HomeMy WebLinkAbout043-690-041E.E. WOOD
N/S Oak Park Ave.app.300' E Rose Ave.Chi
043 -G90 -OL41
Contr: Hinkle Roofing, Gerber
Permit#1704-85B(reroof/SF) O AIW
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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
/J. �J ��- _ X
ZONING
BUILDING PERMIT
OWNER I
i) rrl
f iA r,
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
CONTRACTOR'S NAME, r'
// , t, L if) 9 ", ror
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER '
'/"-'_1
UNKNOWNTotal
Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ u c�
ARCHITECT OR ENGINEER
-' ' ' t^ �*
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS,r'5 1
(Jn (` �,��� �. %�r)� ���� �/`�1/
,/]
PLUMBING PERMIT
Filing Fee 10.00
r� r /. 1 / /
R
Y C: r F ✓ d r) p
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 9 Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S I G I W
10.00 e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work: Al N rr, ��) / F� ��� ,� _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
600V OR LESS
Main service 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):
F -1I 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. 9-r I f, Classification l- !�
❑ 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 ULTI-OUTLET 2,50 ea
NON.RESID BRANCH CIRC ITS
NEW CONSTR. (POWER APPARATUS &�
NON.RESID, SINGLE OUTLET CIR.
20®50Q
OR FIXTURES BAL®30Q
Ex. Occup(o XED
FIXED APPLNS, OR
A
Ex. Occup. OUTLETS (REST D,) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 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
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
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.
?= lel
X t•` '• - r '� ''�% Date
Signature of Applicant – Owner [IContractorF-1--AgentQ
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 $ 4; /y
OCCUP. GROUP
I TYPE OF CONST,
PARCEL
PD
1 11
9SDE
This This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
ZI—DIRECTOR'OF PUBLIC
//t
By. _ L:f . �/", r��
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date�/�
Receipt NO. t Cis' it
WHITE-D.P.W., YELLOW-ASSESSOR,i PINK -INSPECTOR, GOLDENROD -APPLICANT
Ri
COUNTY OF BUTTE - DEPARTM'ENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
%PERMIT NO.
AS ESSOR PARCEL NUM ER
ZONING
BUILDING PERMIT
O N B ^
PY.OW
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
ER'S A1/rII`JLI A ADDRE 6 $ (`J ^
TIR
CON ACT 'S NA
TELEPHONE
CO RA TOR' AILIN DDRESS
�S � O3 '-`
t t r
Fireplace'
CON �UCTION LENDER
UNKNOWN
Total Valuation $ .
Filing Fee
$ 10,00
LENDER'S MA LING ADDRESS
Permit Fee
$ I
ARCHIT CT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ 5 �,
BUILDING AD RESS
4 /
PLUMBING PERMIT
Filing Fee 10.00
O &
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 97 Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S f G I W
10.00 e
TYPE OF WORK
New ❑ Addition ❑ Rem el ❑ U 'lities ❑ Instal do ❑ Other ❑
Describe work: P_ f��9 1 —
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. // DWELLING OCCUP.&`
OR ADDNS. 1 ACC. BLDGS.
t
I 2 0sgft
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.� �S� 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)
❑ 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 ULTI.OUTLET 2,50 ea
NO N•RESID BRANCH CIRC ITS
NEW CONSTR. POWER APPARATUS &)
NON.RESID. SINGLE OUTLET CIR.
Ex. Occu z0es0c
P�o OR FIXTURES 6AL@30
FIXED A
Ex. OCcU FIXED APPLES. OR
P• OUTLETS (RESID) EA.) 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.
iPl I have placed on file with the County of Butte Building Department
Jul 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 m6st,forthwith comply with such
provisions or this permit shal I 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 �antd;�'.Siate_that the above information
is correct. I agree to comply to all County Ordinaiicos and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for ins:pectfon purposes.
I 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
agai said oun y in nseque ce o he granting of this permit. _
%� Date l� ��
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
s-in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE ,OF CONST.
.a
PARCEL
PD
ND
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
% IRECIC P BLIC
By
PERMIT •XPIRES ate
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Receipt No. 0O
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR• GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center DAve, Oroville, CA 95965 PHONE: 916-534-4541
:q
DATE _Ti�np 10- '19AS
Hinkle Roofing Co. RE: Building Permit.Applcation for
P.O. Box 355 Reroof (E.F. Wood)
Gerber., CA. 96035 A.P. # 42-20-41
With reference to the above subject:
I 4L Attached is:
x_ Application for permit Mobilehome Utilities Installation Sheet
Building Plans Mobilehome Installation Information Sheet
Engr. Calcs .. Typical Plan Sheet
Owner-Builder.Verification Form List of Codes Enforced
OTHER
[ We need the following information:
x_ Permit application signed and completed where indicated with all copies returned.
x_ Fees of $__._54.50 payable to Butte County Treasurer._
Certificate of Workmen's Compensation Insurance or check exemption statement.
Contractor's License Law information or check exemption statement.
Complete plans in including plot plans.
Plot plans in
Structural details in
Complete 'plans and calcs in by registered engineer or architect.
Energy design including
Street and drainage improvement plan approval from Land Development Section (DPW).
sets of plans in accordance with the changes•marked in red.
Sanitation approval from Butte County Health Department at:
196 Memorial Way,' Chico
7 County Center Dr., Oroville;
Skyway & Elliott Rd., Paradise.
Planning approval from Butte County Planning Department, 7 County,Center Drive,
Oroville, for
Completed Owner -Builder Verification form.
Recorded copy of deed showing
Recorded copy of agricultural acknowledgement statement.
X OTHER_ Si.an-and complete the attached application where indicated and return
with check to this office. Thank you.
Should you have any questions concerning the above, please contact this office.
Yours very truly,
William Cheff
Director of Public Works
.F. Glander
JFG/aj Chief Building Inspector
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
AS E5SOR,ARCEL NUM ER
Q _ O —
ZONING
BUILDING PERMIT
o NER
oor)ef
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OW ER 'S AILIN ADDRE �^
/�J l
CON RACT •SNA ,
TELEPHONE
j
CO ITRA TOR' AILIN DDRESS
J r
Fireplace
CON T.jt UCTION LENDER
112 Q Cl -
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 AD RESS r /
PLUMBING PERMIT
Filing Fee 10.00
f � R�
`�40
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 ❑ Rem el ❑ U 'Iities ❑ Instal do ❑ Other ❑
Describe work: P ✓n- —
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
1
Main service EA. ADD'L 100 AMP
2.50
NEW CONST, DWELLING OCCUP.e
OR AODNS. ( ACC. SLOGS.
2thQ$gft
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. 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)
❑ 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).Resio R' MULBRANCH CIRCTI s 2.50 ea
NEWNON•RESID, SINGLE OUTLET CIRCONSTR. ( POWER APPARATUS.Q)
Ex. Occup(o XOR FIXTURES ALoso
SAL&
FIXEEDDTs APP LNS, OR
Ex. Occup. OUTLETS (RESID.) EA.) 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.
❑ 1 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
Filing Fee 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 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 liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
%� 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
TYPEDF CONST.
..
PARCEL
PO
ND
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