HomeMy WebLinkAbout068-350-019_ r
Chester Lys sy, ,• 68-3
40 Mt ..View Dr., Orovil l e
(BLDG W/0 PERMITS)
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068'350 019V 1-024177
LYSSY YCI IESTER{�
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ry COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT 02-1177
ASSESSOR PARCEL NUMBER 068-350-019
ZONING AR
BUILDING PERMIT
OWNER CHESTER LYSSY
TELEPHONE
BU
SO. FT. OCC. ILDING VALUATION
.OWNER'S MAILING ADDRESS
40 MEN. VIE6J DR. OROVILLE CA
1320
CONTRACTOR'S NAME
tU-ADIN ROOFING
TELEPHONE
533-2934
CONTRACTOR'S MAILING ADDRESS
11595 MILLER PD -UK RD., OROVILLE CA 95965
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ 33.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
40 MTI VIF- 4 DR • OROVILLE CA 95966
Energy Plan Checking Fee
$
$
PERMIT FEE
$ 53.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: RL ROOF 22 Sq
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G W
@20.00
PERMIT FEE
S
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service 200A OR LESS
23.00
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. ?? J
License Class 0-317 Lic. No. ,SJ ZF 3 C/
OWNER -BUILDER DECLARATION
I 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
Main Service ZDOA TO tOooA
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( a ACC. BLD S.
SO
3.5QFT_
REOSIU MULTI.OU1.
97,50
POWER APPARATUS
a SINGLE oIlTLEf c,R.
Ex. Occup. OUTLET OR FDITURES
Zo @ '.50
BAL .50
Ex. Occup. pFlxuTtEtorsa A '' OR
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
EE
PERMIT FEE
$
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 nsation insurance carrier and policy number are:
Carrier
Policy Number —
(The above sections need not be comple ed 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 -11 omply with those provisions.
X 2?2_�_�7 Date — 10--L Z
Signattrre f Applicant,'- ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 53.00
HAZ.
p. FEES
IMP
I FLOOD
I CDF
PARCEL
I PD
I 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 whic es have been paid.
B Date 5-10-0220
PERMIT EXPIRES ON 5-10-2003
Date
Receipt No. 353477
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
�. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
All" COUNTY
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
j3ev.12/96) APPLICATION AND PERMIT02 I('?I?
ASSESSOR PARCEL NUMBER ZONINO BUILDING PERMIT
OWNER
-- ( L O TELEPHONE f er. cSO. FT. I OCC. BUILDING VALUATION
OWNERS MA�WNO-ADDORRESS!
CONSTRUCTION LENDER
LENDER S MAILING ADDRESS
ARCHITECT OR ENGINEER
ARCHITECT OR ENGINEERS MAILING ADDRESS
BUILDING ADDRESS / 1 A -11
LOT NO. I SUBDIVISIONS NAME
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
TYPE OF WORK
New ❑ Addition mode� ❑ Installation ❑ Other ❑
Describe Work:
"PERAAXT FEE PAlb
SRI .
SHERIFF
O
/ hkbVNT RECEM0
=Qa
s L,53. 00 ,53.`O
*PX46" Num 3s3. M
* TO se rvr wivio COM't1m
Fireplace I I
PERMIT FEE S
-- -
Total Valuatlon Is
Fling Feei 20.00
Main Service
Filing Fee
$
20.00
Permit Fee
$
Ell
Plan Checking Fee
$
NEW CON 7
NON-RESID.
Energy Plan Checking Fee
$
POWER APPARATUS
8 SINOLE OUTLET CIR.
--
Ex. Occup.
PERMIT FEE
S
EX. OCCU
PLUMBING PERMIT
I 5.00
Filing Feel 20.00
Each Trap
Mobile Home Facilities
7.001
Solar or heat pump water heater
23.00
Water piping
15.001
Each gas water heater or vent
1 5.00
Gas piping system 1- 5 outlets
15.001
Building sewer
15.001
Mobile Home I S I G I W
@20.00!
PERMIT FEE 1 $
MECHANICAL PERMIT Filing Fee 20.0_0_
Heating
Cooling
Hood 6.50 I
PERMIT FEE I S
Mobile Home Installation Fee $
Energy Inspection Fee $
occ CONST. TYPE TOTAL FEE $ uo
HAZ. I D. FEES I IMP I FLOOD I COF I PARCEL PO I HO 1 ISSI.'
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.
By
Receipt No. PERMIT EXPIRES ON
WHITE-O.D.S.-S.D. CANARY -ASSESSOR PINK -INSPECTOR GOLOENROO-APPLICANT
Date __
PERMIT FEE S
ELECTRICAL PERMIT
Fling Feei 20.00
Main Service
200A OR LESS
23.00;
Main Service
200A To 1000A
46.001
NEW CONST.
OR ADDNS.
DWELLING OCCUP.
( 8 ACC. BIDS.
3.5`,SO
FT.
NEW CON 7
NON-RESID.
MULTI -OUTLET
I
1
@7.5D
POWER APPARATUS
8 SINOLE OUTLET CIR.
--
Ex. Occup.
OUTLET OR FIXTURES
_
20 O 1.00
s,IL ;g, .,� .
EX. OCCU
FIXED APPLNS. OR
ourlETs RES.D. EA I
I 5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirinq
23.00,
PERMIT FEE 1 $
MECHANICAL PERMIT Filing Fee 20.0_0_
Heating
Cooling
Hood 6.50 I
PERMIT FEE I S
Mobile Home Installation Fee $
Energy Inspection Fee $
occ CONST. TYPE TOTAL FEE $ uo
HAZ. I D. FEES I IMP I FLOOD I COF I PARCEL PO I HO 1 ISSI.'
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.
By
Receipt No. PERMIT EXPIRES ON
WHITE-O.D.S.-S.D. CANARY -ASSESSOR PINK -INSPECTOR GOLOENROO-APPLICANT
Date __
0693501019`,'ti�NW-02-1177
LYSSY,CHESTER -,7
DR:; '0 LL
40 MTN.i..VlgW -
.ALLXbIN ROOFING
CONT:JALLI FIN6
RE ROOF
(Rev. 12/96)
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
Energy Plan Checking Fee
$
$
PERMIT FEE
$
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work:
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home ISI G1 W1
@20.00
EL
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
500V OR LESS
Main Service 200A OR LESS
23.00
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.
,c Q..,. - ° RD Fy ,.�,�/
License Class _ , LIC. NO. -
OWNER -BUILDER DECLARATION
I 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
Main Service
46.00so
NG CCU000A
NEW CONST. OWE711NG OCCUP.
DWE200ALLING
OR ADDNS. ( a ACC. BLDS.
SO
3.50FT.
NO R61D. ' ANCHO RCUIMULTI-TLE
@7,50
POWER APPARATUS
3 SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES
BAL L: 0
Ex. Occup. OFIxuTELETS .ELS DEA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
S
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 '
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
Policy Number a ��
(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.
,z
X Date
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $
HAZ.
D. FEES
IMP
FLOOD
I CDF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By �,�
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date
Date
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
Owner:
Addres
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
SPECIAL INSPECTION REPORT
Tenant: .4
A. P,
# 3v,
Dateof Ins ection
� G
Inspector =
Building Location:
Type of Inspection requested:
/ /.1.
Housing. / / 2.,Financing
3. Change of
Occupancy, to
X/ 4.
Other (specify)
-(3U1 I- NAV(-
TNOclI r
Present. use of building:
A. Sanitation (Housin
1. Water closet:
2. Lavatory:
3. Bathtub or shower:
4. Kitchen sink:
5. Hot and cold water to fixtures:
6. Heating facilities:
7. Natural light and ventilation:
8. Room and space requirements:
9. Bedroom window or.door for,second exit:
10. Infestation of insects,•,vermin, or rodents:
11. Connection to sewage disposal:
"12. Connection to water supply:
13. Rubbish and garbage facilities.
14. Comments:
B. Structural
1. Piers and footings:
2. Floor construction:
3. Wall construction:.. ,
4. Ceiling and roof construction:
5. Fireplaces:
6. Comments:
.
C. Electrical
1. Service and ground:
2. Receptacles:
3. 'Fusing:
4. Comments:
-
D. Plumb in
1. Fixtures connected and vented:
2. Gas water heater:
I. Gas heating vents:
4. Comments:
(continued on back)
E. Other
1. Maintenance and repair:
2. Fire hazards:
3. Safety hazards:
4. Weather protection:
5. Underfloor and attic ventilation:
6. Comments:
F. Commercial Buildings
1. Roof covering:
2. Distance to property lines:
3. Physically handicapped:
4. Restroom floors and walls:_
5. Exits:
6. Improvements:
7. Z on irg :
8. Comments:
G. Field Problems or Violations
1. Problem or violation (give complete description): /l,QiAt/
ACeosc FEW^, r ,OF A69r-/Sa i1;j-rHo..,7-,T,
2. What action taken (give complete description) : 0-1q,&L gFh Mgc�-
i Allogi ?O-Sc/RwiT ?/,A.vc
3. What action recommended:
A. Information only - file.
B. Hold for ten (10) days, then write letter.
C. Write letter.
77 D. Other: