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HomeMy WebLinkAbout069-340-021069-34-0-021 98-2939 P,M 1 KEEGAN/CUMMINGS, Eunice/Imelda Ib 210 Lodgeview, Oroville/- a'Il (gas piping/stove) SP r 6 H - u7t�p 0 �. ve -• s+-f,.........wu:.• �•.s•v��z ,.a••.i�'^a-`d-?_.7.c,:�6-�d; wc�7rva�f,"�.''h�F'�C��yY"di�Y�'%�,r�.,''Tti'�•�`+►�m��i;i<f�'3r,��u'�'Fs�'�!.hJ�i 'y'�A''c,,t,x-:P_•-°•"'�'�.,,��-_+'_.,. �--+.�<•;� 069.-34 FO=021' 98-2939; P, M `; KEEGAN%CUMMINGS;r,EAi6e/Imelda; 210 Lod eview, Qr.oville`.4;f .. { 4(gas piping /stove) 'SF`u,�'c i 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 ASSESSORPARCEL NUMBER 0 19-31.x!" 21 ZONING AR -1 BUILDING PERMIT OWNER IMIC" KEEOAN & IMMDA CiS.wIR?OS TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 210 I. WZVIV DRIVE NOVI= CONTRACTOR'S NAME i T4ir-7 TELEPHONE CONTRACTORS MAIUNG 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 1 � ,ry 4 R v Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARC4 MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF'07 Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK 0 New ❑ Addition ❑ Remodel ❑ Uli ities ❑ Installation ❑ Other 01 Describe Work: GAS T'IPTNIG M) STOLE: Gas piping system 1 - 5 outlets 15.0015,00 Building sewer 15.00 Mobile Home I S I G W 1@20.00 PERMIT FEE $ r 7 t ELECTRICAL PERMIT Fling Fee 20.00 I "OOVOR LE Main Service zo.A 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. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, ,Rill do the work, and the structure is not intended or offered for sale. ... p1 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 200A TO I000A 46.00 NEW CONST. DWELLING OCCUR OR AD DNS. ( S° Fr, I,`o"'µR61D, MULTI -OUTLET 97,50 8 POWESMIGLE OUR.ET PPARATUS R ACIR. Ex. Occup. °�ORFDm'R� 20 B., m':w FI APPLNS. OR Ex. Occup. ounETs RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 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' compensation insurance carrier and policy number are: Carrier 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.) ❑!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 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. ! Date `� I'1 �i / Kzfg-nature of Applicant - 9' wner ❑rContractor ❑ Agent ' An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating 15.00 Cooling Hood 6.50 Ventilation PERMIT FEE $ 33.00 Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE 7U 00 TOTAL FEE a • HAZ. D. FEES IMP FLOOD COF PARCEL 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. By i , Date - v^LJ PERMIT EXPIRES ON Det® Y ReceiptNo. 77$07 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ` 7 County Center Drive - Oroville, California ►95965 - Telephone (530) 538-75 P RM�N . (Rev. 12/96) APPLICATION AND PERMIT _ f ASSESSOR PARCEL NUMBER 069-34-0-021 ZONING AR -1 BUILDING PERMIT OWNER EUNICE KEEGAN & IMELDA CUNNINGS TELEPHONE SO. FT. OCC. BUILDING VALUATION .OWNER'S MAULING ADDRESS 210 LODGEVIEW DRIVE OROVILLE CONTRACTOR'S NAME OWNER 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 210 LODGEVIEW VILLE Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑X 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 C Describe Work: GAS PIPING AND STOVE Gas piping system 1 - 5 outlets 15.0015.00 Building sewer 15.00 Mobile Home IS I G I WF__ @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 "OOVOR LE Main Service zo.A 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. 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, /VIII do the work, and the structure is not intended or offered for sale. — 6.r.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 TO 46.00so CCU000A NEW CONST. DWEWNG OCCUP. OR ADONS. ( 8 ACC. S. W:,L SO 3.5¢FT, EW rNO RES DT ANCHOUTLET MULTI - 97,50 POWER APPARATUS & SINGLE CUTLET CIR. Ex. Occup.OUTLET OR FIXTURES 20 @ I'� sAl � ,� Ex. Occup. OFlxurLEEDrsA A oR� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 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 15.00 Cooling Hood 6.50 Ventilation PERMIT FEE $ 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.) In/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 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. d Date JVgghature of Applicant - wner Contractor ❑ Agent An OSHA permit is required for excavati ns 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 $ 70.00 HAZ. D. FEES IMP I FLOOD CDF PARCEL PD I HD I 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. By Date - ate- L1411 -1 U PERMIT EXPIRES ON Z— ate ReceiptNo. ReceiptNo. 257605 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT '(OUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CYZLI'F0i IIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: L�l1s ,! E /�`� ��- ASSESSOR PARCEZs* ER: Proposed Building Use: Ctt Z t• - Building Inspector: Dater - � - j' At time of permit application, I was advised the following data must be d prior to permit processing and/or issuance: Date Received By ❑ 1. All items have been submitted .------------------------------------------------------------------------------------- ❑ 2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 116. ----------------- ❑6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $ ------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ---------------------------------------------------------- ❑ 12. California department of Forestry plan approval/fees.----------------------------------------------------- pol ❑ 13. Flood elevation certificate.--------------------------------------------------------------------------------------: - ❑ 14. Sanitation and plot plan approval Health Department. -------------------------------------= -="- ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license appr oval from the City of Biggs. -------------------------------------------- ❑ 17. Planning approval for (A) Use: ! (B) Parking: ---------------------- Ell 8. ---------------------❑18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 1.9. F�croachment Permit for driveway (construction approval prior to occupancy). --------------------- �Pre-inspection for -t-L,PZ_ cgs 10 Rb C- required. Request to Building Inspector on 021. Contractor's license information. (Number, Name Style, Classification). ---------------------- ------- ❑22. Workers' Compensation carrier and policy number. ----------------------------------------------------- ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - ------------------------------- 1124. Letter of signature authorization. -------------------------------------------------------------------------- ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. ------------------------------------------- ❑ 26. Letter of intent on building use. ---------------------------------------------------------------------------- ❑ 27. Manufactured Home utility clearance. --------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. -------------------------------------------------------- ------- ❑29. 1143 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .-------- ❑ 3 0. Other: When you issue the ermit, process as follows ❑ Mail to owner, ❑ ailltto Telephone 5�Z " � 73 % and hold for pickup at 617 � Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other,,is office. ❑ Deliver with inspector. Pollution Date: D. (Date) 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. w COUNTY OF BUTTE - DEPARTMENT OF D'VELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMrr NO. (Rev.t2/98) APPLICATION AND PERMIT 0 q _34 0 _. 0a D0fN0 BUILDING PERMIT OWN" Ta011gN6 SO. FT. OCC. BUILDING VALUATION ' AD c.A r —7—Na COMMACTOW! NAI! 00NTWCTOa7 MOAJW ADOMS OONSTRUCCnON UMIM UMOs MAnRA AODRM Fire lace Total Valuation $ ARCNRECr OR ENGV*MR uoEME N0. —Filing Fee $ 20.00 Permit Fee S ARCWEM OR ENMEMy MALRa ADDAMS Plan Checkln Fee $ auLomADDRM O Energy Plan CheckingFee S $ PERMIT FEE $ WTNa aveaveaNsrw,E PANOEL MAP PLUMBING PERMIT FiMQ Fee 20.00 USEOFSTRUCTURE SF )4 Duplex Cl Mioblehome O Other 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 O Addition t] Reodel O L1111 es O InsibbAon 0 Describe Work: Other Gas piping system 1 - S outlets 15.00 ; v d Building sewer 15.00 Mobile Home S G W 020.00 PERMIT FEE $ ELECTRICAL PERMIT Flln' Fee 20.00 Main Service �o"'voA ON 23.00 • Main Service 2WA TO 1000► 46.00 NEW CONST. Dw9LW0OCCUP. OR ADONs. i A. GLDe. CC Nowma1. MIJlTFORAWH VCL @7.50 POWER APPAM W i 9 OVn.Ef d0. EX. Occup. ounzr OR Mnf.M GAL t� Foffo APPING. aR Ex. Occup.ovnE�a Esm. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 tiGsc. Wiring O 23.00 I P MIT FEE S MECHANICAL PERMIT Feng Fee 20.00 Heating5= i Cooling Hood 6.50 ventilation PERMIT FEt $ Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST' TYPE TOTAL FEE ; NAz O. fEE9 IMP I 8000 I COF PARCEL I PO ND 65UE 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. 0 By Date �--- Receipt No. PERMIT EXPIRES ON