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HomeMy WebLinkAbout071-300-026A . . V, RAY ORR 71-30-26 SIS Rock Y,Pt K; Rd Lumpkin Rdv 3/4 mi N E te prise inters -FF. 5�0 -7 & 0rmi-t#222G-':8_6_E_.(Lipg * rpd 2220-86E RAY ORR S/S Rocky Pt. Rd. Feahter Falls i .ESE�22 —.4 -Q -w` 0 (L S -�� OFFICE COPY Address 58, : 11Or GAS Met Date ELECTRIC Meter By Date i " COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER r TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME " TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 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 - _ ' / , iy 1_ _ / � j Permit fee $ PLUMBING PERMIT Filing Fee 10.00 1• ' r 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 F1 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilit`es ❑ Installation❑ Other Describe work: ' r j r f �_ 1 ,- �• r �', ., ) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 / Main service 100 AMP OR1 OR LESS__10.00 e, Main service EA. ADD'L 100 AMP 2.50 + ( F CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑NON.RESID 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. Classification ® 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.8i\ yz2sgft OR ADDNS. ACC. BLDGS. NEW CONSTR.ULTI-OUTLET 2,50 ea BRANCH CIRCUITS) (POWER APPARATUS e) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20030t BALO 30 FIXED \\ Ex. OCCUp. P OUTLETS (RESID IREA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 /4 ! IF I JI Permit Fee / $ r9 S 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. .g] 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 Cdde, 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 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 said Co ty in consequence of the granting of this permit. X nM // l Date /` Signature of Applicantj— Owner ❑ 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 $ ; f Occup. CONST*TYPCJ FLOOOJPARCELJ PD ND ISSUE This 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 1� Date: _ Receipt No. r f WHITE-D.P.W.. YELLOW-ASSCSSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California -959.65 - Telephone 916/534-4541 APPLICATION AND PERMIT L PERMIT ►, i K� A-. ASSESSO PARCEL NUMBER - U ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNR' M G AQDRE ' \ Y © U= CONT CT 'S NAME TELEPHONE CONTRAC OR'S MAILING ADDRESS Fireplace CON TR CTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHIT CT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING 4ID RESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 V, , S Each Trap 2.00 1 Solar or heat pump water heater 20.00 LOT NO. SU re,VISION 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 G I W 1 110.00 ea TYPE OF WORK New ❑ Addition Remodel Utig'' ❑ Installation❑ Other Describe work: V^V000lrn Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service OOOV OR LESS10.00 100 AMP OR LESS Main Service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penaltyOR 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. ClassificationFIXED 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.yd , AODNS. ACC. BLDGS. h¢sgft NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS .&) SINGLE OUTLET CIR. / Ex. Occup\OUTLETS OR FIXTURES 20®30t eAL030 Ex. Occup. OUTLETS RESID IKEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Miring 15.00 /S Q F r14- — 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. Ishall 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 1 I 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 sai ou ty in consequence of the granting of this permi X A,�� �k Datesions Signature of Applicant Owner ElContractor ElAgent❑ 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 $ �Isew occuP. CO.ST.TYPtJ I FLOOD PARCEL I PD NO This permit is hereby issued under of the Butte County Code and/or work indicated above for which DIRECT DF PUBLIC By. P T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS ,i Datey__Z r O t,.ir� Receipt No. WHITE -D. r. W.. YELLOW-AS®CS90 R, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENTS -OF- �PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CA Lf �ORN A 95965 - TELEPHONE: 916I534 , 541 / PERMIT APPLICATIO� DATA SHEET illi`` 1 t OWNER Pro osed Building Use Q r r, r, Permit No. �. P. No. eV,v,' C C - p Permit Fee Based Upon: Complete Contract Price DPW Valuation 0 in) V_/Z0 Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2.. Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. Fees of $ Letter of signature authorization. . . . . . . .. <1901 Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 1 . Contractor's License Information (no., name style, classif.) 4. Owner -Builder Verification (Given to owner0, Mail to owner ?� 15. Improvements may be required. . . . . . . . . . . . �n Mobi lehome Installation Da-tia.l request to (y 7. Pre -Inspection ford' �1•✓ C� Re uired,.Pre-Inspec. p q Building Inspector �. ��ot 19. 1, �E Iiiu� onst`ructiogn approval required p- or o occupancy) Other 19. Other When you issue the permit, process as follows: X Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other A Applicant Date Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at ti of app is ion, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone =4 Mail Other By Date Plans checked by Date Plans approved by Date Other: Copy—DPW • ' 10 i COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-534-4541 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 Yes for construction of the proposed property improvement (yes or no) � -- 2. I (have/have not) hrauu e Ajo j 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 Owner �-�/ C�iti,/� ✓1/i Social Security Number Date %/O -7l' 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. 73 E COUNTY OF BU E - DEPARTMENT OF PUBLIC WORKS �-C 7 County Center Ive - oville, California 95965 - Telephone 916/534-4541 PPL , ATION AND PERMIT PERMIT NO. ASSESS07 PARCEL NUMBER ZONING - ,2r) '" & BUILDING PERMIT OWNER LEPHONE SO. FT. OCC.1 BUILDING VALUATION OWNFIR'S M G ADORE n //) 1! /�\J �© V ' CONT -qCT 'S NAME I �. TELEPHONE CONTRA C OR'S MAILING ADDRESS Fireplace CONS//T`�`R/r CTION LENDER UNKNOWN Total Valuation .� LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARC T CT OR ENGINEER J Lit �- LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING �RESS Permit fee $ �t, Is e PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SU IVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF VO Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile HomeS G W 10.00ea TYPE OF WORK New [—IAdditionRemodel Utili 'e ❑ Installation[]Other Describe work: r — " f 0 000.4lrn Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service ;001 OR 0 AMP LOR ESS 10.00 CONTRACTORS LICENSE LAW I declare under er ur enalt of p y p I y (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. 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 Main service EA. ADD'L 100 AMP 2,50 NEW CONST. DWELLING e occuP.l , OR ADDNS. ACC. BLDGS. ) h¢sgft NEW CONSTR U TI.OUTLET NO N.RESID BRANCH CRC" RC ITS 2.50 ea POWER APPARATUS e) SINGLE OUTLET CIR. EX. OCCU 200SOt pOUTLETS OR FIXTURES eALe90 FIXED APPLNOR Ex. OCCUp. OUTLETS (RESIS,D.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. yiring 15.00 /SIO rt' - /s Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 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. Contractor MECHANICAL PERMIT Filing Fee 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 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 sal Cou ty in consequence of the granting of this permi . X Date Signature of Applicant Owner El Contractor ❑ Agent ED An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Ho $ I ll F Home Installation Fee t ti Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPC F woD PARCEL I PD ND issue This 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. J WHIT[-D.P.W., YELLOW-ASSE330R, PINK -INSPECTOR, GOLDENROD -APPLICANT • ' r - C� A August 20, 1986 County of Butte Department of Public Works 7 County -°Center Drive Oroville, CA 95965 Dear Sir: I the undersigned, Leonard.R. Orr, authorize Mike Gannon to sign any permits or application for any permits involved with the conversion of electrical power hook up from overhead to underground on the sight A.P. No 71-30-26. Sincerely, e �c4V v Leonard R. Orr }• .. Vii.