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HomeMy WebLinkAbout079-240-027` o SHE LI MIKCON 6138 Lower Wyandotte {' Contr: Oro Pump & Electric 9� ��342-85E(ele ser ch_ Permit ` -� 3354-91B i F 36�-' MILKON, Ray �'Oroville 6138�Lower Wyandotte Rd, ` • Harward A Co ' cont: (vinyl sidin /sf)' V ��1 jr +I - IJ; i r I 1 !� t c I 111 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 . rT.ti + �.y.__^r,. _�. f .,�1�•q ti ...: 1t} f (a r .C,� � t �r �� � + � -7- �, .r -.-.-...•.-.ems ;..... ..--ra-s' �erIIl1t7�3� _ t: -85E _• _ .. _ _ tt - _ _ M Sherli lkcon }� i 6138° Lwr Wyandot i r } q/ = - - } Y OFFICE COPY - Address GAS } Meter y Date r } ELECTRIC i _ Meter By— Date_ 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