HomeMy WebLinkAbout078-250-03392=1902 ^
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HARDESTY, PATRICIA
11 MELANDJO, OROVIL WALED ,
CONT: MCCLELLAND'
INSTAL HVAC .
03-1500
HARDESTY, PATRICIA
.'11 MELANDJO CT, OROVI _NALED
UPGRADE ELEC. SERV. P LS Tl�
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92=1902 ^
11 oof/f jo Ct Oroville O33
'reroof/sf OIg
y- 93
07 03-14. 98
HARDESTY, PATRICIA
11 MELANDJO, OROVIL WALED ,
CONT: MCCLELLAND'
INSTAL HVAC .
03-1500
HARDESTY, PATRICIA
.'11 MELANDJO CT, OROVI _NALED
UPGRADE ELEC. SERV. P LS Tl�
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OF DEVELOPMENT SERVICES - BU 0
COUNTY OF BUTTE DEPARTMENTBUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
/' , ---,>1 I 1
(Rev. 12/96) APPLICATION AND PERMIT �-;--s-�-,--�
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER
///'' ,r
G �/Cr
TELEPHONE
SD. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
o
CONTRACTOR'SNAME
M_Clelland 891
TELEPHONE
CONTRACTORS MAILING ADDRESS
6' 11miniderholdt Chi co CA 19597-1
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
11 Meland O OrOv�lle
Energy Plan Checking Fee $
$
PERMIT FEE $
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
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
7 ���� ��/��
Describe Work: �'<
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home S G W 920.00
PERMIT FEE $
ELECTRICAL PERMIT Fling Fee 20.00
-OV OR O -ESS
Main Service 2o..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 inn full force and effect. r
License Classy "G!J Lic. No. C ' � ��
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.
❑ 1, 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 zoo. To I000. 46.00
NEW CONST. DWELLNJG OCCUP. SO
OR ADDNS. ( 8 ACC. BLDS. 3.5¢x.
INJON R oESID. ' MULTI -OUTLET @7.50
POWER APPARATUS
a ELF OLm� CIA.
OUTLET OR FIXTURES 20
Ex. Occup. UT �` ®I e
Ex. Occup. OFIx�E�OTS. Aa of 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
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.)
❑ 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.
f /
X J q C. " Date 5 s'3 10.3_
Signature of Appfi - ❑ Owner ❑ Contractor HCl Agen
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT Fling Fee 20.00
Heating 15.00
Cooling 15.00
Hood 6.50
Ventilation
PERMIT FEE $ W.W
Mobile Home Installation Fee $
Energy Inspection Fee $
occ CONST. TYPE
TOTAL FEE $ 85.00
HAZ.
D. FEES IMP FLOOD CDF PARCEL
PO
HD
6 E
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.
i
{ _LL F" �_
By Date �/' �
PERMIT EXPIRES ON
(Date)
Receipt No. i
WHITE-D.D.S.-B.D.CANARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
W
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COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION
3 7 County Center Drive • Oroville, California 95965 • Telepho (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT I' % Q T
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER r
r538 9060
TELEPHON
SO. FT. OCC. BUILDING VALUATION
OWN 5 MAILING ADDRESS
11 Meland'o Oroville CA 95966
CONTRACTOR'S NAME
McClelland 891-6202
TELEPHONE
CONTRACTORS MAILING ADDRESS
690 Thunderholdt- Chia) CA 99971
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
UCENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
11 Meland'o Oroville
Energy Plan Checking Fee $
$
PERMIT FEE _
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
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/ n[3! Installation ❑ Otherli
Describe Work: /iV-%�� ��y�l,
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
920.00
PERMIT FEE $
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service io i oA mss
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 full force and effect.
License Class (i Lic. No. � I ��
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 �� TO
46.00so
CCU000A
NEW CONST. DWEWNG OCCUP.
OR ADDNS. ( a ACC. eLns.
SO
3.50FT;
NpµgESID MULTI.OUTLET
@7.50
POWER APPARATUS
a SINGLE OUTLET CIR.
EX. Occup. OUTLET OR FURORES
BAL @-50
Ex. Occup. ovTEE°rs'(R .) E
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 works' compensation insurance carrier and policy number are:
Carrier i
Policy Number
(The above sections need not bef 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 o alifornia, and agree that if I should become subject to the
wo " rs' compens on provisions of section 3700 of the Labor Code, I shall
f ith comply ' thosp provisions.
77 /'
X D e /,, V
�CDIgn re of App - ❑ Owner ❑ Contractor (Agen
An OSHA permit is required for excavations over 60" deep and demolition or constructionZ
of structures over 3 stories in height.
MECHANICAL PERMIT
Fling Fee 20.00
Heating 15.00
Cooling
Hood 6.50
Ventilation
PERMIT FEE $ 50.00
Mobile Home Installation Fee $
Energy Inspection Fee $
occ CONST. TYPE
TOTAL FEE $ 85.00
HAZ.
D. FEES IMP FLOOD CDF PARCEL PD
HD
ISt;
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which tees have been
By Date
PERMIT EXPIRES ON
provisions
to do work
paid.
l
/
et
Receipt No._ 1 `%�
WHITE-D.D.S.•B.D.CANARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
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� 34 -093 - o�� ✓0 3 --�s�
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COUNTY OF BUT-�PEPAff l( IENT OF DEVELOPMENT SERVICES -.BUILDING DIVISION
7 County Center Drive • Orovll e� California 95965 • Telephone (530) 538-754 PERMIT No.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
036-093-011
ZONING
BUILDING PERMIT
OWNER
Patricia Hardest* 538-9 M
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
mp�CONTRACTOR'S
NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS '
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Fee , $ 20.00
—Filing
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS -
-
Plan Checking Fee 1$
BUILDINGADDRESS
11 Meland'o Court Oroville CA
Energy Plan Checking Fee
�$
PERMIT FEE ;S
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT i Filing Fee 20.00
Each Trap 7.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY -
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 ❑
Describe Work: ,. -
elect -4- al se�panel ,rade
'Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home S G W @20.00
PERMIT FEE $
ELECTRICAL PERMIT Fling Fee 20.00
Main Service io Aoa.ss 23.00 23000
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am en under provisions of Chapter
9 (commencing with Section 7000) of Divisjo 3 f the e s and Professions Code,
and my license is in full force and effect. �' `1 C
License Class Lic. NO.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of that Io^ exempt from the Contractors License
Law for the following reason: �� \� () �\
❑ 1, as owner otthe property, or my ployees with waw�c es their sole compensation,
will .do the work, and the structure is not intended or offered for sale.
'd I, as owner of the property, am exclusively contracting with licensed contractors
to4bonstruct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO lOooA 48.00
NEW CONST. OWEWNG OCCUP. +¢SO
OR ADONIS. ( a ACC. BLDS. 3AFT.
NEW CONST. MULTI -OUTLET
NON-RESID. @7.50
POWEA APPARATUS
I. b SINGLE CIS.
;
20
R Focr
EX. OCCU OUTLETOR REs BAL .50
NS
FIXEDAPPLNS. OR
Ex. Occup. ouTLETs RESID. EA. 5.00
Temporary Service. 23.00
Mobile Home Facilities 20.00
-
Misc. Wiring 23-.`00
PERMIT FEE $ 43.00
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations: k
❑ 1 have and will Naintain a certificate of consent to self -insure for workers'
compensation, as pr ovi d for by section 3700 of the Labor Code, for the
performance of work f which this permit is issued.
%,0 1 have and will mai rk rs' comper�sation insurance, as required by Section
3700 of the Labor Co 4h erformanpe�of�work for which this permit is issued.
My workers' compensation insarAftvirne,ar�d policy number are:
Carriery
Policy Number t \
(The above)ns need not be completed if,the permit is for work of a valuation
of one hund�ed:cl4llars 100) or less.) _
I certify that ior an the work for w�iich this permit is issued, I shall
- not employ any Pers— I a manneW as to become subject .to workers'
compensation laws of Ce�ifo i nd agr that if I should become subject to the
workers' compensation Prov' io of, ction 3700 of the Labor Code, I shall
forthwith comply with tFiote revision
r/ _ I
X ..t t Date—.) .� ; j �. ,33 ' _
Signature of Applicant --13 Owne"\ ❑ Co tractor ❑ Agent
An OSHA permit is requfor ex-avat nstiver 60" deep and demolition or construction
ired
of structures over 3 stories in height.
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
x�
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST.TYPE
TOT F_EE g/43.�
HAZ.
p, FEE IMP'
C
FLOOD
COF
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 above for which -fees have been paid.
y1 /
By Date
PERMIT EXPIRES ON
Date
Receipt No. "� f�J. V
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
y COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUI ING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (53 538-754 PERMIT NO.
(Rev. Y196) APPLICATION AND PERMIT � `-
711
-�'
ASSESSOR PARCEL NUMBER
036-093-011
ZONING
B ILDING PERMIT
OWNER
Patricia Hardesty 538-9060
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAIUNG ADDRESS
11 MPI
CONTRACTORS NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation Is
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDINGADDRESS
11 Meland'o Court Oroville CA
Energy Plan Checking Fee
$
$
PERMIT FEE
$
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
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 ❑
Describe Work: �lGst-rivalsery panel grade
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE
S
ELECTRICAL PERMIT
Fling Fee 20.00
800V OR LESS
Main Service 20OAORLESS
23.00 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
1 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
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
omply with ose visACo*tractr
Datedindicated
nature of Applican wrier Oo❑ Age t
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service TO tOooA
46.00
W:I200A
NEW CONST. DWF111C. OCCUP. 3.5QSO.
( Fr.
NEA
DONS . MULrcou�rLEr
NOµq�Ip, CIT. @7.50
PSO APPARATUS
8 SINGLE 011'.CIR.
OUTLET OR FDrrUREs
Ex. Occup. B20 p 1.000
Ex. Occup. ouTEiFrs PRES,6UNIS)FRA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wirin 23.00
PERMIT FEE $ 43.00
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
L
HAZ.
I D. FEES IMP
I FLOOD
CDF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
ab ve for whic shave
By
PERMIT EXPIRES ON �� -
the applicable provisions
Resolutions to do work
been paid.
Date
J (J
Date
Receipt No.
WHITE•D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
ear :+��: ;�'o1>�j"�''>r`'t�saw�.. ,�•�+wel•�"'F'�.``� ,y
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT
/ 7 County Center Drive - Orovllle, California 95985 - Telephone. 918,538.7541
APPLICATION,AND PERMIT
ASSESSOR PARCEL NUMBER
.10 dU= "'56-4)93..011
ZONING
RT 1
BUILDING PERMIT
OWNER a' J. RiICKLR
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
12 @ 60
720.00
OWNER'S MAILING ADDRESS
1 11 MALAND JO CRT OROVIU2
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
720,00
Filing Fee
$ 15.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 19.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
11 MAIMD JO CRT OROVI=
Permit fee
$ 54.50
PLUMBING PERMIT
Filing Fee 15.00
"
Each Trap
5.00
i
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
I
+
Water piping
7.00
Each pas water heater or vent
7.00
USE OF STRUCTURE
SF [11 Duplex❑ Mobilehome❑ Other
SPECT FY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S I G I W
615.00
TYPE OF WORK
New ❑ Addition U Remodel ❑ Utilities ❑ InstallationC Other ❑
Describe work: REROOF _
I
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
•
Main service 600V OR LESS
200A OR LESS
18.50
Main service 20GATO1o0OA)
37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ 1 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 CONST. DWELLING OCCUP.&`
OR AODNS. ( ACC. BLDGS. I
.
3.64 sq.f[
NEW CONSTR ULTI.OUTLET
NON.RESID BRANCH CIRCUITS
` 5.00
POWER APPARATUS &
(SINGLE OUTLET CIR. )
Ex. OCCUp(OUTLETS OR FIXTURES
20 76 d
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.)
1 3.00
Temporary service
j 15.00
Mobile Home Facilities
15.00
Misc. bVirin 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.
❑ 1 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.
O 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 1 15.00
Heating
Cooling
LHood
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 consequence of'the granting of this permit.
X ` '^-, - '�'` <. Date ,.
Signature of Applicant — Owner fl/ Contractor ElAgent ❑
\-
permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures ovpr,3 stories in height.DIF�E
Mobile Home Installation Fee S
Energy Inspection Fee $
OCC CONST TYPE
TOTAL FEES +•
HAz
I DFEES I
IMP
I FLOOD
I COF
I PARCEL
PD
HD
ISSUE
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
TOR F PUBLIC
By 9", � �
Date
applicable provi-
resolutions to do
have been paid.
WORKS
Date6Z-
N —
�^ '
Receipt No.PERMITEXPIRES
v
WHITE-D.P.W.. YELL0W-ASSE5S0R. P7NK-INSPECTOR, GOLDENROD -APPLICANT
I
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538.7541
APPUCATION AND PERMIT
PERMIT
ASSESSOR PARCEL NUMBER
3M9300M 36-093-011 =
ZONING
RT 1
BUILDING PERMIT
OWNER
J. RUCP.ER
TELEPHONE
SQ. FT. BUILDING VALUATI
(nOCC.
12 60
`
720.00
OWNER'S MAILING ADDRESS
11 MALAND JO CRT OROVILLE
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
/�
720.00
Filing Fee
$ 15.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 19.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
11 MALAND JO CRT OROVILLE
Permit tee
$ 34.50
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
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SFU Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home Is G W
615.00
TYPE OF WORK
New r. Addition D Remodel ❑ Utilities ❑ InstallationC Other ❑
Describe work: REROOF _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600VORLESS
200A OR LESS
18.50
Main service 200A TO 1o0DAI
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 CONST./ DWELLING OCCUPM
OR ADDNS. ( ACC. BLOGS. //
_37.50
3.64sq.ft.
NEW CONSTR. MULTI -OUTLET
NON-RESID BRANCH CIRC ITS
@ 5.00
POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
20 760
FIXED APPLNS. OR50
Ex. Occup. OUTLETS (RESID.) EA.)
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.
flS�f I shall not employ any person in any manner so as to become subject
�l 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 1 15.00
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 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 copse en of he granting of this permit.
X Date,
g Lure of Applicant — Owner Contractor ❑ Agent ❑
OSHA permit is required for excavations over 5'0" deep and demolition or construct-
Ion of structures over s aries in height.
Mobile Home Installation Fee S
Energy Inspection Fee $
occ CONST TYPE
TOTAL FEES 34.50
HAz
I DFEES
IMP
I FLOOD
I CDF
PARCEL
I PD
HD
IssuE
This permit is hereby issued under the
sions of the Butte County Code and/or
Work indicated above for which fees
DI E TOUBLIC
F P
By l
PER PIKES Date
applicable provi
resolutions to do
have been paid.
WORKS
Dated — �/—g
��
Receipt No.
WHITE-D.P.W., TEL O-ASS(SSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
., -r
"COUNTY OF BUTTE-
PARTMENT OF PUBLIC WOR;,= BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE,,C'ALIFORNIA 95965 - TELEPHONE (916) 538-7541 VA
OWNER
Proposed Building Use
PERMIT APPLICATION DATA SHEET
36-69 3�0
Building Inspector
Date
At time of per it application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1, 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). .. ... ... .
Pre-Inspedionreque-Ts
20. Pre -inspection for required. .. to Building Inspector (Date)
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: LX Mail to owner
Telephone and hold for pickup at
Other
Parcel Creation
Acreage Applicant
Mail to contractor.
_ office. Deliver with inspector.
Date W-31-7 z�
Copy of Haz-Mat form sent Health Dept. Fire Dept/ Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. ther Date By
The following data must be submitted prior to permit issuance
1. Index permit for above items No.
2. Additional items required:
(Circle new item not checked above).
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 PARCEL NUMBER
ZONIN
,TEe11
BUILDING PERMIT
OWNER
oNE /
�7/CIO
SO. FT. CC. BUILDING VALUATION
NE 'S MAI G Dji1R E5 ^
(/J
7�
C N TO N
TELEPHONE
C T ACTO 'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 15.00
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
Permit fee
$
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 Llsl Duplex❑ Mobilehome❑ Other
T� 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 ❑ Rem�o/dd I ❑ tui lities Q Installation❑ Other ❑
Describe work: /7rl�Ly��—'
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600V OR LESS
200A OR LESS
18.50 -
Main service 200A TO 1000A1
37.50
CONTRACTORS LICENSE LAW
I declare under penalty ur
p y of perjury y (Check One):
❑ 1 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
❑ 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)
❑ 1, -as the. owner, am exclusively contracting with licensed contract-
ors. (Sec: 7044)
❑- 1 am exempt under Sec. , Business and Professions Code.
for this reason
NEW CONST. / DWELLING OCCUP.&\
OR ACDNS. 1 ACC. BLDGS. //
3.64 sq.tt.
NEW CONSTR. MULTI -OUTLET
NON-RESIC BRANCH CIRC ITS
@ 5.00
POWER APPARATUS e
SINGLE OUTLET CIR. I
Ex. OCcup(OUTLETS OR FIXTURES
20 760
FIXED EOccup. OUTLETS
Ex., OUT ETS IRESID,IEA./
I 3.00
"
Temporary service
1 15.00
Mobile Home Facilities
15.00
Misc. Wiring
'15.00 -
Permit Fee
$
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 15.00
Heating
Cooling
Hood
6.50
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 waccrue
against said County in consequence of the granting of this permit
X Date 7�?Z,--Irhis
Si nature of Applicant - Owner
p pp ❑ Contractor ❑ p and ❑
over 5'0" deep and demolition or construct-
i n OSHA permit is required for height.
ion of structures over 3 stories in height.
Mobile Home Installation Fee S
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEES
HAz
OFEES
IMP
FLOOD
CDF
PARCEL
PO
HD
ISSUE
permit is hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No. 1
WNITE-D.P.W.. YELLOW-A3eE3301t. PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE = Depaxtment of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit.
will be issued until this verification is received.
1'. I -personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or:no�DppliCa�tion
.
2: I (have/have not) i phi signed an 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.--.-1 will.provide some of the work but L have contracted (hired).the following
persons. to' provide the work indicated.:
Name " Address Phone Type of Work'
Signed:
Property Owner
Social Securit
Date
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.