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HomeMy WebLinkAbout079-070-015� n MARY LOU PITT 126 Greenbank, Orovill`e MOORE % CONTR: Deakins-Cons,: Co. Oroville ' B. L' 338 ' J 'I r Permi3-73 B E �r�OSZ t 12-6- t {---_--- (repair fire dame i ;" 4A - { 01-1784 OGreenbank 000�South Pt . View ` 1 j PITT, MARY. roville 126 GREENBANK AVE: OROVILLE � i6 CONT: LUCZAK CONSTRUCTION RE ROOF O` ffi/ s kl I ' 1 a CnI , ®�- i • � f .. rr� .. . .r----- -._..--.-.-+...T.....,......�--- ..m.,:i�erx•...,rta-:wr,�ywi-'W+�R,':��. " -.;47A �%L'Art;4A, .•�z�wr•AW.f �yw.•'��',•.�•••--•. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 f., (Rev. 12/96) APPLICATION AND PERMIT /` ASSESSOR PARCEL N MBER l r a ZONING BUILDING PERMIT ONER W • j 'i' r TELEPHONE - 1. SQ.FT. OCC. BUILDING VALUATION 6V Z� OWNERS MAIUNG ADDRESS S. CONTRACTOR'S NAME TE HONE C0OMAILINGMANG ADDRESS 74(AV It— CONSTRUCTION LENDER ' Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 29..00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS . I r., Energy Plan Checking Fee $ $ rr V t-) PERMIT FEE $49.00 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: _le - Gas piping syste!n 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 r PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service o.A OR 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 in full. forc ' and effect.��_ /// � /7 4// 4/2, C License Class -' Lic. No. J F " OWNER -BUILDER DECLARATION 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. I am exempt under Sec. A Busine and• Professions Code for this ` reason . WORKERS' COMPENSATION DEC RATION 1 hereby affirm under penalty of perjury one of the following declarati•ns: ❑ 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 forthwith comply with those provisions. F j XL (., �` r ,-_ , .11� Date / f —0 Signat re of Applicant Pa Owner Cor tractor ❑ Agent An OSHA permit is require? for excavations over 5'0" deep and demolition or construction of structures over 3 stories in.height. Main Service 200A TO ,000A 46.00 NEW CONST. DWELLING OCCUP. so OR ADDNS. ( a ACC. BMS. 3.50 FT. gEOSIDT' MULTI -ICH OUTLET 97,50 POWER APPARATUS 8 SINGLE OIJREr CIR. OUTLET OR FIXTURES Ex. Occup.BAS @ .50 FIXI Ex. Occup..OUTLETS (Rain.DEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling , Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ ---- Energy Inspection Fee $ occ CON TOTAL FEE $ 49.00 I.AAIMP I FLOOD I CDF I PARCEL I PO HD ISSUE This permit is hereby issued under of the Bup County Code and/or in d bdv r w ch fees have By t PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. (% I Dat `"'�1 e Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 r pF�►vNgt (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCELNUJ3 ZONING BUILDING PERMIT r TELEPHONE - SO. FT. OCC. BUILDING VALUATION OWNERS MAID ADDRESS i r, , v C If- 6% 20 1,200 CONTRACTOR'S NAME o n TE HONE _,940q CO ORS MAIUNG ADDRESS r O V I IM CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $1,200 ARCHITECT OR ENGINEER LICENSE NO. Flin Fee $ 20.00 Permit Fee n $ 29.00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS Z GCiv C_ Energy Plan Checking Fee $ V 1 959 GL PERMIT FEE $49.00 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: 'le 2_ Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I G W Q20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Feel 20.00 600VOR LESS Main Service zo.A 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 in fytl forc7 and effect. �7 License Class Lic. No. -.2/ �� Z, OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, 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. I am exem t un r Sec. Busine and Professions Code for this reason exL- If Main Service 200A To I000A 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. ( a ACC. aws. so 3.5QFT; �" NR°., Io ' MULTI -OUTLET BRANCH CIRCUITS �a 7,50 POWER APPARATUS & SINGLE OUTLET CIR. Ex. Occup. ounzrOR FOMFIES 20 00 BAL @ .50 Ex. Occup..OUTEu-°rs pal0°Ea 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DEC ATION 1 hereby affirm under penalty of perjury one of the following declarati ns: ❑ 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. ❑ I 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'HAz. 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. c� X Date _ / Signature of Applicant Owner actor ❑ Agent 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 Cooling Hood 6.50 Ventilation PERMIT FEt S Mobile Home Installation Fee $ Energy Inspection Fee $ CONST. TYPE TOTAL FEE $ 49. pp vist D FEES IMP FLOOD CDF PARCEL PD HD ISSUE it is hereby issued under u County Code and/or in d b v r w ch fees have ByIdu PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. �//, Dat"t k I e Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ra PERMIT- NUMBER _ B 3-73B,E xr �1 E tis , x PERMIT EXPIRES 12 4z it OWNER Marg Lou Pitt CONTR: Deakins Const. Co., Oroville LOCATION (A.P. 36-3-15 126-,-,'Greenbank, Oroville h cz Y X y u 1 ' COUNTY OF BUTTE Department of rPublie'-=Works ` BUILDING INSPECTION RECORD a Zoning Setback Forms Foundation Piers & Girders Fireplace Rgh. Plumbing Bond Beam Lath & Plaster Rein. Steel Gas Piping & Test Found. Vents Framing Z2.44.{ ---g, --'7L Plmg. Topout Rough Elec. ` Wtr. Htr. Furnace Kitchen Vent Firewall Garage Vents Sanitation & Water ELECTRIC GAS BUILDING Temporary Temporary Cert, of Occup. Final Final Final DATE REMARKS OR CORRECTIONS COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive Oroville, California 95965 Telephone: _ "- _ _- 534-4541- APPLICATION 34-x-54.1 APPLICATION AND PERMIT f'� 3-X73 authorize representatives of the County of Butte to enter upon the above-mentioned propert for inspection purposes. c� �e::�=CDate ignaturelof Permitee or Agent Receipt No. J �� 16,,_20 White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant 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. DIR TOR OF PUBLIC WORKS BY Date5&/,j Building Permit Expires Date 4Z3/.o7 soe BUILDING OwnerSQ. L FT. OCC. BIJILDING VALUATION b (2 Gd Mailing Address Fireplace Contractor e-�� Total Valuation Mailing Address/ Permit Fee DO P I an Ch eck i ng Fee &/or Penalty }®Ut- Y Permit Fee $ 00$ pd Building AddressazlePLUMBING No. @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 / ^ A. P. No. Zoning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .50 Fire Zone Fire Dept. Sanitation Planning Building sewer 5.00 la Fees W. C. R/W Encroachment Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ OTHER K Permit Fee $ $ < ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ,oD Main service incl. 1 meter Additional meters, each 1.00 USE OF STRUCTURE Single Family Duplex ❑ Others ❑ Sub -panel (12 or less) (more than 12) Range, dryer or water heater 1.00 Oven, Cook -top or space heater 1.00 Light fixtures 209125. Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name sty . —4-24-7-k ? ee Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Misc. wiring S.00 o -.f-r 6::� z, °r rk- License No. Z_ I Z 2 4Y Classification7i'I ❑ i am exempt from the Contractors License Laws of the State of California. Permit Fee $ ET- v WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for ;WorK1'*n's Compensation. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑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 the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Permit Fee $ $ 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 In SirumentotiontrYr a om1On $0.07/$1000 Evaluation $ TOTAL PERMIT FEE $ ®� authorize representatives of the County of Butte to enter upon the above-mentioned propert for inspection purposes. c� �e::�=CDate ignaturelof Permitee or Agent Receipt No. J �� 16,,_20 White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant 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. DIR TOR OF PUBLIC WORKS BY Date5&/,j Building Permit Expires Date 4Z3/.o7 soe