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HomeMy WebLinkAbout058-360-012STUART, Lucille 124-67B" 4290B ` 05£3-360-0I°2 '92-2603E • _ 125-67B;P 90-67E 3412P HOLLAND;' Lucille 91-67DH, 1 6 1,3202 .Concow Rd, Orovlle ?2 separate elec,aervti•for well /2,,��9 e/s Concow Rd. at no. end of Qoncow Lake �� ' h � (repairs) ("REINSTATE 4290) ; 4-%�-\�Z, Iw/s Concow Rd. at no. end Concow Lake; (**addition) 8-6 '7 # 0 0 v ri lvtrq Et r.!y..r—?.., r7+ °...i: t-. •J,crh:r+'u •n,.•T*tir"1'c....•r:—•�'rs.yUz-•I":..r•✓'^o.+s%^`i}' �•�h",-11,.�.:.A".�,�v..:��a'iJ7i•'4•.".`.s:'�"i(�''°r'"'rf+.,.:L.f-'► 058-360=Rd HOLLAND92-2603E 13202 C Separatvilleor well t a i I , I I OF FICE COPY Address \ I NDeter-ey `I d Dahe ELECTRIC t Date Meter By t . COUNTY OF BUTTE - DEPARTMENT. OF PUBLIC WORKS` PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 ,,��� APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 058-X360-012 ZONING FR 10 ► BUILDING PERMIT OWNER UJCIJ�aLr['+ HOUAND (WAMER) 533=4°2 SO: FT.' OCC. BUILDING VALUATION OWNER'S MAtg6jD tW� OW ROA\ ORM= 9 3965 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER NMI LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 13202 CON" ROAD OROVILU 95905 Permit fee ,$ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME � PARCEL MAP Water piping 7.00 J. 0 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Dupl,ex❑ Mobilehome❑ Other WI , SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home Is G W 615.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities I Installation❑ Other ❑ Describe work: (SEPARATE. Fit .EUMT11 RERVT['R WW MR11) _ Permit Fee $ 910 ,/ 0 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS j$,50 50 200A OR LESS Main service 200A TO 1000Ai 37.50 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. 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 CONST. / DWELLING OCCUP.&) 3.64 sq.ft. OR ADDNS. 1 ACC. BLDGS. // NEW CONSTR. ULTI.OUT LET NON.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) SINGLE OUTLET CIR. / Ex. OCcup(OUTLETS OR FIXTURES 20 76 FIXED APPLNS, OR EX. Occup. OUTLETS (RESID.) EA.1 I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. �yirin 15.00 g • Permit Fee $ • Contractor — 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. MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling Hood 6.50 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. 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. X , i ,:� , , , ;Date Sinature of A licant - owner ❑ Contractor g pp ❑ Agent ❑ An OSHA permit is required for excavations ove�.,5;0",deep and demolition or construct- ion of structures over 3 stories in height. j �J / ,' Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE _ TOTAL FEE $ 66--% HAz I DFEES I IMP I FLOOD I CDF PARCEL I PD I HD ISSUE�i This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do r which fees have been paid. work indicated above fo�' DiRECTOR,OF PUBLIC WORKS BY ZI /•01X Date PERMIT,EXPIRES Date -7 7 Y,. 117754 — G �' S ,�' Receipt No. �1a• WHITE-D.P.W.. YELLOW-A93[33OR, PINx-INePECTOR. 60LDENROD-APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 CJ Z _ Z/D� z> APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 058-360-012 ZONING FR 10 BUILDING PERMIT OWNER LUCILLE HOLLAND (WANKIER) 533 4266 so. FT. occ. BUILDING ALUAT OWNER'S MA 12967D CONCOW ROAD OROVILLE 95965 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS CONC019 ROAD OROVTT.T.R 95969 Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Qf� Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other WET,T, SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home Is G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel [-IUti lities I Installation❑ Other ❑ Describe work: (SEPARATE— ELECT -RIC SERVICE FOR T.1E T) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 18.50 18.50 200A OR LESS Main service 200A TO 1000AI 37.50 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. 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, the owner, am exclusively contracting with licensed contract- Elors.. ( (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUPM 3.64 sq.ft. OR ACDNS. ACC. BLDGS. / NEW S1COND.MULTI-OUTBRANCH CIRCUITS) @ 5.00 NON -RE SID BRANCH CIRC ITS (POWER APPARATUS e1 I SINGLE OUTLET CIR. I Ex. Occup(OUTLETS OR FIXTURES 20 76 AL 0 461 FIXED APLNS. Ex, Occup. OUTLETS PIRESID,IREA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring '15.00 15.00 9 PRE INSP 1 20.00 Permit Fee $ 68.50 — 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. j 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 FiIingFee 1 15.00 Heating Cooling Hood 6.50 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. 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 st s Coun y in consequence of the granting of this permit. X ��ate Signature of Applicant — Owner g ❑ Contractor 11A ent ❑ An OSHA y permit is required for excavations Ove and demolition or construct- ion of structures over 3 stories in height. AEC Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ %-56' 905 HAz I DFEES I IMP I FLOOD I CDF PARCEL I PD HD ISSUE This permit is hereby issued under the applicable provi cions of the Butte County Code and/or resolutions to do work indicated above for ich fees have been paid. O PUBLIC WORKS By Date 7-Z �-� PERM I XPI I E Date 7 —i Z 7- %J Receipt No. 117754 —(w2 �,,Q WNITC-D.P.W., YELLOW-A98C880R, PINK -IN PCaTOR, GOLDENROD -APPLICANT W .+..77MM1.^"'^r1+rr'1-tl^'y3P�tiv-'w�:�-�.'r.Kyr`.�•T�ti•�� w .. w t COUNTY OF BUTTE - DEPARTMENTT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, GALIFORN A 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION PATI , H ET Luc; e OWNER S(Wo w1�,F� P o. !J"3 6 -/ Proposed Building Use e t^ ✓ICF Building In Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings .. ..................... . 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of$ .......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............. 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (consruction. ruc ion approval requir CCri /C prior to ggcupancy). o Buildngi.n.e. d. io20. Pre -inspection for O f IAk required ap 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ) ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . ......................................... . 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ...................................................... 33. 34. Whffyou issue the permit, NES as follows: Mail owner. Mail to contractor. .Telephone and hold for pickup at C(O office. Deliver with inspector. Other Parcel Creation Acreage Applicant DateyvZ- Copy of Haz-Mat form sent Health Dept. Fire Dept. `ir Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By 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: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works 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. s 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) Ile 4 .2. I (have/have not) signed an application for a building permit for the proposed wort. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. ,I plan to provide portions of this work, butt have hired the following person to coordinate, supervise, and provide the major work: Name 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: Phone Type of Work Name Address Signed :c Property Owner Social Security -N tuber Date 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. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, California 95965 - Telephone: 916.'538-7541 APPLICATI-ON AND PERMIT ASSESSPR r- EL U1DB"RO1^ ' 3 d`— ZOr�5 BUILDING PERMIT owN , i c, QC Lucile R/ ,Cr TELEPHONE SQ. FT. OCC. BUILDING VALUATION . OWNER'S MAIL NG AD Mn©© v lHe CONTRACTOR'S NAME 1 TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONST UCTIOQN`ILENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARC I ECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDI G ADDRESS ^D n )AO d Ifto L4 Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE9 SF ❑ Duplex❑ M ❑ obilehomeOther we [ SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ R ode ❑ Utilities st I lation ❑ Other ❑ Describe work: r �C� & Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO 1000A, 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 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 -Mobile ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.IW) OR ACDNS. ACC. BLDGS. / 3.64 sq.tt. NEW RFSID, BRANCH NO N.R ESID BRANCH CIRC ITS ^ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 76 Ex. OCCup. OUTLETS IFIXED PRESID IREA.) 1 3.00 Temporary service 15.00 Home Facilities 15.00 Mi c. Wiring 15.00 15,0 Q t vts �6 00 Permit Fee _ $ 6 K, — 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. Contractor MECHANICAL PERMIT FiIingFee 1 15.00 Heating Cooling Hood 6.50 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. 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. X Date Si nature of Applicant - Owner 9 PP ❑ Contractor ❑ Agent ❑ An OSHA ion of structurestover r3gstories oin height. excavations over 5'0" deep and demolition or construct- Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ (q O .C� O HAz I DFEEs I IMP FLOOD I CDF PAREE7 HD I ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR PINK -INSPECTOR. GOLDENROD -APPLICANT /�� PRE=INSPECTION OWNER: h ra e i (l P �� llQY1 d l _�� - DATE LOCATION: Z3 a (�? &n,Coo /a�R9uj1 C-' A. P. # �� - L16 CONTRACTOR: Ow A& ZONING fR ID PRE -INSPECTION FOR:3eooroLfe__ c c [� Y' ie, Sero ; e-� /f w I rp h 1—Cc t- . r. DATE TO INSPECTOR -------------------- PERMIT HISTORY: NONE AS FOLLOWS :A— �q � ,,s � � � � , f I(g h TYPE OF OCCUPANCY 61F ------------ FIELD - INFORMATION BUILDING.USAGE: TENNANT: OCCUPIED D HAS ELECTRIC HAS GAS Q HAS SANITATION FACILITIES = HEATED -COOLED PERSON CONTACTED. OTHER COMMENTS: 4el l S •/e��� �Lt. �.��L � 7�� O Lt/L t,o Z O 1- /N n Q ACTION RECOMMENDED: ISSUE 0 HOLD FOR OTHER: Y 'e-, Ce> i- ,u /4e,f, BY �„ /1,L�i �.sv DATE ri 1 -17<I -2� i ri 1 -17<I -2�