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HomeMy WebLinkAbout068-343-008r i ! • 1 , s COUNTY OF BUTTE - Department of Public Works •7 County Center Drive, Oroville, CA 9.5965 Phone: 916r8.7541 OWNER -BUILDER -.VERIFICATION Attention Property Owner An "owner -builder" building permit has been applied for in your name and bearing your signature.- Please ignature:Please complete and return this information at your earliest opportunity to avoid unnecessary delay in,processing and issuing your building peimit. 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 property improvement (yes oreno) . 2. I (have/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 i "Signed: n, 1 Property Owner W Social Securi y Number Date 7 c� . d 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. ' s I I M fl �y k I +nl rc:Y�n,5i pr A y h r p r F y� I I �B-�S,� Larry 3chuchert����I� l 3736 Hilldale Ave., oroville contr: Chastain & Oswalt, Oroville Permit #3775-76B(replace EQ.Dama ed fireplace/SF) g 68-343-12 NEW -OWNER JACK HORNER�� .3736 Hilldale,-Oroville- Contr: Lagrone Htg & AC, Oroville Permit#1242-81P,E,M(evap cooler)SF I IELATI, P. C. ;- Hil a e ve. 1/2 mi E. of Arbol Oroville _ ���I � I _V I j Cir � COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. / ASSESSOR PARCEL NUMBER �-� '!R*. i ...- f -11 OWNERS — (•- 1 ZONING ' ' TELEPHONE ` BUILDING PERMIT SO. FT. OCC. BUILDING VALUATION OWNER'S—ADDRESS 1 CONTRACTOR'S NAME ]% t")RF7 .��. TELEPHONE CONTRACTOR'S'MAI LING ADDRESS - `aAto it`c-m;i 1jF al, i t-� Fireplace CONSTRUCTION LENDER Wpw,. UNKNOWN LENDER'S MAILING ADDRESS - Total Valuation $ Filing Fee Permit Fee $ 10.00 $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ �^ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty Permit fee $ $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 �-� Water piping _ .nn LOT NO. SUBDIVISION NAMEPARCEL MAP Each gas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE Building sewer Lawn sprinkler. system 5.00 SF❑9-'Duplex❑ Mobilehome❑ Other SPECIFY TYPE OF WORK ,Permit Fee $ New ❑ Addition ❑ Remodel ❑ Uti Iities ❑ Installation ❑ Other ®� Contractor Describe work: �C �t� �aai oma' r ELECTRICAL PERMIT Filing Fee 10.00 Main service 8011 DR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. I DWELLING OCCUP.51 OR ADDNS. ACC, BLDGS. 2¢ sq ft 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 my license is in full force and effect. -r� License No: S % Z+ / Classification r- .> aEX. NEW CONSTR MUL T' NON-RESID BRANCH CIRCUITS) NEW CONSTR POWER APPARATUS S NON-RESID. %SINGLE OUTLET CIR. 50L 250 Ex. OCCup OUTLETS OR FIXTURES BAL@1 FIXED APPLNS. OR OCCUp.(pUTLETS (RESID) EA. 2.00, Temporary service 10.00 ❑ I, as the owner, or my employees with wages as their sole compen- Mobile Home Facilities 15.00 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) Misc. Wiring 7.50 Permit Fee $ ❑ I am exempt under Sec. , Business and Professions Code Contractor for this reason MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE Heating I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. a_l 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. Cooling 00 Hood 1 3.00 Ventilation ❑ 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. (Permit Fee S ,� Contractor I certify that I have read this application and state that the above information IMobile Home Installation Fee $ 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 to enter upon the above-mentioned property for inspection purposes. TOTAL PERMIT FEE f�,Butte $ a 7 © 4J 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 Signature of Applicant — Owner ❑ Contractor Q-' Agent r] 2ccUP. GROUP I TYPE OF CONST. PARCEL PD HD I ISSUE This permit is hereby issued under the applicable provi- cions of the Butte County Code and/or resolutions to do +vork indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. DIRECTOR OF PUBLIC WORKS 3Y Sy Dr[�ate�✓�-ryf 3ERMIT EXPIRES DateR` Receipt No. �,i WHITE-D.P.W., YELLOW-ASSESSo R, PINK -INSPECTOR, GOLDENROD -APPLICANT Ido 11L6; A COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 %1�%���%/ APPLICATION AND PERMIT /' ASSES O ARCEL NN�BER !w zON1 BUILDING PERMIT OWN 1 t .' TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERR'_S MAILING, S A R c J r ' CONT.RACTOR'S NAME < TELEPHONE 3 - ' "CON RACO, 'S AILING AD R SS - 1- Fireplace CONSTRUCTFON LENDER X11 UNKNOWN - Total Valuation $ ' Filing Fee $ 10,0 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER _ 'Iye-n e, LICENSE NO. Plan Checking. Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS - Permit fee $ BUILDING ADDRESS I ( �. ` I PLUMBING PERMIT Filing Fee 10.00 Each Trap - 2.00 Repair drainage or vent piping 5.00 rb Water piping -LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater, or vent . 5.00 -• Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Ly' Duplex❑ Mobilehome❑ ' Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti Iities 0 Installation ❑ Other,` Describe work: -1 ,Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 ' Main service EA. ADD'L 100 AMP 2;50 NEW CONST'( DWELLING OCCUP.y\ OR ADDNS. ACC. BLOGS. / 20 sq It CONTRACTORS LICENSE LAW t I declare under penalty of perjury (check One): �am licensed under provisions of Chapt: 9, Div. 3 of the Business and Professions �CJodd to and my license is in full force and effect. License No:.2I L / 2/ Classification �' ❑ I, as the owner, or my employees_ with wages as their sole compen- sation, will do the work,and the structure is not intendedor 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 NE cONSTR LOUT LET NON-RESID BRANCH CIRC ITS 2.50 ea NEW CONSTR. (POWER APPARATUS 6� NON-RESID, SINGLE OUTLET CIR, Ex. Occup OUTLETS OR•FIXTURES a �� 00 IxeD APPLNS. OR ' Ex. Occup.(OUTLETS (RESID.) EA. 2.00 , Temporary service 10.00 Mobile Home Facilities 115.00 Misc. Wiring 7.50 Permit Fee $ _ (s Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or Fess. 2j_,,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. Heating Cooling 6-r • 0 Hood 3.00 Ventilation Permit Fee $ 1 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. 1 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 icons nce of the granting of this permit. Date /1 Signature of Applicant — Owner ❑ Contractors Agen 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 Q i1Q ` OccU.P. GROUP I TYPE OF CONST. PARCEL PD I NO I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which -T p F PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date / Receipt No. '.�� WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT 0 .� .te:. `'PERMIT NO. 3775-r76B` PERMIT EXPIRES �.[ Z OWNER LARRY SCHUCHERT CONTR. Chastain. & Oswalt LOCATION'.(A.P. 34-•263-12 r 3736 Hilldale Ave., Oroville , =f f. i Temp/Power Pole y. Galled PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. JCalled PG&E JOB FI NA LED / i (Date 19 e) Reinf. Steel COUNTY QF -BUTTE — DEPARTMENT:OF PUBLIC WORKS BUILDING INSPECTION RECORD Fixtures BUILDING BUILDING,(Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwal I Siding To�out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa l I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. forphysically handica ed Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing-"577--74,ELECTRICAL Masonry Walls Throat 2 Rough Reinf. Steel Final Fixtures Bond Beam FIRE'SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heatin Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS Q � I (NOTE: An entry must be made on this form each time you visit the job site.) r � I (NOTE: An entry must be made on this form each time you visit the job site.) . J. COUNTY OF BUTTE — DEPA-PTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 / APPLICATION AND PERMIT • BUILDING Owner .L►�/LfG SGfj/vG/i'�/2% SQ. FT. OCC. BUILDING VALUATION Mailing Address 3736 Telephone'No. Fireplace ContractorCy ST ld' Cof�srj� % Total Valuation Mai I i ng Address�9G © zv%p /,/J� 13L L410- Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee'- Building Address 3 7 6 PLUMBING No. @ FEE PERMIT FILING FEE $3.00 ov'72-­> Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 �/ 'j 1 A. P. No. Z6 J - 12. Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 ;lege ���1l tdC. Sefl• taLL0A FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 F3FrPFawsF%eed Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ 0THER'0 ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 L ✓�Gs�%Gc �A/Z%/Y /�•e� /� �yc.f� Main service i°oo AMP ORV OR LE LESS5.00 Main service EA. ADD -L too AMP 2.50 R 600V Main service 1"too O OEAMP OR LESS 25.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service 'EA. ADD -L too AMP 1.00 ' NEW OR ADDNST ( DACCLLING OCCUP, BLOG&) .20 sq ft NEW CONSTR. (MULTI -OUTLET NON-RESID, l BRANCH CIRCUITS) 2.50ea - ` ` NEWCONSTR. POWER APPARATUS &) NON -RES,D. (SINGLE OUTLET CIR, 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 styl Ex. Occup(OUTLETS OR FIXTURES) @� BAL@1 FIXED APP LNS, OR ( s (RESID.1 EA) 2.00 Ex, OccupTemporary rvice Temporary service 10.00 Mobile Home Facilities 15.00 License No. 0 ---Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I 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. rl--1-I-Rave placed on file with the County of'Butte a certificate of Workmen's Compensation Insurance. ❑I 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 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 herebyA51;,-4-7 TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above -m tinned property for inspection purposes. X Date '_/ o Ignoture bf Permitee or Agent Receipt No.SPH. P'� ~ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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/Ol BL•IC WORKS ZingDatepermit expires Date 7 5 % %