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Home My WebLink About078-260-010r. 71-90 KELLY, WILLIAM 2424 Oak ;Knoll Way, Oroville Y �. (M. H UTILITIES) h `• L i------'--- ELEC GAS COMPACTION TEST REQ "u?w SUPPORT STRUGT'REQ R. 0--73-a(V0-o10 7 0 1 i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATI,.ON AND PERMIT PERMIT NO. 7/-20 ASSESSOR f-2 ASSESSOR PARCEL NUMBER 1-346 _ O 8 _ < i ZOfWNG T BUILDING PERMIT OWNER TELEPHONE i� SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING A RESS tizv �Q� 6 CONTRACTOR'SNAME O TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ }Q_QG_ LENDER'S MAILING ADDRESS Permit Fee $ 6s, C) 0 ` ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING DotaESs Permit fee $ 1,5,[70 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 1A I Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP -` 4—sl Water piping 5.00 Each qas water heater or vent 5.00 USEOFSUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home MO&V ___O.00ea 30. GP TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installa ` n 0 r ❑ Describe work: _ Permit Fee $ , �V Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS AMP OR LESS 10.00 /0,0()100 Main service EA. ADD'L 100 AMP 2.50 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 Professions Code and my license is in full force and effect. (cense 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.6, OR ACDNS. ACC. BLDGS. I 2�20sq ft NEW CONSTR. MULTI -OUTLET NON.RESID BRANH CIRC ITS 2,50 ea POWERCAPPARATUS 2 (SINGLE OUTLET CIR. ) Ex. Occu p OUTLETS OR FIXTURES zo®eoe 20@030 FIXED APPLNS. Ex. Occup. OUTLETS ((RESID,)REA.) 2.00 Temporary service- 10.00 Mobile Home Facilities 15.00 S 0J Misc. Wiring 15.00 Permit Fee $ cvo Contractor 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 f 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 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 uence of the granting of this permit. cO 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 $ Energy Inspection Fee $ Occ CONST TYPE q TOTAL FEE $ HAz CUA PARK SCHL FLD PAR PD HD I ISSUE This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. =,g7 Cj WHITE-D.P.W., YELLOW-ASSFSSOR, INK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APP,, ATION DATA SHEET Permit No. OWNER A. P. No., y SZ� Proposed Building Use Building Inspector Date 19 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have -been subm ie .. 2. plot plans in duplicat ytriplicate, igned by preparer of plans........ 3. Complete plans in dupleca a replicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. ,-8Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... �� School District fees paid! ............. —>� 4. Sanitation approval from 4)Ko 4�He4alth Department 15. City of Chico plumbing permit. ............ 1l x J1.1. . . . .. . . .. . . . . 16. Plot plan and business license approval fromlCity;oY (see City for other requirements)�✓ 17. Planning approval for (A) Use: (B�Parking: 18. Improvements may be required. Contactij Landbevelopment Section DPW 1 19. Driveway permit (construction approvalJrequired prior to occupancy) 20. Pre -Inspection for / requiredPre-Inspec. request to Building Inspector (Date 21. Contractor's license information (No., Name Style, Classifications ... 2. Certificate of 1%Uorkmans Compensation Insurance .................. -3. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows:Mail to owner. Mail -to contractor. Telephone and hold for ickup at office. Deliver w/inspector. Other ' L Applicant q- 19,!9 Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. � ,! 91 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_—mall—counter by .date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date�Plans approved by Date Sets of plans on hold in . File cabinet AP folder Copy—DPW