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HomeMy WebLinkAbout062-710-004NORMAN FROST' 1392 Bald Rock K'�%erry ree ` . / � \ � v . ` ! � � / | | Y � \ � / . � � � ) | | � . \ ^ l ! | . � / ( ' 1 � /d Pz nor- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 APPLICATJON AND PERMIT PERMIT NO. e J i i ASSESSOR PARCEL NUMBERZONING ,;. ?- » , ? — / BUILDING PERMIT OWNE .'�rA►a �rv�L TELEPHONE Siff SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS e CI- 7 f Y CONTRACTOR' S NAME I TELEPHONE CONTRACTOR'S MAILINGADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 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 10.00 Each Trap 2.00 r'r J- .i Cr E C Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME �' PARCEL MAP Water piping 5.00 Each pas water heater or vent 5.00 USE OF STRUCTURE SFQ�Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installations Other ❑ Describe work: �� �i • - y r= / Aa ,. + n ., •c dELECTRICAL r Ir 0 . n. • Permit Fee) Contractor PERMIT Filin Fee 10.00 00V OR Main service 100 AMP ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 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 1, 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) Elorsa(S ce owner,, am exclusively contracting with licensed contract- 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.a , ft OR ACDNS. ACC. BLDGS. /zQsga NEW CONSTR U NCH TLETCIRCU ITS 2.50 ea NoESID BRANCH CRC POWER APPARATUS eI SINGLE OUTLET CIR. EX. OCCUp OUTLETS OR FIXTURES 201150,SALO 30 FIXED APLNS.Fl Ex. OCCUp. OUTLETS P(RESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 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. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating J . ` Cooling Hood 3.00 .Ventilation j ;r, perrnit 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. 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 /i /- �% ,. " 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 $ Energy Inspection Fee TOTAL PERMIT FEE $ occup. CONeT.TTPC SCHOOL FLOOD PARCEL I PD I ND I ISSUE �r This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By -I _ PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date r J • �% Receipt No. � 7 � 9 ��at�r- • � • r' f !r WHITE-D.P.W.. YELLOW-A7ecSSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT i/ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive = Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERyIIT NO ASSESSOR PARCEL NUMBER 3 3 ZONING BUILDING PERMIT ow E a 1"M a v -o5 f- TELEPHONE 5 d S SO. FT. OCC. BUILDING VALUATION O ER'S MAILING ADDRESS 0 (3©X I 3 e err Q G erg �i 5 l Ir C TRA ;OR'S N E, TELEPHONE TOR'5 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 $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 ' 3 Q ;k- OL �0G Each Trap 2,00 rrY C re e Solar or heat pump water heater 20.00 LOT NO.SUBDI VISION NAME PARCEL MAP Water piping 5,00 Each qas water heater or vent 5,00 USE OF STRUCTURE SFDuplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 . Bib Building sewer 5.00 Mobile Home Is G W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallatiorJK Other ❑ Describe work: iV 5'f6L j f .v a Lr_J 4 a S _ ! Ji// .f{^ A' 1 �! n � � L D� ✓v C �J ���a �/` iBOOV e i - -,-4,. N Permit Feel ft , ¢r r G. o -R, $ ,1Z S Contractor ELECTRICAL PERMIT Filing Fee 10.00 OR LESS Main service 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑NON.RESID 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, 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-11 , OR ACDNS. ACC. BLDGS. h¢sgft NEW CONSTRESID. U NCH CILET 2,50 ea BRANCH CIRC ITS POWER APPARATUS e SINGLE OUTLET CIR. I 20050t Ex. OCCUp(OUTLETS OR FIXTURES DAL0ALo30ao EX. OCCUp. OUTLETS P(RESID )FIXED ALNS.REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 9 Permit Fee $ 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 Filing Fee 10.00 Heating Cooling Hood 3.00 en tiiatien �o�• Permit Fee $ cm 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. A � � X ?4Ci e c G -e/ • 1 Date ,� Signature of Applicant — Owner ® Controc r I]Agentwork An OSHA permit is required for ex ovations ov 0" deep and de olition or nstruct- ion of structures over 3 stories in fight. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ �n occ". CONST.TYPC SCHOOL FLOOD PARCEL PD I HD sS This permit is hereby issued under sions of the Butte County Code and/or indicated above for which DIRECTO O PUBLIC B PERMIT EXPIRES JfWe the applicable provi- resolutions to do fees have been paid. WORKS J _/ Date ` IL 2222���� Receipt No. �� s•� ��Jc�J v� WHITE-D.P.W.. YELLOW-ASS[OOLDCNROD-AP LICANT COUNTY OF BUTTE - DEPARTMENT OF -PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROV J; /A,.IFUQRNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER �V 011 Zn 11 -4/ J/ 4 f A. P. No. r2 3 i Proposed Building Use l eLO 60,5 b,44 e_ Building Inspector tC/5 Date l�'- 1CL U' At time of permit application, I was advised the following data must be submitted prior to permit processing andlor issuance: DATE RECEIVED APPROVED 1. All items. have been submitted. 1. . . . . . . 2. Plot plans in duplicate%triplicate, signed by preparer of plans. ` 3. Complete plans in duplicate. /triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs,_with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . - 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. 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 owner, Mail to owner ❑.) 15. Improvements may be required. . . . . . . . . . . . 16 Mobi lehome Installation Data.. . . . . . . . . /. . �� /,Pre-Inspec. request to (Date) 17. Pre -Inspection for !!50 J` L Required. d. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 1 Engineered trusses'in duplicate (requirqq pr'or to plan check). When you issue the permitrocess as follows: /—/Mail to owner, —Mai l to contractor. elephone 5897 113s and hold for pickup WOE() -office, Deliver w/inspector. Other Applicant Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle ew 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! � phonenail_counter by date Contractor, designer, owner, was advised of above required data b4—phone —mal I —counter by date 1 Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW A COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 950,65 - Telephone: 916/530-7541 APPLICATION AND PERMIT , ASSESSOR PARCEL NUMBER 3 - 113 ZONING' UILDING MIT OW E vr�►-► a.v roS f- TELEPHONE S � 5 SO. FT.OCC. BUILDING VALUATION O ER'S MAILING ADDRESS D Rix 3 0 ,'r►- C e fir~ 9 5 i I (� CONTRACTOR'S NAME TELEPHONE IJ, CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ ' 3 R �,� �oG PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 �T-r Cre G l� Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ OtherBuilding SPECIFY Gas piping system 1 - 5 outlets 5.00 sewer 5.00 Mobile Home is G W 0.00ea TYPE OF WORK Neyv ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallatiorjK Other ❑ Describe work: /i/ 5l -a jl .,U e G -S _ );Al e - '40r /t/ C 1 �i.�J-u •t/C 2 1ai- c`N e Permit Fe h1` e $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 _ Main service 1000V OR 0 AMP ORSLESS 10.00 CONTRACTORS LICENSE LAW 1 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason _ Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.y OR AODNS. ( ACC. BLDGS. 1/20sgft NEW CONSTR. I.OUTLET NON.RESIO BRANCH CIRC ITS 2.50 ea (POWER APPARATUS e SINGLE OUTLET CIR. FF Ex. OCcU OUTLETS OR FIXTURES 2ALO 30 p e�o FIXED Ex. Occup. OUTLETS PALNS.(RESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ — 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 shal I be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating - Cooling Hood 3.00 Ventilation penult Fee $ Contractor I certify that I have read this application and state that the above information is correct. 1 agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County,ot 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. Z�� X �'� �`� Date �< < Signature of Applicant — Owner ® Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or constr,"Ct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE 0--p OCCUP, CONST.TVP[ ISCHOOLI FLOOD PARCCL Pa Na 1 33ur This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. a-)119 (J 1 / r f ��" Q"�%�'�- �' •mac .,moi 0