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HomeMy WebLinkAbout068-350-017` q ►x'068-35'0-017;'3;``+ 92�"3270B'QD`�`"� O&8 "a q,,,HELANDER; ;Pat ��3966Hi7ldsalev,Oroviller ->.. • elcontr ,�vinyl?�sicling/ �• .. «�! -TF �'� 02 S • • r+ e � r L N � r. '..-LR•Y.t "ltY. }`.-rs-.a:;:r .t ��' -•i✓ �. � • o-;.. ,�x:,;. , 06TF 8 35 0 01 :" _ T . __ .�y THELANDER, "Pat327ell" 4 } 3966 •Hilldale,• Orovllle c on. : .,,trward, & Co # _<<,x' .� �.� ,, k•arY �,. �, ,. vinyl : Harsiding/sf • E y 1 � t I • t f F - - .�.� ..� �. - �., ��Ftt,rrt'rFr'r�r•�rR�tZr+ql�,...r .t -m ' C TY OF BUTTE - DEPARTMENT OF PUBLIC'WORKS PERMIT NO 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541©Z- > APPLICATION AND PERMIT 1 ASSESSOR PA-Rfi' L NUMBER 068-350-017 ZONINSi , 1BUILDING PERMIT OWNER Pat Thelsnder TELEPHONE 538-2227 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS - 3966 Hilldale Ave. 0rovi12s 95966 F -qt 999800 � CONTRACTOR'S NAME Mrward Co. TELEPHONE 638-5898 CONTRACTOR'S MAILING ADDRESS 3293 Monier Circel #14 Rancho Cordova 958670 Fireplace j CONSTRUCTION LENDER UNKNOWN Total Valuation $9,998. ' LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 97.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $112.50 PLUMBING PERMIT Filing Fee 15.00 3966 HAve..OrQVille 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 ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 1 1 5.00 Building sewer 15.00 Mobile Home SIG W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: Vinyl Siding Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 18.50 200A OR LESS Main service 200A TO 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. A[ 9 —7 /DClassification /J ❑ 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) 4 I ❑ 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.3.6<sq.ft. DWELLING OCCUP.&\ OR ADDNS. ( ACC. BLDGS. I NEW CONSTR. MULTI -OUTLET NO N•RESID BRANCH CIRCUITS) I @ 5.001 -(POWER APPARATUS 6 (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20 76d Ex. Occup. OU LETS ED APP(RESI D.)REA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 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 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. i Notice to Applicant: If after making this statement, should you become subjectPermlt 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 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 �—� �I"�'� �/� l Date 2—/7-0" — / 7— 9 " Si nature of Applicant — Owner g pp ❑ Contractor ElAgent 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 S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $112.50 HAz 1 0FEES I IMP I FLOOD I COF I PARCEL PO HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County) Code and/or resolutions to do work indicat d above'for which fees have been paid. IJ `/DIRE`6T6R OF PUBLIC WORKS By / /•tel -r, ` Date PERMIT'EXPIRES Date 7— /9 .. 17? .' 122798 Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT _,7 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER > 068-350-017 ZONING 1 BUILDING PERMIT OWNER Pat Thelander TELEPHONE 538-2227 ,SQA FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 3966 Hilldale Ave. Oroville 95966 Est. 9,998.00 CONTRACTOR'S NAME Harward Co. TELEPHONE 638-5898 CONTRACTOR'S MAILING ADDRESS 3293 Monier Circel #4 Rancho Cordova 95670 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $9,998.00 LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ 97.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit tee $112.50 PLUMBING PERMIT Filing Fee 15.00 3Q66 Hilldale Ave-, Oroville 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 ® Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W 015.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other [I Describe work: Vinyl Siding Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 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 an my license is in fulllfforce and effect. License No. D Classification h� 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 Main service 200A TO 1000AI _37.50 NEW CONST. DWELLING OR ADDNS. ACC. BLDGS. OCC up.&� 3.6d sq.ft. NEW CONSTR MULTI -OUTLET NON-RESID BRANCH CIRCU ITS 5.00 POWER APPARATUS tr1 SINGLE ouTLET CIR. / 64 EX. Occup(OUTLETS OR FIXTURES JAIL_ 0 20 7rA FIXED APLNS.❑ EX. DCCUp. OUTLETS PRESID, IRE A.� I .3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. byirin 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 FiIingFee 15.00 Heating Coolin g LHood 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 said County in consequence of the granting of this permit. X 7Ip Date y_� 7_0 " Signature of Applicant — Ownersions ❑ 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 S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAz I DFEES I IMP I FLOOD I CDF PARCEL PD I HD ISSUE This permit is hereby issued under the applicable provi- of the Butte Coun Code and/or resolutions to do work indicat a o r which fees have been paid. OF PUBLIC WORKS By Date !8 PERM EXPIRES Date --1f93 Receipt No. 122798 WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT r. �. �� '� ,. - tri . ,-..., a r.--.•K•+rti. o--.:.�:. Y.t .. .-r-ter. •'�'Y -... .P-..,..nin.K .n .. .. - ..... . r- - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION v` • 7 COUNTY CENTER DRIVE - 5FkbVILL�;,CAUFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET r OWNER A. Proposed Building Use ,� �L . �5 % D1y 6 Building Inspector Date At time of pe 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 . .............................. j 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: f 18. Contact Land Development about (A) Improvements (B) Drainage. ..'........ . 19. Driveway permit (construction approval required prior to occupancy). .. ... .... 20. Pre -inspection for Pre -Inspection requestrequired. .. to By'Id ing Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . ............. . 22. Certificate of Workmans Compensation Insurance . ......................... . 23. Owner -Builder Verification (Given to owner , Mail to owner _) ' 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 . ................................. i ...... 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 . ................................ k .... . 32. Plan check list . ............................................... 1 .... . 33. { 34. j When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation 9 Acreage Applicant-_�__>~ ate Z/� Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date t 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 No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone -mail Counter 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 - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916.538-7541 APPLICATION AND PERMIT ASSES R ARCEL NUMBER _0/ t• ZONIN BUILDING PERMIT OWNE T LEPHONEa SO. FT. OCC. BUILDING VALUATION OWNER I DRESS A CONTAOR'S AM TELEPH 3 k 5�1 CONT MAILINGADDRESS 3 3� G & civ Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUIL G RE s - 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 SIX`,�{ USE OF STRUCTURE Duplex❑ Mobilehome❑ Other �\ SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Re`modeI D. Utilities ❑ Installation❑ Other I V Describe work: a/J _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElNON.RESID 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, 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 2ocATO 1000A) 37.50 NEW CONST. ( DWELLING OCCUP.&) OR ADDNS. ACC. BLDGS. 3.64 sq.ft. NEW CONSTR. ULTI.OUTLET BRANCH CIRCITS @ 5.00 POWER APPARATUS (SINGLE OUTLET C11 .& Ex. Occup(OUTLETS OR FIXTURES 20 76d FIXED APLNS.❑ Ex. Occup. OUTLETS PIRESID IREA.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 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. ❑ 1 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 Coolin 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 a y way accrue against said County in consequence of the granting of this permi . X Date ❑ Contractor ❑ Agent Signature of Applicant — Owner ❑ An OSHA permit is required for excavations over 5'0" deep and de olition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $a , r1Az DFEES IMP FLOOD COF PAR E PD HO 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 Date Receipt No. 4 RfPERMIT WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT