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Home My WebLink About078-010-053DAVE CL AVECL E VELAND, 434 Ophir Rd, Oro�p 4�, _ ville Permit#1393=86E(upgrad e ele/mfg bldg) I n 2�L4 ( 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 NUMBEF3 V� ZONING BUILDING PERMIT OWNER / 71A la n ell I TFC HONE SO. FT. OCC. BUILDING VALUATION OWNER' MAILING A RES (nMoll a CONT AC OR'S N ATA Eif 10ELE HONE V CONTRACTOR'S MAILING ADDRESIS 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 - ` r Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 144- Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARC MAP Water piping_ 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE(] SF ❑ Duplex❑ Mobilehome❑ Other ll , ECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00ea TYPE OF WORK Il New❑ Addition❑ RemodelUtilities instalation❑ Other[ j Describe work: r _ I Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 V00V OR LMain service 100 AMP ORSLESS 10.00 Main service EA. ADO'L 100 AMP 2.50 j 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. cense No. Classification /1,ias 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 CodePI-e- for this,,reason NEW CONST. DWELLING OCCUP.a OR ADDNS. ACC. BLDGS. 21/2 Osq ft NEW CONSTR MULTI -OUTLET N ON.R ESID BRANCH CRC., TS2.50 ea POWER APPARATUS 6 SINGLE OUTLET CIR. I Ex. Occu 20@50e p OUTLETS OR FIXTURES SALO 30FIXED APPLNS. Ex. Occup. OUTLETS IIRESID 1REA.I 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 c. Mi INirin 15.00 1 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 ertificate of Workmen's Compensation Insurance or a Certificate Yrof 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. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and ex ses which may in any way accrue a id Cou nce of a ran ' of this permit. „ Z-7 Date Signature of Applicant — 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 heigh . Mobile Home Installation Fee $ Energy Inspection Fee $ �� ` TOTAL PERMIT FEE $ occu P. CONST*TYPIJ I FLOOD PARCEL I PO I Ho 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. WHITE-D.P.W.. FELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT OWNER COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE..,CALIF.ORNIA 95965 - TELEPHONE: 916/534-4541 --to PERMIT APPLICATION DATA SHEET Permit No. Afil6 l'16 lel'& Gt elle A. P. No. _,z-,5 3 Proposed Building Use Permit Fee Based Upon: Complete Contract Price Building Inspector r; DPW Valuation 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. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 1 Mobilehome Installation Da a. ., . ` ,1/ �' •Pre-Inspen request to (Date) 7. Pre -Inspection for icu� `� C 111 Required. Building Inspector 18. Recorde�R WAW M Il're6onstructi�neapproval required prior o occupancy 19. Other When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at offic Deliver w/inspector. Other Appl is n Dal 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 time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Plans checked by Date Plans approved by Date Other: Copy—DPW Date ♦ Iy COUNTY OF BUTTE - Department of Public Works .7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 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 paterials for construction of the proposed property improvement (yes or no) 2. I (have/have not) 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 Social Security Number Date e- -6 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. S -2g a6 QA�mA �Q W� 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 NUM2E _ ZONING BUILDING PERMIT OWNER Q V k T� HONE l SO. FT. OCC. BUILDING VALUATION OWNiRMAILING RES 1 7, CONT ACtTOR'S N 14 P) V1177 I I 1 A e✓� ELE HONE _ CONTRACTOR'S MAILING ADDRES 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 r Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 - J Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION EPARCEL MAP Water piping 5.00 Each qas water heater or vent OF STRUCTURE�%� ❑ Duplex❑ Mobilehome❑ Other 0 e ' ECIFY Gas piping system 1 - 5 outletsSF Building sewer *5.00USE Mobile Home S G W TYPE OF WORK New ❑ Addition ❑ Remodel❑ Utilities Instal ation❑ Other [ Describe work:��LC �� `'+—` _ Ar, _ d/V yf I'7 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 1 001 OR LESS Main service 100 AMP OR LESS 10•00 CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p l 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. Icense 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) [J I, 'as the owner, am exclusively contracting with licensed contract- i ors. (Sec. 7044)c. ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L 100 AMP 2.550 NEW CONST. // DWELLING OCCUP.6 , OR ADDNS: t ACC. BLDGS. ) 2/20.sgft NEW CON3TR. MULTI -OUTLET NON.RESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(ouTl_ETs OR FIXTURES 20 P 90CeALa 30 FIXED PR Ex. Occup. OU LETS IRESIO IEA.) 1 2.00 Temporary service 10.00 il it Mobile Home Facilities 15.00 Mi Wirino 15.00 yme- 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 ertificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. el shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: It 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 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, indemnity and keep harmless the County of Butte against all liabilities, judgments, costs, and expe9ses which may in anyway accrue a id Cou i nce of a ran ' of this permit. Mobile Home Installation Fee $ Energy Inspection Fee $ �` ` TOTAL PERMIT FEE $ occuP, CONST.TYPE I 11'L0..JPIRCEIJ PD 1 NO 1 ISSUE „ Z-7 This permit is hereby issued under the applicable provi- Date sions of the Butte County Code and/or resolutions to do i Signature of Applicant -• Owner Contractor ❑ Agenl ❑ work indicated above for which fees have been paid. I An OSHA permit is required for excavations over 5'0" deep and demolition or construct- DIRECTOR OF PUBLIC WORKS ion of structures over 3 stories in height. Receipt No. WNITE•D. P. W., •ELLOW-ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT By PERMIT EXPIRES Date Date FAI C 0 MWI* -Lue Of ty OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Dave Cleveland_—__-- a ADDRESS: _-- 434 Ophir Rd_------------- CITY b STATE: --- Orovill--et CA 95965 IMPORTANT: .—_—_--- _— DATE OF CLAIM: __ M�29, 1986 SEE INSTRUCTIONS ---- ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SCRVICES - DATE DESCRIPTION OF—CLAIM—(DESCRIBE FULLY TO AVOID DELAY) � AMOUNT I Building permit application made in error - parcel is in the City —� i of Oroville. (Bldg Permit Appin. #1393-86E, Receipt #58508, dated J-5 / 2a 86 , A . P . # -3--6---5.--0 3) . SUS. OBJ. ---- =5 — --- -- -------_--- ----- ------------------------ Total fees paid----------------- $52.50 __— TOTAL REFUND DUE - —____----------------------------------$52.50 --- $5250 ENCUM$ ,.' i i I I t ITOTAL $5.50 1, the undersigned, declare under penalty of perjury that the services or articles claimed have b n performed or de live d; end that lhls claim is true and correct as stated. / Y� - Dated this .............� ( de of 7d �' Yt W L'� Calif.Y 19 ...... at ................................ ..,,�,�✓� ..........' ...... / Signature of Claimant 1, the undersigned, he.eby certify that, to the best of my knowledge, the services or articles specifier) above Yvbeen performed or de- livered and that there is a Budget Appropriation Cj ur Specific Board Approval (�--I (Check one) for the aamar Dated thio.,17th July 86 Orovil-Ie ......... ..................... day of .... 14....... at Calif. ... :........ a artment Head or Autho Denutv Dept. Exp. --- -- - — — — - Code ............................................ Code PAYAf)LE FROM ......................................................... .. FUND 00 NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PP,OJ. SUS. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUM$ ,.' GROSS AMT. t