HomeMy WebLinkAbout079-250-002LDIE "TAYLOR "
6195 Upper PAlermo Rd, Palermo Z
Contr: Pauls Electric
Permit#4093-87E(upgrade elec ser to
100 am—pSF
099"- 00=W5 AG01-05`
-'DON'RO55
AGRICULTURAL EXEMPT PERMIT
6195 UPPER PALERMO, ORO ,
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LDIE "TAYLOR "
6195 Upper PAlermo Rd, Palermo Z
Contr: Pauls Electric
Permit#4093-87E(upgrade elec ser to
100 am—pSF
099"- 00=W5 AG01-05`
-'DON'RO55
AGRICULTURAL EXEMPT PERMIT
6195 UPPER PALERMO, ORO ,
utu
I
t
I
1'
1
f.
LDIE "TAYLOR "
6195 Upper PAlermo Rd, Palermo Z
Contr: Pauls Electric
Permit#4093-87E(upgrade elec ser to
100 am—pSF
099"- 00=W5 AG01-05`
-'DON'RO55
AGRICULTURAL EXEMPT PERMIT
6195 UPPER PALERMO, ORO ,
utu
l
1
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OFFICE•COPY
Address
GA
ate . ..,.
ELECTRICY
Meter Date /� 37(�
Ii-
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APP'LICATON AND PERMIT
RMIT NO.
ASC j R-y� �N
(f
Z "%f'G r
BUILDING PERMIT
OWN .. --
J4 0�'
T.E�LEP ONE
SQ. FT. OCC. BUILDING
VALUATION
OWN 'S MAIL IN DDR S
& r I^® i
"TELNE
CON TT' NAME r °
' �c
CONTRA OR'SAILING ADD SS
rz
Fireplace
CONSTRUCTIO LEND R
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS i
Penalty
$
BUILDING ADORES
X95 a m
Permit fee
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Q @ 1.1 pn eq
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF g Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer -
5.00
Mobile Home S G W
0.00ea
TYPE OF WORK
New❑ AdditionRemodelUtilitie In tallation❑ Other
Describe work: V� ✓�<
se- Y\ 11 Inc V
1%(.! i
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service e00v OR LESS
100 AMP OR LESS
10.00 f ,
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
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.
License No. Classification
El 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)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.y`
OR AODNS. ( ACC. BLOGS. / , /20sq ft
NEW CONSTR TI.OUTLET 2.50 ea
NON-RESID .BRA CH CIRC TS
POWER APPARATUS IN
(SINGLE OUTLET CIR. )
Ex. Occup OUTLETS OR FIXTURES 200030
FIXED APLNS
Ex. Occup. OUTLETS PR
RESID IEA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Mi . Wirin g 15.00
y' —.Ins 1.%S
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
FiIingFee 10.00
Heating
Cooling
g
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 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, judgments, costs, and expenses which may in any way accrue
again % aid Co my in consequence of the granting of this permit. Q 6 X �y Date /.;2 —p /
Signature of Applica— wner❑ Contractor ❑ Agent ElWOr
nt
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 $
Energy Inspection Fee $
TOTAL PERMIT FEE $ �D
occuP.
CONST.rYPc
SCHOOL
FLOOD
PARCEL
PD
I ND
s3u
This permit is hereby issued under
%ions the Butte County Code and/or
i dicatedj above for which
DIRECTOR OF PUBLIC
BY
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
�7y g
Receipt No.
WNITE-O.P.W.. YELLOW-A3e9330R, PINK -INSPECTOR. GOLDENROD -APPLICANT
'iii'�p7S1�tV''flr:jrl°y+`T4�.i#yt.�;�Y+�C'r'�r..: �'i Tx`n,.'��k.t�rJ►v�'pa^°rs�r �k..,,'" xs �ysr
COUNTY OF BUTTE - DEPARTMENT `SOF PU LIC WORKS - BUILDING DIVISION
1
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT -APPLICATION DATA SHEET
/ Permit No. 1
OWNER , C- I fi f� r A. P. No. _ �[�J
^
Proposed Building Use d'
✓t 1 C- Building Inspector Date / 'J
At time of permit application, I was advised the following data must be submitted prior to permit processing
and/or issuance: I
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. Plans with Energy Design Compliance Statement. . . . . .
6. School District "Fees Paid" Stamp on Floor Plan.
` 7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
9. Letter of signature authorization.
10. Sanitation approval -from _ Health Dept.
11. Planning approval for (A) Use: (B) Parking-:-
12.
arking: 12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
_14, Owner -Builder Verification (Given to owner❑, Mail to owner ❑ )
_.__-..._15. Improvements may be required. . . . . . . . . . . .
X16, Mobilehome Instal lationPata. . . . . . . . . . _
[V// 1-.__ C� Re wired, Pre-Inspec. request to
17. Pre -Inspection for E' ,. C i Q Building Inspector —(Date)
18, Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit. —
20. Plot plan approval from city of— _
21. - - -
22.--
h n you issue the permithhp o ess as follows: Mail �too o��w�n�eer, Mail to contractor.
Telephone 533 ry and hold for pickup af�.bffice, Deliver w/inspector.
Other
Date
Copy of plans sent Health Dept.; Fire Dept., Other Date
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 ___jnaiI—counter by date
Contractor, designer, owner, was advised c? above required data by—phone —mal I_counter by date
Plans checked by
Copy -DPW
Date
Sets of plans on hold in File cabinet
Plans approved by
AP folder
Date
BUILDING DIVISION
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541
AGRICULTURAL BUILDING EXEMPTION PERMIT
PERMIT NO.
to// — z�S
Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm
implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human
habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a
place used by the public.
ASSESSOR PARCEL NO 36-30o ^ 03 3 --ASSESSOR
P RC NO. /
WNER
OWNER--,,,)
L' Rn s' "z'
PHONE NO.
53_36335
OWNER'S A 17 is dt. G 401 044, C4-
LOCATION OF BUILDING
O
USE OF BUILD NG
Wzacy&c '51W4
SIZE OF STRUCTURE
�' X _"LC_), _ L2 00 SO. FT.
TYPE OF CONSTRUCTION:
WOOD FRAME _L— STEEL CONCRETE OTHER (Specify)
TYPE OF�I7G l
ROOF COVERING
FLOOR TYPE
$STMT ED COST OF CONSTRUCTION
dclo
AG Buildings shall comply with the m iniln�um front, side, and rear yard setback requirements offtthe applicableCounty Ordinances as
follows: �� 2 V
FRONT 7S, SIDES r S� / REAR
AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a
mobilehome, and 23 feet from a commercial building.
AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a
mobilehome, and 40 feet from a commercial building.
I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the
AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and
obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before
occupancy.
Date I ' iy Signature of Ownerd�
v
Permit Fee - $60.00 The above described AG Building is exempt from a b 'ding per it.
+ F O , D PARROOFIN ISSUfr
Receipt No. ` I/
Manager Building Division f �1
By �i Date ` � v
White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod —Applicant