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HomeMy WebLinkAbout041-280-028041 28=0 ,0;28 �'92 3�OOBa BELL', Christine. - 1390 Oregon Gulch, Oroivll contr: Active Chinnriey - Sweeps .. pellet stove/sf. .,.Y^;f. s%h ♦r'x +�.'n,:i•-±..:�«': ��„�!�Y•�u_s"• _ ' ..: 1. ,Yj :y :.''•`:i....`:�`�'.� `A«•y ,�,r,C•. F., %�rPrw.,�w;ys. «.;y;. ,s. F _ ...+. ., 041`-28=0 028 x ;T 92-380QB' j. BELL, 'Ch ristine+ R; + + 1390 Oregon Gulch; Oroivll •r ,.. -contr.: Active Chimney Sweeps pellet stove f i �h i - r '5i .�'°H *«�1-Py:,`+�J�`}�-%�pY�",.a •i, •h,t..'�::"�r'.���.a9ri'`'4+;�!i�y'i6�'+Yr'a.. t�.. ,.A �._';f:t� /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