HomeMy WebLinkAbout065-340-035°
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CARLSON
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CARLSO
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794 -Glenwood Dr-, M'
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I ll:jul
TO: Building Department
FROM: Encroachment Permit Section
RE: Driveway Clearance
ow er location AP #
Driveway permit
si ature
has been issued for the above property.
date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS �PER IT NO.
' 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 _
-.� APPLICATION AND"PERMIT L G
j:SSESSOR PARCEL NUMBE
ZONING
BUILDING PERMIT
OWNER`
ROBERT CARISON
TECEPHONE
873-x.264
SO. FT. OCC.1 BUILDING VALUATION
OWNER'S MAILING ADDRESS
14794 Glenwood Drive, Ma glia 95954
CONT$k4h'U _5 NAME
ITVVOMwR1i''S
,TELEPHONE
CON11T111iR11AACI MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee $ 10.00
LENDER'S MAILING ADDRESS
Permit Fee $
37-50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
14794 Glenwood Drive, 6h*m hn CI id
Permit fee $ 27.50
PLUMBING PERMIT Filing Fee 10.00
Each Trap 2.00
Solar or heat pump water heater 20.00
LOT�IIhSJ.
�/
SUBDIVISION NAME
Sierra Del Oro Estates #2
PARCEL MAP
Water piping 5.00
Each qas water heater or vent 5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other cabana
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 5.00
Mobile Home S G W 10.00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation El . Other ❑
Describe work: Wnndhiirning wtnvP _
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 10.00
Main service 500V OR LESS 10.00
100 AMP OR LESS
Main service EA. ADO'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
❑ 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 CONST. ( DWELLING OCCUR.tr ,
OR ACONS. \ACC. BLDGS. /z ¢sq ft
NEW REST BRANCH2.50 ea
NON-RESID BRANCH CIRC ITS
/POWER APPARATUS tr
\SINGLE OUTLET CIR.
EX, Occup( OUTLETS OR FIXTURES e200501
AL@30
FIXED APPLNS.
Ex. OCCUp. OUTLETS RESID )EEA.) 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
9f Consent to Self -Insure.
LrJ ' 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
g
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 consequence of the granting of this permit.
�(''
%( '.it �-+-<< Date/2L/_9
Signature of Applicant — Owner [9'- 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 $ 27. SO
HAZ
I CUA
PARK
I SCHL
I FLD
PAR
PDHo
Issu
This permit is nereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above forwhich fees have been paid.
DIRECTOR OF PUBLrC WORKS
B
,
PEflMIT EXPIRES Date
Receipt No. � '�
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE "'• "
DEPARTMENT OF PUBLIC WORKS �A
196 Memorial Way, Chico — Phone: 891-2751 "r
7 County Center Drive, Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE {
{
D h
he -I-,9b
,
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance '
exist at the above address and should be corrected. Please notify this office
when c rrection of work is completed. If you have any question pertaining to this
matte or need additional explanation, please contact this. office immediately.
Date ��/ / y Inspector 'Wo/�
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 91 38-7541
,APPLICATION AND PERMIT
PER IT NO.
A A
ASSESSOR PARCEL NUMBER
5 34
ZONING
BUILDING PERMIT If
OWN
ROBERT CARLSON
PHONE
873-1264
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
14794 Glenwood Drive, Maoalia 95954
CON uRll/A_ n O` Rn NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 10.00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE No.
Plan Checking Fee
Energy Plan Checking Fee
A$. $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
14794 Glenwood Drive, it'a
ft
Permit fee
$ 27.50
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOTgG.
//
SUBDIVISION NAME
Sierra Del Oro Estates #2
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other cabana
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
0.222
TYPE OF WORK
New❑ Addition Remodel El Utilities❑ Installation❑ Other F-1
Describe work: Weedburning—stove _
f—
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 1000V OR 0 AMP ORLESS10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
F -1I 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)
L� (, 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, SLOGS.
y20sgft
NEW CONSTR, ULTI-OUTLET
NO ".1, E SID BRANCH CIRC ITS
2,50 ea
POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
eAL SOC
eALaao
EX. Occup. FIXED OUTTS P(RESID REA.1
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. �yirin 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
f Consent to Self -Insure.
LJ ' shall not employ any person in any manner so as to become subject
to the1W. 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
g
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 consequence of the granting of this permit.
X Date /;Z A4—?6
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 3stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $ 27.50
HAz
I CUA
PARK
I SCHL
ILD
I PAR
PD
HD
I ISSUE
This permit is nereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DIRE F PUB C
BY
P61WIiii3iRES Date
the applicable provi-
resolutions to do
have been paid.
ORKS
ate
Receipt No. �3 S'8 I
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - D,_PARTMENT'OF PU'BL`IC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVES OROVILLE, CALIFORNIA 86885 - TELEPHONE: 818/638-7641
PERMIT APPLICATION DATA SHEET
l� `
Permit No.
�er.
3 V. ?' S
OWNER
/1 _J A. P. No.
Proposed Building Use (11jS73✓ C- : Building Inspector C L-1
Date / L y 5—
—At
At time of permit application, I was advised the following data must be submitted prior-to permit processing and/or issuance:
DATE RECEIVED
APPROVED
_V__11 •
All items have been submitted. .....................................
2.
Plot plans in duplicate/triplicEte, signed by preparer of plans ........
3.
Complete plans in duplicate/triplicate, signed by preparer. of plans . .
4.
Complete engineered plans a-id calcs, with wet signature on plans ..
5.
Hazardous Material Form..........................................
6.
Energy Design Compliance and supporting documentation .........
-
7.
Statement of Intent for Non-F-eated and AC Buildings ...............
8.
Engineered truss details and laycut 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 (constructior approval required prior to occupancy)
20.
Pre-Inspection for required Pre-Inspec. request to
Building Inspector
(Date)
21.
Contractor's license informatiDn (No., Name Style, Classifications ...
22.
Certificate of Workmans Com^oensation Insurance ..................
23.
Owner-Builder Verification (Gwen to owner ❑, Mail to owner ❑) .....
24.
Recorded copy of Agricultura Acknowledgment Statement .........
25.
Letter of signature authorizatiDn.......................... :.........
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
Date
Copy of Haz-Mat form sent F-`ealth 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 Na
1 -
2. Additional items required:
!
Contractor,
designer, owner, was advised of above required data by—phone---mai [—counter by
..date
Contractor,
designer, owner, was advised of above required data by—phone —mal l—counter by
daf@
\
Plans checked by Date Plans approved by
Date
Sets of plans on hold in Fite cabinet AP folder
Copy—DPW
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovillo, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT fN
PERMIT NO.
ASSESSOR PARCEL NUMB'E
3`f .3
ZONING
RM
BUILDING PERMIT
OWNER
�o���r CiARLS'O�!
TELEPHON
X73/26
SO, FT. OCC. BUILDING VALUATION
ING ADDRESS
OWI/f�ER`'I�S� p�
L�
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER UNKNOWN
'
Fireplace /fg /poo
Total Valuation $
LENDER'S MAILING ADDRESS
ARCHITECT OR ENGINEER LICENSE No.
Filing Fee $ 10.00
Permit Fee $ /7 f -o
Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS
Permit fee $ 2 ;% ro
y % �y C/LEtiW apQ
PLUMBING PERMIT Filing Fee 10.00
Each Trap 2,00
Solar or heat pump water heater 20,00
LOT NO•. SCUBDIVISION NAME/
067 S«AIZA Al
PARCEL MAP
Water piping 5,00
Each qas water heater or vent 5,00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ .
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 5.00
Mobile Home S I GET 10.00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other
Describe work: T�Oo,OSP,7L/e _
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 10.00
Main service 1001 OR 0 AMP ORSLESS 10.00
CONTRACTORS LICENSE LAW
I declare under penalty of perjury
p y p ) y (check one):
❑I am licensed under p
provisions of Cha t. 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)
QUI, as the owner, am exclusively contracting with licensed contract -
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Main service EA. ADD'L 100 AMP 2.50
NEW CONST. DWELLING OCCUP.E
OR ADONS. ( ACC. BLDGS. 2/4sgft
NEW CONSTR. ULTI-OUTLET
NON.RESID BRANCH CIRC ITS 2.50 ea
POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. OCCUp(OUTLETS OR FIXTURES20030t
aALO 30
FIXED APPLNS. OD)'
Ex. Occup. OUTLETS IRESID.)EA.) 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.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
f Consent to Self -Insure.
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 FiIingFE+e 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 said County in consequence of the granting of this permit.
X �' �= — Date l�—•�[— `3c
Signature of Applicant — Owner [P�'Controctor ❑ 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 I
CONST TYPE
TOTAL FEE $
HAz
I CUA I
PARK
I SCHL
I FLD
I PAR
PD
HD
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. -235!91
WHITE-D.P.W., YELLOW-ASSE330R, PINK -INSPECTOR. GOLDENROD -APPLICANT