HomeMy WebLinkAbout042-350-01042-35-10
CLIFFORD KELLY
246 - Glenwood, ;.Chicoa
- Contr: John Mis(ella Rfg >
Permit#1576-85B reroof/SF
042 350-010 A �,P 02-1251
KELLY, CLIFFORD ' `^ IN L- D
t 1246 GLENwOOD, CHICO
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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75A4i � E � O.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER dqZ' 7,50-616
,5 — V `6
J t v
ZONING
BUILDING PERMIT
OWNER /�
C1 l�
TELEPHONE
SO, F7, ON OCC. BUILDING VALUATION
OWNERS MAIUNG ADDRESSi .'TZ
CONTRAACTTO{RRS NAME ,\ l,�
TELEPHONE
CONTRACTORS MAIUNG ADDRESS
A
CONSTRUCTION LENDER
Fireplace /01
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 '
��[tf _ ,�,( �► � � U��,
�v
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
USEOFSTRUCTURE
SF ./Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00
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 ❑ Remo el ❑ Utilities ❑ Insts ytin �4_90ther ❑
Describe Work: Q LA,Mobile
Gas piping system 1 - 5 outlets 15.00
Buildingsewer 15.00
Home S G W @20.00
PERMIT FEE $
ELECTRICAL PERMIT Filing Fee 20.00
V L
Main Service . ' 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.j
�� Lic. No.
License Class i�j�
C �
p OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors license
Law for the following reason:
❑ 1, 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
Main Service 200A TO 46.00
CCU000A
NEW CONST. DWEWNG OCCUP. SO
OR ADDNS. ( a ACC. S.3.5QFT.
=Rc.,DT. MULTI.OUTLET 97,50
POWER APPARATUS
a SINGLE OUTLET CIR.
zo p ,.00
Ex. Occup. OUTLET OR FDITURES BAL-Q ,.50
Ex. Occup. OFIxUxEEDTSAA DRQ 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE S
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
E7' 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 licy number are:
Carrier NIA+'f ��(, 4 t1Fs. (n. Oi l+Y"?- iliCl
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Policy Number ") !Q -1 -1
(The above sections need -not -b6 complefed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 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'AZ.
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.
n
X Y Date Mel LX,I (gaDDZ-
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent U
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 $
c.,Tin
TOTAL FEE $
D. FEES
IMP
FLOOD
CDF
PARCEL
PD
HD
ISSAIE
fi
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for wh'ch fees have been paid.
By Date/ / V V
PERMIT EXPIRES ON J ♦ 16, (—
Date
Receipt No. .�
WHITE-D.D.S.-B.D. #CANARY -A E S R I PIN -IN PECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75g�� PERW NO.
(Rev.12/96)N APPLICATION AND PERMITyz- �Z
ASSESSOR PARCEL NUMBER3S'� I O
/)
ZONING
BUILDING PERMIT
OWNERC V_
- �(
Q I jI
TELEP
HONE
SO.. FT. OCC. BUILDING VALUATIO
� ..lM
OWNER MAI NG ADDR SS
l &nW Clio
F.
d,
CONTRACTOR'SNAME Ob�I1v�
TELEPHONES
CONTRACTOII((RJS ;UNG AADDRESS
C/ 1_
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Fee $ 20.00
—Filing
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
a)qte �PiYI(itlt�t7G�
Energy Plan Checking Fee $
$
PERMIT FEE $
LAT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
USEOFSTRUCTURE
SF Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
Each gas water heater or vent 15.00
TYPE OF WORK
Installation %Other ❑
New ❑ Addition ❑ Remo el ❑ U ilNO
Describe Work: —�
Gas piping system 1 - 5 outlets 15.00
Buildingsewer 15.00
Home ISI GI W @20.00
-Mobile
PERMIT FEE S
ELECTRICAL PERMIT Fling Fee 20.00
800VOR UE
Main Service 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. I
License Class C 179 Lic. No. 1 1251
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ 1, 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
Main Service 200A To L000A 46.00
NEW CONST. DWELLING OCCUP. SO
OR ADDNS. ( 8 ACC. BLD S. 3.5¢FT.
Npµq.,DT' mA%T,' OUTLET @7.50
POWER APPARATUS
8 SINGLE OLlfLET CIR.
Ex. Occup. OUTLET OR FIXTURES BAL G 1.50
Ex. Occup. .F,EE RE.SID.OEA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE S
WORKERS' COMPENSATION DECLARATION
1 hereby 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
��,(5+ performance of the work for which this permit is issued.
7 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.
Caworkers' co ens tion i rance carrier a d lic be are:
rrier (Uri-� T ��►�vwe ly)6. i iJ . D ir�'t-C
Policy Number (z)-2
(The above sections need not be completed if the permit is for work of a valuation
(The
of one hundred dollars ($100) or less.)
❑ 1 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.
_Q j 2�Z
Date
X 1
Signa Ere of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee 77$—
Energy Inspection Fee $
oc T. TY ✓
— TOTAL FEE $
HAZ.
D. FEES IMP
FLOOD
I CDF
I PARCEL
PD
HD
tS E
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.
/ 6 .
By Date /
U
PERMIT EXPIRES ON .5-.16. -?
Date
Receipt No.
WHITE-D.D.S.-B.D. -CANARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
1
Name KELLY CLIFFORD & WILLETTA FAMILY TRU
Addr1 IKELLY CLIFFORD D & WILLETTA DEE TRUS'
Addr2 124E G LE NO O D AVE
Addr3 CH I CO CA 95926
Addr4 ,
.Comments 14235001000 CONVERTED 09/08/88
Creaking D oc#1 198819999999 D ate
Current Doc# 19998 0516910 Dake 04/20/1999
Killing Doc# Date r—
Asmt D esc 11246 G LE NWO O D AVE
Zoning I R 1 D Drell F
Acres 1 0.53 N /C 042
SuplCnkF_
Asmt # 042-350-010-000 Fee # 042-350-010-000
Status ACTIVE Status Date
Tax 000 INORMAL OWNERSHIP TRA 002-073
Situs 124E GLENWOOD AVE CHI
B ase. D k 101/01/1975-'. 1
Landl 11,451
S tructure
Fixtures
G rowing
Total L&I
Fix. RF
SIH PP
41,449
0
0
52,900
0
0
0
E xempkl 7/000
NetNetj 45,900
R /C#
T/R Dt
R /C S kat
I: PHY I OWN I EXP I TAX [ HON I ATT I SIT I APR, I PCL
Find
AgPres
E tal
N otes
B onds
Multi Situs
Flag1
Flagg
Asmt PP Pen
Tax PP Pen
Appeal Pending
Split Pending
Landl 11,451
S tructure
Fixtures
G rowing
Total L&I
Fix. RF
SIH PP
41,449
0
0
52,900
0
0
0
E xempkl 7/000
NetNetj 45,900
R /C#
T/R Dt
R /C S kat
I: PHY I OWN I EXP I TAX [ HON I ATT I SIT I APR, I PCL
Find
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION -AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER a
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
'
OWNER'S MAILING ADDRESS
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.SUBDIVISION
NAME PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S G W
10.00 e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6001 OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ACC. BLDGS.
1
2/20sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Busi
and Professions Code and m license is in full force and effect.
y
License No. Classification -
❑ 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
for sale. (Sec. 7044)
❑ 1, 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 CON5TR MULTI -OUTLET
NON.RESID BRANCH CIRC ITS
2,50 ea
NEW CONSTR POWER APPARATUS &1
NON_RES,SINGLE OUTLET CIR. /
P�oness Ex. OCcu Ts OR FIXTURES 20@60c
BAL@30
FIXED APPLNS
Ex. Occup. our OUTLETS (RESID )REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
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.
❑ 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.
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
1 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
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
I
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 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OF CONST,
PARCEL
PD
HD
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No.
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATWN -AND PERMIT
PERMIT NO.
5J
ASSESSOR PA CEL NUMBER
—' S—
ZONING
-
BUILDING PERMIT
OWNER-,
TELEPHONE
SO. FT. OCC. BUILDING VALUA ION
OW MAILING ADDRESS
t G�
CO 7 ACTOR ME
e ,i
TELEPHONE
o
-
ONT ACT •S MAILrNG ADDRESS
Fireplace
ti
CONSTRUC N LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10,00
LENDER'S MAI ING ADDRESS
Permit Fee
$ •S®
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
`�
Permit fee
$ g d
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Each qas water heater or vent
5,00
Gas piping system 1 - 5 outlets
5.00
r—d',� USE OF STRUCTURE
SF ltDuplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S G W
10.00 e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work: /�Y roe Pi/•'!�. �r�, �.
��t2'� ��,� S� `
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100V OR LESS
100 AMP OR LESS
10.00
��_Z,
�—
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ( ACC. SLOGS.
21/20sgft
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 y _ri— license is in full force and effect.
License N Classification .3 ff
❑ 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
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 CONSTR U TI -OUTLET 2,50 ea
NO N.RESID BRANCH CIRCUITS)
NEW -RESD. CONTSTR ( SINGLE OUTLET CIRPOWER APPARATUS .&)
NON &)
zo®Sot
Ex, OCCUp(OUTLETS OR FIXTURES, eAL®30
FIXED ALNS
Ex, OCCUp. OUTTS P(RESID.)REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
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.
❑ 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.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
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, Cbuntyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities,. judgments, costs, and expenses which may in any way accrue
agains aid County in conseque a of the granting of this permit.
X Date lis � �
ature o ppIicant Owner ❑ Contractor ®Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
on of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCcu P, GROUP
I TYPE oP CONST.
PARCEL
PD
ND
ISSDE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
JIRECWTOF P BLIC
BY
PER IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date.
Receipt No. r3�
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT