HomeMy WebLinkAbout079-240-027` o
SHE LI MIKCON
6138 Lower Wyandotte {'
Contr: Oro Pump & Electric 9�
��342-85E(ele ser ch_
Permit
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MILKON, Ray �'Oroville
6138�Lower Wyandotte Rd,
` • Harward A Co
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COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
c.� MIT NO.
ASSESSOR PARCEL NUMBER
36-28-27
ZONING `/
BUILDING PERMIT
OWNER
MTLKON
TELEPHONERAY
SO. FT. OCC. BUILDING VALUATION
EST 7,500
OWNER'S MAILING ADDRESS
6138 T.OWER TTE RD OROVILLE
CONTRACTOR'S NAME
TELEPHONE
638-5898
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 7,500
Filing Fee
$ 15.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 82.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
VILLE
Permit fee
$ 97.50
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 etas 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
@ 15.00
TYPE OF WORK
New Addition❑ Remodel[:] Utilities❑ Installation❑ Other®
Describe work:VINYL c�T _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600V OR LESS
200A OR LESS
18.50
Main service 200ATO1000A>
37.50
CONTRACTORS LICENSE LAW
I declare er penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code /aand my license is in full rce and effect.
License Ao.S-Z9/4 `Z 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 OCCUR.&
OR ACDNS. ACC. SLOGS.
(
3.64 sq.ft.
NEW CONSTR. ULT"OUTLET
NON.RESID BRANCH CIRC ITS
@ 5 00
POWER APPARATUS &
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
20 76d
FIXED APPLNS. OR
Ex. Occup. OUTLETS ((RESID.I PAY
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. byirin 9
'15.00
Permit Fee
$
—
WORKMEN'S COMPENSATION INSURANCE
I declare under Ity of perjury (check one):
❑ T 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
g
Hood
6.50
Ventilation
permit Fee
$
LSontractor
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
aJW liabilities, judgments, costs, and expens h may in any way accrue
ainst said County irlecinseqprice of r Ing of this permit.
D �'^ �8^ 1
9 Applicant ❑ Contractor Agent ❑
An OSHA
ion of strucuestover 3gstoriesoin he ght ons over 5'0" deep and demolition or construct-
Mobile Home Installation Fee S
Ener Inspection Fee
9Y P
$
occ
CONST TYPE
TOTAL FEE $ 97.50
HAz
1 11FEES I
IMP
I FLOOD
I CDF
I PARCEL
PO
HD
1 155
This permit is hereby issued under the
sion s of th utte County Code and/or
work i Ic ed a v r whiAhee
DIR OF PUORKS
By
PERMIT EXPIRES Date
applicable provi-
resolutions to do
avebeen paid.
Dat
Receipt No. Z Ud �%3
WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
.. f<
0;P0UkTY OF BUTTE - DEPARTMENT OF PUBLJ!p WORKS,-:'BWLDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION -DATA SHEET
Permit No.
OWNERf Ul ( `L- 0 r" t A. P. No. r z ✓
Proposed Building Use D/xj 6 Building Inspector —^ Date k/4-
At
/%
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, 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.,Hazardous Material Form ............ ........................... .
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ...............
8. Engineered truss details, and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions.......................................................
10. Fees of $ ........................
11. Chico Urban Area fees paid .......................................
12. Park fees paid ....................................................
13. School District fees paid ..............
14. Sanitation approval from Health Department
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking:
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy) -U Z
20. Pre -Inspection for required Pre-Inspec. request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization . ...............................
26. t
_s; k r
27.
When you issue the permit, process as follows: Mail to owner. Mail to.contractor.
TelephoneandNK" Id for pickup at office. Deliver w/inspector.
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution 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---jnail_counter by ..date
Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy -DPW
oy -1 ?779
ENCROACHMENT PERMIT INIk
County of Butte Department of Public Works
7 Count Center Drive Oroville, CA 95965 Phone (530) 538-7157 Ext. 2016 Fax: (530) 538-4356
Download Forms: www.buttecounty.net/publicworks/forms.html
NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE DONE
Phone (530) 538-7157 Ext. 2016
Permit Number
C/a% G �,��J t.
District
�'S
APPLICATION
I / WE, the undersigned, hereby apply to the County of Butte for an encroachment permit to do the following work under or over the County roads
and highways, all in a cordance with County ordinances and general laws. All information except signature must be typed or legibly rinted.
1. Applicant's Name: 1
la. Company Name:
2. Address: 5-3/i (/ VC�LG�
3. Phone: _ 7FF6
/Done 11 ff33
4. Assessor's Parcel Number:
5. Location of Work to be
6. Applicant's Signature
7. Date:
CONTRACTOR'S INFORMATION
8. Contractor's Nam �2- 0. /A rJ
9. Address r r
j
1 �a L-G—YA n
•X
10. Phone: � V
ll. Fax:
12. Contractor's License Number---'--
13. Certificate of Insurance: Yes C No: ❑
14. Contractor's Signature:
j� -
14a. Date Signed:
15. Authorized A e
TYPE OF WORK TO BE DONE
16. Please Check:
Curb: El Gutter: El Sidewalk: El
17. If Driveway List Type:
18. Other Work - Describe:
19. Plans Attached:
❑ Yes No
PERMIT GRANTED
In compliance with the above request, and subject to all terms, conditions (including those on page 2 of this permit form) and special conditions written below,
permission is hereby ranted.
20. Conditions v �G)) ,,j_
]� �fi�/CVR%Cu/V!r/
Underground Service Alert U.S.A. must be notified two working days prior to any excavation. 800-227-2600
21. [YAll work shall conform to accompanying: Detail X Plans ❑ Special Conditions 29
22. Date Issued ,5- O ,1
23. Expiration Date: �J / _ J
24. Surety:
25. Date Paid:7
S-S—d
26. Amount Pai • 27
-Paid Rv: (t
C h
28. Receipt No.:
VC10 ZS
Mike Crump, Director of Public Works
By:
For County
29. Final Inspection Date:
30. Inspected By:
❑ Completed - OK ❑ Completed — Not OK
❑ Additional Comments Attached
Use only:
3 L Comments:
Note: If permits are faxed to any number besides (530) 538-4356, they can be delayed up to one week.
Page I of 2
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6138° Lwr Wyandot
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
A 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PEpr MIT'NO.� f
NUMBER ASSESSO-AR
CEL CEL NU
(d ;,l Y,_ �. r j
r fI i G Jif N L
BUILDING PERMIT
OWNER J� } A A
SVI t'Y" 1 I i I k-(q,�
/ V
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILINGIADDRESS
UJ y
t-4 7W IJ
CONTRACTOR'S NAME l
U Irn t'() tm Z)�t e.0-`
TELEPHONE
CONTRACTOR'S MAILINGD S/V� 4�^
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
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS,
in I I t� nX Wu AAi,4, �p
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
/
SFEE Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home I S I G JW 1
10.00 e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti Iities ❑ (Installation ❑ Other Qr
De�(scriibbe work: I e� S/ ir- i ,`Jr I ii - (� %0{
f t P I F` 0 1 1A Q cS' C_.iJ r Iv1 V C`M _14D 1 t
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6000V OR LE 0 AMP ORLESS10.00
U U ,.i
Main service EA. ADD'L too AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ( ACC. BLDGS.
2thQsgft
CONTRACTORS LICENSE LAW
I declare under penalty perjury
p y of p ir y (check one):
Q I am licensed under provisions of Chapt. 9, Div. 3 of the Business.00sot
and Professions Code and m license is in full force and effect.
y
L cense No. -9'9"/ e "0 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
fcr this reason
NEW CONSTR ULT' -OUTLET 2,50 ea
NON.RESID. BRANCH CIRC ITs
NEW CONSTR ( POWER APPARATUS &)
NON -RES,D. SINGLE OUTLET CIR. /
Ex. Occup(o XTs OR FIXTURES' BAL®300
FIXEEDD APP LNS. OR
EX. Occup. OUTLETS (RESID.) EA.1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
a. 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.
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 en:er 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 sail Countyin consequence of the granting of this permit.
X �� y"�%/ Date %�� �3 �+1'
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.
I
PARCEL
PD
I HD I
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR -OF PUBLIC
By. .. ��f l .e' �t
- '- r �
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
,y-
Date -� -
- c�''-
"�
Receipt No. �� � � 6 X
WHITE-D.P.W. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
a—
ASSESSOR PRCEL NU ER
—11
ZO �
BUILDING PERMIT
O WNE S
t
TEL PHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'ZMAIS ADDR SS
c0 TRACTOR' ME
TELEPHONE
CONTRACTOR'S A LING A R
(/ '`/'/1
Fireplace
CONSTRUCTION LENDER
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'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5,00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S I G I W
__10-00e4
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ allation ❑ Other
Des a work: —
A
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service eoov OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST.DWELLING OCCUP.
ACC. BLDGS.
OR ADDNS. ( &
t
2h2sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
R'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.,94!�2F%o® Classification __—_10
❑ 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 CONSTR U TI -OUTLET 2,50 ea
NO N.RESID BRANCH CIRC ITS
NEW CONSTR POWER APPARATUS &
NON -R ESID. (SINGLE OUTLET CIR.
20@50C
Ex. Occup(o Ts OR FIXTURES 9AL®ao
FIXEEDDXAPP LNS, OR
Ex. Occup. OUTLETS (RESID.) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee
$
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
Lg,-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
$
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, jud ents, costs, and expenses which may in any way accrue
arrf st aid C consequence of the granting of this permit.
X Date �J ^
Signature of Applicant Owner Contractor � Agent `❑
An OSHA permit is r q fired for excavations over 5'0" deep and demolition or construct-
ion of structures over stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OF CONST.
PARCEL
PD
ND
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
1 ECT PUBLICZWORKS
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
�-
"-
.--�
Receipt No.
WHITE-D.P.W., YELLOW-ASSFSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT