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
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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