HomeMy WebLinkAbout079-070-015� n MARY LOU PITT
126 Greenbank, Orovill`e MOORE
% CONTR: Deakins-Cons,: Co. Oroville ' B. L' 338 '
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126 GREENBANK AVE: OROVILLE � i6
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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
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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
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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