HomeMy WebLinkAbout047-100-14811
L JC.:! 14 R
t
47-10-4
Land & Cattle Co,Ipc.
Fapp2200'
off N/E side of Hwy 99E:.Chic1b---
------------*--__-
11
L JC.:! 14 R
47-10-4
Land & Cattle Co,Ipc.
Fapp2200'
off N/E side of Hwy 99E:.Chic1b---
------------*--__-
ermt #
Electric
2155=82P,E(u•,l/MH
Gas_
'Support
.�dr
structu'e,�'eq
Compaction tere�a
11
L JC.:! 14 R
_�_
' ,/ -� � -
'Cf' !■- p
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR ARC NUM ER
--%v —L110
ZO ING
BUILDING PERMIT
ow R
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAI NG ADORE 5
P_ ,�,� �c z
CONTRACTOR' NAME TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECCvfT OR ENGINEER
LICENSE NO.
Plan Checking Fee v
$>a aO
Penalty
$ J
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
�Wlda�0 /G a J'- £
PLUMBING PERMIT
Filing Fee 10.00
r
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
12 (J
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5,00
Gas piping system 1 - 5 outlets
USE OF �RUCTURE
SF ❑ Duplex❑ Mobilehome Other
SPECIFY
Building sewer
.
Lawn sprinkler system
5.00
TYPE OF WORK/
New ❑ Addition ❑ Remodel F1Uti lities I2m lInstalIation ❑ Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 8001 OR LESS
100 AMP OR LESS
p
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.M�
OR ADDNS, ACC, BLDGS.
2� sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
ElI 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)
❑ 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
NNEW ON-CONSTR BRANCH CIRCUITS2.50 ea
NEw CONSTR, (POWER APPARATUS &I
NON -RESID. (SINGLE OUTLET CIR.
EX. OCCUp OUTLETS OR FIXTURES BAL@1
IXED APPLNS. OR
Ex. OCCup.�pUTLETS (RESID.) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
/
Permit Fe $
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
FiIingFee 10.00
Heating
Cooling
Hood
3.00
Ventilation
_++
permit Fee
S
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.
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 Cou ty in consequence of the granting of this permit.
Date -
Signature of Applicant — Owner ❑ Crontractor ❑ Agent T sSC: GC
An OSHA permit is required for excavations over 5'0" deep and de ion or
ion of structures overstories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE 197,57o
OCCUP. GROUP
I TYPE OF CONST,
PARCEL
✓
Pof No
I 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
p3
Receipt No. 4
WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OP PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE, - OROVILL•E, CALIFORNIA 95965 - TELEPHONE: 916/534-4541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER_ /O.s��s/Z �Ga/� CGi�/E (a, ��/�'. A. P. No. /iv
/iy .Q
Proposed Building Use��i�f
Permit Fee Based Upon: Complete Contract Price Valuation
Othe x n)
Building Inspector Date
At time of permit application, I was advised the o.V ing data must be submitted prior to permit processing
and/or issuance: DATE RECEIVED APPROVED
II items have been submitted. . . . . . . . . . . .
ipIl 2. Plot plans in duplicat ' rlplica . . . . . �. 7
3. Complete plans in duplicate/triplicate. . . .
4. Complete engineered plans and calcs. . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . ..
6. State Energy Forms No. . . . .
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $
� -Letter of signature authorization.
10. Sanitation approval from Health Dept.
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance. . . . . .
13., Contractor's License Information (no., name style, classif.)
Owner -Builder Verification (Given to owner, Mail to owner ❑�/
15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . .
. .
Pre-Inspec. request to
17 _-Pre-Inspection for Required. Building nspe tar
18. OtherllC £Cow a- �q/tiG C/��iC4 �_ /1 le-, c�J/69'�2,-
(Date)
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
elephone ffld hold for pickup at office. _Deliver w/inspector.
ther. 6i — 70
ApplicantJ:�� ,CY
Copy of plans sent - Health Dept., Fire Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance:
(For required items not:checked above aktoe of app"
tion, circle item.)
1. Index permit for above Items No. 3 7
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by Telephone Mail
By Date
Plans checked by -
Plans approved by
Other
Copy—DPW
Date
Date
Other
McCosker Land & Cattle Co., Inc.
740 JULIE ANN WAY • OAKLAND, CALIFORNIA 94621 • (415) 638.6558
David T.ankersly
701 East. Lassen D
S'aace 276.
Chico, Calif. 95926
To whom it may concern;
Permission. granted to David and Michaele Tankersly to
apply. for. all permits,. including,.. but. not limited to septic
tank, profane,. and electrical,, for the pur)ose of placing
a moblie home on the property.owned by McCosker Land & Cattle
Co. Assessors parcel ##8. Located East of -,Hwy 990 Shown on
ache assessors map as ##47-10 in Butte County.
Sincerely,
Dennis McCosker
fhis set of plans and specifications MUST be
kept on the job at all times and it is unlawful-to
make any changes or alterations on same without