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HomeMy WebLinkAbout042-170-0041 42-17-04 4164-89B,P,E ERICKSON, Wayne r 32gOLW. Sacramento Ave; Chcio (repairs) q ZV . .� . • • .. � T• 1 i •tea S 1 l i 42-17-04 4164-89B,P,E ERICKSON, Wayne r 32gOLW. Sacramento Ave; Chcio (repairs) q ZV . .� . • • .. � T• 1 i •tea S r ... y.. s14 L COUNTY OF BUTTE —DEPARTMENT OF PUBLIC WORKS PERMIT NO. .*� .7 County Center Drive - Oroville, CaliYorrfia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER OOLI ZON NG /�-10 BUILDING PERMIT OWNER _ AIA W,1 S )f lCksu�✓ — TELEPHONE �ys, �L SQ. FT. OCC. VALUATION [-BUILDING iS� J �L) OWNER'S MAILING ADDRESS W7 M,, / K Aro 6 t11 L o 64 5s 52 G CONTRACTOR'S NAME (, W e4e & TELEPHONE CONTRACTOR'S MAILING ADDRESS . Fireplace CONSTRUCTION LENDER VNKNOWN Total Valuation $ 6,0,00" Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ /o ` ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ' Permit fee $ 0 r PLUMBING PERMIT .a Filing Fee 10.00 315 �'� �✓. Sof �jl/�ir"r✓r� �%✓�: Each Trap I 2.00 Z Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP ! Water piping y ^ 5.00 Each Qas water heater or vent 5.00 USE OF STRUCTURE SF)K Duplex❑ Mobilehome❑ Other ; SPECIFY p Gas piping system 1 - 5 outlets 5.00 Building sewer X 5.00 Mobile Home S I G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ' ,/1 ❑ Uti ities ❑ Installatiori❑ Other Describe work: _ !'��'''�6�' i �FI.e-e I'c- q�� _ Iiq M [A t-Lip5t?,?fG JJgTC& #7A. Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1000V OR 0 AMP ORLESS�( 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑NON-RESID I am licensed under provisions of Chapt. 9, Div. 3 of theibusiness and Professions Code and my license is in full force and effect. ' ,�, /License No. Classification I ?001 L9 , as the owner, or my employees with wages as treir 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 I censed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason ' NEW CONST. ( DWELLING OCCUP.N OR ACDNS. L ACC. BLDGS. I tt �z2sga NEW CONST R. RANCH TLETCIRCUITS) BRANCH CIRC ITS 2,50 ea POWER APPARATUS e1 SINGLE OUTLET CIR. / Ex. Occup�OUTLETS OR FIXTURES 20080c BAL030 Ex. OCCUp. OUTLETS ((RESID ) FIXED APPLNS. REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring /Dr UAA+� </ro' 9 Y 15.00 /S Permit Fee $ !a 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 Bui ding 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 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 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 againstTOTAL all Iia6i]ities,/judgments, costs, and expenses which may in any way accrue against said Courity 'n consequence of the granting of this permit. i q X\. Date �� J 1� I / Signature of Applicant — Owner(�Contractor ❑ Agent ❑ I An OSHA permit is required for excavations over 5'0" deep and demo ition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE FEE $ 77 J_HAZ[CUA PARK I SCHL I FLD I PAR PD HD ISSUE' This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which fees I DIRE40R.OF PUBLIC By )K .�i� " PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date 12, 1-5 Receipt No. y 6 y WHITE-D.P.W..TELLOW-ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT A routine inspection indicates that the `following violations of County Ordinance exist at the above address and should be corrected. Please notify this office , when correction of work is completed. If you have any question pertaining to this : z matter, or need additional explanation, please contact this office immediately. r ILI< e cRw;-;-r� Gcitm n' •may A K Date �� ��+ Inspec COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS s 196 Memorial Way, Chico — Phone: 891-2751 -V-, ' 7 County Center Drive, Oroville — Phone:*538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE -art ey' GGOA) OWNER PERMIT NO. A routine inspection indicates that the `following violations of County Ordinance exist at the above address and should be corrected. Please notify this office , when correction of work is completed. If you have any question pertaining to this : z matter, or need additional explanation, please contact this office immediately. r ILI< e cRw;-;-r� Gcitm n' •may A K Date �� ��+ Inspec +r�..-.x.r--'r-v.e�--o.+�c^or_�.•.�i+-�---+.err-�-��, �»�..wry...-_-.-s-ro-v'-�-.Nrs„'•,� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 �✓" 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE ER A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office r, when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Date /7—71pi 7 Inspector Z4aq, COUNTY OF BUTTE - DFPAR70MENT OF 7 County Center Drive - Oroville, California 95965 - APPLIEAYION AND PUBLIC WORKSPERMIT NO. elephone: 916/538-7 41 tO /. "— ,? PERMIT ASSESSOR PARCEL NUMBER N1„ - I'7 - 009 ZONING A./O BUILDING PERMIT OWNER ��w� Sg1CK,sor✓ TELEPHONE 3,,x,5^ Z -1 --SO(. FT. OCC. BUILDING VALUATION Y a OWNER'S MAILING ADDRESS J_717Moak /16/,f CHI Ca 3552� CONTRACTOR'S NAME C,) LJ 'vG (1- . TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 570,0 o� LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ /o 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 10.00 � I,/- Svc � — /�M✓r � �� Each Trap j 2.00 2 C/4/i 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 SFV Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 S Mobile Home S I G I W I 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ UtQi)ities ❑ Installation❑ Other [j" Describe work: um 61' f f t.6 tTc-/;,L- _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 V OR L Main service 1Doo AMP ORSLESS 10.00 o-0'4 Main service EA. ADO'L 100 AMP 2.50 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. L'cense No. Classification 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 OCCUR.e) OR AODNS. ACC. BLOGS. , 2/z¢sgft NEW CONSTR.MULTI-OUTLET NON-RESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. ) Ex. Occu p OUTLETS OR FIXTURES 20@50* FIXED API, Ex. DCCUp. OUTLETS (PRESID )LNS.REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring Dr U�iPe� / /�[ g 41 / 15.00 /s 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. 011 -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 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 County of Butte to enter upon the above-mentioned property for inspection purposes. I al agree to e, indemnify and keep harmless the County of Butte against all Iia 'lities, Ju gments, costs, and expenses which may in any way accrue a ainst id C u ty consequence of the granting of this permit. X Date Signature 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 storiesinheight. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 77 HAZ CUA PARK SCHL FLD PAR PD HD Iss This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which fees Z-17 IRE OR UBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date i3 - (2--1 379a Receipt No. LY 16 y / WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT ��s7ri2:. w' • ray �+:. �' �j�a�' '+ r'71f"E 4)+i�'s�,,. ,, i�; r�lr-✓1�}�s^� rs, � v~ COUNTY OF BUTTE - DEPARTMEN`f,&, PUBLICWORKS - BUILDIN ION 7 COUNTY CENTER DRIVE - OROVILL 90CAfIFORNIA 95965 - TELEPHONE: 916/538-75 1 o � PERMIT APPLICATION DATA SHEET. y M Permit No. F t OWNER A. P. No. OOy Proposed Building Use S, . %j6A'a4.1rBuilding Inspector C5 --J DateT�4�i At time of permit application, I was advised the following data"must be submitted prior to permit processing and/or 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•bypreparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans ._. 5. Hazardous Material Form .........................................`. ' 6. Energy Design Compliance and supporting documentation ......... of Intent for Non -Heated and AC Buildings .. .G_Engineered truss details and layout in duplicate (required prior to plan check) �9. Mobilehome installation data including manufacturer's installation ' s instructions....................................................... - 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... -` 12. Park fees paid .................................................... 13. School District fees paid .............. " 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... --18.. Improvements may be required. Contact Land Development Section DPW i, 19. Driveway permit (construction approval required prior to occupancy) duo 20. Pre -Inspection for required . Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to ownerp, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... " 25. Letter of signature authorization .................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other ` Applicant ADate �� Z 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: •s Contractor, designer, owner, was advised of above required data by_phone---nail—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION 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. 1. I personally.plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name C7 ck9 rJ-� Address City Phone Contractors 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 0 w Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Number — Date k -L NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COMPLAINANT ADnRESS : PHONE NUMBER: OTHER COMMENTS: