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HomeMy WebLinkAbout078-210-006JESSIE J. HANSEN 5326 Farley Street, roville y Permit#708-84E(ele ser ch & new cir)SF HANSEN, Jessie 5326 Farley St, Oroville q,a� (elec sery/sf ) -- - - -- PERMIT#97-0071 HANSEN, Jessie 5326 Farley Ave., Oroville Cont: Skyline Enterprise HVAC/SF 0 r• 036-350-006 PERMIT#97-0071 HANSEN, Jessie 5326 Farley Ave., Oroville Cont: Skyline Enterprise (I (] Q HVAC/SF I I't N COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDIN IVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 8-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 97-00 ASSESSOR Pad ZONING R-1UILDING PERMIT OWNER JESSS'I7EE HHA'�NJ�SJEN TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS 1) WF iRLEY AVENUE. OROVILLE cONfRACTOWtEINE ENTERPRISE TELEPHONE cONfRACTO GGLIT"�K ArbISCO DR. 510 EL DORADO HILLS 933--2773 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDNIS ION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USE OF STRUCTURE SF 13 Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 07 Describe Work: HVAC Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W1 1 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 R LESS Main Service 20 A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. / License Class,!!p� GZo 40'.7 LL Lic. No. 5-3/,-70 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO I000A 46.00 NEW CONST. DWELLING OCCUP.So OR ADDNS. ( & ACC. BIDS. 3.5¢x. NEW CONS MULTI.O UTLET NON-RESID. cul 97.50 POWER APPARATUS d SINGLE OUTLET SIR. Ex. Occup.OUTLET OR FIXTURE 20 "Q I.00 BAL @ .50 Ex. Occup. OUITLETS (RES D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. �t7 I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier ST„7L/—^Q�'il//% MECHANICAL PERMIT Filing Fee 20.00 Heating _ • UU Cooling • 00 Hood 6.50 Ventilation PERMIT FEE $ cz(1 on Policy Number Cvv/D yef Z. (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ,❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any, manner .so as .to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date S/ 7 / Signature of Applicant - ❑ Owner ,Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. \ ' �__ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 50.00 HA2. D. FEES IMP FLOOD COF PARCEL pD HD ISSUE IS This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date �F PERMIT EXPIRES ON " f (pate)v Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDIN IVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 8-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 17-00'7 / ASSESSORPlU ��OT 0-006 ZONING R-1 UILDING PERMIT OWNER SSIE HANSEN JE TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAIUNG ADDRESS 5326 FARLEY AVENUE, OROVILLE CONTRACTOR'S NAME SKYLINE ENTERPRISE TELEPHONE ' CONTRACTOR'S 222 FRANCISCO DR, 510 EL DORADO HILLS 933-2773 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF IN Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other CK Describe Work: HVAC Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 1 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoos oA mss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License ClassA' GZo 4/,7 GZ Lic. No. s r �8�� OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service To ,oaoA 46.00so WEE200A NEW CONST. DWELLING OCCUP. OR AODNS. ( a ACC. OCS. SO 3.5¢FT; CONST.9 NOREs D. MULCTI OUTCLUET N• 97.50 POWER APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20@I'50 BAL Q .50 Ex. Occup. ouFT,E,s(RES D.) ER . 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number S/dL (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X—� _ Date t' Signature of Applicant - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ rin nn HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for h fees have been paid. C• By V --Date PERMIT EXPIRES ON Date �— Receipt No. WHITE•D.D.S.-B. D. CANA OR PINK -INSPECTOR GOLDENROD•APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovlller California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 36-35-06 ZONING w R1 ' '" • BUILDING PERMIT OWNER JESSIE HANSEN TELEPHONE 534-1285 SQ. FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS 5326 FARLEY ST OROVILLE 95966 CONTRACTOR'S NAME AN &- 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 5326 FARLEY ST OROVILLE I Permit fee $ PLUMBING PERMIT Filing Fee 10.00 + Each Trap 2.00 i Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARC ELjMAP S Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE # SFO Duplex❑ Mobilehome❑ Other fit SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home ► S I GJWJO.00ea TYPE OF WORK New Add ition❑ Remodel❑ Utilities Installation[] Other Describe work: UPGRADE SERVICE 1 { Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 { 1 Main service 100V OR LESS 100 AMP OR LESS 10.00 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 an6effect. 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) Q 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.Ed) ADDNS, t ACC. BLDGS. '/z2sgft NEW CONSTR U TI.OUTLET NON-RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20050t eALO 30 FIXED APLNS. Ex. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �yirin 9 15.00 Permit Fee ; 25.00 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 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 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 County of 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 said County in consequence of the granting of this permit. / Signature of Applicant — Owner � Contractor ❑ Agent [Iwork 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 $ occ CONST TYPE - TOTAL FEE $ 25.00 HA2. I CUA I PARK J SCHL I FLD I COF PAR I PD I HD] ISS This permit is hereby issued under the applicable provi- sions of the Butte County.Code and/or resolutions to do indicated above for which fes have been paid. DIRECTO `F PUB WORKS / 9� By _„- r d Date Y PERMIT EXPIRES Date Receipt No. 94455 WHITE-D.P.W.. YELLOW-ASSE350R, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drlve - Orovlller Cellfornla 95965 - Telephone: 916/538.7541 APPLICATION AND PERMIT -ASSESSOR NUM8KR 36-35-06 Z 0 N -WN GIF R1 BUILDING PERMIT OWNER JESSIE HANSEN Ts a NONE 534-1285 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 5326 FARLEY ST OROVILLE 95966 CONTRACTOR'S NAME Q4 1-4 S -r 6 - 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 A$.. $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 5326 FARLEY ST OROVILLE 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 [�9K Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti litiesIn Installation ❑ Other fl Describe work: UPGRADE SERVTCE _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1000 AMP OR0V OR LESS10.00 Main service EA. ADD'L 100 AMP 2.50 50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F -1I am licensed under provisions of Chapt. 9, Div. 3 of the Bushes$ 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 NEW CONST,DWELLING OCCUP-5d OR ACDNS. ACC. BLDGS. , - �z2sgft NEW CONST R.ULT'-OUTLET2.50 N O N.RESID BRANCH CIRC ITS ea POWER APPARATUS e SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 20050t eALe30 FIXED APLNS Ex. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ 95-06 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. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation y I permit Fee $ Contractor q 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 ofocc 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 bilities, judgments, costs, and expenses which may in any way accrue a in ft said Courq�in copse uence of the granting of this permit. (y) Date Signature of Appli nt — Owner Contractor ❑ Agent ❑ A� OSHA permit s required for excavations over 5'0" deep and demolition or construct- iron of structures over 3 stories in height. 1 Mobile Home Installation Fee $ Energy Inspection Fee $ CONST TYPE TOTAL FEE $ 25.00 HAz. CUA PARK I SCHL FLD I CDF PAR I PD I HD• ISS This permit is hereby issued unaer the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which f s have been paid. DIREC PU I WORKS Q BY Dat ` PERMIT EXPIRES Date Receipt No. 94455 WHITE-D.P.W.. YELLOW-ASSE330R, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538.7541 APPLICATION AND' PERMIT A!!e!! R PARCEL NUMBER O �VfO ZONING �/ BUILDING PERMIT OWNER 25 N TELEPHONE Say �z 85 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRE!!5^,�CJ� �'112 57, 20 � �j7� /f C 0 N T R AC OR'! NAM TELEPHONE CONTRACTOR'S MAILING ADORES! 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 53o i� 5�� f t .5,V--op-6 c A Permit fee $ PERMIT Filing Fee 10.00 95�PLUMBING 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&a�' Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New Addition Remodel❑ Utilities�WInstallation ❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 6 , 00 Main Service EA. ADD'L 100 AMP //^^ 2.50 V CONTRACTORS LICENSE LAW I declare under penalty of perjury ) 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. 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) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.e,) oR ADONS. l ACC. BLDGS. , �Z�SQ ft NEW CONSTR.MULTI-OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex. OCCup(OUTLETS OR FIXTURES .20050t 20030t FIXED Ex. Occup. OUTLETS P(RESID )LNS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Yirin 9 15.00 Permit Fee $ Q� 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 becomesubject 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 Filing Fee 10.00 Heating Cooling g 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 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 County in consequence of the granting of this permit. X 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 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAZ CUA I PARK SCHL FLD cDF PAR PD �; HD. IssuE This permit is hereby issued unser the applicable provl- 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 PERMIT EXPIRES Date '3 Receipt No. % Yy� ` �<v�_ NNITE-O.P.W.. YELLOW-ASSES30R. PINK -INSPECTOR, GOLDENROD -APPLICANT Permit #708-84 Jessie Hansen i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, C.slifor* 95965 - Telephone 916/534-4541 J APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER, I TELEPHONE S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER !I'i UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER f'' I'' ' LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS rr 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 SF ❑-' Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home JSJGJWJ 10-00el TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Qs Describe work: r/ r 1a �''/'• ��r'<<���'-���'] Permit Fee $ 'Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 I. Main service EA. ADD'L 100 AMP 2.50 h , NEW CONST. DWELLING OCCUR.&` OR ADDNS. ( ACC. BLDGS. / 2/20sgft 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. 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 ULTI.OUT LET NON.RESID BRANCH CIRC ITS / 2.50 ea NEW CONSTR. POWER APPARATUS &' NON.RESID, ( SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 120 0 50C 9AL@30 FIXED APPLN5. OR \ Ex. OCCUp. OUTLETS (RESID,) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 ice. - - I`H r - J 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. ❑ 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. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 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 said County in consequence of the granting of this permit. X 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 height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OccUP. GROUP I TYPE OF CONST. PARCEL PD I ND I ISSUE r� This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC _ - ) - J B ; : !� 1 / y PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No.-I� r/ , WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Califoriia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT 0, ASSESSO PARCEL NUMBE ZONING �3, BUILDING PERMIT OWNS T EPHONE,�_ ��ss1/ q�tls S0. FT. OCC. BUILDING VA OWNER'S MAILING ADDRESS -S, R'S NAMEA CONTRACTOR'S TECLE HONE 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 $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDI G ADDRESS 532�L' PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 © V�L 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 SF LCA Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S GW 10_00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ U ilities Installation❑ Other Describe work: G914 ALEW CJRWJI44 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORSLESS 10.00 fo, 00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST.DWELING OCCUP.& ACC. BLDGS. OR ADDNS. ( L t 2h2sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business200500 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 ULTI-OUTLET 2,50 ea /O.. OO NON.RESID BRANCH CIRCUITS) NEW CONSTIR POWER APPARATUS &' NON.RESID. (SINGLE OUTLET CIR. Ex. Occup(o OR FIXTURESeAL1130 PTS FIXEDR Ex. OCCUp. OUTLETS (RESID.)EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 / r dCJ / l S)o S `� Permit Fee $ �1SU 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. ❑ 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. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 1 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 abilities, judgments, costs and expenses which may in any way accrue ag ins said County 'n onsequ nce of the granting of this permit. G X Date %,- �d Sig at re of Applican Owner ❑ Contractor ❑ Agent ❑ A SHA permit is required for excavations over 5'0" deep and demolition or construct- io of structures over 3 stories in height. Mobile Home installation Fee $ TOTAL PERMIT FEE $ OCcUP. GROUP I TYPE OF CONST. PARCEL PD Ho 99DE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY -� PEIj�, T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS t / Date ,j^ l _;^.r �— I R4- Receipt No. 14646 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ' jr- v Additional Comments from Inspector. OAKDALE HEIGHTS NO. I a) WALMER ROAD RD NORTH 25 •JLn k, 65 65 67.71 65 65 Lm Q) lk k CD (D -� - - N —� -- O 65 5 .41 / 0 \�" 5 ti B ?goll FA RL' E Y 4 4b1 r7Q7- 4.9, 61 N % lk Ai a 6a 65 OSOUTH 541.71 '' ^i cn / ti` �r s ti r) 0 rn 36 Ln co rn Cn 70 r) 7' Z, 0