HomeMy WebLinkAbout068-130-089I
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119 Ward Blvd., Orovill 4-07-
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HOTTELL, ^,Ed ♦ , sR , r !.
''119 Ward'.Blvd;�Oroville ,. „ '�. 367067E
119 Ward Blvd., Orovill 4-07-
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT
.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541--(['��
APPLICATION AND PERMIT [�
ASSESSOR PARCEL NUMBER
Zo"'A, R
BUILDING PERMIT
OWNER
101
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
33,.SQ
2,100
OWNER'S MAILING ADDRESS
119 WARD BLVD OR VILLB
CONTRACTOR'S NAME
Oii M
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
2,1C0
LENDER'S MAILING ADDRESS
Filing Fee
$ 15.00
Permit Fee
$ 45,00
ARCHITECT OR ENGINEER
LICENSE No.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
119 WARD BLVD OROVILLE MINI,
Permit fee
$ •�
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF P Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S G W
@ 15.00
TYPE OF WORK
New❑ Addition ❑ RRyee�model❑ Utilities❑ Installation❑ Other ❑
Describe work: REROO r WM Cw
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600V OR LESS
200A OR LESS
18.50
Main service 200A TO t000A1 1
1 37.50
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)
❑I, a (Sete owner, 'am exclusively contracting with licensed contract-
E3 I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONST. ( DWELLING OCCUPM
OR ACDNS. ACC. BLDGS.
3.64 sq.ft.
NEW CONST R. UTLET
NON-RESID BRRAANCCHHCIRC ITS
@ 5.00
POWER APPARATUS e
(SINGLE OUTLET CIR. )
Ex. Occup(OUTLETS OR FIXTURES
2L.0 76
FIXED APPLNS. OR
EX. Occup. OUTLETS (RESID.) EA.)
I
! 3.00
Temporary service
15.00
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
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 15.00
Heating
Coolin
Cool
Hood
6.50
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 s County in consequence f the granting of this permit.
X Date 7—^t— _
Signa ,ontractor ❑ Agent ❑
Signa/,e of Applicant — �T®" C
An SHpermit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee S
Energy Inspection Fee $
OCC
CONST TYPE
TOTAL FEE 60.00
HAz
I DFEES
IMP
I FLOOD
CDF
PARCEL
PD
HD
ISSU
�/
This permit is hereby issued under the applicable provi-
sions of the Bye Count ode and/or resolutions to do
work indica ed aboee f which fees have been paid.
DIRECTOIi-OF PUBLIC WORKS
.�1 . ' •'� � � Date 7
BY PERMIT EXPIRES Date 2- s • '� '
Receipt No. 117391 60.00
WHITE-D.P.W.. TELLOW-ASS E330R. PINK -INSPECTOR. GOLDENROD -APPLICANT
v
• COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS
7 County Canter Drive - Orovlllo, California 08986 - Tolophono: 818/858.7841
APPLICATION AND PERMIT
068-130-089
_37—NIM—
A R
BUILDING PERMIT
A ED HOTTELL
589-2026
SQ. FT. OCC. BUILDING VALUATIO ,
35 SQ COMP 2,100
OWNER'S MAILING ADDRESS
119 WARD BLVD OROVILLE
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation I $ 2,100
LENDER'S MAILING ADDRESS
Filing Fee $ 15.00
Permit Fee $ 45,00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
119 WARD BLVD OROVILLE 95966
Permit fee $ 60.00
PLUMBING PERMIT Filing Fee 15.00
Each Trap 1 5.00
Solar or heat pump water heater 1 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping 1 7.00
Each qas water heater or vent 1 7.00
USE OF STRUCTURE
SF ® Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 1 5.00
Building sewer 15.00
Mobile Home S I G I W @ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ❑
Describe work: REROOF WTTH rpMp _
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 200A OR LESS 18.50
Main service 200A TO IOOOA) 37.50
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)
❑ 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
OCCUP.&) 3.64 sq.ft.
NEW CONST. ( DWELLING OR ADONS. ACC. BLDGS. II
NEW CONSTR MULTI -OUTLET @ 5 00
NO N.RE SID BRANCH CIRC ITS
POWER APPARATUS tr
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 20 76
FIXED APPLNS. OR
EX. Occup. OUTLETS IRESID.) EA.) I 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. Iyirin g 15.00
Permit Fee $
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
® I have placed on file with the 'County of Butte Building Department
J�! a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to -Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions'of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT Filing Fee 15.00
Heating
Cooling
g
Hood 6.50
Ventilation
Permit Fee —$
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 s d County in consequence f the granting of this permit.
X Date % 111 ' �,�L
,Signa re of Applicant — Owner Contractor ❑ Agent ❑
An 5HA 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 S
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE
I
HAz
OFEES
IMP
I FLOOD
COF
I PARCEL
I PD I HD
I SSU
This permit is hereby issued under the applicable provi-
sions of the B e County Code and/or resolutions to do
work indic ab a which fees have been aid.
p
I OF PUBLIC WORKS
By Date ;7-22-9
PlEh EXPIRES Date
Receipt No. 117391 60.00
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
County Center Drive - Orovllle, California 95965 - Telephone: 916.'538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
.Q6�— I �O-OSS
ZOING
BUILDING PERMIT
OWNER �.SE�Cgofifie
TELEPHONE
22
SO. FT. BUILDING VALUATION
/�O�^C��C1.
Comr. U(0
OWNER'S MAILING A S
r,� f3(vcQ Oro
CONTRA'CTOR'S NAME
e
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is too
Filing Fee
$ 15.00
LENDER'S MAILING ADDRESS
Permit Fee
$ S_
ARCHITECT OR ENGINEER
LICENSE No.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS �(1
l%C
Permit fee
$
PLUMBING PERMIT
Filing Fee 15.00
tt
Each Trap
5.001
Solar or heat pump water heater
1 20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Water piping
1 7.00
Each pas water heater or vent
1 7.00
�— f USE OF STRUCTURE
SF5 Duplex❑ Mobilehome❑ Other
"\ SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home I S I G JW I
@ 15.00
TYPE OF WORK
New❑ Additio Remodel❑ ,Utilities Installation❑ Other/
Describe work: t/QO
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600V OR LESS
200A OR LESS
18.50
Main service' 20CATO 1000A)
37.50
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
Fl 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
DWELLING OCCUPM
NEW CONST.OR ADDNS. 1 / ACC. BLDGS. II
3.60sq.ft.
NEW CONSTR ULTI.OUTLET
...RES
NO ESID BRANCH CIRC ITS
@ 5.00
POWER APPARATUS tr
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
20 76d
FIXED
Ex. Occup. OUTLETS ( R
RESID,)EA.)
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
9
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 shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 15.00
Heating
Cooling
Hood
6.50
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
Si nature of Applicant - Owner
g PP ❑ Contractor ❑ Agent ❑
An OSHA
ion of structures toverr3Qstoriesoin height. excavations over 5'0" deep and demolition or construct-
Mobile Home Installation Fee S
Ener Inspection Fee $
Energy P
occ
CONST TYPE
TOTAL FEE �G
HAz
DFEES
IMP
I FLOOD
I CDF
I PARC L
PD
HD
ISSUE
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS
DatePERMIT
Receipt No. / / 60 "'
WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLe, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER Ll YO f 2 C ` /p� A. P. No. � -1 30 - 0 l
& r��j
Proposed Building Use . ✓cm2(::- Building Inspector ,-- Date -7- (Y -`/Z_
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1. All items have been submitted . ........................................
2. Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3. Complete plans, 3/4 sets, signed by preparer of plans . ......................
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ............................................
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ....
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10. Fees of$ ..........................................
11. Impact fees as shown on attached schedule . ..............................
12. California Department of Forestry plan approval/fees. ........................
13. Flood elevation letter (100 year flood) by California Engineer . ................. .
14. Sanitation and plot plan approval Health Department . .............
15. City of Chico plumbing permit. ........................................ .
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking: . ........
18. Contact Land Development about (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction approval required prior to occupancy). .. ... ... .
Pre -Inspection req est
20. Pre -inspection for required. .. to Building Inspector (Date)
Contractor's license information. (No., Name Style, Classification) . ...:......... .
22. ertificate of Workmans Compensation Insurance . ................ .
15_;�Owner-Builder Verification (Given to owner , Mail to owner 7W
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use . ........................................ .
28. Mobilehome utility clearance . ......................................... .
29. Documentation of legal access . ....................................... .
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list . .....................................................
33.
34.
When you issue the permit, process as follows:/X Mail to owner. Mail to contractor.
Telephone and hold for pii up office. Deliver with inspector.
Other AV
Parcel Creation-
Acreage Applica4Date-
Copy of Haz-Mat form sent Health 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*
not checked above).
1. Index permit for above items i an 'n q wl_"h ld r -
2. Additional items required: 2 d '-o c. -e CoA -h,
roh't 0",-t ore iSSu;
Contractor, designer, owner, was advised of above required data by _ phone _ mail Coun er by _ Date
Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
.COUNTY OF BUTTE - D60artment of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
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 at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until.this verification is received.
1/ personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no)
2. I(have have not) signed an application for a building permit
fo 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
Signed:.
Property Owner
Social Secu ity ber — - _
Date a
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 per-
mitted to issue the permit.