HomeMy WebLinkAbout079-330-022M Richard Warmack WRNACK, Richard 29- '
67 -B -s
1101 Mt. I a Rd,Oro 1' e t,
E r Perm E ew
cont es Cons o, o i e�`7 35o
3"6 -+ '11101 Mt. Ida Rd., Oroville
ermit- # 17-82A----- , - • -- .- - - I CONTR: A-1 Mas , 20l�1 Fogg Ave .,Oroville
AGRICULTURAL BUILDING EXEMPTION PERMIT (fireplace) /62
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OROVILLE, CALIFORNIA
GENERAL CLAIM
CLAIMANT: _ James Kennej
ADDR ESS: P.O. Box 1533
CITY & STATE: OroVille, CA 95965 IMPORTANT:
June 29, 1982 SEE INSTRUCTIONS
DATE OF CLAIM: ON REVERSE SIDE
SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES
DATE
DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY)
AMOUNT
i
1 Decided not to build. (Bldg Permit`1-82B E Receipt #68265 -
dated 6 8 82 -AP F36�6_5,7=0wner Richard Warmack)
Building Permit fee paid ------------- $128.50
Retain plan check ee------- $39.5U
Retain filing fee----------- $10.00
Amount Retatned ---------- ---
Refunddue ---------------------------------------- $79.00
Electrical permit fee paid ----------- $38.95
Retain filing fee-------------------- 110.00
RefundDue---------------------------------------- 28 95
Refund Due --------------------------------------- $107.95
Clerical error -Total permit Fee paid $157.45
Should have been $167.45 10 00
Total Refund Due --------------------- ------------- $97.95
$97
95
TOTAL
$97 95
. 1, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this
claim is true and correct as stated. y
Dated this �...... � day o�4J CGC-Y 19 t.. Calif.
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n to f Claimant
fid above have be performed or de-
1, the undersigned, hereby certify that, to the best of my knowledge, the services or. article0Dpa
livered and that ye lI a Budget Appropj tion ❑ or Specific Board Approval Q (Check one) fe.
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Dated this ..........f. day of ......... 19.......... Calif. .... . ..... .. .ent
Head or Autho : Deputy
--
�—
Dept. Exp
-- Code ........................................ Code ............:.:.::.:...:........................PAYABLE FROM........................................................................................... FUND
DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY
VENDOR
CODE
DEPT.
& SUB.
PROD.
SUB.
OBJ..
CLAIM
NO.
INVOICE
_. NO.
INVOICE
DATE
DISC.
GROSS
AMOUNT
ENCUMB.
SUB -DIST.
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NI t COUNTY OF BUTTE =DEPARTMENT OF PUBLIC WORKS
• 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATWN ARD PERMIT
PERMIT N
ASS PAR L UMBEFr 7
ZON1
BUILDING PERMIT
OWNE ,.
TELEPHO E
SQ. FT. OCC.1 BUILDING VA 10
OWNER'S AI I G DR 5
CORA TO NAME ITELEPHONE
te-MiNTRA R'S MAILING ADDRESS
• r
Fireplace
C NSTRUCT L NDE
�-
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ ."
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ r
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS ZJ TZ d
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.0.0
Gas piping system 1 - 5 outlets
USE OF STRU UREA ,��- j
SF ❑ Duplex❑ Mobilehome❑ Other11-1 (V P aL
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New Q/Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.8i
OR ADONS. ACC. SLOGS.
22 sq ft yqx
CONTRACTORS LICENSE LAW
I 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 f ce and effect.
34W No.—W26 Classification �f
No.__
❑ 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 CONSTR (MULTI -OUTLET 2.50 ea
NO N•RESID BRANCH CIRC TS
NEW CONSTSL //POWER APPARATUS Q
NON.RESID. (SINGLE OUTLET CIR.
50 @ zsa
Ex. Occup(OUTLETS OR TURES BAL@1
S
APPLN. OR
EX. Occup. OUTLETS (RESID.1 EA. 2.00
Temporary service 10.00
Mobile Home Facilities
15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
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.
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 enter upon the above-mentioned property for inspection purposes.
I 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 t said County in consequence of he granting of this permit.
6_ _ g2
X Date
Signature of Applicant — Owner Contractor X 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 $ 11 r7S
occuP. GROUP
_
I TYP of C NST.
'���
PARCEL
PD
No seuE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECR F PUBLIC
By 1
PE EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date ,f "'?
���lJ
Receipt No. al0
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
• - COU.NTY.,OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-45
AGRICULTURAL BUILDING EXEMPTION P MIT
PERMIT NO.
I `)- S!2,�
Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to
house farm implements, hay, grain, poultry, livestock, or other horticulutral 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.
ASSESSrARCE"teO� 17
ZONING
AR
OW
PHONE NO.
— 3
OWNE 'S ADDRES Tda
LOCATION OF BUILDING
USE OF UILDING
'4
. U t
SIZE OF STRUCTURE
' x
= SQ. FT.
TYPE OF CONSTRUCTION-
WOOD FRAME v STEEL CONCRETE
OTHER (Specify)
TYPE OF SIDING
RO F COVERING
FLOG TYPE
cz V\ C
ESTIMATED OF CONSTRUCTION '
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7 D 0M
AG Bui dings shall comply with the building front, side, and rear yard requirements of the applicable County
Ordinances as follows,
So
S
FRONT !! M
SIDES
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 above and the proposed use
conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will
contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to
comply with the requirements in effect at that time and before occupancy.
QDate Signature of Owner
Permit Fee - $25.00 The above described AG Building is exempt from a building permit.
Receipt No. Director of Public Works
By Date�-
White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant
•�' ` COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY -CENTER DRIVE - OROVI LLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541
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PERMIT APPLICATION DATA SHEET
Permit No.
OWNER A. P. No.
Proposed Buildin Use
Permit Fee Based Upon: Coote Contract Price /DPW Valuation
C �
10 her( x Iain)
Building Inspector ` Date
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. . . . . . . . . . .
3. Complete plans in duplicate./triplicate. . . . . . . . .
4. Complete engineered plans and calcs. . . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. State Energy Forms No.
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. 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. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . .
.
Pre-Inspec. request to (Date)
17. Pre -Inspection for Required. Building Inspector )
18. Other
When you .ssue the permit, process as follows: Mail to owner. _
elephone �c 9and hold for pickup at office.
Other
Applicant
t�vnC
Mail to contractor.
_Deliver w/inspector.
to
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance:
(For required items not checked above at time of application, circle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other
By Date
Plans checked by Date
Plans approved by Date
Other:
Copy—DPW
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