HomeMy WebLinkAbout078-280-021f�l��� �i�•-bir.sP• lo�a��4i-
3602---2*--
ELLIS BROADWAY
3031 Oro Bangor Hwy, Orovill
Permit1329 -8 (r,.egire)SF 2 -,Q y_ 3
BROADWAY, A.
3031 Oro Bangor Hwy, Oroville
cont; G & T Electric
(elec sery & misc wiring/sf)
-7
4
BROADWAY,
0`7
e/s Oro -Bangor Rd. 350' south of V7,
(repairs)
/O -/- 6�
'
.
f`
BUTTE COUNTY DEVELOPMENT SERVICES
Complainant:
Address:
Phone Number.
Other Comments:
Inspector must draw a plot plan with all building locations:
Additional Comments from Inspector:
2
Ellis Broadway
Permit #3291-86E
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
.. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.r .
ASSESSOR PARCEL NUMBER
—r", 0,2 1
ZONING
/7 A-- -
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC.1 BUILDING VALUATION
OWNER'S MAILING ADDRESS `
f."'rJ .
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
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 10.00
-
Each Trap
-2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF-NDuplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S I GJWJ
10.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other\71
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penaltyof perjury p I y (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.SINGLE
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)
El I, as the owner, am exclusively contracting with licensed contract-
ors.(Sec. 7044)
El am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.a)
OR ACDNS. ACC. BLDGS. +/zQsgft ,?3R
NEW CONST R.MULTI-OUTLET
NON.RESID BRANCH CIRC ITS 2.50 ea
POWER APPARATUS e
OUTLET CIR.
Ex. Occup OUTLETS OR FIXTURES e20e50e
AL@30
IXED
Ex. Occup. OUTLETS IPRESID IREA.1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
"�r,4 14JS' •`rT//1rx !-'- ✓i)
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 shal I 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
FiIingFee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
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 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, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X � r_ = '`� Date //- _? �n
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 $
TOTAL PERMIT FEE $
occu P.
CONST.TYPc
I
I FLOOD
PARCEL
I I;T
ND
ISS Fj
///
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
_r
B Y /
y
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
J/
Receipt No. /_ - ,— / �-
__ 7
WHITE-D.P.W.. YELLOW-ASeESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, talifornl4a 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
w
ASSESSOR PARCEL NUMBER ZONING
—tea —
BUILDING PERMIT
OWNER TELEPHONE
SQ. FT. OCC. BUILDING VALUATI N
OWNER'S MAILING ADDRESS
CONTRACTOR'SNAME r
TELEPHONE
CONTRACTOR'S MAT—LING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
Filing Fee
$ 10,00
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
30,31
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SA Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home JSFG W
10.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other
Describe work: o6Zin( 12
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
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.
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.k 3Or
OR ADDNS. ACC. BLDGS. 1/2Qsgit
NEW CONSTR. MULTI -OUTLET 2,50 ea
NON•RESID BRANCH CIRC ITS
POWER APPARATUS e
SINGLE OUTLET CIR. )
Ex. Occu 20050a
Occup(OUTLETS OR FIXTURES eAL030
FIXED APLNS
Ex. Occup. OUTLETS P(RESID IRE A.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
j/u ---1
Permit Fee $
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
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 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
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 Date -�
Signature of Applicant — Own r Contractor ❑ Agent ❑
An OSHA permit is required for ex avotions over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
occuP,
CONST.TYPE
JF1
PARCEL
PD
ND
Is9u
This permit is hereby issued under
sions of the Butte County Code and/or"resolutions
work indicated above for which
DIRECTOR OF PUBLIC
By
P IT EXPIRES Date
the applicable provi-
to do
fees have been paid.
WORKS
Date 4
ifs
Receipt No.
WNITC-D.P.W.. •EL LOW -A 8[990R, PINx•I NSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT,�OF. PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541
PERMIT APPLIC,ATION DATA SHEET
Permit No.
OWNERG.CS �i�vf7>�i5'�- A. P. No.
Proposed Building Use Building Inspector c - Date
At time of permit application, I was advised the following data must be submitted prior to permit processing
andJor issuance: DATE RECEIVED APPROVED
1. All items have been submitted. . . . . . . . . . . .
2. Plot plans in duplicate. /triplicate, signed by preparer of plans. •
3. Complete plans in duplicate./triplicate, signed by preparer of plans.
4. Complete engineered plans and calcs, with wet signature on plans.
5. Plans with Energy Design Compliance Statement. . . . . .
6. CUSD "Fee's Paid" Stamp on Floor Plan . . . . . . . .
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
9. Letter of signature authorization. . . . . . . . .
10. 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 0
_15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . .
!
KPre-Inspection for �GE�%- Pre-Inng In request t9 —
Required. Building nspector ote)
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit.
20. Plot plan approval from city of
21.
22.
When you issue the permit, process as follows: Mail to owner, Mail to contractor.
Telephone and hold for pickup at—off ice, Deliver w/inspector..
Other
Applicant ` ate
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.
2. Additional items required:
I
Contractor, designer, owner, was advised of above required data by_phone--nail—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
— Hours: 10:00 a.m. - 3:00, p.m.
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 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 M
nd materials for construction of
the proposed property improvement (yes
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: I-
r
Name
Address City
Phone Contractors License No. O Sr3�S
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
Signed:
Property Owner
Social Security -Number
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.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, 'Calitornia 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO. /
ASSESSOR PARCEL NUMBER
RBUILDING
Z%N:NG
,
PERMIT
OWNER '-
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
�
CONTRACTOR'S NAME
TELEPHONE
CCINTRACTOR'S MA ING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
000
Permit Fee
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan CheckirVe
Penalty
$
BUILDING ADDRESS
30,31Permit
fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2,00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME ---]PARCEL
MAP
Water piping
5,00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SA Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00.
Mobile Home I S I G JW
=4=
10.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other]
Describe work: ��CZCJ/�C _
Penult Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 1000V OR 0 AMP ORLESS10.00
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
Main service EA. ADO'L 100 AMP
2.50
NEW CONST. / DWELLING occuP.e` , .3S
OR ADDNS. C ACC, BLDGS. / h¢sq ft
NEW CONSTR. MULT'-OUTLET
NON-RESID BRANCH CIRC S 2.50 ea
POWER APPARATUS 6)
SINGLE OUTLET CIR-
EX, OCCU OUTLETS OR FIXTURES 20101
p DALe3o
FIXED ALINIS
EX. OCCup. OUT ETS PIRESID 1REA.) 1 2.00
Temporary service 1 10.00
Mobile Home Facilities 15.00
Misc. byirin 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 10.00
Heating
Cooling
Hood
3,00
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 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 ___Occul
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 — Owne'rJA Contractor ❑ Agent ❑
An OSHA permit is required for ex avations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
CONST.TYPEPL000
PARCEL
PDJ
No
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. C 1
WHITE-O.P.W.. YELLOW -A DEDDO., PIN. -INSPECTOR, GOLDENROD-AP►LI CANT
Tem Reid
Division of Environmental Health
Jim Glander
Building Inspection Division
7 County Center Drive
Oroville, California 95965
Gentleman:
I/We request an inspection of the property identified below for the purpose of
obtaining financial assistance for home repairs under the County's Community
Development Block Grant Rehabilitation Program. I/We understand that if this
inspection uncovers health and safety. violations, we may be required to remedy
these problems whether or not we receive financial assistance under this program.
SIGNED:
Owner
4
Property Address
c' --
Phone
rate
Date
COUNTY OF BUTTE'= -DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
:2 R0MTNfZ
ASSESSOR PARCEL NUMBER
036-021-024
ZONING
AR •
BUILDING PERMIT
OWNER A. BROADWAY
T���53
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
3031 ORO BANGOR M
CONTRACTOR'S NAME
TELEPHONE.
533-4006
CONTRACTOR'S MAILING ADDRESS
P.O.BOX 1804 OROVILLE
Fireplace
CONSTRUCTION LENDER
j��•j
�fADDRESS
UNKNOWN
Total Valuation . $
Filing Fee
$ 10.00
LENDER'S MAILI NOG
Permit Fee
$
ARCHITECT OR ENGINEER
NONE
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
3031 ORO BANGOR MAY
Permit fee
$
PLUMBING PERMIT Filing Fee 10.00
(
Each Trap
2.00
r
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
I
Water piping
5.00
Each pas water heater or vent
5.00
USE OF STRUCTURE
SF[N Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
0.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities [J Installation❑ Other ❑
Describe work: THSTAIL NFW SF.RVTCT, M19C WIRTNO
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
600V OR LESS
Main service 100 AMP OR LESS
10.00 10.00
Main service EA. ADD -L too AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty p jy (check one):
of perjury
�
2-1 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. "�/R33� Classification. �-/CJ 1
Fli, 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 I
NEW CONST. ( DWELLING OCCUP.d+\
OR ACDNS. ACC. BLDGS.
'/zQsgft
NEW CONSTR. RANCH CIRCUITS)
NON•R ESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. Occup(ouTLETSORFIXTURES
e20 0 50t
AO30
FIXED APPLNS.
Ex. OCCUp. OUTLETS ((RESID.IREA.�
2.00
Temporary service
1 10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00 •
PH INSP
Permit Fee
; 50.00
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less. I
( ❑ 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.
1p. --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
FiIingFee 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 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 liab,' ties, judgments, costs, and expenses which may in any way accrue
against 'd County in nsequence of the granting of this permit.
49017 -
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
-
TOTAL FEE $ 50.00
HAz.
CLIA
PARK
I SCHL
I FLD
I CDF
PAR
PD
) HD •
ISSUE
This permit is hereby issued unser the applicable provi-
sions of the Butte County. Code and/or resolutions to do
work indicated abov7 for which fees have been paid.
D) EC ORO P�ELIC WORKS / (%
B � �'fr �/ Date
y
PERMIT EXPIRES Date
Receipt No. 100781 50.00
WHITE-D.P.W., YELLOW-ASeE330M. PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
036-021-024
ZONING
AR
BUILDING PERMIT
OWNER A. BROADWAY
TH�3
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
3031 ORO BANGOR HTWAY
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
P-0- BOX 1804 OROVILLE
Fireplace
NONE CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
NONE
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
3031 ORO BANGOR HTWAY
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑X Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
O.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities U Installation❑ Other ❑
Describe work: INSTAI T NEW SERVICE &SC WIRING _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service eDOV OR LESS
100 AMP OR LESS
10.00 10.00
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.
License No. 4,t71331 Classification. d—/L)
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 CONST. I DWELLING OCCUP.N
OR ACDNS. ` ACC. BLDGS.
,h¢sgft
NEW CONSTR ULT' -OUTLET
NO ESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS tr
SINGLE OUTLET CIR.
Ex. DCCUp�OUTLETS OR FIXTURES
200300
.200030
FIXED APLNS.
Ex. Occup. OUTLETS P(RESID )REAJ
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00 .00
PRE INSP
15.00
Permit Fee
$ 50.00
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.
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
FiIingFee 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 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 liab' 'ties, judgments, costs, and expenses which may in any way accrue
agai id County in onsequence of the granting of this permit.
+
X Date
I cture 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
-
TOTAL FEE E 0
$ 50.00
HAz.
cuA PARK
HL
FL
PAR
I HD.
ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County. Code and/or resolutions to do
work indicated abov for which fees have been paid.
D EC R011 -11C WORKS
Date rG.
PERMIT EXPIRES Date
Receipt No. lAfL781 rill. nnBy
WHITE-D.P.W., YELLOW-ASDE330R, 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 DDES39RCi EL NUMB R_ O�
ZONING
BUILDING PERMIT
OW R
TELEPHONE—,SQ.
FT. OCC. BUILDING VALUATION
WNER'S MAILING ADORES,
,3 03 / Ori "
CON ACTO 'SNA E �
%���< C_
TELEPHONE
0
CO RACTOR'S MAILING ADDRESS
0 l
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
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 ADDR SS R ,' 1
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO. SUBDIVISION NAME PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SFIff Duplex❑ Mobilehome❑ Other
SPECI FV
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities Q5 Installation[] Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service AMP OROR SLESS
10.00
10.00 0.
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.
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)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
GOCCUP..)
OR AODNST ( DWEACCLLING
yS.zItsgft
NEW CONSTR. MULTI -OUTLET
NON.RESID BRANCH CIRCUITS)
2.SOea
POWER APPARATUS e
(SINGLE OUTLET CIR. )
Ex. OCCup(OUTLETS OR FIXTURES
20®50¢
5AL(7 30
FIXED APNS
Ex. OCCup. OUTLETS PRESID IKEA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00 5,
N5
-5 O0
Permit Fee
$ moo. 6✓
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 10.00
Heating
Cooling
I Hood
3.00
I 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.
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 ❑ 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
—
TOTAL FEE $ ,>O
HAL CUA I PARK
SCHL
I FLO
I CDF
I PAR
PO
(, HD. ISSUE
This permit is hereby issued unser
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
�c
Receipt No. �OQ 7 1 566
NHITE-D.P.W.. YELLOW -Ase Esso R. PINK -INSPECTOR. GOLDENROD -APPLICANT
TENNANNT :
[OCCUPIED HAS ELECTRICHAS GAS EEIFAS SANITATION FACILITIES
E� HEATED -COOLED PERSON CONTACTED _IAAD; �
OTHER COMMENTS:
ACTIW RECOMMENDED:
ISSUE 0 HOLD FOR
I OTHER:
BY DATE
PRE -INSPECTION
o.::. SER: _ �1� o a
c cJGt
DATE
LOCATION:
&mQvV;' �/D�
i /, �
A. P. #
` CONTRACTOR: 6 . cf T
Clecf yr L
ZONING /4 -
(-e(r
PRE -INSPECTION FOR:
opct
v
y I
DATE. TO INSPECTOR
PERMIT HISTORY:
NONE C(
AS FOLLOWS:
TYPE OF OCCUPANCY
FIELD
- INFORMATION
BUILDING USAGE:
TENNANNT :
[OCCUPIED HAS ELECTRICHAS GAS EEIFAS SANITATION FACILITIES
E� HEATED -COOLED PERSON CONTACTED _IAAD; �
OTHER COMMENTS:
ACTIW RECOMMENDED:
ISSUE 0 HOLD FOR
I OTHER:
BY DATE