HomeMy WebLinkAbout078-340-002036--2
S0 -Rl' ND 9.3 232E•
EMIL
1°19 "INGLEWOOD, `OROVILLE V C)C)D
SERV SF
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036-45-0=002 93-232E 'w
SODERLUND, EMIL
r X119 'INGLEWOOD,.'OROVILLE
CONTR: STRANG ELECTRIC
ELEC. SERV/SF
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
036--45-0-002
ZONING
MR
BUILDING PERMIT
OWNER
EMIL Soderlund
TELEPHONE
533—
—,10
3
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
P 0 Box 63
03,11310 CA 05065
CONTRACTOR'S NAME
Strang Electric
TELEPHONE
533-4214
CONTRACTOR'S MAILING ADDRESS
250 Canyon Highlands Oroville 95966
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
LENDER'S MAILING ADDRESS
Filing Fee $ 15,00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee ,$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS
119 Inglewood Oroville
Permit fee ,t
PLUMBING PERMIT Filing Fee 115.00
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
SF ❑JQDuplex❑ Mobilehome❑ Other
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 ❑ Remodel ❑ Utilities ❑ Installation❑ Other
Describe work: Replace Aeryice
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 200AORLESS SS 18.50 18.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
F1 am licensed under provisions of Chapt. 9, Div. 3 of the BUSlness
and Professions Code and my license is in full force and effect.
License No. �� 5�-= Classification G ^ tel/
❑ 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 200A TO 1000A1 37.50
NEW CONST. ( DWELLING OCCUPM 3.64 sq.ft.
OR ADDNS. ACC, SLOGS. II
NEW CONSTR ULTI.OUTLET
_NON ESID BRANCH CIRC ITS @ 5.00
POWER APPARATUS fi
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 20 76
Ex. Occup. OUTLETS P(RESID IRE A.) 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. Wiring -15.00
Pro
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.
U�rI 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. I
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 consequence of the granting of this permit.
X `'�y� Date -0 ��%�
Signature of Applicant — Owner El Contractor Agent El
An OSHAwork
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 S
Energy Inspection Fee $
OCC
CONST TYPETOTAL
FEE $ 68.50
I
HAz
1 0FEES I
IMP
FLOOD
I CDF
PARCEL
PD
I HD
I ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
indicated above ,6r which fees have been paid.
DIRE T9Ff OF PUBLIC WORKS
BY". Date 1�'
PERMIT EXPI • ES Date Z - Z — C1
Receipt No. 130489
WHITE-D.P.W.. YELLOW -A58[;730 R, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION ANO PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
ZONING
AR141_J
BUILDING PERMIT
OWNER
EMIL Soderlund
TELEPHONE
533-3610
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
P 0 Box 63
QA Q5965
CONTRACTOR'S NAMEOroixille
Strang Electric
TELEPHONE
533-4214
CONTRACTOR'S MAILING ADDRESS
250 Canyon Highlands Oroville 95966
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $ 155,00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS
119 Inglewood Oroville
Permit fee $
PLUMBING PERMIT Filing Fee 15.00
Each Trap 1 5.00
Solar or heat pump water heater 1 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping 1 7.00
Each clas water heater or vent 1 7.00
USE OF STRUCTURE
SF ❑X)Puplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.00
Mobile Home is G W @ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other (
Describe work: RPi 1 arp aprvi rp _
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 20000AOORLESS J-1118.50
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.
,I
License No. �JS e2A / Classification G ���/
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)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Main service 200ATO1000A1 37.50
NEW CONST. DWELLING OCCUPM 3.64sq.ft.
OR ADDNS. ACC, BLDGS. //
NEW CONSTR. MULTI -OUTLET
NON.RESID BRANCH CIR-C ITS @ 5.00
(POWER APPARATUS e)
SINGLE OUTLET CIR.
20 76
EX. OCCUp(OUTLETS OR FIXTURES
FIXED APPLNS. OR
EX. Occup. OUTLETS (RESID.) EA.) 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
ffE
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.
�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 FiIingFee 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, j gments, costs, and expenses which may in any way accrue
against s ty in consequence of the granting of this permit.
X Date..ah �rs�
Signature of Applico — Owner ❑ Contractor Agent ❑ ,
An OSHA permit is required for excavations over 5'04 deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee S
Energy Inspection Fee $
OCC
CONST TYPE
TOTAL FEE $ 6 8.50
8
HAz
0FEES
IMP
FLOOD
COF
PARCEL
PD
I0
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indica a v r which fees have been paid.
I OF PUBLIC WORKS
By /Date -Q3
P MIT EXPI. ES Date ;7� Z�
Receipt No. 130489
WNITC-D.P.W., YELLOW-ASSFSSOR, PINK-IH9PEDTOR, GOLDENROD -APPLICANT
�.,•s� ./70-� T•„r.r'ry..,^r_ey''..-t'Rr,r{ai(,X,ry.t+t�ri�.�`3�'�•+�+r.r'�9")T, "Mrs/'i..,..",,'yy'"'r�-"SF;,,j...yi`�`"!1�A'int,"f'1,+t^'Y'''1rF'h,.'11'.n•^^'cti.-�+'?!�-v�--ter•`+, ,
COUNTYOF BUTTE -DEPARTMENT OF`DEVELOPMENTSERVICES -BUILDING DIVISION
I Tot'-.
7 COUNTY CENTER DRIVE - OROVILLE, CNIA95965 -TELEPHONE (916) 538-7541
PERMIT APPLICATION DATASHEET
OWNER
Proposed Building Use
�i'�
Building Inspector
Date v2
At time of permit 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 Cttyxof Biggs/Gridley. .............
17. Planning approval for (A) Use: (. (B) Parking:
18. Contact Land Development about -'(A) Improvements (B) Drainage. ......... .
> Driveway permit (con r c �n approval required prior to occupancy). .. . .
20.
Pre -inspection for rto Building
Inspector
p 4g��C/ 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.
vv en 6u issue the permit proc ss as follows: Mail to ow- oer. Mail to contractor.
Telephone -and hold for pickup at U office. Deliver with inspector.
Other
Parcel Creation ^�
Acreage Applican Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Poll�lon Date
Copy of plans sent Health Dept. Fire Dept. Other �. Date By
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:
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
—Q -'t�U7i
ZONING, '
�
BUILDING PERMIT
OWNER
TELEPH9,NE
SO. FT. OCC. BUILDING VALUATION
OW MAI ING ADDRESS
CONTRAC OR'S NAME
.v G -
TE PHONE
,)v
CO RACTOR'S MAILI ADD R SS
Fireplace
CONSTRUCTION LENDER
UN w Nf
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $ 155,00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING A DRESS
WO ^
V
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 Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.00
Mobile Home S I G I W I J @ 15.00
TYPE OF WOR
New ❑ Addition ❑ Remodel ❑ Utilities Instal ation❑ Other ❑
Describe work: _ f
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 2R LESS
000A OR LESS 18.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
ElNON-RESID
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. ��S�S� Classification G' 0
❑ 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)
ElI, 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 200ATO1000A) 37.50
NEW CONST.( DWELLING OCCUP.&\ 3.66sq.ft.
OR AODNS. ACC. BLDGS. I
T
NEW CONSTR ULTI.OUTLEC ITS @ 5.00
BRANCH CIR
POWER APPARATUS 6
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES R20 76d
FIXED APLNS.
Ex. Occup. OUTLETS (RES1REA.� I 3.00
Temporary service 1 15.00
Mobile Home Facilities 1 15.001 1
Misc. Wiring 15.00
, CJ
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- 15.00
Heating
Cooling i
Food 6.50 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 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 any7W y accrue
against said County in consequence of the granting of this permi
X Date G �j
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An. OSHA permit is required for excavations aver 5'0" deep and demolition or can
ion of structures over 3 stories in height.
Mobile Home Installation Fee $ °
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $ r j
HAz
DFEES
IMP
FLOOD
CDF
PARCEL PO HD
ssuE j
This permit is hereby issued under the applicable provi- I
sions 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
PERMIT EXPIRES Date I I
Receipt No.
�J��
-D. .W.. YELLOW-A98Ca90R, PIAK-INSPECTOR. COLO ENROa-APPLICANT
I
PRE -INSPECTION
OWNER • �O D �%� L V: �� DATE
LOCATION :1 ' 6 ,. � �i O A. P. # D '3� ZLS �J
CONTRACTOR: 6_?_rft "62 L/ (i L� ZONING
PRE -INSPECTION FOR:
DATE TO INSPECTOR
PERMIT HISTORY: ,NONE AS FOLLOWS:
TYPE OF OCCUPANCY
FIELD - INFORMATION
k
BUILDING -USAGE:
TENNANT:
1:3 -OCCUPIED L] HAS ELECTRIC HAS GAS HAS SANITATION FACILITIES
Q HEATED -COOLED F PERSON CONTACTED
OTHER COMMENTS: 4
ACTION RECOMMENDED:
ISSUE HOLD FOR
r
,1
OTHER: I
BY aL I DATE ' - /v i ' �