HomeMy WebLinkAbout042-170-0041
42-17-04 4164-89B,P,E
ERICKSON, Wayne r
32gOLW. Sacramento Ave; Chcio
(repairs) q ZV .
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42-17-04 4164-89B,P,E
ERICKSON, Wayne r
32gOLW. Sacramento Ave; Chcio
(repairs) q ZV .
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• • .. � T• 1 i •tea
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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
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n'
•may
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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'
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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: