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HomeMy WebLinkAbout061-410-024:LZA WAKEFIELD W/S Oro Quincy Hwy app 3 4 mi S Fire.. Station, Mt House ��� O�`1 P rmit#763-83E(ele ser ch) F ./ 061-410-024 03-2781 WAKEFIELD, FLORENCE 13193 OLD QUINCY RD, BERRY p Cont: CLIFF CRAFT BUILDERS g REROOF W/ METAL/REPAIRS -WAKEFIELD,- Elza 226-67B -- - �4-68E /— 118-68E s/s Oro -Quincy Rd. l,mi. above rus Cre€-- Ranger Station —` ( new garage) Rwn gel, •a ',�L �,.� � �,�-✓�, rte- �v f' l i I gel, •a ',�L �,.� � �,�-✓�, rte- �v f' s a t I COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California .95965 • Telephone (530) 538-754103. APIEZ fN (Rev. 12/96) APPLICATION AND PERMIT r /'' ASSESSOR PARCEL NUMBER NIM -All 0-074 ZONING BUILDING PERMIT OWNER ,+ T.7AVT4VT—#,T T) F_ T 11VA1Qry TELEPHONE SQ. FT. OCC. BUILDING VALUATION nn atl V) �. . OWNERS MAILING ADDRESS - Q� 0TTN AITTM PYN a V &'F4t to 0rQ'tA, w• ��• W CONTRACTOR'S NAME ..� ` _._._' "•-" ---....__. r..T TrR 'RAFT WITT 11rPr, TELEPHONE 1-4710 rcin to CONTRACTORS MAILING ADDRESS - -� - - 114Sn rfVYr70 'TVD'PAr;7 rwro1TT r r* rA QCQAC - CONSTRUCTIONLENDER-v . -...-.-_..., -w✓„T .-,.-'- � .y..,, -....-.T - y-- - Fireplace LENDER'S MPJUNG ADDRESS Total Valuation $ _- ARCHITECTOR ENGINEER UCENSE NO. Filing Fee $ 20.00 Permit Fee $ 'v, o ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 13193 OLD QUINCY RD BERRY R CREEK � Energy Plan Checking Fee $ PERMIT FEE $ G-{ LAT NO. SUBDIVISIONS NAME PARCEL MAP, I" PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Others SPECIFY t 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 ❑ Remodel ❑ Unities ❑ Installation ❑ Other ❑ 4 Describe Work: REPAIR ROOF & RE -ROOF W METAL RoCkING \ Gas piping stem 1 - 5 outlets 15.00 e6iiding sewer 15.00 Mobile Home S G W 920.00 PERMIT,FEE $ ELECTRICAL, PERM Fling Fee 20.00 - I . 800VOR LESS Main Si zo.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 �f�u/ll force and effect. i License Class' I7 5,.f. Lic. No. ..©�� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: l ❑ I, 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. ❑ I am exempt under Sec. Business and Professions Code for this reason j Main Service's .2?0A To IODDA 46.00 NEW CONST. wMl('fDWEWNG OCCUP. , SO OR ADDNS. & ACC,BLDs. 3.52FT. rNioN aaloT' ;MULTI.OUTLET �a 7,50 POWER APPARATUS a SINGLE OUTLET CIR. 9 Ex. Occup., OUTLET O�'FDRURES20 9 � . BAL O 1.00 Ex. Occup. o xurLEEDTs Aa o� 5.00 Temporary Service '•`"�' 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 i'pERM1T FEE S WORKERS' COMPENSATION DECLARATION s 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 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 policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation .,,."of one hundred dollars ($100) or less.) O 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' laws of California, and agree that if should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. Q X /,+� �.%f�9' Date 7 —/4Q -03 Signatu10, Applicant - ❑ O�wnei O"Contractor ❑Agent An OSHA permit is required for excav tions over 5'0" deep and demolition or construction of structures overt stories�iri he' ht. s ry . r!rsfi g � � �� Mobile Home Installation Fee $ Energy Inspection Fee $ occ coNST. TYPE TOTAL FEE $ 74.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE' �� �C) This permit is hereby issued under the applicable provisions of the,Butte Co'Unty Code and/or Resolutions to do work indicated eabovelf • r which fees have been paid. ��l�ti l 11 1 B / Date Y PERMIT EXPIRES ON ( ��t/ Date ReceiptNo. . � � -%Y�i� � .- WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541��-�/�e�►r l:f� (Rev. 12/96) APPLICATION AND PERMIT %, / ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE J Q OWNERS ` QLD + ' UINGY RD9 BERRY GREEK CONTR4 vE 124 7 T BUILDERS CONTRAC .. NG S CONSTRUCT9RO�ql:EE, GA 95965 ibr ER '! SO. FT, OCC. BUILDING VALUATION 150 + 2,650 LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ 54.00 Plan Checking Fee $ BUILDING ADDLLSS 1BERRY Energy Plan Checking Fee $ $ PERMIT FEE $ LAT 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 ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: REPAIR ROOF & RE -ROOF WZMFT L ROOFING Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 "OOVOR LES Main Service 20 DA 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. License Class Lic. No. 3 Q YYo 1'O OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the 'ollowing reason: ❑ I, 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 cwner 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 TO 46.00so WEE200A NEW CONST. DWELLING OCCUP. CCU OR � & ACC. SO 3.50FT, EW coNST. ppµRESlp, C 97.50 POWER APPARATUS 6 SINGLE OUTLET CIR. Ex. OCCU OUTLET OR FDRURES BA0 p 1.00 Ex. Occup. GurErsRM-.0Ep 1 5.00 Temporary Service 1 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 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 policy number are: Carrier Policy Number e a�ove sections need not be completed 0 the permit is for work of a valuation one hundred dollars ($100) or less.) /locertiNthat 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 w' a provisions. X Date 7 -'�D `Z°!3 Si at f App (cant ❑ O Contractor ❑ Agent An OS A per -nit is required for excava ' ns ovoAa er 5'0' p and demolition or constructi of structures Eve h . MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ p,� IMP FLo00 CDF PARCEL Pp HD ISSU This permit is hereby issued under the of utte my Code and/or indicat abo a hich es have By PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. /lO 0 (� ate 9 0 . ReceiptNo. WHITE-D.D.S.-6.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT r r y Permit#763-83E Elza Wakefield — 0 q -•/ •cy i , �C C� �i� S. J) i 'I 7 K 1 f S 2 r ' l t s COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. _. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION -AND PERMIT ASSESSOR PARC L NUM ER I- ZONING BUILDING PERMIT owMt ;:9 t OIto TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNE 'SM I L I N G ADDRESS 0, , I✓ CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS - - Fireplace CONSTRUCTION LENDER pen P 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 $ BU`(ILDIN ADDRESS I N (T PLUMBING PERMIT FilingFee 10.00 ( 3/ I 1 f - e3 f `i ('w� Each Trap Solar Water Heater 2.00 20.00 (� f 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 LJ Duplex ❑ Mobi lehome 1-1OtherMobile SPECIFY Building sewer 5.00 Home TSTG W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation❑ Other El' Describe work: ' C �� �' Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 ' Main service 100v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 NEW CONST./ DWELLING OCCUR.&\ OR ADDNS, ( ACC. BLDGS. lI 2'hQSgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BusinessFIXEEDD and Professions Code and m license is in full force and effect. %r 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) L� 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 NON.RESID. (BRANCH CIRC ITS 2.50 ea NEW CONSTR. ( POWER APPARATUS &) NON-RESID. SINGLE OUTLET CIR. 20050e Ex. Occup( OUTLETS OR FIXTURES 9AL®300 F APP LNS. OR Ex. Occup.—OUTLETS (RESID,) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 1.6 OD ��^ •r D 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. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate gf.Consent to Self -Insure. 5""'l 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. r T1 ti �� ti! '� ! r • 4 X Date " 2 Signature of Applicant — Owner Q 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 $ Oc CUP. GROUP TYPE OF CONST. JPARC.ELJ PD I HD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUB / By. 4�� • i ` PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. OC WORKS Date �`-� 3 L. 1 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 APPLICATIOWANCVERMIT PERMIT NO. .AA ASS-SSOR PARC L NU ER _ ZONING IFIF BUILDING PERMIT OWN TELEPHONE SQ. FT. OCC. BUILDING VALUATION OW 1y EUS ING ADDRESS �- r e e--- 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 $ BUI_LDIN ADDRESS PLUMBING PERMIT Filing Fee 10.00 1 O — Each Trap Solar Water Heater 2.00 20.00 C�aS 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 LTJ Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S I G 1 110-00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ tilities Installation❑Other De ribe work: — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1011 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. 2/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El Business I am licensed under provisions of Chapt. 9, Div. 3 of the 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) � u 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 CONSTR.ULTI.OUTLET 2,50 ea NO N.RESID. BRANCH CIRC ITS NEW -CONSTR (POWER APPARATUS &) NONRESID. SINGLE OUTLET CIR, Ex. Occu z0@10a P�o OR FIXTURES aALr3soQ FIXED A Ex. OCCup. OUTLETS PLNS (RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 isc. Wiring 15.00 ,6' IDD 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 t to Self -Insure. I shallall 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 again id Cou n c sequ cL of granting of this perm't. r2, X Date ✓ Signator f Applicant — 0 net Contractor ❑ Agent An OSH permit is required f r excavations over 5'0" deep and demolition or construct- ion of structures ov�erl 3 stvor�ies in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. I PARCEL PD I ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC R OF PUB By �C" PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. C WORKS D to Receipt No. �90 / � WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT .- �r.-`,,...�.•r+-*e--e..�-.^...u--�'..+r-w....�;.,,+.�....r.+-:.-:Y+�xlrsi�}rAr+��✓"3.i��°�`"p`•`''"i�`".`4'z�"in""-""�."'ti"".4e"�''-'"='VrwY'V.�-�:tTJ�' a� COUNTY OF BUTTE - DEPARTMENT 6 PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILL•E, CALI RNIA 95965 - TELEPHONE: 916/534-4541 moi' • _�� PERMIT APPLICATION, DATA SHEET OWNER Proposed Building Use, Permit Fee Based Upon U Permit No. A. P. No. A C)y -0% Complete Contract Price DPW Valuation Copy of Flans sent Health Dept., Fire Dept., Other Date Curing the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) J. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked' by. Plans approved by Other: Copy—DPW Date Date Ot (Explain) Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . • 2. Plot plans in duplicate./triplicate. . . . . . . . . . . �. Complete plans in duplicate./tripl;icate. ._. . . . . . . . 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. ' & Fees of $ . . . . . . . . 9. 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.) 14. Owner -Builder Verification (Given to owner0, Mail to owner ❑.) 15.. Improvements may be required. 16,Mobilehome Installatiog ta: •Pre-Inspec. request to (Date) Pre -Inspection for Required. 'B ilding Inspector 8. Other When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Othar Copy of Flans sent Health Dept., Fire Dept., Other Date Curing the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) J. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked' by. Plans approved by Other: Copy—DPW Date Date