVE NOT[ ] signed an application for a budding permit for the
proposed work.
3. I "have contracted with the following person (firm) • to provide the proposed
construction: .
NAME:
• _
ADDRESS: CITY:
PHONE: CONTRACTOR'S. LICENSE NO.
'4. I plan to provide portions of this work, but I have hired the following person to
coordinate, supervise, and provide the major work:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
5. I will provide some of the work but I have contracted (hired) the following,.�ersons to
provide the work indicated:
NAME ADDRESS, PHONE TYPE OF WORK .
SIGNED:C
PROPERTY OWNER: , d'U
SOCLXL SECURITY NUMBER:
DATE:
NOTE:. This owner -Builder Verification is required by Section 19831 and
19832 of the California. Health and Safety Code.
This verification must be completed and returned to our office before
we are permitted to issue the permit.
May 1995 2.26
1 4.
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of
property improvements specified.
For your protection, you should be aware that as "owner -builder" you are the responsible party of. record
on such a permit. Building permits are not required to be signed by property owners unless they are personally
performing their own work. If your work is being performed by someone other than yourself, you may protect
yourself from possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a
business license from the city or county. They are also required by law to put their license number on all permits
for which they apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you
should be aware of the following information for your benefit and protection:
0 If you employ or otherwise engage any ' persons other than your immediate family, and the work (including
materials and other costs) is $300 or more for the entire ' project, and such persons are not licensed as
contractors or subcontractors, then you may be an employer.
0 If you are an employer, you must register with the State and Federal Governments as an employer and you. are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
0 There may be financial risks for you if you do not carry out these obligations,'and these risks are especially
serious with respect to worker's compensation insurance.
0 For more specific information about your obligations under Federal Law, contract the Internal Revenue
Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your
obligations under ` State Law, contact the Department of Benefit Payments and the Division of Industrial C
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors.are allowed to
perform their work personally or through their own employees, without a licensed contractor or subcontractor, only
under limited conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an ` ownerbuilder"
building permit, erroneously implying that the property owner is providing his or her own labor and material
personally. Building permits are not required to be signed by property owners unless they are performing their own
work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License
Board in your community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm
that you are aware of these matters. The building permit will not be issued until the verification is returned-
Sincerely,
eturned
Sincerely,
Michael C. Vieira, C.B.O.
Manager, Building Inspection
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
' May 1995 2.27
OWNER: DATE:
LOCATION: �Q��� �LL i A.P. #-
CONTRACTOR:_T
ZONING:_
PRE-INSPETION FOR:
DATE TO INSPECTOR: 1 W PERMIT HLSTORY:(�NONE OAS FOLLOWS:
t BUILDING INSPECTOR'S REPORT
k/Building Description: t�
Commercial/Usage: '
Residential/# of Units:
Currently Occupied
Abandoned/Vacant t }
Electric:
Yes No Electric currently On Off
Condition of Electric
Gas: b
Natural Propane None Currently On Off
Obvious Problems:
Sanitation: ;.
}
Plumbing Working
Well Working Potable Water.
Obvious SewaQePrnblems l
Comments:
ACTION RECOMMENDED: ISSUE: HOLD FOR
1
Date — [
1
Sketch buildings on reverse and
iindicate location on property.
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville. California 95965 - Telephone (530) 538-7541 PERMIT r
(Rev.12ro6) APPLICATION AND PERMIT
�•ptO"p"'�""1e1 _ d
i�
M"M U
BUILDINGPERMIT
O'"Ne" )0 � r OS T
TELAWT9
r
SO. FT. OCC. BUILDING VALUATION
9
00"" OR'E MM! A
ZTa.C/f10Me
OOM "Tws WA Ma AO01lEE
00►.,RUCT,OM {el061
•
UMMS MMLM AMEN
Fireplace
Total Valuation i
AACWECT O" eNOrM91
ucEme NO.
Firing Fee S 20.0
Permit Fee $
ARa-rWT OR UMNISM S YAuw AOOREss
Plan Checking Fee 6
e"tD1NOAD0REM11
Energy Plan Checking Fee i
S
PERMIT, FEE S
IDT"°
sLlsoneanMAYe
PAACeI YAP
PLUMBING PERMIT Fling Fee 20.0
USEOFSTRUCTURE
/ /
SFO Duplex O MobOehome Er Other dc,
L C�
tPeC�
Each Trap 7.00
Solar or heat um water heater 23.00
Water piping 15.00
Each as water heater or vent 15.00
TYPE OF WORK
New O Addition O Remodel O Utilities Inslalation O
Describe Work:
}
Other O
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G I W (920.00
PERMIT FEE !
ELECTRICAL PERMIT Filing Fee 20.0
Main Service aeoo� 9NR ZA 23.00
........ _ _.____._.__
/
(�
d Q
7 SPif1/� 7//Q
1 _ r
t
r
Main Service 200A TO IOOOA 48.00
NEW CONST. OME LM OCCUP. EO.
OR ADON i ACC. RDE. 3.SQR.
CONST.NEW
NON•RE910. YUITFOVTLEi @7.50
P.ONOLe APPAMTUE
L OUn.Ei d0.
200 x•50
Ex. Occup. O VRET OR es SAL Q1 .SO
EX. Occup.' - OUTLET! 610. eA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00 .�
,
PERMIT FEE S
MECHANICAL PERMIT Fling Fee 20.0
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE: S
Mobile Home Installation Fee S
Energy Inspection Fee $
occ CONST. TYPE TOTAL FEE $
NAZ. 1 O. FEES I IMP I IRMO I Cop, pARCB. PO NO
This permit is hereby issued under the applicable provision
of the Butte County Code and/or Resolutions to do wor
indicated above for which fees have been paid.
By Date
�11 ' PERMIT EXPIRES ON
�. / / ..
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