HomeMy WebLinkAbout078-260-040f f ,
MARK HANSON
4768 Lower Wyandotte Rd, Orovillj
Permit##3611-81E (ele ser ch)SF
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MARK HANSON
4768 Lower Wyandotte Rd, Orovillj
Permit##3611-81E (ele ser ch)SF
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
` 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 —
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER) ', /, /f / - G, f
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
`
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
•l.�
UNKNOWN
Total Valuation is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESSSS
Permit Fee
$
ARCHITECT OR ENGINEER
'//U �� .f
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permittee
$
BUILDING ADDRESS _
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
lam.
Water piping
LOT NO.SUBDI
VISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF ❑Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New Add ition❑ Remodel❑ Utilities❑ Installation EJ Other 0,
Describe work: L� % ��
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP 001 OR ORSLESS
5.00 �� U V
Main service EA. ADD'L too AMP
2.50
NEW CONST. ( DWELLING OCCUP.N)
OR ADDNS. ACC. BLDGS.
22 sq ft
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
!• Q- I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR I -OUTLET 2,50 ea
NON.RESID BRANCH CIRCUITS)
NEw CONSTR. POWER APPARATUS &)
NON.RESID. (SINGLE OUTLET CIR,
EXa 25¢
Ex. Occup(OUTLETS OR FIXTURES BAL,pt
Ex. Occup. (0%T LETS (RESID )REA. J 2.00
OU
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50 �}, c•; �
��� -: ��� ��/ ',7
Permit Fee $ -ou
Contractor
MECHANICAL PERMIT
FiIirig Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
0 I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
S
Contractor
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue[
against said County in consequence of the granting of this permit.
x ` " " \1 Il r,� / II.�t
Date
Signature of Applicant — Owner ElContractor ElAgent❑ f
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCCu P. GROUP
I TYPE OF CONST.
-I
PARCEL
PD
HD
S9DE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
�
B y
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been aid.
p
WORKS
r
Date
-
f� { u 4I
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
.' COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
RRECTION NOTICE
A —routirtp4J�Tp—ecTion indic-te%that the following violations of County Ordinance
exist at fife above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, 'please contact this office immediately.
� f
.i /nmf" � Jrll� M
A
4
Inspector Date` /v
., ;
�) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS/' PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4 41 /
APPLICATION AND PERMIT 44, hig
ASSESSOR PARCEL NUMBER �jL✓
ZONING
BUILDING PERMIT
°W�' �
SQ. FT. OCC. BUILDING VALUATION
//,t�n�� �[/�R(,F/�$�/%�'�J/ /�yJ/ //+, ��%%//�/1
O W'y Fa Ri �$Y/Ak I N AV V ^- s ( I wpo T � O/e v I�/ t—,-
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS '
Fireplace
CONSTRUCTION LENDER _
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDlIREES►S�A1
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILD NG ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
1 2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO. SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
. 5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF IA' Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition _ Remodel ❑ U i lities ❑ Installation ❑ Other
Describe work: IiT�
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.0/0
Main service 100 AMP OR0V OR LESS5.00
Main service EA. ADD'L 100 AMP
2,50
NEW CONST. / DWELLING OCCUP.aq
OR ADDNS. t ACC. BLDGS.
22 sq ft
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 m license is in full force and effect.
Y
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work, and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTROUTLET 2,50 ea
NON.RESID BRANCH CIRC TS
NEW CONSTR. / POWER APPARATUS b
NON-RESID. (SINGLE OUTLET CIR.
50 @ Z$0
Ex. Occup OUTLETS OR FIXTURES BALCai
EX. Occup.(pUTLETSP(RESID.)R EA.) 2.00 2,00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50 12,
"I S moil
Permit Fee $ z-oo
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent t0 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 shal I be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, 'udgme ts,. osts, and expenses which may in any way accrue
agai t id o in c s quence of the granting of this pe it.
X Date
Signature of Applicant — Owner El Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee
$
TOTAL PERMIT FEE $
OCCUP. GROUP
TYPE OF CONST.
PARCEL
PD
HD
SSyE
.V/
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIREC R OF PUBLIC
BY
PE EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date �2� �9
�-7, ''? 7__
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541
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 in the envelope provided at your
earliest opportunity to avoid unnecessary delay in processing and issuing your build-
ing 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 prperty improvement (yes or no).
2. I (have/have not) signed an application 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. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
S igned :
Property Owner " r\ '
Social Sec ity number
Date_ I :zf
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
permitted to issue the permit.
�� '�aw"r"v''M!'�:ra.aw..naa:.�•. .era+sex"'R-W++`�*t�ar*"+ax�vRer�wp�.a� �RJ��l�' :3�,..:'c.s�'.�.�.., ..
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC wbRKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965, - TELEPHONE: 916/534-4541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER ��� I�A�tJsO/V J A. P. No.
08/ — S�
Proposed Building Use CLOT 5
Permit Fee Based Upon: Complete Contract Price DPW Valuation
7 Other (Expla.i.rr)-- '
Building Inspector -✓� Date 6? — —,7
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 submitted. . . . . . . . . . . .
2. Plot plans in duplicate./triplicate. . . . . . . . . . .
3. Complete plans in duplicate./triplicate. . . . . . . . .
4. Complete engineered plans and calcs.
5. Plans with Energy Design Compliance Statement. . . . . .
6. State Energy Forms No.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
9. Letter of signature authorization.
16. Sanitation approval from Health Dept.
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance.
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ )
15. Improvements may be required. .. . . . . . . . . . .
6. Mobilehome Installation Data.
V�/_,7. Pre -Ins ection for 5 /GC Chit� �L�fj�uired•Puildinpec. request to S (Date)
p Building Inspector f-� Other pie
/J
Whenye0 issue the permit, process as follows: Mail to owner. Mail to contractor.
l/ Telephone andj�•1'��for pickup at office. Deliver w/inspector.
Other �(
A Iicant \ 1 _ (�iS�f�"6i Date I ��1�
N' a 1 !
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance:
(For required items not checked above at time of application, circle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other
By Date
Plans checked by Date
Plans approved by Date
Other:
Copy—DPW
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
T APPLICATION AND PERMIT
PERMIT N0.
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWN R
/-/4&15
4� _v, -tR
/4` 15/%o/�J/(��j
EPHONE
_/` �/yam
SO. FT. OCC. BUILDING VALUATION
�)f j /J�oi/�
O WyF R_$�MAILING A�9Sll "V /I"(�L�VT� "' (�/•�(,��/ t c_
�/l '�/��
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER�I
'` �"�
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'$ MAILING ADDRESS
Permit fee
$
BUILD NG ADDRESS'
7��� ��� �� yg,��r�• ,���
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO.
SUBDIVISION NAME
PARCE'_ MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
j USE OF STRUCTURE
SF L11' Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn.sprinkler system
5.00
TYPE OF WORK
New ❑ Addition Remodel ❑ U ilities ❑ Installation[] Other
Describe work: GT C�
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.000
Main service 610V ORS
00 AMP OR LESS
11
5.00 �VV
Main service EA. ADD'L too AMP
2.50
NEW CONST. DWELLING OCCUP.N
OR ADDNS. ACC. BLOGS.
2¢sgft
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)
❑ 1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR MULTI -OUTLET
NON.RESID. BRANCH CIRC ITS 2.50 ea
NE'N CONS-rR POWER APPARATUS t1)
NON-RESID. SINGLE OUTLET CIR.
Ex. Occup OUTLETS OR FIXTURES 30'250
BAL010,
FIXED APPLNS. OR
EX. OCCUp- OUTLETS (RESID.) EA.) 1 2.00 �Q(�
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50 U
`;� �/J
Permit Fee
$ O�Z-00
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
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.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
S
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, judgmerkts, • osts, and expenses which may in any way accrue
agai I t id Co in c nsquence of the granting of this pe mit.
X Date 0,,
Signature of Applicant — Owner. Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee
$
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OF CONST.
17.RCEL
PO
ND
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No.
WHITE-D.P.W.. YELLOW-ASSCSSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT