HomeMy WebLinkAbout078-210-053EVERETT COVEY
STREE 5217 Walmer Rd., .roville P7n
Permit 869-74B,P,E (remodel)
02-2446
5217 WALMER RD., OROVILLE
TYPE OF PERMIT NO. DATEISSUED nrPE_
PERMIT PrRI
E_
PERMIT DESIGNATION: B -BUILDING E -ELECTRICAL U -USE PERMIT HM -HOUSE MOVING
DEPARTMENT OF P -PLUMBING TV -RADIO -TV ANTENNA V -VARIANCE EP -ENCROACHMENT
BUILDING AND SAFETY T -TRAILER S/W-SIDEWALK NOTICE S -SIGN PERMIT D -DEMOLITION 600.1
PERMIT DESIGNATION: B -BUILDING E -ELECTRICAL U -USE PERMIT HM -HOUSE MOVING
DEPARTMENT OF P -PLUMBING TV -RADIO -TV ANTENNA V -VARIANCE EP -ENCROACHMENT
BUILDING AND SAFETY T -TRAILER S/W-SIDEWALK NOTICE S -SIGN PERMIT D -DEMOLITION 600.1
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CIU033H NOU334SN1
036-350-053 02-2446
_ DYER, ESTILL
5217 WALMER RD., OROVILLE -
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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NQ
(Rev. 12/96) APPLICATION AND PERMIT -- "
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
5 A I LS
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDINGADDRESS 5217 W .n% 'Q'P0T
Energy Plan Checking Fee $
$
PERMIT FEE S
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF IX 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 ❑
Describe Work: RERMF 15 C(1 CONT
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
920.00
PERMIT FEE $
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service zo*A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I 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 Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
aw 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
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
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
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 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 ri % _
9nture of pplicant - Owner ❑Contractor ❑Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO tOooA
46.00
NEW CONST. DWELLING OCCUP. SO
OR ADONS. ( 8 ACC. S.3.50FT.
tNON-Ralp, MULTI.O CIRCUITS
97,50
POWER APPARATUS
8 SINGLE XE
Ex. Occup. OUTLET OR ICIS. BA20@''50
FIXTURES .50
Ex. Occup.ounETsFU(ED APRESI'Es, o. OR EA.
,
5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring
23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $ 43.00
HAZ.
I D. FEES IMP
I FLOOD
I CDF
PARCEL
I 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.
f
r ,
By� / Date1411)�
PERMIT EXPIRES ON ` '� to
I f pate)
Receipt No. /
WHITE-D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
IN
r COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 P MT o.
(Rev. 12/96) APPLICATION AND PERMIT Ua :C2
ASSESSOR PARCEL NUMBER
o
ZONING
BUILDING PERMIT
OWNER
F_q—TTe
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
900
OWNER'S MAILING ADDRESS
PAT
CONTRACTOR'S NAME
OLNER
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Fee $
20.00
—Filing
Permit Fee $
23.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDINGADDRESS
9217 ,1 TT
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
X Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heaterE23.00SF
Water piping
Each as water heater or ventTYPE
OF WORK
❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: REROOF 15 SO COIF
Gas i in s stem 1 - 5 outletsNew
Buildin sewer
Mobile Home S G W
PERMIT FEE $
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 2*.A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I 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 LIC. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
aw 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 TO
46.00
WEE200A
CCU000A
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( a ACC. BLD..
SO
3.5QFr;
NEW . T.MULTI.OTLET
REBIDU
@7,50
POWER APPARATUS
8 SwGLE OUTLET CIR.
EX. Occup. OUTLET OR FD(TURES
00
BAL @ 1 0
P
Ex. Occup. GFIunFrsR.ID)Ew
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE t
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 Filing Fee 20.00
Heating
Coolin
Hood 6.50
Ventilation
PERMIT FEP_ $
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
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 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 /1 �.,_.�,_� Date (� L
gnaureof pp icant - 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 $
HAz,
o. FEES IMP
FLOOD
CDF
PARCEL Po
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated bove for whipffeehave been paid.
B Da e
PMIT EXPIRES ON
I I ate
ReceiptNo.
WHITE-D.D.S.-B.D. C AR -A SESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
s
OWNER -BUILDER VERIFICATION.
A:tentlon Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing yYonr sionalve.
Please complete and return this information at your earliest opportunity to avoid nnneoeassrydeLy
in processing and issuing your building permit. No building permit will be issued mail dds
verification is received.
n I personally plan to provide the major labor and materials for construction of the proposed
�f property improvement: YES 0 NO C3
Q I HAVE ® HAVE NOT E3 signed an application for a building permit for the proposed w0&
;. I have contracted with the following person (firm) to provide the proposed eonstintette®:
NAME:
ADDRESS: CITY:
PHONE: CON`MkCTOR'S LICENSE NO.
4. I plan to provide portions of this work, but I have hired the following person to coordina*
supervise, and provide the major work:
NAME: '
ADDRESS: CM:
PH0N-E: CONTR-kCTOR'S LICENSE NO.
5. I will provide some of the work but I have contracted (hired) the following persons to provide
the work indicated:
NAtiiE ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTYOWNER:
DATE:
iVOTE: This Owner -Builder Verification is required by Section 19831 and 19832 e&e
California Health and Safety Code. This verification Must be eompleW mtd
returned to our office before we are permitted to issue the permit.
OVER
OWNER BUILDER INFORMATION 11
Cea: Voce.Ti C -71 -
An application for a building permit has been submitted in your name listing yourself as the builder of property
improvements specified.
For your protection, you should be aware that as "owner -builder" you are the responsible parry of 1-(X onsuch
a permit. Building permits are not required to be signed by property owners unless they are personally paMw
own work. If your work is being performed by someone other than yourself, you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a busiaess
license from the city or county. They are also required by law to put their license number on all permits for which they
apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you ihould
be aware of the following information for your benefit and protection:
♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other toss) is 5300 or more for the entire project, and such persons are not licensed as contractors or
subcontractors. then you may be an employer.
♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with resoec: to worker's compensation insurance.
♦ For mere spcc"li.c information about your obligations under Federal Law, contact the Internal Revenue Service (and,
if You wish, tie U.S. Small Business Administration). For more specific information about your obligations under
Stace Law, c --,-.:ac' the Department of Benefit Payments and the Division of Industrial Accidents.
1; the strucnx: is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or throu&h Their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building
roviding his or her own labor and material personally. Building
permit, erroneously implying that the property owner is p
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License Board in your
community or at 10:0 N Street, Sacramento, CA. 958 14.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you
are aware of these ;ratters. The building permit will not be issued until the verification is returned.
I1IN't
rely.
'X 6A--,
el C. Vi iter, C.B.O.
ger, Building Inspection
NOTE: This Owner -Builder Information it required by Secdon /9830 of the California Health and Safety CS&
OVER
M'
ri
MW
?ERMIT NO. 869-74B,P,E
P
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M
MH UTIL.
PERMIT NO:
!' PERMIT EXPIRES 4— -/ 5
.,� OWNER Everett Covey
' ONTR. Owner
LOCATION (A.P. 36-17-2
l
' 5217 Walmer Rd., Oroville
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{ Temp. Power Pole
Called PG&E
Temp. Elec. Ser v.
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Called PG&E
Temp. Gas
I Called
j' JOB
FINALED
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COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING I BUILDING (Cont'd) I PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
+ Sewer
Garage
Fdn. Vents
Fixtures
Footings
Garage Vents
Water Htr.
Stemwall
Slab
Prov. for physically
handicapped
Heaters
Appliances
Carport
Footings
Conformance of ex.
structure
Gas Piping & Test `
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footinqs
Footinq
ELECTRICAL
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
DATE REMARKS OR CORRECTIONS
i
r
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 534=4541 / _
'APPLICATION AND PERMIT l6
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
I- X � � Date—
SignaturJjeof Permmitee or Agent
/
Receipt No. / 7 !p I ( _
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.
DIRECTOR OF PUBLIC WORKS
BY Date
Ilding perm=xpi=esDa�te.7.........y�...--.. ...
BUILDING
Owner t `
_
-SQ. FT. OCC. BUILDING VALUATION
it o r
Mailing Address a I S
G`/ -- C)1
Telephone Na
- 23
Fireplace
Contractor
Total Valuation
Mai ling Address
Permit Fee
Plan Checking Fee&/or Penalty
Telephone No.
Permit Fee
$
$
Building Address -2
PLUMBING
No.
@
FEE
PERMIT FILING FEE $2.00
3 U�
'
Each Trap 1.50
e 0 C
Repair drainage or vent piping
1.50
Water piping 1.50
�G
Each gas water heater or vent 1.50
A. P. No. 43 // /
J �c' ! 7
Zoning & Planning
Gas piping system 1 - 5 outlets
1.50
�L►
Each additional outlet .30
F s
W
�i
I FireDept.
FireZone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
parcel Ma p
60' R/W
Im rovements
p
Lawn sprinkler system 2.00
Bldg. ans Rec'd
&.a«�a' App+evel
ans Approval
Permit Fee
$
$ ! G
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL
No.1
@
FEE
PERMIT FILING FEE $3.00
(-t L)
G
Main service incl. 1 meter
Additional meters, each
1.00
Sub -panel (12 or less) (more than 12)
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixtures Eal 10
4
W0
Re s., swi lyes & fix qglets Ada-i��2255
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:
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. Classification
Misc. wiring
eta
1 am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
$f
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 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 $
$
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
TOTAL PERMIT FEE
$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
I- X � � Date—
SignaturJjeof Permmitee or Agent
/
Receipt No. / 7 !p I ( _
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.
DIRECTOR OF PUBLIC WORKS
BY Date
Ilding perm=xpi=esDa�te.7.........y�...--.. ...