HomeMy WebLinkAbout064-620-005I
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..AP 64-62-05
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Calvin Rasmussen �.- --RASMUSSEN, Calvin 2317B
e/s Nimshew Ridge Rd,., 2 S'. of 252 E,
i
,Skyway, Magalia
,•_ .Permit #2317 new..S!?) •
Permit P
v 2 mi. so. Skyway on Nimshew Ridge Rd., ems`
V 1'
P t 2522E ` Magalia
64Q62-05 t (CONTR: James J. Harlan, 6153 Bowman Dry,
TONY FAhCON9. (new, single family) Paradisc,
14416-Nimshew Rd,, Magalia /a 70
Permit-Y14i49-83P(instAll gas line/SF)- '
64-62-05 3287-91B
BADER, 'Maryse
14416 Nimshew Rd,' Magalia r �'
cont: Active Chimney Sweeps
(flue & fireplace insert/sf) '
21
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"'COUNTY OF B1J_t' E.- DEPARTMENT OF WORKS PERMIT N0.
)7 County Center Drive - Orov}ille, California 95965 - Telephone: 916/538-755",t �j41
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
64-62-05
Z01IING I
3
BUILDING PERMIT 14
D" YSE UDER TE Iy=°'� 3$
w
ow R
NIMSHEW MAGALIA
SQ. FT. OCC. BUILDING VALUATION
i
i ,
CONTRACTOR'S NAME
ACTIVE CHIMNEY SWEEPS
TELEPHONE
873-2039
I/
CONTRACTOR'S MAILING ADDRESS
PO BOX 535 MAGALIA 95954
Fireplace A 1500
CONSTRUCTION LENDER
NONE
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 25.00
ARCHITECT OR ENGINEER
NONE
LICENSE NO.
Plan Checking Fee
,$'
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
14416 NIMSHEW RD MAGALIA
Permit fee
$ 35.00
PLUMBING PERMIT
Filing Fee10.00
Each Trap
2.00 r
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 DU( Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S G W
0.00 ea
TYPE OF WORK
New ❑ Addition D Remodeltll' (ties El Installation Other "
Describe work: UE & �SERT
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6111 OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declar under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Profession Code and my .license is in full/ force and effect.
License No. Classification. CG L
❑ I, as the owner, or my employees with wages as th it sole compen-
sation, will do the work,and the structure is not in ended or offered
for sale. (Sec. 7044)
4 ❑ 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.6f
OR ACDNS. ACC. BLDGS.
, qft
/zQsea
NEW CONST R. ULT' -OUTLET
NON-RESID BRANCH CIRCUITS
2.50 ea
POWER APPARATUS e
SINGLE OUTLET cIR.
Ex. OCcup(OUTLETS OR FIXTURES
20®50t
e ALO 30
FIXED P(RESID IRE A.�
EX. Occup. OUTLETS
2.00
Temporary service
10.00
Mobile Home Facilities r'
15.00
Misc. Wiring
9
15.00
Permit Fee -
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
g tare 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
Filing Fee 10.00
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 County of
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 sa'�ty in copse uence of the granting of this permit.
X ll� < < cs-�.�i�'l�i'11�/ Date
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 $
occ
CONST TYPE
-
TOTAL FEE $ 35.00
E
.
HAz,
can
PARK
SCHL
FLD
PAR
Po
i Ho.
Is
This permit is hereby issued under the applicable provi-
Bions of the Butte County. Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Dattel—) �'Z-�--
PE T EXPIRES Date
Receipt No. T 911-3 3
WNITE-D.P.W., YELLOW -ASS E330R, 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
PERMIT NO.
ASSESSOR PARCEL NUMBER
64-62-05
ZONING
=ARMR3
BUILDING PERMIT /
l,�n�-p
Owj�`kYSE BADER TE ffVO 138
ow
X0111NX9NMNYX9WXXR NIMSHEW MAGALIA HXNXI03R
SQ. FT. OCC. BUILDING VALUATION
CONTRACTOR'SNAME
ACTIVE CHIMNEY SWEEPS
TELEPHONE
- 873-2039
ITTF
CONTRACTOR'S MAILING ADDRESS
Po BOX 535 MAGALIA 95954
Fireplace 1 A 1500
CONSTRUCTION LENDER
NONE
UNKNOWN
Total Valuation is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 25.00
ARCHITECT OR ENGINEER
NONE
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
14416 NIMSHEW RD MAGALIA
Permit fee
$ 35.00
PLUMBING PERMIT Filing Fee 10.00 '
Each Trap
2.00
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 [21( Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
110.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other
Describe work: REFLUE & INSERT
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
6001 OR LESS
Main service 100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I de la under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Profession ode and my license is in full force and effect.
License No. Classification. C G
❑ I, as the owner, or my employees with wages as th it sole compen-,
sation, will do the work,and the structure is not in ended 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.61
OR ADDNS. ACC. BLDGS.
, /22sgft
NEW CONSTR. MULTI -OUTLET
NON.RESID BRANCH CRC., TS
2.50 ea
(POWER
/POWER APPARATUS .&)
OUTLET CIR.
Occup(OUTLETS OR FIXTURES
Ex. Occu o
zo O30
eAL030
Ex. Occup. OUTLETS FIXED P(RESID )REAJ
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
9
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I e rare 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
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.
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 unty in c rise uence of the granting of this permit.
X Date '^ `
Signature of Applicant — Owner E]Contractors 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 $
EHAZ.
CONST TYPE
TOTAL FEE $ 35.00
E
cuA•
PARK
SCHL
FLD
PAR
PD
I HD.
ISS
This permit is hereby issued unser the applicable provi-
sions of the Butte County. Code and/or, resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By DateT-I Q2--
PE T 6PIRES Date & -r r— k :3
Receipt NO. 7 / 23 3
WHITE-O.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT
ice-- A
t
t,
COUNTY OF BUTTE - DEPARTMENT OF'PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DR\(,F-6 KbVI6LE, CA'L-I,FORNIA 95965 -TELEPHONE: 916/538-7541
PERMIT APPLIG�xA DATA SHEET
Permit No.
OWNER- ,li7_Sir lJ� del t A. P. No. y 62- 00
Proposed Building Use 'S/jr %Star Building Inspector Gg� Date 9- /3 - C//
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. Y:':' ...............................
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. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ..............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions.......................................................
10. Fees of $
11. Chico Urban Area fees paid .......................................
12. Park fees paid ....................................................
13. School District fees paid ..............
14. Sanitation approval from Health Department
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required ... Pre-inspec. request to
Building Inspector (Date)
Contractor's license information (No., Name Style, Classifications ...
Certificate of Workmans Compensation Insurance ..................
=23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ...................................
26.
27.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver w/inspector.
Other
Applicant ate
Copy of Hdz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. +l 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_maiI—count er byi date
Contractor, designer, owner, was advised of above required data by—phone —mai l—count er by date
Plans checked by Date Plans approved by `� Date
Sets of plans on hold in File cabinet AP folder
Copy—DPW
9COUNTY 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 ^
,� - ( L . 00 5—
ZONI
/f M_
BUILDING PERMIT
OWfJEP
TELE'rHONE
3� 3
SQ. FT. OCC. BUILDING VALUATION
—6WER'S AILING A.D ESS
G - ff-, led Mia AI -►,? CA 9f95`�
CONTR+CTOR/•S NAME
+
}T�{7F7L 3PHONE
,
CO�RAC OR'S MAILING ADDRE
9 J` 15 y
Fireplace
(!ONSTRUCTIOI4 LENGEv•vv
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGIN ER
�7�
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
Penalty
$
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
BUILDING ADDRESS
Permit fee
$ _
PLUMBING PERMIT
FiIingFee 10.00
I 1
Each Trap
2.00
MAqI40
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME V
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G VV
10.00ea
TYPE OF WORK
New❑ Addition❑ Remodel❑ Utilities[] Installation❑ Other
Describe work: Se1,45 o4 _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6001 OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare rider penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professio Code and my license is in full force. and effect.
License No. �' ��Classification.
❑ I, as the owner, or my employees with wages as t it 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 0CCUP.6•)
OR ADDNS. 1 ACC. BLDGS.
I/z¢sgft
NEW CONSTR. U TI.OUTLET
NON.RESID BRANCH CIRC ITS
2,50 ea
/POWER APPARATUS el
SINGLE OUTLET CIR.I
EX. OCCUp(OUTLETS OR FIXTURES
e0 0 AL@30
EX. Occup. OUTLETS IFIXED PRESID IREA.7
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I de I r rider penalty of perjury (check one):
�he permit is for $100.00 (valuation) or less.
WI 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 10.00
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 County of
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 saiod County in conse ence�f the granting of this permit.
X Date � 3
Signature of Applicant — Owner ❑ Ontractor Agent
An OSHA permit is required for excavations over 50 'deep and demolition or construct-
ion of structures over stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $
HAZ
CUA
PARK
I SCHL
I FLD
COF
I PAR
PO
I rlo•
ISSUE
This permit is hereby Issued under the applicable provi-
sions of the Butte County.Code and/or resolutions to do
work indicated above for -which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date
PERMIT EXPIRES Date
Receipt NO. ! y 2 33
WHITE-O.P.W.. YELLOW-ASSE350M. PINK -INSPECTOR, GOLDENROO-APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
. APPLICATIONANA PERMIT
PERMIT NO.
1V �1_ -s, J
ASSESSOR PARCEL NUMBER -+•
ZONING
•'•
BUILDING PERMIT
OWNER
apTTEELL�EPH�'O�NNE
SQ. FT. OCiCi. BUILDING VALUATION
OWNER'S MAILING ADDRESS
�Ci/kSl�t--� t c� /11.4G/f-I--
CONTRACTOR'SNAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS r'
Fireplace
CONSTRUCTION LENDER -
UNKNOWN
Total Valuation $
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
'
Permit Fee
$
ARCHITECT OR ENGINEER J
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS '
Permit fee
$
BUILDING ADDRESS •�
•
PLUMBING PERMIT
Filing Fee 10.00
'
Each Trap
2.00
Solar Water Heater
20.00
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 ❑�uplex❑ Mobilehome❑ Other
r SPECIFY
Building sewer
5.00
Mobile{Home S G W
10.00e
TYPE OF WORK
New ❑ Addition ❑Remodel ❑ Utilities ❑ Instal lation ❑ Other E�'
Describe work:��
Permit Fee
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELINGOR ADDNS. ( ACCLBLDGS.CCUP.&\
r21/20sgft
/
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
Q' I,am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and m license is in full force and effect.
y
License No. r "� �� S' Classification L+-�� L - y �A
Q :I,;as,1the owner, or my employees with wages as their sole compen-
satlon;%wllljdoltbe work,and the structure is not intended or offered
for sale• (Se� �7�0444
P ❑ dl as�e�owner�am�ezclusively contracting with licensed contract-
s; ;AI
orsj(Sec4704444)"'-��
t�Iamte a �ptsunder!c.fc� Business and Professions Code
t
�.. for thisreason�^°
NEW CONSTR ULTI.OUTLET
NO N•R ESID BRANCH CIRC ITS. 2,50 ea
NEW CONSTR ((POWER APPARATUS &'
NON RES,D. SINGLE OUTLET CIR,
20e50C
Ex. Occup(o,uTLETs OR FIXTURES 6AL®ao
FIXED APP LNS. OR
EX. Occup. OUTLETS (RESID.) EA.1
2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
�r
P-,ji'mg,WORKMEN`SCOMPENSATION�INSURANCE
I(decIare under, penalty,( perjury�(check one): `
Y. t�-•. •�n a ..,,>
'40 -,The permit Is for,$100".00i(valuation-)'or less.
w, -W in, w.- f
❑;Ihaveplacedonafile wlththeCounty of Butte Building Department
a8,Certiflcate!of Workmen'slCompensation Insurance or a Certificate
+ i
of Consent to Self InSu`re'• ��
OSI shall not1emplos oy10iiperson;in' any manner so as to become subject
to the W. C.'IawfiCalifornia.
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
1 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 f ��� �� �� 1-
„ g pp ❑ Contractor k Agent
'�gtur� OJ Arlicarf — Owner �' ❑
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 $
OCCUP. GROUP
I TYPE OF CONST, I
JPA110ELJ
PD
ND
ISSUE
This permit is hereby issued under the applicable provi-
Bions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DI -RECTOR OF PUBLIC WORKS
By Date
•'/
PERMIT EXPIRES Date Z
Receipt No. /7 r% (�
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
APPLICATION'AND PERMIT
PER IT N0.
ASSESSOR PARCEL NUMBER ^�
ZONING
BUILDING PERMIT
OWNER
GOT
'Z07S
SO. FT. OCC. BUILDING VALUA ION
OWNE'S AILI G ADDR S
V
CONTRACTOR'S AMETELEPHONE
&VA
CONTRACTOR'S'MAILING ADDR S
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
$
BUILDING ADDRESS • I
PLUMBING PERMIT
FiIingFee 10.00
Each Trap
2.00
Solar Water Heater
20.00
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 Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home IS I G W
10-00e
TYPE OF WORK
New ❑ Add ition ❑„Remodel ❑ Utilities ❑ Installation❑ Other [�
Des 'be work `��T�Qdd�,�. ��6
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V 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.
t2/ 2QSgft
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. �Q��� � Classification `-'-ao' � �7 �
❑ 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 CONSTR. MULTI -OUTLET
NON-RESID BRANCH CIRC ITS.
2,50 ea
NEW CONSTR POWER APPARATUS &'
NON.RESID. SINGLE OUTLET CIR.
Ex. OCcu 20®50e
P�o DR FIXTURES SAL®ao
FIXED APPLNS
Ex. Occup.FUTL TS (RES. OR
OUTLETS (RESID•) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
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
Filing Fee 10.00
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.
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 consequen of the granting of this permit.
%� Date Q
`
I nxatur o lice t — Owner
4? pp ❑ Contractor � Agent ❑
IAn05HApermit 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 $
OCCUP. GROUP
I TYPE OF CONST.
IPA.CIELI
PD
HD
ISsuE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
E(�%bll_W PUBLIC
CAM
BY
PERMI EXPIRES Date
the applicable provi-
resolutions to do
fees have been aid.
P
WORKS
Date
Receipt No.
WHITE-D.P.W., YELLOW-ASSeSSOR, PIN -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE -6 Department of Public Works
7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541
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 in the envelope provided at your
earliest opportunity -to avoid unnecessary delay in processing and issuing your build-
ing 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 proper y'improvement (yes or no) �.
2 Ih
( ave/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
S igned :
Property Owner
Social Security number/ — -
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
permitted to issue the permit.
f
to
i
24 Hour Notice Required For Inspection Service
COUNTY: -OF BUTTE
DEPARTMENT OF PUBLIC WORKS
- OROVILLE - PHONE LE 3-1230 EXT. 259
APPLICATION FOR BUILDING PERMIT
Permittee Owner
Mail Address
Contractor ,1_9WW011'c2�E�G State License No.
Mail Address A t, Ili Cf/j�L X f -
BLDG. Address �_ � � W. "/A.P. No._j 7 ,4A1_ r
Description of Work V , V S P` E C I F I C A T I O N S
NEW (]�_ ADDITION F__j REPAIRS F_� OTHER
If Others, Specify MATERIAL
RESIDENTIAL
COMMERCIAL
OTHERS:
Remarks:
Use
Single'
Family
Retail
of Structure
Kf Duplex 0
F-1 Ind.
Mula
Dwelling
Prof. 0
Width at Top
Width at Bottom
Depth in Ground
R.W. PLATE (Sill)
Girders
joi=sts - 1st Floor
DIMENSIONS
<
SQ. FT.
�j O co
7!
A9s6. �
OCC. TYPE
Joists - 2nd Floor
A. 170
A. Z
FOUNDATION
EXTERIOR
6"
SIZE SPACING
4/K 6 '
Ti 6-
B. 6 //0
B T
Joists - Ceiling
p� 6
A Q
Exterior Studs
�x
Jr
BUILDING VALUATION
ry
Interior Studs
<
�j O co
7!
A9s6. �
$
Roof Rapers
!!
Q
B. / � �J 6 L., am
$
Walls
v
1646
C. Plan checking fee or Penalty
$Bearing
4
TOTAL_ VALUATION
PERMIT f!EE
"N
PLOT AND FLOOR PLAN
Property Line % �
$ //�_ 710
$ J/
I have read the above application and know the con-
tents thereof; the same is true and correct. I further
agree the above work will be done in accordance with
all State and County Laws and Ordinances.
X............................................� .`Z" `. ~.........
./ `....w.. ..I
SIGNATURE OF PERMITTEE OR AGENT
APPLICATION FOR BUILDING PERMIT
F RECEIPT FOR FEE
v
S e
v
2 L.
a ,
PIERS
�A .
/ N
SPAN
�6
Received from ..... (SKETCH FLOOR PLAN IN SPACE U
Permittee or Agent pap
ABOVE AND DIMENSION) F -
`W
HI
$...................................................................................FOR BUILDING PERMIT. -"_� /� W
ll
R. P. O'NEILL - DIRECTOR OF PUBLICO WORKS 'U��GL%rLcv J1 CREET�
APPLICATION APPROVED: /6 J 1 33^^��
ED: R. P. O'Neill - Director of Public Works
By........................................................................ Date ................................... /7
Treasurer's Receipt No.... ..::..s> ............. Account No................................. By.........:........... Date ---z
J
,v o j .......... .......................................
�-lwr - � (100.1)
r.
f
24 HOUR NOTICE REQUIRED FOR INSPECTION SERVICE B.P. #2317
COUNTY,? -OF BUTTE
DEPARTMENT OF PUBLIC WORKS
COURTHOUSE — OROVILLE - PHONE LE 3-1230 EXT. 259
PLUMBING p �`
Application & Permit 1
Permittee Owner (`AT1fTA1 •aAe-titee't'AT -
Mailing Address `
Contractor PARADISE PLU:IBING. INC:. State License No. 2n-,s%r, ,
Mailing Address 615, Pearson Road, ParAdtao
BLDG. Address m4 �.,. of N4r.n*t-r- Q- -A A.P. No. 17 .,A,,,=
DESCRIPTION OF WORK
NEW F; -,,l ADDITION 0 REPAIRS [::] OTHER E:]
Ifothers, specify................................................................:.....................................................................................................................................................
USE OF STRUCTURE
Single Multi
RESIDENTIAL Family rv-1 Duplex Q Dwelling Q
COMMERCIAL Retail F-1 Ind. F-1 Prof. c::i
OTHERS:
Remarks:+
PLUMBING PERMIT
FEES
PERMIT FILING FEE
No.
@
Fee
2.00
p,nn
Each fixture or trap or set of
fixtures on one trap
D
1.25
3-:1.00
Each water heater &/or vent
1.50
Gas piping system 1 - 5 outlets
1.50
Gas piping 6 or more - Each
.30
Ind. waste interceptor
1.00
Installation or repair
water
1.50
Repair or alteration drainage
or vent piping
1.50
I have read the above application and know the contents
thereof; the same is true and correct. I further agree the
work will be done in accordance with all State and County
Laws and Ordinances.
\..�.�+�-
}(., mac. .�•SSs ..--> ;:.;,: :t k... ....................................
............ z ...........::._ .1.....�..,.. .....:.......:...............
Signature of Permittee or Agent
Lawn sprinkler system
1 2.00
Vacuum breakers or backflow
devices 1 - 5
2.00
Over 5 Each
.30
House Sewer
00
Receivedfrom............................................................................................................
$........................................................................ FOR PLUMBING PERMIT.
R. P. O'NEILL - DIRECTOR OF PUBLIC WORKS
TOTAL FEE
$
13,50
By............................................................................ Date ............................................
Treasurers Receipt No.o.� ................................ Account No............................-.
,
/-A441
PERMIT APPROVED AND ISSUED
R. P. O'NEILL - Director of Public/Works
8y....f, f. ®..!.....•���� Date
(300.4)
F. 24 HOUR NOTICE REQUIRED FOR INSPECTION SERVICE
COUNTY 0F1'BUTTE
-�' DEPARTMENT OF PUBLIC WORKS
• 280 Nelson Avenue, Orovilie, California
Phone: 533.1230; Ext. 259
_
• ELECTRICAL APPLICATION AND PERMIT
✓
�� � /
I l /
Permittee
/
A.P. No.
.Mailing -Address
' Contractor
tate License No.
6117
' Mailing Address
BLDG. Address
DESCRIPTION OF WORK
NEW V �c" ADDITION F� METER SERVICE E]
If OTHERS, specify .....
REPAIRS F
`
OTHER ❑
' USE OF STRUCTURE
_ 4
• Single Multi
RESIDENTIAL Family/Duplex Dwelling �
•
-COMMERCIAL Retail Ind. E] Prof.
OTHERS`.
Remarks •
'
ELECTRICAL
PERMIT
FEES
PERMIT FILING FEE
No.
@
Fee s
•
1.00
Supplementary Filing Fee
.50
Main Service
Range, Oven or Dryer
��
.50
�/
Water Heater or Heater
.50
+'� ,'*`-may
Fixture & Fixture Outlet
,20
i,f% ,
Receptacles or Switches
-16"
.10
Hood or Exhaust Fan
;
,25
`
Evaporative Cooler
,25
Garbage Disposal
�I
,25
'S .
Dishwasher
,25
-I have read the above application and know the contents
thereof; the same is true and correct. I further agree the
_ work will be done in accordance with all State and County
Laws -and Ordinances.
• i
x__ --- --------------.-
Signature or Pe mittee or Age
F.A. Furnace Motor
,25
Air Conditioner
Heat Pump
Water 'Pum p
—
PERMIT APPROVED AND ISSUED
R.P. O'NEILL — DIRECTOR OF PUBLIC WORKS
'By �41!'.V Date z�//%
l./ /•�
• Receipt No.
�� �--
_
TOTAL FEE