HomeMy WebLinkAbout041-280-028041 28=0 ,0;28
�'92 3�OOBa
BELL', Christine. -
1390 Oregon Gulch, Oroivll
contr: Active Chinnriey - Sweeps ..
pellet stove/sf.
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BELL, 'Ch
ristine+
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,.. -contr.: Active Chimney Sweeps
pellet stove
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/A-ir. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 Coynty Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 �Q,
�- APPLICATION AND PERMIT C `�
ASSESSOR PARCEL NUMBER
ZONING
T,
BUILDING PERMIT
11041-78=0=029
nf��l4�� ��p 4�q''
W(MRISTINE BELL
TELEPHONE 538-7363
SO. FT. OCC. BUILDING VALUATION
OW M390 MAILING ADDRESS
Road, Oroville 95965
CONTRACTOR'S NAME_
TELEPHONE
C!
4 1)
CONTRACTOR'S MAILING -�D S - - ---- -
AS
-
Fireplace
CONSTRUCTION LE DER UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $ 15.00
Permit Fee $ ;n
ARCHITECT OR ENGINEER LICENSE No.
Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
iQ R
Penalty $
BUILDING _
ADD'R ESS -
Permit fee $ 45.00
PLUMBING PERMIT Filing Fee ,,115.00
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 I Gas piping system 1 - 5 outlets 5.00
,���[[
SFEP Duplex❑ Mobilehome❑ Other ! Building sewer % 15.00
SPECIFY I Mobile Home S.'G W @ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel[] Utilities ❑ Installation[] Other)= Permit Fee / $
Describe work: pellet stove _ I Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 200A OR LESS 18,50
Main service 200ATO1000AI x37.50
CONTRACTORS LICENSE LAW NEW CONST. ( DWELLING OCCUP.!!e\ / 3.60 sq.ft.
A
( OR DONS. ACC. //
BLDGS.
I declare under penalty of perjury (check one): NEW CONSTR. ULTI.OUTLET
NON-RESID @ 5.00
BRANCH CIRC ITS
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business (POWER APPARATUS4e)
and Professions Code and my license Is In full force and eff t. 1 SINGLE OUTLET CIR.
20 2 760
License No. � I C, Classification T (� Ex. Occup(OUTLETS OR FIXTURES IAL 4rA
ED APPLNS. Ex. Occup. 0UTLETS (RESID )REA.! I 3.00
❑ 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 Temporary service / 15.00
for sale. (Sec. 7044)
Mobile Home Facilities 15.00
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044) I Misc. Wiring / 15.00
❑ I am exempt under Sec. , Business and Professions Code
for this reason Permit Fee' $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 15.00
❑ The permit is for $100.00 (valuation) or less. Heating `I
I have placed on file with the County of Butte Building Department i
a Certificate of Workmen's Compensation Insurance or a Certificate
Cooling
of Consent to Self -Insure. g
❑ I shall not employ any person in any manner so as to become subject 1 Hood 6.50
to the W. C. laws of California. Ventilation
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 penrlt Fee $
provisions or this permit shall be deemed revoked. L Contractor
I certify that I have read this application and state that the above information
Mobile Home Installation Fee S
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Energy Inspection Fee $
Butte to enter upon the above-mentioned property for inspection purposes.
OCC
CONST TYPE
I also agree to save, indemnify and keep harmless the County of Butte against
I TOTAL FEE $ 45.00
all liabilities, judgments, -costs, and expenses which may in any way accrue
HAz
0FEES
IMP
FLOOD
COF
PARCEL
PO
HD
ISSUE I
against said'CCounty in clnsequence of the granting of this permit.
1 I
I
/� 1 1 (Z
X"` ' ! Date
This permit is hereby issued under the applicable provi-
Signature of Applicant — Owner Contractor [I Agent
sions of the Butte County Code and/or resolutions to do
An OSHA permit is required forlexcavations over 5'0" deep and demolition or construct-
work indicated ab ve,for which fees have been paid.
/ ,,° j
ion of structures over 3 stories'in height.
IRECTOR OF PUBLIC WORKS
By /I .%Y f Date fJ-�F3'P
1 �'} q
Receipt No. !+r t�
y%f
PERMIT'EXPIRES Date
-
WHITED. P. W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICAfION AD PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
041-98-0-022
ZONING
BUILDING PERMIT/
OWNER
CHRISTINE BELL
TLYLEPHONE
538-7363
S0. FT. OCC. BUILDING VALLqATION
OWNER'S MAI6ING ADDRESS
1390 Oregon Gulch Road, Oroville 95965
CONTRACTOR'S NAME
TELEPHONE
- §WOMM 8721 2939
CONTRAC OR'S G
aiia, CA 95954UNKNOA
Fireplace
COSTRUC 10 D b
N WN
500
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $ 15,00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
AD 5
BUIL INC 5
Permit tee $ 23.00
PLUMBING PERMIT Filing Fee 15.00
Each Trap 5.
Solar or heat pump water heater / 0.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping 7.00
Each gas water heater or vent 7.00
USE OF STRUCTURE
Gas piping system 1 - 5 outl 5.00
SF nX Duplex❑ Mobilehome❑ Other
Building sewer 15.00
Mobile Home I ZG JW I @ 15.00
SPECIFY
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other,
Permit Fee ,l $
Describe work: pellet Stove _
Contractor/
ELECTRICAL PERMIT Filing Fee .- 15.00
Main service 600V OR SS
200AORLESS 18 0
Main service 200A TO 1000Al 7,50
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 Professi s1 Cp,ba d my license is In full f rC, aQd eff�C t,
License No. l (�� L�� Classification _ G b // ((%��J J31/
NEW CONST./ DWELLING OCCUP.&\ 3.60 sq.ft,
OR ACDNS, l ACC. BLDGS. /
NEW CONSTR. ULTI-OUTLET
NON-RESID BRANCH CIRC ITS @ 5.00
POWER APPARATUS
('SINGLE OUTLET C
Ex. Occup(OUTLETS OR FI TURES 20 76
❑ I, as the owner, or my employees with wages as their sole compen-
EX. OCCUp. OU LETS IXED APPI LS. SID OR EA.) I 3.00
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)
Temporary service 15.00
Mobile Home Fac, �ies 15.00
Misc. Wiring 15.00
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Permit F $
WORKMEN'S COMPENSATION INSURANCE
Contractor IZ
I declare under penalty of perjury (check one):
MECHANICAL PERMIT I, ng Fee 15.00
❑ The permit is for $100.00 (valuation) or less.
Heating
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.
Cooling
g
❑ 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.
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
Mobile Home Installation Fee S
Energy Inspection Fee $
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 liabilit dgment osts, and expenses which may in any way accrue
against a) C nt in on quence of the granting of this ermit.
Date
OCC CONST TYPE TOTAL FEE $ 45.00
HAz DFEES IMP I FLOOD COF I PARCEL PD HD ISSUE
This permit is hereby issued under the applicable provi-
Signature of Ap 'cant — Ow Contractor ❑ Agent
An OSHA permit is required fo' �e.avations over S'0" deep and demolition or construct-
ion of structures over 3 stories In eight.
�
sionsof the Butte CoUntv Code and/or resolutions to do
work Indic a abov r which fees have been paid.
IR T OF PUBLIC WORKS
'Z '`L 1'i
Receipt No.
WHITE-O.P.W., YELLOW-A53f 5308, PINK -INSPECTOR, GOLDENROD -APPLICANT
BY Date/�
PE X IRES Date /6-- ��r�rq
:.i+•7,`l-,"�y'.}a.,'�3`:x-a,t!+'y�"T.''�`'7v.ii+�Aw{��y_.,.�'kr
COUNTY OF BUTTES PARTMEN jQF.PUBLIC WO := BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 TELEPHONE (916) 538-7541
t '
PERMIT APPLICATION
OWNER C Hxi SO"/-je,7
Proposed Building Use
DATA SHEET, ,=
0 2 Building Inspector
A. P. No. K/ 2 2 8
C. Date :.-;;27 `'L,
At time o ermit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1. All items have been submitted.........................................
2. Plot plans, 3/4 sets, signed by preparer of plans. z
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 schedule. ............................. .
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. Driveway permit (construction approval required prior to occupancy). . .
Pre -Inspection requ-ei�
20. Pre -inspection for required. .. to Building inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner , Mail to owner _). ...........
24. Recorded copy of Agricultural Acknowledgement Statement . ................. .
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.
34.
When you issue the permit, process as follows: Mail to owner. ail to contractor.
Telephone and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation c
Acreage ��� -7 Applicant U`�` 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
1. Index permit for above items No.
2. Additional items required:
(Circle new item not checked above).
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
q� /Z?- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916'538-7541
APPLICATION'AND PERMIT
PERMIT NO.
ASSESSOR PAR.CEL NUMBER
'z �O OZ`3
ZONING
BUILDING PERMIT
OWNER I IS
TELEPHONE
, .3g -79 3
SO. FT. OCC. BUILDING VALUATION
OWNER' MAIL NG ADDRESS
/3 5'o Ua IMF
�C NTRACTOR'S CAME
icV.,✓& CAME
TELEPHONE
73-Z�3y
CONTRACTOR'S MAILING ADRESS 0) `a/al Ifs
O S
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 15.00
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 15.00
3 10 On� i.�% G U LG�I� ,
/'S
Each Trap
5.00
2p,/j//(e_ .
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
Gas piping system 1 - 5 o ets
5.00
Building sewer
15.00
SF ZDuplexn Mobilehome❑ Other
Mobile Home S I G I W I
@ 15.00
SPECIFY
TYPE OF WORK
4X
I-1—
Newn Addition ❑ /Remodel ❑ Utilities ❑ Installation ❑ Other
Describe work: S(r�J� _
Permit Fee
Contractor
$
,iod/�C�
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600V OR LESS
200A OR LESS
18.50
_
Main service 20CATO IOOOAI
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. GILD C -I Classification G `61
NEW CONST. ( DWELLING OCCUP.tk\
OR ADDNS. ACC. BLDGS. II
NEW CONSTR.-
NON-RESID BRANCH CIRC ITS
POWER APPARATUS S
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTU s
3.64 sq.ft.
9'5.00
/
20 764
AL 9D 46
❑ I, as the owner, or my employeeg. with wages as their sole compen-
Ex. Occup. ou LETS P(RES;ED APNS
.' EA.)\\
I 3.00
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
ElI, as the owner, am exclusively contracting with licensed contract -Mobile
ors. (Sec. 7044)
Temporary service
Home Facilftles
Misc. Wiring
9
15.00
15-.00
15.00
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
MECHANICAL PERMIT
Filing Fee 1 15.00
❑ The permit is for $100.00 (valuation) or less.
Heating
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.
Cooling
g
❑ I shall not employ any person in any manner so as to become subject
Hood
6.50
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.
Ventilation
permit Fee
ContractctV
$
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 County of
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 liabil'ties, judgments, costs, and expenses which may in any way accrue
against id` ou ty inc s quence of the granting of this permit.
Mobile Home Installation Fee S
Energy Inspection Fee $
OCC CONST TYPE TOTAL FEE $
HAz 1 DFEES I IMP FLOOD COF PARCEL PD HD ISSUE
XDate �- Z E,v
This permit is hereby issued under the applicable provi-
c n
Signature of App t — Ow er LJContractor ❑ Agent F1y
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
sions of the Butte Count Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
Receipt No.
By
PERMIT EXPIRES Date
Date
WHITE-O.P.W., YELLOW-ASSE550R, PINK -INSPECTOR, GOLDENROD-APPL I CANT