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HomeMy WebLinkAbout078-220-001EAn RLINGAME Pluma s ' Ave., Oroville ro-Lome; Oroviile 29-75B(awning,)( ...�J '_ „I 1 Masonry Contr,Oroville 193-75B(EQ DAMAGE-re-eplace/SF)i Ylct 11Y�JIliE' ► - - 1" 92-36O3B BURLI GAME, Ruth 2232 Las Plumas Ave, Oroville _contr:,Connelly's.Service rero6f/sf 1 PERMIT 94-311 BURLINGAME, RUTH !� 2232 LAS PLUMAS AVE., OROVILLE REPAIR WATER LINE/SF ' E • r _t f 1 E i i i t i r ' 1 "�-i J. im �e w �� `�, � f w. Vii, � �` �' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT -!W'31/ 4 ASSESSOR PARCEL NUMBER 550 ZONING BUILDING PERMIT OWNER T *� TELEPHONE SO, FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 7 JAS RIM40%S CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15,00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF .EX Duplex O Mobilehome O Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile HomeS G W @20.00 TYPE OF WORK New O Addition ❑ Remodel O Utilities ❑ Installation ❑ Otherb Describework: REPAIR WATER LINE FROM TO 1''OUSE, PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 LEAKING NOW. Main Service ( 2 00A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) 3.5C Fs T(. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification O I, as the owner, or my employees with wages as their sole compensation, will do `Exe the work, and the structure is not intended or offered for sale. (Sec 7044) i, as the owner, am exclusively contracting wi{ i licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 6 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. .50 Ex. Occup.FIXED APPLNS. OR ( OUTLETS =.IDEA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20,00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. O 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a t Certificate of Consent to Self -insure. --a- I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certifythat I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California 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. X 'I Date Signature of Applicant =a Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ -' 0 (� HAZ- I D. FEES I IMP I F1OOD I 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 which fees have been paid. ' ( �7 B % Date i PERMIT EXPIRES ON / Z fDetel ' Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATIdN AND PERMIT ASSESSOR PARCEL NUMBER 036-550-001 ZONING R1 BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 CJS LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF IMDuplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New C1Addition ❑ Remodel O Utilities ❑ Installation ❑ OtherM Describework: REPAIR WATER LINE FROM METER TO HOUSE, r PERMIT FEE Contractor ELECTRICAL PERMIT Filing Fee 20.00 LEAKING NOW. Main Service ( BOOVORLESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) 3.50 FST.O, CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 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 compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET •NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POW ER APPARATUS ) s SINGLE ouTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 8 A2 @ 1.50 Ex. Occu FIXED APPWS. OR p' ( OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a _4Certificate of Consent to Self -insure. 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. 1 agree to comply to all Butte County Ordinances and California 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 Co u in consequen of t granting,,of this permit. X Date / (" Signature of Applicant - Owner ❑ Co ractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $j� 3� ® V HAZ. I D. FEES IMP I FLOOD COF PARCEL PO HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have B ,Date 4--f— 0 PERMIT EXPIRES ON ! the applicable provisions Resolutions to do work been paid. Q S /Date/ Receipt No. r WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT PM COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER /^ O Y /l✓j�/ U 20NING BUILDING PERMIT OWNER TELEPHONE SO. FT, OCC. BUILDING VALUATION OWNER'S MAILJj1G ADDREi l-� 4A CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SFY Duplex O Mobilehome O Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ElUtilities ❑ Installation ❑ Other)i Describe Work: �p �i�t /;1 j�iy� �,^� q PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 600V OR LESS 200A OR LESS ) 23.00 Main Service ( 200A TO t000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 6 ACC. BLDS. ) g 3.50 FTp: CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification O I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET •NON•RESIO. ( BRANCH CIRCUITS ) @7.50 / POW ER APPARATUS ) 1 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1•00 BAL. .50 Ex. Occup.FIXED AP NS OR (OUTLETS I:SID., A. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. O 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ [shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 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 Butte County Ordinances and California 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. X Date Signature of Applicant - O Owner O Contractor O Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAz• D. FEES I IMP I FLOOD TDF I PARCEL PD I 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 which fees have been paid. By Date PERMIT EXPIRES ON !Dere! Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 0-r • � ...tip-� �.. _� � , ._ . r•-_... .., s � . COUNTY OF BUTTE - D9PARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND•RFERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 036-550-001 ZONING R 1 BUILDING PERMIT OWNER RUTH BURLINGAME TELEPHONE 534.-0150 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2235 LAS PLUMAS AVE OROVILLE 95966 25 C� 60 ��/� 0U CONTRACTOR'S NAME— CONNELLY'S SERVICE TELEPHONE 533-1516 CONTRACTOR'S MAILING ADDRESS 5490 DEBBIE LAND OROVILLE 95966 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS t Filing Fee $ 15,00 Permit Fee $ 30.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS - Energy g Fee Ener Plan checking $ Penalty $ BUILDING ADDRESS 2232 LAS PLUMAS OROVILLE 95966 Permittee $ 45.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP WaterP� 9 I In P 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE j SF NJ Duplex❑ Mobilehome❑ Other i SPECIFY 1 Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W TYPE OF WORK i New ❑ Addition ❑ RemodeID. Utilities ❑ Instal lation❑ Other ❑ Describe work: REROOF :r. Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR SS 200A OR LESS 18.50 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 Profess' ns Code and my license Is In full force a4d effect. License No. �v 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 200ATO1000A1 37.50 NEW CONST. ( DWELLING OCCUP. �\ OR ADDNS. ACC. BLDGS. / 3.6Q sq.ft. NEW CONSTR ULTI.OUTLET NON-RESID BRANCH CIRCUITS) @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(ouTLETs OR FIXTURES 20 76 FIXED APLNS EX. Occup. OUTLETS P(RESID )REA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. lyirin g 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. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 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, iI'ndemnify'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 %n— o r �, Signature of Applicant — Owner Er 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 TOTAL FEE $ 45.00 HAZ I DFEES I IMP I FLOOD CDF PARCEL PD HD SSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do r work indicated above for which fees have been paid. 'DIRECTOR OF PUBLIC WORKS ByDate PERMIT EXPIRES Date //1 Receipt No. WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. a,0-36(23 Q3 ASSESSOR PARCEL NUMBER 036-550-001 ' ZONING R 1 Y • BUILDING PERMIT OWNER RUTH BURLINGAME TELEPHONE 534-0150 SQ, FT. OCC. BUILDING VALUATION //�� 25 ` 60 1,500 OWNER'S MAILING ADDRESS 2235 LAS PLUMAS AVE OROVILLE 95966 CONTRACTOR'S NAME CONNELLY'S SERVICE TELEPHONE 533-1516 CONTRACTOR'S MAILING ADDRESS 5490 DEBBIE LAND OROVILLE 95966 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 1,500 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 30,00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 32LAS PLUMAS OROVILLE 95966 Permit fee $ 45.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF® Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ❑ Describe work: REROOF _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 Main service 200A TO 1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): No I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professi ns Code and my license is in full force a effect. License No. Classification El 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 OR ADDNS. CONST. ACC. BLDGS. ( DWELLING OCCUP.N) 3.6d sq.ft. NEW CON5TR ULTI.OUT LET NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS .&) (SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 20 76 Ex. Occup. OUTLETS FIXED PIRESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 9 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. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 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 County in cons lence the granting of this permit. X — '� ��1_ �, 4 6 � Date Signature of Applicant — Owner Contractor Agent ❑ An OSHA permit is required for excavations over S'0 deep and demolition or construct- ion of structures over 3 stories in height.I Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 49 -nn HAz 1 OFEES I IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provi- � sions of the Butte County ode and/or resolutions to do work indica ab ve r hich fees have been paid. T R PUBLIC WORKS By EXPIRE Date /Q _/Z —SJ Receipt No. WHITE-D.P.W.. YELLOW-A33[930R, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE TEPARTMENTOF:PUBLIC WOIW°,- BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROALLE, CALIFO%41Al`95t65 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER Proposed Building Use V P- 1`' IM t'/ No.O 3 -S �d -� O Building Inspector Date d� �� At time 71. pe mit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED ar All items have been submitted......................................... 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of$ .......................................... 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............. 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). . . 20. Pre -Inspection for to Buispect;orequ� required. . to Building Inspector pector (Da 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner_) ........... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... .............. 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other J Parcel Creation of Acreage ApplicantDate /O / Zf Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. I Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville. California 95965 - Telephone: 916,'538-7541 APPLICATION AND PERMIT ASSESSOR N ARCEy.. Nur.1BER cj` / zON1 4 3 �i � O O / BUILDING PERMIT OWNER130 �� TELEPHONE— S SO. FT. OCC. BUILDING VALUATION OWNER'SMAILING3<AD/ESS 33 COt��R AC 5� EL/_(/�C TELEPHHONE CONTRACTOR'S MAILING A D ESS ireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS n Permit fee a � p O PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 1 5.00 SFV Duplex❑ Mobilehome❑ Other Building sewer 1 15.001 SPECIFY Mobile Home S G W 615.00 TYPE OF WORK New❑ Addition ❑a del Utilit' s[:]Installation❑ Other Permit Fee $ y� Describe work: a0 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service V LESS 200AORLESS 18.50 Main service 200A TO 1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): NEW CONST, ( DWELLING OCCUP.&) 3.64 sq.ft. OR ADONS. ACC. BLDGS. ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business NE w CONSTR ULTI.OUT LET NON-RESID BRANCH CIRC ITS @ 5.00 and Professions Code and my license is in full force and effect. POWER APPARATUS e (SINGLE OUTLET CIR. License No. Classification Ex. Occup( OUTLETS OR FIXTURES 20 76d A ElI, as the owner, or my employees with wages as their sole compen- FIXED APPLNS. Ex. Occup. OUTLETS ((RESID )REA.) I 3.00 sation, will do the work,and the structure is not intended or offered Temporary service 1 15.00 for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- Mobile Home Facilities 15.00 ors. (Sec. 7044) Misc. Wiring 15.00 ❑ I am exempt under Sec. , Business and Professions Code +_ I for this reason Permit Fee $ WORKMEN'S COMPENSATION INSURANCE Contractor I declare under penalty of perjury (check one): MECHANICAL PERMIT F1IingFee 15.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ 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. Cooling ❑ I shall not employ any person in any manner so as to become subject Hood 6.50 to the W. C. laws of California. Ventilation 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 Permit Fee S provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee $ to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. occ CONST TYPE I also agree to save, indemnify and keep harmless the County of Butte against TOTAL FEES �� all liabilities, judgments, costs, and expenses which may in any way ccrue HAz DFEES IMP FLOOD CDF PAR L PO HD ISSUE against said County in consequence of the granting of this permi X Date /� % 7� This permit is hereby issued under the applicable provi- Signature of Applicant — Owner❑ Contractor ❑ Agent I sions of the Butte County Code and/or resolutions to do An OSHA permit is required for excavations over 5'0" deep and demolition or construct- work indicated above for which fees have been paid. ion of structures over 3 stories in height. DIRECTOR OF PUBLIC WORKS By Date Receipt No. WHITE-O.P.W., YELLOW PINR•INSPECTOR, GOLDENROD -APPLICANT PERMIT EXPIRES Date L PERMIT NO. 829-75B P E M MH UTIL. PERMIT NO. q PERMIT EXPIRES OWNER George Burlingame ;CONTR. Cro—Lume, Oroville LOCATION (A.P. 36-55-1 ) 2232 Las Plumas Ave., Oroville �i ,i n Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E / �✓ JOB FINALED _ CO ?J (Date) cz (Signal(e) Setback Forms Main Bldg. Footings Stemwal I Slab Piers Garage Footings Stemwall Slab Carport Footings Slab Patio Footings Masonry Walls Reinf. Steel Bond Beam Framing Stucco Mesh Scratch Brown Finish Interior Lath Door Closer DATE COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) Firewall Soil Piping Parapets 1st Floor Restroom Finish 2nd Floor Windows 3rd Floor Sidinci To out Roof Sheathing Water Piping Roofing Sewer Fdn. Vents Fixtures Garage Vents Water Htr. Prov. for physically handicapped Heaters Appliances Conformance of ex. structure Gas Piping & Ti Temp. Gas Final Sanitation FIREPLACE Final Footing Throat Rough Final Fixtures FIRE SPRINKLERS Motors Test Water Htr. Final Subpanels MECHANICAL Grd. Fault Prot. Heating Service Cooling Temp. Pole Ducts Underground Ventilation Permanent Final Final REMARKS OR CORRECTIONS PLUMBING ELECTRICAL COUNTY OF BUTTE — DVP,i RTMENT OF PUBLI 7 County Center Drive '-- Orville, California 95965 Telephone: 534-4541 \4 APPLICATION AND PERMIT - ah BUILDING Owner �� A- SQ. FT. OCC. BUILDING VALUATION 170 Mailing Address a 3 (1'14 , 04?LylL�C- Telephone No. Fireplace Contractor G RC — d *PAJ r, Total Valuation Mailing Address 60 d L L!J0 • Permit it Fee Fee 'y, eta Planng Fee&/or Penalty Telephone No. Permit Fee $ -7-0-0 t� Building Address "'PLUMBING S 1 tiVH1}S uC' No. @ FEE PERMIT FILING FEE $2.00 (,9 !CL Each Trap 1.50 /�- Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Q3z�� —(�Q % Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F a on FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Declare ion Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 8 .1 Plans Recd Parcel pproval Plan Approval Permit Fee $ $ NEW ADDITION EL UTILITIES ❑ OTHER [:]ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 ,�C% x (� A/ i�/G, Water Heater or Space Heater 1.00 Light fixtures bal alio Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of Califor 'a Business & Professions Code under the name style of: CA.(Jr r Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. a 7(/ 5/ 7 Classification_ Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. (� I have placed on file with the County of Butte a certificate of �+ Workmen's Compensation Insurance. I to an certify that in the performance of the work for which this ermit is issued I shall not em p employ y person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TO TOTAL PERMIT FEE $ ut orize representatives of he County of Butte to enter upon the above-mentioned prop . fo ����oses. X Date Signature of P itee or /Agent Receipt No.-T��FZ6 3 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIRECT OF PUBLIC WORKS By , Date Building permit expires Date ........... j/%......... PERMIT NO. 6193-75B P E M tr .MH UTIL. PERMIT NO. PERMIT EXPIRES OWNER George Burlingame CONTR. A-1 ' Masonry Contr., Oroville LOCATION (A.P. 36-55-1 ) 2232 Las Plumas Ave., Oroville t P Temp. Power Pole Cal d PG&E Temp Elea Serv. ailed PG&E T p. Gas Serv. Called PG&E JOB FINALED �� 7 (Datt) (Signal e) t Setback Forms Main Bldg. Footings Stemwal I Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footings Masonry Walls Reinf. Steel Bond Beam Framing Stucco Mesh Scratch Brown Finish Interior Lath Door Closer DATE COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Firewall Soil Piping Parapets 1st Floor Restroom Finish 2nd Floor Windows j 3rd Floor Sidinq To out Roof Sheathing N Water Piping Roofing Sewer Fdn. Vents Fixtures Garage Vents Water Htr. Prov. for physically handicapped Heaters Appliances Conformance of ex. structure Gas Piping & Test Temp. Gas Final Sanitation FIREPLACE Final Footing — ELECTRICAL Throat/ --L — Rough Final Fixtures FIRE SPRINKLERS Motors Test Water Htr. Final Subpanels MECHANICAL Grd. Fault Prot. Heating Service Cooling Temp. Pole Ducts Underground Ventilation Permanent Final Final REMARKS OR CORRECTIONS • _ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT BUILDING Owner �� �� / SQ. T. OCC. BUILDING VALUATION J Mailing Address��� Telephone No. Fireplace Contractor Gy Total Valuation Mailing Address p o D (j Permit Fee Plan Checking Fee &/or Penalty Telephone No. permit Fee - Building Address x,.23 �� ��r/`i PLUMBING No. @ FEE PERMIT FILING FEE J$3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. 3� — s'S�- D� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 - WG- Saaj-tatm I Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration parcel Ma p 60' R/W Improvements p Lawn sprinkler system 2.00 Bldg -Pi ares -Rem dam' Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 /r- Main service incl. 1 meter Additional meters, each 1.00 Sub -panel 02 or less) (more than 12) Single Family Q—_�Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 10 M2O Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of A�_� "�-" �i-=C/_�1r-�_� Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 / License No. Z,Z,S 2� Classification1 Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability forW rkmen's Compensation. YI have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I 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 the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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. g X Date �� Signature of mitee or Agent Receipt No. `C_>K ",Y�'1 White-D.P.W. — Yellow -Assessor — Pink -Inspector Goldenrod -Applicant TOTAL PERMIT FEE 1$ 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. DIRE ti PU IC WORKS BY Date Building permit expires Date / ")_ — � DEPT. �! REQUEST FOR EARTHQUAKE ECTION Date Name r_5 ; />��' J D. %� Telephone (last name (fi t name) Address Directions ITMIS OF CONCERN: INSPECTION Date o Z 7 S NATURE OF DAMAGE: Danger: /. / r ,e p41`7 Action: f' 4 Inspector