HomeMy WebLinkAbout068-346-010'
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HELEN DIENES
4030 Hilldale Ave, oroville
Permit #620-79B,P(repair water
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068-346-'0110 �ERMIT#9-6,-2341
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COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIVISI N�
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754K
49 �,E IT NO.
APPLICATION AND PERMIT "1 w
ASSESS°M" ER ,
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ZONING /�
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BUI ING PERMIT
OWNER
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TELEPHONE
Vi[
SO. FT. OCC. BUILDING VALUATION
ffoyo a� 36 / pN�
MAILING/
OWNER4&1-; MAILING ADDRESf! /!/�/ ' l J
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CONTRACTOR'S NAME
6V -C" -&e /I M
TELEPHONE
CONTRACTORYMAILING ADDRESS / f 1
W.0 A • 1 e- ✓411 0_ � F cf. �51A�411
Fireplace
CONSTRUCTION LENDER
UNMOWN
Total Valuation $ O�
Filing Fee $ 20.00
LENDER'S MAILING ADDRESS
Permit Fee $ yp
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty $
SUILDINGADDRESSPERMITFEE
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V/ )
$ (!
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar Or heat pump water heater 23.00
Water piping 15.00
USEOFSTRUCTURE
SF C Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each gas water heater or vent 15.00
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work:,, , /r�+ ap
Mobile Home IS I GI W1 @20.00
PERMITFEE s
Contractor
ELECTRICAL PERMIT Filinq Fee 20.'00
Main Service500V OR LESS
( 200A OR LESS ) 23.00
Main Service ( 200A TO 1000A ) 46.00
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 full force and effect. ��2�
License Class r. — - Lic. I
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, 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
NEW CONST. DWELLING OCCURSO.
OR NS. ( 8 ACC. ) 3.5¢ FT.
MULTI-OUTLETLET
NEW CCONST. U
NON-RESID. ( BRANCH CIRCUITS ) 97.50
( 8 POWER APPARATUS )
SINGLE OUTLET CIR.
Ex. Occup. (OUTLET OR FUTURES ) BAL 0'.w
Ex. Occup. ( OUTLETS(RES . OR ) 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMITFEE _
Contractor
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 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 insurance carrier and policy number are:
Carrier %r, r, %(%c< C, s.,..
MECHANICAL PERMIT Filing Fee 20.00
g
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE $
Contractor
ge
Policy Number
(The above sections need not be completed if 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 if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X /�� Date L����
Signature of Applicant - ❑ Owner Contractor ❑ Agent/ /
An OSHA permit is required for excavations over 5'0" dee and demolition or construction
of structurs over 3 stories in height. p
Mobile Home Installation Fee Is
Energy Inspection Fee Is
OCC
CONST. TYPE
TOTAL FEE $ 3, ii.�
HAZ.
1 D. FEES
I IMP
I FLOOD
I CDF PARCEL I PD HD
ISSUE
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.
! /
1
By4,, I_f I `LJ Date
P RMITEXPIRESON ��%/�/� i
!
(Date)
Receipt No. ��-f
�lhY 7�/i
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISIO
7 .County Center Drive - Oroville,ACalifornia 95965 - Telephone (916) 538-754 RMIT o.
APPLICA131WAND PERMIT
ASSESSORPAR NU ER
ZONING
BUI ING PERMIT
o R ' r�
TELEPHONE
yD� SO.
FT. OCC. BUILDING VALUATION
OWN 5 MAILING ADOR S
CO RACTOR'S NAME
TELEPHONE
MA1coNrRACTD �U
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 00
Fling Fee $
20.00
LENDER'S MAILING ADDRESS
Permit Fee $
3 vo
ARCHITECT OR ENGINEER
LICENSE No.
Plan Checking Fee $
Energy Plan Checking Fee $
.
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
l,
PERMITFEE $
PLUMBINGPERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDNISION'S NAME
PARCEL MAP
Solar or heat pump water heater
23.00
Water piping
15.00
USEOFSTRUCTURE
SF Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
�
Describe Works up
Mobile Home ISI GI W1
920.00
PERMITFEE S
Contractor
ELECTRICAL PERMIT
Filing Fee 20.'00
Main Service000V OR LESS
( 200A OR LESS )
23.00
Main Service ( 200A TO 1000A )
46.00
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 full force and effect. ' � / !
License Class G LIC. NO.
3 �Y Ce (P
OWN R -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, 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
NEW CONST. DWELLING OCCUP.SO.
OR ADONS. ( d ACC. BLDS. )
3.5¢ FT.
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS )
@7.50
( 8 POWER APPARATUS )
SINGLE OUTLET CIR.
Ex. Occup. (OUTLET OR FIXTURES )
20 Q 1.00
BAL .00
FIXED APPLNS. OR
EX. Occup. (OUTLETS ANS.
EA )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
i
PERMITFEE $
Contractor
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 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' comp n tion insurance carrier and�olicy number are:
Carrier D G ce h S
MECHANICAL PERMIT
Filing Fee 20.00
9
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE $
Contractor
Policy Number — b 0
(The above sections need not be completed if 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 if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
Oo hwith comply with tho a provisions.
/� ,,, /
X !� L Z r Date L�[[ �
Signature of Applicant - ❑ Owner Contractor ❑ Agen /
An OSHA permit is required for excavations over 60" deep and demolition or constructionh'
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 3o v
HAZ.
I D. FEES
I IMP
I FLOOD
I CDF PARCEL I PD HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicate above for which fees have been paid.
�047L
BY ateII
PERMITEXPIRESON �0
(Date
Receipt No.
WHITE-D.D.S.-B.D. CANARY- S ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
PERMIT NO. 620-79B,P
PERMIT EXPIRES .2/2/80
OWNER HELEN DIENES
-CONTR. - owner
LOCATION (A.P 34-266-10
4030 Hilldale-Ave, Oroville
I
Temp. Power Pole
Called PG&E
Tethp. Elec. Serv.
Called PG&E.
6mp. Gas Serv.
Called PG&E
JOB
FINALED
(Date) "ev
(Signature)
f
COUNTY OF BUTTE — DEPARTMENT' OF PUBLIC WORKS "
w, w
BUILDING INSPECTION REG -ORD
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
Stemwall
Garage Vents
Insulation
Water Htr. f %
Heaters
Slab
Carport
Footings
Prov. for phsically
handicap ed
Conformance of ez.
structure a
Appliances
Gas Pipin&Test
Temp. Gas
Slab
Final 'l
Sanitation
Patio
FI E LACE
Final
Footings
Footing
ELEC RICAL
Masonry Walls
Throat
Rou h
Reinf. Steel
Final'
FiYrnrpc
stucco
Final
Subpanels
Mesh
MIEChANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
MOBILEHOME UTILITIES ------------------
Elec. Service
Elec. Pedestal
Water Piping
Sewer
Gas Piping .
OB16EHOME INSTALLATION - - - - - - - - - - - - - • Support
Elec. Continuity
Water Piping •
Drainage
Gas Piping
DATE
U
REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you visit the job site.)
BOUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
7k
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--I / �.
Receipt No. l/
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Building permit expires Date
BUILDING
BUILDING
Owner
O 40
SQ. FT. OCC. BUILDING VALUATION
Mailing Address (� /W61/11 QL14Z
Telephone No.
Contractor y� vr,/
Mailing Address
Fireplace
Total Valuation jc
Telephone No.
Permit Fee
Building Address 3 a v
Plan Checking Fee&/or Penalty
Permit Fee 5
5
PLUMBING No. @ FEE
/
PERMIT FILING FEE $3.00 -3.t_AJ-
Each Trap 1.50
Repair drainage or vent piping 1.50
�J
A. P. No. '� 7 `" �j�} - f� Zo i Planning
Water piping 1.50
Each gas water heater or vent 1.50 /,-510
F s
-9arttta"=r
Fire Dept.
Fire Zone Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
Parcel
Declaration
Parcel Map
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
F3 d
Parcel Approval-
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ®
Permit Fee $
$ /
0 ,, w Z�„„� G ,<r
ELECTRICAL No. @ FEE
F..P bt,C -e- W
PERMIT FILING FEE $3.00
Main service 600v OR LESS
100 AMP OR LESS 5.00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD•L too AMP 2.50
OVER
Main service 100 AMP OR LESS 25.00
Main service EA. ADD -L 100 AMP 1.00
NEW CONST. OR ADDNS. (FACCLBLDGSLING �CUP 4) 20sgft
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:
NEW CONSTR. MULTI -OUTLET
NON-RESID (BRANCH CIRCUITS) 2.50ea
NEW C3 STPOWER APPARATUS 8
NON-RESID. (SINGLE OUTLET CIR.
Ex. OCcuo(OUTLETS OR FIXTIIRES I ou' ,�
FIXED APPLNS. OR
Ex. Occup.(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
I 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.
I certify that in the performance of the work for which this
SAOis issued I shall not employ any person in any manner
so s to become subject to the Workmen's Compensation Laws of
California.
@
MECHANICAL No. FEEPERMIT
FILING FEE $3.00
Heating
Cooling
Ventilation
Hood J 2.00
Permit Fee $
$
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 County of Butte to enter upon the
above-mentioned property for-inSICIection purposes.
�q
X /�G� 1 L�� Date //
Signature
Signature of Permitee or Agent
1 / -^1
Land Development Fee
$
i
TOTAL PERMIT FEE
-7
$
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
abo or which fees have been paid.
t E OF P IC WORWlt
�
B Date
/7/
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--I / �.
Receipt No. l/
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Building permit expires Date