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HomeMy WebLinkAbout069-430-016J 69-43-16 & HILTONJack W HILTON ' � , #2 LaMirada, Oroville 37i` Contr: Servamatic Solar System Permit#2350-83P(Solar water heater)SF r' 2 La Mirada Avenue-,-Oroville, �._ COMM: • John Voorhees,, 1772 Biggs l ve. , Cl � (ndw,singie family) J i ENCROACHMENT PERMIT County of Butte Department of Public Works 7 Count Center Drive Oroville, CA 95965 Phone (530) 538-7157 Ext. 2016 Fax: (530) 5384356 Download Forms: www.buttecounty.net/publicworks/forms.html NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE DONE Phone (530) 538-7157 Ext. 2016 Permit Number O 301L/ i F District APPLICATION I / WE, the undersigned, hereby apply to the County of Butte for an encroachment permit to do the following work under or over the County roads and highways, all in accordance with County ordinances and general laws. All information except signature must be typed or egibly printed.) 1. Applicant's Name: 1 a. Company Name: « 2. Address: 3. Phone: 4. Assessor's Parcel Number: � CSCq-,Y3U -oi6 S. Location of Work to be Done 6. Applicant's Signature r 7. Date: �7 CONTRACTOR'S INFORMATION 8. Contractor's Name 9. Address 10. Phone: 11. Fax: 12. Contractor's License Number. 13. Certificate of Insurance: yes ❑ NO: ❑ 14. Contractor's Signature: 14a. Date Signed: IS. Authorized Agent: TYPE OF WORK TO BE DONE 16. Please Check: Curb: ❑ Gutter: ❑ Sidewalk: ❑ 17. Driveway (List Type): t Y/ �� ��1 Vic. -;..,. 18.Other: v- PERMIT, GRANTED In compliance with the above request, and subject to all terms, conditions (including those on page 2 of this permit form) and special conditions written below, permission is hereby granted. 19. Conditions e r T Ir c -f, 0 3 Underground Service Alert .S.A. must be notified two working days prior to any excavation. 800-227-2600 20. 9 All work shall conform to accompanying: Detail N Plans D Special Conditions 21. Date issued D 3 2l0 '7 22. Expiration Date: 2 Q 7 /0 23 Surety: 'rs Mike Crump, Director of Public Works By: "Note: If permits are faxed to any number besides (530) 5384356, they can be delayed up to one *eek. Page 1 of 2 General Conditions — See Page 2 im Permit#2350-83P , J Hilton COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL„,UMBE, n Q ZONING 4 BUILDING PERMIT OWNER l 1 (4lA TELEPHONE C ,SQ FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDR SS n J. � ) r , a CONTRACTOR'S NAM S t” -A 1M7 1 �iJ x.71 S TELEPHONE If -,�-_71 CONTRACTOR'S MAILING ADDRESS 1 l 1 t u �•T ` 1 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permittee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE i SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other E`j Describe work: �� i (A) f4 Permit Fee $ 3t7 .a 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 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. Z1h2sgft 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 m license is in full force and effect. y 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 NEW CONSTR ULT' -OUTLET 2.50 ea NO N.R ESID BRANCH CIRC ITS NEW CONSTF POWER APPARATUS & NON-RESID. % SINGLE OUTLET CIR. Ex. Occu R FIXTURES 20e50a p�o XeAL990 FIXEEDD APPLNS. OR Ex. Occup. OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 00 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. 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. i' _• / / - X Date - �' Signature of Applicant - Owner❑ Contractor ❑ Agentq` 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 $ .� TOTAL PERMIT FEE $ , OCCUP. GROUP I TYPE OF CONST. PARCEL PD No ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By�� � Date 2- PERMIT EXPIRES Date ��" /�` Receipt No. 0*�, WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE' DEPAF,.TMENT OF PUBLIC WORKS 196 Memorial Way, 'Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE 1� 4 ✓r/ C 4 ?1r- BUILDING OR PROPERTY ADDRESS A routine Inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. 01 f' o'�- Inspector �"��*f.i v f f'i !'� l /Date /-� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 3 �D APPLICATION -AND PERMIT ASS ESPOR PARCEUM BETL ZONING BUILDING PERMIT OWN l��Qaa TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADD SS CO RACTOR• M S S r TELEPHON CONTRACTOR'S MAILING ADDRESS 10 1 1C) bJfflk:a5M�&Y-0tAhV- Fireplace ONSTRUCTION LENDER UNK OaYiJ �/ Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING,eDRESS ka _8L PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 r Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE �, SF E5 / Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New ❑ Addition ❑ emode1 ❑ Uti I''yjties ❑ Installation ❑ Other Describe work: n Y— to 1 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 9001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLOGS. 2thQsgft 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 d m license is in full force and effect. %r 1 License No. D Classification ��/ V EJ 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI-OUTLET 2.50 ea NON-RESID BRANCH CIRCUITS) NEW CONSTR.POWER APPARATUS &' NON-RESID. (SINGLE OUTLET CIR. Ex. Occu 20e50C P�o OR FIXTURES eAL®90 FIXED APP LNS. OR IXED A EX. QCCUp. OUTLETS (RESID.) EA.1 2.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. Ihave 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 shal I be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information 1s 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 s9id County in consequence of the granting of this permit. X Date 71%Z 3 Signature of pplicant — Owner Contractor ❑ AgentK 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 $ TOTAL PERMIT FEE $ Oc CUP. GROUP I TYPE OF CONST. I PARCEL PD 1 ND 1 ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which CT R OF PUBLIC By PERMIT EXPIRES ate the applicable provi- resolutions to do fees have been paid. WORKS Date,?— 2- �r_/�� r © p� Receipt No. d WNITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT