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HomeMy WebLinkAbout068-346-010' � � � HELEN DIENES 4030 Hilldale Ave, oroville Permit #620-79B,P(repair water ' tr damaaed4.00'` 068-346-'0110 �ERMIT#9-6,-2341 le ' | ' ^" ~ 8p^vv 'O \ |Dex�o6f/SF ~~~_ .'` 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 , ". ZONING /� f BUI ING PERMIT OWNER .f t / I/'r7 I � TELEPHONE Vi[ SO. FT. OCC. BUILDING VALUATION ffoyo a� 36 / pN� MAILING/ OWNER4&1-; MAILING ADDRESf! /!/�/ ' l J C 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 ' �// 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 �Jvv - -- -- --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/ �Jvv - -- -- --I / �. Receipt No. l/ White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Building permit expires Date