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Home My WebLink About072-050-026f, cry 7_2L_050--.,0_26" MONTANA, ,Babette NE corner Kelly Ridge&Oro—Quincy,Orbville, (sf demo) - CA 0 T i1, f 072=050-026 93-288B 'MONTANA, Babette NE corner Kelly Ridge&Oro-Quincy,Oroville (sf demo) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WOR PERMIT NO. 7 County Center Drive - Oroville, Calif.)rnia 95965 - Telephone: 916/538 7 1 1 93-288 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 072-050-026 ZONIN�1 BUILDING PERMIT OWNER BABETTE MONTANA 818 ��ES��`� SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1055 E SAN JOSE AVE BURBANK 91501 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 15.00 Permit Fee Plan Checking Fee $ $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS NE CORNER KELLY RIDGE & ORO QUINCY HWY Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 OROVILLE Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 1 7.00 USE OF STRUCTURE SF 5a Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 1 5.00 Building sewer 1 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: DEMO Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESOR S 18.50 C ACTORS LICENSE LAW I declare under p ena F -1I 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason Main service 200ATO1000A1 37.50 NEW CONST. DWELLING OCCUPM OR ADDNS. ACC. BLOGS. 3.64 sq.ft. NEW CONSTR. U TI.OUTLET NON•RESID BRANCH CIRC ITS @ 5.00 (POWER APPARATUS e) (SINGLE OUTLET CIR. Ex. p(OUTLETS OR FIXTURES 20 U AL A91 FIXED APPLNS. OR EX. Occup. OUTLETS (RESI1 D.) EA./ 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 Permit Fee $ 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. I Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation Permlt 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 jsaid County in consequence of the granting of this permit. X `'`� Date -J Signature of Applicant - OwnerjK 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 S Energy Inspection Fee $ occ CONST TYPE 00 TOTAL FEE $ HAz I DFEES IMP FLDDD CDP I PARCEL I PD I HD I IV This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees /'DI CT R OF PUBLIC By — PE T EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date?—ri— 3 9 Receipt No. 13.3Dc� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT i ' ' I � ♦ �.� moi. y �, s. _ . c i '�__,......_.. �... ..� #. 1 :'t ...a� r. _.........¢..,yen's � .. .... .. rr� Demolition Permits 1 Asbestos Notification Statement Date /ZY �3 —,--, Pursuant to section 19827.5 of the California Health and Safety Code, all demolition permit applicants are required to fill out this form. "19827.5. A demolition permit shall not be issued by any city, county, city and county, or state and local agency which is authorized to issue demolition permits'as to any building or structure except upon the receipt from the permit applicant -of a copy of each written asbestos notification regarding the building that has been required to be submitted to the United States Environmental Protection Agency or to a designated state agency, or both, pursuant to Part 61 of Title 40 of the Code of Federal. Regulations, or the successor to .that part. The -permit may be issued without the applicant submitting a copy of the written notification if the applicant declares that the notification is not applicable to the scheduled demolition project. The permitting agency may require the applicant to make the declaration in writing, or it may incorporate the applicant's response on the demolition permit appli– cation." Attached is a copy of my written asbestos notification to the United States Environmental Protection Agency for the demolition project located at Signature of Applicant eR I hereby declare that'a written asbestos notification to the United States Environmental Protection Agency is not applicable to this demolition project. Signature of Applicant 2/19/91 COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, 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 tkis' veYification is received.. //0,0 1: I'personally plan to provide the major labor and materials for of the proposed property improvement yes or no) 2. 1'(a `have- not) �.ri�,-2_ signed an application for a building permit for.. e 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. S. 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 .9gA //K NA- Social Security Number V Date Ile 93 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.