Loading...
HomeMy WebLinkAbout069-420-028J � �~'.. ~~-~ ` - � ALLAN & DIANA BOLEN 69-42-28 Quail Hill Place,' 08oville erm1t#3336-87E(ele for well) a L/ ! e) y Pv.mit#333h- J Allan Bolen d Quail Hill Place Oro -� L y - /? v ice• �J : e ,• s - J4 46k �J •,.Z - y, n �lswc..G pvi Of kk COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, Calilornia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER -- TELE•Rj.(ONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS z CONTRACTOR'S NAME ' TELEPHONE CONTRACTOR'S MAILINGr ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee, $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW I I 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other n Describe work: `• { 1 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6OOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 f'j CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 bf the BuslnesS and Professions Code and my license is in full force and effect. ass on ca LiNClassification � No. cense 1, 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 NEW CONST. / DWELLING OCCUP.EI) yz¢sgft OR ADDNS, l ACC. BLDGS. NEW CONSTR U'.OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS POWER APPARATUS &) SINGLE OUTLET CIR. ) Ex. Occup�OUTLETS OR FIXTURES 5 AL0 30 wLO 30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring15.00 '� „ Permit Fee $ Contractor 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. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 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 County of 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. z —This X ' • Date %(- Signature of Applicant — OwneAr, , 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 $ Energy Inspection Fee $ TOTAL PERMIT FEE $ .- occu P. CONST.TY SCN OOLJ FLOOD PARCEL I PD HD I ISSUE permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC , - By - PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date + / Receipt No. WHITE-D.P.W.. YELLOW-ASe ESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS _Z 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT I PER, NO. ASSESSOR P TEL N. Eya �'O Zo"' Ge BUILDING PERMIT OWNER Q O TE, PH NE r SQ. FT. OCC. BUILDING VA&UATION OWNER'S MA LING ADDRESS i r CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS - Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS !' �• Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities [JInstal laation❑ Other M Describe work1,Z_ -/rt W,�/_ 4�z a= /�Z_f"l i Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 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. ClassificationzDe tLl AJ 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 NEW CONST*(DWELLING OCCUP.eI\/zQsgft OR ADONIS. ACC. BLOGS. / NEW CONSTR MULTI -OUTLET 2,50 ea NON-RESID BR ANC CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. EX. QCCUp OUTLETS OR FIXTURES eAL030sOe FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 4 yo oLqao,7.0 14 ©o Permit Fee $ 00 Contractor 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 4 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. MECHANICAL PERMIT Fili Fee 10.00 Heating Cooling Hood 3.00 Ventilation penult 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 County of 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 ag st said,County in a nse uence-�the granting of this permit. N- Jr, X P Date U 7 Signature of Applicant — Owne 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 $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPE JSCHOOLJFUDOOJPARCfLJ PD H 39UE This permit is hereby issued under Tions of the Butte County Code and/or work Indicated above for which DIRECT R OF PUBLIC By,�� ������ �'1 PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date / �� Receipt No. ll c29� WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT r COUNTY OF BUTTE - Department of Public Works 7 County Center Drive,}Qroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will.be issued until this verification is received. 1'. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) �. 2". I (hav /have no ) `�V� signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name - -- Address City Phone Contractors License No. 5. I will provide some of the work 'but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property'Owne Socialecur_it Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit.