HomeMy WebLinkAbout059-086-00593-17,683
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ELEC SERV/SF
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_11111. i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541
r APPLICATION AND PERMIT
•
ASSESSOR PARCEL NUMBER
059-086--005
ZONING
U
BUILDING PERMI
OWNER
Jon & Kim Lobnitz
TELEPHONE
873-2648
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
17115 Skywya, Sterling City 95954
CONTRACTOR'S NAMETELEPHONE
Owner
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 15.00
LENDER'S MAILING ADDRESS
Permit Fee
$
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 15.00
17115 SkywayStirling City
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 STRUCTURE
SF EN Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S I G W
@ 15.00
TYPE OF WORK
New r` Addition; RemodeIEl Utilities® Installation[ Other ❑
Describe work: Replacing ',`'Iain Service _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 15.00
Main service 600V OR LESS
200A OR LESS
18.50
Main service 200ATO1000A1
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-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. ( DWELLING OCCUP.�\
OR ADONS. ACC. SLOGS. //
3.6Q sq.ft.
NEW CONSTR.MULTI-OUTLET
NON-RE510BRANCH CIRC ITS
@ 5.00
POWER APPARATUS e
( SINGLE OUTLET CIR. )
Ex. Occup(ouTLETs OR FIXTURES
20 ,7 51
AL.
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESIO.) EA.)
3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
re- nspeG toll
.
Permit Fee
$ 53.50
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
Filing Fee 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, a61d expenses which may in any way accrue
against said County rn c se. uence of the granting of this permit.
X_ Date L -2r %_ ��
$ignature 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 S
Energy Inspection Fee $
OCC CONST TYPE
TOTAL FEE $53.50
HAz
1 DFEES I
IMP
I FLOOD
I CDF
I PARCEL
I PD
HD
ISSUE
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
^ DIRECTlQR�P-UBLIC
By .Q -to Cf ' , ' „�Lv.- �, a�
PERMIT EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS j
ate
143942
Receipt No.
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE a •. °
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES F
1469 Humboldt Road, Chico, CA - (916) 891-275.1
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
L06Nt L 3-/66 3
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
.1
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
059-086-005
ZONING
U
BUILDING PERMI
OWNER
Jon & Kim Lobnitz
TELEPHONE
873-2648
SO. FT. OCC.1 BUILDING VAL ATI N
OWNER'S MAILING ADDRESS
17115 Sk w a Sterling City 95954
CONTRACTOR'S NAME
Owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
Filing Fee
$ 15.00
LENDER'S MAILING ADDRESS
Permit Fee
$
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 15.00
17115 Skyway , Stirling
Each Trap
1 5.00
Solar or heat pump water heater
1 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF EN Duplex❑ Mobilehome❑ Other
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 U Remodel ❑ Utilities F&I Installation❑ Other ❑
Describe work: Replacing Main Service _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200AORLESS
1 18.50 18.50
Main service 20GATO1000A)
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 ;Jo. 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.&
OR ADDNS. ( ACC. BLOGs. )
3.60 sq.ft.
NEW CONSTRESID, RANCOUTLET
NON•R ESID BRANCH CIRC ITS
@ 5.00
/POWER APPARATUS &
(SINGLE OUTLET CIR. )
Ex. Occup(OUTLETS OR FIXTURES
20 764
FIXED APPLNS. OR
EX. Occup. OUTLETS (RESID.) EAJ
3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. byirin g
15.00
Pre -Inspection
1 20.0 20.00
Permit Fee
$ 53.50
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
l i I have placed on file with the County of Butte Building Department
U 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 1 15.00
Heating
Cooling
g
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, a d expenses which may in any way accrue
agains said County c se u a of the granting of this permit.
X Date
Signature of Applicant — Owner Contractor [I Agent ❑
cj�xwork
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 S
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE
$53.50
HAz
I DFEES
IMP
FLOOD
I CDF
I PARCEL
I PD
I HO
I ISSUE
This permit is hereby issued under the
sions of the Butte County Code and/or
indicated above for which fees
By A DIRECTRR IC
PERMIT EXPIRES luDate
applicable provi
resolutions to do
have been aid.
WORKS 3
L
Receipt NO. 143942
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
�.'' ;w"+.�v-.'S-1'�-.-�"'�.1-tiK-"'.�-_'.�",y.,.y.�,.y_"�,..,-�.��,,/y`,�Y'+^...ry� �,'�-f✓'ti:.._.....-�..,Kr��..r',r :.vt.-.,,-_• - .-�... .._
COUNTY OF BUTTE - DEPARTMENT OF DEVEI OPT TSERVICES - BUILDING DIVISION
p
` .. �J... �'.
• �
7COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER ON Z A. P. No. O59' 6861 -DOS
Proposed Building Use .gee Building Inspector 20 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 (construction appr val rewired prior to occupancy). . .
uew
20. Pre -inspection for (/�/i �� required. .. o e n;�a g Inspector (Date)
21. Contractor's license inform tion. (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.
When you issue the_permit, process as follows: Mail to owner. Mail to contractor.
Telephone 3-26,/& and hold for pickup at &C,1 e_ office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air 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,.toroville, 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
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
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 Securit umber
Date (p'
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.
c COUNTY OF BUTTE
BUILDING DIVISION
(DEPARTMENT OF DEVELOPMENT SERVICES
'11469 Hum. boldt Road, Chico, CA - (916) 891-2751
7 (Couhv Center Drive, Oroville, CA - (916) 538-7:541
7.47.—Bliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
Loiw/Tz pep -
(OWNER PERMIT -NO..' »E
,Atroutineiinspectioaiindicates that the following violations of Butte County Ordinances exist at
Ahe.abovegaddress:and should be corrected. Please notify this office when correction of work
iis(con:pleteil.11f�youlhave apy questions pertaining to this matter, or need additional explahation,
iplease(contact -,this,office immediately.
v
4
U 64
J if
4-e9-05 0
Date l0.« I —93—inspector
IREV 1992 `'+
u
PRE -INSPECTION
� J
OWNER: �JUI�I /� O �/iJ f Z_ 1 DATE
LOCATION • 7115 �,Sk ,9c, P. # %),fig � B e6 -
CONTRACTOR: �wN ZONING (/
We:
PRE-INSPECTION FOR: 11 CtJNel2�!/�� GIW 'G l jA�/IV
'/ �"A . A- -_!/ I /
N
0 DATE TO INSPECTOR
PERMIT HISTORY: NONE �] AS FOLLOWS LOWS : �d �lC ��s // ��e Y �et�N DoN e
TYPE OF OCCUPANCY
a. .
FIELD - INFORMATION
BUILDING USAGE:
TENNANT:
OCCUPIED HAS ELECTRIC [::] HE:.S GAS HAS SANITATION FACILITIES
[� HEATED -COOLED L_j PERSON CONTACTED.
OTHER COMMENTS: I
f
ACTION RECOMMENDED:
0 ISSUE Q
OTHER:
HOLD FOR
BY DATE
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