HomeMy WebLinkAbout065-280-008LYLE CUMMINS $� 56 9 7 4 -nal `
12.15 Magnolia Dr.,
II Dr . lot ?l2, S
DOPermit# 5051-74B(ra . a aMH)
r064-280-008 03-155
UNISON, MALCOLM
TC3993 STESON T,
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MAGALIA
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_ COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
•''� 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev.12/96) APPLICATION AND PERMIT 03-1552
ASSESSOR PARCEL NUMBER 064-280-008
ZONINGRT-1BUILDING
PERMIT
OWNER
TUNISON MALCOLM
T873 - 1707
SO. FT. OCC. BUILDING VALUATION
25 1500.00
S
.OWNERMAILING ADDRESS
13993 STETSON Cr. MAGALIA CA. 95954
CONTRACTOR'S NAME
GREE @on ROOFING
TELEPHONE
873-3940
CONTRACTORS MAILING ADDRESS '
PO BOX 2467 PARADISDE CA. 95967
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $ 1,500.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ 35.00)
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS 13993 STETSON CT. nAGALIA CA.
Energy Plan Checking Fee
$
$
PERMIT FEE
$ 55.00
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 as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition 0 Remodel ❑ Utilities ❑ Installation ❑ Other
Describe Work: RE -ROOF TEAR OFF/ COMP. 25 sq.
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home ISI GI W1
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
ov OR
Main Service . , 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 II force and effect. /
'75O i6 �%
License Class Lic. No. E ✓ f
OWNER -BUILDER DECLARATION
hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ 1, 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.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
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 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 insuranceycarrier and policy number are:
Carrier d
Policy Number 0
(The above sections need not be completed 0 the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 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'
compensation laws of California, and agree that lt I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comp ith those provisions.
XDate _ '� 3 _
Signature of •A licant - ❑ Owner ontractor ❑ Agent
An OSHA permit is required for excava Ions over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service zooA To I000A
46.00
NEW CONST. DWELLING OCCUP. sD
OR ADDNS. ( a ACC, S.3.5¢FT:
NO" .RESIDT MULTbCUT Ur 97.50
POWER APPARATUS
8 SINGLE OIlfLET CIR.
Ex. Occup. OUTLET OR FDrrURES BAL @' 0
Ex. Occup. .."ED R= oR, 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring
23.00
PERMIT FEE $
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 $ 55.00
HAz
ODD coF CEL PD HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated a0ve for whic have
B Lftzv
PERMIT EXPIRES ON C57-
the applicable provisions
Resolutions to do work
been paid.
_
Date
Date
Receipt No. a
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
N
BOUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO
APPLICATION AND PERMIT
ASSESSOR PARCElrAnr&Est
u ►S
ZO}R 1
BUILDING PERMIT
OWNER
Tmm-,0mE
SO. FT. OCC. BUILDING VALUATION
OWNERS MA UM ADDRESS
!a
G
coNrRACTo
�4-041Q
7
CONrRAcsacS MAwND ADDRESS `/ ' •C L
J
CONSTRuc=NLENDER
Fireplace
LENDERS uuwa: ADDREECS
Total Valuation S
ARC1RECT OR V=11 FA
LICENSE NO.
Filing Fee
$ 2D.00
Permit Fee
S -
ARCwrECT bR ENOWEExs MALM ADORES S
Plan Checking Fee
tr
DuLDINC ADDQ�S�
Energy Pian Checking Fee
S .
e )� (� ('
PERMIT FEEK12
G0
LOT No.
rURDWS NAME
PARCEL. `LAP
PLUMBING PERMIT
20.00
�� Trap
USEOFSTRUCTURE
❑ Duplex ❑ Mobllehome ❑ Other
uPEco-r
Solar or heat um water heaterSF
Water ing
.
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ U6rises ❑ installation ❑ Other — OJ '
Describe Work:
Gasin tem 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S G W
920.00
PERMIT FEE
t
ELECTRICAL PERMIT
Firing Fee 20.00
Main Service oe oR Lm
23.00
'
Cj G
�1
Stl�&Y-;
OCX.
61.15
'
M ` , ••• �+
� &
t ��
-- --
Main Service tow To LooDA
46.00
NEW CONST:- owEtteio OCCiJP. .i.5CFSo
OR ADDNS s AOC. etas
wN FiFStD rttnswtmtT @7.50
nowEn APPArnvays
s sDrmE o ea
rr
Ex. Occup. ounzr OR Fwnm s m & I M
ear .so .
Ex. omr FAD APPLM. OR 5.00
OLMETT FD. EA
Temporwy Service 23.00
Mobile Home Facilities 20.00
W=. Wirin 23.00S'�X
PERMIT FEE S
MECHANICAL PERMIT Firing Fee 20.00
Heating
Cooling f
Hood ' 1 s.so 1
Ventilation
PERMIT FEt: S
Mobile Home Installation Fee SS
Energy Inspection Fee
DEe
cDST• �CD
FTOTALL:FEE $ S Go
D. FEESPD
CDF PARCEL I PD
i lash
This permit peButt is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
Bu
indicated above for which fees have been paid.
By Date
PERMIT EXPIRES ON
-- -- -- - Pa1c--
7y6
7
PERMIT NO. 5051-74B
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- 4PERMIT NO.
PERMIT EXPIRES /5?— c2�o —! ,
.bWN'ER Lyle Cummins
6NTR.
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LOCATION (A.P. 65-28-08 )
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a
1215 Magnolia Dr., lot 21, SDO, Magalia
0'z/-7- lit 5 G/ ie
Temp. Power Pole
Called RG&E _
Temp. E,IIec. Serv..
Catred PG&E
Temp Gas Serv.
Called PG&E
JOB S /
FINALED G�
(Date) n
(Signature) (/
COUNTY OF BUTTE — DEPARTME14T OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd) PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Garage Vents
Water Htr.
Stemwall
Slab
Prov. for physically
handicapped
Heaters
Appliances
Carport
Footings
Conformance of ex.
structure
Gas Piping & Test
Temp. Gas
Slab
` Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rough
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish 1
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
DATE REMARKS OR CORRECTIONS_
-1/7;D/
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OZ
1ats-e�-
x
COUNTY OF BUTTE — DEPARTMENT OF*PUBLIC W1 6
7 County Center Drive — Orovi Ile, California 95965
' Telephone: 564-4541
APPLICATION AND PERMIT
BUILDING
Owner Cv
SO. FT. OCC. BUILDING VALUATION
Mai I i ng Address Q "� �, li/
o`L :Zo P3
Telephone No.
4 f —�C
Contractor 6,44t/exTotal
Fireplace
Valuation
Mailing Address l�Ov
Permit Fee
Plan Checking Fee &/or Penaltl
C
Telephone No.
Permit Fee 9•
Building Address
PLUMBING No.1 @ FEE
PERMIT FILING FEE $2.00
%
Each Trap 1.50
l�
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. `0 5 z G s.�
v Zon, n n ns
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fe
Sa ne Use Permit
Building sewer 5.00
EQA
Parking a
Parcel Map rovements
p
Lawn sprinkler system 2.00
Bldg. Plan`f'r-ec'd
Parc Approval
PIanTApproval
Permit Fee $
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service incl. 1 meter
Additional meters, each 1.00
Sub -panel (12 or less). (more than 12)
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater 1.00
Light fixtures 225
balfdl_0
Receps., switches & fix outlets 2
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Hood, Ex. Fan or F.A. Furn. Motor 1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No. Classification
Misc. wiring
INI am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
F I
s to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
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 mea 'onedpro ray for inspection purposes.
2 X ate C?--/)
JSN
aJture of Perm -tee or Ag
Receipi (o. Z/n` 9.3'e;—_ /2 6 8 6.r — c
White-D.P.W. — YelS,0&0
nk-Inspector — Goldenrod -Applicant
TOTAL PERMIT FEE I$ .qo
This permit is hereby issued under the applicable provisions 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 / Z.
ding permit expires Date ���